Professional Issues

Question 1

Systematically developed statements to assist providers in clinical decision making that are commonly accepted within the anesthesia community (should be adhered to)

Answer 1

Practice guidelines

Question 2

Practice guidelines are ____

Answer 2

Guidelines, not rules

Question 3

Authoritative statements that describe minimum rules/responsibilities for which we are held accountable

Answer 3

Standards

Question 4

Standards must ____ (2)

Answer 4

1. Be adhered to by all CRNAs nationwide
2. States what we are permitted to practice

Question 5

Express the AANA official position or beliefs on practice-related topics

Answer 5

Position statement

Question 6

Principles that govern human conduct as it relates to mortality: “do no wrong”

Answer 6

Ethics

Question 7

Patient can choose care without interferences or limitations

Answer 7

Respect for autonomy

Question 8

Obligation of a provider to not inflict hurt or harm

Answer 8

Nonmaleficence

Question 9

Providers should take action to benefit others, do things to produce good

Answer 9

Beneficence

Question 10

All patients/staff/peers should be treated equally and fairly

Answer 10

Justice

Question 11

Organized code to solidify what is right/wrong within the organization

Answer 11

AANA Code of Ethics

Question 12

Dictates the principles of conduct and professional integrity that guide the decision making and behavior of CRNAs

Answer 12

AANA Code of Ethics

Question 13

Patient has legal authority to consent

Answer 13

Competence

Question 14

Ability to decide about care

Answer 14

Decision-making capacity

Question 15

Provide relevant information

Answer 15

Disclosure of information

Question 16

Disclosure of information includes:

Answer 16

Proposed anesthetic
Risks/benefits
Alternatives
Risk of no anesthesia recommendation

Question 17

Patient must demonstrate understanding

Answer 17

Understanding of disclosed information

Question 18

Consent without coercion or duress, participate willingly

Answer 18

Voluntary consent

Question 19

Medical record contains official documentation of consent

Answer 19

Documentation

Question 20

What does implied consent allow?

Answer 20

Life saving measures

Question 21

Informed refusal with Jehovah’s Witness:

Answer 21

Courts have upheld decision to administer blood in life-saving situations (parents refuse for their child to receive life-saving tx)

Question 22

DNR order in surgery:

Answer 22

Increased chance of occurrence in OR that could be reversed

Question 23

Obstetrics consent with mother/baby:

Answer 23

Explain high incidence (even if low morbidity) and high morbidity (even if low incidence)

Question 24

Res ipsa Loquitur

Answer 24

The thing speaks for itsself

Question 25

Tort Law- intentional (3)

Answer 25

Assault Battery Intentional infliction of emotional distress

Question 26

Tort Law- strict liability (1)

Answer 26

Defective products

Question 27

Tort Law- negligence (2)

Answer 27

Action was unreasonably unsafe Res ipsa loquitur

Question 28

Malpractice refers to ____ (Tort Law- civil wrongdoing)

Answer 28

Professional misconduct

Question 29

Failure to take proper care in doing something, resulting in damage

Answer 29

Negligence

Question 30

With Tort Law- civil wrongdoing, plaintiff must prove 4 things:

Answer 30

Duty Breach of duty Causation Damages

Question 31

Obligational adherence to standards of care

Answer 31

Duty

Question 32

Standards not adhered to, failure to fulfill that duty

Answer 32

Breach of duty

Question 33

Did breach of duty cause the outcome?

Answer 33

Causation

Question 34

Actual harm occurred & was a result of breach of duty

Answer 34

Damages

Question 35

Verbal defamation

Answer 35

Slander

Question 36

Written defamation

Answer 36

Libel

Question 37

Physical act of touching another person without their expressed or implied consent

Answer 37

Battery

Question 38

Making a person feel or perceive that battery is imminent

Answer 38

Assault

Question 39

Timeframe a patient has to file a lawsuit

Answer 39

Statute of limitations

Question 40

A minor's statute of limitations begins ___

Answer 40

Once they turn 18

Question 41

One party (ie employer) responsible for oversight of another (ie employees)

Answer 41

Respondeat superior

Question 42

Employer can be liable for employee's actions

Answer 42

Vicarious liability

Question 43

Mobile devices can cause ____ How many feet should you maintain with mobile device?

Answer 43

Electromagnetic interference (EMI) Maintain > 3 feet