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NBCRNA CRNA Exam Prep 2024
Questions and Answers.
Advanced Practice Nurse (APN): Definition - \A registered nurse having education beyond the basic nursing education and certified by a nationally recognized professional organization in a nursing specialty, or meeting other criteria established by a Board of Nursing. Knowledge Base of the APN - \Leadership in health care. Cooperation/collaborative skills. Autonomy and the ability to make critical, independent judgments Professional Socialization: From Nurse to Nurse Anesthetist - \Acquired a distinct body of knowledge. Become part of an ethical & moral community. Social links to patients, colleagues & groups with whom their work interfaces. Holds autonomy as a profession and individual. 1863 Mrs. John Harris - \First documented nurse anesthetist; administered chloroform at Battle of Gettsbury during Civil War. Sister M. Bernard - \St. Vincent Hospital, Erie PA. Sister Aldonzo Eltrich- - \First student nurse anesthetists, learned how to administer ether and chloroform. Edith and Dinah Graham - \First non-religious nurse anesthetists. What year did the Beginning of formal training for nurse anesthetists occur at St. Mary's Hospital; Rochester-Alice Magaw? - \1889. Alice Magaw - \Nursing education at Woman's Hospital in Chicago. Returned to Rochester March 1893 took over Edith Graham's anesthesia responsibilities at St. Mary's Hospital (Mayo Clinic). Florence Henderson - \As superintendent of nurses in Omaha learned some techniques of anesthesia. 1903 - 1917 - Charles Mayo's anesthetist. Agatha Hodgins -
\1900 moved to Lakeside Hospital in Cleveland, OH as head nurse. 1908-George Crile intended to make her his anesthetist. Established nurse anesthesia as profession.. Agatha Hodgins Award of Outstanding. Accomplishment-national award and program. Helen Lamb - \Attended every AANA meeting from 1933-1978. Helen Lamb Outstanding Educator Award -national. Who was an advocate for educational standards and accreditation of schools? - \Gertrude Fife. AANA - \1926 Agatha Hodgins re-organized the Lakeside Hospital Nurse Anesthetists Alumni in Cleveland, OH with the intent of opening it to all nurse anesthetists. What is the philosophy of the AANA? - \Organize a national organization, not a part of nursing service, discuss difficult cases. Assessing Quality in Practice for CRNAs - \Nurse Practice Act-professional organization. NBCRNA-state licensure. May be recognized by licensure, certification, authorization, approval, registration, recognition, notification, or may be no method at all. Qualifications-education. Master's degree- accreditation. Standards of accreditation-certification. Recertification. CEUs (40 hours/ years). Standards of Accreditation - \Council on Accreditation of Nurse Anesthesia Educational Programs. States not requiring graduation from an accredited program - \All states except those listed below require CRNAs to graduate from nurse anesthetists program: Hawaii (no reference), Michigan (no reference), West Virginia (no reference). Council on Accreditation - \High national voluntary standards of accreditation. Council on Certification: Purposes: - \Formulate & adopt requirements for graduation and eligibility of NCE, Formulate and administer NCE, Evaluate candidate's performance, Grant initial certification. Council on Certification: Eligibility - \Maintain current & unrestricted license as RN. Complete a nurse anesthesia program accredited by the COA. Submit application with official notarized transcript and clinical experience. Payment of fee. Sign & agree that license has never been revoked, restricted, suspended, limited by any state. Does not currently suffer from a mental or physical condition which might interfere with practice of anesthesia. Does not currently
Anesthetists (CRNAs) and student nurse anesthetists nationwide. Timeline of AANA - \1931-founded as NANA by Agatha Hodgins-First nursing specialty organization. 1933- began meeting in conjunction with the American Hospital Association. 1933-1935— Gertrude Fife president After 1st meeting, she called for an investigation of all nurse anesthesia schools and for the establishment of a national board examination. 1939-name changed to American Association of Nurse Anesthetists. 1945-first Qualifying Exam. 1955-commissioner of education recognized the ANA as the accrediting authority for nurse anesthesia education Allowed students eligibility for federal funds. 1956-AANA membership adopted the credential of Certified Registered Nurse Anesthetist. 1969- adopted voluntary continuing education. 1974-adopted "Standards for Nurse Anesthesia Practice". 1975-Council on Certification, Council on Accreditation, and Council for Public Interest established. 1976-First AANA meeting without AHA sponsorship. 1977- Mandatory continuing education adopted. 1978-Council on Recertification established. 1986-Congress passed legislation providing CRNAs direct reimbursement under Medicare Part B. Board of Directors endorsed Harvard Patient Monitoring Standards. 1989 Direct reimbursement for CRNAs under Medicare Part B was implemented Guidelines for Obstetrical Epidural Anesthesia Services were implemented Marianne Bankert's Watchful Care: A History of America's Nurse Anesthetists is published. 1996 - CCNA administered the certification examination for the first time using computerized adaptive testing. 1997 - Guidelines for Office-Based Anesthesia for CRNAs were implemented. 1998 - The U.S. Department of Health & Human Services' Health Care Financing Administration (HCFA) published a proposed rule to defer to the states on physician supervision of CRNAs or Medicare cases. 1999 - AANA's Standards for Office Based Practice for CRNAs w Opt Out states - \Iowa (December 2001), Nebraska (February 2002), Idaho (March 2002), Minnesota (April 2002), New Hampshire (June 2002), New Mexico (November 2002), Kansas (March 2003), North Dakota (October 2003), Washington (October 2003), Alaska (October 2003), Oregon (December 2003), Montana (January 2004), Montana Re-Opt- Out Letter, South Dakota (March 2005), Wisconsin (June 2005), California (effective July 17, 2009), Colorado Four essential elements of APRN - \Regulation (LACE)-Licensure, Accreditation, Certification, Education AANA Vision Statement - \Recognized leaders in anesthesia care. AANA Mission Statement - \Advancing patient safety and excellence in anesthesia. (March 2004)
AANA Core Values - \Integrity, professionalism, advocacy and quality. (March 2004) AANA Motto - \Supporting our members ~ Protecting our patients. (March 2004) AANA Philosophy - \1. Promote continual high quality care 2. Advance the science and art of anesthesiology. 3. Develop and promote educational standards in the field of nurse anesthesia 4. Develop and promote standards of practice in the field of nurse anesthesia 5. Facilitate effective cooperation between nurse anesthetists, anesthesiologists, and other members of the medical professions, the nursing profession, hospitals, and agencies representing a community of interest in nurse anesthesia. 6. Publish scientific journals, bulletins, and other publications pertinent to the objectives of the Association. 7. Maintain informational and statistical data for reference and assistance in matters pertaining to the professional or its practice. 8. Provide opportunities for continuing education in anesthesia 9. Provide members with direction pertaining to governmental policy, legislation, or judicial decisions of importance to anesthesia. Scope of Practice - \Practice of anesthesia is a recognized specialty in both nursing and medicine. Scope of practice includes but is not limited to: Preanesthetic assessment. Develop and implement anesthetic plan. Initiate anesthetic technique. Invasive and non‐invasive monitoring. Select, obtain, and administer anesthetics, drugs, and fluids. Management of the airway and pulmonary status. Facilitate emergence and recovery. PACU orders and discharge. Implement acute and chronic pain modalities. Respond to emergency situations. Additional responsibilities within the expertise of the individual CRNA. Administration/management. Quality assessment. Educational. Research. Committee appointments. Interdepartmental liaison. Clinical/administrative oversight of other depts. Standards for Nurse Anesthesia Practice - \I. Perform a thorough and complete pre‐anesthesia assessment. II. Obtain informed consent for the planned anesthetic intervention from the patient or legal guardian. III. Formulate a patient‐specific plan for anesthesia care. IV. Implement and adjust the anesthesia care plan based on the patient's physiological response. V. Monitor the patient's physiologic condition as appropriate for the type of anesthesia and specific patient's needs: Monitor ventilation continuously, Monitor oxygenation continuously, Monitor CV status continuously, Monitor body temp continuously, Monitor NM function and status, Monitor and assess pt. positioning, CONTINUOUS CLINICAL OBSERVATION AND VIGILANCE ARE THE BASIS OF SAFE ANESTHESIA CARE. VI. Complete, accurate, and timely documentation on record. VII. Transfer the responsibility of care to another qualified provider in a manner to assure continuity of care and patient safety. VIII. Adhere to appropriate safety precautions, as established within the institution to minimize the risk of fire, explosion, electrical shock, and equipment malfunction. Document on anesthesia record anesthesia machine and
Who returned to Lakeside to establish a school of anesthesia? - \Agatha Hodgins. In what year was the first nurse anesthetist graduation? - \1916. Who was the founder and president of AANA (1931-1933)? - \Agatha Hodgins. Who was chief anesthetist at Barnes >20 years? - \Helen Lamb. Who was the founder and director of Barnes Hospital School of Anesthesia? - \Helen Lamb. Who was the chairman of the AANA education committee (1931-1939) that established curriculum and standards for nurse anesthesia education? - \Helen Lamb. Who founded Mo. Assoc. of Nurse Anesthetists in 1935? - \Helen Lamb. Who perfected technique of intubation using Woodbridge tube - \Helen Lamb. Who won the Agatha Hodgins Award in 1976. - \Helen Lamb. Who performed the first pneumonectomy in 1933? - \Lamb and Graham. Who was president of AANA 1940-1941 and 1941-1942. - \Helen Lamb. Who pioneered the endotracheal technique in lung surgery. - \Helen Lamb. Who was Agatha Hodgins first assistant at Lakeside Hospital? - \Gertrude Fife. Who assumed responsibilities for Lakeside School of Anesthesia and the AANA when Hodgins became ill in 1931? - \Gertrude Fife. Who was the first editor of the AANA bulletin 1934-1945 and AANA treasurer 1935-
\Gertrude Fife. Who along with Strupp, developed the first qualifying exam in 1945? - \Gertrude Fife. What standards were set by the Standards for Accreditation? - \Didactic, Program length, Clinical Cases, Evaluations, Policies and standards. When was the Council on Accreditation established? - \In 1975. What is the council on accreditations purpose? - \Council must protect public by assuring that individuals who are credentialed have met predetermined qualifications. What year did the name change to American Association of Nurse Anesthetists occur? - \1939. What year was the first Qualifying Exam? - \1945. In what year were the "Standards for Nurse Anesthesia Practice" adopted? - \1974. When was the scope of practice first and standards for practice included together in the AANA guidelines for the practice of CRNA document? - \1983. When did the AANA guidelines for the practice of CRNA document name change to scope and standards for nurse anesthesia practice? - \1996. What association declares education and practice standards and guidelines? - \AANA. Who designates the Qualifications of CRNA? - \Designated by BON.
