answers graded A+
True or false: The American Association of Nurse Anesthesiology (AANA) Standards for Nurse Anesthesia
Practice provide a foundation for Certified Registered Nurse Anesthetists (CRNAs) in ALL practice
settings - CORRECT ANSWER-True
-These standards are intended to support the delivery of patient-centered, consistent, high-quality, &
safe anesthesia care & assist the public in understanding the CRNA's role in anesthesia care
-These standards apply where anesthesia services are provided including, but not limited to, the OR,
non-OR anesthetizing areas, ambulatory surgical centers, & office-based practices
-These standards may be exceeded at any time at the discretion of the CRNA &/or healthcare
organization
Way to remember (acronym) - CORRECT ANSWER-PPP
IDEA
PMI
TQWC
What should be done if standards are not adhered to/are changed? (2) - CORRECT ANSWER-1.
Document modifications to these standards in the patient's healthcare record, along with the reason for
the modification
2. When integrating new technologies or skills into practice, the CRNA will obtain any necessary
education & evident competency
AANA Standard 1: - CORRECT ANSWER-Patient's rights
-Respect the patient's autonomy, dignity, & privacy & support the patient's needs & safety
-This circles back to the Code of Ethics for the CRNA
-Examples of upholding this standard:
1. Patient refuses care without coercion or contempt from CRNA
, 2. CRNA protects the patient's dignity by stopping inappropriate talk about the patient during anesthesia
3. CRNA takes care of a notable public figure. No one outside of the OR knows
AANA Standard 2: - CORRECT ANSWER-Pre-anesthesia patient assessment & evaluation
-Perform & document (or verify documentation of) a pre-anesthesia evaluation of the patient's general
health, allergies, medication history, preexisting conditions, anesthesia history, & any relevant
diagnostic tests
-Perform & document (or verify documentation of) an anesthesia focused physical assessment to form
the anesthesia plan of care
-Example of verifying documentation:
1. You work in a care team environment & the anesthesiologist has documented an evaluation &
physical assessment prior to your arrival to meet patient
AANA Standard 3: - CORRECT ANSWER-Plan for anesthesia care
-After the patient has had the opportunity to consider anesthesia care options & address their concerns,
the CRNA will formulate a patient-specific plan for anesthesia care
-When indicated, the anesthesia care plan can be formulated with members of the healthcare team &
the patient's legal representative
-Examples of meeting this standard:
1. Having a conversation with your patient presenting anesthesia technique options (or lack of options)
2. Encouraging questions during anesthesia discussion
3. Refraining from coercion when presenting anesthesia options
4. Addressing patient perspective & fears when discussing anesthesia plan
AANA Standard 4: - CORRECT ANSWER-Informed consent for anesthesia care & related services
-Obtain & document (or verify documentation) that the patient or legal decision maker has given
informed consent for planned anesthesia care or related services in accordance with law, accreditation
standards, & institutional policy
-Review what is necessary for an informed consent!