Summer 1: Scope of CRNA Practice- Exam 1 Questions and Answers

Summer 1: Scope of CRNA Practice- Exam 1 Questions and Answers What is anesthesiology? -Answer-The art and science of rendering a patient insensible to pain. -Anesthetic agents & adjuncts -Procedures (i.e. regional) What are the 3 pillars of anesthesia? -Answer-Sanders: -Immobility -Amnesia -Analgesia What is meant by anesthesia and anesthesia-related care? -Answer-Anesthesia care: the services provided upon *request, assignment, and referral by a patient's physician, or other health care provider authorized to diagnose*, and provide therapeutic and surgical procedures Is anesthesiology the practice of nursing or medicine? -Answer-Depends on who is providing the care, debate...however, *same standards of care* Is anesthesia care or cure oriented? -Answer-We are in the care role...anesthesia rarely cures. In which war did nurses & nurse anesthetists begin to play a vital role in anesthesia? - Answer-Civil war: Nurse anesthetists began delivering anesthesia via open drop ether technique. T/F: Medical speciality of anesthesia preceded that of nursing specialty. -Answer- FALSE: Nursing specialty of anesthesia preceded that of a medical specialty. -CRNAs principle providers in every war up through WWII -Vietnam: 17 CRNAs to every MD -Panama/Iraq: CRNAs largest group Who was the most famous NA of the 19th century? Why? -Answer-Alice Magaw -Anesthetist for Mayo brothers -First known NA to publish scientific article -14,000 administrations w/ no death Who established the 1st NA educational program? -Answer-Agnes McGee (Oregon 1909) Who performed 1st endotracheal anesthetic in US? -Answer-Helen Lamb When did MD anesthesia training begin? -Answer-Not until 1927-Dr. Ralph Waters wanted to bring anesthesia into realm of medical practice, away from nursing. When & who founded the AANA? -Answer-Agatha Hodgins 1931 (ASA created 1936) What was found from 3 big legal cases brought against NAs in the US prior to 1940? - Answer-All 3 were challenging nurse anesthesia as illegally practicing medicine. All found in favor of the nursing profession, relying on the premise that the surgeon was the person practicing medicine. The Montana Society of Anesthesiologists v. Montana Board of Nursing helped reaffirm what more recently? -Answer-2007: re-affirmed CRNA practice Why is the role of anesthesia unique? While pt anatomy rest in the hand's of ________________, the pt ________________ rests in the hands of the anesthesia provider? -Answer-Ours is a role of physiologic *support and monitoring and intervention* Patient's anatomy rest in surgeon's hands, the patient's physiology in ours Is anesthesia diagnostic or cure paradigm? -Answer-"Ours is a role of physiologic support and monitoring and intervention. *Ours is not a diagnostic and cure paradigm at all.*" Scot Foster, CRNA Deep down essence of anesthesia: SUPPORT Anesthesia is the epitome of? -Answer-Anesthesia is quintessential support, the epitome of intensive care: -Continuously monitoring vital signs and other parameters of the patient's physiology -Quick to counteract untoward reactions that may threaten to occur Anesthesia is a balancing act, this requires? -Answer-You are maintaining a balancing act: -Matching dosages of analgesics to levels of surgical pain -Titrating drugs constantly throughout the case -It requires your constant vigilance!! T/F: Numerous studies show anesthesia care by CRNAs to be safe and of high quality. - Answer-TRUE What is one reason there is still so much debate around anesthesia? -Answer-No where within nursing and medicine is there a greater overlap than in the field of anesthesiology T/F: Certain states require supervision by an anesthesiologist. -Answer-FALSE: There is no state in the U.S. that requires supervision by an anesthesiologist. How many states do not have physician "supervision or direction" requirement for CRNAs? -Answer-33: do not have a physician "supervision", or "direction" requirement for CRNAs in nursing, medical laws or regulatio