Summer 1: Scope of CRNA Practice-
Exam 1 Questions and Answers
What is anesthesiology? - Answers -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? - Answers -Sanders:
-Immobility
-Amnesia
-Analgesia
What is meant by anesthesia and anesthesia-related care? - Answers -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? - Answers -Depends on who is
providing the care, debate...however, *same standards of care*
Is anesthesia care or cure oriented? - Answers -We are in the care role...anesthesia
rarely cures.
In which war did nurses & nurse anesthetists begin to play a vital role in anesthesia? -
Answers -Civil war: Nurse anesthetists began delivering anesthesia via open drop ether
technique.
T/F: Medical speciality of anesthesia preceded that of nursing specialty. - Answers -
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? - Answers -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? - Answers -Agnes McGee (Oregon
1909)
Who performed 1st endotracheal anesthetic in US? - Answers -Helen Lamb
When did MD anesthesia training begin? - Answers -Not until 1927-Dr. Ralph Waters
wanted to bring anesthesia into realm of medical practice, away from nursing.
When & who founded the AANA? - Answers -Agatha Hodgins 1931
(ASA created 1936)
What was found from 3 big legal cases brought against NAs in the US prior to 1940? -
Answers -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? - Answers -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? - Answers -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? - Answers -"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? - Answers -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? - Answers -You are maintaining a
balancing act:
-Matching dosages of analgesics to levels of surgical pain
-Titrating drugs constantly throughout the case
Exam 1 Questions and Answers
What is anesthesiology? - Answers -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? - Answers -Sanders:
-Immobility
-Amnesia
-Analgesia
What is meant by anesthesia and anesthesia-related care? - Answers -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? - Answers -Depends on who is
providing the care, debate...however, *same standards of care*
Is anesthesia care or cure oriented? - Answers -We are in the care role...anesthesia
rarely cures.
In which war did nurses & nurse anesthetists begin to play a vital role in anesthesia? -
Answers -Civil war: Nurse anesthetists began delivering anesthesia via open drop ether
technique.
T/F: Medical speciality of anesthesia preceded that of nursing specialty. - Answers -
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? - Answers -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? - Answers -Agnes McGee (Oregon
1909)
Who performed 1st endotracheal anesthetic in US? - Answers -Helen Lamb
When did MD anesthesia training begin? - Answers -Not until 1927-Dr. Ralph Waters
wanted to bring anesthesia into realm of medical practice, away from nursing.
When & who founded the AANA? - Answers -Agatha Hodgins 1931
(ASA created 1936)
What was found from 3 big legal cases brought against NAs in the US prior to 1940? -
Answers -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? - Answers -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? - Answers -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? - Answers -"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? - Answers -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? - Answers -You are maintaining a
balancing act:
-Matching dosages of analgesics to levels of surgical pain
-Titrating drugs constantly throughout the case
