Legal Aspect of Nurse Anesthesia QUESTIONS WITH COMPLETE SOLUTIONS

Nurse Anesthetists: Credentialing correct answers -Licensing statutes (State Board of Nursing) -NBCRNA certification exam (CNE) -Act within legislated scope of practice Standards of anesthesia care correct answers -Level of care generally practiced by profession -Nationwide -Applies to CRNAs, AAs and MDAs Standards for Nurse Anesthesia Practice correct answers 1)Perform a thorough and complete preanesthetic assessment 2)Obtain informed consent for the planned anesthetic from the patient or legal guardian 3)Formulate a patient-specific plan for anesthetic care 4) Implement & adjust the anesthesia care plan based on the patient's physiologic response Standards (Continued) correct answers 5)Physiologic monitoring as appropriate for the type of anesthesia & specific needs -Monitor ventilation continuously -Monitor oxygenation continuously -Monitor CV status continuously -Monitor body temperature continuously -Monitor neuromuscular function & status -Monitor & assess patient positioning Standards (Continued) correct answers 6)There shall be complete, accurate & timely documentation of pertinent information on the patient's medical record 7)Transfer the responsibility for care of the patient to other qualified providers in a manner which assures continuity of care & patient safety Standards (Continued) correct answers 8) Adhere to appropriate safety precautions, as established within the institution, to minimize the risks of fire, explosion, electrical shock and equipment malfunction. Document on the patient's medical record that the anesthesia machine and equipment were checked. Standards (Continued) correct answers 9) Precautions shall be taken to minimize the risk of infection to the patient, the CRNA and other healthcare providers. 10) Anesthesia care shall be assessed to assure its quality and contribution to positive patient outcomes. 11) The CRNA shall respect and maintain the basic rights of patients. Establishing Standards of Care correct answers 1) Expert witness says it is 2) Textbooks 3) Professional journals 4) Facility policies and procedures