CRNA Certified Registered Nurse Anesthetist Professional Aspects Test 1 Completed for Acing

CRNA Certified Registered Nurse Anesthetist Professional Aspects Test 1 CRNA Certified Registered Nurse Anesthetist Professional Aspects Test 1 1. CRNA Definition A CRNA is a licensed registered nurse who is educationally prepared at the graduate level & certified as competent to engage in the practice of anesthesiology, which is defined as the art & science of rendering a patient insensible to pain by the administration of anesthetic agents & related drugs. 2. Is the CRNA anesthesia practice a delegated act of medicine? No, it is a role within the profession of nurses recognized by all 50 states. It is a constellation of highly complex nursing skills described by a scope of practice & regulated by an appropriate state agency. 3. What encompasses the professional practice of a CRNA? CRNAs are responsible & accountable for their individual professional practice & are capable of exercising independent judgement within the scope of their education (credentials), demonstrated competence (privileges), & licensure. 4. In order to be a CRNA an individual must have? - obtained unrestricted state licensure as a registered professional nurse. - Graduated with at least a master's degree from a nurse anesthesia education program accredited by the COA of Nurse Anesthesia Educational Programs. - Successfully passes the certification examination administered by the Council on Certification of Nurse Anesthetists. - Complied with criteria for biennial recertification, as defined by the Council on Recertification of Nurse Anesthetists - Current licensure as a RN - substantial anesthesia practice as a CRNA - 40 hours of continuing education - Verification of the absence of mental, physical, & other problems or conditions that could interfere w/ the practice of anesthesia. 5. Define scope of practice? The scope of practice of CRNAs encompasses the professional functions, privileges, & responsibilities associated w/ nurse anesthesia practice. - A process that involves 2 or more parties working together, each contributing his or her own respective expertise. - Anesthesia practice is nearly always performed in collaboration w/ other qualified & legally authorized professional healthcare providers who may include surgeons, anesthesiologists or other consulting physicians, nurses, therapists, or technicians who assume distinct & specialized roles required for comprehensive, peri-anesthetic care. 6. Define collaboration? - Collaboration must necessarily exist whether a CRNA works in an anesthesiologist-led anesthesia care team (ACT) or as an independent practitioner. 7. Define the terms supervision & medical direction The terms supervision & medical direction most often describe a relationship between a nurse anesthetist & a physician, dentist, podiatrist, or other healthcare professional w/ whom the CRNA collaborates to varying degrees. 8. The COA & AANA support doctoral degrees for entry into practice by _____________? 2025 9. What is professionalism? - A multidimensional set of behavioral attributes, the fundamental core value of which is integrity. - Professionalism requires attention not only to developing clinical skills, dedication to patient care, & achieving positive patient outcomes, but also a commitment to serve the public's interest as well as one's own interest expertly & unselfishly. - Professionals advocate knowledge & act responsibly 10. What is integrity? An understanding & commitment to exhibit honest, forthright, ethical, value driven behavior that exemplifies skills of critical thinking, broad-based perspectives, evaluation of consequences, & competent justification. 11. CRNA Scope of Practice? See table: - preanesthetic assessment - developing/implementing a plan - appropriate monitoring - Administering appropriate drugs - Managing a patient's airway & pulmonary status - Facilitating emergence from anesthesia - Discharging patient from PACU & providing follow- up evaluation - implementing pain management - Responding to emergency situations - Additional responsibilities: management, education, research etc... 12. Nurse anesthesia school program length? Minimum of 24 months to 36 months 13. Admission criteria or CRNA school? Admission criteria vary among programs 1- possess a baccalaureate degree 2- maintain current licensure as a RN 3- complete at least 1 year as an RN in acute care 14. Success of education hinges directly on the accomplishment of what 2 objectives? 1) to equip students w/ the skills & abilities to conduct & manage a safe, high-quality anesthetic. 2) to imbue students w/ a clear & functional appreciation for the responsibilities of professionalism 15. Moral code of nurse anesthesia in the US? - Patient care values must be honored - must be honest - are loyal - believe in equal opportunities for individuals - do not anesthetize family members except in an emergency 16.1) What are the dominant cultural & patient care values CRNAs share? 2) How do they contribute to the professionalism of nurse anesthetists? Dominant Cultural Values: - Achievement: education & personal life - Autonomy: right to be self governing - Continuing education: commitment to life long learning - Education: control & standard setting - Group cohesiveness: institutional & professional organization - Identity as a CRNA: a way of life - AANA membership: strength in numbers - Political activism: state & national - Technology: efficiency & safety 17. Integrity: the understanding & commitment to honest, forthright, value-driven behavior Values include: achievement, goal attainment, assertiveness, materialism, technology, equal rights, action orientation, & reliance on scientific facts. 18. What is professional socialization? It is the essence of how nurses become nurse anesthetists (are molded) by developing skills, knowledge, professional behavior, & career commitment during the education process. 16. __________ ___________ is a key factor in promoting professional membership & the lifetime continuance of the professional career. Personal motivation 17. What influence professional socialization? Professional socialization & career commitment 18. What are facilitated by early exposure to professional role models during clinical education. Age, gender, culture, race, ethnicity 19. The use of ______________ will substantially influence CRNA practice in the 21st century? Research in evidenced based practice 20. How can CRNAs enhance their value to the healthcare team? - develop new skills to become versatile professionals & must strengthen their clinical management & leadership roles. 21. What are some emerging roles for CRNAs? - acute care & pain management specialists - business entrepreneurs - administrators - alternative therapy experts - blended or combined advanced practice nurses - educators - researchers - writers - legislators 22. What is a key factor in promoting professional membership & a lifetime commitment to a professional career? Personal motivation 23. _____________ enables graduate students to identify with & acquire behaviors & attitudes of the CRNA group to which they are seeking membership. Professional socialization 24. Critical components of professional socialization? - learning the technology & language of the profession - internalizing values & norms - integrating the professional role into one's professional identity & other life roles 25. Waugaman and Lu adapted the multi-dimensional model of Simpson to study the socialization process of nurse anesthetists. What are the 3 analytically distinct dimensions or categories of variables? - education or imparting of occupational knowledge and skills (cognitive) - development of occupational orientations (cognitive) - forming personal relatedness to the occupation (motivational) note: a change in any one of these dimensions doesn't necessarily influence another 26. Professional socialization & career commitment among nurse anesthetists are facilitated by early exposure to professional _____________ during clinical education. role models 27. American Association of Nurse Anesthetists (AANA) The single professional organization in the US that represents the interest of CRNAs, Its mission is to promote the full scope of practice for CRNAs & promote healthcare policy that supports nurse anesthesia practice. 28. Where is the AANA based? The AANA is based in Park Ridge, Illinois. The national headquarters support approximately 115 full-time staff members. In addition, the Federal Government Affairs Office in Washington, DC, has 7 staff members. 29. The national Association staff work under direction of the executive director, who follows the directives of the Board of Directors. All Board members, including officers, are __________. Elected by member CRNAs 30. The AANA membership represents approximately _______% of all CRNAs. 90 31. Agatha Hodgins Founded the AANA 32. Objectives of the AANA? - to promote continual high quality patient care - to advance the science and art of anesthesiology - to develop and promote educational standards in the field of nurse anesthesia - to develop and promote standards of practice in the field of nurse anesthesia - to 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 - to publish scientific journals, bulletins, and other publications pertinent to the objectives of the Association - to maintain informational and statistical data for reference and assistance in matters pertaining to the profession or its practice - to provide opportunities for continuing education in anesthesia - to provide members with direction pertaining to governmental policy, legislation, or judicial decisions of importance to anesthesia 33. Benefits & services provided to AANA members - heightened public awareness of the profession - support regarding business & clinical practice issues - Government affairs activities - Publications that inform & educate - informative meetings - support for nurse anesthesia education - quality & patient safety - continuing education activities - support for research - other member services - AANA online services - AANA insurance services 34. AANA Foundation - Formed in 1981 - its mission is to advance the science of anesthesia through education and research. - its vision is to "serve as the leading resource for assuring safe anesthesia care through education and research." 35. AANA Foundation activities include what? - a grants program for research, student scholarships, fellowships to assist CRNAs to attain graduate degrees, workshops 36. The NBCRNA consists of 2 councils - the Council on Certification of Nurse Anesthetists - the Council on Recertification of Nurse Anesthetists The National Board of Certification and Recertification for Nurse Anesthetists Its objectives are to revise credentialing criteria to meet professional and patient safety needs; develop and implement electronic transmission of forms, as well as the eligibility and verification of credentialing; and determine future areas of growth for certification and recertification 37. The _________ is the body responsible for ensuring to the public that educational programs of nurse anesthesia are of high quality, as evidenced by compliance w/ a set of minimum educational; performance standards. Council on Accreditation (COA) 38. The council of public interest? responsible for monitoring issues that affect the public interest in matters regarding nurse anesthesia practice and serving as the appellate review body for matters related to accreditation, certification, recertification, and continuing education approval program 39. An AANA subsidiary that provides a source of non-dues revenue and services to general membership. The non-dues revenue helps reduce the amount of dues charged to AANA members. AANA Association Management Services, Inc (AAMS) 3 divisions - publishing services - medical malpractice insurance - housing services for AANA members 40. AANA Board of Directors The affairs of the AANA are conducted and led by an elected Board of Directors. The Board consists of the president, president elect, vice president, treasurer, and 7 regional directors. Officers serve for 1 year and directors serve a 2 year term. 41. What are the eligibility requirements to serve as director? - must have served at least 1 term as an officer or director of a state association and must have been active in state or AANA affairs. Note: All members are allowed to vote - The new Board of Directors is introduced at the Annual Business Meeting in August. 42. The nominating committee presents a slate of candidates for the Board of Directors at the ___________? Mid year assembly 43. The administrative governing authority of the AANA? Board of Directors 44. Appointed committees of the AANA? Program Bylaws Continuing Education Education Finance Government Relations Minutes Practice Public Relations 45. Who appoints the AANA committee members? members are appointed by the president w/ approval of the Board of Directors 46. What do the committees consist of? At least 3 active members appointed for a 1 year term 47. What are the elected committees of the AANA? - the nominating committee & the resolutions committee. Election of these 2 committees is by mail in ballot, in conjunction w/ the election of officers and regional directors. 48. Assembly of States - held each year in the fall, held to disseminate information on current issues affecting practice and to state organizations conduct business. 49. Mid-Year Assembly - Held every year in Washington, DC. It provides CRNAs the opportunity to meet their elected national congressional delegation & to directly lobby the AANA federal legislative agenda. 50. Annual Meeting Lasts for 5 days in August, Continuing education credits can be earned, networking, observing the latest equipment/technology, listening to speakers, sharing ideas. 51. State Organizations - are formed by members who live and work in a particular state and are recognized by the Board of Directors as a duly incorporated entity. 52. The International Federation of Nurse Anesthetists (IFNA) - is an international organization of nationally registered nurses w/ special education in nurse anesthesia. - standards as approved by the IFNA are the ultimate mandate internationally for educational preparation & clinical& ethical behavior of the nurse anesthetist. 53. The only international nursing organization to establish international standards? IFNA 54. In how many countries do nurses administer anesthesia? 107 55. When did state laws and regulations concerning nursing develop? 20th century 56. It wasn't until ______________, that most states adopted explicit statutory & regulatory provisions concerning advanced practice registered nursing roles such as "nurse anesthetist". The 1970s to the present 57. Why have APRNs sometimes encountered difficult battles in defining scope of practice in state laws & regulations? - this is partly a result of organized medicine having successfully defined the practice of medicine broadly in state laws & regulations before formal recognition of nursing practice. 58. ______________________ have a wide latitude to impose policies more restrictive than state law. Facilities (Such as hospitals) - Although state laws and regulations often set forth requirements nurse anesthetists must meet to be recognized or to practice, local institutional policies and procedures often affect practice significantly as well. 59. What are the primary sources of state statutory and regulatory recognition for nurse anesthetists? State board statutes Nursing regulations - Other state statutes & regulations, such as state hospital or ambulatory surgical center regulations, can also have important practice implications. 60. How do statutory & regulatory recognition of nurse anesthetists vary from state to state? Statutory & regulatory recognition vary considerably from state to state. In addition, the qualifications a nurse anesthetist must possess to practice, as well as how the scope of practice is addressed, are not uniform in every state. 61. Define jurisdiction - A geographical area having the power to adopt, implement, and enforce laws. All states are jurisdictions, as are entities such as the District of Columbia, Puerto Rico, and the US Virgin Islands. 62. Define Statute - Also known as law. Statutes are enacted, that is passes, by state legislatures. Every state has a law governing nursing practice. The law is usually called the "nurse practice act". 63. Define Regulation - Also referred to as a "rule". Regulations are specific written policies adopted by an administrative agency. States typically have a law (often known as the "administrative procedure act") that sets forth the procedures state administrative agencies must follow to adopt regulations. 64. Who develops and administers the certification and recertification process for CRNAs - the National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA). 65. The NBCRNA credentialing process for nurse anesthesia practice are in accordance w/ what? - external & regulatory agency requirements 66. The councils on Certification and recertification of CRNAs maintain autonomous function relative to what? - their governance, decision making capability, and finance under the NBCRNA corporate structure. 67. The Councils on Certification are accredited by who? - the National Commission for Certifying Agencies & the American Board of Nursing Specialties for their credentialing functions. 68. _______________ is a common mechanism adopted by many professional organizations through which their members can demonstrate continued competence in their specialty. Continuing education 69. What external entities are involved in credentialing of nurse anesthetists? - the National Council on State Boards of Nursing - the state boards of medicine - the individual state boards of nursing 70. Standards of practice - contribute to professional autonomy, accountability, & high-quality clinical practice. 71. ______________ enable the delivery of high quality anesthesia care. Evidence based practice standards 72. __________________ have a key role in clinical research and promulgation of standards and practice. Professional organizations 73. Standards and guidelines Are effective benchmarks for professional competency and accountability? 74. New and evolving standards and guidelines must be effectively _____________. disseminated