NURS7420: NURSE ANESTHESIA CLINICAL PRACTICUM 1 EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NURS7420: NURSE ANESTHESIA CLINICAL PRACTICUM 1 EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 nurse anesthesia (CNS) - ANSWER ___ has become recognized as the first clinical nursing specialty. William T.G. Morton - ANSWER (dentist), 1st to demonstrate use of ether for surgical anesthesia At Mass Gen in 1846, "Ether Dome" 1890's debate over Morbidity & Mortality associated w/ anesthesia - ANSWER What sparked the idea for a need of specialist devoted to anesthesia practice? Catherine S. Lawrence - ANSWER became the first nurse to provide anesthetics during the Civil War (1861) Sister Mary Bernard - ANSWER became the first nurse anesthetist at St. Vincent's Hospital in Rochester, MN (1877) Alice Magaw - ANSWER "Mother of Anesthesia" began working for Drs. William J. and Charles H. Mayo at St. Mary's Hospital Observed, recorded & analyzed findings about anesthesia and she was published in medical journals Wrote about >14,000 anesthetics w/o death evidence based Wrote about certain techniques & their adv 1909, Agnes McGee - ANSWER In ___, ___ established the first school for nurse anesthetists in Portland, OR Agatha Hodgins - ANSWER founder of AANA 1931, Helped train nurses & MDs in the art of anesthesia in France prior to WW1 Dr. McMechan - ANSWER (MDA) started the battle against CRNAs in 1911 Goldie Brangman - ANSWER first black female nurse anesthetist accepted in AANA - (AANA president, 1973 -74) Lower mortality rates - ANSWER Beecher & Todd's prospective study on mortality rates showed CRNAs had ___ mortality rates compared to MDAs and Residents Council on Accreditation for Nurse Anesthesia Educational Programs and Schools (COA) and Council on Certification of Nurse Anesthetists (CCNA) - ANSWER In 1975, ___ and ___ were formed as independent entities to comply with office of education (feds) crite ria TEFRA(The Tax Equity and Fiscal Responsibility Act) - ANSWER ___ set the 4:1 ratio for direction and 7 reimbursement requirements TEFRA 7 reimbursement requirements - ANSWER 1 Perform a pre -anesthetic eval 2 Prescribe the anesthesia plan 3 Personally participate in induction & emergence & other demanding points 4 Monitor the course of anesthesia at frequent intervals 5 Remain physically available for immediate tx of emergencies 6 Provide needed post anesthesia care 7 Refrain from performing anesthesia when directing another case direct reimbursement rights - ANSWER nurse anesthetists were the first nursing specialty to be accorded ___ under the Medicare program. state governors, opt out - ANSWER In 2001, the Centers for Medicare & Medicaid Services (CMS) changed the federal physician supervision rule for nurse anesthetists to allow ___ to ___ of this facility reimbursement requirement (which applies to hospitals a nd ambulatory surgical centers) by meeting three criteria.