The Association Of Nurse Anesthetists

The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

Anesthesiologists give patients anesthetics in a variety of ways, such as “orally, intravenously, by gas or direct injection to render patients insensible to pain Anesthesiologists typically maintain the same daily schedule a surgeon follows, participating in both scheduled and unscheduled operations. Anesthesiologists are responsible for determining the proper anesthetic and dosage level for each patient. They monitor the patients progress prior to, during, and after surgery.”(“Anesthesiologist” 31)

enhance quality. Some of the nursing issues in health care reform are; access to care,

Nurse Anesthetists are also known as CRNA, which means Certified Registered Nurse Anesthetists. Being a CRNA, one has big shoes to fill when it comes to their job. CRNA’s work with anesthesiologist surgeons and other physicians and medical professionals to give anesthesia to patients undergoing medical and surgical procedures. CRNA’s care for patients before, during and after a medical or surgery by doing a patient assessment , preparing the patient for anesthesia, they must maintain the anesthesia throughout the whole procedure to secure the proper sedation, and pain management, and as a CRNA they must make sure the patient recovers from the anesthesia properly. CRNA’s usually overshadow anesthesiologists. They perform much of the work

With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).

Certified registered nurse anesthetists are advanced practice nurses who are certified and specialized in the administration of anesthesia (“Position description,” 2014). CRNAs make their own independent decisions and judgments regarding the application of anesthesia, and, in most states, physician supervision of CRNAs is not required (“Legal issues,” 2010). The profession was introduced to the United States during the

The history of the Nurse Anesthetist dates back prior to the Civil War and were considered by many as the pioneers of the practice of anesthesia. As the complexity of administering anesthesia increased, physicians deemed the practice of anesthesia to be equivalent to the practice of medicine. As time progressed, some physicians attempted to have the practice of anesthesia banned from the nursing scope of practice. It was not until a case was brought in front of the California Supreme Court where they ultimately established the legal precedent granting nurse anesthesia its legality. Specifying that nurses can administer anesthesia and that they would be operating under their scope of practice as long as it was done under the guidance of a supervising physician (Hamric, Tracy, & O 'Grady, 2014). That law was federally mandated until 2001, when the Centers for Medicare and Medicaid changed the federal supervision rule of Anesthesiologist and Nurse Anesthetists in order for facility to receive reimbursement of care ("Certified Registered Nurse Anesthetists Fact Sheet", 2016). This offered states an “opt-out” rule allowing the unsupervised practice of nurse anesthetists. This change led to conflict in the anesthesia community between physicians and Certified Registered Nurse Anesthetists (CRNA) as the debate of a CRNA’s ability to practice autonomously was now the center of attention. With the costs of healthcare rising and the

With all of the different specialties in healthcare, some get overlooked or may be under the radar. An uncommon and often disregarded career choice in healthcare is that of a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice. Although not many people know about these healthcare careers, they play a vital role within the healthcare team. This field is growing rapidly and the likelihood of coming into contact with a nurse anesthetist during a hospital stay is on the rise. Knowing the history, education, responsibilities, and career outlook for a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice can aide in understanding their very specific role in the care of patients.

The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for

Certified Registered Nurse Anesthetists (CRNAs) can be employed under two practice models. Each one of these models, Anesthesia Care Team (ACT) and CRNA-only, affords their own level of autonomy to the CRNA practitioner. The CRNA is supervised to some degree in all practice models; however, this does not reflect the level of competency or safety of CRNAs. The stringent supervision does not imply that academic standards of CRNAs are beneath that of any other practitioner. The requirement of supervision for anesthesia care provided by CRNAs is rooted in financial reimbursement. Cost effectiveness is the driving force behind why some institutions elect one model over the other (Hogan, Seifert, Moore, & Simonson, 2010). Each model yields it

The professional organization and technology medium that were chosen was the American Nurses Association or ANA on LinkedIn. What makes the ANA a professional organization is that it is comprised of nurses who are advocates for the betterment of the nursing profession, involved in politics, offers opportunities to educate nurses, provides an ethical framework for contacts between clients and members, and self regulates by disciplining individuals whom have violated code. (Matthews, 2012) ANA advocates for nurses by “lobbying with congress and regulating agencies”. (https://www.linkedin.com/groups/2014748/profile) Continuing education credits are available, in addition to Webinars, and articles that relate to a broad spectrum of nurses

Qui Tam is a part of the false claim act devised in 1986, which allows people to file suits against other parties on behalf of the USA as a mode of recovering money lost via fraud (Kazmier, 2008). Using the Qui Tam, anyone can aptly file cases against other parties that embezzle government funds. This provision allows those people who file suits as whistleblowers to recover the misused funds (Ruhnka & Boerstler, 2000). Whistleblowers are a pertinent factor in presenting attention to the federal government regarding fraud issues within the health care affiliations in which they work.

We compared the outcomes between etomidate versus propofol for induction of anesthesia. A year later, I presented a poster on our findings at the Midwest Anesthesia Conference for the first time. Though nerve racking to present among residents, fellows and attending physicians, it was also very rewarding. I was given the opportunity to see the different aspects of anesthesiology, learn more about the field, and take a glimpse at the different directions anesthesiology is heading as a field. Unknowingly, the dots began to

On Monday, June 27, 2016, I had a very interesting conversation with one of my co-workers. We were discussing the political issues going on with the American Society of Anesthesiologist (ASA) and the American Association of Nurse Anesthetists (AANA). Usually, I try my hardest to avoid political issues while at work. However, I’m very happy that we had this conversation. While we were communicating, I noticed that she was so respectful and appreciative of my thoughts even when she did not agree. I gave her the same respect. It was so refreshing to have a conversation with another individual about sensitive material without resorting to an argument. Furthermore, we came to a conclusion that the two groups should not be fighting with each other