The Policy And Preceptor Education

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.

They also take care of patients anesthesia before, during, and after surgery. They even give mothers epidurals during child birth for pain management. A CRNA can also perform physical assessments, participate in preoperative teaching, administer anesthesia to keep patients pain free, oversee recovery from anesthesia, prepare for anesthetic management, and follow the patients postoperative course from recovery to the patient care unit. These types of nurses are the only certified personnel to deliver anesthesia in most rural hospitals in the United States (Lippincott Williams & Wilkins 42).

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

After several grueling years of nursing school, most new nurses are eager to enter the work force. Before they are fully entrusted with the lives of others, they must first spend time precepting with a more seasoned nurse. This precepting allows the new graduate to gain some experience and possible insight while being guided throughout the process. Unfortunately, not all graduates have a positive experience with their preceptors. Some preceptors can be intimidating and overbearing. Others may be too carefree and fail to properly prepare their students for the potential consequences of their actions. In the next several paragraphs I will explore research on the benefits of working closely with a preceptor in the nursing field, what qualities and characteristics are present in a successful preceptor, and how we can improve on the precepting process.

In 1999, expert surgical nurse authors at the Association of periOperative Registered Nurses (AORN) developed a comprehensive curriculum to assist in the education and transition of nurses entering perioperative clinical specialty for the first time (Beyea, 2002). In 2007, Periop 101: A Core Curriculum (AORN, n.d.) was created which moved the instructor-based program into an online format of modules designed to assist with mastering core perioperative competencies. The program provides instruction with videos, assigned readings, and quizzes at the end of each module. The learning focuses on patient safety and the program is best utilized when combined with preceptorships and skills labs.

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.

Nurse anesthesia, although stressful and demanding, is a career that provides many benefits. A CRNA is able to connect with the patients on a personal basis, monitor the patient all the way through their procedure, and provide post-surgery care all while making a very high salary. When asked how to explain nurse anesthesia in as few words as possible, an unknown CRNA replied “To bring the patient to the brink of death and back again.” (Clavreual, n.d.) This is a task not many people would attempt do, yet nurse anesthetists are brave enough to do it every

Being a registered nurse over the last fourteen years, I have witnessed firsthand that the healthcare industry is constantly evolving. And with all the government budget deficits, many models of health care are built on cost containment and managed care. This has resulted in a lot of conflicts between healthcare providers, especially between CRNAs and anesthesiologists. Historically the delivery of anesthesia has predominately been by nurses rather than doctors. However this balance began to shift when the delivery of anesthesia became

According to the Association of Perioperative Registered Nurses (AORN, ) the perioperative RN, Operating Nurse or Nurse Circulator is the main patient advocate in the operating room and takes responsibility of all aspects of the patient’s condition and care. The role is very vital as this nurse’s duty is to ensure timely delivery of quality surgical care so that there are optimal outcomes achieved for each surgical patient. As the patient’s advocate, the perioperative nurse is medically trained to serve as the patient’s primary spokesperson. The perioperative nurse must communicate the needs of the patients especially while the patient is aware and sedated. The perioperative nurse pays close attention to the patient’s condition before, during

I went to the post-anesthesia care unit on February 2, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 8am-2:30pm. Even though our time was cut short we still got to observe the flow and atmosphere in this unit. It took awhile before we had our first patient, so we go to explore the area, determine what equipment is in this area, and communicate with the nurses. We had them explain the documentation process, and the main differences from a floor nurse than a PACU nurse.

According to Patricia Benner’s theory, I believe I am at the level of an “advanced beginner”. An advanced beginner is one who has had enough real life situations to understand the “aspects of the situation” (according to the Dreyfus model). The advanced beginner has the knowledge and the skills to perform adequately, but not enough in depth experience to be at the same level as a competent nurse. My recent experience during preceptorship has made me realize I am ready to be my own nurse. It has also made me realize, I have so much to learn. It will take time and experience to become competent. Each situation that arises is patient specific, therefore, a textbook can not tell you what to do. To advance towards becoming competent, time must elapse.

According to Conner (2015), a person’s level of stress is inversely proportional to his or her self-efficacy. Increase stress, decrease self-efficacy rate which affects performance and result in student drop-out in Nurse Anesthesia Schools. This article has been peer reviewed and published in the American Association of Nurse Anesthetists (AANA) journal. Although this article is recent, it has been scrutinized by various scholarly journal and appears credible. The author is familiar with the field of study, she is a Certified Registered Nurse Anesthetist (CRNA). The population of study supported the PICOT statement, but the invention differ from that of the PICOT. It does not provide all the answers needed in the PICOT. The research question

" The environment surrounding registered nurses (RNs) has been described as a fast-paced and unpredictable, and nurses' cognitive load as exceptionally heavy" Kalisch& Aebersold, M. (2010). The Pre/Post Op is a fast-paced unit where the nurse has 30-45 minutes to get the patients ready for the surgery. During this limited time my preceptor has to get vital signs, some medical history, IV assessment, get the patient consent, check his/her medication, pregnancy test if a female (18-54), check potassium level and answer the patients or family member questions. Moreover, there is kind of interruption when the nurse anesthetist and anesthesiology have to step in and do their assessment.

The need for nurses to gain extensive knowledge in handling complex issues within their professional environment is a need whose significance goes without saying. In Australia and other regions of the world, this factor holds such an importance to the extents that nurses and midwives, in their different capacities are engaged within the Continuing Professional Development (CPD) Program in enhancing their capacities. The purpose of this report is to explore the learning outcomes in a nursing environment in which various components of acute care were involved. In consideration of the acute care needs under discussion, the repost focuses on the learning areas which would be relevant to the Australian Nursing and Midwifery Council (ANMC) standards. Focus on the needs associated with CPD is widespread here. As such, the dates, the duration of activities and outcome descriptions for each of the activities are provided. Additionally, the discussion demonstrates the aspects of priorities given to certain learning needs, learning plan development, participation in appropriate learning activities and their values as required within the CPD Standards. The acute care learning needs of consideration in this discussion are associated with those the problems of bleeding commonly associated with conditions like, Gastrointestinal (Gi) Bleeding, surgery and trauma (Pinson, 2012, p. 1). these conditions are considered to be quite common and to a

Recommendations by the WHO, 2011 and AACN, 2012 have supported implementation of a graduate curriculum that will educate trainees on quality improvement initiatives that include topics on near misses, factors surrounding errors and error management in the clinical setting. In the College of Nursing, nurse anesthesia department, there is no designated educational module addressing this recommendation.