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Scope of Practice
Scope of Nurse Anesthesia Practice
35
Medical
Graduate
05/20/2009
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Term
Anesthesiology is the art and science of rendering a patient insensible to pain through ______ and _______.
 Definition
Anesthetic agents/drugs, Procedures (GA, regional, nerve block, etc).
Term
T/F AANA was established in 1931 by Anette Hodgkins.
 Definition
F, it was established in 1931 by Agatha Hodgkins.
Term
The AANA scope and standards of nurse anesthesia practice does 3 things: offers _____, adresses _______, and calls for _____.
 Definition
guidance, responsibilities of quality anesthetic practice, collaboration
Term
Nurse anesthesia is governed by 3 entities: ______, _______, and (the most restrictive) ________.
 Definition
your expertise, state statutes and regulations, institutional policies (governed by MDAs)
Term
T/F CRNAs do not give perianesthetic and clinical support to patients.
 Definition
F-CRNAs DO give perianesthetic and clinical support to pts.
Term
T/F As a CRNA, you cannot deliver spinal anesthesia if you have not been trained in it.
 Definition
T
Term
T/F The MDA initiates care plans for your patients.
 Definition
F, you create the care plan.
Term
T/F it is within a CRNA's scope of practice to implement chronic pain management.
 Definition
T. But check your state and institutional policy first.
Term
Standard I-V: Obtaining relevant tests prior to surgery.
 Definition
Standard I
Term
Standard I-V: "Tweaking" the anesthesia care plan (ACP) to the pt's physiological responses.
 Definition
Standard IV
Term
Standard I-V: Telling the pt of benefits and risks of the surgery and obtaining informed consent.
 Definition
Standard II
Term
Standard I-V: (This is not always written) Forming an ACP based on assessment, surgery, pt and surgeon.
 Definition
Standard III.
Term
Standard I-V: Continuous monitoring of pts physiological status as appropriate for the anesthetic. (ie, if no ETT, don't need to monitor if pt is intubated).
 Definition
Standard V
Term
Watchfulness, alertness and attention are all synonyms for ______.
 Definition
Vigilance
Term
Standard VI-XI: Good documentation of things you do to a pt and how the pt responds.
 Definition
Standard VI.
Term
Standard VI-XI: Giving an accurate and complete report to the person relieving you.
 Definition
Standard VII.
Term
Standard VI-XI: Continually self-evaluating to increase positive pt outcomes.
 Definition
Standard X
Term
Standard VI-XI: Maintaining adherence to the basic human rights of privacy and dignity.
 Definition
Standard XI
Term
Standard VI-XI: Maintaining a vigilance of safety by checking out the anesthesia machine and equipment so you don't blow the place up.
 Definition
Standard VIII.
Term
Standard VI-XI: Diligence to infection control; wearing face shields, gloves, etc per institutional policy.
 Definition
Standard IX
Term
T/F Documentation is a standard of care.
 Definition
T
Term
Can MDAs establish CRNA standards of care?
 Definition
No, only members of a profession can establish its own standards of care.
Term
Is a standard of care something that "everybody does"?
 Definition
Not exactly. It's what practitioners do to promote quality outcomes.
Term
This term is used to define what others in the profession would do under similar circumstances.
 Definition
A standard of care.
Term
Name this standard:
Perform a thorough and complete preanesthesia assessment.
 Definition
Standard I
Term
Name this standard:
Formulate a pt-specific plan for anesthesia care.
 Definition
Standard III
Term
Name this standard:
Implement and adjust the anesthesia care plan based on the pt's physiological response.
 Definition
Standard IV
Term
Name this standard:
Obtain informed consent for the planned anesthetic intervention from the pt or legal guardian.
 Definition
Standard III
Term
There shall be _____, _____ and ______ ________ of all pertinent information on _____________. What standard is this?
 Definition
complete, accurate, timely, the pt's medical record.
Standard VI
Term
The CRNA _____ ______ and ______ the basic rights of _____. What standard is this?
 Definition
shall respect, maintain, pts
Standard XI
Term
Adhere to ________, as established ________, to minimize the risk of _____, ______, _____, and ________. Document on _________ that the _________ and the ______ were checked. What standard is this?
 Definition
appropriate safety precautions, within the institution, fire, explosion, electrical shock, equipment malfunction.
pt's medical record, anesthesia machine, equipment.
Standard VIII
Term
Precautions ________ to minimize the risk of _____ to the _____, the ____ and ________. What standard is this?
 Definition
shall be taken, infection, pt, the CRNA, other healthcare providers
Standard IX
Term
Anesthesia care _______ to assure _______ and _______ to ________. What standard is this?
 Definition
shall be assessed, its quality, contribution positive pt outcomes.
Standard X
Term
Transfer _________ for _______ to other _________ in a manner ________________ and ______. What standard is this?
 Definition
the responsibility, care of the pt, qualified providers, which assures continuity of care, pt safety
Standard VII
Term
Implement and _____ the _______ based on the ___________. What standard is this?
 Definition
adjust, anesthesia care plan, pt's physiological response
Standard IV
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