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AANA Structure Flashcards

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1
Q

Standard for Nurse Anesthesia Practice

A

a) Assist the profession in evaluating the quality of care provided by practitioners
b) Provide a common base for practitioners to use in their development of a quality practice
c) Assist the public in understanding what to expect from the practitioner
d) Support and preserve the basic rights of the patient.

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2
Q

CRNAs responsible for:

A

-the quality of the service rendered

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3
Q

CRNA should document any

A

a) Deviations from the standards of care and

b) STATE deviations on the patient’s anesthesia record

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4
Q

Standard #1

A

Perform and document a THOROUGH PRE-anesthesia assessment and evaluation.

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5
Q

Standard #2

A

Informed consent

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6
Q

A procedure with NO INFORMED CONSENT, you can be charged with

A

Assault /Battery

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7
Q

Standard #3

A

Anesthesia Care plan

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8
Q

Standard #4

A

Adjust plan based on PHYSIOLOGIC Status.

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9
Q

Standard #5

A 
Monitor/Evaluate physiologic condition
Attend patient until other anesthesia arrive
a)Oxygenation
b)Ventilation
c) CV: Cardiovascular
d)Thermoregulatio
e) Neuromuscular
f) P ositioning
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10
Q

Circles for anesthesia

A

Every 5 minutes

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11
Q

Heparin (Vascular surgery):

A

State main pharmacokinetics to remind surgeon
3 (peak)
30 (half life)
1 hour (Drug elimination)

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12
Q

Monitor and document every BP and HR

A

5 minutes

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13
Q

Alarms max silence time

A

Max alarms silenced 2 minutes

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14
Q

Look at the patient to determine oxygenation

A

Skin color ; continuously monitor with SPO2

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15
Q

Placement of Endotracheal tube, STANDARD OF CARE is _________

A

ETCO2

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16
Q

Kids with high metabolism rate

A

Inspired air vs expired air

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17
Q

INTUBATION : CAFE

A

Chest excursion
AUCSCULTATION
Fog in the mask
End tidal CO2

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18
Q

CV - 2 assessments (major)

A

Heart sounds

ECG

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19
Q

Thermoregulation is used for

A

CV/ Neuro procedure

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20
Q

Warm fluids for machine

A

NEED TO FUNCTION on HIGH FLOW

PUT PRIOR TO INDUCTION

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21
Q

Neuromuscular blocking agents : 2 things to assess

A
  • assess depth of blockade

- degree of recovery.

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22
Q

Positioning

A

Patient and protective measures

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23
Q

FOCUS on continuous clinical observation primarily.

A

OBSERVATION and VIGILANCE

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24
Q

Signature required

A

LEGIBLE LAST NAME.

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25
Handoff
DO NOT LEAVE THE PATIENT UNTIL PACU REPORT
26
Continuity of care
FOLLOW UP on cases.
27
ASSESS QUALITY -->
Ongoing review and evaluation of anesthesia care
28
Adopted in 1974
Standards of care for Nursing Practice
29
Scope of Anesthesia practice
CRNAs are APRNS
30
Education, accountability and leadership
Graduate Pass NCE Lifelong learning Recertification
31
Most specific
1- FACILITY State licensure Credentialing CERTIFICATION and RECERTIFICATION
32
Most specific for requirements
FACILITY
33
Have card for
CENTRAL LINE INSERTIONS
34
Post graduate pain fellowships
USF Texas (TCU) Middle tennessee
35
Undermining
Low H&H | wait a few hours after blood
36
When no chest rise.
chin-lift oral airway nasal trumpet Wake
37
Pain --> ALways serious
Delirium CVA MI
38
Value
Urban, surbuban, rural
39
4 advance practice nurses types approved by NIH, and NC
NPs CRNA CNS Nurse midwifes
40
CNS
experts in the clinical area
41
Anesthesia care team model
1 anesthesiologist | 4 CRNAs
42
AANA
EDUCATION and practice standards and guidelines
43
1974
Adopted standarts for nurse anesthetists practice.
44
MOTTO
Safe and effective anesthesia care for every patient
45
Mission
Advance patient safety and our porfession through excellence in practice and service to members.
46
Gary brydges
President of the AANA
47
Debra Diaz
Florida
48
What year was the Standards for NA practice adopted? then public interested established?
1974; 1975
49
First qualifying exam -
1945
50
When was AANA founded ______by whom_______
1931; Agatha Hodgkins
51
CCNA administered CE for the first time computerized
1996
52
What is the vision of AANA
AANA is the transformative leader driving innovation and patient centered excellence in practice and service to members.
53
Core values
``` Quality Professionalism Service Collaboration Diversity and inclusion ```
54
Main SCOPE of practice issue accross all APRN specialties is
Independent Practice
55
APRNs are regulated PRIMARILY by the
STATE BOARDS of NURSING
56
State not requiring documentation of relationship between doctors and NP
CT PA IN MN
57
CRNAs ability to practice without supervision is controlled by both
State and federal regulations
58
Adopted voluntary continuing education
1969
59
Council of recertification established
1978
60
Mandatory Continuing education adopted
1977
61
First Qualifying Exam
1945
62
NANA in
1931
63
CHANGED TO AANA
1939
64
AANA Standards for office based practice
1999
65
On the last working day of Clinton administration HCFA __________ in
HCFA published the final rule to defer to the states on physician supervision of CRNAs for medicare cases ; 2001
66
US departmemtn of Healthh & Human Services Health Care Financing administration (HFCA) services health care financig admininstation published a rule
1998
67
HCFA Announce that they will finalize the rule
2000
68
COA executive director
Frank Gerbasi
69
NBCRNA Executive director
Karen Plaus
70
Continuing professional certification program(CPC) | Must recertify every _____ years beginning ________
4; 2016
71
Must take CPC every _____ years beginning ________
8; 2020
72
Must pass CPC exam between
2028-2033
73
NBCRNA and COA
both adopt criteria for recertification
74
COA how many members
11
75
what are the 2 autonomous concils
COA | NBCRNA
76
Council responsible for their own
interal affairs financial activities Election of officers
77
Elected body (BOD) elected _____(how often)
Every year
78
Regional directors elected every ____. To run for national office an individual must have served at least ______term as an officer or director of a state association and be ________
2 years; one ; active in state or AANA affairs.
79
Each committee has at least
3 active members appointed by the president
80
Basis of safe anesthesia care
Continuous clinical observation | Vigilance
81
Standards of Nurse anesthesia Practice , how many
11
82
Standard XI
maintain the basic rights of patients.
83
The score of nurse anesthesia practice is determined by
Education Experience State and Federal law Facility Policy
84
CRNAs are APRNs licensed as
Independent practitioners
85
What is the PO2 of gas contained in the anatomic dead space?
Same as INSPIRED AIR
86
Standards of care for Nursing Practice adopted in
1974
87
Regional 7 DIRECTOR of AANA
Debra Diaz
88
Four health care professions
Dentist | AA
89
Facility, local responsible.
Credentialing

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