Final Exam Material

Question 1

First nurse to specialize in anesthesia in 1877

Answer 1

Sister Mary Bernard

Question 2

Who was the first professional group to provide anesthesia services in the U.S.?

Answer 2

Nurses

Question 3

When did nursing become the first recognized clinical nursing speciality?

Answer 3

Late 1800s

Question 4

First inhaled anesthetic (1772)

Answer 4

Nitrous oxide, synthesized by an English chemist

Question 5

Ether was created in

Answer 5

1844

Question 6

Chloroform was used in ___

Answer 6

1847

Question 7

AANA was established in 1931 by

Answer 7

Agatha Hodgins, denied for practicing medicine without a license

Question 8

2007

Answer 8

NBCRNA formed

Question 9

2020 was

Answer 9

Name change to Nurse Anesthesiology (WV in 2023)

Question 10

What is a CRNA

Answer 10

APRN, licensed independently, plans and delivers anesthesia, pain management, autonomous, collaborative

Question 11

Scope of an individual CRNA’s practice is determined by __ (4)

Answer 11

Education
Experience
Local/state/federal law
Organization policy

Question 12

Practice of anesthesiology is a recognized nursing and medical specialty unified by the _____

Answer 12

SAME standards of care

Question 13

For opt out, state governor must send a letter to CMS that states

Answer 13

Board of medicine and nursing about issues related to access to and quality of anesthesia
Best interest of the state’s citizens to opt-out of physician supervision requirement

Question 14

Three practice models

Answer 14

Supervision
Medical direction
Solo CRNA or solo Physician anesthesiologist

Question 15

Medical direction refers to

Answer 15

Anesthesiologist directs delivery of anesthesia care, can be up to 4 CRNAs doing concurrent cases

Question 16

Medical supervision refers to

Answer 16

Physician is overseeing more than 4 CRNAs who are concurrently administering anesthesia care
**no requirement for the physician to provide hands-on-care
Physician is available to assist in any case

Question 17

What do the AANA Standards for nurse anesthesia practice provide?

Answer 17

Foundation for CRNAs in all practice settings, support delivery of patient centered, consistent, high quality, and safe anesthesia care and assist the public in understanding the CRNAs role

Question 18

NBCRNA Core Values (4)

Answer 18

Respect
Trust
Recognition
Protection

Question 19

NBCRNA credentialing provides assurance to ___

Answer 19

The public that certified individuals have met their objectives and predetermined qualifications for providing nurse anesthesia services

Question 20

NBCRNAs mission:

Answer 20

Promote patient safety through credentialing programs that support lifelong learning

Question 21

NBCRNAs vision

Answer 21

To be recognized as the leader in advanced practice nurse credentialing

Question 22

Quality assurance’s ultimate goal is to:

Answer 22

Improve quality of nurse education
Provide competent practitioners to health care consumers and employers

Question 23

Values of COA (3)

Answer 23

Diversity/equity/inclusion
Quality
Innovation

Question 24

COA Value: Integrity

Answer 24

Fair and objective decisions based on consistent application of COA standards

Question 25

COA Value: Accountability

Answer 25

Responsive, efficient professional interactions with nurse anesthesia programs, free of conflicts of interest

Question 26

COA Value: Commitment

Answer 26

Dependable and respectful support to enhance and advance nurse anesthesia educational practices

Question 27

The COA is responsible for

Answer 27

Establishing standards and policies for nurse anesthesia educational programs

Question 28

COA mission

Answer 28

To establish standards that promote quality education in nurse anesthesia programs

Question 29

Accreditation is a peer process whereby a

Answer 29

Private/nongovernmental agency grants public recognition to an institution that meets national standards

Question 30

Two reasons for accreditation

Answer 30

Ensure quality assessment Assist in quality improvement

Question 31

Continuing education:

Answer 31

Every 4 year cycle, must complete 100 CE credits

Question 32

Collaborative relationship means

Answer 32

Working relationship, structured through a written agreement

Question 33

WV definition of APRN

Answer 33

RN w/ advanced clinical knowledge and skills preparing him/her to provide direct and indirect care to patients

Question 34

WV definition of APRN specifications

Answer 34

Completed board approved graduate level education program and who has passed boards

Question 35

Requirements for clinical privileges

Answer 35

State licensure as RN Graduate with COA accredited DNAP program Cert by NBCRNA Relevant requirements for ACLS

Question 36

Credentialing and privileging is a 2 part process

Answer 36

Establishes healthcare professionals qualifications and authority to work in a clinical settings within a healthcare organization

Question 37

What are the code of ethics?

Answer 37

Ethical responsibilities of the CRNA as a member of nurse anesthesiology profession Principles of conduct Professional integrity Guide for decision making and behavior

Question 38

Practice guidelines are

Answer 38

Evidence based recommendations that are intended to optimize patient care by assisting CRNAs

Question 39

Guidelines are NOT

Answer 39

Substitute for clinical judgement of CRNA or other anesthesia professionals

Question 40

Practice guidelines DO NOT

Answer 40

Establish legally enforceable requirements or responsibilities