History (2), Addiction(3), AANA(4), Legaleze(6) Flashcards Preview

PAAN Wks. 2, 3, 4, 6 > History (2), Addiction(3), AANA(4), Legaleze(6) > Flashcards

Flashcards in History (2), Addiction(3), AANA(4), Legaleze(6) Deck (32)
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1

How to convince a CRNA/SRNA of AANA membership value?

Rewarding opportunities, supports our professional values, national voice for us, communication among CRNAs, adsvocation for us, awareness for us, it's part of being professional.

2

2 interests that the AANA serves

Public interest first, then CRNA interests

3

Why does a professional develop its own standards?

Gain recognition as a profession and accountability

4

Practice guideline vs. standard?

Standard: minimal requirement for practice. Guideline: commonly accepted behavior, not mandated.

5

What are the Standards? (this one's kinda long, and I'm not sorry one bit!)

I - PreAnes assess
II - Consent
III - Formulate plan
IV - Implement and adjust plan
V - Monitor pt
VI - Documentation
VII - Transfer of care
VIII - Adhere to saftey precautions
IX - Minimize risk of infection
X - Assess care for quality
XI - Respect and maintain pt privacy

6

Addiction: % of admitted for addiction are anesthesiologists?

10%

7

% of CRNAs admit to drug abuse?

10%

8

Factors contributing to addiction?

1. Availability of psychoactive drugs
2. Role strain/stress
3. "Preaddictive personality"

9

Who is a "Super-Nurse"?

YOU ARE!!!

10

How to fix this?

Education
Prevention
Support
Treatment
Get a life!

11

Legal basis of nurse anesthesia practice?

It is the practice of nursing when performed by a nurse. Know how legislative (law making), executive (execution of laws, administrative agencies), and judicial (judges laws; court decisions) branches affect the footholds we have gained thus far.

12

Distinguish between civil and criminal law

Civil: between private parties (plaintiff v. defendant; ruled in favor of one party or the other)
Criminal: between private party and government (State v. person, the People v. person; ruling is guilty or not guilty)

13

What makes a person an expert witness?

Can provide definition of standard of care at time of incident, qualified by the court, must testify in terms of medical probabilities, can not speculate to establish deviation from standard.

14

Battery!! What is it and how to defend against it (allegation of battery)...

Battery: unwanted touching, if you know what I mean...
Defense against battery charge (insert Energizer joke here): INFORMED CONSENT!!

15

Components of negligence (4)?

Duty
Breach of Duty
Causation
Damage

16

How to determine "standard of care"?

Expert witness
Hospital/department policies and standards
Prof. organization standards (AANA)
Governmental guidelines

17

Precedent (definition)

Principle established by court ruling in a previous similar case

18

Res ipsa loquitor (definition)

"The thing speaks for itself"
-Injury happened in circumstances that would not normally cause an injury if nobody had been negligent.
-Injury result of something in exclusive control of defendant.
-Injury must not be due to any action on the part of the plaintiff.

19

Evidence (definition)

what is included to assert truth of a situation

20

Vicarious liability (definition)

Employer is responsible for actions of employee.

21

Name some important early nurse anesthetists... (for more info, check out the study guide)

Sis. Bernard, Eltrich, Woenke, Secudina, Mindrup
Sisters of St. Francis
Edith and Dinah Graham
Alice Magaw
Agatha Hoghins
Agnes McGee (1909 1st NA school St. V's, Portland)
Alice Hunt
Gertrude Fife

22

Year of NANA start?

1931 (June 17)

23

Lakeside opens?

1915

24

What did Alice Magaw do that really helped us out?

She went and got published in medical journals, like a big girl!

25

Role of Frank v. South opinion in regulatory boards?

Boards are to uphold the protection of the public as a whole, not just the fiduciary interests of certain groups.

26

In Chalmers-Francis v. Nelson, why did the plaintiff not pursue a criminal lawsuit?

Attorney General already had a supportive opinion of nurse anesthetists

27

Repercussions of Chalmers-Francis v. Nelson?

Anesthesia is the practice of nursing when performed by a nurse; practice of medicine when performed by physician.

28

What did the actions against the Lakeside Hospital by the Ohio State Med Board (McMechan) hope to accomplish?

They hoped to stop the production of NAs by threatening to halt the schools nursing program.

29

Goals of AANA as proposed by Gertie?

Accreditation of NA schools
Initiation of national cert exams for NA

30

Medicare A billing vs. Medicare B billing

A: Hospital bills for services
B: Anesthesia provider bills for services
-MDA can supervise up to 4 CRNAs concurrently (50/50% split per case)

31

Would I also breeze over the Watchful Care notes we got?

Yes, yes I would.

32

Who among us has the biggest pecker?

Wrong. Jack the Cat does.