Nurse Anesthetist Autonomy
Who published revised criteria for nationally recognized accrediting agencies and associations on January 16, 1969?
What year did the Health Care Financing Administration (HCFA) propose reimbursement regulations for anesthesiologists who direct or supervise CRNAs?
WHO WON THE DAGMAR NELSON TRIALS IN 1934, 1936, AND 1938 ALLOWING NURSES TO CONTINUE TO PRACTICE ANESTHESIA?
DAGMAR NELSON
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Who was responsible for arguing that AANA structural changes and proposed bylaw revisions did comply with US Department of Health, Education, and Welfare (HEW) criteria?
Who is known as the Mother of Anesthesia?
Alice Magaw 1860-1928
Continuing education.
What was the rationale that led to the HCFA's support of a four-to-one ratio?
That a four-to-one ratio would be more in the public interest in terms of cost-effectiveness. Large numbers of anesthesiologists would be more costly and groups with higher ratios of CRNAs were more apt to accept Medicare assignments.
WHAT DOCTRINE ORIGINATED AS A RESULT OF THE DAGMAR NELSON TRIAL?
THE CAPTAIN OF THE SHIP DOCTRINE
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Who is the AANA's first male and youngest president?
BONUS POINT: Explain his goal for CRNAs and physician groups.
John Garde in 1977. (pg. 163-164)
Bonus: "The goal of the CRNA is for the physician groups to recognize the nurse as a colleague and co-team member, rather than as a physician assistant or extender..."
This sister is credited as the first nurse anesthetist
Sister Mary Bernard of St. Vincent’s Hospital in Erie, PA
Explain how the last paragraph of the ASA Anesthesia Manpower Study and the recommendations that were taken to the Office of Education impacted nurse anesthetists.
The ASA representatives took these recommendations and attempted to gain greater control over nurse anesthetist education and accreditation in conjunction with the Office of Education.
What did more to threaten the elimination or control of CRNAs than any other single incident in nurse anesthetist history?
The Prospective Payment System (PPS) through its reimbursement incentives.
NAME ONE OF THE THREE THINGS GENE BLUMENREICH SAID VIOLATED THE CONCEPT THAT SURGEONS WERE MORE LIABLE WHEN A NURSE ANESTHETIST WAS AT THE HEAD OF THE BED COMPARED TO AN ANESTHESIOLOGIST?
“FIRST, SURGEONS ARE NOT ALWAYS LIABLE FOR THE NEGLIGENCE OF NURSE ANESTHETISTS. SECOND, SURGEONS MAY ALSO BE LIABLE FOR THE NEGLIGENCE OF ANESTHESIOLOGISTS. THIRD, BECAUSE A SURGEONS LIABILITY, WHETHER WORKING WITH NURSE ANESTHETISTS OR ANESTHESIOLOGISTS, DEPENDS ON THE PARTICULAR FACTS OF THE SITUATION, AS A PRACTICAL MATTER, THE SURGEON IS LIKELY TO BE INCLUDED IN THE SUIT WHETHER THE SURGEON IS WORKING WITH A NURSE ANESTHETIST OR AN ANESTHESIOLOGIST.”
What is the B:G partition coefficient of Sevoflurane?
0.65
Dentist William TG Morton used what inhaled anesthetic on October 16th, 1846 to assist with public demonstration of the removal of a neck tumor in this Boston Dome
Sulfuric Ether
Please explain the impact the Baum letter had on the anesthesia committee.
"The Baum letter caused open warfare from local to national level of the anesthesia community. The AANA-ASA Liaison Committee met in December of 1975, pledging to support to further cooperation between the two organizations."
What is considered to be one of the greatest lobbying achievements not only of the AANA but of the whole of nursing?
BONUS POINT: Under what President was this passed?
The Omnibus Budget Reconciliation Act of 1986- which included AANA direct reimbursement package under Medicare for all CRNA services
BONUS POINT: President Ronald Reagan
WHAT DID THE BHAN V. NME HOSPITALS AS WELL AS THE OLTZ V. ST. PETER’S COMMUNITY HOSPITAL DISCUSS REGARDING NURSE ANESTHETISTS AND ANESTHESIOLOGISTS?
THE ABILITY TO SUE A HOSPITAL FOR VIOLATION OF FEDERAL ANTITRUST LAWS FOR COMPETITIVE PRACTICE. THE DISCRIMINATION AGAINST OLTZ BY AN ILLEGAL CONTRACT BETWEEN THE HOSPITAL AND SOLELY ANESTHESIOLOGISTS.
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What are the four different classifications of receptors?
Ion Channel
G-protein coupled receptors
Enzyme linked
Intracellular
What was the first IV anesthetic?
Sodium Thiopental 1934
Please explain in your own words, one of the 4 position statements published by the AANA Board of Directors which expressed concern over physician-sponsored (FNAS) accreditation programs for nurse anesthetists.
see page 159 -160.
Who were the leaders of the AANA during the passage of the Omnibus Act?
Patricia Fleming, Patrick Downey, Barbara Adams, Richard Ouellette, Peggy McFadden, Mary Jeanette, and Sandra Maree
1989 AANA PRESIDENT SANDRA MARIE REFERENCED THAT WHAT PERCENTAGE OF ANESTHETICS IS PROVIDED BY CRNAS IN RURAL AREAS IN HER “STRENGTH IN UNITY“ ADDRESS?
“OUR GREATEST STRENGTH HAS BEEN THAT THIS ORGANIZATION SPEAKS FOR 97 PERCENT OF ALL CRNAS IN THIS COUNTRY- A GROUP WHICH DIRECTLY ADMINISTERS WELL OVER 50 PERCENT OF ALL ANESTHETICS IN THE COUNTRY, AND ABOUT 70 PERCENT OF THOSE IN RURAL COMMUNITIES”
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Order the 5 ligaments of the spinal column from posterior to anterior
Supraspinous ligament
Interspinous Ligament
Ligamentum Flavum
Posterior longitudinal ligament
Anterior longitudinal ligament
René Descartes' Traite de l'homme (Treatise of Man) drawing in 1664 showed one of the first pictures of pain pathway. What was the stimulus for pain in the picture?
A foot in fire.