Flashcards in this deck (86)

• What are the surgical settings for anesthesia practice?

  • OR
  • ICU
  • Endo Suites
  • MRI/CT
  • IR
  • EP/Cath Lab
  • Ambulatory Surgery Centers
  • Physician offices
  anesthesia surgery
• What are the perioperative phases?

  • Preoperative phase
  • Intraoperative phase
  • Postoperative phase
  anesthesia phases
• What is the preoperative phase?

  Begins when surgery is decided and ends when the client is on the OR table.
  anesthesia preoperative
• What is the intraoperative phase?

  Begins when the client is on the OR table and ends when admitted to the PACU.
  anesthesia intraoperative
• What is the postoperative phase?

  Begins with admission to the PACU and ends when healing is complete.
  anesthesia postoperative
• What does M stand for in the preoperative checklist?

  Machine: Start anesthesia machine and run self-test.
  anesthesia checklist
• What does S stand for in the preoperative checklist?

  Suction: Ensure suction circuit is connected and Yankauer tip is available.
  anesthesia checklist
• What does A stand for in the preoperative checklist?

  Airway: Prepare ETT, laryngoscope, and airway management tools.
  anesthesia checklist
• What does IV stand for in the preoperative checklist?

  IV Access: Establish peripheral IV for anesthesia induction.
  anesthesia checklist
• What does D stand for in the preoperative checklist?

  Drugs: Prepare medications for pre-medication, induction, and analgesics.
  anesthesia checklist
• What is included in pre-medication?

  • Fentanyl
  • Midazolam
  • Pepcid
  • Reglan
  • Bicitra
  anesthesia medications
• What is included in induction medications?

  • Propofol
  • Etomidate
  • Rocuronium
  • Succinylcholine
  • Lidocaine
  anesthesia medications
• What are the volatile agents used?

  • Sevoflurane
  • Isoflurane
  • Desflurane
  anesthesia medications
• What are the pressors used in anesthesia?

  • Phenylephrine
  • Norepinephrine
  • Ephedrine
  anesthesia medications
• What are the analgesics used in anesthesia?

  • Toradol
  • Morphine
  • Fentanyl
  • Hydromorphone
  • Tylenol
  anesthesia medications
• What are the antibiotics used in anesthesia?

  • Cefazolin
  • Cefepime
  • Vancomycin
  anesthesia medications
• What is included in the reversal medications?

  • Neostigmine
  • Glycopyrrolate
  anesthesia medications
• What is included in the special category?

  • OG/NG tubes
  • Bair Hugger blanket
  • Fluid warmer
  anesthesia medications
• What is the preoperative flow checklist?

  • Pre Op Interview
  • Consent
  • Surgical Checklist Complete
  • Team Present
  • Equipment Needed
  anesthesia checklist
• Who is part of the surgical team?

  • Surgeon
  • Anesthesiologist/CRNA
  • Scrub Tech
  • Circulating Nurse
  • OR Techs
  anesthesia team
• What is the purpose of sterilization?

  Cleansing objects of living organisms.
  sterilization healthcare
• How does disinfection differ from sterilization?

  Disinfection reduces viable organisms, sterilization kills all organisms.
  disinfection sterilization
• What are the three methods of sterilization?

  • Thermal
  • Chemical
  • Radiation
  sterilization methods
• What is the temperature and time for thermal sterilization?

  115 degrees Celsius for 15 minutes.
  thermal sterilization
• What is a key characteristic of chemical sterilization?

  Uses gases like ethylene oxide and hydrogen peroxide to kill organisms.
  chemical sterilization
• What does radiation sterilization disrupt?

  Disrupts DNA by dislodging electrons from ions.
  radiation sterilization
• What is the purpose of operating room attire?

  To provide a barrier against the spread of organisms.
  operatingroom attire
• What should not be worn outside the operating room?

  Operating room attire.
  operatingroom attire
• What is included in a sterile field?

  Patient, personnel in sterile attire, sterile drapes.
  sterilefield surgery
• What is the first step after arriving in the PACU?

  Give report to the PACU nurse.
  pacu postoperative
• What does the AANA Code of Ethics guide?

  Guides CRNAs in ethical analysis and decision making.
  aana ethics
• What is a primary ethical responsibility of a CRNA?

  Responsibility to the patient.
  crna ethics
• What does the Code of Ethics express for the nurse anesthesia profession?

  Commitment to society and professional integrity.
  aana ethics
• What is the CRNA's responsibility to patients?

  • Respect moral and legal rights
  • Support safety and well-being
  • Collaborate for holistic care
  • Advocate for patient welfare
  • Protect from incompetent providers
  • Disclose adverse events with consent
  ethics crna patient_care
• What is the CRNA's professional responsibility?

  • Accountable for judgments and actions
  • Create ethical culture
  • Foster collaborative environment
  • Maintain competence
  • Engage in lifelong education
  • Report incidents to promote safety
  ethics crna professionalism
• What is the CRNA's responsibility in research?

  • Protect integrity of research
  • Respect participants' rights
  • Ensure equal access to benefits
  • Report findings accurately
  • Attribute contributions appropriately
  • Participate in improving practice
  ethics crna research
• What is the CRNA's responsibility in business practice?

  • Maintain ethical business practices
  • Establish contractual obligations
  • Deal ethically with all parties
  ethics crna business
• What should the CRNA do before providing care?

  • Protect patients from incompetent providers
  • Participate in honest disclosure of events
  ethics crna patient_care
• What ethical principles must CRNAs adhere to in research?

  • Respect for persons
  • Beneficence
  • Justice
  ethics crna research
• What does the CRNA maintain in business practices?

  Ethical business practices
  ethics crna
• What must CRNAs establish in their practice?

  Contractual obligations consistent with the Code of Ethics
  ethics crna
• When can a CRNA endorse products?

  When personally satisfied with the product’s safety and effectiveness
  endorsements crna
• What must CRNAs disclose when endorsing products?

  Conflicts of interest associated with the endorsed product or service
  endorsements ethics
• What is the CRNA's responsibility to society?

  Collaborate to improve public health and access to healthcare
  society crna
• What is Standard 1 of AANA Practice Standards?

  Respect the patient’s autonomy, dignity, and privacy
  aana practice_standards
• What is required in Standard 2 of AANA Practice Standards?

  Preanesthesia evaluation of the patient’s health and history
  aana practice_standards
• What does Standard 3 require for anesthesia care?

  Formulate a patient-specific plan for anesthesia care
  aana practice_standards
• What is required for informed consent in anesthesia?

  Obtain and document that the patient has given informed consent
  aana practice_standards
• What does Standard 5 of AANA Practice Standards entail?

  Timely and accurate documentation of anesthesia care data
  aana practice_standards
• What does Standard 6 require regarding equipment?

  Daily equipment check and verify function prior to each anesthetic
  aana practice_standards
• What is the function of anesthesia equipment prior to each anesthetic?

  Operate equipment to minimize risk of fire, explosion, electrical shock, and malfunction.
  anesthesia safety
• What is the role of the CRNA during anesthesia care?

  Provides anesthesia care until responsibility is accepted by another anesthesia professional.
  crna anesthesia
• What should be monitored every five minutes during anesthesia?

  Blood pressure, heart rate, and respiration.
  monitoring anesthesia
• What is the importance of oxygenation monitoring?

  Continuously monitor oxygenation by clinical observation and pulse oximetry.
  oxygenation monitoring
• How is ventilation monitored during anesthesia?

  By clinical observation and confirmation of expired carbon dioxide.
  ventilation monitoring
• What should be monitored to maintain hemodynamic status?

  Continuously monitor heart rate and cardiovascular status.
  cardiovascular monitoring
• What measures should be taken for thermoregulation?

  Monitor body temperature and use active measures to facilitate normothermia.
  thermoregulation safety
• What should be monitored when using neuromuscular blocking agents?

  Monitor neuromuscular response to assess depth of blockade and recovery.
  neuromuscular monitoring
• What is the goal of infection control in anesthesia?

  Minimize the risk of infection to patients and healthcare providers.
  infection safety
• When is it appropriate to transfer care to another provider?

  Evaluate patient’s status and communicate essential information for continuity of care.
  transfer care
• What is the focus of the Quality Improvement Process?

  Review and evaluate anesthesia care to improve outcomes.
  quality improvement
• What does wellness refer to for CRNAs?

  Being physically and mentally able to perform duties.
  wellness crna
• What is the goal of fostering a culture of safety?

  Create a collaborative patient care environment with open communication.
  safety culture
• Who are CRNAs?

  Advanced practice registered nurses licensed to deliver anesthesia and pain management.
  crna profession
• What is the role of collaboration in CRNA practice?

  Collaborate with patients and healthcare professionals for patient-centered care.
  collaboration care
• What is the role of CRNAs in healthcare?

  CRNAs provide patient-centered, high-quality, holistic, evidence-based, and cost-effective anesthesia care.
  healthcare crna
• Where do CRNAs typically practice?

  • Hospitals
  • Nonoperating room anesthetizing areas
  • Ambulatory surgical centers
  • Office-based settings
  healthcare practice
• What types of procedures do CRNAs provide anesthesia for?

  • Surgical
  • Diagnostic
  • Therapeutic
  anesthesia procedures
• For which specialties do CRNAs administer anesthesia?

  • General
  • Obstetric
  • Trauma
  • Cardiac
  • Orthopedic
  • Gastrointestinal
  • Dental
  • Plastic surgery
  anesthesia specialties
• In which locations do CRNAs provide care?

  • Urban
  • Suburban
  • Rural
  healthcare locations
• Who do CRNAs often serve in underserved areas?

  Military, rural, and medically underserved populations.
  healthcare underserved
• What is included in preoperative assessment by CRNAs?

  • Patient education
  • Comprehensive history and physical examination
  • Preanesthesia assessment
  • Informed consent
  anesthesia preoperative
• What is involved in intraoperative care by CRNAs?

  • Implementing patient-specific care
  • Administering anesthetic medications
  • Invasive and noninvasive monitoring
  anesthesia intraoperative
• What does postoperative care by CRNAs include?

  • Facilitate emergence from anesthesia
  • Postanesthesia evaluation
  • Patient education on recovery
  anesthesia postoperative
• What is the focus of pain management by CRNAs?

  Comprehensive patient-centered pain management to optimize recovery.
  anesthesia pain_management
• What is the goal of patient-centered pain management?

  To optimize recovery.
  pain_management patient_care
• What services are included in acute pain management?

  • Multimodal pain management
  • Opioid-sparing techniques
  pain_management acute_care
• What techniques are used for anesthesia and analgesia in acute pain management?

  Regional techniques.
  anesthesia pain_management
• What types of pain management does advanced pain management include?

  • Acute
  • Chronic
  • Interventional
  pain_management advanced_care
• What medications can be prescribed in pain management?

  • Controlled substances
  • Medication-assisted treatment
  • Adjuvants to psychotherapy
  medication pain_management
• What services are provided in emergency and critical care?

  • Resuscitation
  • Advanced airway management
  emergency_care critical_care
• What is involved in point-of-care testing?

  Performing tests at the site of patient care.
  testing diagnostics
• What types of studies can be ordered and interpreted?

  • Diagnostic laboratory studies
  • Radiological studies (e.g., chest x-ray, 12-lead EKG, TEE)
  diagnostics radiology
• What technologies are used for diagnosis and care delivery?

  • Ultrasound
  • Fluoroscopy
  technology diagnostics
• What type of care includes sedation and pain management?

  Palliative care.
  palliative_care pain_management
• What can be ordered for a patient's care?

  • Consults
  • Treatments
  • Services (e.g., physical and occupational therapy)
  patient_care services