Solution
Azra S answered on
Oct 20 2020
CRNA- Certified Registered Nurse Anaesthetist
Sonia Bhatia
10345914
Contents page
1- ECU cover sheet
2- Title page
3- Executive Summary
4- Introduction
5- Literature Review
· Duties of CRNA
· CRNA qualifications
· Steps to becoming a CRNA
· CRNA job prospects
· Scope of CRNA
· Anaesthesia practice
· Future of Nurse Anaesthesia practice
· CRNA job demands
· CRNA stressors
· Coping mechanisms
6- Conclusion and Recommendations
7- References
Executive Summary
Nurses play a vital and prevalent role in the healthcare industry supplying the major part of care to patients and their relatives. In addition, they assist medical practitioners in all their duties. Among the various programs and courses available for registered nurses is the CRNA or Certified Registered Nursing Anaesthetist which is an advanced nursing certification that qualifies a nurse to become a specialist in the administration of anaesthesia to patients in various settings. Even though CRNA is a demanding field with high educational requirements and elaborate working hours, CRNA’s are a revered and vital part of the advanced nursing force. The services of CRNA’s demand both respect and value in the healthcare industry.
Introduction
Anaesthesia can be considered a miracle as it made possible the originally extremely painful invasive surgeries pain-free. According to (Nagelhout & Plaus, 2014) various types of anaesthetics were used by medical practitioners since early on; however, anaesthetics as a nursing practice took root in the 1800s, when anaesthesia was administered to wounded soldiers during the Civil War.
Today, Certified Registered Nurse Anaesthetists (CRNAs) are professional registered nurses who are experienced and authorized to administer anaesthesia in surgical settings. CRNA’s are usually graduate level nurses who are academically and professionally adequate to administer anaesthesia to patients without direct supervision. CRNAs can provide anaesthetics to patients for all types of surgeries and procedures (Pe
y, 2002).
CRNA is generally considered a rewarding career choice. This is because it provides high levels of compensation, great personal satisfaction and is also in high demand in the market. The number of anaesthetists in the healthcare industry is low (Merwin, Stern & Jordan, 2006). The main reasons for this can be attributed to high cost of education and nursing stress.
The work of CRNAs is highly similar to that of anaesthesiologists. They administer local and general anaesthetics perform epidural, spinal and nerve blocks, provide twilight sedation and facilitate pain management for patients.
American Association of Nurse Anaesthetists (AANA) requires that CRNAs receive a minimum of seven years postsecondary education and experience to become a certified registered nurse anaesthetist (CRNA). So before becoming a CRNA, a nursing student will have completely nearly 2,500 clinical hours and administered 850 anaesthetics.
Literature Review
Nurses administering anaesthesia has been a continued practice since early on. With the passage of time, CRNA became a professional nursing practice. A formal cu
iculum for the education of nurse anaesthetists was founded in 1933 (Nagelhout & Plaus, 2014). A role that required the supervision of special anaesthesiologists could now be performed by professional nurses called CRNA.
By definition, CRNA is an advanced position in nursing. It refers according to (Pe
y, 2002) to a nurse who is experienced enough to administer local and general anaesthesia to patients in all sorts of hospital settings whether in surgical procedures, dental departments or outpatient clinics. CRNA’s undertake all the anaesthesia related care, prior to during and after the administration of anaesthesia to patients.
Duties of CRNA
The duties of a CRNA can be roughly categorized into four major challenges. Hamric et al. records these to be firstly, Pre-anaesthetic evaluation and preparation, secondly, Anaesthesia induction, maintenance and emergence, thirdly, Post-anaesthesia care and finally Peri-anesthetic and clinical support functions (1996, p.426)
CRNA’s are Registered Nurses first before being certified anaesthetics. They can perform all nursing jobs in addition to being specialists in anaesthesia. It is due to this that CRNA’s enjoy great levels of autonomy in the nursing industry. They also enjoy excellent remuneration and respect. However, all of this comes with its own share of stress and pressure limiting the number of CRNA graduates to only a select few (Merwin, Stern & Jordan, 2006).
CRNA educational qualification
CRNA’s have a lengthy requirement before they can successfully become certified anaesthetists. Patient healthcare usually involve extensive training and actual clinical work. Nurse anaesthetists typically are required to work in acute care settings as registered nurses (RNs) for a minimum of one year along with the completion of an accredited program.
After completion of an accredited program, candidates must pass the National Certification Examination (NCE) (Horton, 2007). After the successful completion of all these nurse anaesthetists need to recertify every two years in a process of 40 hours of continuing education. So, the CRNA profession is a highly cu
ent and continuing one (Shumway & Del Risco, 2000).
Steps involved in becoming a CRNA
The first step in becoming a nurse anaesthetist is to purse a bachelor of science in Nursing or (BSN). Typical courses involve the study of subjects such as physiology, anatomy, pharmacology, pathophysiology, and health assessment.
BSN is not a prerequisite for becoming an RN; however, students with undergraduate degrees have significant advantage since the application process to accredited nursing anaesthetics programs is highly competitive. In addition, students are expected to have completed clinical rotations in some major health departments like surgery, and paediatrics. Applicants with a GPA of 3.0 or higher in BSN enjoy better chances of success in their application for CRNA programs.
The next step involves obtaining a license as a registered nurse (RN). This can be done by passing a training program for registered nurses. The training program for registered nurses covers topics like health assessments, infection control, physiological integrity etc. Requirements for the exam differ from state to state and country to country. RN nurses also complete one year of actual work in a critical care unit like ICU, ER or CCU. Some nurses may also choose a CCRN specialization to improve their chance for enrolment in the CRNA program.
It is only after completing all this that a student becomes eligible for...