an overview of the anesthesiologist assistant: what the crna should know heather baglio, rn, bsn,...
TRANSCRIPT
![Page 1: An Overview of the Anesthesiologist Assistant: What the CRNA Should Know Heather Baglio, RN, BSN, SRNA Jessica Hammond, RN, BSN, SRNA](https://reader036.vdocuments.us/reader036/viewer/2022062716/56649dd15503460f94ac6a2e/html5/thumbnails/1.jpg)
An Overview of the Anesthesiologist Assistant: What the CRNA Should KnowHeather Baglio, RN, BSN, SRNAJessica Hammond, RN, BSN, SRNA
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Objectives• Explain the historical development of the Anesthesiologist
Assistant (AA) profession• Define the scope and standards of practice for AAs• Discuss specific legalities of the AAs practice • Discuss the AAs educational background, curricula, program
accreditation, certification and continuing education• Differentiate the role of the CRNA and AA in the healthcare
setting.
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HistoryJoachim S. Gravenstein John E.
Steinhaus
Perry P. Volpitto
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Facts and Figures
WHO ARE THEY?? HOW MANY ARE THERE??
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By the Numbers…
In the Workforce
Anesthesiologist and ResidentsCRNAAA
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ACT Model
Anesthesiologist
Resident Physician CRNA AA
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Educational Background
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Admission Requirements
• Bachelor’s degree• Science and math pre-requisites
•MCAT/GRE
• Clinical shadowing experience (8 hrs)
• Personal Interview
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Program of Study
•Master’s Degree Programs• 24-28 months • 56-132 didactic hours • Clinical hour requirements 2000-2500
hours•Minimum of 600 cases (avg ~ 800) • All sub- specialties of anesthesia
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CRNA vs. AAEducation
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Accreditation and Certification
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Governing Entities/Professional Organizations
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Scope
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Legalities Supervision Prescriptive Authority
Anesthesiologist to AA Ratio
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Location of Practice
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Supervision and Practice Jurisdiction
CRNA AA
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Patient Safety: What the Literature Says…
Evidence Supporting AAs
• University Hospital Quality Assurance
• Kentucky Legislative Research Commission
Evidence Supporting CRNAs
• Dulisse & Cromwell (2010)
• Needleman & Minnick (2009)
• Pine, Holt & Lou (2003)
• Simonson, Ahern & Hendryx (2007)
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“Opinions have caused more ills than the plague or earthquakes on
this little globe of ours.”-Voltaire
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The Future
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References• The American Academy of Anesthesiologist Assistants. (2012). Retrieved from http://www.anesthetist.org• American Academy of Anesthesiologist Assistants. (2006, March 31). Statement on the anesthesia care team model.
Retrieved from http://www.anesthetist.org/practicestatements/ACT_Position_Statement.pdf• American Academy of Anesthesiologist Assistants. (n.d.) AAAA statement on clinical doctorate degrees. Retrieved from
http://www.anesthetist.org/practicestatements/Statement_on_Clinical_Doctorate_Degrees.pdf• American Academy of Anesthesiologist Assistants. (2011, February). Comparison of AAs and CRNAs education and practice.
Retrieved from http://www.anesthetist.org/lobby/Comparison_of_AAs_and_CRNAs_Education.pdf• American Association of Nurse Anesthetists (2012). Anesthesia assistant tool kit. Retrieved from http://www.aana.com• Berry, A.J., Odom, S.H. (2003). Assuring competency of anesthesiologist assistants: Education program accreditation and
graduate certification. ASA Newsletter, 67(3), 9-10. Retrieved from http://www.asahq.org/For-Members/Publications-and-Research/Periodicals/ASA-Newsletter.aspx?year=2012&ypp=5
• Case Western Reserve University. (2010). Anesthesia program: Program overview. Retrieved from http://casemed.case.edu/anesthesiaprogram/program/
• Commission on Accreditation of Allied Health Education Programs. (n.d.) Anesthesiologist assistant. Retrieved from http://www.caahep.org/Content.aspx?ID=2
• Commission on Accreditation of Allied Health Education Programs. (2004). Standards and guidelines for the accreditation of educational programs in anesthesiologist assistant. Retrieved from http://www.anesthesiaprogram.com/pdfs/AA_Standards.pdf
• Daugherty, L., Fonseca R., Kumar, K.B., Michaud, P. (2010). An analysis of the labor markets for anesthesiology. Santa Monica, CA: RAND Corporation. Retrieved from http://www.rand.org
• Dulisse, B., & Cromwell, J. (2010). No harm found when nurse anesthetists work without supervision by physicians. Health Affairs, 29(8), 1469-1475.
• doi: 10.1377/hlthaff.2008.0966• Emory University. (2013). Master of science program in anesthesiology. Retrieved from http://med.emory.edu/aa_program/• Georgia Association of Nurse Anesthetists. (2012). Fact sheet about AAs. Retrieved from http://www.gana.org• Gravenstein, J.S., Steinhaus, J.E., & Volpitto, P.P. (1970). Analysis of manpower in anesthesiology. Anesthesiology, 33(3), 350-
357.• Gunn, I.P. (2000). Rural health care and the nurse anesthetist. CRNA, 11(2), 77-86. doi:10.1053/CRNA.2000.8004 • Institute of Medicine. (2011, June). Relieving pain in America: A blueprint for transforming prevention, care, education, and
research (Report Brief). Retrieved from http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Report-Brief.aspx
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References• Legislative Research Commission. (2007, February). A study of anesthesiologist assistants (Research Report No. 337). Retrieved from
https://www.asahq.org/For-Members/Advocacy/State-Legislative-and-Regulatory-Issues/~/media/For%20Members/Advocacy/State%20Issues/AA%20Study%20Report%20337.ashx
• Mackey, D.C. (2003). Anesthesiologist assistants: A new direction for the anesthesia care team begins to accelerate (finally!). ASA Newsletter, 67(3), 4. Retrieved from http://www.asahq.org/For-Members/Publications-and-Research/Periodicals/ASA-Newsletter.aspx?year=2012&ypp=5
• Nagelhout, J. J. & Zaglaniczny, K. L. (Eds.). (2009). Nurse Anesthesia (4th Ed.). Philadelphia: Saunders.• National Commission for Certification of Anesthesiologist Assistant. (n.d.). National Commission for Certification of Anesthesiologist
Assistant. Retrieved from http://www.aa-nccaa.org• Needleman, J., Minnick, A.F. (2009). Anesthesia provider model, hospital resources, and maternal outcomes. Health Services Research,
44(2), 464-482. doi:10.1111/j.1475-6773.2008.00919.x• Nova Southeastern University. (n.d.) Anesthesiologist assistant: Program overview. Retrieved from
http://www.nova.edu/chcs/healthsciences/anesthesia/fort_lauderdale/index.html• Pine, M., Holt, K.D., Lou, Y.B. (2003). Surgical mortality and type of anesthesia provider. AANA Journal, 71(2), 109-116. Retrieved from
http://ezproxy.ycp.edu:8000/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2003084684&site=ehost-live&scope=site
• Plagenhoef, J.S. (2008). Anesthesiologist assistants vs. nurse anesthetists…what are the differences? ASA Newsletter, 72(2), 18-20. Retrieved from http://www.asahq.org/For-Members/Publications-and-Research/Periodicals/ASA-Newsletter.aspx?year=2012&ypp=5
• Simonson, D.C., Ahern, M.M., Hendryx, M.S. (2007). Anesthesia staffing and anesthetic complications during cesarean delivery. Nursing Research, 56(1), 9-17. Retrieved from http://ovidsp.tx.ovid.com.ezproxy.ycp.edu:8000/sp-3.7.1b/ovidweb.cgi?&S=LNINFPGLJEDDLFKANCPKIDFBNPMKAA00&Link+Set=S.sh.18.19.23.27%7c1%7csl_10
• South University. (2013). Anesthesiologist assistant program. Retrieved from http://www.southuniversity.edu/nursing-and-health-professions-programs/anesthesiologist-assistant-programs/history.aspx
• University of Missouri- Kansas City (n.d.) Master of science in anesthesia program. Retrieved from http://www.med.umkc.edu/MSA/• Stafford, D.J. (2002, August, 1). AA Issue Heats up in Louisiana. Nurse. Retrieved from
http://news.nurse.com/apps/pbcs.dll/article?AID=2002208010304• Steinhaus, J. E., Evans, J.A.,& Frazier, W.T. (1973). The physician assistant in anesthesia? Anesthesia and Analgesia, 52(5), 794-798.