Upload
elu
View
54
Download
0
Tags:
Embed Size (px)
DESCRIPTION
An Overview of the Anesthesiologist Assistant: What the CRNA Should Know. Heather Baglio, RN, BSN, SRNA Jessica Hammond, RN, BSN, SRNA. Objectives. Explain the historical development of the Anesthesiologist Assistant ( AA) profession Define the scope and standards of practice for AAs - PowerPoint PPT Presentation
Citation preview
An Overview of the Anesthesiologist Assistant: What the CRNA Should KnowHeather Baglio, RN, BSN, SRNAJessica Hammond, RN, BSN, SRNA
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.
HistoryJoachim S. Gravenstein John E.
Steinhaus
Perry P. Volpitto
Facts and Figures
WHO ARE THEY?? HOW MANY ARE THERE??
By the Numbers…
In the Workforce
Anesthesiologist and ResidentsCRNAAA
ACT Model
Anesthesiologist
Resident Physician CRNA AA
Educational Background
Admission Requirements
• Bachelor’s degree• Science and math pre-requisites
•MCAT/GRE
• Clinical shadowing experience (8 hrs)
• Personal Interview
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
CRNA vs. AAEducation
Accreditation and Certification
Governing Entities/Professional Organizations
Scope
Legalities Supervision Prescriptive Authority
Anesthesiologist to AA Ratio
Location of Practice
Supervision and Practice Jurisdiction
CRNA AA
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)
“Opinions have caused more ills than the plague or earthquakes on
this little globe of ours.”-Voltaire
The Future
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
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.