keyword
MENU ▼
Read by QxMD icon Read
search

Certified Registered Nurse Anesthetist

keyword
https://www.readbyqxmd.com/read/27935778/anesthesia-involvement-in-palliative-care
#1
Amanda C Faircloth
Palliative care teams require multidisciplinary support. While this is an emerging area in anesthesia practice, there are many avenues for certified registered nurse anesthetists (CRNAs) to share their unrivaled clinical knowledge. CRNAs may become involved with or consult on palliative sedation, medical management, interventional pain management, terminal wean/extubation, and organ donation. Additionally, CRNAs need to understand the unique needs of this patient population so that they can appropriately care for palliative care patients presenting to the operating room for palliative surgery...
January 2017: Annual Review of Nursing Research
https://www.readbyqxmd.com/read/27918405/certified-registered-nurse-anesthetist-perceptions-of-factors-impacting-patient-safety
#2
Susan P McMullan, Charlotte Thomas-Hawkins, Maria R Shirey
Certified registered nurse anesthetists (CRNAs) provide more than 40 million anesthetics each year in the United States. This article describes a study that investigates relationships among CRNA organizational structures (CRNA practice models, work setting, workload, level of education, work experience), CRNA ratings of patient safety culture, and CRNA adverse anesthesia-related event (ARE) reporting. This is a cross-sectional survey study of 336 CRNAs randomly selected from American Association of Nurse Anesthetists database...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27580196/the-evolution-of-a-peer-assistance-network-for-nurse-anesthetists-substance-use-disorder
#3
Linda Stone, Diana Quinlan, Julie A Rice, Elizabeth Laura Wright
The American Association of Nurse Anesthetists has a long history of providing peer support for its members with substance use disorder (SUD). The American Association of Nurse Anesthetists' Peer Assistance Advisors Committee (PAAC) is a group of certified registered nurse anesthetist volunteers who strive to promote the awareness of SUD through education and research and provide support to certified registered nurse anesthetists and students with this disease. During the committee's 33-year history, educational outreach to nurse anesthesia educational programs and anesthesia workplaces has expanded, the peer support network has been strengthened, resources and guidelines have been developed, and research related to SUD has been conducted in an effort to accomplish these goals...
July 2016: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/27501656/tranexamic-acid-in-anesthetic-management-of-surgical-procedures
#4
Jessica Mayeux, Kathy Alwon, Shawn Collins, Ian Hewer
Blood loss during surgical procedures poses a grave risk to the patient, but transfusion is costly and associated with adverse outcomes. Antifibrinolytics, however, offer an economical and effective means of decreasing blood loss associated with surgical procedures. Tranexamic acid (TXA) is an antifibrinolytic that blocks lysine-binding sites of fibrinogen and fibrin, preventing the breakdown of existing clots. This journal course reviews extensive research demonstrating that antifibrinolytics such as TXA decrease blood loss and in some studies reduce allogeneic transfusion requirements...
June 2016: AANA Journal
https://www.readbyqxmd.com/read/27397953/an-assessment-of-hand-hygiene-practices-of-healthcare-workers-of-a-semi-urban-teaching-hospital-using-the-five-moments-of-hand-hygiene
#5
Emmanuel Olushola Shobowale, Benjamin Adegunle, Ken Onyedibe
BACKGROUND: Hand hygiene has been described as the cornerstone and starting point in all infection control programs, with the hands of healthcare staff being the drivers and promoters of infection in critically ill patients. The objectives of this study were to access healthcare workers compliance with the World Health Organization (WHO) prescribed five moments of hand hygiene as it relates to patient care and to determine the various strata of healthcare workers who are in default of such prescribed practices...
May 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27311152/use-of-personal-electronic-devices-by-nurse-anesthetists-and-the-effects-on-patient-safety
#6
Lauren R Snoots, Brenda A Wands
Certified Registered Nurse Anesthetists (CRNAs) provide high-quality patient care to ensure patient safety. Strict vigilance and prompt response is required of the CRNA to make critical decisions. Distractions during anesthesia delivery may threaten patient safety. Personal electronic devices (PEDs) have become an integral tool used by 90% of adults. Adaptation of PEDs has permitted their integration into current anesthesia practice. Although technologic advancements have improved accessibility to resources and communication, they also serve as a source of distraction...
April 2016: AANA Journal
https://www.readbyqxmd.com/read/27311151/design-of-an-evidence-based-second-victim-curriculum-for-nurse-anesthetists
#7
REVIEW
Regina G Daniels, Ruth McCorkle
The "second victim" phenomenon--when a healthcare provider experiences adverse events because of the adverse events of a patient--is not well known or understood among healthcare professionals, including Certified Registered Nurse Anesthetists (CRNAs). No published research is currently available on the impact of second victim specifically in CRNAs, but it is known that second victim poses major challenges for healthcare professionals. Therefore, it is important to acknowledge its occurrence and to develop an educational curriculum based on the available evidence in order to promote peer and organizational support infrastructures...
April 2016: AANA Journal
https://www.readbyqxmd.com/read/27213547/scope-of-practice-laws-and-anesthesia-complications-no-measurable-impact-of-certified-registered-nurse-anesthetist-expanded-scope-of-practice-on-anesthesia-related-complications
#8
Brighita Negrusa, Paul F Hogan, John T Warner, Caryl H Schroeder, Bo Pang
BACKGROUND: Scope of practice (SOP) laws governing Certified Registered Nurse Anesthetists (CRNAs) vary by state and drive CRNA practice and reimbursement. OBJECTIVE: To test whether the odds of an anesthesia complication vary by SOP and delivery model (CRNA only, anesthesiologist only, or mixed anesthesiologist and CRNAs team). METHODS: Anesthesia claims and related complications were identified in a large commercial payor database, including inpatient and ambulatory settings...
October 2016: Medical Care
https://www.readbyqxmd.com/read/27158297/cme-article-perceptions-of-acupuncture-and-acupressure-by-anesthesia-providers-a-quantitative-descriptive-study
#9
Amanda C Faircloth, Arkadiy Dubovoy, Chuck Biddle, Diane Dodd-McCue, John F Butterworth
Background: Randomized controlled trials show that acupuncture and acupressure support anesthesia management by decreasing anxiety, opioid requirements, and treating post-operative nausea and vomiting. Acupuncture and acupressure have demonstrated clinical usefulness but have not yet diffused into mainstream anesthesia practice. To determine why, this study assessed U.S. anesthesia provider's perceptions of acupuncture and acupressure. Methods: After institutional review board approval, 96 anesthesiology departments stratified by geographic region (Northeast, South, West, and Midwest) and institution type (university medical centers, community hospitals, children's hospitals, and veterans affairs hospitals) were selected for participation in an anonymous, pretested, online survey...
April 1, 2016: Medical Acupuncture
https://www.readbyqxmd.com/read/27100437/development-of-the-a-diva-scale-a-clinical-predictive-scale-to-identify-difficult-intravenous-access-in-adult-patients-based-on-clinical-observations
#10
Fredericus H J van Loon, Lisette A P M Puijn, Saskia Houterman, Arthur R A Bouwman
Placement of a peripheral intravenous catheter is a routine procedure in clinical practice, but failure of intravenous cannulation regularly occurs. An accurate and reliable predictive scale for difficult venous access creates the possibility to use other techniques in an earlier time frame. We aimed to develop a predictive scale to identify adult patients with a difficult intravenous access prospectively: the A-DIVA scale. This prospective, observational, cross-sectional cohort study was conducted between January 2014 and January 2015, and performed at the department of anesthesiology of the Catharina Hospital (Eindhoven, The Netherlands)...
April 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27088993/obstetric-anesthesia-workforce-survey-a-30-year-update
#11
Andrea J Traynor, Meredith Aragon, Debashis Ghosh, Ray S Choi, Colleen Dingmann, Zung Vu Tran, Brenda A Bucklin
BACKGROUND: Obstetric Anesthesia Workforce Surveys were conducted in 1981, 1992, and 2001, and the 10-year update was conducted in 2012. Anesthesia providers from US hospitals were surveyed to identify the methods used to provide obstetric anesthesia. Our primary hypothesis was that the provision of obstetric anesthesia services has changed in the past 10 years. METHODS: A sample of hospitals was generated based on the number of births per year and US census region...
June 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27023204/impressions-of-pharmacogenomic-testing-among-certified-registered-nurse-anesthetists-a-mixed-method-study
#12
Dru Riddle, Mat Gregoski, Kathy Baker, Bonnie Dumas, Carolyn H Jenkins
AIM: Pharmacogenomic testing is useful in helping to predict and explain patient responsiveness to medication. In clinical practice, the use of pharmacogenomic testing has been shown to help reduce adverse drugs events and increase patient satisfaction with their healthcare. Prior to a test being useful, it must have clinical utility. There is a gap in the literature about the perceived clinical utility of pharmacogenomic testing among anesthesia providers. METHODS: This qualitative-quantitative sequential mixed-method study used focused interviews to formulate probes for a quantitative survey aimed at quantifying the perceptions of anesthesia providers about pharmacogenomic testing...
April 2016: Pharmacogenomics
https://www.readbyqxmd.com/read/27004520/perceptions-about-the-relative-importance-of-patient-care-related-topics-a-single-institutional-survey-of-its-anesthesiologists-nurse-anesthetists-and-surgeons
#13
Thomas R Vetter, Joydip Barman, Arthur M Boudreaux, Keith A Jones
BACKGROUND: Persistently variable success has been experienced in locally translating even well-grounded national clinical practice guidelines, including in the perioperative setting. We have sought greater applicability and acceptance of clinical practice guidelines and protocols with our novel Perioperative Risk Optimization and Management Planning Tool (PROMPTâ„¢). This study was undertaken to survey our institutional perioperative clinicians regarding (a) their qualitative recommendations for (b) their quantitative perceptions of the relative importance of a series of clinical issues and patient medical conditions as potential topics for creating a PROMPTâ„¢...
2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/26995356/effect-of-anesthesia-staffing-ratio-on-first-case-surgical-start-time
#14
York Chen, Rodney A Gabriel, Bhavani S Kodali, Richard D Urman
On time start of the first case of the day is an important operating room (OR) efficiency metric, in which delays can have effects throughout the day. Although previous studies have identified various causes of first case start delays, none have attempted to evaluate the effect anesthesia staffing ratios have on first case start times. We performed a single-center retrospective analysis at an academic teaching hospital. Data was collected and analyzed over a period of 4 years and on more than 8,700 cases. We examined whether staffing ratios of attending only (solo staffing ratio), attending working with 1 resident/certified registered nurse anesthetist (CRNA) (1 to 1), or attending covering 2 residents/CRNAs (1 to 2) had a significant effect on first patient in room time (FPIR) and first case on time start (FCOTS)...
May 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/26991348/validity-of-certified-registered-nurse-anesthetist-complication-rates-when-performing-fluoroscopic-guided-interlaminar-lumbar-epidural-steroid-injections
#15
Donald E Beissel
No abstract text is available yet for this article.
March 17, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/26638455/far-forward-anesthesia-and-massive-blood-transfusion-two-cases-revealing-the-challenge-of-damage-control-resuscitation-in-an-austere-environment
#16
COMPARATIVE STUDY
David Gaskin, Nicholas A Kroll, Alyson A Ochs, Martin A Schreiber, Prakash K Pandalai
Since the beginning of Operation Enduring Freedom and Operation Iraqi Freedom, the US military has treated more than 51,000 casualties and sustained more than 6,600 deaths. The past decade of conflict has solidified major advances in the use of blood component therapy and the liberal use of fresh whole blood during damage control resuscitation. This resuscitation strategy, combined with far forward damage control surgery, rapid aeromedical evacuation, and major improvements in critical care air transportation and personal protective equipment has led to a 90% to 92% survival rate in US casualties...
October 2015: AANA Journal
https://www.readbyqxmd.com/read/26638454/the-noncompete-clause-and-the-nurse-anesthetist-an-assessment-of-knowledge-perception-and-experience
#17
COMPARATIVE STUDY
Briana K Meseroll, Nathaniel M Apatov, Carolyn M Rutledge
Economic pressures and the challenge to maintain competitive advantage have resulted in many healthcare entities requiring their practitioners to contractually enter into noncompete clauses (NCCs). Many student registered nurse anesthetists (SRNAs) and Certified Registered Nurse Anesthetists (CRNAs) are unaware of NCCs in employee contracts. An anonymous, web-based questionnaire regarding NCCs was distributed to SRNAs and CRNAs nationwide. Of 242 practicing CRNAs who responded, 147 (60.7%) were employed without a noncompete clause and 22 (9...
October 2015: AANA Journal
https://www.readbyqxmd.com/read/26625579/geographical-imbalance-of-anesthesia-providers-and-its-impact-on-the-uninsured-and-vulnerable-populations
#18
C Jason Liao, Jihan A Quraishi, Lorraine M Jordan
The purpose of this study was to determine if there is a relationship between socioeconomic factors related to geography and insurance type and the distribution of anesthesia provider type. Using the 2012 Area Resource File, the correlation analyses illustrates county median income is a key factor in distinguishing anesthesia provider distribution. Certified registered nurse anesthetists (CRNAs) correlated with lower-income populations where anesthesiologists correlated with higher-income populations. Furthermore, CRNAs correlated more with vulnerable populations such as the Medicaid-eligible population, uninsured population, and the unemployed...
September 2015: Nursing Economic$
https://www.readbyqxmd.com/read/26568921/checklists-and-other-cognitive-aids-for-emergency-and-routine-anesthesia-care-a-survey-on-the-perception-of-anesthesia-providers-from-a-large-academic-us-institution
#19
Jens W Krombach, William A Edwards, James D Marks, Oliver C Radke
BACKGROUND: The use of printed or electronic checklists and other cognitive aids has gained increasing interest from anesthesia providers and professional societies. While these aids are not currently considered standard of care, the perceptions of the clinician might have an impact on their adoption. OBJECTIVES: We conducted a comprehensive survey to study the current opinions of anesthesia provider on the use of checklists and other cognitive aids. PATIENTS AND METHODS: A questionnaire was developed by a departmental checklist focus group, which aimed to identify the perception of health care checklists in general as well as specific checklists for routine and crisis situations in anesthesia...
August 2015: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/26364193/propofol-and-non-propofol-based-sedation-for-outpatient-colonoscopy-prospective-comparison-of-depth-of-sedation-using-an-eeg-based-sedline-monitor
#20
Basavana Goudra, Preet Mohinder Singh, Gowri Gouda, Anuradha Borle, Augustus Carlin, Avantika Yadwad
Propofol is a popular anesthetic sedative employed in colonoscopy. It is known to increase the patient satisfaction and improve throughput. However, there are concerns among the clinicians with regard to the depth of sedation, as a deeper degree of sedation is known to increase the incidence of aspiration and other adverse events. So we planned to compare the depth of sedation between propofol and non-propofol based sedation in patients undergoing outpatient colonoscopy, as measured by an electroencephalogram (EEG) based monitor SEDLine monitor (SedlineInc...
October 2016: Journal of Clinical Monitoring and Computing
keyword
keyword
42597
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"