Who really is in charge during surgery? Are the surgeons liable for everyone, including CRNA's? Recently, AANA posted an article dissecting the the "Captain of the Ship" concept, shedding light on who really is "in charge" or liable during an operation. The answer might surprise you.
Administering anesthesia across the United States for more than 150 years, Certified Registered Nurse Anesthetists (CRNAs) from Anesthesia Services Group and thousands of their colleagues from around the country are celebrating this year’s 17th annual National CRNA Week campaign taking place, this week!
With a history spanning back to the Civil War, nurse anesthetists have remained at the head of the table every moment of their patients’ procedures, administering their anesthetics, monitoring their vital signs, and helping to ensure that each year millions of patients receive the safest anesthesia care possible.
As CRNAs we administer anesthesia to patients undergoing cardiac, neurological, oral, and labor and delivery surgeries just to name a few. Regardless of the setting, nurse anesthetists apply same high standards of care are applied.
It is a privilege to be a part of a profession that is dedicated to providing a safe anesthetic and has historically played a pivotal role in every facet of anesthesia advancement.
Nurse anesthetists are advanced practice registered nurses who administer more than 34 million anesthetics in the United States each year. Practicing in every setting in which anesthesia is available, CRNAs practice with a great deal of autonomy, and are the sole anesthesia professionals in the vast majority of rural hospitals.
As the main hands-on provider of anesthesia care in both military and civilian settings, CRNAs practice in every setting in which anesthesia is administered. That includes but is not limited to hospital operating and delivery rooms; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, plastic surgeons; pain management centers, and within the U.S. Military, Public Health Services, and Department of Veterans Affairs medical facilities.
National CRNA Week was established by the American Association of Nurse Anesthetists (AANA), and was created to encourage CRNAs to take the opportunity to educate the public about anesthesia safety, questions to ask prior to undergoing surgery, and the benefits of receiving anesthesia care from a nurse anesthetist. To learn more about the AANA visit
TIPP CITY - June 4, 2015
Anesthesia Services Group, LLC has been selected for the 2015 Best of Tipp City Award in the Anesthesia Practice category by the Tipp City Award Program.
Each year, the Tipp City Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Tipp City area a great place to live, work and play.
Various sources of information were gathered and analyzed to choose the winners in each category. The 2015 Tipp City Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Tipp City Award Program and data provided by third parties.
About Tipp City Award Program
The Tipp City Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Tipp City area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value.
The Tipp City Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community's contributions to the U.S. economy.
Tipp City Award Program
Tipp City Award Program
Hand washing or hand sanitize, which is best?
According to a recent study in The Journal of Hospital Infection, "Reducing viral contamination from finger pads:handwashing is more effective than alcohol-based hand disinfectants," concluded washing hands with soap and water is a better option than using alcohol-based disinfectants to remove noroviruses.
Researcher Erwin Duizer, PhD, head of Enteric Viruses Centre at the Centre for Infectious Diseases Control and National Institute for Public Health and the Environment in The Netherlands,spokewithMedicalResearch.com about the study, saying:
"Often, the use of alcohol-based hand hygiene products will contribute to reduced spread of many pathogens, including bacteria, enveloped viruses and rotavirus. However, many non-enveloped viruses such as noroviruses and enteroviruses, are quite resistant to alcohols and may require strict hand washing to prevent transmission."
How about you? Do you wash, sanitize or both?
Source: Becker's ASC Review
FPA legislation will be introduced in the Ohio legislature in the next few weeks that could turn this headline into reality.
As of earlier this year, 18 states and the District of Columbia had enacted full practice authority for nurse practitioners – both practice and prescribing independence. In May, Connecticut joined the group of leading states. AANP commended Connecticut’s governor for retiring the requirement that nurse practitioners maintain career-long collaborative agreements with physicians, stating “Enactment of Senate Bill 36 brings a no-cost solution that corrects a needless regulatory bottleneck long preventing Connecticut from adapting and responding to the state’s growing health care needs.” This is a welcome step that is supported by five decades of experience.”
But, as you can see from the map, the “green” states that are leading the march towards full practice authority are all on the East coast and in the West. Yellow states are reduced practice states red are restricted practice states. Our goal is to turn yellow into green in Ohio!
- crafted FPA legislation – a bill to be introduced in the 131st Ohio General Assembly which is scheduled to convene on January 5, 2015.
- secured the support of important stakeholders;
- sought the involvement of OAAPN membership to educate Ohio’s legislators, and many OAAPN members have already volunteered to serve as contacts for their members of the General Assembly;
- commissioned an economic analysis by the prestigious RAND Corporation that clarifies the potential for substantial financial savings available to the state of Ohio by the elimination of the APRN restrictive practice laws.
Of the 19 states with full practice authority (FPA) for Nurse Practitioners, many, but not all, also have FPA for certified nurse midwives and certified nurse anesthetists. There are actually more states with FPA for Nurse Midwives (26). And a whopping 33 states are independent practice states for Nurse Anesthetists, with no state supervision requirements in state law; 17 of them have also opted out of the federal supervision requirement.
Since Ohio does not have full practice authority for any of our groups, we have inclusively and strategically decided to seek FPA for all APRNs together - all CNPs, all CNMs, all CRNAs and all CNSs.
Ohio’s APRNs are severely restricted by outdated state practice regulations. OAAPN, along with all of Ohio’s APRN organizations, seeks to do away with these outdated regulations with a modernized Nurse Practice Act which recognizes APRNs as the independent licensed practitioners they are. The OAAPN Spring 2014 newsletter highlighted Ohio’s journey towards full practice authority through the then newly formed Full Practice Authority Committee. We have made tremendous progress! We have:
The FPA Committee, through their own research in conjunction with the forthcoming RAND report, has sought verification of the expected positive impact on health care access and costs if practice barriers were removed today.
Article Pulled from Ohio Association of Advanced Practice Nurses.