Crna Scope Of Practice

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Rough Draft for “Quiet Revolutions: The CRNA Scope of Practice” by: Sandra Tunajek, CRNA, ND

In the article by Sandra Tunajek "Quiet Revolutions: The CRNA Scope of Practice", Tunajek starts by giving the origins of the first nurse anesthetists in America’s healthcare system. Nurse anesthetists have come a long way from their days in the battlegrounds of the Civil War, when nurses first provided anesthesia to patients. Today they are the main anesthetic source in the healthcare, providing anesthetics to millions of patients each year.
For over a century, Certified registered nurse anesthetists (CRNAs) have continued to develop and perfect their craft. Due to technological and medical advances anesthesia related deaths have dropped from 2:10,000 (1980s) to 1:250,000 (today). “Anesthesiology, the art and science of rendering a patient insensible to pain by administering anesthetic agents and related drugs and procedures,” is a specialty that can be acquired by a doctorate in anesthesiology or nursing. Both CRNAs and anesthesiologists follow the same guidelines to provide anesthesia to patients.
At the moment the biggest controversial issue in both fields of anesthesia is whether or not an anesthesiologist should supervise CRNAs. In 2001, President Bush signed the Center for Medicare & Medicaid Service rule, which relieved CRNAs from having an anesthesiologist supervise their work in order to receive payout from Medicare. Currently 77% of all CRNAs work under the supervision of an anesthesiologist and 21% work without supervision from anesthesiologist. Also 60% of all hand-on anesthesia services are provided by CRNAs. The ability for CRNA to provide care without supervision of an anesthesiologist has allowed for more care to be provided in areas where otherwise it would not be possible and it is also more cost efficient. Today’s CRNAs enjoy many perks in

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