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An Overview of the Anesthesiologist Assistant: What the CRNA Should Know

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

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An Overview of the Anesthesiologist Assistant: What the CRNA Should Know

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  1. An Overview of the Anesthesiologist Assistant: What the CRNA Should Know Heather Baglio, RN, BSN, SRNA Jessica Hammond, RN, BSN, SRNA

  2. 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.

  3. History Joachim S. Gravenstein John E. Steinhaus Perry P. Volpitto

  4. Facts and Figures WHO ARE THEY?? HOW MANY ARE THERE??

  5. By the Numbers…

  6. ACT Model

  7. Educational Background

  8. Admission Requirements • Bachelor’s degree • Science and math pre-requisites • MCAT/GRE • Clinical shadowing experience (8 hrs) • Personal Interview

  9. 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

  10. CRNA vs. AAEducation

  11. Accreditation and Certification

  12. Governing Entities/Professional Organizations

  13. Scope

  14. Legalities Supervision Prescriptive Authority Anesthesiologist to AA Ratio

  15. Location of Practice

  16. Supervision and Practice Jurisdiction CRNA AA

  17. Patient Safety: What the Literature Says…

  18. “Opinions have caused more ills than the plague or earthquakes on this little globe of ours.” -Voltaire

  19. The Future

  20. 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

  21. 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.

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