It is essential… Ira P. Gunn, MLN, CRNA, FAAN OBJECTIVES Identify the key historical legal cases...
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Transcript of It is essential… Ira P. Gunn, MLN, CRNA, FAAN OBJECTIVES Identify the key historical legal cases...
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Nurse Anesthesia Practice
A Historical Review of its Legal Preservation
Daniel Rohrer, RN, BSN, SRNAYork College of Pennsylvania/WellSpan Health Nurse
Anesthetist Program
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It is essential…
Ira P. Gunn, MLN, CRNA, FAAN
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OBJECTIVES Identify the key historical legal cases that
contributed to the definition and preservation of nurse anesthesia practice.
Describe the significant persons, dynamics, and outcomes of each case
Discuss the impact of the historical cases on the practicing CRNA
Discuss the role of the CRNA in practice preservation and interdisciplinary partnership.
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Brief History…
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Lakeside Hospital
Dr. George W. Crile
Dr. George Crile and staffThe Lakeside UnitJanuary 13, 1915
Agatha Hodgins
Founder of AANA
1877-1945
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THE FIRST CHALLENGE
VS
Dr. Francis H. McMechan
Fit for Duty?
Agatha Hodgins Neuilly-sur-Seine, France
World War I
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IMPACT
First anti-nurse anesthesia activity
Medicine, Licensure, & Supervision
Precedent for challenge
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Frank Vs. South
KY House Bill 214
Dentist Supervision
Education & Training
Good Point!
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Chalmers-Francis Vs. Nelson
Dagmar Nelson, CRNA Dr. Verne Hunt
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Impact
Tested and Preserved Nurse Anesthesia Practice
*first nursing specialty
Medicine vs. Nursing
First NANA (AANA) advocacy
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Bahn Vs. NME, Inc.Antitrust Cases
Vinod Bhan, CRNA (center) with attorneys
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Impact Nurse & Physician Providers
Right to bring suit
Protection from monopoly
*other cases
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Brave Advocates……
Discuss the issues…
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“We must provide them (future providers) with the opportunity to develop, live up to, and contribute to the same proud professional identity and high quality service ethic that has brought us (CRNAs) so far and which will sustain our presence into the future.” - Ira P. Gunn
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Our role… Professionalism
Healthcare Policy
AANA & PAC
What else…?
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References Bankert, M. (1989). Watchful Care: History of America's Nurse Anesthetists. New York, New York : The Continuum Publishing Company.Becker, K. (1998). A Brief History of Nurse Anesthesia Practice. Seminars in Perioperative Nursing, 7 (1), 80-85. Blumenreich, G., & Markham, J. (1985, December ). Bhan vs. NME Hospitals, Inc. Antitrust Standing of CRNAs Sustained . Journal of American Association of Nurse Anesthetists, 526-527.Gunn, I. P. (1999). Issues and Perspectives Affecting CRNA Practice: Professional Identity and Historical Roots. CRNA: The Clinical Forum For Nurse Anesthetists, 10 (1), 41-47.Keeling, A. A Brief History of Advanced Practice Nursing in the United States . In A. Hamric, J. Spross, & C. Hanson, Advanced Practice nursing: An Integrative Approach (4th ed.). St. Louis , Missouri : Saunders Elsevier.Kentucky State Medical Association . (1917, February 1). Frank Vs. South . Kentucky Medical Journal.Koch, B. E. (2010). Nurse Anesthesia: A History of Challenge . In J. Nagelhout, & K. Plaus, Nurse Anesthesia (4th ed.). St. Louis, Missouri : Saunders Elsevier.Matsusaki, T., & Sakai, T. (2011). The Role of Certified Registered Nurse Ansthestists in the United States . Journal of Anesthesia, 25, 734-740. doi: 10.1007/s00540-001-1193-5McAuliffe, M., & Koch, K. (2011). Imagining in Time: Ira P. Gunn Educator, Advocate, Legend. Journal of American Association of Nurse Anesthetists, 79 (6), 459-463.Meeusen, V., Zundert, A., Knape, H., & Gatt, S. (2012). History of non-medical professionals in anaesthesia . The Journal of Perioperative Nursing in Australia, 25 (1), 48-52.Motenko, N. P. (2000, August). One More Battle In Competetive Struggle. Journal of American Association of Nurse Anesthetists, 68 (4), 291-294.Mund, A. R. (2012). Policy, Practice, and Education . The Journal of American Association of Nurse Anesthetists, 80 (6), 423-426.Pennsylvania Association of Nurse Anesthetists. (n.d.). Position Statement From the Pennsylvania Association of Nurse Anesthetists on HB 1256. Retrieved February 16, 2013, from PANA.org URL: www.pana.org/manuscripts/pana%20white%20paper %2010-2007.pdfThatcher, V. S. (1953). History of Anesthesia: With Emphasis on the Nurse Specialist. Philadelphia, Pennsylvania: J.B. Lippincott Company.Van Nest, R. L. (2006). The Life and Trial of Dagmar Nelson Part 2. The Journal of American Association of Nurse Anesthetists, 74 (4), 261-265.Van Nest, R. L. (2006). The Life and Trial of Dagmar Nelson Part I. The Journal of American Association of Nurse Anesthetists, 74 (3), 183-187.Wilson, W. O. (2012). Nurse Anesthesia: A Past, Present, and Future Perspective. Nursing Clinics of North America , 72 (2), 215-223.
doi: 10.1016/j.cnur.2012.02.010