Notes in 46 Professional Issues

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Published 12/13/2023 {{c1::Practice guidelines}} are designed to help practitioners in clinical decision making
Published 12/13/2023 {{c1::Practice standards}} are authoritative statements that describe the minimum rules and responsibilities for which nurse anesthetists are accounta…
Published 12/13/2023 The AANA {{c1::code of ethics}} dictates the principles of conduct and professional integrity. 
Published 12/13/2023 {{c1::Position statements}} express the AANA's official positions or beliefs on practice-related topics. 
Published 12/13/2023 {{c1::Position statements}} define the knowledge, skills, and abilities necessary to be a CRNA. 
Published 12/13/2023 What ethical principle is violated by unnecessary preoperative testing?{{c1::Nonmaleficence}}
Published 12/13/2023 In informed consent, what information must be disclosed regarding anesthesia (4)?{{c1::nature and purpose of anesthesiarisk, benefits, and side effect…
Published 12/13/2023 Talking a patient into a preferred anesthetic plan may be considered {{c1::coercion}}. 
Published 12/13/2023 What element of informed consent refers to the patient's legal authority to consent?{{c1::Competence}}
Published 12/13/2023 What element of informed consent refers to the patient's ability to decide on anesthesia care?{{c1::Decision-making capacity}}
Published 12/13/2023 What element of informed consent refers to informing patients of risks and benefits of anesthesia?{{c1::Disclosure of information}}
Published 12/13/2023 What element of informed consent refers to patients demonstrating understanding?{{c1::understanding of disclosed information}}
Published 12/13/2023 What element of informed consent refers to patients consenting in the absence of coercion or duress?{{c1::Voluntary consent}}
Published 12/13/2023 What element of informed consent refers to documentation of informed consent?{{c1::Documentation}}
Published 12/13/2023 {{c1::Assent}} is the inclusion of minor children in an informed consent discussion.
Published 12/13/2023 What doctrine permits health care providers to provide care in an emergency for an unconscious patient?{{c1::Implied consent}}
Published 12/13/2023 A Jehovah's Witness may refuse blood under the doctrine of {{c1::informed refusal}}. 
Published 12/13/2023 What exam assesses for cognitive impairment when considering decision-making ability?{{c1::Mini-mental state exam (MMSE)}}
Published 12/13/2023 Family members can translate for a patient only in {{c1::emergencies}}. 
Published 12/13/2023 In obstetric patients, informed consent discussions should occur {{c1::before labor}}. 
Published 12/13/2023 In obstetric patients, patients should be reassured that {{c1::alternative pain management}} is available if regional analgesia is delayed. 
Published 12/13/2023 In the case of maternal-fetal conflict, the principle of maternal {{c1::autonomy}} may oppose the principle of fetal/maternal {{c2::beneficence}}.
Published 12/13/2023 AANA Standard {{c1::I}} - {{c2::Patient's Rights}}
Published 12/13/2023 AANA Standard {{c1::2}} - {{c2::Preanesthesia patient assessment and evaluation}}
Published 12/13/2023 AANA Standard {{c1::3}} - {{c2::Plan for anesthesia care}}
Published 12/13/2023 AANA Standard {{c1::4}} - {{c2::Informed consent for anesthesia care and related services}}
Published 12/13/2023 AANA Standard {{c1::5}} - {{c2::Documentation}}
Published 12/13/2023 AANA Standard {{c1::6}} - {{c2::Equipment}}
Published 12/13/2023 AANA Standard {{c1::7}} - {{c2::Anesthesia plan implementation and management}}
Published 12/13/2023 AANA Standard {{c1::8}} - {{c2::Patient positioning}}
Published 12/13/2023 AANA Standard {{c1::9}} - {{c2::Monitoring (alarms)}}
Published 12/13/2023 AANA Standard {{c1::10}} - {{c2::Infection control and prevention}}
Published 12/13/2023 AANA Standard {{c1::11}} - {{c2::Transfer of care}}
Published 12/13/2023 AANA Standard {{c1::12}} - {{c2::Quality improvement process}}
Published 12/13/2023 AANA Standard {{c1::13}} - {{c2::Wellness}}
Published 12/13/2023 AANA Standard {{c1::14}} - {{c2::A culture of safety}}
Published 12/13/2023 {{c1::Advanced directives}} may need to be {{c2::suspended}} or {{c2::modified}} before anesthesia care. 
Published 12/13/2023 {{c1::Criminal}} charges seek punishment. 
Published 12/13/2023 {{c1::Civil}} charges seek redress of wrongs by compensation or restitution. 
Published 12/13/2023 The two subsets of civil law are {{c1::contract}} law and {{c1::tort}} law. 
Published 12/13/2023 Assault, battery, and intentional infliction of emotional distress are {{c1::intentional}} torts. 
Published 12/13/2023 Defective products that lead to harm are {{c1::strict liability}} torts. 
Published 12/13/2023 Unreasonably unsafe actions that cause harm are {{c1::strict liability}} torts. 
Published 12/13/2023 The doctrine of {{c1::res ipsa loquitur}} falls under negligence torts. 
Published 12/13/2023 The most common cases of res ipsa loquitur occur with {{c1::retained forgein bodies}} and {{c2::nerve injuries}}. 
Published 12/13/2023 {{c1::Slander}} is defamation in {{c2::verbal}} form. 
Published 12/13/2023 {{c1::Libel}} is defamation in {{c2::written}} form. 
Published 12/13/2023 {{c1::Battery}} is the physical act of touching another person without expressed or implied consent. 
Published 12/13/2023 {{c1::Assault}} is making a person fefel or perceive imminent battery.
Published 12/13/2023 Can assault occcur with unconscious patients?{{c1::No}}
Published 12/13/2023 For minors, the statute of limitations begins when the minor turns {{c1::18}}. 
Published 12/13/2023 The {{c1::statue of limitations}} is the deadline before which a patient must file a lawsuit. 
Published 12/13/2023 A failure to provide continuity of care (e.g. handoff report) constitutes {{c1::abandonment}}. 
Published 12/13/2023 In {{c1::wrongful death}}, a death occurs earlier than it otherwise would. 
Published 12/13/2023 The doctrine of {{c1::vicarious liability}} (also called respondeat superior) holds one person/entity responsible for the actions of another.&nbs…
Published 12/13/2023 Pain, suffering, and emotional distress are examples of {{c1::general}} damages awarded in a lawsuit. 
Published 12/13/2023 Medical expenses, lost incnome, and property damage are examples of {{c1::special}} damages awarded in a lawsuit. 
Published 12/13/2023 {{c1::Punitive}} damages may be awarded for reckless or malicious behavior. 
Published 12/13/2023 Under ACA (Obamacare) rules, what is the lifetime limit for insurance?{{c1::None}}
Published 12/13/2023 Under ACA (Obamacare) rules, there is no co-pay for {{c1::preventive}} services. 
Published 12/13/2023 What law ensures public access to emergency services regardless of ability to pay?{{c1::Emergency in Medical Treatment and Active Labor Act (EMTALA)}}
Published 12/13/2023 {{c2::HIPAA (Health Insurance Portability and Accountability Act)::law}} prevents disclosure of {{c1::personal health information (PHI)}}. 
Published 12/13/2023 Under HITECH, willful neglect is defined as storage/exposure of {{c1::unencrypted}} PHI. 
Published 12/13/2023 What law mandates reporting of data breaches?{{c1::HITECH}}
Published 12/13/2023 What law sets minimum standards for health care beneftis offered? {{c1::ERISA}}
Published 12/13/2023 Schedule {{c1::I}} drugs have no currently accepted medical use with a high potential for abuse. 
Published 12/13/2023 What schedule drug is Robitussin AC? {{c1::V}}
Published 12/13/2023 What schedule drug are hallucinogens (e.g. LSD)? {{c1::I}}
Published 12/13/2023 What schedule drug are heroin and etorphine? {{c1::I}}
Published 12/13/2023 What schedule drug is marijuana? {{c1::I}}
Published 12/13/2023 What schedule drugs are MDMA and ectasy?{{c1::I}}
Published 12/13/2023 What schedule drugs are most opioids (e.g. methadone, morphine)?{{c1::II}}
Published 12/13/2023 What schedule drugs are cocaine and methamphetamine?{{c1::II}}
Published 12/13/2023 What schedule drugs is pentobarbital?{{c1::II}}
Published 12/13/2023 What schedule drug is PCD?{{c1::II}}
Published 12/13/2023 What schedule drug is tylenol with codeine?{{c1::III}}
Published 12/13/2023 What schedule drug is buprenorphine?{{c1::III}}
Published 12/13/2023 What schedule drug is ketamine?{{c1::III}}
Published 12/13/2023 What schedule drugs are anabolic steroids and testosterone?{{c1::III}}
Published 12/13/2023 What schedule drugs are benzodiazepines (e.g. alprazolam, valium, lorazepam)?{{c1::IV}}
Published 12/13/2023 What schedule drugs are tramadol and other weak opioids?{{c1::IV}}
Published 12/13/2023 What schedule drug is chloral hydrate?{{c1::IV}}
Published 12/13/2023 What schedule drug is phenobarbital?{{c1::IV}}
Published 12/13/2023 What schedule drug is pregabalin?{{c1::V}}
Published 12/13/2023 What schedule drug is diphenoxylate/atropine (Lomotil)?{{c1::V}}
Published 12/13/2023 Critical incident reports are best documented in {{c1::narrative}} form. 
Published 12/13/2023 Apology laws protect {{c1::sympathetic}} apologies ("I am sorry that this happened.")
Published 12/13/2023 Are private conversations with peers admissible as evidence?{{c1::Yes}}
Published 12/13/2023 In a juried malpractice case, what is the standard to prove negligence?{{c1::More likely than not negligence occured}}
Published 12/13/2023 According to the closed claims analysis, the most common injury leading to malpractice lawsuits is {{c1::death}}. 
Published 12/13/2023 According to the closed claims analysis, the second most common injury leading to malpractice lawsuits is {{c1::nerve damage}}. 
Published 12/13/2023 The biggest risk factor associated with increased mortality within seven days of anesthesia is {{c1::ASA 3+}}. 
Published 12/13/2023 The second biggest risk factor associated with increased mortality within seven days of anesthesia is {{c1::emegency surgery}}. 
Published 12/13/2023 According to the closed claims analysis, most claims regarding death or permanent brain damage are due to issues with {{c1::airway management}}. 
Published 12/13/2023 The principle of {{c1::paren patriae}} allows the government to serve as the legal protector of a child in the event of parental negligence. 
Published 12/13/2023 For children of Jehovah's Witnesses, transfusions can be given in an emergency after obtaining a {{c1::court order}}. 
Published 12/13/2023 In a culture of safety, the hierarchy is {{c1::flat}}. 
Published 12/13/2023 In a culture of safety, {{c1::explicit}} comunication is frequent.
Published 12/13/2023 In a culture of safety, staff are rewarded for erring on the side of {{c1::caution}}.
Published 12/13/2023 {{c1::Quality assurance}} programs (e.g. M&M conferences, peer review) analyze systems when performance is subpar. 
Published 12/13/2023 {{c1::Quality improvement}} programs identify opportunities for improvement. 
Published 12/13/2023 The most important component of crisis resource management is {{c1::communication}}. 
Published 12/13/2023 Sleep debt is accumulates in a {{c1::additive}} manner. 
Published 12/13/2023 Fatigue and sleep deprivation may be characterized by periods of {{c1::microsleep}}. 
Published 12/13/2023 {{c1::70}}% of all anesthesia mishaps are due to human error. 
Published 12/13/2023 What period of daytime is associated with the most sleepiness?{{c1::1-3 PM }}
Published 12/13/2023 The best way to treat fatigue is {{c1::sleep}}.
Published 12/13/2023 Good sleep hygiene includes avoiding {{c1::caffeine}} 6 hours before bedtime. 
Published 12/13/2023 Exercise within {{c1::3}} hours of sleep can interfere with sleep quality. 
Published 12/13/2023 What profession is associated with a higher risk of latex sensitivity?{{c1::Healthcare providers}}
Published 12/13/2023 The OSHA limit for noise over an 8 hour span is {{c1::90}} dB. 
Published 12/13/2023 The OSHA limit for single noise levels is {{c1::115}} dB. 
Published 12/13/2023 The maximum radiation exposure in a lifetime is {{c1::5 rem x (N-18)}}.
Published 12/13/2023 After a perioperative catastrophe, the second victim is the {{c1::anesthesia provider}}. 
Published 12/13/2023 After a perioperative catastrophe, the third victim is the {{c1::provider's subsequent patients}}. 
Published 12/13/2023 {{c1::Impairment}} is the inability to safely participate in activities (usually due to substance use). 
Published 12/13/2023 {{c1::Withdrawal}} is a syndrome that involve physical and emotional responses to low drug levels. 
Published 12/13/2023 Substance abuse in anesthesia providers may be characterized by a {{c1::labile}} mood. 
Published 12/13/2023 Substance abuse in anesthesia providers may be characterized by frequent {{c1::absences/tardiness}}. 
Published 12/13/2023 Substance abuse in anesthesia providers may be characterized by mental {{c1::clouding (confusion, memory loss, concentration difficulties). }}
Published 12/13/2023 Anesthesia providers with substance abuse should undergo treatment for {{c1::1}} year(s) before re-entry to practice. 
Published 12/13/2023 Anesthesia providers with substance abuse should participate in a monitoring program with {{c1::random drug testing}} for at least 5 years. 
Published 12/13/2023 The Triple Aim approach to healthcare improvement:1. {{c3::Improve patient experience}}2. {{c2::Improve population health}}3. {{c1::Reduce per capita …
Published 12/13/2023 What strategy involves shared decision-making?{{c1::Patient engagement}}
Published 12/13/2023 What strategy reduces health care disparities and improves equity?{{c1::Cultural competence}}
Published 12/13/2023 What strategy provides individualized care and creates personal-professional relationships?{{c1::Patient-centered care}}
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