Nurse Anesthesia Practice

A Historical Review of its Legal Preservation

Daniel Rohrer, RN, BSN, SRNAYork College of Pennsylvania/WellSpan Health Nurse

Anesthetist Program

It is essential…

Ira P. Gunn, MLN, CRNA, FAAN

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. 

Brief History…

Lakeside Hospital

Dr. George W. Crile

Dr. George Crile and staffThe Lakeside UnitJanuary 13, 1915

Agatha Hodgins

Founder of AANA

1877-1945

THE FIRST CHALLENGE

VS

Dr. Francis H. McMechan

Fit for Duty?

Agatha Hodgins Neuilly-sur-Seine, France

World War I

IMPACT

First anti-nurse anesthesia activity

Medicine, Licensure, & Supervision

Precedent for challenge

Frank Vs. South

KY House Bill 214

Dentist Supervision

Education & Training

Good Point!

Chalmers-Francis Vs. Nelson

Dagmar Nelson, CRNA Dr. Verne Hunt

Impact

Tested and Preserved Nurse Anesthesia Practice

*first nursing specialty

Medicine vs. Nursing

First NANA (AANA) advocacy

Bahn Vs. NME, Inc.Antitrust Cases

Vinod Bhan, CRNA (center) with attorneys

Impact Nurse & Physician Providers

Right to bring suit

Protection from monopoly

*other cases

Brave Advocates……

Discuss the issues…

“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

Our role… Professionalism

Healthcare Policy

AANA & PAC

What else…?

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doi: 10.1016/j.cnur.2012.02.010