Nurse Anesthesia PracticeA Historical Review of its Legal Preservation Daniel Rohrer, RN, BSN, SRNA York 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.
Lakeside Hospital Agatha Hodgins Founder of AANA 1877-1945 Dr. George Crile and staff The Lakeside Unit January 13, 1915 Dr. George W. Crile
THE FIRST CHALLENGE Fit for Duty? VS Dr. Francis H. McMechan 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 VinodBhan, 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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