E aʻo kākou e pili ana i ke kahu maʻi anesthesiologist (CRNA) nāna e hāʻawi i ka anesthesia no kahi hana.

Inā ua pono ʻoe e hana ʻoki kino, a inā paha ua pono kekahi āu i ʻike e hana ʻoki kino, ua lohe paha ʻoe i ka huaʻōlelo "anesthesia." I kekahi manawa e makaʻu iki paha ʻoe e pili ana i kēia anesthesia. Akā ua ʻike anei ʻoe aia kekahi poʻe i hoʻomaʻamaʻa kūikawā ʻia e mālama iā ʻoe me ka ʻeha ʻole i ka wā o ke ʻoki kino? I kēia lā e kamaʻilio mākou e pili ana i kekahi kanaka, he "Certified Registered Nurse Anesthetist" (CRNA) .

ʻO wai kēia Certified Nurse Anesthetist (CRNA)?

I ka ʻōlelo maʻalahi, he kahu maʻi kūpono loa ka CRNA (Certified Registered Nurse Anesthetist) i loaʻa i ke aʻo kūikawā i ka lawelawe ʻana i ka anesthesia a me nā lāʻau lapaʻau ʻē aʻe e pili ana. I kekahi manawa kapa mākou iā lākou he "nā kahu maʻi anesthesia." Mālama lākou a nānā i ka poʻe e loaʻa ana i ka anesthesia a i ʻole e hoʻōla ana mai ka anesthesia.

No laila he aha kēia "anesthesia"?

E noʻonoʻo ʻoe e hana ʻia ana ʻoe i ke ʻoki kino a i ʻole kahi hana lapaʻau. ʻO ka Anesthesia kahi lāʻau lapaʻau e kōkua iā ʻoe ʻaʻole e ʻeha. Aia nā ʻano anesthesia like ʻole. Hoʻomāno kekahi mau anesthetics i kahi ʻāpana o kou kino wale nō, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea. Hoʻopilikia nā lāʻau ʻē aʻe i kou lolo a hoʻomoe loa iā ʻoe, no laila ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke kaʻina hana. No laila, loaʻa i kahi CRNA ka hoʻomaʻamaʻa kūikawā a me ka ʻike hohonu e lawelawe i kēia anesthesia me ka palekana a me ka pololei.

ʻO wai kahi Nurse Registered Practice Advanced (APRN)?

ʻO kahi Nurse Registered Practice Advanced Practice (APRN) he kahu maʻi i kākau inoa ʻia i loaʻa i ke kēkelē Master a i ʻole Doctoral, ma mua o ke kēkelē kahu maʻi maʻamau, a ua hoʻomaʻamaʻa ʻia e hana i kahi kuleana kikoʻī a me ka heluna kanaka maʻi. Loaʻa iā lākou ka hoʻonaʻauao kūikawā a me ka palapala hōʻoia e loiloi, ʻike, a hoʻokele i nā pilikia olakino. Ua ʻae ʻia hoʻi lākou e kauoha i nā hoʻokolohua a kuhikuhi i nā lāʻau lapaʻau.

Aia kekahi mau ʻano APRN. Eia kekahi laʻana:

• ʻO ka mea hōʻoia i kākau inoa ʻia ʻo Certified Nurse Anesthetist (CRNA) - ka mea a mākou e kamaʻilio nei i kēia lā.
• Kahu Hānai Hōʻoia (CNP) - Hāʻawi lākou i nā lawelawe olakino maʻamau e like me ke kauka ʻohana.
• Kauka Lapaʻau Lapaʻau (CNS) - ʻO kēia ka poʻe i loaʻa ka ʻike hohonu o kahi kūlana kikoʻī a i ʻole kahi hui maʻi.
• Kahu Hānai Hōʻoia (CNM) - ʻO ka poʻe e kōkua ana i nā makuahine hāpai a me ka wā hānau keiki.

ʻO ka CRNA a mākou e kamaʻilio nei i kēia lā, ʻo ia kekahi no ka māhele luna kahu hānai kūpono loa i kapa ʻia ʻo APRN.

He aha ka hana a ke kahu maʻi anesthetist (CRNA)?

Aia kekahi mau kuleana kikoʻī i hāʻawi ʻia i kahi CRNA. He mau mea koʻikoʻi loa kēia. E nānā kākou i ke ʻano o ia mau mea.

• Hoʻonaʻauao maʻi ma mua a ma hope o ka anesthesia: Ma mua o kou hāʻawi ʻia ʻana i ka anesthesia no kahi ʻoki kino a i ʻole ke kaʻina hana, e hoʻomaopopo pono ʻia ʻoe e pili ana i ia mea. E wehewehe ʻia nā mea āpau, me ke ʻano o ka anesthesia e hoʻohana ʻia, nā mea e hana ʻia, a me nā mea e manaʻo ʻia. E haʻi ʻia aku hoʻi iā ʻoe nā mea āu e manaʻo ai ma hope o ka anesthesia a me nā hana āu e hana ai.
• Ke loiloi ʻana i ka pane a kou kino i ka anesthesia: Ma hope o ka hāʻawi ʻia ʻana iā ʻoe i ka anesthesia, e nānā pono ʻia kou kino e ʻike i ke ʻano o kāna pane ʻana. E nānā ʻia kāu mau hōʻailona koʻikoʻi, e like me kou helu puʻuwai, ke koko, ka helu hanu, a me nā pae oxygen.
• Ke ʻike ʻana i nā pilikia i ka mea e loaʻa ana i ka anesthesia: Loaʻa paha i kekahi poʻe nā maʻi allergies i kekahi mau lāʻau anesthetic. A i ʻole pono paha lākou i ka mālama kūikawā i ka wā anesthesia ma muli o nā kūlana olakino ʻē aʻe, e like me ka hānō a i ʻole ka maʻi diabetes mellitus. E ʻike mua ka CRNA i kēlā mau pilikia, koho i ke ʻano anesthesia kūpono loa, a lawe i nā hana palekana e pono ai.
• Ke hāʻawi ʻana i ka nui kūpono o ka anesthetic: E akahele loa ka CRNA e hāʻawi i ka nui kūpono o ka anesthetic, ma muli o kou kaumaha, ke kiʻekiʻe, ka makahiki, ke ʻano o ke ʻoki ʻana e hana ʻia nei, a me kou olakino holoʻokoʻa. He mea nui loa kēia, no ka mea, ʻo ka liʻiliʻi loa hiki ke hōʻeha, a ʻo ka nui loa hiki ke hana i nā hopena ʻaoʻao i makemake ʻole ʻia.

ʻAʻole hana hoʻokahi ka CRNA. Hana lākou ma ke ʻano he ʻāpana o kahi hui me nā ʻano mea lawelawe olakino like ʻole, me nā kauka ʻoki kino, nā anesthesiologists, nā kauka niho, a me nā podiatrists, e hāʻawi i ka mālama anesthesia i nā maʻi o nā makahiki āpau a me nā ʻano ʻoki kino. Nānā lākou i ke kūlana o ka mea maʻi ma mua, i ka wā, a ma hope o ke ʻoki kino.

Ma hea e hiki ai i kahi CRNA ke hana?

Hiki i kahi CRNA ke hana ma nā ʻano wahi lapaʻau like ʻole, ʻo ia hoʻi, ʻaʻole i kaupalena ʻia kā lākou lawelawe i hoʻokahi wahi. Eia kekahi laʻana:

• Nā lumi hana haukapila (OR).
• Nā Lumi Hoʻōla ma hope o ka Anesthesia (PACU).
• Nā Lumi Pilikia (ER).
• Nā Kikowaena ʻoki kino ma waho o ka haukapila - ʻO kēia nā wahi e hiki ai ke hana ʻoki kino me ka ʻole o ka noho ʻana i ka haukapila.
• Nā Keʻena Hana a me ka Hānau ʻana - Hāʻawi i nā ʻano anesthesia e like me nā epidurals e hōʻemi i ka ʻeha i ka wā hānau keiki.
• Nā keʻena kauka - no kekahi mau kaʻina hana liʻiliʻi.
• Nā keʻena o nā kauka niho - no nā unuhi niho paʻakikī a i ʻole nā ​​​​ʻoki ʻana.

Ma kekahi mau wahi kua'āina o nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻo nā CRNA wale nō kekahi manawa nā poʻe loea e hāʻawi ana i ka anesthesia ma nā haukapila. Eia kekahi, ʻo nā CRNA nā mea hāʻawi nui o ka anesthesia no ka poʻe e lawelawe ana ma nā pūʻali koa ʻAmelika. Ma Sri Lanka, ke piʻi nei ke koʻikoʻi a me ka ʻike ʻia o ia mau lawelawe kahu hānai kūikawā i kēlā me kēia lā.

He aha ka ʻokoʻa ma waena o kahi Certified Nurse Anesthetist (CRNA) a me kahi Anesthesiologist?

He nīnau kēia a ka poʻe he nui. Hiki i ka CRNA a me ka anesthesiologist ke lawelawe palekana a akamai i ka anesthesia. Eia nō naʻe, aia kekahi mau ʻokoʻa iki i ko lākou ʻike hoʻonaʻauao a me ke kānāwai.

ʻO ke kauka anesthesio he kanaka me ke kēkelē lapaʻau (ʻo ia hoʻi ke Kauka Lapaʻau - MD` a i ʻole `Kauka o ka Lapaʻau Osteopathic - DO`). ʻO ke ʻano kēia ua hoʻopau ʻo ia i ke kēkelē lapaʻau kumu e like me MBBS, a laila loaʻa iā ia kekahi mau makahiki o ke aʻo kūikawā ʻana i ka anesthesia.

Eia nō naʻe, ʻo ka CRNA kekahi kanaka i hoʻopau i nā hōʻoia kumu ma ke ʻano he kahu maʻi i hoʻopaʻa inoa ʻia, a laila ua alualu i ke kēkelē laeoʻo a kauka paha i loea i ka anesthesia, a ua hala i kahi hoʻokolohua hoʻokūkū kiʻekiʻe, e like me ka "National Certification Examination for Nurse Anesthetists."

ʻO ka mea nui, ʻo ia ka manaʻo o ke kahu maʻi anesthetist i ka hāʻawi ʻana i ka anesthesia ma ke ʻano he hoʻonui ʻana i ka ʻoihana kahu maʻi . Manaʻo ke kauka anesthetist i ka hāʻawi ʻana i ka anesthesia ma ke ʻano he ʻāpana o ka ʻoihana lapaʻau .

Eia nō naʻe, inā pili kēia ʻike hoʻonaʻauao i ka hānai a i ʻole ka lāʻau lapaʻau, hāʻawi like nā mea ʻelua i ka anesthesia ma ke ʻano like, e like me nā kūlana palekana like. ʻO ia hoʻi, ua like like nā lāʻau lapaʻau, nā lako, a me nā ʻano nānā ʻana i hoʻohana ʻia. No laila, inā ʻoe e hāʻawi ʻia ana i ka anesthesia e kahi CRNA a i ʻole kahi anesthesiologist, ʻaʻole pono ʻoe e hopohopo e pili ana i kou palekana. Ua aʻo nui ʻia a ʻike ʻia nā mea ʻelua. I kekahi mau hihia, hiki i kahi CRNA ke hana ma lalo o ka nānā ʻana o kahi anesthesiologist, a i ʻole hiki iā lākou ke hana kūʻokoʻa.

Pehea e lilo ai kekahi i kahi kahu maʻi anesthetist i hōʻoia ʻia (CRNA)?

ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i CRNA. Pono ia i ka nui o ka hoʻolaʻa ʻana, ka hoʻonaʻauao lōʻihi, ka hoʻomaʻamaʻa ikaika, a me ka ʻike waiwai nui. E nānā kākou i kēlā mau ʻanuʻu a pehea e hiki ai i kēia ʻoihana kūikawā.

1. Pono e loaʻa ke kēkelē laepua ma ke kahu hānai a i ʻole kahi kahua pili: ʻO ka mea mua, pono ʻoe e hoʻopau i kahi kēkelē laepua ʻehā makahiki ma ke kahu hānai mai ke kulanui i ʻae ʻia.

2. No ka laikini ʻia ʻana ma ke ʻano he Kahu Hānai i hoʻopaʻa inoa ʻia (RN):Ma hope o ke puka ʻana, pono ʻoe e noho no kahi hoʻokolohua i mālama ʻia e ka papa hānai o ka ʻāina pili (no ka laʻana, ma ʻAmelika Hui Pū ʻIa a i ʻole kona mau panalāʻau) a loaʻa ka laikini ma ke ʻano he kahu maʻi i hoʻopaʻa inoa ʻia.

3. Ma ka liʻiliʻi hoʻokahi makahiki, ʻoi aku ka nui, o ka ʻike e hana ana ma kahi keʻena mālama koʻikoʻi (ICU): He ʻanuʻu koʻikoʻi kēia. ʻO ka pinepine, ʻo kahi RN e makemake ana e lilo i CRNA e hoʻolilo i ʻelua a ʻekolu mau makahiki e hana ana ma kahi keʻena mālama koʻikoʻi. ʻO kēia no ka mea ke hana nei lākou me nā maʻi paʻakikī loa a hoʻoweliweli i ke ola. Kōkua kēia ʻike iā lākou e hoʻomohala i nā mākau koʻikoʻi e like me ka hoʻoholo wikiwiki ʻana, ka hana ʻana ma lalo o ke kaomi, ka hoʻohana ʻana i nā ʻano lako like ʻole, a me ka hoʻokele ʻana i nā lāʻau lapaʻau paʻakikī.

4. E kākau inoa i kahi papahana anesthesia kahu maʻi i hōʻoia ʻia a loaʻa i ke kēkelē kauka: Ma hope o ka ʻike ma ke keʻena mālama koʻikoʻi, e kākau inoa i kahi papahana i ʻāpono ʻia e ke aupuni e hāʻawi ana i ka hoʻomaʻamaʻa kūikawā ma ka anesthesia kahu maʻi. I kēia manawa, piʻi pinepine kēia mau papahana i ka pae kauka, ʻo ia hoʻi ma kahi o ʻekolu mau makahiki. Hāʻawi kēia i ka ʻike hohonu o ka anesthesia a me ka hoʻomaʻamaʻa hana koʻikoʻi.

5. Ma hope o kou puka ʻana mai ka papahana anesthesia kahu maʻi, pono ʻoe e hala i ka "National Certification Examination for Nurse Anesthetists": Ma hope wale nō o kou hala ʻana i kēia hoʻokolohua hiki iā ʻoe ke ʻike kūhelu ʻia he CRNA a laikini ʻia e hāʻawi kūʻokoʻa i ka anesthesia.

Ma hope o ke kūpono ʻana ma ke ʻano he CRNA, e hoʻomaʻamaʻa hou ʻia kekahi mau CRNA (he "fellowship") ma kahi kahua kūikawā o ka anesthesia, e like me ka hoʻokele ʻeha mau loa, ka anesthesia puʻuwai, a i ʻole ka anesthesia pediatric. ʻO ka maʻamau, he hoʻokahi makahiki kēia e pono ai.

E like me nā ʻoihana lapaʻau ʻē aʻe a pau, koi ʻia nā CRNA e loaʻa i ka hoʻonaʻauao hoʻomau ('hoʻonaʻauao hoʻomau') ma o kā lākou ʻoihana. ʻO ke ʻano kēia o ka hele ʻana i nā ʻaha kūkā, ke aʻo ʻana e pili ana i ka noiʻi hou, a me ka lawe ʻana i nā papa hou e noho hou me nā holomua a me nā ʻenehana hou loa i kā lākou kahua.

Pehea ka lōʻihi e lilo ai i kahi kahu maʻi anesthetist hōʻoia (CRNA)?

E like me kāu e noʻonoʻo ai, me kēia hoʻonaʻauao a me ka ʻike āpau, he lōʻihi ka manawa e lilo ai i CRNA. I ka ʻōlelo maʻalahi:

• Ma kahi o 4 mau makahiki e loaʻa ai ke kēkelē kahu maʻi.
• Ma kahi o 1-3 mau makahiki o ka ʻike ma ka Intensive Care Unit (ICU).
• ʻO ka papahana anesthesia kahu maʻi (a hiki i ke kēkelē kauka) ma kahi o 3 mau makahiki.

Ke hoʻohui ʻia kēia mau mea a pau, maʻamau ma kahi o ʻehiku a ʻumi mau makahiki e lilo ai i CRNA.

ʻO ia hoʻi, he nui ka hoʻolaʻa, ke ahonui, a me ka hoʻoholo paʻa. He nui ka manawa a me ka hoʻoikaika e pono ai ke kūpono i kahi CRNA e hāʻawi i ka anesthesia iā ʻoe. No laila hiki iā ʻoe ke hilinaʻi piha i ko lākou ʻike a me ka hiki.

He leka koʻikoʻi nāu e noʻonoʻo ai.

Hiki i ke alo ʻana i ke ʻoki kino a i ʻole kekahi kaʻina hana lapaʻau paʻakikī ke lilo i mea hopohopo, weliweli, a hoʻoulu i ka hopohopo. He mea maʻamau ia, a ʻaʻohe mea makemake i ke ʻoki kino.

Akā e hoʻomanaʻo, ʻo kāu kahu maʻi anesthetist (CRNA) kekahi kanaka me ka ʻike kūikawā a me ke kiʻekiʻe loa o ke akamai e mālama iā ʻoe me ka palekana, ʻaʻohe ʻeha, a nānā mau i kāu mau hōʻailona koʻikoʻi i ka wā o ke ʻoki ʻana.

Inā he mau nīnau kāu, hopohopo, a hopohopo paha e pili ana i ka anesthesia a i ʻole ke ʻoki kino, mai makaʻu e nīnau i kāu CRNA. Aia lākou ma laila e kōkua iā ʻoe, e pane i kāu mau nīnau, a kōkua iā ʻoe e ʻoluʻolu a hilinaʻi hoʻi e pili ana i kāu ʻoki kino. ʻO kou palekana a me ka ʻoluʻolu kā lākou mea nui loa.

Luna Hoʻomaʻamaʻa Hana Lapaʻau , CRNA, Anesthesia, Anesthesiologist, Kahu Maʻi, ʻoki kino, Hoʻomaʻamaʻa Kahu Maʻi Kiʻekiʻe