Cia peb kawm txog tus kws saib xyuas mob anesthetist (CRNA) uas muab tshuaj loog rau kev phais.

Yog tias koj tau phais mob, lossis yog tias ib tug neeg koj paub tau phais mob, tej zaum koj tau hnov ​​​​lo lus "anesthesia." Qee zaum koj yuav ntshai me ntsis txog qhov kev siv tshuaj loog no. Tab sis koj puas paub tias muaj cov neeg uas tau kawm tshwj xeeb los ua kom koj muaj kev nyab xeeb thiab tsis mob thaum phais mob? Hnub no peb yuav tham txog ib tus neeg zoo li no, tus "Certified Registered Nurse Anesthetist" (CRNA) .

Tus Kws Kho Mob Siv Tshuaj Anesthetist (CRNA) no yog leej twg?

Hais yooj yim xwb, CRNA (Certified Registered Nurse Anesthetist) yog ib tug kws tu mob uas muaj kev txawj ntse heev uas tau txais kev cob qhia tshwj xeeb hauv kev muab tshuaj loog thiab lwm yam tshuaj. Qee zaum peb hu lawv ua "anesthesia nurses." Lawv saib xyuas thiab saib xyuas cov neeg uas tau txais tshuaj loog lossis rov zoo los ntawm kev siv tshuaj loog.

Yog li ntawd, qhov "anesthesia" no yog dab tsi?

Xav txog koj tab tom phais lossis ua ib qho kev kho mob. Kev siv tshuaj loog yog ib qho kev kho mob uas pab koj tsis txhob mob. Muaj ntau hom kev siv tshuaj loog sib txawv. Qee cov tshuaj loog tsuas yog ua rau ib feem ntawm koj lub cev tsis hnov ​​​​​​mob, txhais tau tias koj tsis hnov ​​​​​​dab tsi. Lwm cov tshuaj cuam tshuam rau koj lub hlwb thiab ua rau koj tsaug zog tag nrho, yog li koj tsis hnov ​​​​​​dab tsi thaum lub sijhawm ua haujlwm. Yog li, CRNA muaj kev cob qhia tshwj xeeb thiab kev paub tob txog kev siv tshuaj loog no kom nyab xeeb thiab raug.

Leej twg yog Tus Kws Saib Xyuas Neeg Mob Qib Siab (APRN)?

Ib Tus Kws Saib Xyuas Neeg Mob Uas Tau Sau Npe Ua Haujlwm Qib Siab (APRN) yog ib tus kws saib xyuas neeg mob uas tau txais daim ntawv kawm tiav Master's lossis Doctoral, dhau ntawm daim ntawv kawm tiav kev saib xyuas neeg mob dav dav, thiab tau kawm tiav los ua lub luag haujlwm tshwj xeeb thiab cov neeg mob. Lawv muaj kev kawm tshwj xeeb thiab daim ntawv pov thawj los ntsuam xyuas, kuaj mob, thiab tswj cov teeb meem kev kho mob. Lawv kuj tau tso cai los txiav txim siab kuaj mob thiab sau ntawv rau cov tshuaj.

Muaj ntau hom APRNs. Piv txwv li:

• Kws Kho Mob Siv Tshuaj Anesthetist (CRNA) - tus uas peb tab tom tham txog hnub no.
• Kws Kho Mob Saib Xyuas Neeg Mob (CNP) - Lawv muab cov kev pabcuam kev noj qab haus huv yooj yim zoo li tus kws kho mob hauv tsev neeg.
• Kws Kho Mob Tshwj Xeeb (CNS) - Cov no yog cov neeg uas muaj kev paub tob txog ib qho mob tshwj xeeb lossis pawg neeg mob.
• Tus Kws Pab Yug Me Nyuam Uas Muaj Ntawv Pov Thawj (CNM) - Cov neeg uas pab cov niam cev xeeb tub thiab thaum yug menyuam.

Tus CRNA uas peb tab tom tham txog hnub no yog ib tus neeg uas koom nrog pawg neeg saib xyuas neeg mob uas tsim nyog hu ua APRN.

Tus kws saib xyuas neeg mob uas siv tshuaj loog (CRNA) ua dab tsi?

Muaj ntau lub luag haujlwm tshwj xeeb uas CRNA tau muab rau. Cov no yog cov khoom tseem ceeb heev. Cia peb saib seb lawv yog dab tsi.

• Kev qhia rau cov neeg mob ua ntej thiab tom qab siv tshuaj loog: Ua ntej koj yuav tau txais tshuaj loog rau kev phais lossis kev kho mob, koj yuav tau txais kev qhia txog nws tag nrho. Txhua yam yuav raug piav qhia, suav nrog hom tshuaj loog twg yuav siv, yuav muaj dab tsi tshwm sim, thiab yuav xav li cas. Koj kuj tseem yuav tau txais kev qhia txog yam koj yuav xav li cas tom qab siv tshuaj loog thiab cov kauj ruam twg koj yuav tsum ua.
• Kev soj ntsuam koj lub cev teb rau kev siv tshuaj loog: Tom qab koj tau txais tshuaj loog, koj lub cev yuav raug saib xyuas ze kom pom tias nws teb li cas. Koj cov cim qhia tseem ceeb, xws li koj lub plawv dhia, ntshav siab, ua pa, thiab cov pa oxygen, yuav raug saib xyuas.
• Txheeb xyuas cov kev pheej hmoo rau tus neeg uas tau txais tshuaj loog: Ib txhia neeg yuav muaj kev ua xua rau qee yam tshuaj loog. Los yog lawv yuav xav tau kev saib xyuas tshwj xeeb thaum lub sijhawm siv tshuaj loog vim yog lwm yam mob, xws li mob hawb pob lossis mob ntshav qab zib. Tus CRNA yuav txheeb xyuas cov kev pheej hmoo ua ntej, xaiv txoj kev siv tshuaj loog uas tsim nyog tshaj plaws, thiab ua cov kev ceev faj tsim nyog.
• Kev muab tshuaj loog kom raug: Tus CRNA yuav ua tib zoo saib xyuas kev muab tshuaj loog kom raug, raws li koj qhov hnyav, qhov siab, hnub nyoog, hom kev phais mob, thiab koj txoj kev noj qab haus huv tag nrho. Qhov no tseem ceeb heev, vim tias tsawg dhau tuaj yeem ua rau mob, thiab ntau dhau tuaj yeem ua rau muaj kev phiv tsis xav tau.

Ib tug CRNA tsis ua haujlwm ib leeg xwb. Lawv ua haujlwm ua ib feem ntawm pab pawg neeg nrog ntau tus kws kho mob, suav nrog cov kws phais, cov kws kho mob anesthesiologist, cov kws kho hniav, thiab cov kws kho mob ko taw, los muab kev saib xyuas anesthesia rau cov neeg mob txhua lub hnub nyoog thiab hom kev phais. Lawv saib xyuas tus neeg mob tus mob ua ntej, thaum lub sijhawm, thiab tom qab phais.

CRNA ua haujlwm tau qhov twg?

Ib tug CRNA tuaj yeem ua haujlwm hauv ntau qhov chaw kho mob, txhais tau tias lawv cov kev pabcuam tsis txwv rau ib qho chaw. Piv txwv li:

• Chav phais mob hauv tsev kho mob (ORs).
• Chav Kho Mob Tom Qab Tshuaj loog (PACU).
• Chav Kho Mob Thaum Muaj Xwm Ceev (ERs).
• Chaw Phais Mob Sab Nraud - Cov no yog cov chaw uas tuaj yeem phais mob yam tsis tas nyob hauv tsev kho mob.
• Chav Yug Me Nyuam - Muab cov tshuaj loog xws li epidurals los txo qhov mob thaum yug me nyuam.
• Chaw ua haujlwm ntawm kws kho mob - rau qee qhov kev phais me me.
• Chaw ua haujlwm ntawm kws kho hniav - rau kev rho hniav lossis kev phais mob nyuaj.

Hauv qee thaj chaw nyob deb nroog ntawm cov tebchaws zoo li Tebchaws Meskas, CRNAs qee zaum yog cov kws tshaj lij tsuas yog muab tshuaj loog hauv tsev kho mob. Tsis tas li ntawd, CRNAs yog cov neeg muab tshuaj loog tseem ceeb rau cov neeg ua haujlwm hauv cov tub rog Asmeskas. Hauv Sri Lanka, qhov tseem ceeb thiab kev lees paub ntawm cov kev pabcuam saib xyuas neeg mob tshwj xeeb no nce ntxiv txhua hnub.

Qhov txawv ntawm tus kws saib xyuas neeg mob uas muaj ntawv pov thawj (CRNA) thiab tus kws kho mob Anesthesiologist yog dab tsi?

Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Ob leeg CRNA thiab tus kws kho mob anesthesiologist tuaj yeem muab tshuaj anesthesia tau zoo thiab txawj ntse. Txawm li cas los xij, muaj qhov sib txawv me ntsis hauv lawv keeb kwm kev kawm thiab kev cai lij choj.

Tus kws kho mob anesthesiologist yog ib tus neeg uas muaj daim ntawv kawm tiav qib siab hauv kev kho mob ('Doctor of Medicine - MD' lossis 'Doctor of Osteopathic Medicine - DO'). Qhov no txhais tau tias nws tau ua tiav daim ntawv kawm tiav qib siab hauv kev kho mob xws li MBBS, thiab tom qab ntawd tau txais kev cob qhia tshwj xeeb ntau xyoo hauv kev kho mob anesthesia.

Txawm li cas los xij, CRNA yog ib tus neeg uas tau ua tiav cov kev tsim nyog yooj yim ua tus kws saib xyuas neeg mob, tom qab ntawd tau kawm tiav qib master lossis doctoral tshwj xeeb hauv kev siv tshuaj loog, thiab dhau qhov kev xeem sib tw heev, xws li "Kev Xeem Ntawv Pov Thawj Hauv Tebchaws rau Cov Kws Saib Xyuas Neeg Mob Tshuaj loog."

Qhov tseem ceeb yog tus kws saib mob uas siv tshuaj loog xav tias kev muab tshuaj loog yog ib qho kev txuas ntxiv ntawm txoj haujlwm saib mob . Tus kws kho mob uas siv tshuaj loog xav tias kev muab tshuaj loog yog ib feem ntawm txoj haujlwm kho mob .

Txawm li cas los xij, txawm tias qhov kev kawm no muaj feem cuam tshuam nrog kev saib mob lossis tshuaj, ob qho tib si muab tshuaj loog tib yam, raws li cov qauv kev nyab xeeb tib yam. Qhov ntawd txhais tau tias cov tshuaj, cov khoom siv, thiab cov txheej txheem saib xyuas siv feem ntau zoo ib yam. Yog li ntawd, txawm tias koj raug muab tshuaj loog los ntawm CRNA lossis tus kws kho mob anesthesiologist, koj tsis tas yuav txhawj txog koj txoj kev nyab xeeb. Ob leeg tau kawm tiav thiab muaj kev paub dhau los. Qee zaum, CRNA tuaj yeem ua haujlwm nyob rau hauv kev saib xyuas ntawm tus kws kho mob anesthesiologist, lossis lawv tuaj yeem ua haujlwm ywj pheej.

Yuav ua li cas thiaj li dhau los ua tus kws saib xyuas neeg mob uas tau ntawv pov thawj (CRNA)?

Ua ib tug CRNA tsis yog ib txoj kev yooj yim. Nws yuav tsum tau muaj kev mob siab rau ntau yam, kev kawm mus sij hawm ntev, kev cob qhia hnyav, thiab kev paub dhau los uas muaj nqis. Cia peb saib seb cov kauj ruam ntawd yog dab tsi thiab yuav ua li cas ib tug neeg thiaj li ua tiav qhov kev tshwj xeeb no.

1. Yuav tsum muaj daim ntawv kawm tiav qib siab hauv kev saib mob lossis lwm yam kev kawm ntsig txog: Ua ntej, koj yuav tsum ua tiav tsawg kawg yog plaub xyoos daim ntawv kawm tiav qib siab hauv kev saib mob los ntawm lub tsev kawm ntawv qib siab uas tau lees paub.

2. Yuav tsum tau daim ntawv tso cai ua tus kws saib xyuas neeg mob (RN):Tom qab kawm tiav, koj yuav tsum zaum rau kev xeem uas tau ua los ntawm pawg thawj coj saib xyuas neeg mob ntawm lub tebchaws (piv txwv li, hauv Tebchaws Meskas lossis nws thaj chaw) thiab tau txais daim ntawv tso cai ua tus kws saib xyuas neeg mob.

3. Yam tsawg kawg ib xyoos, feem ntau ntau dua, ntawm kev ua haujlwm hauv chav saib xyuas mob hnyav (ICU): Qhov no yog ib kauj ruam tseem ceeb. Feem ntau, tus RN uas xav ua CRNA yuav siv sijhawm ob mus rau peb xyoos ua haujlwm hauv chav saib xyuas mob hnyav. Qhov no yog vim lawv tab tom cuam tshuam nrog cov neeg mob nyuaj heev, uas muaj kev phom sij rau lub neej. Qhov kev paub no pab lawv txhim kho cov txuj ci tseem ceeb xws li kev txiav txim siab sai, ua haujlwm nyob rau hauv kev nyuaj siab, siv ntau yam khoom siv, thiab tswj cov tshuaj nyuaj.

4. Sau npe rau hauv ib qho kev pab cuam tshuaj loog rau tus kws saib xyuas neeg mob uas tau txais kev lees paub thiab tau txais daim ntawv pov thawj doctorate: Tom qab muaj kev paub dhau los hauv chav kho mob hnyav, sau npe rau hauv ib qho kev pab cuam uas tsoomfwv tau pom zoo uas muaj kev cob qhia tshwj xeeb hauv kev siv tshuaj loog rau tus kws saib xyuas neeg mob. Cov kev pab cuam no feem ntau mus txog qib doctoral, uas yog li peb xyoos ntev. Qhov no muab kev paub tob txog kev siv tshuaj loog thiab kev cob qhia ua haujlwm hnyav.

5. Tom qab koj kawm tiav hauv qhov kev pab cuam tshuaj loog rau tus kws saib mob, koj yuav tsum xeem dhau "Kev Xeem Ntawv Pov Thawj Hauv Tebchaws rau Cov Kws Saib Mob: Tsuas yog tom qab koj xeem dhau qhov kev xeem no koj thiaj li raug lees paub tias yog CRNA thiab tau tso cai muab tshuaj loog rau koj tus kheej.

Qee cov CRNA, tom qab tsim nyog ua CRNA, tau kawm ntxiv ("kev sib raug zoo") hauv ib qho kev kawm tshwj xeeb ntawm kev siv tshuaj loog, xws li kev tswj hwm qhov mob ntev, kev siv tshuaj loog plawv, lossis kev siv tshuaj loog rau menyuam yaus. Qhov no feem ntau siv sijhawm tsawg kawg yog ib xyoos ntxiv.

Ib yam li lwm cov kws kho mob, CRNAs yuav tsum tau txais kev kawm txuas ntxiv ('kev kawm txuas ntxiv') thoob plaws hauv lawv txoj haujlwm. Qhov no txhais tau tias koom nrog cov rooj sib tham, kawm txog kev tshawb fawb tshiab, thiab kawm cov chav kawm tshiab kom paub txog cov kev nce qib tshiab thiab cov thev naus laus zis hauv lawv thaj chaw.

Yuav siv sijhawm ntev npaum li cas los ua tus kws saib xyuas neeg mob uas tau ntawv pov thawj (CRNA)?

Raws li koj xav tau, nrog rau tag nrho cov kev kawm thiab kev paub no, nws siv sijhawm ntev heev los ua CRNA. Hais yooj yim:

• Nws yuav siv sijhawm li 4 xyoos los kawm tiav qib siab hauv kev saib xyuas neeg mob.
• Kwv yees li 1-3 xyoos ntawm kev paub hauv Chav Saib Xyuas Mob Hnyav (ICU).
• Qhov kev pab cuam tshuaj loog rau tus kws saib xyuas neeg mob (txog rau daim ntawv kawm tiav qib siab) siv sijhawm li 3 xyoos.

Thaum tag nrho cov no raug ntxiv ua ke, feem ntau nws yuav siv sijhawm li xya txog kaum xyoo los ua CRNA.

Qhov ntawd txhais tau tias nws yuav tsum tau siv zog ntau, ua siab ntev, thiab txiav txim siab. Nws yuav tsum siv sijhawm thiab kev siv zog ntau los ua kom tau tus CRNA los muab tshuaj loog rau koj. Yog li koj tuaj yeem ntseeg siab tag nrho rau lawv txoj kev paub thiab peev xwm.

Ib zaj lus tseem ceeb rau koj xav txog.

Kev phais mob lossis kev kho mob nyuaj tuaj yeem ua rau ntxhov siab, ntshai, thiab ntxhov siab. Nws yog ib qho ib txwm muaj, thiab tsis muaj leej twg nyiam phais.

Tab sis nco ntsoov, koj tus kws saib xyuas mob anesthetist (CRNA) yog ib tus neeg uas muaj kev paub tshwj xeeb thiab qib siab tshaj plaws ntawm kev txawj ntse kom koj muaj kev nyab xeeb, tsis mob, thiab saib xyuas koj cov cim tseem ceeb thoob plaws hauv kev phais.

Yog tias koj muaj lus nug, kev txhawj xeeb, lossis kev txhawj xeeb txog kev siv tshuaj loog lossis phais, tsis txhob ntshai nug koj tus CRNA. Lawv nyob ntawd los pab koj, teb koj cov lus nug, thiab pab koj xis nyob thiab ntseeg siab dua txog koj qhov kev phais. Koj txoj kev nyab xeeb thiab kev nplij siab yeej ib txwm yog lawv qhov tseem ceeb tshaj plaws.

Tus Kws Saib Xyuas Neeg Mob Anesthesia, CRNA, Anesthesia, Anesthesiologist, Kev Saib Xyuas Neeg Mob, Kev Phais Mob, Kev Kawm Txog Neeg Mob Qib Siab