Me ako tātou mō te nēhi whakamoe (CRNA) e hoatu ana i te whakamoe mō te pokanga.

Mena kua pokangahia koe, kua pokangahia rānei tētahi e mōhio ana koe, kua rongo pea koe i te kupu "anesthesia." I ētahi wā ka mataku pea koe mō tēnei anesthesia. Engari i mōhio koe kei reira ētahi tāngata kua whakangungua motuhake hei tiaki i a koe kia haumaru, kia kore hoki e mamae i te wā e pokangahia ana? I tēnei rā ka kōrero tātou mō tētahi o aua tāngata, he "Certified Registered Nurse Anesthetist" (CRNA) .

Ko wai tēnei Tapuhi Whakamoemiti Whaimana (CRNA)?

He kupu ngāwari noa iho, ko te CRNA (Certified Registered Nurse Anesthetist) he nēhi tino tohunga kua whiwhi whakangungu motuhake ki te tuku rongoā whakamoe me ētahi atu rongoā e pā ana. I ētahi wā ka karangatia rātou ko "nēhi whakamoe". Ka manaaki, ka aroturuki hoki rātou i te hunga e whiwhi rongoā whakamoe, e ora ana rānei i te rongoā whakamoe.

Nā, he aha tēnei "whakamamae"?

Whakaarohia kei te pokanga koe, kei te mahi rānei i tētahi tikanga hauora. He maimoatanga hauora te anesthesia hei āwhina i a koe kia kaua e mamae. He momo anesthesia rerekē. Ko ētahi o ngā anesthesia ka whakangāwari i tētahi wāhanga o tō tinana anake, arā, kāore koe e rongo i tetahi mea. Ko ētahi atu rongoā ka pā ki tō roro, ka meinga koe kia moe rawa, kia kore ai koe e rongo i tetahi mea i te wā o te tikanga. Nō reira, he whakangungu motuhake tō te CRNA me te mōhiotanga hōhonu ki te whakahaere i tēnei anesthesia me te haumaru me te tika.

Ko wai te Nēhi Rehita Mahi Matatau (APRN)?

Ko te Nēhi Rēhita Mahi Matatau (APRN) he nēhi rēhita kua whiwhi i te tohu Paerua, Tohu Paerua rānei, i tua atu i te tohu nēhi whānui, ā, kua whakangungua ki te mahi i tētahi tūranga motuhake me te taupori tūroro. He mātauranga motuhake tā rātou me te tiwhikete hei aromatawai, hei tātaritanga, hei whakahaere i ngā raruraru hauora. E whai mana ana hoki rātou ki te tono whakamātautau me te tohu rongoā.

He maha ngā momo APRN. Hei tauira:

• Tapuhi Whakamoemiti Rēhita Whaimana (CRNA) - koinei te mea e kōrerohia ana i tēnei rā.
• Nēhi Tohunga (CNP) - Ka whakarato rātou i ngā ratonga hauora taketake pērā i te tākuta whānau.
• Nēhi Tohunga Hauora (CNS) - Ko ēnei te hunga he mōhiotanga hōhonu ki tētahi āhuatanga motuhake, ki tētahi rōpū tūroro rānei.
• Tapuhi Kaiwhakawhanau Whaimana (CNM) - Te hunga e āwhina ana i ngā whaea hapū me te wā e whānau ana.

Ko te CRNA e kōrerohia ana i tēnei rā he tangata nō te kāwai āpiha nēhi tino tohunga e kiia nei ko te APRN.

He aha te mahi a te nēhi whakamoe (CRNA)?

He maha ngā kawenga motuhake e tukuna ana ki tētahi CRNA. He mea tino nui ēnei. Kia kite tātou he aha ēnei.

• Te whakaakoranga tūroro i mua me muri i te rongoā whakamoe: I mua i te hoatutanga o te rongoā whakamoe ki a koe mō tētahi pokanga, ka whakamōhiotia koe mōna. Ka whakamāramahia ngā mea katoa, tae atu ki te momo rongoā whakamoe ka whakamahia, ngā mea ka puta, me ngā mea hei tumanako atu. Ka kōrerotia hoki ki a koe ngā mea ka pā ki a koe i muri i te rongoā whakamoe me ngā mahi me mahi e koe.
• Te aromatawai i te urupare a tō tinana ki te rongoā whakamoe: I muri i te hoatutanga o te rongoā whakamoe ki a koe, ka tirotirohia tō tinana kia kite i tana urupare. Ka aroturukitia ō tohu ora, pēnei i te tere o te manawa, te toto toto, te tere o te manawa, me ngā taumata hāora.
• Te tautuhi i ngā mōrearea ki te tangata e whiwhi ana i te rongoā whakamoe: Tērā pea he mate pāwera ētahi tāngata ki ētahi rongoā whakamoe. Me hiahia rānei rātou ki te tiaki motuhake i te wā e whakamoea ana nā ētahi atu āhuatanga hauora, pērā i te mate huango, te mate huka rānei. Ka tautuhia e te CRNA aua mōrearea i mua i te wā, ka whiriwhiri i te tikanga whakamoea tino tika, ā, ka mahi i ngā mahi ārai e tika ana.
• Te hoatu i te horopeta tika o te rongoā whakangote: Ka tino tupato te CRNA ki te hoatu i te horopeta tika o te rongoā whakangote, i runga i tō taumaha, tō teitei, tō tau, te momo pokanga e mahia ana, me tō hauora whānui. He mea tino nui tēnei, nā te mea ka pā te mamae ki te iti rawa, ā, ka pā te pānga kino ki te nui rawa.

Kāore te CRNA e mahi takitahi. Ka mahi tahi rātou me te tini o ngā kaiwhakarato hauora, tae atu ki ngā taote pokanga, ngā tohunga whakamoe, ngā taote niho, me ngā tohunga waewae, hei whakarato i te tiaki whakamoe ki ngā tūroro o ngā reanga katoa me ngā momo pokanga. Ka aroturukihia e rātou te āhua o te tūroro i mua, i te wā, me muri i te pokanga.

Kei hea e taea ai e te CRNA te mahi?

Ka taea e te CRNA te mahi i roto i ngā momo taiao hauora, ko te tikanga kāore ā rātou ratonga e herea ki te wāhi kotahi. Hei tauira:

• Ngā rūma pokanga (OR) o te hōhipera.
• Ngā Rūma Whakaora i muri i te Whakamamaetanga (PACU).
• Ngā Rūma Ohotata (ER).
• Ngā Pokapū Pokanga Tūroro - Koinei ngā wāhi ka taea te mahi pokanga me te kore e noho ki te hōhipera.
• Ngā Wāhanga Whakawhānau - Whakaratohia ngā tikanga whakamoe pēnei i ngā epidural hei whakaiti i te mamae i te wā e whānau ana.
• Ngā tari tākuta - mō ētahi tikanga iti.
• Ngā tari niho - mō ngā tango niho uaua, ngā pokanga rānei.

I ētahi wāhi taiwhenua o ngā whenua pēnei i te Hononga o Amerika, ko ngā CRNA anake ngā tohunga e whakarato ana i te rongoā whakamoe i ngā hōhipera. Hei tāpiri, ko ngā CRNA ngā kaiwhakarato matua o te rongoā whakamoe mō te hunga e mahi ana i roto i ngā ope taua o Amerika. I Sri Lanka, kei te piki haere te hiranga me te mōhiotanga o ēnei ratonga nēhi motuhake i ia rā, i ia rā.

He aha te rerekētanga i waenga i te Tohunga Whakamoemiti Tapuhi Tiwhikete (CRNA) me te Tohunga Whakamoemiti Tapuhi?

He pātai tēnei e pā ana ki te tini tāngata. Ka taea e te CRNA me te tohunga whakamoe te tuku whakamoe haumaru me te tohunga. Heoi, he iti noa ngā rerekētanga i roto i ō rātou mātauranga me te anga ture.

Ko te tohunga whakamoe he tangata whai tohu hauora (`Doctor of Medicine - MD`, `Doctor of Osteopathic Medicine - DO` rānei). Ko te tikanga kua oti i a ia tētahi tohu hauora taketake pēnei i te MBBS, ā, kua whiwhi ia i ētahi tau o te whakangungu motuhake ki te whakamoe.

Heoi, ko te CRNA he tangata kua oti i a ia ngā tohu mātauranga taketake hei nēhi rēhita, kātahi ka whai i te tohu paerua, tohu tākuta rānei e tohunga ana ki te rongoā whakamoe, ā, i puta i tētahi whakamātautau whakataetae nui, pērā i te "Motu Whakamātautau Tiwhikete mō ngā Nēhi Whakamoe."

Ko te mea nui, kia whakaarohia e te nēhi whakamoe te whakarato i te whakamoe hei toronga atu ki te umanga nēhi . E whakaarohia ana e te kaiwhakamoe te whakarato i te whakamoe hei wāhanga o te umanga hauora .

Heoi, ahakoa he pānga tēnei mātauranga ki te nēhi, ki te rongoā rānei, he rite tonu te huarahi e tukuna ai e rāua te rongoā whakamoe, kia rite ki ngā paerewa haumaru. Ko te tikanga he rite tonu ngā rongoā, ngā taputapu, me ngā tikanga aroturuki e whakamahia ana. Nō reira, ahakoa kei te hoatuhia he rongoā whakamoe ki a koe e te CRNA, e te tohunga whakamoe rānei, kāore koe e manukanuka ki tō haumaru. He tino whakangungua, he wheako hoki rāua tokorua. I ētahi wā, ka mahi pea te CRNA i raro i te tirotiro a te tohunga whakamoe, ka mahi takitahi rānei rāua.

Me pēhea te noho hei nēhi whakamoe whakamātau (CRNA)?

Ehara i te mea ngāwari te noho hei CRNA. He nui te whakapau kaha, te mātauranga roa, te whakangungu uaua, me te wheako nui e hiahiatia ana. Me titiro tātou ki aua mahi me pēhea te whakatutuki i tēnei tohungatanga.

1. Me whiwhi koe i te tohu Paetahi i roto i te nēhi, i tētahi atu mara e pā ana rānei: Tuatahi, me whakaoti e koe te tohu paetahi e whā tau te roa mō te nēhi mai i tētahi whare wānanga whai mana.

2. Kia whiwhi raihana hei Nēhi Rēhita (RN):I muri i te whakawhiwhinga tohu, me noho koe ki tētahi whakamātautau e whakahaerehia ana e te poari nēhi o te whenua e tika ana (hei tauira, i te Hononga o Amerika, i ōna rohe rānei) me te whiwhi raihana hei nēhi rēhita.

3. Kia kotahi tau te iti rawa, neke atu rānei, o te wheako mahi i roto i te wāhanga tiaki nui (ICU): He taahiraa nui tēnei. He maha ngā wā, ka mahi te RN e hiahia ana kia noho hei CRNA i roto i te wāhanga tiaki nui mō ngā tau e rua, e toru rānei. Nā te mea kei te mahi rātou me ngā tūroro tino uaua, e morearea ana ki te ora. Mā tēnei wheako ka āwhina i a rātou ki te whakawhanake i ngā pūkenga nui pēnei i te whakatau tere, te mahi i raro i te pēhanga, te whakamahi i ngā taputapu maha, me te whakahaere i ngā rongoā uaua.

4. Whakauru atu ki tētahi kaupapa nēhi whakangote whaimana, ā, whiwhi tohu tākuta: Whai muri i te wheako i te wāhanga tiaki nui, whakauru atu ki tētahi kaupapa kua whakaaetia e te kāwanatanga e tuku ana i te whakangungu motuhake ki te nēhi whakangote. Inaianei ka piki ake ēnei kaupapa ki te taumata tākuta, e toru tau te roa. Mā tēnei ka whakaratohia he mātauranga ariā hōhonu mō te whakangote me te whakangungu mahi nui.

5. Whai muri i te whakatutukitanga o te kaupapa nēhi whakamoe, me puta koe i te "Whakamātautau Tiwhikete ā-Motu mō ngā Nēhi Whakamoe": I muri i te putanga o tēnei whakamātautau ka taea ai e koe te whakamanahia mana hei CRNA me te raihana ki te whakarato whakamoe takitahi.

I muri i te whiwhinga hei CRNA, ka whai whakangungu anō ētahi CRNA (he "hoahoa") i roto i tētahi mara motuhake o te rongoā whakamoe, pērā i te whakahaere mamae mau tonu, te rongoā whakamoe ngākau, te rongoā whakamoe tamariki rānei. E hia tau pea te roa o tēnei mahi.

Pērā i ngā tohunga hauora katoa, me whiwhi ngā CRNA i te mātauranga tonu ('mātauranga tonu') puta noa i ā rātou mahi. Ko te tikanga o tēnei me haere ki ngā huihuinga, me ako mō ngā rangahau hou, me te whai akoranga hou kia mau tonu ai ki ngā whanaketanga me ngā hangarau hou o tā rātou mara.

Kia pehea te roa hei noho hei nēhi whakamoe mate (CRNA) whaimana?

E ai ki tāu e whakaaro nei, me ēnei mātauranga me ngā wheako katoa, he roa te wā e hiahiatia ana hei CRNA. Hei whakarāpopototanga:

• E whā tau pea te roa hei whiwhi i te tohu nēhi.
• Tata ki te 1-3 tau o te wheako i roto i te Wāhanga Tiaki Kaha (ICU).
• E toru tau te roa o te kaupapa nēhi whakamoe (tae atu ki te tohu tākuta).

Ina huihuia katoatia ēnei mea, e whitu ki te tekau tau te roa hei hanga i tētahi CRNA.

Arā, he nui te whakapau kaha, te manawanui, me te whakatau e hiahiatia ana. He nui te wā me te kaha e hiahiatia ana hei whakarite i tētahi CRNA ki te tuku i te rongoā whakamoe ki a koe. Nō reira, ka taea e koe te whakawhirinaki katoa ki ō rātou mōhiotanga me ō rātou pūkenga.

He karere nui hei whakaaroaro māu.

Ka taea e te pokanga, e te tikanga hauora uaua rānei te whakararuraru, te whakamataku, me te whakararuraru i te manawa pāwera. He mea noa, ā, kāore he tangata e pai ki te pokanga.

Engari kia maumahara, ko tō nēhi whakamoe (CRNA) he tangata whai mātauranga motuhake me te taumata teitei o ngā pūkenga hei pupuri i a koe kia haumaru, kia kore he mamae, me te aroturuki tonu i ō tohu ora puta noa i te pokanga.

Mena he pātai, he āwangawanga, he āwangawanga rānei āu mō te rongoā whakamoe, te pokanga rānei, kaua e wehi ki te pātai ki tō CRNA. Kei reira rātou hei āwhina i a koe, hei whakautu i ō pātai, hei āwhina i a koe kia pai ake, kia māia hoki mō tō pokanga. Ko tō haumaru me tō whakamarie te mea nui rawa atu ki a rātou.

` Nēhi Āpiha Whakangote, CRNA, Whakangote, Tohunga Whakangote, Tapuhi, Pokanga, Whakangungu Tapuhi Matatau