Masifunde ngomongikazi osebenza nge-anesthesia (CRNA) onika i-anesthesia xa kusenziwa utyando.

Ukuba wakha watyandwa, okanye ukuba umntu omaziyo kwafuneka atyandwe, mhlawumbi ukhe weva igama elithi "anesthesia." Ngamanye amaxesha usenokuba noloyiko malunga nale anesthesia. Kodwa ubusazi na ukuba kukho abantu abaqeqeshwe ngokukodwa ukukugcina ukhuselekile kwaye ungenantlungu ngexesha lotyando? Namhlanje siza kuthetha ngomnye umntu onjalo, "uNurse Anesthetist obhalisiweyo oqinisekisiweyo" (CRNA) .

Ngubani lo Mhlengikazi oQinisekisiweyo we-Anesthetist (CRNA)?

Ngamafutshane, i -CRNA (Certified Registered Nurse Anesthetist) ngumongikazi oqeqeshiweyo ofumene uqeqesho olukhethekileyo ekulawuleni i-anesthesia kunye namanye amayeza anxulumene nayo. Ngamanye amaxesha sibabiza ngokuba "ngabahlengikazi be-anesthesia." Banyamekela kwaye bajonga abantu abafumana i-anesthesia okanye abaphola kwi-anesthesia.

Ngoko ke yintoni le "anesthesia"?

Khawucinge ukuba wenza utyando okanye utyando lwezonyango. I-anesthesia lunyango lwezonyango olukunceda ungaziva iintlungu. Kukho iintlobo ezahlukeneyo ze-anesthesia. Ezinye ii-anesthetics zibulala inxalenye yomzimba wakho kuphela, oko kuthetha ukuba awuva nto. Amanye amayeza achaphazela ingqondo yakho aze akulalise ngokupheleleyo, ngoko awuva nto ngexesha lenkqubo. Ngoko ke, i-CRNA inoqeqesho olukhethekileyo nolwazi olunzulu lokuphatha le anesthesia ngokukhuselekileyo nangokuchanekileyo.

Ngubani uMongikazi oBhalisiweyo oQeqeshelweyo oPhambili (i-APRN)?

Umongikazi obhalisiweyo oqeqeshiweyo (i-APRN) ngumongikazi obhalisiweyo ofumene isidanga seMaster's okanye sobuGqirha, ngaphaya kwesidanga sobuhlengikazi ngokubanzi, kwaye uqeqeshwe ukwenza indima ethile kunye nenani labantu abagulayo. Banemfundo ekhethekileyo kunye nesatifikethi sokuvavanya, ukuxilonga, kunye nokulawula iingxaki zonyango. Bakwagunyazisiwe uku-odola iimvavanyo kunye nokunika amayeza.

Kukho iintlobo ezahlukeneyo ze-APRN. Umzekelo:

• Ingcali yoNgcali we-Anesthesia ebhalisiweyo (CRNA) - le sithetha ngayo namhlanje.
• Ugqirha Oqeqeshiweyo Wezonyango (CNP) - Banikezela ngeenkonzo zempilo ezisisiseko njengogqirha wosapho.
• Ingcali yoMongikazi weKlinikhi (CNS) - Aba ngabantu abanolwazi olunzulu ngemeko ethile okanye iqela lesigulana.
• Umongikazi Oqinisekisiweyo Wombelekisi (CNM) - Abo banceda oomama abakhulelweyo nangexesha lokubeleka.

I-CRNA esithetha ngayo namhlanje ngumntu okwicandelo le-nursing officer elifaneleke kakhulu elibizwa ngokuba yi-APRN.

Yintoni eyenziwa ngumongikazi onyanga iintlungu (CRNA)?

Kukho imisebenzi ethile ethile enikwa i-CRNA. Ezi zizinto ezibaluleke kakhulu. Masibone ukuba zeziphi.

• Ukufundiswa kwesigulane ngaphambi nasemva kwe-anesthesia: Ngaphambi kokuba unikwe i-anesthesia yotyando okanye inkqubo, uya kwaziswa ngokupheleleyo ngayo. Yonke into iya kuchazwa, kuquka uhlobo lwe-anesthesia oluza kusetyenziswa, okuza kwenzeka, kunye noko ungakulindela. Uya kuxelelwa nokuba ungaziva njani emva kwe-anesthesia kunye namanyathelo omawuwathathe.
• Ukuvavanya indlela umzimba wakho osabela ngayo kwi-anesthesia: Emva kokuba unikwe i-anesthesia, umzimba wakho uza kuhlolwa ngokusondeleyo ukuze kubonwe ukuba usabela njani. Iimpawu zakho ezibalulekileyo, ezifana nesantya sentliziyo yakho, uxinzelelo lwegazi, izinga lokuphefumla, kunye namanqanaba eoksijini, ziya kuhlolwa.
• Ukuchonga iingozi kumntu ofumana i-anesthesia: Abanye abantu banokuba ne-allergies kwiziyobisi ezithile ze-anesthetic. Okanye banokufuna unyango olukhethekileyo ngexesha le-anesthesia ngenxa yezinye iimeko zempilo, ezifana ne-asthma okanye isifo seswekile. I-CRNA iya kuchonga ezo ngozi kwangaphambili, ikhethe eyona ndlela ifanelekileyo ye-anesthesia, kwaye ithathe amanyathelo okhuseleko afunekayo.
• Ukunika idosi echanekileyo ye-anesthetic: I-CRNA iya kuba nononophelo olukhulu ekunikeni idosi echanekileyo ye-anesthetic, ngokusekelwe kubunzima bakho, ubude, ubudala, uhlobo lotyando oluqhutywayo, kunye nempilo yakho iyonke. Oku kubaluleke kakhulu, njengoko kuncinci kakhulu kunokubangela iintlungu, kwaye okuninzi kakhulu kunokubangela iziphumo ebezingalindelekanga.

I-CRNA ayisebenzi yodwa. Basebenza njengenxalenye yeqela elinababoneleli beenkonzo zempilo abahlukeneyo, kuquka oogqirha botyando, iingcali zokubulala iintlungu, oogqirha bamazinyo, kunye neengcali zeenyawo, ukubonelela ngononophelo lwe-anesthesia kwizigulana zabo bonke ubudala kunye neentlobo zotyando. Bajonga imeko yesigulana ngaphambi, ngexesha, nasemva kotyando.

Ingasebenza phi i-CRNA?

I-CRNA ingasebenza kwiindawo ezahlukeneyo zonyango, oko kuthetha ukuba iinkonzo zayo azipheleli kwindawo enye kuphela. Umzekelo:

• Amagumbi otyando esibhedlele (ii-OR).
• Amagumbi okuPhila emva kokuNxunguphala (i-PACU).
• Amagumbi oNgxamiseko (ii-ER).
• Amaziko Otyando Lwangaphandle - Ezi ziindawo apho utyando lunokwenziwa khona ngaphandle kokuhlala esibhedlele.
• IiYunithi Zokubeleka Nokubeleka - Zibonelela ngeendlela zokuthomalalisa iintlungu ezifana nee-epidurals ukunciphisa iintlungu ngexesha lokubeleka.
• Iiofisi zoogqirha - zezinye iinkqubo ezincinci.
• Iiofisi zoogqirha bamazinyo - zokukhupha amazinyo okanye utyando oluntsonkothileyo.

Kwezinye iindawo zasemaphandleni zamazwe afana ne-United States, ii-CRNA ngamanye amaxesha ziingcali kuphela ezibonelela nge-anesthesia kwizibhedlele. Ukongeza, ii-CRNA zezona zibonelela nge-anesthesia kwabo basebenza kwimikhosi yaseMelika. ESri Lanka, ukubaluleka nokuqatshelwa kweenkonzo ezinjalo zokonga ezizodwa kuyanda imihla ngemihla.

Yintoni umahluko phakathi kweNgcali yoNyango oluQinisekisiweyo (i-CRNA) kunye neNgcali yoNyango oluLawulayo?

Lo ngumbuzo abantu abaninzi abanawo. I-CRNA kunye ne-anesthesiologist banokunika i-anesthesia ngokukhuselekileyo nangobuchule. Nangona kunjalo, kukho umahluko omncinci kwimvelaphi yabo yemfundo kunye nesakhelo sezomthetho.

Ingcali yokubulala iintlungu ngumntu onesidanga sezonyango (`uGqirha wezonyango - MD` okanye `uGqirha wezonyango lwe-Osteopathic - DO`). Oku kuthetha ukuba ugqibile isidanga sezonyango esisisiseko esifana ne-MBBS, waza wafumana uqeqesho olukhethekileyo lweminyaka eliqela kwi-anesthesia.

Nangona kunjalo, i-CRNA ngumntu ogqibe iziqinisekiso ezisisiseko njengomongikazi obhalisiweyo, emva koko walandela isidanga se-master's okanye se-doctoral esigxile kwi-anesthesia, waza waphumelela uvavanyo olukhuphisanayo kakhulu, olufana ne-"National Certification Examination for Nurse Anesthetists."

Into ebalulekileyo kukuba umongikazi osebenzisa i-anesthesia ajonge ukunikezelwa kwe-anesthesia njengolwandiso lomsebenzi wobuhlengikazi . Ingcali yokusetyenziswa kwe-anesthesia ijonga ukunikezelwa kwe-anesthesia njengenxalenye yomsebenzi wezonyango .

Nangona kunjalo, nokuba le mfundo inxulumene nonyango okanye ubugqirha, zombini zibonelela nge-anesthesia ngendlela efanayo, ngokwemigangatho yokhuseleko efanayo. Oko kuthetha ukuba amayeza, izixhobo, kunye neendlela zokubeka esweni ezisetyenziswayo ziyafana kakhulu. Ngoko ke nokuba unikwa i-anesthesia yi-CRNA okanye yi-anesthesiologist, akufuneki ukhathazeke ngokhuseleko lwakho. Zombini ziqeqeshwe kakhulu kwaye zinamava. Kwezinye iimeko, i-CRNA inokusebenza phantsi kweliso le-anesthesiologist, okanye zinokusebenza ngokuzimeleyo.

Umntu uba njani ngumongikazi oqinisekisiweyo we-anesthetist (CRNA)?

Ukuba yi-CRNA akuyonto ilula. Kufuna ukuzinikela okukhulu, imfundo yexesha elide, uqeqesho olunzima, kunye namava axabisekileyo. Makhe sijonge ukuba zeziphi ezo nyathelo kunye nendlela umntu afikelela ngayo kolu lwazi.

1. Kufuneka ube nesidanga seBachelor kwi-nursing okanye kwicandelo elinxulumene noko: Okokuqala, kufuneka ugqibe ubuncinane isidanga se-bachelor seminyaka emine kwi-nursing kwiyunivesithi evunyiweyo.

2. Ukuba nelayisenisi njengoMongikazi obhalisiweyo (RN):Emva kokugqiba izifundo zakho, kufuneka ubhale uvavanyo oluqhutywa yibhodi yabahlengikazi yelizwe elifanelekileyo (umzekelo, eMelika okanye kwimimandla yayo) kwaye ufumane ilayisenisi njengomongikazi obhalisiweyo.

3. Ubuncinane unyaka omnye, ngesiqhelo nangaphezulu, wamava okusebenza kwiyunithi yokhathalelo oluphezulu (ICU): Eli linyathelo elibalulekileyo. RN ofuna ukuba yi-CRNA uza kuchitha iminyaka emibini ukuya kwemithathu esebenza kwiyunithi yokhathalelo oluphezulu. Oku kungenxa yokuba ujongene nezigulana ezinzima kakhulu nezisongela ubomi. La mava abanceda baphuhlise izakhono ezibalulekileyo ezifana nokwenza izigqibo ngokukhawuleza, ukusebenza phantsi koxinzelelo, ukusebenzisa izixhobo ezahlukeneyo, kunye nokulawula amayeza anzima.

4. Bhalisa kwinkqubo yokubulala iintlungu yabahlengikazi evunyiweyo kwaye ufumane isidanga sobugqirha: Emva kwamava kwiyunithi yokhathalelo oluphezulu, bhalisa kwinkqubo evunyiweyo ngurhulumente enika uqeqesho olukhethekileyo kwi-anesthesia yabahlengikazi. Ezi nkqubo ngoku zihlala zifikelela kwinqanaba lobugqirha, elithatha malunga neminyaka emithathu. Oku kubonelela ngolwazi olunzulu lwethiyori malunga ne-anesthesia kunye noqeqesho olusebenzayo oluphezulu.

5. Emva kokugqiba inkqubo ye-anesthesia yabahlengikazi, kufuneka uphumelele i-"National Certification Examination for Nurse Anesthetists": Kuphela emva kokuphumelela olu vavanyo apho ungaqatshelwa ngokusemthethweni njenge-CRNA kwaye ufumane ilayisenisi yokubonelela nge-anesthesia ngokuzimeleyo.

Amanye ama-CRNA, emva kokufaneleka njengee-CRNA, aqeqeshwa ngakumbi ("ubudlelane"`) kwicandelo elikhethekileyo le-anesthesia, njengolawulo lweentlungu ezingapheliyo, i-anesthesia yentliziyo, okanye i-anesthesia yabantwana. Oku kudla ngokuthatha ubuncinane omnye unyaka.

Njengabo bonke abanye oochwephesha bezonyango, ii-CRNA kufuneka zifumane imfundo eqhubekayo ('imfundo eqhubekayo') kuyo yonke imisebenzi yazo. Oku kuthetha ukuya kwiingqungquthela, ukufunda ngophando olutsha, kunye nokuthatha izifundo ezintsha ukuze zihlale zinolwazi ngenkqubela phambili kunye nobuchwepheshe bamva nje kwicandelo labo.

Kuthatha ixesha elingakanani ukuba ngumongikazi oqinisekisiweyo we-anesthetist (CRNA)?

Njengoko unokucinga, ngayo yonke le mfundo namava, kuthatha ixesha elide ukuba yi-CRNA. Ngamafutshane:

• Kuthatha malunga neminyaka emi-4 ukufumana isidanga sobunesi.
• Malunga neminyaka eli-1-3 yamava kwiYunithi yoKhathalelo oluNzulu (ICU).
• Inkqubo yokuthomalalisa iintlungu zabahlengikazi (ukuya kuthi ga kwisidanga sobugqirha) ithatha malunga neminyaka emi-3.

Xa konke oku kudityanisiwe, kuthatha iminyaka esixhenxe ukuya kwelishumi ukuba yi-CRNA.

Oko kuthetha ukuba kufuna ukuzinikela okukhulu, umonde, kunye nokuzimisela. Kuthatha ixesha elininzi kunye nomgudu ukuze ufumane i-CRNA yokukunika i-anesthesia. Ukuze ube nokuzithemba ngokupheleleyo kulwazi lwabo kunye nobuchule babo.

Umyalezo obalulekileyo ekufuneka uwuqwalasele.

Ukujongana notyando okanye nayiphi na inkqubo yezonyango eyinkimbinkimbi kunokuba yinto ebangela uxinezeleko, yoyike, kwaye ibangele ixhala. Yinto eqhelekileyo, kwaye akukho mntu uyithandayo utyando.

Kodwa khumbula, umongikazi wakho onyanga iintlungu (i-CRNA) ngumntu onolwazi olukhethekileyo kunye nenqanaba eliphezulu lesakhono sokukugcina ukhuselekile, ungenazintlungu, kwaye uhlala ejonga iimpawu zakho ezibalulekileyo kulo lonke utyando.

Ukuba unemibuzo, iinkxalabo, okanye iinkxalabo malunga ne-anesthesia okanye utyando, ungoyiki ukubuza i-CRNA yakho. Bakhona ukukunceda, baphendule imibuzo yakho, kwaye bakuncede uzive ukhululekile kwaye uzithembile ngotyando lwakho. Ukhuseleko lwakho kunye nentuthuzelo yakho zihlala zizinto eziphambili kubo.

Igosa le-Anesthesia yoMongikazi , i-CRNA, i-Anesthesia, i-Anesthesiologist ...