Transcript Nurse Anesthesia Practice A Historical Review of its

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.
Brief History…
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
Vinod Bhan, 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…?
References
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Blumenreich, G., & Markham, J. (1985, December ). Bhan vs. NME Hospitals, Inc. Antitrust Standing of CRNAs Sustained . Journal of
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