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Determining when patients can be safely discharged from the post-anesthesia care unit. Aldrete's scoring system is a commonly used scale for determining when postsurgical patients can be safely discharged from the post-anesthesia care unit (PACU), generally to a second stage (phase II) recovery area, hospital ward, or home.
The AANA began accrediting nurse anesthetist programs in 1952 [6] and was recognized as an accrediting body by the U.S. Department of Education in 1955. [2] In 1975, the accreditation of nurse anesthesia educational programs transitioned from the AANA to the autonomous Council on Accreditation of Nurse Anesthesia Educational Programs (COA). [6]
Certified Registered Nurse Anesthetists are advanced practice registered nurses specializing in the provision of anesthesia care. As of 2018, CRNAs represent more than 50% of the anesthesia workforce in the United States, with 52,000 providers, according to the American Association of Nurse Anesthetists, and administer more than 40 million anesthetics each year.
Historically, nurses have been providing anesthesia care to patients for over 160 years, dating back to the American Civil War (1861–1865). The CRNA credential was formally established in 1956. [2] CRNA schools issue a Doctorate of nursing anesthesia degree to nurses who have completed a program in anesthesia, which is 3 years in length. [3]
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A post-anesthesia care unit (PACU) and sometimes referred to as post-anesthesia recovery or PAR, or simply recovery, is a part of hospitals, ambulatory care centers, and other medical facilities. Patients who received general anesthesia , regional anesthesia , or local anesthesia are transferred from the operating room suites to the recovery area.
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