The first documented occurrence of anesthesia being practiced by civilian nurses was during the 1870s in the Midwest. Sister Mary Bernard, who founded the Sisters of St. Joseph in Kansas, entered the St. Vincent Hospital in Pennsylvania to train as a nurse. Only twelve months later, she took on the anesthesia obligations at the hospital (Nagelhout, Plaus 3). Her efficient administering of anesthesia caused this practice to repeat throughout the Midwest and eventually the United States.
In 1900, Agatha Hodgins went to Cleveland, Ohio to work at Lakeside Hospital. It was eight years later that Dr. George Crile selected her to be a nurse anesthetist. Alongside Crile, Agatha initiated the use of nitrous oxygen anesthesia, which was introduced in WWI and went on to open a conspicuous school for nurse anesthetists. It was then that nurse anesthet...
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...mpletely disagreed with it. Dr. Debbie Malina shot back arguing that it could be easily proven that nurse anesthetists handled all types of surgical procedures regardless of any types of physician or anesthesiologist supervision. Malina added that nurse anesthetists had little to no restrictions when it came down the cases they were involved with, the different types of anesthetics they could administer, and no limitations on what types of facilities they were allowed to work in. But, due to the many technological advances, the critical nature of anesthesia, and the increase in the amount of ill and “sick” people, doctors feel as if supervision of CRNAs is more essential than ever before. Several CRNAs added that they are able to provide proficient and efficient health care to all patients, given that most CRNAs were the primary caregivers in rural areas. (Medscape)
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