Abstract

IS THE PRACTICE of nurse anesthetists nursing? The American Association of Nurse Anesthetists (AANA), representing more than 42,000 Certified Registered Nurse Anesthetists (CRNAs), clearly defines the role as advanced practice nursing. Thehistory of nurse anesthetists is long and impressive. As early as theCivilWar (1861-1865), nurseswereproviding anesthesia care. In 1877, SisterMaryBernard of Pennsylvaniawas recognized as the first nurse to specialize in anesthesia. Today, few in the United States would argue against their legitimacy. ‘‘CRNAs practice in every setting where anesthesia is available and in some states are the sole anesthesia professionals in nearly 100% of rural hospitals.’’

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