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标题: Nurse anesthetist is a growing specialty [打印本页]

作者: gongyuanhou11 时间: 2009-6-2 22:42
标题: Nurse anesthetist is a growing specialty
It's a nursing specialty that nurses are proud to say dates back to the battlefields of the Civil War. As the first professional group to administer anesthesia services in the United States, nurse anesthetists are considered the first clinical nursing specialty, according to the American Association of Nurse Anesthetists Web site.
Today, more than 30,0000 certified registered nurse anesthetists, a certification that began in 1956, work on teams with medical doctors at hospitals across the country providing anesthesia services to 27 million patients each year, according an AANA report in 2005. Dr. Thomas Bladek, chairman of the department of anesthesiology at St. Vincent's Medical Center in Bridgeport, said the hospital employs 18 full-time CRNAs and 12 full-time board certified anesthesiologists.
"Certified registered nurse anesthetists have been around for quite some time," said Bladek, recalling how St. Vincent's had three CRNAs when he joined the hospital in the 1960s. "Virtually every hospital has them in operating rooms, some have more than others.
"The more rural the hospital, the more CRNAs are employed," he said.
CRNAs are usually under the direct supervision of medical doctors, he said, although in some areas they are in independent practices.
At St. Vincent's, both CRNAs and medical doctors are in the operating rooms administrating anesthesia, except for open heart surgeries and major surgical cases that require intense monitoring, when only MDs are allowed, Bladek said
"This practice is different in other hospitals," he said.
Across town at Bridgeport Hospital, CRNAs are allowed in high-risk surgeries, including heart surgeries, but always with a medical doctor, said Nancy Moriber, director for the Bridgeport Hospital and Fairfield University certified registered nurse anesthetist program, one of three in the state. "In most hospitals, nurse anesthetists work in a team approach. Every patient has a minimum of two anesthesia providers. That has always been my choice of practice," said Moriber.
The road to becoming a CRNA is a long and intense one. It may be a job not everyone is familiar with and with the current nursing shortage that only promises to get worse, it's a growing specialty that is attracting a growing number of both men and women. "It's a 29-month program and the candidates [for the program] must be registered nurses with a bachelor of science in nursing and a minimum of one year of critical care experience," said Moriber, noting that candidates must have a GPA higher than 3.0. There are 104 CRNA programs nationally, she said, graduating more than 2,000 students each year, and across the board, these programs have to turn people way. Each Bridgeport Hospital/Fairfield University class takes 12 students per year and is always full, said Moriber, 42, who received her CRNA from Columbia University in New York in 1990 when she was 24, a relatively young age. Most students in the program are between 27 and 35 or in their late 40s or 50s, she said. Graduates receive a master's degree in nursing in addition to the certification. It is also one nursing specialty that attracts a high number of men — about 50 percent of CRNAs are men, she said. In general, only 4 percent of nurses are male.
The pay is also a draw, said Moriber. While a new registered nurse may expect $60,000 in salary, a CRNA can make between $100,000 and $150,000, she said. But, it is still less than what an anesthesiologist commands, which is between $250,000 and $500,000 a year, she said. Bridgeport Hospital employs 34 CRNAs. With one medical doctor supervising two to four CRNAs, this team approach can help lower medical bills, Moriber said.
"Nurses produce safe care at a reduced cost," she said.
For Moriber, the high-pressure job was always appealing. "I thrive on stress," she said. "I like the patient contact, the one-on-one; you have control of the patient. I look at it as caring for the patient while someone else is doing the curing."
Starting with the pre-op interview to waking the patient in recovery, CRNAs work on all types of cases, including orthopedics, neurosurgery, vascular surgery, ob/gyn cases and general surgery, providing epidural and spinal anesthesia when needed, said Donna Nunno, a CRNA at St. Vincent's.
A nurse for 17 years before going back to school for her CRNA, Nunno, 39, graduated from the CRNA program at the Hospital of St. Raphael's in New Haven in 2006, earning a master's degree in biological science/anesthesia. The Milford resident said she became interested in the specialty while working as a nurse in St. Vincent's intensive care unit. The training she got was similar to a doctor's residency, she said.
"It's very intense. We do on-call and work many hours," she explained. "It's a great clinical experience at St. Raphael's. The first year was just academics to get my master's then 17 months of clinical training and testing for boards."
There are oral comprehensive boards and national boards to take to become licensed, she said.
On the job, she works a rotating schedule with three, 12-hour shifts a week, she said.
"We always have supervision, from beginning to end," she said. [The doctors] will come in frequently to check on how things are going and offer advice as needed. We have a very close working relationship."
Nunno agrees it's a growing profession and finds that patients are very open to it.
"There are some people who don't know what an anesthetist is, but I never met anyone who felt uncomfortable [with me]," she said. "They know we work with the doctors."
Contact the Fairfield University and Bridgeport Hospital Nurse Anesthesia program at 384-3054. For information on the Hospital of St. Raphael School of Nurse Anesthesia, call 789-3351.
The New Britain School of Nurse Anesthesia may be reached at (860) 224-5612

作者: llxtiger 时间: 2009-6-3 14:30
在线翻译的结果,呵呵

这是一个护理专业的护士自豪地说追溯到战场的内战。作为第一个专业团体来管理麻醉服务在美国，护士麻醉师被认为是第一次临床护理专业，根据美国的护士麻醉师网站。
今天，超过30,0000认证注册护士麻醉师，认证开始于1956年，工作队医生在全国各地的医院提供麻醉服务，至27万患者，每年的丙烯酸钠根据报告， 2005年。托马斯博士Bladek系系主任麻醉在圣文森特医学中心的布里奇波特说，该医院员工18全职CRNAs和12全职局认证麻醉师。
“认证注册护士麻醉师已在相当长的一段时间，说： ” Bladek ，回顾如何圣文森特的有三个CRNAs时，他加入了医院在上世纪60年代。 “几乎每一个在医院手术室，一些人比其他人更。
“的更多的农村医院，更CRNAs就业， ”他说。
CRNAs通常直接监督下，医生，他说，尽管在有些地区，他们是在独立的做法。
在圣文森特的，既CRNAs和医生都在手术室麻醉管理，除心脏直视手术和重大案件，需要手术密集监测，当时只有骨髓增生异常综合征是允许的， Bladek说
“这种做法与此不同，在其他医院， ”他说。
穿过市中心医院在布里奇波特， CRNAs被允许在高风险手术，包括心脏手术，但始终是一名医生，她说： Moriber ，主任布里奇波特费尔菲尔德大学医院和认证注册护士麻醉师计划，其中3个国家。 “在大多数医院，护士麻醉师工作队的办法。每个病人有一个最低的两个麻醉提供商。这一直是我选择的做法，说： ” Moriber 。
道路成为茨尔纳是一个漫长而激烈的一次。这可能是一份工作不是每个人都熟悉的和当前的护士荒，只有承诺变得更糟，这是一个越来越专业，吸引了越来越多的男子和妇女。 “这是一个29个月的计划和候选人[该计划]必须是注册护士的理学学士学位，在护理和最低的一年危重病的经验说， ” Moriber指出，候选人必须有一个高于全球行动纲领3.0 。有104茨尔纳国家计划，她说，毕业的2000多名学生，每年和全面的，这些程序必须把人民的方式。每个布里奇波特医院/费尔菲尔德大学需要12级学生，每年总是充满说， Moriber ， 42岁，谁收到她茨尔纳由纽约哥伦比亚大学于1990年，她24日，一个相对年轻的年龄。大多数学生在该计划是27和35之间，或在其晚40 〜 50岁，她说。毕业生获得硕士学位的护理除了认证。它亦是护理专业，吸引了大量的男人吗？？约百分之五十的CRNAs是男性，她说。一般来说，只有百分之四的护士是男性。
薪酬也是一个借鉴，说Moriber 。而新注册护士可以指望60,000美元的年薪，一个茨尔纳可以与10万美元和150,000美元，她说。但是，它仍然低于麻醉的命令，这是250 000美元之间和50万美元的一年，她说。布里奇波特医院员工34 CRNAs 。一个医生监督CRNAs 3时58分，这支球队的方法可以降低医疗费用， Moriber说。
“生产安全护理护士在降低成本， ”她说。
为Moriber ，高压力工作始终吸引力。 “我靠的压力， ”她说。 “我喜欢这里的病人接触，在一对一的;你有控制的病人。我把它视为照顾病人，而别人做的固化。 ”
首先是预先同采访醒来的病人恢复， CRNAs工作的所有类型的案件，包括骨科，神经外科，血管外科，肥胖/妇科案件和普通外科，提供腰麻硬膜外和在必要时说，唐娜Nunno ， 1茨尔纳在圣文森特的。
一名护士17年前，回到学校，她茨尔纳， Nunno ， 39岁，毕业于茨尔纳计划在圣拉斐尔医院的纽黑文在2006年，获得硕士学位，生物科学/麻醉。在米尔福德居民说，她有兴趣的专业，而作为一名护士在圣文森特的重症监护病房。她得到的训练类似医生的居住权，她说。
“这是非常激烈。我们的通话和工作许多小时， ”她解释说。 “这是一个伟大的临床经验在圣拉斐尔的。第一年只是学者让我的主人当时的17个月的临床培训和测试版。 ”
有口腔综合局和国家局采取成为持牌，她说。
在工作，她的作品旋转时间表三， 12小时轮班一个星期，她说。
“我们总是有监督，从开始到结束， ”她说。 [医生]将在经常检查如何事情，并根据需要提供咨询意见。我们有一个非常密切的工作关系。 “
Nunno同意这是一个越来越专业和认定，患者是非常开放给它。
“有些人谁不知道什么是一个麻醉师，但我从未见过任何一个谁觉得不舒服[我] ， ”她说。 “他们知道我们的工作与医生。 ”
联系费尔菲尔德布里奇波特大学和医院护士麻醉计划384-3054 。资料的圣拉斐尔医院的护士学校麻醉，呼吁789-3351 。
新英国学校护士麻醉时可以（ 860 ） 224-5612

作者: Matthew.wang 时间: 2009-8-6 10:55

It's a nursing specialty that nurses are proud to say dates back to the battlefields of the Civil War. As the first professional group to administer anesthesia services in the United States, nurse anesthetists are considered the first clinical nursing specialty, according to the American Association of Nurse Anesthetists Web site.
在护理专业里，护士非常自豪的认为重新回到了国内战争的战场上。根据其网站的信息，美国护理麻醉协会作为在美国第一个管理麻醉服务的专业小组，第一临床护理专业是护士麻醉师。
Today, more than 30,0000 certified registered nurse anesthetists, a certification that began in 1956, work on teams with medical doctors at hospitals across the country providing anesthesia services to 27 million patients each year, according an AANA report in 2005. Dr. Thomas Bladek, chairman of the department of anesthesiology at St. Vincent's Medical Center in Bridgeport, said the hospital employs 18 full-time CRNAs and 12 full-time board certified anesthesiologists.
根据2005年AANA的一份报告，从1956年开始认证到今天，每年在全国有超过30，000的注册护士（护理）麻醉师与医院医生一起作为一个团队为27 Million的患者提供麻醉服务。Bridgeport的ST. Vincent医疗中心麻醉科主席Thomas Bladek说：医院雇佣了18个全职的CRNA（注册护理麻醉师）和12个全职的麻醉医师（Board不知道如何翻译）。
"Certified registered nurse anesthetists have been around for quite some time," said Bladek, recalling how St. Vincent's had three CRNAs when he joined the hospital in the 1960s. "Virtually every hospital has them in operating rooms, some have more than others.
"The more rural the hospital, the more CRNAs are employed," he said.
“认证注册护理麻醉师已经有相当一些时间了”Bladek说道，回想起当他60年代加入St. Vincent's医院时，只有3个注册护理麻醉师的情景，“实际上每个医院的手术室都有CRNA，有些医院的CRNA更多”
CRNAs are usually under the direct supervision of medical doctors, he said, although in some areas they are in independent practices.
At St. Vincent's, both CRNAs and medical doctors are in the operating rooms administrating anesthesia, except for open heart surgeries and major surgical cases that require intense monitoring, when only MDs are allowed, Bladek said
他还说道，虽然在有些领域CRNA是独立工作的，但CRNA通常直接是由医疗医生管理/指导。
Bladek说道：在 St. Vincent's,在手术室CRNA和医疗医生管理麻醉，但除了在一些开放的心脏手术和一些要求加强监护主要的外科手术只需要医生的情况下。
"This practice is different in other hospitals," he said.
“在不同的医院具体的情况是不一样的”他说道

。。。。。
作为外行，希望通过翻译能够提高自己。。。

作者: Matthew.wang 时间: 2009-8-6 11:21
The road to becoming a CRNA is a long and intense one. It may be a job not everyone is familiar with and with the current nursing shortage that only promises to get worse, it's a growing specialty that is attracting a growing number of both men and women. "It's a 29-month program and the candidates [for the program] must be registered nurses with a bachelor of science in nursing and a minimum of one year of critical care experience," said Moriber, noting that candidates must have a GPA higher than 3.0. There are 104 CRNA programs nationally, she said, graduating more than 2,000 students each year, and across the board, these programs have to turn people way.
成为一个注册的护理麻醉师是要经过很长的时间和艰辛的路。这个工作可能不是每个人都熟悉的，目前护士的短缺的情况可能使得情况更糟，这个专业在不断的发展，并且不断吸引了更多的男人和女人（不同性别的人）。“这个认证程序需要29个月时间，而且候选人必须是拥有护理本科学位的注册护士，而且最少一年的重症监护经验”Moriber说道，并指明候选人的GPA必须高于3.0分。她说在全国有104个这样的认证过程（或者程序:Program），每年有超过2000名学生毕业，而程序委员会会刷掉一些人。

Each Bridgeport Hospital/Fairfield University class takes 12 students per year and is always full, said Moriber, 42, who received her CRNA from Columbia University in New York in 1990 when she was 24, a relatively young age. Most students in the program are between 27 and 35 or in their late 40s or 50s, she said. Graduates receive a master's degree in nursing in addition to the certification. It is also one nursing specialty that attracts a high number of men — about 50 percent of CRNAs are men, she said. In general, only 4 percent of nurses are male.
每年每个Fairfield大学的班级招收12名学生，42随的Moriber说道。1990年当她24岁的时候她从纽约哥伦比亚大学获得了CRNA（注册护理麻醉师），是相当年轻的。在这个认证程序中，很多学生是在27到35岁之间，大多是40后或者50后。毕业的学士除了获得认证外还可以获得护理硕士学位。这也是个吸引相当多男性的护理专业---大约50%的CRNA是男性。通常情况下，4%的护士是女性。
。。。。。
To be continued.

作者: Matthew.wang 时间: 2009-8-6 11:28
The pay is also a draw, said Moriber. While a new registered nurse may expect $60,000 in salary, a CRNA can make between $100,000 and $150,000, she said. But, it is still less than what an anesthesiologist commands, which is between $250,000 and $500,000 a year, she said. Bridgeport Hospital employs 34 CRNAs. With one medical doctor supervising two to four CRNAs, this team approach can help lower medical bills, Moriber said.
"Nurses produce safe care at a reduced cost," she said.
收入也是也因素，Moriber说。一个新注册的护士的收入大概是60000美元，一个CRNA的收入可达到100000到15000美元之间，她说道。但是，比起麻醉师的250000到500000美元的年收入还是少。Bridgeport医院雇佣了34个CRNA，一个医疗医生管理2到4个CRNA，这样的一个团队规模可以减低医疗费用（成本）。
“护士能够在降低成本的情况下提供安全的照护”，她说道

作者: Matthew.wang 时间: 2009-8-7 17:46
For Moriber, the high-pressure job was always appealing. "I thrive on stress," she said. "I like the patient contact, the one-on-one; you have control of the patient. I look at it as caring for the patient while someone else is doing the curing."
对Moriber来说这种高压力工作曾经也是一直很吸引人的。“我在压力下成长”她说。“我喜欢和患者一对一的沟通；你能管控患者。我把这些看作是对患者的照护，而当其他人同时也在治愈患者”
Starting with the pre-op interview to waking the patient in recovery, CRNAs work on all types of cases, including orthopedics, neurosurgery, vascular surgery, ob/gyn cases and general surgery, providing epidural and spinal anesthesia when needed, said Donna Nunno, a CRNA at St. Vincent's.
从术前与患者的会谈到患者最后康复，CRNA处理各种状况，包括外科整形, 神经外科,血管手术，妇科安定普外，当需要的时候提供硬膜外和脊髓麻醉。St. Vincent's的CRNA Donna Nunno提到这些。
A nurse for 17 years before going back to school for her CRNA, Nunno, 39, graduated from the CRNA program at the Hospital of St. Raphael's in New Haven in 2006, earning a master's degree in biological science/anesthesia. The Milford resident said she became interested in the specialty while working as a nurse in St. Vincent's intensive care unit. The training she got was similar to a doctor's residency, she said.
Nunno 39岁，2006毕业于新天堂St. Raphal's的CRNA项目组，在回到学院攻读CRNA之前已经做了17护士，最终获得生物可续/麻醉的硕士学位。Milford说她在St.Vicent ICU工作的时候开始对这个专业产生了兴趣。她以往所得到的培训类似于住院医师培训。（此段翻译有些问题。希望各位指出）

作者: Matthew.wang 时间: 2009-8-7 17:59
“It's very intense. We do on-call and work many hours," she explained. "It's a great clinical experience at St. Raphael's. The first year was just academics to get my master's then 17 months of clinical training and testing for boards."
“很好很强大。我们随时待命并且要工作数小时”她解释到“在St. Raphael有非常棒的临床实践。第一年只是纯理论的学习以获取硕士学位，然后是17个月的临床培训和测试”
There are oral comprehensive boards and national boards to take to become licensed, she said.
她说要通过口头综合测试和全国委员会的测试才能获得认证。
On the job, she works a rotating schedule with three, 12-hour shifts a week, she said.
"We always have supervision, from beginning to end," she said. [The doctors] will come in frequently to check on how things are going and offer advice as needed. We have a very close working relationship."
在这个工作上她每周轮班3次，每次12小时。
“从头到尾我们一直在监管之下”她说，医生会经常过来检查工作状况并在需要的时候提出建议。我们有着非常紧密的工作关系。（或者：我们紧密的工作在一起）
Nunno agrees it's a growing profession and finds that patients are very open to it.
"There are some people who don't know what an anesthetist is, but I never met anyone who felt uncomfortable [with me]," she said. "They know we work with the doctors."
Nunno同意这个专业一直在进步并且发现患者对此非常理解。
“有些人不知道麻醉师是干什么的，但我从来没有碰见谁不喜欢我”她说道“他们知道我们和医生一起工作”

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