AANA Journal – February 2019

4 AANA Journal „ February 2019 „ Vol. 87, No. 1 http://www.aana.com/aanajournalonline

CONTENTS

DEPARTMENTS

7

THE EDITOR’S DESK

Chuck Biddle, PhD, CRNA

79

AUTHOR’S CORRECTION

80

CALENDAR OF EVENTS

ARTICLES

11 Development of a Training Program in

Peripherally Inserted Central Catheter

Placement for Certified Registered Nurse

Anesthetists Using an N-of-1 Method

Aaron M. Ostrowski, DNP, CRNA

Suzanne Morrison, DNP, CRNA

John O’Donnell, DrPH, CRNA

A PICC training program was developed to train a CRNA in

a standardized curriculum with simulation using a partial-

task trainer.

19 Resuscitative Endovascular Balloon

Occlusion of the Aorta (REBOA) as an

Option for Uncontrolled Hemorrhagic

Shock: Current Best Practices and

Anesthetic Implications

William Howie, DNP, CRNA

Michael Broussard, MS, CRNA

Bonjo Batoon, MS, CRNA

The history of REBOA and indications and contraindica-

tions for its use are provided. Recommendations are given

for future research aimed at refining and improving the

care of patients who may require this type of treatment.

26 Intraoperative Change in Urine Color: Be

Cautious for a Clinical Entity!

Sidharth Puri, MD

Rakesh Garg, MD, DNB

Authors report on a patient who produced green discolor-

ation of urine intraoperatively after methylene blue admin-

istration, which was benign and resolved spontaneously.

29 The Perceived Value of Certification in

Nonsurgical Pain Management

Robyn C. Ward, PhD, CRNA

Mary Anne Krogh, PhD, APRN, CRNA, FAAN

Michael J. Kremer, PhD, CRNA, CHSE, FNAP, FAAN

Timothy J. Muckle, PhD

Michael E. Schoeny, PhD

Challenges in patients’ access to care, and in reimbursement

to CRNAs who provide pain services, have resulted in a vol-

untary subspecialty certification in nonsurgical pain man-

agement (NSPM) for CRNAs. An evaluation was conducted

of perceptions toward the value of certification in NSPM.

On the Cover

Charles A. Reese, PhD, CRNA, CAPT(ret),

NC, USN, editor of Clinical Techniques of

Regional Anesthesia: Spinal and Epidural

Anesthesia Techniques, explains a key point

to an attendee of the Spinal Epidural with

Obstetric Essentials Workshop, which is

offered at the AANA home office in Park

Ridge, Illinois. Attendees earn Class A CE

credits and stay current in the profession

with expert lectures and hands-on instruction

at AANA on-site workshops.