Certified Registered Nurse Anesthetist Name Institution Instructor Course Date Certified Registered Nurse Anesthetist Advanced practice nursing specialty involves all nurses that perform roles that require educational training beyond the Baccalaureate educational level

Certified Registered Nurse Anesthetist
Name
Institution
Instructor
Course
Date
Certified Registered Nurse Anesthetist
Advanced practice nursing specialty involves all nurses that perform roles that require educational training beyond the Baccalaureate educational level (Barker & DeNisco, 2016). It involves high skilled nursing practices that increase the knowledge of the nursing profession. Advanced nursing practice results in the development of the nursing profession. One advanced practice nursing practice is the Certified Registered Nurse Anesthetist (CRNA). A certified registered nurse anesthetist is a licensed professional nurse who performs the role of providing anesthesia services in health facilities (Robins, Rosenbaum, & Foster, 2015).
Past regulation required Certified Registered Nurse Anesthetists to receive orders and involvement of physicians in administering patient care and although the nursing practice has evolved, this model of care is still practiced today, and oversight must be done to Certified Registered Nurse Anesthetists when administering anesthesia (Robins, Rosenbaum, & Foster, 2015). This is a barrier to the Certified Registered Nurse Anesthetists in performing the full extent of their education and training as research has shown no difference in the health care outcomes, and it is unnecessary for anesthesiologist to supervise the Certified Registered Nurse Anesthetists in performing their roles (Robins, Rosenbaum, & Foster, 2015).
Current regulations allow the Certified Registered Nurse Anesthetists to perform their roles to the full scope of their practice. The Institute of Medicine (IOM) report recommends Advanced Practice Registered Nurses perform their roles to the full extent of their education and training. This will lead to high quality health care provision, cost effective health care and high patient outcomes which is important in the implementation of the Affordable Care Act (Robins, Rosenbaum, & Foster, 2015).
Discussions underway relative to the scope and role of all Certified Registered Nurse Anesthetists is recognition of all Certified Registered Nurse Anesthetists as independent health care providers. Resources available to assist nurses in advocating for these roles include professional nursing organizations and associations, which participate in maintaining a healthy profession and advocates for the needs of its members who are the nurses (Robins, Rosenbaum, & Foster, 2015). Certified Registered Nurse Anesthetists can use the American Association of Nurse Anesthetists (AANA) professional association.

References
Barker, A. M., & DeNisco, S. M. (2016). Advanced practice nursing: Essential Knowledge for the Profession (3rd Ed.). Boston: Jones & Bartlett. 
Robins, H.-M., Rosenbaum, S. H., & Foster, J. (2015). Certified registered nurse anesthesia: Critical care nursing in the operating room. Philadelphia, Pennsylvania: Elsevier.