A new graduate asks the nurse manager, "What's the meaning of this alphabet soup that's added after this nurse's name: Jane Bigham, RN, CRNA?" The best explanation for the nurse manager to give would be: "It means the nurse is licensed to
practice in this state and a. has met predetermined standards for certi-fication set by a credentialing group for nurse anesthetists.".
b. is also a certified rehabilitation nursing assistant.".
c. has been licensed by the central registry for nursing assessment specialists.".
d. is joking about the nurse's age. The initials stand for Certified Real Nurse Antique.".
A
The initials CRNA mean that the nurse is a registered nurse with a certification as a nurse anes-thetist. The movement toward certification in nursing practice areas has grown significantly over the past 40 years. Because a nursing license is recognized as indicating minimum competency, a certification credential indicates preparation beyond the minimum level. An RN would not be certified as a rehabilitation nursing assistant but as a rehabilitation registered nurse (CRRN). Re-gistries for nursing do not provide credentials; only the state board of nursing and a certification board confer credentials to registered nurses.
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