How did CRNAs perceive themselves in the ASA-AANA context?

• A. Physician assistants with no independent responsibility
• B. Nurse specialists holding independent professional responsibility
• C. Dependent extenders
• D. Students in training

Answer: (B)

CRNAs see themselves as nurse specialists holding independent professional responsibility for anesthesia care. This means they view anesthesia as a nursing specialty that requires autonomous clinical judgment, planning, dosing, monitoring, and management of intraoperative events. Their training and certification empower them to practice with a level of independence in many settings, though they may work with physicians in collaborative teams where required by law or policy. This self-perception emphasizes autonomy and accountability for patient outcomes, not dependence on physicians or a training status.