2. Pascal Rod, Executive Director IFNA The Hague, Netherlands, June 2010

3. Benin Gabon Ghana Ivory Coast Democratic Rep. of Congo Morocco Nigeria Uganda Tunisia

4. Cambodia Taiwan Republic of China South Korea Indonesia

5. Austria Croatia Denmark Finland France Germany Hungary Italy Netherlands Iceland Poland Slovenia Spain Sweden Switzerland United Kingdom Norway Luxembourg Belgium

6. Jamaica U.S.A

7. Membership Conditions To be the most representative association, organization or branch of nurse anesthetist in the country. Nurse anesthetist: generic word for nurses specialised or « involved » in anesthesia services with formal program of education or in process to developp one One association per country, One voice in IFNA Non nurse anesthesia providers associations can apply for associate membership

8. Countries not represented Many countries had a recruitment for nurses at the age of 16, without achieving secondary education. Nurse Anesthesia practice requires higher education, beyond secondary education. Health technicians: higher education Lack of national organizations Lack of « official » recognition of nurses practicing in anesthesia

9. IFNA organization Council of National Representatives CNR 1 per country member Meeting once every 2 years Executive Committee 6 Elected delegates + 4 Officers Meeting once every other year Officers Elected for 2 years Meeting Twice every year Executive Director Congress Planning Committee CPC +Officers and Executive Director Meeting twice a year Education Committee 5 members appointed by President Meeting once a year Practice Committee Appointed by President Meetig once a year

10. Congress Planning Committee CPC Standing Committee of the IFNA in charge of organizing the World Congress Composition: – Chairperson of the immediate past Congress Chair of the CPC – Chairperson of the current Congress – Chairperson of the next Congress – Officers – Executive Director Meeting twice a year

11. Education Committee First IFNA Committee Composition: – Nurse anesthesia Program Directors or Teachers Dr. Betty Horton, USA, Chairperson Ms. Jennifer Hui-Ju Yang, Taiwan Dr. Karin Bjorkman-Bjorkelund, Sweden Mrs. Susanna Anang, Ghana Mrs. Marianne Riesen, Switzerland Activities: – Developping and reviewing Standards of Education, Program guidelines, Master’s guidelines – Developpment of Accreditation program and reviewing of application forms – Poster Judgement at Congress

12. Practice Committee New committee: – Mrs. Sandra Ouellette chairperson Reviewing the Standards of practice, Monitoring Guidelines Address Continuing education issues Collect data about practice worldwide

13. Membership fees 3 categories for membership based on World Bank classification of GPNI Lower: 0,75 CHF ( 0,52 Euros) / active member of the country member association Middle: 1,25 CHF (0,87 Euros)/active member of the country member association Highest: 3 CHF (2 Euros)/active member of the country member association

14. Members categories Upper Middle Income Countries:1,25 SFr (0,87 Euros) per active member of organization Croatia, Gabon, Jamaica, Poland, Serbia Low and Lower Middle Income countries:0,75 SFr (0,52 Euros) per active member of organization Benin, Cambodia, Congo Democratic Republic, Ghana, Côte d’Ivoire, Indonesia, Morocco, Nigeria, Tunisia, Uganda

15. Members categories High Income Countries: 3,00 SFr ( 2 Euros) per active member of organization Austria, Belgium, Denmark, Finland, France, Germany, Hungary, Iceland, Italy, Luxembourg, Netherlands, Norway, Slovenia, Korea Rep, Spain, Sweden, Switzerland, Taiwan, United Kingdom and the United States of America

16. Education Countries with 18 up to 24 months ( or more) of education: – Benin, Cambodia, Rep. Dem. of Congo, Denmark, France,, Gabon, Ghana, Hungary, Iceland, Indonesia, Ivory Coast, Jamaica, Luxemburg, Morocco, Netherlands, Nigeria, Norway, Poland, Sweden, Switzerland, USA Countries with less than 18 months – Belgium, Finland, Taiwan, UK Countries with combined training: – Austria, Germany Countries with on site training: – Croatia, Italy, Serbia, Slovenia, Spain Countries without formal nursing background: – Tunisia, partly Netherlands

17. Level of Education Master’s: – USA – France in progress – Spain in progress Post-bachelor: – Iceland – Norway ( in progress for Master’s) – Sweden – Taiwan in progress

18. National Data from country members Number of Nurse Anesthetists Number of members in association Number of Anesthesiologists Number of Anesthesia cases

19. Salaries per year ( Euros)

20. Salaries per month ( Euros)

21. Ratio Nurse Anesthetist / 100 000 Hbts

22. ratio of anesthesia cases not realized by anesthesiologists

23. IFNA Documentation International Standards of Education for nurse anesthetists International Standards of practice for nurse anesthetists International Code of Ethics for nurse anesthetists Monitoring guidelines Guidelines for starting a nurse anesthesia program of education Guidelines for a Master’s program Accreditation for Nurse Anesthesia programs Recommendations for creating a national organization

24. New Challenges Work on the recognition of Nurse Anesthesia as Advanced Practice of nursing Work on improvment of Nurse Anesthesia education at Master’s level Implement the Accreditation program in order to facilitate the comparaison of nurse anesthesia programs and the recognition of equivalences Improve the continuing education opportunities for our colleagues from less developped countries Develop some research on nurse anesthesia internationally

25. 1988 2010 We haven’t changed…

26. Thank you Merci Danke Kiitos Gracias Dank je wel