ANES 500: Principles of Anesthesiology Credits: 1 Course Director: Giovanna Mahar, CRNA, DNAP

Transcription

1 ANES 500: Principles of Anesthesiology Credits: 1 Course Director: Giovanna Mahar, CRNA, DNAP This course is designed to provide the student a foundation in the physiologic, pharmacologic, psychologic and technologic concepts of advanced nurse anesthesiology practice; methods of accurate and concise documentation of events during the perioperative period; procurement and analysis of health assessment and patient risk data; and the synthesis of these data in developing a plan of management based on the needs and predispositions of patients and their families, cultural and environmental factors, and evolving clinical practice. Topics are meant to provide students the opportunity to build upon previous knowledge acquired in their practice as critical care nurses, and a broad orientation to the study and practice of nurses in an advanced role. The course is designed to serve as the foundation for the ANES clinical course sequence. 1. Demonstrate an understanding of the physiologic, pharmacologic, psychologic and technologic concepts of advanced anesthesia practice across the lifespan. 2. Accurately document events during the perioperative period. 3. Procure and analyze health assessment and risk data of patients across the lifespan. 4. Synthesize and apply data to develop an evidence-based plan of care that includes the following: needs and predispositions of patients and their families; cultural and environmental factors; ethical considerations; evolving scientific foundations of practice. This course is assessed using one exam. Additionally, there are several hands-on sessions to assist students with basic nurse anesthesiology skills. ANES 505: Anatomy for Advanced Clinical Practice Credits: 3 Course Director: Sebastian Cotofana, MD, PhD & Giovanna Mahar, CRNA, DNAP This course presents and examines the anatomic concepts and conditions essential for critical thinking and decision making by the nurse in an advanced practice role. The course will follow a regional approach to anatomy utilizing prosected cadavers to reinforce topics covered in lecture. Special emphasis will be placed on clinical correlations and functional anatomy to provide the foundation upon which patient interventions may be based during the perioperative period. 1. Explain neuroanatomy as it pertains to the human body and anesthetic practice. 2. Describe the anatomy of the neck, face, nasal cavity, pharynx, and larynx. 3. Demonstrate oral intubation during a cadaver simulation. 4. Verbalize an understanding of how the heart and lung anatomy influences decisions regarding an anesthetic plan of care. 5. Identify the brachial plexus, nerves, muscles, and arteries of the upper extremity. 6. Describe upper extremity anesthetic nerve blocks in relation to anatomic structures. 7. Identify the muscles, nerves, and arteries of the lower extremity. 8. Describe lower extremity anesthetic nerve block in relation to anatomic structures.

2 This course is assessed by written and practicum examinations. Additionally, there are hands-on cadaver lab sessions identifying structures, including an intubation lab. ANES 507A: Pharmacology for Advanced Clinical Practice Credits: 3 Course Director: Jeffery Carlson, PhD & Giovanna Mahar, CRNA, DNAP This course focuses on the pharmacodynamics of drug absorption, distribution, biotransformation and elimination relative to clinical pharmacology are presented. Common dosages and administration routes are explored. These concepts enable the student to understand the variability of drug actions across patient populations and disease states, therapeutic actions and toxicities, as well as patient-specific indications and contraindications. This is part A of a two-part course. 1. Verbalize a basic overview of pharmacology principles as they relate to the human body. 2. Describe the importance and function of dose responses and receptors in pharmacology. 3. Apply the knowledge of pharmacokinetics and pharmacodynamics to the advanced practice of nurse anesthesiology. 4. Understand the principles of drug interactions in the advanced practice of nurse anesthesiology. 5. Apply knowledge related to the function of the autonomic nervous system and the drugs that affect the autonomic nervous system. 6. Describe the physiology of the alteration of brain pathways with addiction and how it applies to psychopharmacology, drug addiction, alcohol abuse, and opioid abuse. 7. Apply cardiac pharmacology to the advanced practice of nurse anesthesiology. 8. Display an understanding of pharmacologic principles that enable anesthetists to use drugs safely and efficaciously. This course is assessed by written examinations. Additionally, there are online modules to assist the students with various pharmacology topics. ANES 517: Biochemistry for Advanced Clinical Practice Course Director: Dana Crawford, PhD & Giovanna Mahar, CRNA, DNAP This course presents the chemistry and metabolism of biological compounds, including proteins, carbohydrates, lipids, nucleic acids, electron transport and oxidative phosphorylation, enzymes and enzyme kinetics are presented. Biosynthetic pathways, regulation by hormones and other modulators and interrelated pathways are also presented. This course will enable the advanced practice nursing student to understand the cellular mechanisms that form the foundation of physiologic and pathophysiologic processes, and analyze abnormal findings required to develop a plan of patient management. 1. Explain basic biochemical principles as they relate to the human body. 2. Describe the properties of amino acids, knowledge of their acidic and basic properties to diagnose biological imbalances, and how they form proteins that perform specific biologic functions.

3 3. Describe membrane structure and membrane function and how it affects biologic functions of proteins. 4. Apply the knowledge of pathways to describe metabolism within cells, tissues, and the body. 5. Explain the metabolic pathways of fatty acid synthesis & degradation and their relationship to carbohydrate metabolism. 6. Describe the basic concepts of oxidative stress, antioxidants, eicosanoids, and nucleotides and their roles in health and disease. 7. Indicate hemoglobin s structure and function in oxygen transport. 8. Explain the importance of acid base in human physiology as well as associated disturbances. This course is assessed with homework assignments and written examinations. ANES 512A: Physiology & Pathophysiology for Advanced Clinical Practice Credits: 4 Course Director: Natalia Lowry, MD, PhD & Giovanna Mahar, CRNA, DNAP This course presents the principles of cell physiology and transport mechanisms. Neurophysiology including electrophysiology and the autonomic nervous system are also presented. Neuromuscular physiology is described in detail. The cardiovascular system is extensively reviewed. Teaching regarding red blood cells, anemia, polycythemia, and blood disorders as well as the body s resistance to infection and infectious diseases occurs. This is part A of a two-part course. 1. Develop the skills needed to identify and analyze abnormal patient findings. 2. Develop a plan of patient management required of the advanced practice nurse. This course is assessed with written examinations and homework assignments. Additionally, various simulation experiences and round table discussions are utilized. ANES 502L: Clinical Practicum Credits: 1 Course Director: Catherine Thomas, CRNA, MS Experience in the application of all anesthetic techniques as utilized during clinical anesthesia is gained through individually supervised instruction and practice. Clinical experiences are structured to provide students the opportunity to apply theory to practice according to identified outcome criteria, in collaboration with appropriate health care individuals. Students develop an anesthetic plan for the perioperative patient, from the basic to the complex, based on patient health and risk assessment interviews. Experience with advanced interviewing, history taking and diagnostic reasoning are gained in the pre-anesthesia health assessment clinic under the supervision of nurse practitioners and anesthesiologist preceptors. Practicum courses are viewed as a continuum whereby students master specific competencies in practice according to their level in the program. Practice settings include the operating room, emergency department, intensive care unit, simulation laboratory and diagnostic suites. The learner will be expected, with close supervision/instruction, to:

4 1. Develop a written and/or verbal anesthetic plan with rationales. (i.e. identifies potential problems, has a back-up plan, calculates fluids, medications, equipment, incorporates patient comorbidities into the anesthetic). 2. Preoperative: participates in pre-anesthetic interview and assessment (H&P) identifying any concerns r/t the patient and surgery. 3. Preparation: performs full machine check, setup all needed and backup equipment, and prepares medications properly. 4. Perform intravascular (IV, central, and/or arterial) line placement. 5. Induction: chooses appropriate technique and dosing, performs tasks in a safe manner, recognizes and adapts to change, prioritizes tasks. 6. Airway Management: mask ventilation, intubation technique, recognition and intervention of obstructed airway, recognizes the need for advanced techniques. 7. Intraoperative management: remains vigilant, identifies issues and discusses appropriate treatment, prioritizes tasks, properly records data on the record. 8. Emergence: develops a case-appropriate plan and implements with assistance. 9. Postoperative: anticipates case/patient needs, completes handoff, recognizes concerns and has a plan for intervention. 10. Knowledge Base: has a level appropriate knowledge of pharmacology, physiology, pertinent aspects of the case and anesthetic. 11. Interpersonal relationships: reliability, professionalism and effective communication with all team members in the perioperative period. Accepts constructive criticism. 12. Judgement and reasoning: response to stressful situations, ability to prioritize tasks, anticipates changes, able to multitask and focus on the overall anesthetic. This course is assessed utilizing daily clinical evaluations and care plan assignments. Additionally, various homework assignments and group discussions are utilized to solidify clinical learning. ANES 507B: Pharmacology for Advanced Clinical Practice Course Director: Jeffery Carlson, PhD & Giovanna Mahar, CRNA, DNAP This is part B of a two-part course. The pharmacodynamics of drug absorption, distribution, biotransformation and elimination relative to clinical pharmacology are presented. Common dosages and administration routes are explored. These concepts will enable the advanced practice nursing student to understand the variability of drug actions across patient populations and disease states, therapeutic actions and toxicities, as well as patient-specific indications and contraindications. 1. Understand the concepts of pharmacology as they apply to best practice models. 2. Display an understanding of pharmacologic principles that enable anesthetists to use specific drugs safely and efficaciously for all patient populations and interventions. 3. Develop a patient-specific plan of care for each patient undergoing surgery. 4. Apply the specific learning objectives identified in each power point lecture. This course is assessed with written examinations, round table discussions and other learning experiences assigned for clarity of information.

5 ANES 512B: Physiology & Pathophysiology for Advanced Clinical Practice Credits: 3 Course Director: Natalia Lowry, MD, PhD & Giovanna Mahar, CRNA, DNAP This is part B of a two-part course. The physiology and biomechanics of the respiratory system will be discussed, as well as the renal and gastrointestinal system (specifically water and electrolyte metabolism). This course will enable the student to understand physiologic and pathophysiologic mechanisms and disease processes in human systems. Students will develop the skills to identify and analyze abnormal patient findings, and develop a plan of patient management required of the nurse in advanced practice. 1. Understand the pathophysiology regarding abnormal respiratory, renal, and gastro-intestinal patient findings. 2. Students will develop an anesthetic plan of patient management based on a patient s respiratory, renal, and gastro-intestinal status. This course is assessed with quizzes and written examinations. Additionally, various simulation experiences and round table discussions are utilized. ANES 513A: Health Assessment for Advanced Clinical Practice Course Director: Meghan McCready, CRNA, MS & Giovanna Mahar, CRNA, DNAP This course focuses on health assessment for advanced nursing practice across the lifespan. Pre, intra, and post-operative assessments and interventions will be reviewed and incorporated into an anesthetic plan of care. Cardiac, respiratory, and airway assessment are the focal point for this assessment series. This is part A of a two-part series in health assessment. 1. Identify cardiac, respiratory, and neurological health assessment techniques for patients across the life-span. 2. Explain the implications of cardiac, respiratory, and neurological health assessment findings on perioperative anesthetic management for patients across the life-span. 3. Demonstrate the ability to perform a cardiac, respiratory, and neurological health assessment on standardized patients in the patient safety and clinical competency center. This course is assessed with written examinations. Additionally, online modules and simulation experiences are utilized to reinforce classroom material. ANES 515: Research Techniques and Nurse Anesthesia Practice Course Director: Kristie Wade, CRNA, DNAP This course is designed to provide the graduate student with the fundamental skills needed to translate anesthesia-related problems into researchable clinical questions and to design a methodologically sound study to address those questions. Graduate students are provided the opportunity to develop the skills

6 required to critically analyze scientific literature, address reliability and validity issues, and to appropriately apply best-practice evidence in a health care setting as an advanced-practice nurse. Topics include the use of various forms of research design, techniques of data collection, quantification and treatment of variables, methods of data analysis, and the use of computers in research. Additionally, the graduate student will examine ethical issues of research, academic integrity, scientific misconduct, scientific integrity, patient rights and researcher responsibilities. 1. Understand, compare, and contrast research designs. 2. Review fundamental biostatistical methodology. 3. Analyze and critique anesthesia research literature and discuss appropriateness to practice. 4. Develop fundamental concepts of ethical and academic integrity related to scientific research. 5. Develop the necessary knowledge and skills to understand scientific research and develop a research problem. 6. Become proficient in AMA format and style. 7. Improve scientific writing skills. This course is assessed utilizing homework assignments, group projects and online modules. ANES 518: Principles of Advanced Nurse Anesthesiology Practice Course Director: Giovanna Mahar, CRNA, DNAP This course focuses on the physics and mechanics involved in the utilization of contemporary anesthesia gas systems. Lectures regarding the clinical application of the gas laws in relation to commonly used inhalation techniques are provided. The perioperative management of fluid and electrolyte replacement is discussed. The specific anesthetic management of the pediatric and geriatric patient populations is presented, as well as an introduction to neuraxial anesthesia. The patient with cardiovascular and respiratory disease is discussed. The perioperative management of patients undergoing cardiovascular surgery and thoracic surgery is explained. Mechanical ventilation in the adult population is reviewed and applied to the many different modes of ventilation available during anesthetic management. 1. Understand the physics and mechanics of contemporary anesthesia machines. 2. Apply the gas laws to commonly used inhalation agents. 3. Identify anesthetic management techniques across the life span. 4. Appreciate the various anesthetic techniques used to manage different surgical procedures. 5. Understand the varied modes of ventilation and their appropriate use during the peri-operative period and within the ICU setting. This course is assessed utilizing written examinations, homework assignments, and round table discussions.

7 ANES 519A: Clinical Correlation Conference Credits: 1 Course Director: Meghan McCready, CRNA, MS This course addresses selected clinical topics in nurse anesthesiology. Students correlate current research and textbook information to an assigned clinical scenario. Students facilitate a 40-minute class discussion using a variety of teaching/learning techniques (lecture, small group activities, hands-on experience, clickers in the classroom, web-based demonstrations, role playing, games, case studies, etc.). It is the student s decision as to which type of teaching/learning technique they would like to utilize. Students are expected to discuss the clinical correlation scenario incorporating all applicable anatomy, physiology, pathophysiology, and pharmacology as it applies to the advanced practice nursing student. This is part A of a three-part course. 1. Investigate and correlate the research literature to the assigned scenario as a method to promote evidence-based practice for the advanced practice nurse. 2. Develop and demonstrate leadership ability through interaction with peers and colleagues. 3. Develop and demonstrate public speaking ability during presentation of the clinical correlation scenario. This course is assessed utilizing various learning techniques including lecture, small group activities, hands-on experience, clickers in the classroom, web-based demonstrations, role playing, games, case studies, and other creative activities. ANES 501A: Research Project Credits: 0 Course Director: Kristie Wade, CRNA, DNAP This course will provide the graduate student the opportunity to complete a scholarly paper that investigates a clinically related anesthesia topic or issue of concern relevant to the specialty of nurse anesthesia practice. A faculty mentor will provide guidance throughout the research project process by means of ongoing evaluation and critique of the paper/presentation. Graduate students interested in pursuing paper publication beyond the scope of this class are strongly encouraged to do so. This is part A of a two-part course. 1. Effectively and efficiently utilize all available databases for locating research literature. 2. Critically appraise the evidenced based literature. 3. Master the levels of evidence when analyzing the research literature. 4. Appropriately apply anesthesia research literature to advanced clinical practice. 5. Develop ethical and academic integrity related to the review and application of research literature. 6. Develop the necessary knowledge and skills in order to understand scientific research and produce a research project. 7. Become proficient in AMA format and style. 8. Improve writing ability through completion of the research project. 9. Promote the ideology of life-long-learning.

8 This course is assessed during multiple student-mentor meetings and paper submissions that culminate in the completion of a scholarly research paper. ANES 501B: Research Project Course Director: Kristie Wade, CRNA, DNAP This is part B of a two-part research course. This course will provide the graduate student the opportunity to complete a professional presentation of their scholarly research paper. A faculty or expert reader will be assigned to review the approved written paper for thoroughness, quality of writing and style, and accuracy to specialty content. Following completion of the final written paper the graduate student will continue to the presentation phase of the research project. Presentation examples include, but are not limited to the following: lecturing at a professional meeting or anesthesia grand rounds; submission to a scholarly journal for peer review; or community education project. 1. Appropriately apply anesthesia research literature to advanced clinical practice. 2. Develop ethical and academic integrity related to the review and application of research literature. 3. Develop the necessary knowledge and skills in order to understand scientific research and produce a research project. 4. Improve their writing ability through completion of the research project. 5. Develop a leadership ability through interactions with peers and colleagues. 6. Development of public speaking ability during a presentation. 7. Promote the ideology of life-long-learning. This course is assessed during multiple student-mentor meetings, poster and presentation submissions. This course culminates in the completion of a scholarly research poster and professional presentation. ANES 503L: Clinical Practicum Credits: 3 Course Director: Catherine Thomas, CRNA, MS Experience in the application of all anesthetic techniques as utilized during clinical anesthesia is gained through individually supervised instruction and practice. Clinical experiences are structured to provide students the opportunity to apply theory to practice according to identified outcome criteria, in collaboration with appropriate health care individuals. Students develop plans of care for the perioperative patient, from the basic to the complex, based on their assessment and patient interviews. Practicum courses are viewed as a continuum whereby students master specific competencies in practice according to their level in the program. Practice settings include the operating room, emergency department, intensive care unit, simulation laboratory and diagnostic suites. The course objectives encompass all aspects of anesthesia nursing care from preoperative assessment to implementing the nursing plan of care to postoperative follow-up care. The learner will be expected, with moderate supervision/instruction, to:

9 1. Develop a detailed written and/or verbal anesthetic care plan with rationales. (i.e. identifies potential problems, has a back-up plan, calculates fluids, medications, equipment, incorporates patient comorbidities into the anesthetic). 2. Prepares anesthesia machine, work area, equipment, and medications safely and timely. 3. Preoperative: performs a pre-anesthetic interview and assessment (H&P) identifying any concerns and discusses the plan with patient and anesthesia team. 4. Perform intravascular (IV, central and/or arterial) line placement. 5. Induction: chooses appropriate technique and dosing, performs tasks in a safe manner, recognizes and adapts to change, prioritizes tasks. 6. Airway Management: mask ventilation, intubation technique, recognition, and intervention of obstructed airway, recognized the need for/utilization of advanced techniques. 7. Intraoperative Management: remains vigilant, identifies issues, and promptly institutes appropriate treatment, prioritizes tasks. 8. Emergence: develops an appropriate plan and implements with assistance. 9. Postoperative: completes handoff, recognizes concerns, and intervenes with assistance. 10. Knowledge Base: has knowledge of pharmacology, physiology, and pertinent aspects of the case anesthetic. 11. Interpersonal Relationships: demonstrated reliability, professionalism, cultural sensibility and effective communication with all team member, patients and families. Accepts constructive criticism. 12. Overall judgment and reasoning: response to stressful situations, ability to prioritize tasks, manage drugs safely and responsibly, ability to multitask, and focus. 13. Performs postoperative assessment on all patients. Reflective learning is integrated into the clinical experience throughout the anesthetic process. This course is assessed with daily clinical evaluations and care plan assignments. Additionally, interactive classroom discussions are utilized to solidify clinical learning. ANES 516A: Research Colloquium Course Director: Kristie Wade, CRNA, DNAP This course addresses selected topics in anesthesiology using current and historical research. Students critically evaluate weekly journal articles relevant to advanced practice in anesthesia. Each student submits a two to three-page literature critique critically analyzing the research methodology of their assigned article. Additionally, students moderate a weekly on-line discussion forum pertaining to their assigned article. Each student develops and submits one relevant forum question with their comoderators for their assigned week. Students also review and prepare for forum discussions of all peer discussions and be an active participant in critically analyzing the literature during each additional week. This is part A of a two-part course. At the completion of the course, the learner will: 1. Effectively and efficiently utilize technology and databases for locating research literature. 2. Become proficient in the utilization of evidenced based literature. 3. Master reviewing, critiquing, and analyzing the research literature. 4. Appropriately apply anesthesia research literature to advanced nursing clinical practice. 5. Develop ethical and academic integrity related to the review and application of research literature. 6. Develop the necessary knowledge and skills in order to produce research critiques and understand scientific research.

10 7. Become proficient in AMA format and style. 8. Improve writing ability through completion of research critiques. 9. Develop leadership ability through interaction with peers and colleagues. 10. Ongoing reading and critiquing of the AANA Journal, AANA News bulletin, and the International Student Journal of Nurse Anesthesia will provide graduate students with increased knowledge and insight into the role and responsibilities of the advanced practice nurse in anesthesia. 11. Promote the ideology of life-long learning. This course is assessed with a two to three-page literature critique critically analyzing the research methodology of the assigned article. Additionally, students moderate a weekly on-line discussion forum pertaining to the assigned article. Students develop and submit one relevant forum question with their co-moderators for their assigned week. Students also review and prepare for forum discussions of all peer discussions and actively participant in critically analyzing the literature during each additional week. ANES 600: Advanced Principles of Anesthetic Management for Subspecialties Credits: 3 Course Director: Giovanna Mahar, CRNA, DNAP This course focuses on the anatomy, physiology and pathophysiology of the obstetric, neonatal, and pediatric patient populations. The ENT patient and chronic pain patient are also presented. The anesthetic management of these various patient populations is discussed, including the use of regional anesthesia and enhanced recovery after surgery techniques. 1. Develop an in-depth plan of care for the parturient undergoing vaginal delivery or cesarean section incorporating physiology and anesthetic implications. 2. Identify high-risk parturients based on pathophysiology and develop a plan for the management of these patients. 3. Discuss the care of the patient undergoing surgery on the head and/or neck incorporating anatomy, physiology and pathophysiology. 4. Apply the ASA difficult airway algorithm techniques to a variety of cases across the lifespan, including ENT surgery and trauma. 5. Develop a plan of care for the neonatal and pediatric patients undergoing anesthesia for both inpatient and outpatient procedures. 6. Describe the anatomy and physiology of nocioception. 7. Utilize regional anesthetic techniques across the lifespan. 8. Explain different congenital cardiac anomalies and develop a plan of care for patients with those anomalies. 9. Apply anatomy and pharmacology to the performance of an ultrasound guided peripheral nerve block. 10. Develop a plan of care for the chronic pain patient. 11. Incorporate multimodal anesthesia into anesthetic practice. This course is assessed utilizing written examinations, homework assignments, and round table discussions. Additionally, simulation is incorporated to solidify classroom concepts.

11 ANES 516B: Research Colloquium Course Director: Kristie Wade, CRNA, DNAP This is part B of a two-part research course. This course addresses selected topics in anesthesiology using current and historical research. Students critically evaluate journal articles relevant to the advanced practice nurse. Students participate in weekly on-line discussion forums pertaining to current and relevant journal topics and act as forum moderators. Students also review and prepare for forum discussions and actively participant in critically analyzing the literature. Each student is responsible for writing a seven to ten-page case report; and develop a min presentation based on the pathophysiology, anesthetic implications, and peri-operative management of the case under study. 1. Effectively and efficiently utilize technology and databases for locating research literature. 2. Master reviewing, critiquing, and analyzing the research literature. 3. Appropriately apply anesthesia research literature to advanced nursing practice. 4. Develop ethical and academic integrity related to the review and application of research literature. 5. Develop the necessary knowledge and skills in order to write a case study and understand both the value and limitations of the evidence. 6. Become proficient in AMA format and style. 7. Develop leadership ability through interactions with peers and colleagues. 8. Ongoing reading and critiquing of the AANA Journal, AANA News bulletin, and the International Student Journal of Nurse Anesthesia will provide graduate students with increased knowledge and insight into the role and responsibilities of the advanced practice nurse in anesthesia. 9. Promote the ideology of life-long learning. This course is assessed utilizing online forum participation and article critiques. The course culminates in the submission of a team based project including a seven to ten-page review and summary of the evidence; development of a presentation based on the pathophysiology, anesthetic implications, and peri-operative management of the problem under study, and will defend their position in an audience response game. ANES 504L: Clinical Practicum Course Director: Prof. Catherine Thomas Experience in the application of all anesthetic techniques as utilized during clinical anesthesia is gained through individually supervised instruction and practice. Clinical experiences are structured to provide students the opportunity to apply theory to practice according to identified outcome criteria. Students develop plans of care for the perioperative patient, from the basic to the complex, based on their assessment and patient interviews. Practicum courses are viewed as a continuum whereby students master specific competencies in practice according to their level in the program. Practice settings include the operating room, emergency department, intensive care unit, obstetric unit, simulation laboratory and diagnostic suites. The course objectives encompass all aspects of anesthesia nursing care from preoperative assessment to implementing the nursing plan of care to postoperative follow-up care.

12 Specifically, the learner will be expected, with moderate supervision/instruction, or minimal direction, to: 1. Develop a detailed written and/or verbal anesthetic care plan with rationales (i.e., identifies potential problems, has a back-up plan, calculates fluids, medications, equipment, incorporates patient comorbidities into the anesthetic) and prepares room accordingly. 2. Preoperative: completes pre-anesthetic interview and assessment (H&P) identifying any concerns and properly informs the patient of the anesthetic plan. 3. Regional anesthesia: demonstrates knowledge of anatomy, technique and medications and performs with assistance. Monitors appropriately. 4. Perform intravascular (IV, central and/or arterial) line placement. 5. Induction: chooses appropriate technique and dosing, performs tasks in a safe manner, recognizes and adapts to change, prioritizes tasks. 6. Airway management: mask ventilation, intubation technique, recognition and intervention of obstructed airway, recognizes the need for and employs advanced techniques. 7. Intraoperative management: remains vigilant, identifies issues and promptly institutes appropriate treatment, prioritizes tasks. 8. Emergence: develops a case-appropriate plan and effectively implements with direction. 9. Postoperative: anticipates case/patient needs, completes handoff, recognizes concerns and intervenes. 10. Knowledge base: has an in-depth knowledge of pharmacology, physiology, pertinent aspects of the case and anesthetic. 11. Interpersonal relationships: demonstrated reliability, cultural competency, professionalism and effective communication with all team members, patients and family members in the perioperative period. Accepts constructive criticism. 12. Judgment and reasoning: response to stressful situations, ability to prioritize tasks, anticipates changes, able to multitask and focus on the overall anesthetic. Manages drugs safely and responsibly. 13. Completes postoperative assessment on assigned patients. Reflective learning is integrated into the clinical experience throughout the anesthetic process. This course is assessed with daily clinical evaluations and interactive classroom discussions. ANES 513B: Health Assessment for Advanced Clinical Practice Course Director: Meghan McCready, CRNA, MS This is part B of a two-part course. This course focuses on health assessment for the advanced practice nurse. Perioperative health assessments will be reviewed and incorporated into an anesthetic plan of care. Head and neck, abdominal, musculoskeletal, and the peripheral vascular systems are the focal point for this assessment series. Specific health assessment findings and their implications on anesthetic management across the life-span are explored. 1. Identify health assessment techniques for head and neck, gastrointestinal, musculoskeletal, and vascular system for patients across the life-span. 2. Explain the implications of head and neck, gastrointestinal, musculoskeletal, and vascular system health assessment findings on perioperative anesthetic management for patients across the lifespan.

13 3. Demonstrate the ability to perform a head and neck, gastrointestinal, musculoskeletal, and vascular system assessment on a standardized patient in the patient safety and clinical competency center. This course is assessed with written examinations. Additionally, online modules and simulation experiences are utilized to reinforce classroom material. ANES 519B: Clinical Correlation Conference Credits: 1 Course Director: Prof. Catherine Thomas This course discusses case presentations in advanced principals in nurse anesthesiology practice. Students correlate current research and textbook information to an assigned clinical scenario(s). Students are expected to discuss the clinical correlation scenario incorporating pharmacology, physiology, pathophysiology, and anatomy as it applies to the practice of nurse anesthesiology. 1. Investigate and correlate the research literature to the assigned scenario as a method to promote evidence-based practice for nurse anesthesiology practitioners. 2. Develop and demonstrate leadership ability through interaction with peers and colleagues. This course is assessed in small and large group projects within the classroom. ANES 510: Professional Aspects of Nurse Anesthesia Course Director: Catherine Thomas, CRNA, MS This course focuses on the global aspects of nurse anesthesia practice and the forces impacting contemporary health care. Topics include socialization, political-legal, economic, leadership, educational, ethical and philosophical forces currently appropriate. Faculty facilitate research and literature-based discussion of such diverse issues as: employment contracts, reimbursement, costeffectiveness and quality, developing and evaluating standards of practice, advocacy for the profession and for patients, strategies to understand public policy development, implementation to protect the scope of advanced nursing practice, and wellness and addiction in the anesthesia profession. 1. Examine factors that affect them as advanced practice nurses, outside of their direct clinical responsibilities. 2. Develop leadership abilities through interaction with peers and colleagues. This class is assessed through lectures, online forum discussions, and a paper.

14 ANES 519C: Clinical Correlation Conference Credits: 1 Course Director: Amy Harbeck, CRNA, MS This course addresses advanced clinical topics in nurse anesthesiology. Students correlate current research and textbook information to an assigned clinical scenario. Students facilitate class using a variety of teaching and learning techniques. Students will be expected to discuss the clinical correlation scenario incorporating pharmacology, physiology, pathophysiology, anesthetic implications and anatomy as it applies to the practice of nurse anesthesiology. 1. Investigate and correlate the research literature to the assigned scenario as a method to promote evidence-based practice for nurse anesthesiology practitioners. 2. Develop and demonstrate leadership ability through interaction with peers and colleagues. 3. Develop and demonstration of public speaking ability during presentation of the clinical correlation scenario. 4. Integrate and critically evaluate advanced principles of anesthesia delivery concepts. This course is assessed utilizing the students assigned presentation as well as their participation in class discussions. ANES 604: Advanced Practical Seminar and Current Topics in Nurse Anesthesiology Course Director: Giovanna Mahar, CRNA, DNAP This course focuses on the anatomy, physiology, pathophysiology and anesthetic management of patients with diseases of the central nervous system, endocrine system, hematologic abnormalities, hepato- renal system as well as acute trauma and burns. The anesthetic management of the procedures that ensue because of altered physiology of these systems is discussed along with the appropriate interpretation of advanced diagnostic data. 1. Explain the physiological and anesthetic implications for a patient undergoing a procedure using evoked potentials. 2. Discuss the perioperative care of a patient undergoing a neurosurgical procedure and incorporate anatomy and pathophysiology into the care of the neurosurgical patient. 3. Discuss the physiology of coagulation, hematologic system and transfusion therapy. 4. Identify several disorders of the hematologic system, their treatment and anesthetic implications. 5. Describe the pathophysiology of the trauma and burn patient incorporating the various anesthetic and surgical implications. 6. Describe the anatomy, physiology, and pathophysiology of the patient with hepatic, renal, pancreatic disease and/or endocrine disorders and their pharmacologic effects. 7. Describe the anesthetic management of the patient undergoing surgery on the liver, renal, pancreatic or endocrine systems. 8. Identify the anesthetic implications for patients taking herbal medications. 9. Describe the anatomy, physiology, pharmacology, and pathophysiology of the patient with central nervous system disorders and identify the anesthetic implications for these patients. 10. Apply the pathophysiology of obesity to a plan of care for bariatric surgery and patients.

15 11. Identify anesthetic implications of the robotic surgery. 12. Interpret chest x-ray data and the data attained from 12-lead electrocardiograms. 13. Describe the anatomy, physiology, pharmacology and pathophysiology of the patient with an immune system disorder and identify the anesthetic implications for these patients, including the anaphylactic reaction. This course is assessed utilizing written examinations, homework assignments, and round table discussions. Additionally, simulation is incorporated to solidify classroom concepts. ANES 604L: Clinical Practicum Course Director: Catherine Thomas, CRNA, MS Experience in the application of all anesthetic techniques as utilized during clinical anesthesia is gained through individually supervised instruction and practice. Clinical experiences are structured to provide students the opportunity to apply theory to practice according to identified outcome criteria. Students develop plans of care for the perioperative patient, from the basic to the complex, based on their assessment and patient interviews. Practicum courses are viewed as a continuum whereby students master specific competencies in practice according to their level in the program. Practice settings include the operating room, emergency department, intensive care unit, simulation laboratory, and diagnostic suites. The course objectives encompass all aspects of anesthesia nursing care from preoperative assessment to implementing the nursing plan of care to postoperative follow-up care. Reflective learning is integrated into the clinical experience throughout the anesthetic process. Specifically, the learner will be expected, with minimal direction to: 1. Develop a detailed written and/or verbal anesthetic care plan with rationale and prepares room accordingly. 2. Preoperative: completes a full pre-anesthetic interview and assessment (H&P) identifying any concerns and properly informs the patient of the anesthetic plan. 3. Regional anesthesia: demonstrates knowledge of anatomy, technique and medications, and safely performs procedure. 4. Advanced techniques: recognizes the need for any performs with assistance (line placement, regional anesthesia, TIVA, hypotensive technique, FOB intubation, etc.). 5. Induction: chooses appropriate technique and dosing, performs tasks in a safe manner, recognizes and adapts to change, prioritizes tasks. 6. Airway management: mask ventilation, intubation technique, recognition and intervention of obstructed airway, recognizes the need for and employs advanced techniques. 7. Intraoperative management: remains vigilant, identifies issues and promptly institutes appropriate treatment, prioritizes tasks, anticipates surgical changes and manages emergent situations. 8. Emergence: develops a case-appropriate plan and implements with some assistance. 9. Postoperative: anticipates case/patient needs, completes handoff, recognizes concerns and intervenes. 10. Knowledge base: has an in-depth knowledge of pharmacology, physiology, pertinent aspects of the case and anesthetic. 11. Interpersonal relationships: reliability, professionalism and effective communication with all team members in the perioperative period. Accepts constructive criticism.

16 12. Judgment and reasoning: organized, response to stressful situations, ability to prioritize tasks, anticipates changes, able to multitask, and focus on the overall anesthetic. 13. At the discretion of the supervising anesthesia provider physical presence may be interrupted during the anesthetic; however, during these times supervision is maintained. Reflective learning is integrated into the clinical experience throughout the anesthetic process. This course is assessed with daily clinical evaluations and interactive classroom discussions. ANES 608: Comprehensive Examination Review Credits: 1 Course Director: Amy Harbeck, CRNA, MS This course focuses on solidifying principles learned throughout the curriculum to prepare the student for entry to practice as a graduate nurse anesthetist. The student focuses on preparation for successful performance on the Council on Certification of Nurse Anesthetists National Certifying Examination (NCE). A comprehensive review of basic sciences, equipment, instrumentation and technology, basic principles of anesthesia and advanced principles of anesthesia will be conducted based on the Apex Review Course. At the completion of the course, the learner will be able to answer board questions in the following areas: 1. Equipment, Instrumentation & Technology: Anesthetic delivery systems, airway equipment, monitoring devices. 2. Basic Sciences: Anatomy, physiology and pathophysiology, Pharmacology, Applied chemistry, biochemistry, physics. 3. Basic Principles of Anesthesia: Preoperative assessment, Fluid/blood replacement, Positing, Interpretation of data, Airway management, Local/regional anesthetics, MAC, pain management, PACU, pain theory. 4. Advanced Principles of Anesthesia: Surgical procedures and procedures related to organ systems, pediatrics, obstetrics, geriatrics, obesity. This course utilizes a review course and homework assignments and quizzes. ANES 607L: Practicum Residency Credits: 4 Course Director: Catherine Thomas, CRNA, MS The graduate students integrate their practical skills and theoretical knowledge to facilitate progressive independence within an established clinical model. Emphasis is placed on critical thinking and decisionmaking facilitated by clinical faculty. The course objectives encompass all aspects of anesthesia nursing care from preoperative assessment to implementing the nursing plan of care to postoperative follow-up care. Reflective learning is integrated into the clinical experience throughout the anesthetic process. Specifically, the learner will be expected, with close supervision/instruction, to:

17 1. Develops a detailed written or verbal anesthetic plan with rationales (identifies potential problems, has a back-up plan, calculates fluids/medications/pain control, equipment, incorporates patient comorbidities, and alternative techniques, etc.). 2. Preoperative: independently performs preoperative focused history and physical. Discusses plan with patient and anesthesia team. 3. Performs intravascular (IV, central and/or arterial) line placement. 4. Regional: safely performs and monitors regional anesthesia techniques. 5. Induction: independently uses appropriate technique and dosing, performs tasks in a safe manner, anticipates, recognizes, and responds to changes, prioritizes tasks. 6. Airway management: mask ventilation, intubation technique, recognition and intervention of obstructed airway, utilization of advanced techniques, etc. 7. Intraoperative management: remains vigilant, identifies issues and promptly institutes appropriate treatment, prioritizes tasks, timely manages emergent situations. 8. Emergence: develops an appropriate plan and implements safely. 9. Postoperative: completes handoff, recognizes concerns, anticipates patient needs, and intervenes. 10. Knowledge base: knowledge of pharmacology, physiology, pertinent aspects of the case, and anesthetic. 11. Interpersonal relationships: demonstrated reliability, patient advocacy, professionalism, cultural competency, and effective communication with all team members, patients and family members. 12. Overall judgment and reasoning: responds to stressful situations, ability to prioritize tasks, ability to multitask and anticipate. Manages drugs safely and responsibly. 13. Completes postoperative assessments on assigned patients. Reflective learning is integrated into the clinical experience throughout the anesthetic process. This course is assessed with daily clinical evaluations and interactive classroom discussions.