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Graduate Course Proposal Form Submission Detail - NGR6490

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Current Status: Approved, Permanent Archive - 2009-03-04
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  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    1585 2008-03-21
     
    Department College Budget Account Number
    Nursing NR HDC-006201-10000
     
    Contact Person Phone Email
    Mary Webb x9133 mwebb@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    NGR 6490 Foundations & Methods of Nurse Anesthesia Practice

    Is the course title variable? N
    Is a permit required for registration? N
    Are the credit hours variable? N
    Is this course repeatable?
    If repeatable, how many times? 0

    Credit Hours Section Type Grading Option
    4 C - Class Lecture (Primarily) R - Regular
     
    Abbreviated Title (30 characters maximum)
    Fndtns & Meth for Nur Anesthes
     
    Course Online? Percentage Online
    -

    Prerequisites

    Anat&Phys ofor NA; Chem&Phys for NA; Pharm for NA; Pathophysiology; Prin of NA Lifespan; GMS 6461; NGR 6001

    Corequisites

    Course Description

    This course focuses on the fundamentals of nurse anesthesia practice and techniques and on the development of didactic knowledge for regional anesthesia and advanced nurse anesthesia practice.


  3. Justification

    A. Please briefly explain why it is necessary and/or desirable to add this course.

    This course is an essential component of the Nurse Anesthetist program and is currently being offered under selected topics.

    B. What is the need or demand for this course? (Indicate if this course is part of a required sequence in the major.) What other programs would this course service?

    Required sequence in the major.

    C. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times?

    Yes, twice.

    D. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.)

    CRNA with master's degree and knowledgeable in anesthesia modalities, regional, invasive procedures, and administration of anesthesia.


  4. Other Course Information

    A. Objectives

    During this course the student will have the opportunity to:

    1. Assemble anesthesia equipment for the delivery of an anesthetic to include: gas machine check, basic anesthesia cart assembly, and collection of adjunct anesthesia equipment.

    2. Utilize all routine monitors employed in anesthesia practice.

    3. Evaluate general surgical clients pre-operatively and compose an applicable anesthesia care plan to include appropriate anesthetics and adjunct pharmacological agents.

    4. Demonstrate beginning skills of airway management to include airway assessment, appraisal of a potential difficult airway, and oral, nasal, and fiberoptic intubation.

    5. Relate the rationale for intubation and the different techniques used to intubate.

    6. Demonstrate beginning skills for the insertion of arterial lines and central lines and analyze the techniques of regional, arterial and central line monitoring.

    7. Demonstrate beginning skills in administering regional anesthesia. Compare the different modalities of regional anesthesia. Differentiate among different types of regional techniques appropriate for patientís age, diagnosis, surgical procedure and physical assessment.

    8. Comprehend the physiological implications of each type of regional anesthesia and different local anesthetics agents and evaluate the use of each of the different local anesthetic agents.

    9. Utilize the principles and legal aspects involved in the correct completion of the record.

    10. Examine techniques employed by the nurse anesthetist to ensure that the client is positioned in the correct physiology position during surgery an anesthesia.

    11. Manage intravenous access for the general surgical client.

    12. Obtain BLS, ACLS and PALS certification.

    13. Review patient rights and responsibilities

    B. Learning Outcomes

    During this course the student will have the opportunity to:

    1. Assemble anesthesia equipment for the delivery of an anesthetic to include: gas machine check, basic anesthesia cart assembly, and collection of adjunct anesthesia equipment.

    2. Utilize all routine monitors employed in anesthesia practice.

    3. Evaluate general surgical clients pre-operatively and compose an applicable anesthesia care plan to include appropriate anesthetics and adjunct pharmacological agents.

    4. Demonstrate beginning skills of airway management to include airway assessment, appraisal of a potential difficult airway, and oral, nasal, and fiberoptic intubation.

    5. Relate the rationale for intubation and the different techniques used to intubate.

    6. Demonstrate beginning skills for the insertion of arterial lines and central lines and analyze the techniques of regional, arterial and central line monitoring.

    7. Demonstrate beginning skills in administering regional anesthesia. Compare the different modalities of regional anesthesia. Differentiate among different types of regional techniques appropriate for patientís age, diagnosis, surgical procedure and physical assessment.

    8. Comprehend the physiological implications of each type of regional anesthesia and different local anesthetics agents and evaluate the use of each of the different local anesthetic agents.

    9. Utilize the principles and legal aspects involved in the correct completion of the record.

    10. Examine techniques employed by the nurse anesthetist to ensure that the client is positioned in the correct physiology position during surgery an anesthesia.

    11. Manage intravenous access for the general surgical client.

    12. Obtain BLS, ACLS and PALS certification.

    13. Review patient rights and responsibilities

    C. Major Topics

    Lecture

    Introduction Anesthesia & Overview

    Review Patients Rights & Responsibilities

    History & Scope Anesthesia

    Lecture

    Pre Anesthesia Assessment

    - Pathophysiological considerations

    - Surgical considerations

    - Physician preference

    - Patient preference

    Anesthesia Documentation & Record Keeping

    - Pre anesthesia Assessment

    - Anesthetic Record

    - Post Anesthesia Visits

    - Medical legal considerations

    Lecture

    Equipment preparation

    - Airway equipment

    - Anesthetic Agents

    - Anesthesia Machine

    - Monitors

    - Miscellaneous equipment

    Surgical Patient Positioning

    Peri-operative Neuropathies

    Simulator

    -Anesthesia Machine check

    - Monitor preparation

    -Equipment gathering

    -Anesthesia Medications

    -Patient positioning

    Lecture

    Fluid & Blood Management

    ASA Blood Guidelines

    Basic Airway Management: rational for intubation and different techniques

    Fundamentals of intubation (direct, indirect, hazards)

    Simulator

    -IV access

    -Airway management skills, mask ventilations,

    -LMA, LTD, intubations.

    - normal induction, intubations,

    -Airway complications: laryngospasm, difficult

    airway algorhythm.

    Lecture

    Advance Airway Management

    Airway topicalization

    General Anesthesia

    -Induction sequencing

    -Maintenance

    -Emergence

    Simulator:

    -fiberoptics, lightwand, adjunct equipment.

    - Induction of anesthesia, maintenance and

    emergence of anesthesia.

    - general anesthesia scenarios

    Lecture

    MAC Anesthesia

    - appropriate surgery, patient.

    - Induction, maintenance, recovery

    - Complications

    Regional Anesthesia

    Compare modalities, implications of regional

    Evaluate the use of different local anesthetics

    Differential different types of regional appropriate for patients age, surgical procedure, ASA class

    Discuss

    - Neuraxial Blocks

    - Lower extremity blocks

    Simulation:

    -MAC Scenarios with complication

    - SAB, Epidural, Caudal, Femoral, Popliteal (3 in 1), Ankle Blocks

    Lecture

    Regional Anesthesia

    - Head & Neck blocks (Cranial, Laryngeal)

    - Upper extremities

    - Truncal Blocks

    Simulator: Cervical Plexus, Axillary, Wrist, Beir, Laryngeal, Intercostal blocks

    Lecture

    Analyze techniques of arterial & central venous monitoring

    Invasive Procedures

    -Venous lines

    -Arterial lines

    -Central lines

    -Swan Ganz

    Recovery Room Responsibilities

    Simulation: Placement of Venous, Arterial and Central lines

    Lecture & Simulation

    Review Practice Scenarios for final

    -ASA I pt complete anesthetic

    -Emergency Scenarios

    --Laryngospasm

    --Cardiac Arrest

    --Anaphylaxis

    --Unexpected Difficult airway

    --Pulmonary Embolism

    Final Simulator Scenario Student must pass the simulation exam prior to Clinical Residency I

    All students must present current ACLS, BLS, PALS certifications

    D. Textbooks

    Required Text:

    Nagelhout J.J., Zaglaniczny K. L. (Eds.). (2005). Nurse Anesthesia (3rd ed.) St. Louis:

    Elsevier.

    Awde, N. E., Hurford, W. E., Bailin, M. I. (Eds.) (2002). Clinical anesthesia Procedures of Massachusetts General Hospital (6th ed.). Philadelphia: Lippincott Williams Wilkins.

    Barash, P. G. (Eds.). (2005). Clinical Anesthesia (4th ed.). Philadelphia: Lippincott Stoelting, R. K., & Miller, R. D. (Eds.). (2000). Basics of anesthesia (4th ed.). Philadelphia: Elsevier Health Sciences.

    Recommended Text:

    Brown, D. L., & Ross, A. (Eds.). (1999). Atlas of Regional A

    E. Course Readings, Online Resources, and Other Purchases

    F. Student Expectations/Requirements and Grading Policy

    G. Assignments, Exams and Tests

    H. Attendance Policy

    I. Policy on Make-up Work

    J. Program This Course Supports


  5. Course Concurrence Information



- if you have questions about any of these fields, please contact chinescobb@grad.usf.edu or joe@grad.usf.edu.