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Graduate Course Proposal Form Submission Detail - NGR6400
Tracking Number - 2216

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Current Status: Approved, Permanent Archive - 2010-04-06
Campus: Tampa
Submission Type: Change
Course Change Information (for course changes only): Objectives have been revised in accordance with CCNE accreditation standards. New Objectives: During this course the student will have the opportunity to: Describe the general principles of physics of diffusion, osmosis and fluid dynamics as they relate to the practice of anesthesia safety. Analyze the general principles of electricity, electrical safety and hazards, magnetism and their relation to safe anesthesia administration. Demonstrate the use of anesthetic monitoring systems. Interpret the general principles of organic chemistry, inorganic chemistry and biochemistry as they relate to anesthesia practice. Explain the working components and safety principles of an anesthesia gas machine. Calculate vaporization percentages and the composition of anesthetic gas flows. Distinguish among breathing systems used in the administration of anesthesia. Examine safety principles regarding environmental hazards and monitoring systems in the anesthesia arena, and the use of these principles on patient care outcomes. Describe the impact of health care regulations on equipment, monitoring systems and environmental hazards in the anesthesia setting.
Comments: to GC for review 11/2/09; Approved by GC 11/16/09; to SCNS office for submission 11/29/09. Note Course Description and Objectives listed reflect the revised information. SCNS approved 12/11/09, effective 1/2010;posted in banner 12/11/09

Detail Information

  1. Date & Time Submitted: 2009-10-21
  2. Department: Nursing
  3. College: NR
  4. Budget Account Number: HSC 00620110000
  5. Contact Person: Denise Maguire
  6. Phone: 813/9749962
  7. Email: dmaguire@health.usf.edu
  8. Prefix: NGR
  9. Number: 6400
  10. Full Title: Chemistry, Biochemistry & Physics for Nurse Anesthesia
  11. Credit Hours: 3
  12. Section Type: C - Class Lecture (Primarily)
  13. Is the course title variable?: N
  14. Is a permit required for registration?: N
  15. Are the credit hours variable?: N
  16. Is this course repeatable?:
  17. If repeatable, how many times?: 0
  18. Abbreviated Title (30 characters maximum): Chem/Biochem/Phys for Nur Anes
  19. Course Online?: C - Face-to-face (0% online)
  20. Percentage Online: 0
  21. Grading Option: R - Regular
  22. Prerequisites:
  23. Corequisites:
  24. Course Description: THIS COURSE EXAMINES THE LAWS AND PRINCIPLES OF INORGANIC CHEMISTRY, ORGANIC CHEMISTRY AND PHYSICS AS THEY APPLY TO PHARMACOLOGY AND THE CLINICAL PRACTICE OF NURSE ANESTHESIA. RESTRICTED TO MAJORS

  25. Please briefly explain why it is necessary and/or desirable to add this course:
  26. 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?
  27. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times?
  28. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.) A terminal degree in the field
  29. Objectives: OBJECTIVES: DURING THIS COURSE THE STUDENT WILL HAVE THE OPPORTUNITY TO: 1. DESCRIBE THE GENERAL PRINCIPLES OF PHYSICS OF DIFFUSION, OSMOSIS AND FLUID DYNAMICS AS THEY RELATE TO THE PRACTICE OF ANESTHESIA SAFETY. 2. ANALYZE THE GENERAL PRINCIPLES OF ELECTRICITY, ELECTRICAL SAFETY AND HAZARDS, MAGNETISM AND THEIR RELATION TO SAFE ANESTHESIA ADMINISTRATION. 3. DEMONSTRATE THE USE OF ANESTHETIC MONITORING SYSTEMS. 4. INTERPRET THE GENERAL PRINCIPLES OF ORGANIC CHEMISTRY, INORGANIC CHEMISTRY AND BIOCHEMISTRY AS THEY RELATE TO ANESTHESIA PRACTICE. 5. EXPLAIN THE WORKING COMPONENTS AND SAFETY PRINCIPLES OF AN ANESTHESIA GAS MACHINE. 6. CALCULATE VAPORIZATION PERCENTAGES AND THE COMPOSITION OF ANESTHETIC GAS FLOWS. 7. DISTINGUISH AMONG BREATHING SYSTEMS USED IN THE ADMINISTRATION OF ANESTHESIA
  30. Learning Outcomes: During this course the student will have the opportunity to:

    1. Describe the general principles of physics of diffusion, osmosis and fluid dynamics as they relate to the practice of anesthesia safety.

    2. Analyze the general principles of electricity, electrical safety and hazards, magnetism and their relation to safe anesthesia administration.

    3. Demonstrate the use of anesthetic monitoring systems.

    4. Interpret the general principles of organic chemistry, inorganic chemistry and biochemistry as they relate to anesthesia practice.

    5. Explain the working components and safety principles of an anesthesia gas machine.

    6. Calculate vaporization percentages and the composition of anesthetic gas flows.

    7. Distinguish among breathing systems used in the administration of anesthesia.

    8. Examine safety principles regarding environmental hazards and monitoring systems in the anesthesia arena, and the use of these principles on patient care outcomes.

    9. Describe the impact of health care regulations on equipment, monitoring systems and environmental hazards in the anesthesia setting.

  31. Major Topics: Date Topic

    8-25-09 Organic Chemistry

    9-1-09 Organic Chemistry

    Biochemistry

    9-8-09 Biochemistry

    Gas Laws & Physics

    9-22-09 Gas Laws & Physics

    9/29/09 PULMONARY: Capnography, airway gas analysis, pulse oximetry, airway pressure, blood gas analysis

    10/06/09 Monitoring Devices:

    CV(EKG, A-line, TEE, CVP, PA Catheter, CO, Precordial/esophageal stethoscope/doppler)

    10-13-09 PNS, UOP, TEMP

    CNS (EEG,SSEP,ICP,BIS)

    Others (fluid/blood warmer, forced air warming blanket, heat and moisture exchanger, blood salvage, cell saver.

    10-20-09 Gas Machine -high/low pressure gas sources, regulator/manifolds, flow meters, valves, floats, vaporizers, proportioning systems, pressure failure safety devices, fail-safe devices, ventilators, carbon dioxide absorbents

    10-27-09 Gas Machine continued

    Breathing Circuits: re-breathing, circle system, non re-breathing, modified non re-breathing

    11-3-09 Environmental Hazards

    Patient Safety

    Radiation & Radioactivity

    Fluids

    Acid Bases and Buffers

    11-10-09 Inspired, Expired Gases

    Basic Airway

    11-17-09 Advanced Airway

    11-24-09 Presentations

    12-1-09 Presentations

    12-8-09 Comprehensive Final Exam

  32. Textbooks: Required Text:

    Dorsch, J. A., & Dorsch, S. E. (1998). Understanding anesthesia equipment (4th ed.). Wolters Kulver Company.

    Nagelhout, Zaglaniczny (2004) Nurse Anesthesia (3rd ed.). Philadelphia: Elsevier Saunders.

    Shubert, D. & Leyba, J. (2009). Chemistry and Physics for nurse anesthesia: a student approach.

    Recommended Text:

    Miller, R. D. Cucchiara, R. F., & Miller, E. D. (Eds.). (2004). Miller’s Anesthesia (6th ed.). Philadelphia: Elsevier Health Sciences.

  33. Course Readings, Online Resources, and Other Purchases: Selected Journal Articles:

    Gulleth, Y., & Spiro, J. (2005). Percutaneous transtracheal jet ventilation in head and neck surgery. Archives of Otolaryngology – Head & Neck Surgery. 131 (10), 886-890.

    Koerner, I.P., Brambrink, A.M. (2005). Fiberoptic techniques. Best Practice & Research: Clinical Anaesthesiology. 19(4), 611-621.

    Friedman, D.M., Sokal, S.M., Chang, Y., & Berger, D.L. (2006). Increasing operating room efficiency through parallel processing. Annals of Surgery. 243(1), 10-14.

    Nast, P.A., Avidan, M., Harris, C.B., Krauss, M.J., Jacobsohn, E., Petlin, A., Petlin, A., Dunagan, W., Claiborn, F., & Victoria, J. (2005). Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Journal of Thoracic & Cardiovascular Surgery. 130(4), 1137.

    Websites:

    Anesthesia Patient Safety. (2006).

    www.anesthesiapatientsafety.com

  34. Student Expectations/Requirements and Grading Policy: Grading:

    A = 93-100%

    B = 84-92%

    C = 75-83%

    D = 67-74%

    F = 66% & below

    A grade of B or better must be achieved in order to progress in the graduate program.

  35. Assignments, Exams and Tests: Examinations: 60%

    There will be a total of 5 examinations equally weighted.

    Exam I: Chemistry

    Exam 2: Gas laws and physics

    Exam 3: Monitoring device

    Exam 4: Gas Machines & environmental hazards

    Exam 5: Gases and devices for flow

    Final Comprehensive Exam 15%

    Research Abstract: 10%

    Each student will search and select a research article related to topic of study e.g. Safety hazards in the Operating Room. The student will prepare a summary of the article along with 5 relevant questions to be presented on the Discussion Board (Blackboard). Each student will be responsible for reading the article and answering questions. All posted articles are considered testing materials.

    Presentation: 15%

    Each student will select a topic for presentation. Students will be evaluated on their ability to present effectively as well as presentation style, visual aids, and content command.

  36. Attendance Policy: Course Attendance at First Class Meeting – Policy for Graduate Students: For structured courses, 6000 and above, the College/Campus Dean will set the first-day class attendance requirement. Check with the College for specific information. This policy is not applicable to courses in the following categories: Educational Outreach, Open University (TV), FEEDS Program, Community Experiential Learning (CEL), Cooperative Education Training, and courses that do not have regularly scheduled meeting days/times (such as, directed reading/research or study, individual research, thesis, dissertation, internship, practica, etc.). Students are responsible for dropping undesired courses in these categories by the 5th day of classes to avoid fee liability and academic penalty. (See USF Regulation – Registration - 4.0101,

    http://usfweb2.usf.edu/usfgc/ogc%20web/currentreg.htm)

    Attendance Policy for the Observance of Religious Days by Students: In accordance with Sections 1006.53 and 1001.74(10)(g) Florida Statutes and Board of Governors Regulation 6C-6.0115, the University of South Florida (University/USF) has established the following policy regarding religious observances: (http://usfweb2.usf.edu/usfgc/gc_pp/acadaf/gc10-045.htm)

    In the event of an emergency, it may be necessary for USF to suspend normal operations. During this time, USF may opt to continue delivery of instruction through methods that include but are not limited to: Blackboard, Elluminate, Skype, and email messaging and/or an alternate schedule. It’s the responsibility of the student to monitor Blackboard site for each class for course specific communication, and the main USF, College, and department websites, emails, and MoBull messages for important general information.

  37. Policy on Make-up Work: Students are expected to attend class at scheduled times. Please contact the lead faculty by e-mail if an absence is necessary. Work deadlines will not be extended unless arrangements are made with the lead faculty prior to/or immediately after a class.
  38. Program This Course Supports: Nurse Anesthesia
  39. Course Concurrence Information: None


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