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Graduate Course Proposal Form Submission Detail - NGR6423

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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 standards. Correct spelling in course title. Update prerequistes. New Pre-Reqs: NGR 6140, NGR 6422, NGR6404, NGR6400, NGR6460, NGR6422, GMS 6451, NGR6002C, PHC6050, NGR6800 New Description: Examines basic physiology, pathophysiology and anesthetic management of cardiac, thoracic, and trauma. Evaluation of cardiothoracic systems, emphasis on anesthetic implications and anesthesia management for cardiothoracic surgery will be explored. New Objectives: During this course the students will have the opportunity to: Apply the scope and standards of nurse anesthesia practice to patients with cardiac, and respiratory dysfunction. Evaluate the impact of cardiac pathophysiology on anesthesia care. Evaluate the impact of respiratory pathophysiology on anesthesia care. Explain the process of respiration including pulmonary ventilation and oxygen carbon dioxide exchange. Apply the concepts nurse anesthesia care to the patient with advanced cardiothoracic dysfunction. Explore the implications of trauma related to nurse anesthesia care. Assess patient acid base balance, fluid management and electrolyte balance of an anesthetized patient and under various cardiothoracic or trauma anesthesia. Prepare and develop anesthesia care plans for cardiothoracic pathophysiology in a culturally diverse population.
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


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    2218 2009-10-21
     
    Department College Budget Account Number
    Nursing NR HSC 006201 10000
     
    Contact Person Phone Email
    Denise Maguire 813/9749962 dmaguire@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    NGR 6423 Principles for Nurse Anesthesia I

    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
    3 C - Class Lecture (Primarily) R - Regular
     
    Abbreviated Title (30 characters maximum)
    Prin of Nurse Anesthesia I
     
    Course Online? Percentage Online
    C - Face-to-face (0% online) 0

    Prerequisites

    Corequisites

    Course Description

    EVALUATION OF CARDIOTHORACIC SYSTEMS WITH EMPHASIS ON ANESTHETIC IMPLICATIONS AND ANESTHESIA MANAGEMENT FOR CARDIOTHORACIC SURGERY. NON-CARDIOTHORACIC SURGERY IN PATIENTS WITH CARDIOTHORACIC PATHOLOGY WILL ALSO BE EXAMINED


  3. Justification

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

    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?

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

    D. 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


  4. Other Course Information

    A. Objectives

    OBJECTIVES/LEARNING OUTCOMES DURING THIS COURSE THE STUDENTS WILL HAVE THE OPPORTUNITY TO: 1. APPLY THE SCOPE AND STANDARDS OF NURSE ANESTHESIA PRACTICE TO PATIENTS WITH CARDIAC, AND RESPIRATORY DYSFUNCTION. 2. EVALUATE THE IMPACT OF CARDIAC PATHOPHYSIOLOGY ON ANESTHESIA CARE. 3. EVALUATE THE IMPACT OF RESPIRATORY PATHOPHYSIOLOGY ON ANESTHESIA CARE. 4. EXPLAIN THE PROCESS OF RESPIRATION INCLUDING PULMONARY VENTILATION AND OXYGEN CARBON DIOXIDE EXCHANGE. 5. APPLY THE CONCEPTS NURSE ANESTHESIA CARE TO THE PATIENT WITH ADVANCED CARDIOTHORACIC DYSFUNCTION. 6. ASSESS PATIENT ACID BASE BALANCE, FLUID MANAGEMENT AND ELECTROLYTE BALANCE OF AN ANESTHETIZED PATIENT AND UNDER VARIOUS CARDIOTHORACIC OR TRAUMA ANESTHESIA. 7. DESCRIBE & EXPLORE VARIOUS ANESTHESIA TECHNIQUES FOR CARDIOTHORACIC SURGERY. MAJOR TOPICS TOPIC CARDIOVASCULAR A&P CV PATIENT ASSESSMENT CV MONITORING PACING TEE ANESTHESIA FOR PATIENTS WITH CV DISEASE VASCULAR SURGERY -UPPER EXTREMITY -LOWER EXTREMITY -AAA/STENTS -TAA -CAROTID ENDARTERECTOMY/STENTS THORACIC/RESPIRATORY A&P THORACIC CO MORBIDITIES ANESTHESIA FOR PATIENTS WITH RESPIRATORY DISEASE THORACIC ANESTHESIA -VATS -LUNG RESECTIONS -PNEUMONECTOMY CARDIAC ANGIOPLASTY ABLATIONS CABG TRADITIONAL ON CPB VALVE REPLACEMENT CABG OFF PUMP CARDIAC CONGENITAL REPAIRS TRANSPLANTS PRESENTATIONS

    B. Learning Outcomes

    During this course the students will have the opportunity to:

    1. Apply the scope and standards of nurse anesthesia practice to patients with cardiac, and respiratory dysfunction.

    2. Evaluate the impact of cardiac pathophysiology on anesthesia care.

    3. Evaluate the impact of respiratory pathophysiology on anesthesia care.

    4. Explain the process of respiration including pulmonary ventilation and oxygen carbon dioxide exchange.

    5. Apply the concepts nurse anesthesia care to the patient with advanced cardiothoracic dysfunction.

    6. Explore the implications of trauma related to nurse anesthesia care.

    7. Assess patient acid base balance, fluid management and electrolyte balance of an anesthetized patient and under various cardiothoracic or trauma anesthesia.

    8. Prepare and develop anesthesia care plans for cardiothoracic pathophysiology in a culturally diverse population.

    C. Major Topics

    Date Topic

    May 16 Cardiovascular A&P

    CV Patient Assessment

    Anesthesia for Patients with CV disease

    May 23 Vascular Surgery

    -Upper extremity

    -Lower extremity

    AAA/Stents

    TAA

    Carotid Endarterectomy/Stents

    May 30 Thoracic/Respiratory A&P

    Thoracic Co Morbidities

    Anesthesia for patients with Respiratory Disease

    June 6 Thoracic Anesthesia

    -VATS

    -Lung Resections

    -Pneumonectomy

    June 13 Cardiac Angioplasty

    Ablations

    Medistinoscopy

    June 20 CABG Traditional on CPB

    Valve replacement

    CABG Off pump

    June 27 Cardiac Congenital Repairs

    Transplants

    Presentation

    July 4 Holiday

    CV Monitoring

    Pacing/ EKG

    http://www.pacep.org/pages/start/ref.html?xin=accp

    http://urbanhealth.udmercy.edu/ekg/learn.html

    http://library.med.utah.edu/kw/pharm/hyper_heart1.html

    http://library.med.utah.edu/kw/ecg/index.html

    July 11 Presentations

    July 18 Exam IV

    EKG Exam

    D. Textbooks

    Required Text:

    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 Williams Wilkins.

    Guyton, A. C., & Hall, J. E. (2005). Textbook of medical physiology (11th ed.). Philadelphia: Elsevier Health Sciences.

    Hensley, F. A., Martin, D. E., & Gravlee, G. (2002). Practical approach to cardiac anesthesia (3rd ed.). Philadelphia: Lippincott Williams Wilkins.

    Jaffee, R. A., & Sa

    E. Course Readings, Online Resources, and Other Purchases

    Selected Journal Articles:

    Marret, E., & Lembert, N., & Bonnet, F. (2006). Anaesthesia and critical care for scheduled infrarenal abdominal aortic aneurysm surgery. Annales Francaises d Anesthesie et de Reanimation. 25(2), 158-179.

    Comert, M., & Borazan, A., & Kulah, E., & Ucan, B.H. (2005). A new laparoscopic technique for the placement of a permanent peritoneal dialysis catheter: the preperitoneal tunneling method. Surgical Endoscopy. 19(2), 245-248.

    Imai, H., & Nakatani, N., & Matsuda, S., & Murakawa, K., Tashiro, C. (2005). Sudden difficulty in ventilation due to massive subcutaneous emphysema during laparoscopic cholecystectomy. Masui – Japanese Journal of Anesthesiology. 54(6), 658-661.

    Maeda, Y., & Ueda, N., & Ueda, H., & Mitsumizo, S., & Nakashima, M., & Totoki, T. (2005). Anesthetic management of combined lung volume reduction surgery and off-pump coronary artery bypass grafting. Masui – Japanese Journal of Anesthesiology. 54(1), 34-38.

    Bennett, D., & Marcus, R., & Stokes, M. (2005). Incidents and complications during pediatric catheterization. Paediatric Anesthesia. 15(12), 1083-1088.

    Websites:

    Journal of Neurosurgical Surgery http://www.jnsa.com

    British Journal of Anesthesia www.bja.oxfordjournals.org

    Merck Manual of Online Medical Library www.merck.com

    F. 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.

    G. Assignments, Exams and Tests

    Written Examinations 80%

    1 EKG Exam 5%

    Presentation 15%

    H. 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.

    I. 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.

    The American Nurses Association Code of Ethics (2001) demands that nurses maintain moral worth and dignity through personal integrity and preservation of wholeness of character. This behavior is to be demonstrated in all aspects of a student’s professional activities, including the academic setting.

    Students attending the University of South Florida are awarded degrees in recognition of successful completion of coursework in their chosen fields of study. Each individual is expected to earn his/her degree on the basis of personal effort. Consequently, any form of cheating on examinations or plagiarism on assigned papers constitutes unacceptable deceit and dishonesty. Disruption of the classroom or teaching environment is also unacceptable. This cannot be tolerated in the University community and will be punishable, according to the seriousness of the offense, in conformity with this rule. http://www/ugs/usf/edu/catalogs/0304/adadap.htm

    J. Program This Course Supports

    Nurse Anesthesia


  5. Course Concurrence Information

    None



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