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Graduate Course Proposal Form Submission Detail - NGR6422

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Current Status: Approved, Permanent Archive - 2010-04-06
Campus: Tampa
Submission Type: Change
Course Change Information (for course changes only): Course objectives were revised in accordance with CCNE accreditation standards. New description: Emphasizes the considerations of nurse anesthesia practice, principles, and techniques for the obstetrical, pediatric and geriatric patient. New Objectives: During this course the student will have the opportunity to: Evaluate the obstetrical patient for anesthesia to include pre-operative assessment considering normal obstetrical physiology and the more common pathophysiologies, pain management, cesarean section care, proper positioning, and epidural anesthesia. Examine the principles of neonatal and pediatric anesthesia during pre-operative assessment, operating room and equipment set-up, appraisal of normal physiology and pathophysiology, and post anesthesia pain management. Organize the care of geriatric surgical patients for anesthesia to include: physical assessment, selection and administration of the anesthesia techniques, management of the anesthetic and post-operative care. Demonstrate the integration of biopsychosocial, genetic, cultural, economic, environmental, and political elements into anesthesia assessment, health maintenance, health promotion and illness prevention strategies of the advanced practice nurse. Prioritize needs and resources for individuals, families, and vulnerable population groups related to health promotion, and preservation throughout the lifespan and anesthesia related issues. Identify areas of cultural competence employed in current nurse anesthesia practice and resources for further development of skills to practice in diverse population settings. Understand the periodic health examination and its components across the life span to include physical, mental, developmental and social health related to interactions with patients and families in need of anesthesia services or consultation. Discuss the knowledge derived from theories and models that develop counseling strategies for patients related to health promotion in the pre operative clinic visit.
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
    2219 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 6422 Principles of Nurse Anesthesia through the Lifespan

    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 Nur Anes - Lifespan
     
    Course Online? Percentage Online
    C - Face-to-face (0% online) 0

    Prerequisites

    NGR6404, NGR6400, NGR6460, NGR6800, PHC6050

    Corequisites

    Course Description

    THIS COURSE EMPHASIZES THE CONSIDERATIONS OF NURSE ANESTHESIA PRACTICE, PRINCIPLES, AND TECHNIQUES FOR THE OBSTETRICAL, PEDIATRIC AND GERIATRIC PATIENT


  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: DURING THIS COURSE THE STUDENT WILL HAVE THE OPPORTUNITY TO: 1. EVALUATE THE OBSTETRICAL PATIENT FOR ANESTHESIA TO INCLUDE PRE-OPERATIVE ASSESSMENT CONSIDERING NORMAL OBSTETRICAL PHYSIOLOGY AND THE MORE COMMON PATHOPHYSIOLOGIES, PAIN MANAGEMENT, CESAREAN SECTION CARE, PROPER POSITIONING, AND EPIDURAL ANESTHESIA. 2. EXAMINE THE PRINCIPLES OF NEONATAL AND PEDIATRIC ANESTHESIA DURING PRE-OPERATIVE ASSESSMENT, OPERATING ROOM AND EQUIPMENT SET-UP, APPRAISAL OF NORMAL PHYSIOLOGY AND PATHOPHYSIOLOGY, AND POST ANESTHESIA PAIN MANAGEMENT. 3. ORGANIZE THE CARE OF GERIATRIC SURGICAL PATIENTS FOR ANESTHESIA TO INCLUDE: PHYSICAL ASSESSMENT, SELECTION AND ADMINISTRATION OF THE ANESTHESIA TECHNIQUES, MANAGEMENT OF THE ANESTHETIC, AND POST-OPERATIVE CARE.

    B. Learning Outcomes

    During this course the student will have the opportunity to:

    1. Evaluate the obstetrical patient for anesthesia to include pre-operative assessment considering normal obstetrical physiology and the more common pathophysiologies, pain management, cesarean section care, proper positioning, and epidural anesthesia.

    2. Examine the principles of neonatal and pediatric anesthesia during pre-operative assessment, operating room and equipment set-up, appraisal of normal physiology and pathophysiology, and post anesthesia pain management.

    3. Organize the care of geriatric surgical patients for anesthesia to include: physical assessment, selection and administration of the anesthesia techniques, management of the anesthetic and post-operative care.

    4. Demonstrate the integration of biopsychosocial, genetic, cultural, economic, environmental, and political elements into anesthesia assessment, health maintenance, health promotion and illness prevention strategies of the advanced practice nurse.

    5. Prioritize needs and resources for individuals, families, and vulnerable population groups related to health promotion, and preservation throughout the lifespan and anesthesia related issues.

    6. Identify areas of cultural competence employed in current nurse anesthesia practice and resources for further development of skills to practice in diverse population settings.

    7. Understand the periodic health examination and its components across the life span to include physical, mental, developmental and social health related to interactions with patients and families in need of anesthesia services or consultation.

    8. Discuss the knowledge derived from theories and models that develop counseling strategies for patients related to health promotion in the pre operative clinic visit.

    C. Major Topics

    January 5 Obstetric Physiology (Changes with Pregnancy)

    Uteroplacental blood flow

    Fetal Physiology & monitoring

    Physiology of Labor & Delivery

    January 12 Perinatal Pharmacology (Placental transfer of drugs)

    Pathophysiology in Obstetrics

    Complications in Pregnancy

    January 19 Martin Luther King Jr

    January 26 Obstetric Anesthesia

    Laboring Anesthesia

    Anesthesia and Fetal Considerations

    Local Anesthetics utilized in OB

    Neonatal Resuscitation

    Neonatal Respiratory Problems

    Simulator Lab Experience

    February 2 Anesthesia Considerations for Non-obstetric surgery during pregnancy

    Cesarean Section Anesthesia

    High risk pregnancy

    PPTL

    Maternal Morality

    Legal Liability & risk in Obstetric Anesthesia

    Simulator Lab Experience

    February 9 Obstertic Anesthesia continued

    Spinals, Epidurals, and Local Anesthetics

    Begin Anesthesia Shadow Experience

    February 16 Pediatric Anatomy

    Congenital Anomalies

    February 23 Pediatric Pathophysiology

    Congenital Anomalies

    Pediatric Pharmacology

    March 2 Pediatric Considerations in Anesthesia

    March 16 Geriatric Physiology Geriatric Pathophysiology

    Co existing diseases

    March 23 Geriatric Anesthesia continued

    Special Populations

    Morbid Obesity

    March 30 Trauma & Burns

    Spinal Cord Injury

    April 6 Cultural Aspects in Anesthesia

    April 13 Health Promotion &

    Health Related Behavior

    April 20 Cultural Aspects in Anesthesia

    April 27 FINAL EXAM

    D. Textbooks

    Required Text:

    Blackburn, S.T. (2003) Maternal, Fetal & Neonatal Physiology: A Clinical Perspective 2nd ed). St Louis MO: Elsevier Science.

    Barash, P. G. (Eds.). (2005). Clinical Anesthesia (4th ed.). Philadelphia: Lippincott Williams Wilkins.

    Faust, R.J., Cucchiara, R.F. (Eds.) Anesthesiology Review (3rd Edition) (2005). Churchill Livingstone

    Steward, D. J., Lerman, J. (2001). Manual of Pediatric Anesthesia (5th ed.). Philadelphia: Churchill Livingstone. ISBN-10: 0-433-06562-4.

    Datta, S. (2006). Obstetric Anesthesia Handbook (4th ed.). NY: Springer. ISBN 0-387-26075-7

    Nag

    E. Course Readings, Online Resources, and Other Purchases

    Selected Journal Articles:

    Jablonka, D.H., & Davis, P.J. (2005). Opioids in pediatric anesthesia. Anesthesiology Clinics of North America. 23(4), 621-634.

    McCool, W.F., & Packman, J., & Zwerling, A. (2004). Obstetric anesthesia: changes and Choices. Journal of Midwifery & Womenís Health. 49(6), 505-513.

    Clark, C.R. (2002). Venous thromboembolic prophylaxis following total hip arthroplasty: a North American perspective. American Jourranl of Orthopedics. 31, 12-19.

    Samuels, P.J. (2006) Anesthesia for adolescent bariatric surgery. Ingernational Anesthesiology Clinics. 44(1), 17-31.

    Robinson, H.E., & OíConnell, C.M., & Joseph, K.S., & McLeod, N.L. (2005). Maternal outcomes in pregnancies complicated by obesity. Obstetrics & Gynecology. 106(6), 1357-1364.

    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

    Grades determined by written examination, student participation and presentations.

    Written Examinations 70%

    EXAM 1 12.5%

    EXAM 2 12.5%

    EXAM 3 12.5%

    EXAM 4 12.5%

    FINAL EXAM 20%

    OR Shadow Experience 7,5%

    Care Plan Analysis 7.5%

    Cultural Presentation 7.5%

    Health Promotion & 7.5%

    Community Assessment

    H. Attendance Policy

    Course Attendance at First Class Meeting Ė 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 Ė 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. Itís 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

    Attendance Policy/Late Submissions:

    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 studentís 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

    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. Itís 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.

    J. Program This Course Supports

    Nurse Anesthesia


  5. Course Concurrence Information

    None



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