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Graduate Course Proposal Form Submission Detail - NGR6420

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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 revised in accordance with CCNE accreditation standards. New Description: Focuses on the fundamentals of nurse anesthesia practice and techniques. This course also focuses on the development of didactic knowledge for regional anesthesia and advanced nurse anesthesia practice. New Objectives: During this course the student will have the opportunity to: Assemble anesthesia equipment for the delivery of an anesthetic to include: gas machine check, basic anesthesia cart assembly, and collection of adjunct anesthesia equipment. Utilize all routine monitors employed in anesthesia practice. Evaluate general surgical clients pre-operatively and compose an applicable anesthesia care plan to include appropriate anesthetics and adjunct pharmacological agents tailored to the patients needs based on physiological, psychosocial, cultural, race, gender, and ethnicity. Demonstrate beginning skills of airway management to include airway assessment, appraisal of a potential difficult airway, and oral, nasal, and fiberoptic intubation. Relate the rationale for intubation and the different techniques used to intubate. Demonstrate beginning skills for the insertion of arterial lines and central lines and analyze the techniques of regional, arterial and central line monitoring. Demonstrate beginning skills in administering regional anesthesia. Compare the different modalities of regional anesthesia. Differentiate among different types of regional techniques appropriate for patient’s age, diagnosis, surgical procedure and physical assessment. 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. Utilize the principles and legal aspects involved in the correct completion of the anesthetic record and informed consent. Examine techniques employed by the nurse anesthetist to ensure that the client is positioned in the correct physiology position during surgery an anesthesia. Manage intravenous access for the general surgical client. Obtain BLS, ACLS and PALS certification. Review patient rights and responsibilities. Discuss screening tests for individuals within the context of anesthesia clinical evidence based methods. Evaluate theories/models utilized in anesthesia including physiological, social, and mid range theories related to change in health behaviors and provisions of quality health care. Discuss how knowledge and concepts derived from theories and models guide decision-making and solve problems in the health care delivery system and the anesthesia environment.
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
    2221 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 6420 Foundations & Methods of Nurse Anesthesia with Simulator

    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
    C - Face-to-face (0% online) 0

    Prerequisites

    NGR6404, NGR6400,NGR6460, NGR6422, GMS6461, NGR6002C, NGR6800, PHC6050

    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.

    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

    A. OBJECTIVES/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 PATIENTS 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 tailored to the patients needs based on physiological, psychosocial, cultural, race, gender, and ethnicity.

    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 patient’s 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 anesthetic record and informed consent.

    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.

    14. Discuss screening tests for individuals within the context of anesthesia clinical evidence based methods.

    15. Evaluate theories/models utilized in anesthesia including physiological, social, and mid range theories related to change in health behaviors and provisions of quality health care.

    16. Discuss how knowledge and concepts derived from theories and models guide decision-making and solve problems in the health care delivery system and the anesthesia environment.

    C. Major Topics

    May 14 Lecture

    Introduction Anesthesia & Overview

    Review Patients Rights & Responsibilities

    Overview and Perspectives on Nursing and other related theories in anesthesia

    Experimental Design and Statistics

    History & Scope Anesthesia

    May 15 Simuation:

    Care Plan Design & Practice

    May 21 Lecture

    Pre Anesthesia Assessment

    - Pathophysiological considerations

    - Surgical considerations

    - Physician preference

    - Patient preference

    May 22 Concepts and models in decision making, problem solving in anesthesia

    Informed Consent

    Anesthesia Documentation & Record Keeping

    - Pre anesthesia Assessment

    - Anesthetic Record

    - Post Anesthesia Visits

    - Medical legal considerations

    May 28 Lecture

    Equipment preparation

    - Airway equipment

    - Anesthetic Agents

    - Anesthesia Machine

    - Monitors

    - Miscellaneous equipment

    Surgical Patient Positioning

    Peri-operative Neuropathies

    May 29 Simulator

    -Anesthesia Machine check

    - Monitor preparation

    -Equipment gathering

    -Anesthesia Medications

    -Patient positioning

    June 4 Lecture

    Fluid & Blood Management

    ASA Blood Guidelines

    Basic Airway Management: rational for intubation and different techniques

    Fundamentals of intubation (direct, indirect, hazards)

    June 5 Simulator

    -IV access

    -Airway management skills, mask ventilations,

    -LMA, LTD, intubations.

    - normal induction, intubations,

    -Airway complications: laryngospasm, difficult

    June 11 Lecture

    Advance Airway Management

    Airway topicalization

    General Anesthesia

    -Induction sequencing

    -Maintenance

    -Emergence

    June 12 Simulator:

    -fiberoptics, lightwand, adjunct equipment.

    - Induction of anesthesia, maintenance and

    emergence of anesthesia.

    - general anesthesia scenarios

    airway algorhythm.

    June 18 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

    June 19 Simulation:

    -MAC Scenarios with complication

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

    June 25 Lecture

    Regional Anesthesia

    - Head & Neck blocks (Cranial, Laryngeal)

    - Upper extremities

    - Truncal Blocks

    June 26 Simulator: Cervical Plexus, Axillary, Wrist, Beir, Laryngeal, Intercostal blocks

    July 2 Lecture

    Analyze techniques of arterial & central venous monitoring

    Invasive Procedures

    -Venous lines

    -Arterial lines

    -Central lines

    -Swan Ganz

    Recovery Room Responsibilities

    July 3 Simulation: Placement of Venous, Arterial and Central lines

    July 9 Lecture

    Review Practice Scenarios for final

    -ASA I pt complete anesthetic

    -Emergency Scenarios

    --Laryngospasm

    --Cardiac Arrest

    --Anaphylaxis

    --Unexpected Difficult airway

    --Pulmonary Embolism

    July 10S imulation

    Practice Scenarios

    July 16 & 17 ACLS, BLS, PALS certifications

    July 23 Final Comprehensive Written

    July 24 Final Simulator Scenario

    D. Textbooks

    Required Text:

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

    Elsevier.

    Gallagher, C., Martinez-Ruiz, R., Lubarsky, D. (2007). Anesthesia Unplugged: A step by

    step guide to techniques and procedures. New York, NY: McGraw-Hill.

    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).

    E. Course Readings, Online Resources, and Other Purchases

    Selected Journal Articles:

    Nishino, T. (2006). Airway management for patient safety: preface and comments. Masui – Japanese Journal of Anesthesiology. 55(1), 2-4.

    Asai, T., & Shingu, K. (2005). The laryngeal tube. British Journal of Anesthesia. 95(6), 729-736.

    Maier, W.R., & Cunningham, P.S. (2005).A new approach to securing a difficult airway. Journal of Clinical Anesthesia. 17(4), 286-289.

    Genzwuerker, H.V., & Hohl E.Ch., & Rapp, H.J. (2005). Ventilation with the laryngeal tube in pediatric patients undergoing elective ambulatory surgery. Paediatric Anaesthesia. 15(5), 385-390.

    Beckenstadt, H., & Kantor, G.S., & Yusim, Y., & Gafni, N., & Perel, A., & Ezri, T., & Ziv, A. (2005). The feasibility of sharing simulation-based evaluation scenarios in anesthesiology. Anesthesia and Analgesia. 101(4), 1068-1074.

    Website:

    Advanced Life Support http://www.americanheart.org/presenter.jhtml?identifier=10000015&q=acls&x=32&y=6

    Pediatric Life Support

    www.americanheart.org/presenter.jhtml?identifier=3031539

    Virtual Anaesthesia textbook - Intubation

    http://www.virtual-anaesthesia-textbook.com/vat/intubation.html

    F. Student Expectations/Requirements and Grading Policy

    The grade for this course will be determined by written examination and student achievement of technical skills in the simulator and skills laboratories.

    4 Written Examinations 45%

    Technical Simulator Tasks Testing 25%

    Shadow experience with concentration on airway management 10%

    Presentation 10%

    Theory/ Model Paper 10%

    Written Examinations

    A total of Written Examinations 45%

    I 7.5%

    II 7.5%

    III 7.5%

    IV 7.5%

    Comprehensive Final 15%

    Grading:

    A=93-100%

    B=84-92%

    C=75-83%

    D=67-74%

    F=66% & below

    Final Simulation Exam Pass/Fail

    Student must pass the simulation exam prior to Clinical Residency I

    G. Assignments, Exams and Tests

    Shadow Experience: 10%

    Each student will complete 40 hours of clinical anesthesia shadowing experience after

    being signed off on airway management in the simulator lab. This experience is to promote familiarization of the anesthesia experience as well as basic airway experience and airway management. This experience will be arranged through the clinical coordinator at each clinical site and students will be assigned with their designated senior mentor. Clinical preceptors at each site will sign off on clinical hours completed and complete overall clinical evaluations.

    Presentation: 10%

    Presentation: All students are required to present on a regional anesthetic technique. The presentation should be 20-25 minutes in length and presented professionally. All presentations will be graded on the following areas: 1) mastery of content; 2) presentation style including voice pattern, voice tone, and volume, eye contact, and body movement; length of presentation; 3) ability to communicate material to the audience; ability to involve audience in participation (class peers) and 4) visual aids. All presentations will be videotaped for the benefit of students.

    Theory/Model Paper: 10%

    Each student will be select and write on a theory or model used in anesthesia for best practice. Students will research this topic and produce a manuscript on the topic that details a theory, model or concept related to anesthesia and the importance related to anesthesia (general, local, or regional). Manuscripts are expected to written in a professional manuscript APA style writing. Manuscripts will be graded on appropriate content, organization, grammar, spelling, APA format and ability to convey necessary information. There will be no papers accepted after the deadline date of July 9th , any paper turned in after this date will receive a grade of 0.

    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.

    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.

    I. Policy on Make-up Work

    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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