Nursing: 546 - University of Scranton



Nursing: 546 CREDITS: 2

COURSE TITLE: Nurse Anesthesia Clinical Practicum I

COURSE DESCRIPTION:

Clinical application of principles of nurse anesthesia. Students will be precepted in the perioperative clinical site. Experiences include introduction to the role of the nurse anesthetist and development of basic nurse anesthesia skills. Clinical experiences include Journal Club and Clinical Conferences.

COURSE OUTCOMES:

At the completion of Nursing 546 the student will meet the expectations described in the attached “Clinical Evaluation” form.

EVALUATION:

Students are supervised by certified registered nurse anesthesia (CRNA) preceptors who, in conjunction with nurse anesthesia faculty, evaluate the students’ progress and skill development in the clinical setting.

WYOMING VALLEY HEALTH CARE SYSTEM INC./UNIVERSITY OF SCRANTON

SCHOOL OF NURSE ANESTHESIA

CLINICAL EVALUATION NURSING 546 - 2 CREDITS

STUDENT: PERIOD: One (1) Feb - May

DUE BY: SIGNATURE OF EVALUATOR

No clinical experience with this student

Total Number of Critical Objectives = 12 Number of Critical Objectives NOT met =

Total Number of Non Critical Objectives = 18 Number of Non Critical Objectives NOT met =

Number of Objectives NOT observed =

Total Number of Objectives = 30 Total Number of Objectives NOT met =

( = Critical) Met Below N/A Expectations Expectations

| 1. ROOM PREPARATION | | | |

| a. Assembles routine equipment appropriate for each case. | | | |

|b. Performs a thorough machine and equipment check in | | | |

|morning and checks anesthesia machine between cases | | | |

|for leaks and O2 delivery. | | | |

|c. Assembles a basic work table. | | | |

|d. Demonstrates the ability to operate routine anesthesia | | | |

|equipment, locates drugs and supplies for a class I or II | | | |

|patient. | | | |

| 2. PRE-ANESTHETIC ASSESSMENT & | | | |

|ANESTHESIA CARE PLAN | | | |

| | | | |

|a. Conducts a pre-op evaluation that includes review of | | | |

|the patient's systems, chart review, lab values, and | | | |

|signed consents. Reviews evaluation with instructor. | | | |

|b. Discusses the CRNA's plan of care for each case. | | | |

|c. Identifies the patient and surgical procedure and | | | |

|verifies the operative consent. | | | |

| 3. I.V.: PRE-INDUCTION | | | |

| | | | |

|a Assembles proper equipment necessary for starting an I.V. | | | |

|and Demonstrates proper technique and utilizes | | | |

|local appropriately. | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| |Met |Below |N/A |

| |Expectations |Expectations | |

|4. INDUCTION | | | |

| a. Selects, applies and properly uses monitoring devices: | | | |

|BP cuff, pulse oximetry, precordial and esophageal | | | |

|stethoscopes, EKG and temperature monitors, and | | | |

|peripheral nerve stimulator. | | | |

| b. Positions and secures the patient properly, assuring | | | |

|there are no pressure points. | | | |

| c. Demonstrates the ability to follow the established plan | | | |

|of induction with assistance | | | |

| d. Follows OSHA standards for blood-borne pathogens, | | | |

|and wears the proper protective garb. | | | |

|5. AIRWAY AND VENTILATION | | | |

| a. Observes the ventilatory pattern of the patient pre- | | | |

|induction. | | | |

| b. Notes the O2 saturation and pre-oxygenates | | | |

|appropriately. | | | |

| c. Demonstrates a beginning ability to establish and | | | |

|maintain an adequate airway and recognizes an airway | | | |

|obstruction. | | | |

| d. Applies a face mask properly; ability to perform | | | |

|assisted or controlled ventilation on induction. | | | |

|6. INTUBATION | | | |

| a. Introduces laryngoscope blade gently into mouth; | | | |

|identifies landmarks, uses proper technique for blade | | | |

|selected, inserts ET tube. | | | |

| b. Assures placement of ET tube and bilateral breath | | | |

|sounds, then secures tube. | | | |

| |Met |Below |N/A |

| |Expectations |Expectations | |

|7. MONITORING AND MAINTENANCE | | | |

| 1 Demonstrates a basic knowledge of intra-anesthetic | | | |

|management of: | | | |

| | | | |

|a. Inhalational agents | | | |

|b. Narcotics/barbiturates | | | |

|c. Muscle Relaxants | | | |

|d. MAC technique (Local Standbys) | | | |

|e. Accessory agents | | | |

|1 Vasopressors/vasodilators | | | |

|2 Anticholinergics/Anticholinesterases | | | |

|3 Antiarrhythmics | | | |

| 2 Monitors all basic parameters: including muscle | | | |

|blockade | | | |

| 3 Recognizes and reports major cardiac arrhythmias. | | | |

| 4 Calculates accurate fluid and blood replacement for | | | |

|uncomplicated cases | | | |

| 5 Demonstrates knowledge in management of regional | | | |

|anesthesia. | | | |

| 6 Charts are done neatly and accurately. | | | |

|8. EMERGENCE | | | |

| 1 Times emergence with assistance from instructor. | | | |

|2 Calculates proper dose of reversal agents. | | | |

|3 Assesses respiratory adequacy. | | | |

|4 Extubates with appropriate technique and then assures | | | |

|patency after extubation. | | | |

|5 Transfers patient safely to stretcher/bed. | | | |

|6 Monitors respiratory status enroute to PACU. | | | |

|9. POST-OP EVALUATION | | | |

| 1 Provides complete and accurate report to PACU | | | |

|personnel. | | | |

| 2 Recognizes emergent situations that may jeopardize | | | |

|patient safety. | | | |

| 3 Conducts post-op visits in a timely fashion and notes | | | |

|pertinent information. | | | |

| 4 Informs instructor of patient condition. | | | |

| |Met |Below | N/A |

| |Expectations |Expectations | |

| 10. INTERPERSONAL BEHAVIOR | | | |

| 1 Demonstrates an awareness of the responsibilities of an | | | |

|anesthetist in the clinical area and his/her position as a | | | |

|member of the surgical team. | | | |

|2 Demonstrates sincere willingness to cooperate and | | | |

|communicate with instructors, surgical team and other | | | |

|students. | | | |

|3 Effectively communicates and shows compassion | | | |

|and understanding to patients. | | | |

|4 Demonstrates punctuality and regular attendance | | | |

|5 Works effectively under the stress of the new | | | |

|operating room environment. | | | |

|6 Accepts constructive criticism. | | | |

|7 Gives a daily evaluation form to his/her instructor. | | | |

COMMENTS:

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