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Professional Goal Statement for Nurse Anesthesia document sample
Master of Science in Nurse Anesthesia Philosophy The Nurse Anesthesia Program is a part of Florida Hospital College of Health Sciences, a Christian College, built on the belief that God is the Creator and Sustainer of all things. Nurture, Excellence, Spirituality, and Stewardship describe the vision of Florida Hospital College of Health Sciences. These concepts provide the foundation for the holistic approach FHCHS takes toward human life. The faculty believes that a quality educational program should offer students the opportunity to develop the personal and professional skills which will enable them to succeed in today’s complex and fast-changing world. Based on the FHCHS philosophy, the nurse anesthesia curriculum endeavors to prepare students to act as patient advocates during the peri-operative period through the development of collaborative patient relationships that respect the right of patients to dignity and self determination. To be successful in attaining this goal, the curriculum fosters the development of critical thinking and problem solving skills derived from a physiological and pharmacological scientific knowledge base in a supportive learning environment. Mission Statement In addition to the mission of FHCHS, the mission of the Nurse Anesthesia Program is to • prepare graduates for nursing anesthesia practice in culturally diverse populations and a variety of practice settings • provide a foundation for doctoral study • maintain a quality program which meets accreditation standards • prepare graduates to attain certification in nurse anesthesia • promote professional socialization • help graduates apply research findings into their practice • develop leaders who will practice healthcare as ministry Licensure and Accreditation Florida Hospital College of Health Sciences is regionally accredited by the Commission on Colleges of the Southern Association of Colleges and Schools, as well as the Accrediting Association of Seventh-day Adventist Schools, Colleges, and Universities (see Accrediting Bodies in the General Information section of the Academic Bulletin). The Florida Hospital College of Health Sciences Nurse Anesthesia Program is accreditated by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA), 222 South Prospect Avenue, Park Ridge, Illinois 60068-4001, (847)655-1160. Program Description The Nurse Anesthesia Program is a 28 month course of continuous study. Students do not follow the traditional semester format upon entering the anesthesia practicum sessions of the curriculum. To provide students with necessary clinical hours to accomplish course and clinical objectives and comply with the required number and types of anesthesia cases by the COA, each session is continuous with the next session (block format) with vacation and holidays appropriately dispersed to individual students. Dates for registration, dropping courses without penalty, and student health requirements are contained in the Academic Bulletin or Student Handbook. The Nurse Anesthesia Program consists of 78 semester hours leading to the Master of Science in Nurse Anesthesia degree. The curriculum integrates health sciences with nursing sciences to prepare students as advanced practitioners in nurse anesthesia who can integrate research findings into their practice. Students are prepared to assume leadership roles in anesthesia and provide anesthesia care to patients in a variety of settings including medically underserved areas. Graduates are eligible for certification as a Certified Registered Nurse Anesthetist (CRNA) and state licensure as Advanced Practice Registered Nurses (APRNs) where required. Policies The policies and procedures for the Master of Science degree in Nurse Anesthesia are contained in the student manual. By accepting admission as a student in the program, each applicant agrees to abide by the policies as outlined in the Nurse Anesthesia Program Supplemental Student Handbook. Academic Dismissal Academic failure occurs when a student does not achieve the requisite grade of “B” in Nurse Anesthesia course work or an overall GPA of 3.0 in graduate coursework. Retake or make up tests for failing grades may be given at the discretion of the course coordinator. Retake or make up tests for failures in nurse anesthesia principle courses, (MSNA 530, 532, 533, 534, 535, 536, and 537) are not allowed. Department of Nurse Anesthesia Students experiencing academic failure are required to withdraw from all coursework in the Nurse Anesthesia Program and complete out-processing paperwork. Graduate Financial Aid Policy In order to be eligible for Financial Aid, graduate students must be accepted in a program of study (degree seeking) and undertaking a minimum of four graduate semester hours of coursework. Refer to the Financial Aid Section of the Bulletin for further information. Mental and Physical Requirements Applicants seeking admission to a professional program must be able to: • Observe and assess a patient, discriminate color and depth, read and accurately complete reports and to visualize diagnostic/monitoring equipment in dim light. • Monitor and assess patient health needs, monitor various equipment and background sounds and communicate by telephone. • Speak in a clear and concise manner. • Interact with others in verbal and written form and have reading skills appropriate to understand patient charts, reports, and orders. • Lift and transfer patients to accomplish bed/chair/stretcher transfer. • Stand and walk without difficulty and be able to push a gurney and wheelchair. • Stand and/or sit for an extended period of time. • Perform fine and gross motor skills with both hands. • Think clearly and act appropriately in stressful situations. • Interact with individuals, families and groups from a variety of social, emotional, cultural and intellectual backgrounds. • Move from room to room and maneuver in small spaces. • Perform palpation, functions of physical examination and/or those related to therapeutic intervention. Process for Remediation of Written Complaints Against Graduate Departments Complaints arising from a program’s community of interest should first be referred to the respective department chair. The department chair will issue the program response within one week of receipt of the complaint. If the issue is not resolved or recurs, the complaint may be referred to the Senior Vice President for Academic Administration for further consideration and action. A response will be issued in writing within one week. A final appeal may be made to the President of the College. His/her decision is final. Complaints against specific graduate programs may be referred to the appropriate accrediting body after all internal mechanisms for resolution have been exhausted. Transfer Policy Graduate students may petition to transfer credits from other regionally accredited institutions of higher education. No more than twelve (12) graduate semester hours may be transferred into the graduate program of study. Only courses which fulfill FHCHS course requirements and have been completed with a grade of “B” or better may be transferred. Transfer requests must be approved by the respective department head. Transfer credit is not allowed for courses specific to the professional discipline (e.g. Nurse Anesthesia). Department of Nurse Anesthesia Admission Requirements The successful applicant will: 1. Meet Graduate General College admission requirements. 2. Provide evidence of satisfactory health and immunization requirements. 3. Possess the ability to meet mental and physical requirements. 4. Present evidence of a Bachelor of Science degree in Nursing or another appropriate major. 5. Present current official transcripts from all undergraduate and/or graduate institutions attended. Transcripts will be considered official only when received directly from the institution and not hand-delivered by the applicant or faxed by the institution attended. Official transcripts are also needed for each College Level Examination Program (CLEP), Advanced Placement (AP), and/or International Baccalaureate (IB) examination taken. 6. Present an unrestricted Florida license to practice as a registered nurse, or be eligible for Florida Registered Nurse licensure. (This requirement may be deferred.) 7. Present a minimum undergraduate cumulative grade point average of 3.00 on a 4.00 scale. 8. Present an official copy of a satisfactory score on the Graduate Record Examination (GRE) or the Miller Analogies Test (MAT) taken within the last 5 years. GRE or MAT scores on college transcripts are also acceptable. 9. Complete a minimum of one year intensive critical care nursing experience. Two or more years of critical care nursing experience is preferred. 10. Present Basic Life Support and Advanced Cardiac Life Support certification. (This requirement may be deferred.) 11. Provide an essay or goal statement outlining reasons for choosing to become a nurse anesthetist, reasons for choosing to attend a faith-based institution, and why you have specifically choosing FHCHS. 12. Provide three recommendations using FHCHS forms1. One recommendation must be from a licensed CRNA that the applicant has shadowed. Recommendations from friends or family members are not accepted. 13. Pass satisfactory criminal background checks for each state where the applicant has resided in the 24-month period preceding the date of admission to FHCHS. 14. Pay an application fee of $100.00. 15. Successfully complete the interview process (interviews are by invitation only). 16. Pay a non-refundable deposit of $500.00, once admitted, to reserve a place in the program.2 Note: Due to the competitive nature of the admission process applicants should understand that meeting the minimum standards does not guarantee admission into the program. Also, applicants will be screened and the most qualified individuals will be invited for an interview. 1Recommendation forms expire two years from the date of submission. 2The FHCHS Academic Bulletin states that each applicant accepted to a professional program must pay a non-refundable $500.00 deposit to reserve his or her place in the program. Once the student is enrolled in the program, the deposit will be applied toward the student’s account. If an individual does not enroll, he or she will forfeit the deposit. Readmission If individuals desire to return to the nurse anesthesia program, they must apply during the normal application cycle for the next available class. Should a vacancy occur in the program which is compatible with matriculation of the failed student, the Nurse Anesthesia Program may extend an invitation for application to the program. Individuals/applicants must submit required admission paperwork and fees. An invitation for application does not signify acceptance into the program. Failing students desiring to be considered for reapplication should submit a letter of intent to the Department of Admissions and Enrollment Services. Completion Florida Hospital College of Health Sciences will consider students for graduation and eligibility for the certification examination when they: 1. Meet all the requirements of Florida Hospital College of Health Sciences and the Nurse Anesthesia Program. 2. Meet all the requirements of the accrediting/approval bodies for licensure and certification. 3. Administer a minimum of 550 anesthetics. 4. Administer all required numbers for each category of cases and clinical experiences. 5. Complete all nurse anesthesia courses with a grade of “B” or better. 6. Complete the overall sequence of courses with a grade point average of 3.0 or better. 7. Complete cognate courses with a grade of “B” or better. Complete no more than one cognate course with a grade of “C” or better. 8. Complete the requirements of the capstone project and professional portfolio. 9. Possess ACLS, BLS, and PALS certification 10. Possess Florida RN licensure. 11. Complete all required coursework in 40 months from first date of entrance in to the nurse anesthesia program. Curriculum Students must complete the following courses prior to graduation2: Support Course Requirements BIOL 521 Advanced Anatomy and Physiology 3-0-0-3 BIOL 522 Advanced Pathophysiology 3-0-0-3 HTSC 540 Cultural and Ethical Considerations in Healthcare 3-0-0-3 RELP 510 Spirituality, Health, and Wholeness 3-0-0-3 Nurse Anesthesia Curriculum Requirements MSNA 501 Clinical Conference I 1-0-0-1 MSNA 502 Clinical Conference II 1-0-0-1 MSNA 503 Clinical Conference III 1-0-0-1 MSNA 504 Clinical Conference IV 1-0-0-1 MSNA 511 Health Assessment and Diagnostics 2-3-0-3 MSNA 512 Research and Evidence Based Practice 3-0-0-3 MSNA 513 Health Care Systems and Policy 3-0-0-3 MSNA 514 Professional Issues in Nurse Anesthesia Practice 3-0-0-3 MSNA 523 Advanced Pharmacotherapy 3-0-0-3 MSNA 524 Pharmacology in Nurse Anesthesia 3-0-0-3 MSNA 530 Introduction to Nurse Anesthesia Practice 1-0-0-1 MSNA 531 Principles of Science and Technology for Nurse Anesthesia 3-0-0-3 (Chemistry, Physics, Anesthesia Machine) MSNA 532 Basic Principles and Techniques of Nurse Anesthesia Practice 3-3-0-4 (with simulator lab and clinical observation) MSNA 533 Advanced Principles of Nurse Anesthesia 4-0-0-4 (to include regional and pain management) MSNA 534 Principles of Nurse Anesthesia for Patients with Co-Existing Disease and Trauma 2-0-0-2 MSNA 535 Principles of Nurse Anesthesia across the Life Span 3-0-0-3 (Peds, OB, Geriatrics) MSNA 536 Principles of Nurse Anesthesia for Complex Patients and Procedures 3-0-0-3 (Cardiac, Pulmonary, Neuro, Transplant) MSNA 537 Nurse Anesthesia Principles Review 2-0-0-2 MSNA 541 Nurse Anesthesia Clinical Practicum I 0-0-32-4 MSNA 542 Nurse Anesthesia Clinical Practicum II 0-0-32-4 MSNA 543 Nurse Anesthesia Clinical Practicum III 0-0-32-4 MSNA 544 Nurse Anesthesia Clinical Practicum IV 0-0-32-4 MSNA 545 Nurse Anesthesia Clinical Practicum V 0-0-32-4 MSNA 590 Final Student Project 2-0-0-2 Total Credit Hours Program Total 78 graduate semester hours (Program Length: 7 Semesters; 28 months; full time, year round, continuous course study) Legend 1st digit, course didactic hours 3rd digit, course clinical hours at 8:1 ratio 2nd digit, course lab hours at 3:1 ratio 4th digit, total course credit hours Course Descriptions MSNA 511: Health Assessment and Diagnostics (2-3-0-3). During this course students will integrate knowledge of cognitive processes and develop psychomotor skills needed for assessing health of patients across the lifespan. Health assessments involve the determination of psychomotor, developmental, nutritional, mental, and physical health status of the patient; the student also identifies appropriate diagnostic tests to assist in health assessment. RELP 510: Spirituality, Health, and Wholeness (3-0-0-3). A seminar course which explores the interrelationship between spirituality and healthcare delivery. Emphasis is placed upon real life experiences and contextual influences of nurse anesthesia practice. Topics may include: identification and assessment of spirituality, the relationship between spirituality and the mind and body, spiritual development across the life span, spiritual care giving, spiritual interventions, and diverse religious/spiritual perspectives on wellness and illness. BIOL 521: Advanced Anatomy and Physiology (3-0-0-3). This course includes advanced studies of human anatomy and physiology of the cell and muscular, cardiovascular, pulmonary, neurological, renal, hepatic, and endocrine systems. Emphasis is placed on feedback mechanisms, homeostasis, assessment and intervention. This serves as a basis for understanding pathophysiology of these systems and associated anesthesia implications. BIOL 522: Advanced Pathophysiology (3-0-0-3). This course includes advanced studies of human pathophysiology of the cell and muscle, cardiovascular, pulmonary, neurological, renal, hepatic, and endocrine systems. Mechanisms of disease state manifestations are explored. Application of clinical anesthesia practice and anesthetic implications are highlighted. MSNA 523: Advanced Pharmacotherapy (3-0-0-3). This course increases the student’s understanding of fundamental drug actions at the cellular level and their effects on human systems. Principles of pharmacodynamics and pharmacokinetics, receptor site physiology, toxicology, side effects, indications, and contraindications are emphasized for each group of drugs. Emphasis is placed on the interaction between pharmacotherapy and pathophysiology. MSNA 530: Introduction to Nurse Anesthesia Practice (1-0-0-1). This course introduces the student to basic principles of nurse anesthesia practice. Pre-operative patient assessment, anesthetic record keeping, informed consent, airway examination, anesthesia monitoring, patient positioning, ASA classification and anesthesia techniques are explored. MSNA 512: Research and Evidence Based Practice (3-0-0-3). This course is designed to give students an overview of quantitative and qualitative research processes. Students explore principles of research design, measurement, data collection, sampling and data analysis through critical examination of published studies. Principles of evidence-based practice are incorporated in order to assess the state of the science and direct decision making in anesthesia practice. MSNA 513: Health Care Systems and Policy (3-0-0-3). This course focuses on advanced practice nurses’ roles in organizational systems. Social, political, economic, legal, ethical, cultural, leadership, marketing, organizational and evaluation issues are covered. MSNA 531: Principles of Science and Technology for Nurse Anesthesia (3-0-0-3). This course integrates principles of chemistry and physics germane to anesthesia practice. An in depth exploration of the anesthesia machine and its components is also conducted. Students develop skills in pre-operative preparation of the anesthetizing environment and anesthesia machine check. Principles of safety and infection control are also applied. MSNA 524: Pharmacology in Nurse Anesthesia (3-0-0-3). This course examines the pharmacodynamics and pharmacokinetics of anesthetic and accessory drugs used in anesthesia practice. Receptor site physiology, mechanisms of action, factors modifying drug effects, toxicity, and indications and contraindications for use are emphasized. Principles of biochemistry are integrated. MSNA 532: Basic Principles and Techniques of Nurse Anesthesia Practice (3-2-2-4). This course provides a beginning foundation for students to plan and implement nursing anesthesia care in healthy patients. Topics include: designing and implementing individualized anesthesia care plans, principles of anesthesia induction, maintenance, and emergence, anesthesia complications in the healthy patient, airway management, and anesthesia for basic abdominal, orthopedic, urologic, and ENT procedures. Simulator laboratory experience and operating room observation time is provided for students to develop beginning level airway and anesthesia management skills. MSNA 533: Advanced Principles of Nurse Anesthesia (4-0-0-4). This course builds upon previous knowledge for students to plan and implement nurse anesthesia care for patients with moderate pathology or undergoing increasingly complex procedures. Topics include: regional block insertion and management, acute pain management, chronic pain management, trauma anesthesia MSNA 534: Principles of Nurse Anesthesia for Patients with Co-Existing Diseases (2-0-0-2). This course builds upon previous knowledge for students to plan and implement nurse anesthesia care in patients with co-existing diseases. Topics include: anesthesia for patients with neuromuscular, skeletal muscle, and endocrine disease, non-cardiac surgery in the cardiac patient, anesthesia for patients with hematologic, psychiatric / mental, renal, and hepatic disorders. MSNA 541: Nurse Anesthesia Clinical Practicum I (0-0-32-8). During this practicum course, students are provided clinical experience in all types of anesthetic techniques. Preparation of patients and equipment, pre- and postoperative patient evaluation, planning and implementing individualized anesthesia care plans, non-invasive and invasive monitoring, and airway management techniques are emphasized. MSNA 501: Clinical Conference I (1-0-0-1). This course promotes beginning synthesis of current anesthesia topics and research through review and application of current anesthesia literature as well as presentation and discussion of morbidity and mortality of clinical cases. MSNA 535: Principles of Nurse Anesthesia for Patients Across the Life Span (3-0-0-3). This course builds upon previous knowledge for students to plan and implement nurse anesthesia care for patients across the lifespan. Emphasis is placed upon the effects of age related physiology and implications for anesthesia administration. Topics related to the special needs of pediatric, obstetric, and geriatric patients are discussed. MSNA 542: Nurse Anesthesia Clinical Practicum II (0-0-32-8). During this practicum course, students are provided clinical experiences for specialized populations and surgical specialties. Clinical experiences will also include anesthesia techniques specific to acute and chronic pain management. MSNA 514: Professional Issues in Nurse Anesthesia Practice (3-0-0-3). This course explores issues related to nurse anesthetists in the roles of business manager, consultant, researcher, entrepreneur, and influencer of public policy. MSNA 502: Clinical Conference II (1-0-0-1). This course promotes synthesis of current anesthesia topics and research through review and application of current anesthesia literature as well as presentation and discussion of morbidity and mortality of clinical cases. MSNA 536: Principles of Nurse Anesthesia for Complex Patients and Procedures (3-0-0-3). This course builds upon previous knowledge for students to plan and implement nurse anesthesia care for complex patients and procedures. Emphasis is placed on the effects of moderate to severe pathophysiology and their implications for anesthesia administration. MSNA 543: Nurse Anesthesia Clinical Practicum III (0-0-32-8). During this practicum course, students are provided with clinical experience for complex patients across the life span and critically ill populations. HTSC 540: Ethical and Cultural Considerations in Healthcare (2-0-0-2). This course provides students with opportunities to synthesize and integrate current ethical and cultural issues into nurse anesthesia practice. Topics include: end of life issues, advanced directives, MSNA 503: Clinical Conference III (1-0-0-1). This course promotes synthesis of current anesthesia topics and research through review and application of current anesthesia literature as well as presentation and discussion of morbidity and mortality of clinical cases. MSNA 544: Nurse Anesthesia Clinical Practicum IV (0-0-36-9). During this practicum course, students are provided with clinical experience for complex patients undergoing complex procedures. Clinical experiences will also include anesthetic techniques specific to cardiac, intrathoracic, intracranial, and transplant anesthesia. MSNA 504: Clinical Conference IV (1-0-0-1). This course promotes synthesis of current anesthesia topics and research through review and application of current anesthesia literature as well as presentation and discussion of morbidity and mortality of clinical cases. MSNA 537: Nurse Anesthesia Principles Review (1-0-0-1). This course provides student with a general overall review of anesthesia content to aid in preparation for taking the National Certification Examination. Content review is presented through simulated experiences and computerized practice examinations so that students may identify individualized content areas requiring additional review and study. MSNA 545 Nurse Anesthesia Clinical Practicum V (0-0-36-9). During this practicum course, students are provided with internship experiences to assist in the transition from student to full contributing member of the anesthesia care team. MSNA 590: Final Student Project (2-0-0-2). This is the capstone project of the nurse anesthesia program. While it is expected that students will be working on their individualized projects throughout the program, final approval of the completed project is given at this time. Successful completion and approval of student projects is required for graduation.
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