Introduction to Anesthesiology Nursing NGR 6421 Principles of Anesthesiology Nursing I

1. Introduction to Anesthesiology NursingNGR 6421 Principles of Anesthesiology Nursing I

3. Discussion Outline Course Expectations & Program Context Historical Context � Anesthesia and CRNAs Clinical Expectations Core Desk and OR Schedule Board Daily Setup Machine Check Out Pre-Op Evaluation Holding Area Documentation Operating Room OR Anesthesia Responsibilities Post Anesthesia Care Unit Post-Op Evaluation OR Environment

4. Course Objectives:Upon completion of this course, the graduate student will be able to: Identify the basic principles of anesthesia management. Correlate the steps in pre and post anesthetic evaluation with standards of care. Develop an anesthesia care plan specific to patient population. Correlate operative anesthetic management with anesthetic technique, procedure, and equipment.. Identify principles of airway management, to include landmarks and airway evaluation. Position of patient using principles of comfort and mobility. Correlate prevention of complications and standards of anesthesia patient. Demonstrate accurate documentation of anesthetic record. Utilize correct techniques for care of equipment, management of patient and procedure preparation. Demonstrate critical thinking dispositions in assessment of patient, formation of care plan and justification for choosing that plan, and state expected postoperative expectations.

5. Historical Context History of Nurse Anesthesia Practice Nurses were the first professional group to provide anesthesia services in the United States. Established in the late 1800s, nurse anesthesia has since become recognized as the first clinical nursing specialty. The discipline of nurse anesthesia developed in response to requests of surgeons seeking a solution to the high morbidity and mortality attributed to anesthesia at that time. Surgeons saw nurses as a cadre of professionals who could give their undivided attention to patient care during surgical procedures. Serving as pioneers in anesthesia, nurse anesthetists became involved in the full range of specialty surgical procedures, as well as in the refinement of anesthesia techniques and equipment.

6. Clinical Expectations Overview: All NARs are RN�s first and NAR�s second.ANP Clinical Policy and Procedures. Anesthesia Care Plan required for every case. Pre-op and Post-op Evaluations will be completed daily. Daily NAR evaluation book & Case Count. Appropriate and professional dress expected at all times on hospital campuses.

7. Core Desk & Control Board

9. Obtaining Drugs/ Supplies

10. Daily Drug Setup

11. Machine Check�Airway Set Up

12. Pre-Anesthesia Evaluation

13. PreSurgical Holding Unit

18. OR Anesthesia Responsibilities

19. Post Anesthesia Care Unit

20. Post-op Evaluation Date, Time �Anesthesia post-op note� Note anesthesia complications if any- review those problems with attending anesthesiologist, and sign. Example; �Sept. 13, 2004. Anesthesia post-op note. No anesthesia complications. Mark Welliver CRNA�

22. Operating Room Hazards General safety � cuts & sticks, lifting, falls, radiation, burns, hand/foot injuries Biohazards Fire Hazards Laser Hazards Compressed Gases Trace Gases Electrical Hazards Substances Operational hazards

29. LASERS

31. Trace Gas Levels

32. Control Measures of Trace Gas Levels

33. Monitoring trace levels

34. Miscellaneous; OR Environment

36. Operational Hazards

37. Operational Hazards