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How to (Why) Start a Nurse Anesthesia Program

2 nd Annual Ellison Pierce Symposium Positioning Your ORs For The Future. How to (Why) Start a Nurse Anesthesia Program. Susan Emery, CRNA, MA. Boston University School of Medicine May 20, 2006. 9:30-10:00am. QUESTION:. Do you have your own CRNA program?. Yes No. 0 / 10. QUESTION:.

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How to (Why) Start a Nurse Anesthesia Program

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  1. 2nd Annual Ellison Pierce Symposium Positioning Your ORs For The Future How to (Why) Start a Nurse Anesthesia Program Susan Emery, CRNA, MA Boston University School of Medicine May 20, 2006 9:30-10:00am

  2. QUESTION: Do you have your own CRNA program? • Yes • No 0 / 10

  3. QUESTION: Do you have difficulty recruiting and retaining CRNA’s in your practice? • Yes • No 0 / 10

  4. Why we did it • How we did it • Did it work? • Should you do it?

  5. Why We Did It Practical reasons: • Recruitment – large and diverse group • Recruitment – MA cost of living • Recruitment – orientation is minimal • Recruitment – students often stay where they train • Recruitment – can hire known entity

  6. Why We Did It Additional reasons: 1. Only 1 program in MA 2. More qualified applicants than available slots 3. Career ladder/professional development of CRNA staff

  7. How We Did It • Pre-anesthesia (pre-program) assessment • Partnering with a university • Anesthesia Care Plan • Developing a curriculum • Defining a budget/resource allocation • Pre-medication • Obtaining accreditation • Induction • Admission of the first class • Maintenance • Ongoing program evaluation and improvement • Emergence • Graduation of the first class • Post-anesthesia Visit • Graduate and employer evaluations • Certification exam results

  8. Partnering with a College College of nursing vs allied health • Currently 50:50 • Philosophical considerations • Who’s interested? Who’s in charge? • Sole vs shared authority • Who does the teaching?

  9. Developing a Curriculum • Core courses • Additional students vs • Additional course sections • Specialty courses • Curriculum development • Committee approval

  10. Council on Accredication Requirements – new 3/01/04 Didactic content: Contact hrs A&P, pathophysiology 135 Pharmacology (includes chemistry & biochem) 105 Professional Aspects 45 Basic & Adv Principles (includes physics, etc.) 105 Research 30

  11. Total Anesthesia Cases 550 Total Hours 800 Specialty cases: Pediatric 2-12 25 Pediatric under 2 10 Obstetric 30 C-section 10 Intracranial 5 Intrathoracic 15 Heart 5 Lung 5 Techniques: Mask management 25 Regional 25 Spinal 5 Epidural 5 Peripheral 5 Arterial line 25 Central line 5 Clinical Requirements

  12. Accreditation Process • Who is the COA? • Capability study: time-line • Self-study documentation • On-site visit • Accreditation decision • Advertising and accepting students

  13. Who Pays for What? • Intake vs Output • What are the costs? • Salaries & benefits • Program Director • Assistant Program Director • Other Faculty • Office space • Textbooks • Library acquisitions • COA dues • Travel & conference

  14. Recruitment into the Program • Advertise only after accreditation granted • BC website • AANA list of accredited programs • Computer search • Your own facility • Local undergraduate programs

  15. Did it Work? • Added value of SRNAs • Cost/benefit • Recruitment statistics

  16. Would it work for you? Pros: Recruitment Recruitment Recruitment Teaching opportunities “Extra pair of hands” Job satisfaction Cons: Case requirements Supervision/teaching Evaluations - student - program

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