1

University of Pennsylvania
School of Nursing
Course Syllabus
TITLE: N 618 Principles of Nurse Anesthesia Practice II
COURSE UNITS: 1 cu
CATALO !ESCRIPTION:
This course explores the special considerations required for the care of pediatric,
obstetric, & cardiothoracic patients undergoing anesthesia Patients receiving anesthesia
for cardiothoracic and vascular surgeries are also studied The pre!anesthesia assess"ent
of these patients is discussed #ith particular e"phasis on physiologic changes #ithin the
population along #ith co""only occurring co"plications $onitoring and "anage"ent
strategies for anesthetic effect and "aintenance of he"odyna"ic stability along #ith
recognition of potential adverse reactions are revie#ed using evidence based case study
approach
PLACE"ENT: Sprin# $ear I
%ACULT&: Lori Ann 'inner( "SN( CRNA
Roo) *+,
C- 61./,10/11,,
T- 210/,+6/*006
3isele$a4nursin#-upenn-e5u
PRE/RE6UISITE7S8: Principles of Nurse Anesthesia Practice I 7N 61,8
CO/RE6UISITE7S8: None
COURSE O9ER9IE':
This course explores the special populations of the obstetric, pediatric, and trau"a
patients along #ith those undergoing cardiothoracic and vascular surgery %n in!depth
analysis of the pre!anesthesia assess"ent, perioperative considerations and "anage"ent
techniques along #ith post anesthesia "onitoring necessary to assure a positive outco"e
are presented % detailed revie# of the co""only occurring co"plications and their
"anage"ent techniques are discussed
COURSE O:;ECTI9ES:
1 &iscuss the physiologic differences bet#een adult and pediatric patients #ith
regard to body co"position, anato"ical differences, and co""only occurring
pediatric disorders
' &escribe the anato"ical and physiological differences of the CNS, cardiac,
pul"onary and renal syste"s bet#een ne#born, child, pregnant patients and the
older adult requiring cardiovascular surgery
'
( )xa"ine pre!operative, intra!operative and post!operative evaluation and
interventions co""only needed in the care of the pediatric, obstetric, trau"a, and
cardiovascular surgical patient
* +ist relative contraindications and special considerations in using anesthetics in
these specific populations
, +ist the co""only utili-ed techniques to provide anesthesia for pediatric patients
. Understand the anato"y of the placenta and placental transfer of drugs at ter"
/ &iscuss the factors influencing placental transfer of "edication co""only used in
providing obstetrical anesthesia
0 )xplain the phar"acological and non!phar"acological "ethods utili-ed for pain
relief during labor
1 &iscuss the effect of anesthetics to fetus, and appropriate "onitoring interventions
e"ployed in the care of an obstetrical patient having non!fetal surgery
12 &iscuss delivery of anesthesia to patients undergoing cardiothoracic and vascular
surgery #ith specific focus on invasive "onitoring and cardio pul"onary bypass
11 )xa"ine interventions to "aintain he"odyna"ics stability during vascular
procedures requiring cross cla"ping of "a3or vessels during vascular surgery
TEAC<IN "ET<O!S:
+ecture, discussion, case study presentation, si"ulation
E9ALUATION "ET<O!S:
Nurse Anesthesia 'ee= 1.>
E?a) @1 7Pe5iatric8 *.>
E?a) @2 7O:8 *.>
E?a) @* 7C9CT8 *.>
RA!IN POLIC&
%4 1/!122 % 1(!1. %! 12!1'
54 0/!01 5 0(!0. 5! 02!0'
C4 //!/1 C /(!/. C! /2!/'
6 2!.1
7rades #ill be rounded as follo#s8
1!, #ill be rounded up to ,9 .!1 #ill be rounded to next #hole nu"ber
Shoul5 a stu5ent Ae foun5 responsiAle for cheatin# in this course( their #ra5e for the
course 3ill Ae a failure-
The UniBersit$ Co5e of Aca5e)ic inte#rit$ 3ill Ae follo3e5 in this course- It is
aBailaAle on :lac=Aoar5 an5 the stu5ent han5Aoo=-
(
Code of Academic Integrity
Since the University is an academic community, its fundamental purpose is the pursuit of
knowledge. Essential to the success of this educational mission is a commitment to the principles
of academic integrity. Every member of the University community is responsible for upholding the
highest standards of honesty at all times. Students, as members of the community, are also
responsible for adhering to the principles and spirit of the following Code of Academic Integrity.
Aca5e)ic !ishonest$ !efinitions
Activities that have the effect or intention of interfering with education, pursuit of knowledge, or
fair evaluation of a students performance are prohibited. E!amples of such activities include but
are not limited to the following definitions"
A. Cheating" using or attempting to use unauthori#ed assistance, material, or study aids
in e!aminations or other academic work or preventing, or attempting to prevent, another
from using authori#ed assistance, material, or study aids. E!ample" using a cheat sheet
in a $ui# or e!am, altering a graded e!am and resubmitting it for a better grade, etc.
%. &lagiarism" using the ideas, data, or language of another without specific or proper
acknowledgment. E!ample" copying another persons paper, article, or computer work
and submitting it for an assignment, cloning someone elses ideas without attribution,
failing to use $uotation marks where appropriate, etc.
C. 'abrication" submitting contrived or altered information in any academic e!ercise.
E!ample" making up data for an e!periment, fudging data, citing none!istent articles,
contriving sources, etc.
(. )ultiple submissions" submitting, without prior permission, any work submitted to fulfill
another academic re$uirement.
E. )isrepresentation of academic records" misrepresenting or tampering with or
attempting to tamper with any portion of a students transcripts or academic record, either
before or after coming to the University of &ennsylvania. E!ample" forging a change of
grade slip, tampering with computer records, falsifying academic information on ones
resume, etc.
'. 'acilitating academic dishonesty" knowingly helping or attempting to help another
violate any provision of the Code. E!ample" working together on a take*home e!am, etc.
+. Unfair advantage" attempting to gain unauthori#ed advantage over fellow students in
an academic e!ercise. E!ample" gaining or providing unauthori#ed access to
e!amination materials, obstructing or interfering with another students efforts in an
academic e!ercise, lying about a need for an e!tension for an e!am or paper, continuing
to write even when time is up during an e!am, destroying or keeping library materials for
ones own use., etc.
, If a student is unsure whether his action-s. constitute a violation of the Code of Academic
Integrity, then it is that students responsibility to consult with the instructor to clarify any
ambiguities. -Source" /ffice of the &rovost, 0112.
http8::###vpulupennedu:osl:pennboo;ht"l
PRESENTATIONS UI!ELINES:
Students #ill co"plete an assign"ent in a professional "anner in recognition of National
Nurse %nesthetist <ee; =>anuary 11!',, '21*? They can be of any venue @) video,
presentation, PPT, co""unity pro3ect ideas Aour presentations "ay be selected for
display or presenting in areas #ithin the School of Nursing, pri"ary clinical sites, and
local schools in a BCareer &ayC "anner during National Nurse %nesthetist <ee; This
*
pro3ect can be co"pleted as a group pro3ect #ith no "ore than ' students per group if the
deliverable product is a poster @f a larger venue is proposed, than #e can agree on "ore
students for D effort Topics should celebrate the profession of nurse anesthesia and "ay
include8
1? The history of Nurse %nesthesia Practice
'? Nurse %nesthetists in the $ilitary
(? Nurse %nesthetist )ducation and Certification
*? The history of anesthetics
,? @ssues surrounding the practice of Nurse %nesthesia =the individual issue "ust
be approved by the course director and be stated in a political nature?
Infor)ation re#ar5in# a poster presentation:
&i"ensions of a poster presentation should be in a tri fold style % laser printer should be
used to produce text #ith large enough fonts to per"it easy reading Eeferences should
be sited in the lo#er right hand section of the poster The group na"es and status as
University of Pennsylvania Students should be identified on the poster.
6ailure to co"plete this assign"ent by #ill result in no credit being assigned for this
portion of the course grade to either student
ra5in# Criteria
Or#aniCation of )aterial 7outline reDuire58 2.>
I)a#e Content E Dualit$ 2.>
'ritten 3or5Fte?t 2.>
OBerall concept presentation 2.>
OBerall 5eliBer$ )etho5 2.>
,
RE6UIRE! TEGTS:
Ehoades, E% & 5ell, &E ='21(? $edical Physiology8 Principles for Clinical $edicine
*
th
)dition Philadelphia8 +ippincott, <illia"s, & <il;ins
Nagelhout, > & Faglanic-ny ='21(? Nurse %nesthesia ,
th
)dition $issouri8 )lsevier
Saunders
5arash, P7, Cullen, 56 & Stoeling, EG )ds ='21(? Clinical %nesthesia /
th
)dition
Phila, P%8 +ippincott, <illia"s & <il;ins
RECO""EN!E! TEGTS:
+it"an, E ='22*? Pediatric %nesthesia8 The Eequisites 1
st
)d Ne# Aor;8 $osby
Stoeling, E & $iller, E ='22/? 5asics of %nesthesia ,
th
)d Ne# Aor;8 Churchill
+ivingstone
Stoelting, E & Hillier, S ='22.? Phar"acology and Physiology in %nesthetic Practice
*
th
)d Philadelphia8 +ippincott <illia"s & <il;ins
Hurford, < ='22/? Clinical %nesthesia Procedures of the $assachusetts 7eneral
Hospital /
th
)d Phila, P%8 +ippincott, <illia"s, & <il;ens
.
Class <el5 "on5a$ 1a) H 12p) %a#in <all
&ay:Ti"e Topic Ib3ective Eeadings
'ee= 1
>an 1,, '21*
7'e5nes5a$8
No ClassIIII
Nurse %nesthesia <ee;
activity preparation
'ee= 2
>anuary '2, '21*
Nurse Anesthetist 'ee=
$+G &%AJJJ
No ClassJJJ
Co)plete5
ProJects
!ue 1/2./
2.1+
'ee= *
>anuary '/, '21*
& 5ent
Pediatric %nesthesia
%ssess"ent and interventions
of physiologic presentations
1!,, 1. N & P Ch */, *0
5arash Ch *1,*'
'ee= +
6ebruary (, '21*
& 5ent
Pediatric %nesthesia
@ntraoperative "anage"ent
1!,, 1. N & P Ch */, *0
5arash *1,*'
'ee= 0
6ebruary 12, '21*
+ori Irt"an
Pediatric %nesthesia
6etal Circulation
@ntraoperative "anage"ent
1!,, 1. 5arash Ch *1
N&P Ch */
'ee= 6
6ebruary 1/, '21*
% &idonato
Ibstetrical %nesthesia
$anage"ent of the Ibstetrical
patient K Physiological
changes associated #ith
pregnancy, +aboring )pidural
anesthesia for Cesarean
Section, post!dural puncture
headache
'!*, 1. E&5 Ch (/ & (0
N&P Ch *.
5arash Ch *2
%ssigned articles
'ee= ,
6ebruary '*, '21*
& 5ent
Pediatric %nesthesia
@ntraoperative "anage"ent
continued
1!,, 1. N & P Ch */, *0
5arash *1,*'
'ee= 8
$arch (, '21*
KK 8 H 12p
O: Si)ulation Session '!*, 1.
'ee= 1
$arch 12, '21*
+ <inner
Lascular %nesthesia +ecture '!*, 12,11,1.
N&P Ch '* & ',
5arash Ch (0 & (1
'ee= 1.
$arch 1/, '21*
& 5ent
E?a) @1
Pe5iatric Anesthesia
$aterial fro" #ee;s
(, *, , & /
/
'ee= 11
$arch '*, '21*
Si"ulation 6aculty
C9CT Si)ulation Session:
Central Line Place)ent E
Intro5uction to CP:
'ee= 12
$arch (1, '21*
1a!*p
E?a) @2
OAstetrical Anesthesia
6ollo#ing I5 )xa"8
Content fro" NUES /1'8
Che"istry & Physics +ecture
$aterial fro" #ee;s
. & 0
'ee= 1*
%pril /, '21*
Content fro" NUES /1'8
Che"istry & Physics +ecture
'ee= 1+
%pril 1*, '21*
&elivered 1:'1 &
':, =P Conicelli?
(:1/ =+ <inner?
E?a) @*
C9FCT Anesthesia
Coronary %rtery 5ypass
Surgeries, Lalvular repairs,
Cardiobypass Perfusion
&evice, &
Lascular %nesthesia
$aterial fro" #ee;s
(, *, & 12
=>anuary '1, 6eb ,
th
,
& $arch 1/th?
'ee= 10
%pril '1, '21*
&idactic faculty
Case discussions & revie#
"aterial fro" se"ester
'ee= 16
%pril '0, '21*
% &idonato

E?a) for NURS ,12 content:
Che)istr$ E Ph$sics
$aterial fro" #ee;s
1' & 1(
$ay 1! ', '21* Rea5in# !a$s
$ay ,!1(, '21* %inal E?a)s
TOTAL NU":ER O% T<EOR& <OURS: +0
TOTAL NU":ER O% CLINICAL <OURS: .