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The entire course is designed to be completed within 12 months.

Phase I On-site lectures 100 CE 2 weeks

Phase II Study questions 100 CE

Phase III Case studies 100 CE

Please note that a clinical component is required for all refresher certified nurse anesthetists. The clinical component must be completed within 18 months of course completion. While the clinical component is separate from this refresher, we recommend that Phase I be completed before the clinical component begins. Completing the self-studies necessary to finish Phases II & III will compliment clinical requirements.

Faculty Biographies:

Nancy Bruton-Maree, CRNA, MS
Director, Raleigh School of Nurse Anesthesia
Raleigh, North Carolina

Mary Karlet, CRNA, PhD
Director, Nurse Anesthesia Program
Samford University
Birmingham, Alabama

Sandra Ouellette, CRNA, MED, FAAN
President, R&S Ouellette, Inc.
President, International Federation of Nurse Anesthetists

Invited Guest Lecturers

"Review & Update: A Nurse Anesthesia Refresher Program" is divided into three phases:

1. Phase I is designed for all refresher students. It consists of 100 CE credits obtained by attending an onsite, 2 week course in Winston-Salem, North Carolina. Course content is divided into:

  • Scientific Foundations to include Pathophysiology , Pharmacology (40 CE)
  • Advanced Principles of Anesthesia (40 CE)
  • Professional Standards and Safety (10 CE)
  • Anesthesia Equipment, Technology, Instrumentation (10 CE)

Phase I is designed for the nurse anesthetist not engaged in clinical anesthesia practice for more that 3 years but less than 5 years. The required clinical component and documentation of clinical ACLS, PALS and NRP certification are separate and not provided in this program.

2. Phase II is designed for those not engaged in clinical anesthesia practice for more than 5 years but less than 7 years. In addition to completing Phase II, this participant must have also completed Phase I. Documentation of 200 CE credits is necessary. One hundred credits are obtained by completion of Phase I. Phase II (100 CE credits) is completed by a program-guided independent self-study and testing. The second portion can be completed at home by answering questions in the following areas:

  • Scientific Foundations to include Pathophysiology, Pharmacology (40 CE)
  • Advanced principles of Anesthesia (40 CE)
  • Professional Standards and Safety (10 CE)
  • Anesthesia Equipment, Instrumentation,Technology (10 CE)

All questions will be taken from the textbook Nagelhout JJ, Plaus KL, eds. Nurse Anesthesia. 4th ed. Philadelphia : W.B. Saunders Co.; 2009. Questions will be answered and returned to instructors for grading. The grade must be 80 or higher to successfully complete Phase II. The questions will be derived from over 40 self study modules that should be completed within 26 weeks. The number of questions to be answered are over 2,700. The self-study should be completed 6 months after the on-site refresher course.

3. Phase III is designed for those not engaged in clinical practice for more than 7 years. Documentation of 300 CE credits is necessary. One hundred credits are obtained by completing the Phase I on-site refresher course and 100 hours are obtained by completing the Phase II program-guided independent study and test with a passing score of 80 or higher. An additional 100 CE credits will be obtained by additional case studies at home in the following areas:

  • Scientific Foundations to include Pathophysiology, Pharmacology (40 CE)
  • Advanced Principles of Anesthesia (40 CE)
  • Professional Standards and Safety (10 CE)
  • Anesthesia Equipment, Technology, Instrumentation (10 CE)

The Phase III case studies will be taken from the following textbooks:

  1. Stoelting, R, "Physiology and Pharmacology in Anesthesia Practice", Lippincott, Williams, & Wilkin 2006.
  2. Nagelhout JJ, Plaus KL, eds. Nurse Anesthesia. 4th ed. Philadelphia : W.B. Saunders Co.; 2009.
  3. Hines RL, Marschall KE. Stoeltings Anesthesia and Co-Existing Disease, 5th ed. New York : Churchill Livingstone; 2008.
  4. Karlet M “Nurse Anesthesia Secrets” Elsevier Mosby 2005.
  5. Fleisher L “Evidenced Based practice of Anesthesiology” Saunders 2004.
  6. Morgan E G, Mikhail MS Murray MJ. Clinical Anesthesiology (4th Ed) Lange Medical Publishing/McGraw Hill 2006.
  7. Yao FF, Artusio JF “Anesthesiology Problem-Oriented Patient Management.” (35th Ed) J B Lippincott Co 2003.

The Phase III additional questions will be taken from the following textbooks:

  1. Stoelting, R, "Physiology and Pharmacology in Anesthesia Practice", Lippincott, Williams, & Wilkin 2006.
  2. Hines RL, Marschall KE. Stoeltings Anesthesia and Co-Existing Disease, 5th ed. New York : Churchill Livingstone; 2008.
  3. Karlet M “Nurse Anesthesia Secrets” Elsevier Mosby 2005.
  4. Fleisher L “Evidenced Based Practice of Anesthesiology” Saunders 2004.
  5. Morgan E G, Mikhail MS Murray MJ. Clinical Anesthesiology (4th Ed) Lange Medical Publishing/McGraw Hill 2006.
  6. Yao FF, Artusio JF “Anesthesiology Problem-Oriented Patient Management.” (35th Ed) J B Lippincott Co 2003.

All questions will be completed and returned to instructors for grading. A grade of 80 or higher is necessary to pass. Phase III questions are divided into cases to be completed in 26 weeks. All participants who must retake the certification examination will complete a multiple choice examination.There are over 1700 practice questions on the multiple choice examination.

The entire course is designed to be completed within 12 months.

Phase I On-site lectures 100 CE 2 weeks
Phase II Study questions 100 CE
Phase III Case studies 100 CE

Please note that a clinical component is required for all refresher certified nurse anesthetists. The clinical component must be completed within 24 months of course completion. While the clinical component is separate from this refresher, we recommend that Phase I be completed before the clinical component begins. Completing the self-studies necessary to finish Phases II & III will compliment clinical requirements.

Cost:

Phase I only $5,000 (plus travel expenses)
payable at enrollment
Phase II $2,500
Phase III $2,500


Successful course completion is dependent upon completion of all course work and payment of all fees. The CE participant transcript will then be signed and a CE certificate will be awarded.

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