Clinical progress is evaluated through three strategies: 1) Evaluation at the Minneapolis VAHCS and M-Health campuses, the program primary clinical sites; 2) Evaluation from rotations outside of the Minneapolis VAHCS; and 3) self- evaluation. Clinical performance expectations are developmental and progressive. Clinical performance expectations will be communicated to the students before the beginning of the clinical course.
Daily clinical evaluations will be completed via Typhon. Copies of daily evaluations are below - to be utlized only in circumstances where an electronic evaluation is not feasible.
The evaluations will be reviewed by the Nurse Anesthesia Specialty faculty who will complete a summative evaluation for the semester. The summative evaluation will be discussed with the student at the end of each semester. Grades for the clinical courses will be entered by the instructor for the clinical course. A final program evaluation for each student will be done by the nurse anesthesia program director at the conclusion of the nurse anesthesia program of study.
In clinical, under the guidance of a Certified Registered Nurse Anesthetist (CRNA) and/or Anesthesiologist, and simulated situations the student will:
1. Demonstrate consistent routine when performing a complete holistic assessment with surgical patients before providing anesthesia services
2. Demonstrate proficiency with IV skills
3. Calculate, initiate, and manage fluid and blood components
4. Conduct a comprehensive equipment check which includes an anesthesia machine check-out every morning prior to administering an anesthetic and a modified equipment check in between cases.
5. Identify and take appropriate action when confronted with anesthetic equipment-related malfunctions and communicate with preceptors and health care team.
6. Develop a care plan for surgical interventions in a patient population with co-morbidities utilizing science based in consultation with the preceptors before providing anesthesia services while assuming responsibility and accountability for diagnosis. (i.e. ERAS, multimodal, etc.).
7. Perform a physical airway assessment, identify potentially difficult airway situations, and identify appropriate equipment and safety measures to manage the airway.
8. Interpret and utilize data correctly that is obtained from noninvasive and invasive monitoring modalities while integrating the assessment information into routine charting
9. Demonstrate progression of confidence and skills necessary to safely anesthetize patients and state the appropriate induction dosages for a patient undergoing anesthesia while providing individualized care throughout the perianesthesia continuum (i.e. hypotensive, massive blood loss, etc).
10. Administer appropriate antibiotic prophylaxis prior to incision.
11. Recognize, evaluate, and manage appropriately the physiological responses and complications during the provision of anesthesia services while maintaining vigilance throughout care.
12. Administer general anesthesia, monitored anesthesia care (MAC), and/or regional anesthesia to patients across the lifespan with a variety of physical conditions and surgical and medically related procedures.
13. Deliver culturally competent perianesthesia care effectively with diverse patients, families, and healthcare team members to facilitate patient care.