MSN CRNA Supplemental Handbook
Introduction and Purpose of the Student Handbook
The MSN Nurse Anesthesia Supplemental Student Handbook (Supplemental Handbook) outlines rules and regulations of the Nurse Anesthesia Program and informs the students of the rights and responsibilities of students and faculty including due process. Each Nurse Anesthesia student and faculty member is provided a copy of the Supplemental Handbook. A copy is also maintained in paper form in the Program office and in clinical facilities for reference. The Handbook is a supplemental source of information and contains policies and procedures specific to the Michigan State University Nurse Anesthesia Program. Please contact the Program Director with any questions or concerns regarding the contents of this Supplemental Handbook.
In the absence of a policy specific to the Nurse Anesthesia program, please refer to the Academic Programs Catalog and the College of Nursing Master of Science Nursing Student Handbook.
Non-Discrimination and Inclusive Governance
Michigan State University Policy
The University’s Anti-Discrimination Policy cited below, prohibits discrimination against individuals based on characteristics protected under federal and state law, but also prohibits discrimination on the basis of political persuasion, veteran status, and sexual orientation:
MSU Anti-Discrimination Policy (Revised 04/2007) prohibits acts of discrimination and harassment against any university community member(s) by inappropriately limiting employment opportunities, access to university residential facilities, or participating in educational, athletic, social, cultural, or other university activities on the basis of age, color, gender, gender identity, disability, height, marital status, national origin, political persuasion, race, religion, sexual orientation, veteran status or weight. Complaints under this policy may be submitted for non-disciplinary adjudication according to the provisions of the “Procedures of the Anti-Discrimination Judicial Board.”
The regulations implementing Title VI, Title IX, Section 504, the Age Discrimination Act, and Title VII contain requirements for recipients to issue notices of nondiscrimination. 34 C.F.R. Sections 100.6(d), 106.9, 104.8, 110.25, 41 C.F.R. Sections 60-1.42(a), respectively. The Title II regulation also contains a notice requirement that applies to all units of government, whether or not they receive federal aid. (See 28 C.F.R. Section 35.106.)
Mission, Philosophy, Strategies, and Accreditation
The Michigan State University Nurse Anesthesia Program is committed to excellence in the education of Registered Nurses to perform as Certified Registered Nurse Anesthetists, and to prepare them for the life-long study and practice of anesthesia. The nurse anesthesia program curriculum includes a core course template developed for all students in the master’s program, support courses in the sciences and specialty track courses in anesthesia to address the constantly changing global health care environment.
The Michigan State University Nurse Anesthesia Program holds as its philosophical foundation that a dynamic, educational environment can promote expertise while fostering self-directed and evidence-based learning. Dedication to producing a scholarly, safe, conscientious practitioner with critical thinking skills is reflected by the atmosphere of healthy, faculty guided, peer competition with minimal extraneous stress. Convinced that active participation in the Land Grant mission of the University provides opportunities for growth and productivity along a variety of dimensions, the curriculum and faculty members serve to exemplify responsibility for current trends and legal standards of practice. The practice of Nurse Anesthesia rests upon a sound foundation of arts and science that prepares graduates to excel in our rapidly changing, diverse, and technologically advanced society. Teaching and scholarly activities are keystones of the curriculum and occur within an evidence-based, high quality, patient-centered healthcare milieu. Faculty serves as guide, mentor, role model, and consultant for Nurse Anesthesia students.
We will distinguish ourselves through differentiated strategies that include:
S tudent-centered, diverse foci
P ractice/learning opportunities that reflect the ever-changing needs of a global community
A ttitudes that reflect scholarship and caring
R etention initiatives for students interested in obtaining the PhD
T eaching, practice, and learning excellence
Y ear-round Accessibility
The MSU College of Nursing MSN programs are accredited by the Center for Credentialing Nursing Education. The Nurse Anesthesia Program is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs, (222 South Prospect Avenue, Suite 304, Park Ridge, Illinois 60060-4041: Telephone 847-692-7050), a specialized accrediting body recognized by the Council for Higher Education Accreditation and the United States Department of Education.
Program Description and Objectives
The MSN Nurse Anesthesia concentration is a rigorous, 28-month, full-time program designed to educate Registered Nurses in academic knowledge, technical and clinical skills, and professional attitudes in nursing practice to assume leadership roles as accomplished advanced practitioners in nurse anesthesia who meet the requirements and are eligible for certification as certified registered nurse anesthetists (CRNA) and licensure as Advanced Practice Registered Nurses (APRNs).
Content is delivered via face-to-face instruction, interactive television and the World Wide Web. The Council on Accreditation of Nurse Anesthesia Educational Programs (COA) has a minimal academic curriculum for nurse anesthesia programs to include:
- A minimum of 135 hours in Advanced Anatomy, Physiology and Pathophysiology.
- A minimum of 90 hours in Advanced Pharmacology.
- A minimum of 45 hours in Chemistry and Physics Related to Anesthesia.
- The minimum requirement of 90 hours of courses in anesthesia practice provides content such as induction, maintenance, and emergence of anesthesia; airway management; anesthesia pharmacology; and anesthesia for special patient populations such as obstetrics, geriatrics, and pediatrics.
Program Terminal Objectives
At the end of the program, graduates will be able to:
- Evaluate phenomenon related to the practice of anesthesia by professional nurses to facilitate strategies that impact and advance anesthesia related health outcomes.
- Demonstrate leadership and care competencies that combine cognitive, affective, and psychomotor skills to facilitate anesthesia practice as Advance Practice Nurses.
- Apply the major critical thinking and analytic skills to effectively practice nurse anesthesia in a cost-effective and accountable manner.
- Evaluate and utilize anesthesia-related research that enhance and advance the specialty and disseminate outcomes to improve patient care.
- Integrate interdisciplinary, evidence-based problem-solving and education strategies in the delivery of care to diverse populations.
- Analyze leadership skills utilized in the evaluation of the quality of anesthesia care provided throughout the community
- Integrate practice and education to expand the profession and practice of anesthesia nursing.
Nurse Anesthesia Program Admission Requirements
In addition to University and College of Nursing requirements, applicants to the Master of Science in Nursing-Nurse Anesthesia concentration must meet the following requirements to be considered for admission:
- Complete the Graduate Record Examination Verbal, Quantitative, and Analytic sections within the last five years.
- One year of full-time clinical experience or equivalent as a Registered Nurse in an intensive care unit within the last five years is required for the Nurse Anesthesia concentration.
- Complete a three (3) credit undergraduate or graduate statistics course with a grade of 3.0 (4.0 scale) or better within the last five years.
- Submit three letters of recommendations from sources that have direct knowledge of the applicant’s work and education experience specifying the applicant’s ability to do graduate work.
In addition to the compliance requirements listed in the Master of Science in Nursing Handbook, nurse anesthesia students must possess current advanced cardiac life support (ACLS) and pediatric advanced life support (PALS) recognition.
Program of Study - Curriculum and Course Descriptions
The curriculum is constructed in a semester framework and clearly states credit hour for each course. Michigan State University uses fifteen (15) contact class hours to equal one (1) credit hour except for the clinical courses.
FULLTIME TRAJECTORY – 7 SEMESTERS, 28 MONTHS
The Nurse Anesthesia Concentration is a full time program with satisfactory completion of all courses with a grade of 3.0 or better required. Students do not follow the traditional semester format upon entering the anesthesia practicum series. To provide students with the hours necessary to accomplish the concentration objectives and comply with the required number and types of anesthesia cases by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA), each semester is continuous with the next semester.
Case and Course Requirements of the Program exceed the general requirements of the Council on Accreditation of Nurse Anesthesia Educational Programs as set forth in the Standards and Guidelines for Accreditation of Nurse Anesthesia Educational Programs.
NUR 802 Theoretical Foundations and Role Development for the Advanced Practice Nurse
Integration of theories from nursing and related disciplines to provide a foundation for the graduate student to transition into the advanced practice role.
NUR 804 Statistics for the Healthcare Professional
Basic understanding of descriptive statistics, probability, linear regression and epidemiological concepts.
NUR 806 Research for Advanced Practice Nurses
Prepares advanced practice Nurses who are proficient in the ethical utilization and clinical application of research including problem identification and evaluation to provide high quality care and improve practice.
NUR 814 Health Care Policy and Politics
Nursing and public policy formation in relation to healthcare systems organization, financing, regulation, ethics, and delivery of services within a global society.
NUR 877 – Anesthesia Physiology & Pathophysiology
Physiological principles and pathophysiological relationships of body systems. Evaluation of co-existing pathophysiology.
NUR 879 – Chemistry and Physics of Anesthesia
Basic chemistry and physics and their relationship to nurse anesthesia practice. Organic and biochemical principles, and pharmacological significance. Integration and application of these principles to nurse anesthesia practice.
NUR 880 – Health Assessment for Nurse Anesthesia
Advanced systematic focus on the health assessment of patients preparing for anesthesia, and integration of the anesthesia management plans.
NUR 881 – Perioperative Technology and Instrumentation
Physics and mechanics of mechanical and electronic anesthesia delivery systems. Physical principles involved in the vaporization and distribution of volatile liquids. Anesthesia ventilators and breathing circuits. Risk management and analysis of resuscitative equipment.
NUR 882 – Principles of Anesthesia I
Art and science of nurse anesthesia and basic principles of anesthesia practice. History of anesthesia administration. Use and care of anesthesia related equipment.
NUR 878 – Advanced Physiology and Pathophysiology
Homeostatic mechanisms in relation to anesthetic case management.
NUR 885 – Anesthesia Practicum I
Design and management of the operating room. Principles and techniques of sterility, intravenous and arterial cannulation, and course of anesthesia. Basic drugs and monitors, anesthesia management plan, documentation, and ethical considerations in anesthesia practice.
NUR 887 – Pharmacology for Anesthesia Practice I
Pharmacology and its applications to clinical anesthesia practice.
NUR 883 – Principles of Anesthesia II
Advanced anesthesia care principles. Procedures and complications in the anesthetic management of the emergency and trauma patient. Considerations for specialty surgical areas.
NUR 886 – Anesthesia Practicum II
Integration of knowledge, skills and program objectives to a broader array of patients in simulated and clinical patient environments.
ANTR 541 – Gross Anatomy for Nurse Anesthesia
Gross anatomy of the human body using prosections, medical imaging, clinical correlations, case studies, video tapes and computer aided instruction.
NUR 888 – Pharmacology for Anesthesia Practice II
Pharmacologic principles of drug pharmacokinetics and pharmacodynamics. Factors modifying anesthetic management of patients.
NUR 884 – Principles of Anesthesia III
Foundations for the clinical practice of anesthesia. Integrating physiologic patient parameters, didactic knowledge, and technical skills in simulated and clinical environments.
NUR 874 – Clinical Practicum I
Individualized faculty-guided instruction in the management of patients receiving anesthesia, emphasizing safety, monitoring modalities, and simulated patient experiences. Experiences include introduction to the role of the nurse anesthetist and development of basic nurse anesthesia skills.
NUR 892 – Clinical Practicum II
Individualized faculty-guided instruction in the management of patients receiving anesthesia, emphasizing safety, monitoring modalities, and simulated patient experiences. Experiences include the roles of the nurse anesthetist on the anesthesia care team and development of basic nurse anesthesia skills.
NUR 895 – Clinical Seminars I
Anesthesia management plans and outcomes. Evaluation of research and other literature pertinent to the safe practice of anesthesia.
NUR 893 – Clinical Practicum III
Clinical application of principles of nurse anesthesia. Students will be precepted in the perioperative clinical site. Experiences include development of advanced skills specific to the role of the nurse anesthetist.
NUR 896 – Clinical Seminars II
Review of research literature relevant to the safe practice of anesthesia. Presentation of case studies as related to pathophysiological states and safe anesthesia delivery.
NUR 894 – Clinical Practicum IV
Clinical application of principles of nurse anesthesia. Students will be precepted in the perioperative clinical site. Experiences include application of advanced skills specific to the role of the nurse anesthetist. The final clinical experience demonstrated substantial progress toward self direction and independent practice.
NUR 897 – Clinical Seminars III
Review of research literature and clinical projects relevant to the safe practice of anesthesia. Presentation of scholarly project.
Note: A Scholarly Project is required for all students – This project begins to be developed in NUR 814 (4 credits); it will be presented during Year Three during Clinical Seminars III.
CRNA Sample Curriculum
Theory Foundations & Role
Health Assessment for Nurse Anesthesia
Pharmacology for Anesthesia Practice I
Pharmacology for Anesthesia Practice I
Statistics for the
|3|| NUR 882
Principles of Anesthesia I
Principles of Anesthesia II
Principles of Anesthesia III
| NUR 877
Anesthesia Phsiology & Pathophysiology
|2|| NUR 886
Clinical Practicum I
| NUR 879
Chemistry & Physics of Anesthesia
Gross Anatomy for Nurse Anesthetists
Adv Practice Nurse
|Semester Credits 12||Semester Credits 12||Semester Credits 12||Semester Credits 12|
Clinical Practicum III
Clinical Practicum IV
Clincial Seminar II
Clincial Seminar III
NUR 899 Thesis
|Semester Credits 12||Semester Credits 9||Semester Credits 9(13)|
Total Credits 78 (82)
A student will be eligible to take the certification examination administered by the Council on Certification of Nurse Anesthetists only after they have met all graduation criteria. In addition to University and MSN graduation criteria, graduates of the Nurse Anesthesia program must meet the following competency requirements:
Patient safety is demonstrated by:
- Is vigilant in the delivery of patient care
- Protects patients from iatrogenic complications
- Participates in the positioning of patients to prevent injury
- Conducts a comprehensive and appropriate equipment check
- Utilizes standard precautions and appropriate infection control measures
Individualized perianesthetic management is demonstrated by:
- Provides care throughout the perianesthetic continuum
- Uses a variety of current anesthesia techniques, agents, adjunctive drugs, and equipment while providing anesthesia
- Administers general anesthesia to patients of all ages and physical conditions for a variety of surgical and medically related procedures
- Provides anesthesia services to all patients, including trauma and emergency cases
- Administers and manages a variety of regional anesthetics
- Functions as a resource person for airway and ventilatory management of patients
- Possesses current advanced cardiac life support (ACLS) recognition
- Possesses current pediatric advanced life support (PALS) recognition
- Delivers culturally competent perianesthetic care throughout the anesthesia experience
Critical thinking is demonstrated by the graduate’s ability to:
- Apply theory to practice in decision-making and problem solving
- Provide nurse anesthesia care based on sound principles and research evidence
- Perform a preanesthetic assessment and formulate an anesthesia care plan for patients to whom they are assigned to administer anesthesia
- Identify and take appropriate action when confronted with anesthetic equipment-related malfunctions
- Interpret and utilize data obtained from noninvasive and invasive monitoring modalities
- Calculate, initiate and manage fluid and blood component therapy
- Recognize and appropriately respond to anesthetic complications that occur during the perianesthetic period
- Pass the Council on Certification of Nurse Anesthetists’ (CCNA) certification examination in accordance with CCNA policies and procedures
Communication skills are demonstrated by the graduate’s ability to:
- Effectively communicate with all individuals influencing patient care
- Utilize appropriate verbal, nonverbal and written communication in the delivery of perianesthetic care
Professional role is demonstrated by the graduate’s ability to:
- Participate in activities that improve anesthesia care
- Function within appropriate legal requirements as a registered professional nurse, accepting responsibility and accountability for his or her practice
- Interact on a professional level with integrity
- Teach others
- Participate in continuing education activities to acquire new knowledge and improve his or her practice
Students are expected to complete all graduation requirements in the 28 months allotted to the program. The program may be extended if a student does not complete the required clinical proficiency, academic coursework or record keeping.