University Of Evansville

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University of EvansvilleNURSE ANESTHESIA STUDENT HANDBOOK20211

Dear Student,Please read this handbook carefully and become familiar with its contents. Questions regardingthe information presented should be directed to your faculty advisor or the ProgramAdministrator.It is your responsibility to keep this book at hand and use as a reference. Additions or updateswill be provided to you at the start of each calendar year.This handbook is designed to provide a framework within which the faculty and students canfunction together as a community. It provides the Nurse Anesthesia Program policies. Thesepolicies apply to all students regardless of location. Members of any community with commonobjectives must have policies and procedures that ensure that the rights and responsibilities ofall are explicit and protected. These policies and procedures are not intended to be restrictive,but rather are an instrument to ensure that the operation of the program will be consistentwith its obligations as a professional program. All policies and procedures are in effect for the2021 calendar year. Changes may be made in subsequent years. Students may access thehandbook on the department’s website.The University of Evansville (UE) is accredited by the Higher Learning Commission (HLC). UE isresponsible for: Supporting the planning by program faculty of curriculum design, course selection, andprogram assessmentHiring faculty and staffComplying with the Council on Accreditation (COA) for Nurse Anesthesia programsstandards and policiesPermanently maintaining student transcriptsConferring the credential and/or academic degree which documents satisfactorycompletion of the educational programEnsuring that all NA personnel and student policies are consistent with federal and statestatutes, rules and regulationsAddressing appropriate security and personal safety measures for NA students andfaculty in all locations where instruction occursTeaching out currently matriculated students in accordance with the institution’sregional accreditor or federal law in the event of program closure and/or loss ofaccreditation2

TABLE OF CONTENTSProgram Contact Information . 5Mission Statements . .6Professional Boards and Associations . .7-9Program Goals, Objectives, and Outcomes .10Student Competencies/Outcomes .10-11Accreditation Status Information 12Admission Requirements and Deadlines 12-13Essential Functions/Technical Standards .14Faculty Responsibilities .15-17Student Responsibilities .17-18Program Curriculum/Course Descriptions . .19-21Program Operations Administrator . .21Student Rights 21Communication Between Faculty/Staff/Students 21-22Advising .22-23Access to Information .23Student Records .24Privacy and Confidentiality (FERPA) 24-25Privacy Education (HIPAA) .25Harassment and Discrimination 25Graduation Requirements/Academic Progression .26-27Program Completion and Endorsement to take NCE .27-28Successful Course Completion .28Demonstration of Professional Behavior 29-32Program Dismissal .33Withdrawal from a Course 34Vacation Policy .34-35On-Call Rotation .35Student Bereavement Policy .35Leave of Absence Policy .36Due Process/Grievance Policy 36-37Required Physical Examination Policy .37Required Immunization Policy 37-38Criminal Background Check .38Safety Procedures 39-40Health Insurance .40-41Health Status .41-42Potential Health Risks for Students/Accidental Exposure .42-443

Counseling, Testing, Health Education .44Drug Screening Policy .44Substance Abuse Policy .44-45Tobacco Abuse Policy .45Professional Meeting Attendance Policy .45Career Opportunities .45-46Class/Lab Attendance Policy .46Recording In-Class and Lab Policy .46-47Inclement Weather and Cancellation of Classes .47Clinical Rotations and University Closure .47Name Change – Students .47Student Appearance .48Student Schedule during the Week 48Food and Drinks in the Classroom 48-49Internal Student Employment 49External Student Employment .49Faculty Providing Healthcare .49Financial Aid .49Liability Insurance .49-50Required Clinical Rotation Documentation .50Clinical Rotations and Elective Clinical Rotations .50-51Risk-Free Rights of Patients and Students Regarding Clinical Education .51Student Identification .51-52Student Evaluation of Courses .52Computer Skills and Hardware .52Summative Experience 52-53Library Services 53Parking Permits 53Photocopier and Fax Machine .53Hooding Ceremony and Graduation .54State Professional Organizations .54Permission for Disclosure .55University Resources 56Addendum A .57-58Addendum B .59-62Addendum C .63-66Addendum D. .67-684

CONTACT INFORMATIONUniversity of Evansville Nurse Anesthesia ProgramUniversity of Evansville1800 Lincoln AveEvansville, IN 47722(812)488-5650Department of Nurse Anesthesia AdministrationProgram Administrator: Melissa G. Fitch DNP, CRNAGraves Hall, Room 203, mf245@evansville.edu, 812-488-5650Assistant Program Director/Clinical DirectorMichele M. Ardigo DNP, CRNAGraves Hall, Room 207, ma444@evansville.edu, 812-488-2009Nurse Anesthesia Program Operations Administrator: Laura ConnorsGraves Hall, lr23@evansville.edu, 812-488-5220Principal FacultyMelissa G. Fitch DNP, CRNA, Assistant Professor, mf245@evansville.eduMichele M. Ardigo DNP, CRNA, Associate Professor, ma444@evansville.edu,5

MISSION STATEMENTSUniversity of Evansville MissionTo empower each student to think critically, act bravely, serve responsibly, and livemeaningfully in a changing world.Vision: The University of Evansville – a leading private university in the Midwest – is recognizednationally for developing students' personal and professional competencies, cultivating criticaland creative thinkers, and producing ethical, global citizens equipped to thrive in a world ofcomplexity and change. We accomplish this by attracting and retaining talented and motivatedstudents who succeed within a diverse, supportive, and sustainable environment.College of Education and Health Sciences MissionThe mission of the College of Education and Health Sciences is integrated with that of theUniversity. Mission: Prepare students to be critical thinkers, lifelong learners, advocates forthose they serve and committed to social and civic responsibility.Vision: To accomplish this mission, the College of Education and Health Sciences seeks topromote student intellectual, personal, social and career development through a supportiveand challenging academic environment that encourages critical thinking, ethical behavior, andthe ability to analyze and independently solve problems. As a college, we continue ourtradition of excellence in preparing competent and caring service-oriented professionals.Program of Nurse Anesthesia MissionThe mission of the University of Evansville Nurse Anesthesia Program is to provide studentswith a learning environment that fosters the pursuit of excellence in graduate nurse anesthesiaeducation and a life of service and advocacy as evidenced by the provision of safe, costeffective, evidence-based anesthetic care.Vision: The Nurse Anesthesia Program endeavors to be a state and national leader in academicand professional excellence in nurse anesthesia education and will remain vigilant andresponsive to the needs of its student body and its community.6

Council on Accreditation of Nurse Anesthesia Educational Programs (COA)222 S. Prospect Avenue, Park Ridge, IL. 60068-4001(P) 847-655-1160 (F) 847-692-7137Accreditation@coacrna.orgThe COA is the accrediting agency for nurse anesthesia programs in the United States, itsterritories, and protectorates.Mission1. To grant public recognition to nurse anesthesia programs and institutions that awardpost master’s certificates, master’s, and doctoral degrees that meet nationallyestablished standards of academic quality (quality assessment).2. To assist programs and institutions in improving educational quality (qualityenhancement).GoalsThe goals of the Council are to:1. Pursue its mission, goals and objectives and conduct its operations with integrity.2. Advise, formulate, and/or adopt standards, criteria, policies and procedures for theaccreditation of nurse anesthesia educational programs, subject to review and commentby all constituencies that are significantly affected by them.3. Foster academic quality in educational programs.4. Utilize evaluation to measure a program's degree of success in meeting programmaticobjectives and accreditation requirements within the context of its institutional missionand resources.5. Encourage innovations in program design and/or experimental programs that are basedon sound educational principles.6. Ensure responsiveness to its communities of interest including, but not limited tostudents, programs, and the public.7. Foster student achievement and continuous program improvement as a basis ofpromoting quality nurse anesthesia services to the public.8. Incorporate public involvement in its decision making related to quality andaccountability.For updates on: standards, policies and procedures; accreditation decisions; and accreditedprograms, you may visit their website at http://www.coacrna.org.7

American Association of Nurse Anesthetists (AANA)222 S. Prospect Avenue, Park Ridge, IL 60068-4001(P) 855-526-2262 (F) 847-692-6968Info@aana.comFounded in 1931, the American Association of Nurse Anesthetists (AANA) is the professionalassociation representing nearly 48,000 Certified Registered Nurse Anesthetists (CRNAs) andNurse Anesthesia Residents nationwide. The AANA promulgates education and practicestandards and guidelines and affords consultation to both private and governmental entitiesregarding nurse anesthetists and their practice. The AANA Foundation supports the professionby awarding education and research grants to students, faculty and practicing CRNAs. Morethan 90 percent of the nation's nurse anesthetists are members of the AANA.The AANA developed and implemented a certification program in 1945 and instituted arecertification program in 1978. It established a mechanism for accreditation of nurseanesthesia educational programs in 1952, which has been recognized by the U.S. Departmentof Education since 1955. In 1975, the AANA was a leader among professional organizations inthe United States by forming autonomous multidisciplinary councils with public representationfor performing the profession's certification, accreditation, and public interest functions. Today,the CRNA credential is well recognized as an indicator of quality and competence.Vision Statement: AANA will be a preeminent professional association for healthcare andpatient safety.Mission Statement: AANA advances patient safety, practice excellence, and its members’profession.Core Values Quality Professionalism Compassion Collaboration Wellness DiversityAANA Motto: Safe and Effective Anesthesia Care.Membership information, meeting dates, and other resources can be found on their website at:http://www.aana.com8

National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA)8725 W. Higgins Road, Suite 525, Chicago, IL 60631(P) 855-285-4658 toll free (F) 708-669-7636Certification@nbcrna.comIn 1975, the American Association of Nurse Anesthetists (AANA) approved the establishment ofCouncils to oversee the accreditation and certification processes for nurse anesthetists. Indoing so, the profession recognized that credentialing mechanisms, which include examinationand certification, function to protect and benefit the public. Nurse anesthetists established arigorous national certification examination earlier than most nursing, allied health, and medicalprofessions, and became an early adopter of computerized adaptive testing technology. Theprofession has required recertification since 1978. In 2007, the Council on Certification of NurseAnesthetists (CCNA) and the Council on Recertification of Nurse Anesthetists (COR) becameindependent of the AANA, and together incorporated as the NBCRNA. While an autonomousorganization, the NBCRNA continues to work closely with the AANA on issues of mutualconcern.The NBCRNA credentialing provides assurances to the public that certified individuals have metobjective, predetermined qualifications for providing nurse anesthesia services. While statelicensure provides the legal credential for the practice of professional nursing, private voluntarycertification indicates compliance with the professional standards for practice in this clinicalnursing specialty. The certification credential for nurse anesthetists has been institutionalized inmany position descriptions as a practice requirement or as the standard for demonstratingequivalency. It has been recognized through malpractice litigation, state nurse practice acts,and state rules and regulations.Mission: The mission of the National Board of Certification and Recertification for NurseAnesthetists is to promote patient safety through credentialing programs that support lifelonglearning.Vision: The vision of the NBCRNA is to be recognized as the leader in advanced practice nursecredentialing.Tagline: Promoting patient safety by enhancing provider quality.Certification Resources and the National Certification Exam (NCE) Content Outline can be foundon their website at: http://www.nbcrna.com9

NURSE ANESTHESIA PROGRAM GOALS, OBJECTIVES, AND OUTCOMESSee Addendum ASTUDENT COMPETENCIES/OUTCOMES OF THE NURSE ANESTHESIA PROGRAM (taken fromthe Standards for Accreditation of Nurse Anesthesia Programs Practice Doctorate)“Upon graduation from the University of Evansville Nurse Anesthesia Program, ”Critical Thinking: The graduate must demonstrate the ability to:1.2.3.4.5.6.Apply knowledge to practice in decision making and problem solving.Provide nurse anesthesia services based on evidence-based principles.Perform a preanesthetic assessment before providing anesthesia services.Assume responsibility and accountability for diagnosis.Formulate an anesthesia plan of care before providing anesthesia services.Identify and take appropriate action when confronted with anesthetic equipmentrelated malfunctions.7. Interpret and utilize data obtained from noninvasive and invasive monitoring modalities.8. Calculate, initiate, and manage fluid and blood component therapy.9. Recognize, evaluate, and manage the physiological responses coincident to theprovision of anesthesia services.10. Recognize and appropriately manage complications that occur during the provision ofanesthesia services.11. Use science-based theories and concepts to analyze new practice approaches.12. Pass the National Certification Exam (NCE) administered by the NBCRNA.Communication: The graduate must demonstrate the ability to:1. Utilize interpersonal and communication skills that result in the effective exchange ofinformation and collaboration with patients and their families.2. Utilize interpersonal and communication skills that result in the effectiveinterprofessional exchange of information and collaboration with other healthcareprofessionals.3. Respect the dignity and privacy of patients while maintaining confidentiality in thedelivery of interprofessional care.4. Maintain comprehensive, timely, accurate, and legible healthcare records.5. Transfer the responsibility for care of the patient to other qualified providers in amanner that assures continuity of care and patient safety.6. Teach others.Leadership: The graduate must demonstrate the ability to:1. Integrate critical and reflective thinking in his or her leadership approach.10

2. Provide leadership that facilitates intraprofessional and interprofessional collaboration.Professional Role: The graduate must demonstrate the ability to:1.2.3.4.5.6.7.Adhere to the Code of Ethics for the Certified Registered Nurse Anesthetist.Interact on a professional level with integrity.Apply ethically sound decision-making processes.Function within legal and regulatory requirements.Accept responsibility and accountability for his or her practice.Provide anesthesia services to patients in a cost-effective manner.Demonstrate knowledge of wellness and substance use disorder in the anesthesiaprofession through completion of content in wellness and substance use disorder.8. Inform the public of the role and practice of the CRNA.9. Evaluate how public policy making strategies impact the financing and delivery ofhealthcare.10. Advocate for health policy change to improve patient care.11. Advocate for health policy change to advance the specialty of nurse anesthesia.12. Analyze strategies to improve patient outcomes and quality of care.13. Analyze health outcomes in a variety of populations.14. Analyze health outcomes in a variety of clinical settings.15. Analyze health outcomes in a variety of systems.16. Disseminate scholarly work.17. Use information systems/technology to support and improve patient care.18. Use information systems/technology to support and improve healthcare systems.19. Analyze business practices encountered in nurse anesthesia delivery settings.Patient Safety: The graduate must demonstrate the ability to:1. Be vigilant in the delivery of patient care.2. Refrain from engaging in extraneous activities that abandon or minimize vigilance whileproviding direct patient care (e.g. texting, reading, emailing, etc.).3. Conduct a comprehensive equipment check.4. Protect patients from iatrogenic complications.Perianesthesia: The graduate must demonstrate the ability to:1.2.3.4.5.6.7.8.Provide individualized care throughout the perianesthesia continuum.Deliver culturally competent perianesthesia care.Provide anesthesia services to all patients across the lifespan.Perform a comprehensive history and physical assessment.Administer general anesthesia to patients with a variety of physical conditions.Administer general anesthesia for a variety of surgical and medically related procedures.Administer and manage a variety of regional anesthetics.Maintain current certification in ACLS and PALS.11

ACCREDITATION STATUSThe program is pending accreditation by the Council on Accreditation for Nurse AnesthesiaPrograms. Full accreditation status will be published following a favorable accreditationdecision.ADMISSION REQUIREMENTS1.2.3.4.Meets all University of Evansville Graduate Admission Requirements.Submission of online application using the NursingCAS.Baccalaureate or higher degree in nursing from a fully accredited nursing program.Unencumbered license as a Registered Nurse (license in IN prior to admission andlicenses in KY and IL required prior to beginning clinical experiences).5. One year minimum full-time critical care experience as RN with employer verification.6. GPA of 3.00 or higher on 4.0 scale on all college course work.7. Science GPA 3.00 or higher on 4.0 scale.8. Pre-requites: Statistics; Anatomy & Physiology; Basic Chemistry with a laboratorycomponent; Microbiology with a laboratory component with a cumulative science GPAof 3.0 or greater.9. Three professional recommendations/references (at least one from a currentemployer/direct supervisor) Suggestions for other references include former professors,physicians with whom the applicant has worked closely, or nurses/advanced practicenurses who have observed the applicant in patient care roles or leadership roles. UseGraduate reference form.10. Goal statement (500 words or less).11. ACLS and BLS certification required for application. PALS required after admission.12. CCRN required.13. At least two (2) shadowing experiences with a CRNA or anesthesiologist; providedocumentation with shadowing forms.Interviews1. Interviews will be extended to the most competitive applicants for available seats in theprogram.2. Interviews will be conducted in a live format unless current conditions require adifferent format.3. Competition for seats changes every year with a different pool of applicants.4. Applicants who miss scheduled interviews or have interviewed unsuccessfully for a seatwill be considered by the Admissions committee on a case-by-case basis for futureinterviews.5. The Admissions Committee will select applicants for interviews and seats in theprogram.6. Applicants have interviewed will receive written communication in regard to theirstatus. The communication will indicate Admission, Waitlist, or Non-Competitive status.12

Admission1. The applicant must have a satisfactory background check prior to being fully admittedinto the program. (Matriculation fees will be refunded for unsatisfactory backgroundchecks). Background checks must be completed within the first 7 days of acceptance.2. Non-refundable matriculation fee of 1,000 is due within 7 days if extended a seat in theprogram.3. Matriculation fee will be applied to student’s account on admission. If applicantwithdraws from the program, the matriculation fee is forfeited.4. After acceptance, documentation of clinical requirements including immunizations,physical examination, drug test, health insurance, and other documentation as requiredby our clinical partners.5. Since students are guest, not employees of their clinical sites, all students required tocomply with the clinical requirements for all our clinical affiliates.ADMISSION DEADLINESThe application period: June 1 – August 31Interviews: Tentative October 1-2, 4-5Admission notification: October 8Start date: January of the following year13

ESSENTIAL FUNCTIONS – TECHNICAL STANDARDS(Special Advisory Panel on Technical Standards for Medical School Admissions convened by theAAMC (Memorandum #79-4) and adapted from Midwestern University Nurse AnesthesiaProgram with permission)A candidate for the UE NA Program must have abilities and skills in five areas: I) observation; II)communication; III) motor; IV) intellectual, conceptual, integrative, and quantitative; and V)behavioral and social.I. Observation: The candidate must be able to accurately make observations at a distance andclose at hand. Observation necessitates the functional use of the sense of vision and somaticsensation and is enhanced by the functional use of all of the other senses.II. Communication: The candidate must be able to communicate effectively, efficiently andsensitively in both oral and written form and be able to perceive nonverbal communication.III. Motor: Candidates must be able to coordinate both gross and fine muscular movements,maintain equilibrium and have functional use of the senses of touch and vision. The candidatemust possess sufficient postural control, neuromuscular control and eye-to-hand coordinationto perform profession specific skills and tasks.IV. Intellectual, Conceptual, Integrative and Quantitative Abilities: The candidate must be ableto problem solve, measure, calculate, reason, analyze, record and synthesize large amounts ofinformation in a timely manner. The candidate must be able to comprehend three-dimensionalrelationships and understand spatial relationships.V. Behavioral and Social Attributes: The candidate must possess the emotional health requiredfor full utilization of his/her intellectual abilities, the exercise of good judgment and theconsistent, prompt completion of all responsibilities and the development of mature, sensitiveand effective relationships. Candidates must be able to tolerate physically, mentally andemotionally taxing workloads and to function effectively under stress. The candidate must beable to adapt to changing environments, to display flexibility, and to learn to function in theface of uncertainties. Compassion, integrity, concern for others, effective interpersonal skills,willingness and ability to function as an effective team player, interest and motivation to learnare all personal qualities required during the educational process.NOTE: Reasonable accommodation will be considered and may be made to qualified studentswho disclose a disability, so long as such accommodation does not significantly alter theessential requirements of the curriculum and the training program, or significantly affect thesafety of patient care. Students who disclose a disability are considered for the program if theyare otherwise qualified. Qualified students with a disability who wish to requestaccommodation should provide appropriate documentation of disability and submit a requestfor accommodation to Debbie Brenton, Coordinator of Disability Services and ADA Coordinatorfor students at db132@evansville.edu or 812-488-266314

FACULTY RESPONSIBILITIESFaculty members recognize their responsibilities as role models of competent educators,scholars, clinicians and servants to the profession and their communities. They strive toprovide an effective classroom learning environment and share with students the responsibilityfor nurturing this environment.The faculty is responsible for designing, implementing, and assessing a curriculum that uniquelycombines the science and art of nursing. Faculty members strive to present information that issupported by currently available evidence to provide students with the tools to evaluate newand existing ideas. It is the faculty’s responsibility to guide students in the process of selfevaluation and to promote their development as reflective practitioners and lifelong learners.Faculty members are responsible for continuing to improve their own practice and teachingskills through activities such as continuing education, advanced certifications, professionaldevelopment, scholarly activity, and clinical practice.The faculty will demonstrate the Core Values from the University Faculty Manual (pages 7-8) inthe following ways:Integrity: We promote academic and personal integrity to establish a culture of trust.Academic integrity begins with all students pledging to abide by our honor code, and extends tofaculty, staff and administration adhering to our code of conduct. It culminates in anexpectation of professionalism, transparency, and respect in all interactions. Personal integrityincludes practicing informed, ethical decision-making, and respecting the ideas, rights,boundaries, and beliefs of others. Each member of our community is accountable and preparedto act as a responsible citizen of the world.Innovation: We recognize the value of interdisciplinary teamwork, creative problem solving,global immersion, and learning experiences at home and abroad. We recognize the value oflearning from failure. We have the freedom, flexibility, and motivation to create experiencesthat help our students think critically and act bravely. Each member of our community ischallenged to discover novel solutions to modern problems and to become a catalyst forprogress.Intellectual Curiosity: We strive to develop lifelong learners. We introduce students to avariety of ideas that sharpen existing interests and awaken latent ones. We challenge studentsto stretch their minds, while supporting them with strong faculty engagement. Research,experiential learning, and community outreach foster intellectual curiosity while exposure tonew ideas and technologies broadens our students’ view of the world and what might bepossible.Inclusive Community: We value openness and collaboration and recognize that inclusion leadsto personal growth. Our commitment to actively fostering a diverse range of cultures and15

perspectives reflects the characteristics required to thrive in an increasingly global society. Theuniversity demonstrates and benefits from inclusion by welcoming all.Education for the Whole Person: We cultivate intellectual, moral, social, physical, emotionaland spiritual wellness through engagement and discovery. We value the liberal arts, sciences,and professional programs as paths to intellectual and personal growth, and we

Nurse Anesthesia Residents nationwide. The AANA promulgates education and practice standards and guidelines and affords consultation to both private and governmental entities regarding nurse anesthetists and their practice. The AANA Foundation supports the profession by awarding education an

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