Franciscan Skemp Healthcare: School of Nurse Anesthesia

Philosophy
Program Description
Program objectives
Course curriculum
Master of Science from University of Wisconsin- La Crosse
Master schedule
Admissions information
General Information
Clinical Affiliations
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Philosophy

The Franciscan Skemp Healthcare School of Anesthesia, as a vital part of Franciscan Skemp Healthcare, subscribes to the philosophy of that organization. We fervently promote Christian concepts which emphasize the dignity of all human person, their origin, purpose and destiny. Society is a complex and evolving entity within which the common good and the changing needs of groups of individuals must be fulfilled. As a member of society, every person has a basic right to good health care and easy access to health care service.

We believe that certified nurse anesthetists form and integral part of the total health care system by virtue of advanced scientific knowledge and competency in technical skills.

We believe that anesthesia care is an individualized therapeutic relationship which recognizes the individual dignity of the patient and his right to life. We accept that the nurse anesthetist assumes a professional obligation to preserve these concepts in his/her relationship with the patient.

We believe that upon completion the student is prepared to be not only a certified nurse anesthetist, but with graduate education, a potential educator and researcher in the sense that clinical investigations and problem solving are an integral part of nurse anesthesia. As a result, the student will have developed insight and direction for resourceful and constructive professional practice, will regard life-long education as a professional obligation, will use sources of knowledge effectively and fulfill professional, ethical, and societal obligations.
 

A Program of Anesthesia for Nurses

The educational program of anesthesia for nurses at Franciscan Skemp Healthcare School of Anesthesia operates within the complex of the Franciscan Skemp Healthcare Medical Center in La Crosse, Wisconsin. This course of scientific and skill instruction taught in a didactic and clinical setting, requires twenty-seven consecutive months of concentrated study. Upon completion of the course of study the fulfillment of the terminal objectives and other obligations of the program, the student will have achieved eligibility to write the qualifying examination of the Council on Certification of Nurse Anesthetists. The Franciscan Skemp Healthcare Nurse Anesthesia Educational Program is accredited by the Council on Accreditation of Nurse Anesthetist Education (COA), located at 222 South Prospect Ave., Park Ridge IL 60068 (847) 692-7050. The COA is a specialized accrediting body recognized by the Council on Higher Education (CHEA) and the U.S. Department of Education.

The University of Wisconsin - La Crosse, our academic affiliate, is able to offer graduate credit for portions of the didactic curricula. Thirty graduate credits are offered by the University of Wisconsin - La Crosse, a free-standing, autonomously accredited program. Upon successful completion of these course credits, the University will award the students a Master of Science Degree in Biology.

Franciscan Skemp Healthcare is a comprehensive medical center providing patient care programs in medicine, surgery, all surgical specialties (except open heart surgery), pediatrics, psychiatry, obstetrics, gynecology, newborn nursery, Regional Neonatal Center, high-risk maternity care, and mental health. A full complement of diagnostic and therapeutic services support the patient care programs as well as offering the student in the School of Anesthesia unshared availability for clinical experience.

Franciscan Skemp Healthcare is a Mayo affiliate accredited by the Joint Commission of Accreditation of Hospitals and is a member of the American Hospital Association, Wisconsin Hospital Association, and Catholic Hospital Association. It is approved for General Family Practice residency by the Council of Medical Education of the American Medical Association.
 
 

Program Objectives

1. Perform a preanesthetic interview and assessment.

• 2. Evaluate patient history, physical and appropriate lab and x-ray data
• 3. Develop an appropriate anesthesia care plan consistent with the overall medical and nursing regime.
• 4. Administer general anesthesia for all ages and all categories of patients, utilizing a broad variety of techniques and agents.
• 5. Perform/manage regional anesthesia.
• 6. Use and interpret a broad variety of monitoring modalities.
• 7. Manage fluid/blood component therapy within the medical plan of care.
• 8. Recognize and take appropriate action when complications arise during anesthesia management, consistent with standards of practice and policy of the organization, and referring to a physician all problems beyond these limitations.
• 9. Position or supervise positioning of patients to assure optimal physiologic function and patient safety.
• 10. Function as a team leader/member in cardiopulmonary resuscitation and possess ACLS recognition.
• 11. Perform arterial punctures, interpret and take appropriate actions with reference to screening pulmonary function and blood/gas determinations.
• 12. Supervise and/or provide consultation for ventilatory care for patients in acute-care situations.
• 13. Utilize appropriate principles of basic behavioral sciences in protecting patients from iatrogenic complications.
• 14. Act as a crisis intervener for patients/families and to facilitate the function of the health care team.
• 15. Teach paramedical personnel in area of expertise and contribute to community health care education.
• 16. Recognize personal and professional strengths and limitations and appropriate action consistent with valid self-awareness.

• a. Accept constructive criticism, make appropriate changes, and seek appropriate personnel for advice and consultation.
• b. Practice effective communication skills.
• c. Promote and maintain effective interpersonal relationships.
• d. Maintain an industrious and productive work standard.
• e. Demonstrate understanding, compassion, and empathy.
• f. Recognize own value system and refrain from imposing individual values on others.
• g. Demonstrate ability to perform effectively under stress.

• 17. Know and function within appropriate legal requirements as a licensed professional, accepting responsibility and accountability for your own practice.
• 18. Participate in state and national professional organizations in preparation for active involvement.
• 19. Demonstrate the ability to critically assess and apply research concepts.
• 20. Develop and participate in anesthesia programs as a skilled educator and researcher.

1. Basic and Applied Sciences Applicable to Anesthesia

• Anatomy, Physiology, and Pathophysiology (Contact hours=320; Semester Credits=20)
• Chemistry, Physics and Mathematics Applicable to Anesthesia (Contact Hours=48; Semester Credits=3)
• Pharmacology of Anesthetic Drugs and Ancillary Drugs Used in Anesthesia Practice (Contact Hours=112; Semester Credits=7)

• Professional Aspects of Practice
• History of Anesthesia, Ethics, Legal Aspects of Anesthesia Practice (Contact Hours=48; Semester Credits=3)
• Principles of Anesthesia Practice
• Pre-operative Evaluation, Post-Anesthesia Surveillance, Selection of Anesthetic Agent/Anesthetic Technique, Positioning of Patient, Monitoring and Response to Monitored Information, Management of Altered Physiology (Contact Hours=96; Semester Credits=6)
• Clinical Practicum
• Experience in Administering Anesthetics in the Clinical arena, under direct supervision of an MDA-CRNA. Approximately 900 surgical and obstetrical procedures are experienced. Assignment in clinical area coincides with classroom instruction. (Contact Hours=1800)
• Clinical Conferences and Seminar
• Discussion of specific topics relevant to student needs. To include related conferences and review. (Contact Hours=64; Semester Credits=4

• Ancillary Services to Anesthetic Practice include:
• Basic Support (5 hours)
• Neonatal Resuscitation (5 hours)
• Advanced Cardiac Life Support (16 hours)
• (Contact Hours=48; Semester Credits=3)

4. Course Curriculum for Completion of Master of Science Degree - Biology

• Endocrinology (Contact Hours=48; Semester Credits=3)
• Research (Contact Hours=48; Semester Credits=2)

UW-L, our academic affiliate, is a free-standing autonomously accredited program. Franciscan Skemp Healthcare School of Anesthesia and UW-L Biology Department have collaboratively developed a program specifically for the educational needs of the nurse anesthetist student.

All students must apply for admission in the Biology Graduate Program at UW-L. Acceptance in UW-L's program does not guarantee acceptance in the School of Anesthesia. GRE scores are required. Processing of the application will not occur until the files are complete at both institutions.

Upon successful completion of the science courses within the School of Anesthesia, UW-L will award the student 31 graduate credits from the Department of Biology. All students must follow the Graduate Student Guidelines - Department of Biology. Completion of the M.S. degree is mandatory for graduation from the School of Anesthesia.

Master Schedule

First Year
 

		Credit
First Summer Session
Bio 501	Anatomy	6
ESS 782	EKG	3
Semester I
Bio 718	Advanced Human Physiology	4
Anes	Seminar	1
Anes	Pharmacology I & II (second 8 weeks)	4
Anes	Basic Concepts	3
Anes	Clinical Practicum I
Semester II
Bio 719	Advanced Human Physiology II	4
Anes	Seminar	1
Anes	Advanced Concepts	3
Anes	Pharmacology III	3
Anes	Clinical Practicum II
Summer Session
Anes	Professional Aspects	3
Anes	Clinical Practicum III

Second Year
 

		Credit
Semester I
Bio 570	Endocrinology	3
Bio 715	Pathophysiology I	3
Anes	Seminar	1
Anes	Clinical Practicum IV
Semester II
Bio 717	Pathophysiology II	3
Chem 520	Chemistry	3
Anes	Seminar	1
Anes	Clinical Practicum V
Summer Session
Anes	Clinical Practicum VI
Bio 761	Research	2

Admission Prerequisites

Applicants for admission to Franciscan Skemp Healthcare School of Anesthesia must be a currently licensed registered nurse with a B.S.N. degree or a Bachelor's Degree in a Basic Science, who can meet the following requirements, without regard to gender, age, race, creed, color, or national origin. Each applicant must:

• Be a graduate of an accredited school of nursing that offered at least 30 hours of nursing education, with additional credit in biophysical sciences including microbiology - 1 semester, anatomy/physiology - 2 semesters, chemistry/physics - 2 semesters, psychology or sociology - 3 semesters, and humanities - 3 semesters.
• Be eligible for licensure by the Wisconsin Department of Nursing.
• Have at least 18 months of nursing experience in a critical care setting (ICU, CCU, SICU, NICU).
• Have an undergraduate Grade Point Average of at least 3.00 on a 4.0 scale.

• Submit a completed application for admission to Franciscan Skemp Healthcare School of Anesthesia, accompanied by $20 (non-refundable) to cover the processing cost.
• Submit a completed application for admission in the graduate program of the University of Wisconsin - La Crosse Department of Biology including a $45 processing fee.
• Submit GRE scores to UW- La Crosse Dept of Biology (General exam only, not subject exam)
• Submit official transcripts of educational experience from school of nursing and/or college directly to the Director, School of Anesthesia, Franciscan Skemp Healthcare, 700 West Avenue South, La Crosse, WI 54601 and to Office of Admissions, University of Wisconsin - La Crosse, 1725 State Street, La Crosse, WI 54601.
• Submit copy of current license in nursing
• Appear for a personal interview before or during January at the Admissions Committee of Franciscan Skemp Healthcare School of Anesthesia.

Classes begin in June corresponding with UW-L class schedules. Enrollment is limited to seven students each year. The course requires twenty-seven months of continuous study. Attendance for didactic and clinical experience is mandatory.

Anticipated Costs

The costs of the program are as follows:

Application Fee $20; Acceptance Fee $750. (The application fee must accompany the application. The acceptance fee is payable only after one is accepted to the school, and it is applicable to the tuition but not refundable.)

Tuition

Tuition costs for the School of Anesthesia are $750 yearly. Tuition for the University of Wisconsin varies from semester to semester depending upon the credit load. Total costs for the entire program are approximately $9,000 for students who are Wisconsin residents and $19,000 for out-of-state students.

Tuition payment for the School of Anesthesia are due on a yearly basis in August while UW-L payments are on a semester basis.

Refund Policy

Should any student withdraw for any reason or should any student be dismissed for any reason, the school will have tuition refunded according to the following schedule:

For Student Leaving Before Amount Refunded

December 31 (first year) $300.00

December 31 (second year) $200.00

Franciscan Skemp Healthcare will not offer refunds on books and has not control over fees paid to UW-La Crosse.

Textbook Costs

The cost of required textbooks, syllabi and duplicating services for the full program is approximately $500. This cost is payable upon entering the program. A fully equipped and modern classroom with an extensive library of current textbooks and periodicals is maintained for exclusive use of our students.

Loans and Grants

Applications for financial aid can be obtained from the University of Wisconsin Financial Aid Office. No stipend is paid in any part of the program.

AANA Membership

Upon entering the school, all students are jointly registered with the Council on Accreditation and Council on Certification. The fee is $20 for the duration of the program. After twenty-seven months of training, all graduates are required to apply for the Council on Certification Examination.

Student Employment

Because of the heavy study demands of the program, students are limited to accepting outside employment only on those weekends when they are not committed to the program. Furthermore, students may not work an 11 to 7 shift when they must report to the program at 0700 hours the following day. NO STUDENT MAY BE EMPLOYED AS A CRNA BY TITLE OR FUNTION WHILE IN STUDENT STATUS.

Student Time Commitment to the Program

This program provides for flexible integrated time commitment management. The program commitments include:

• Didactic class and home study. Class preparation and study requires approximately 2 hours of study for each 1 hour of class.
• Clinical Experience.
• Call time. Students rotate in-house call experience and are required to take call on weekends and holidays when their rotation requires.
• Pre-operative evaluations and post-operative surveillance.

Clinical Affiliations

Additional clinical experience in general surgery and specialized procedures (open-heart) is obtained at Gundersen Lutheran Medical Center during the course of the program. This rotation is approximately 8 weeks in length and is available to second year students. Gundersen Lutheran Medical Center is within walking distance of Franciscan Skemp Healthcare and students are responsible for their own transportation to this facility. Clinical affiliation with Winona Community Memorial Hospital is also available, providing students with an additional practice site with diverse practice style. The rotation to Winona is six weeks long and is available to second year students. Winona is 30 miles from La Crosse, the students are responsible for their own transportation. An additonal clinical site is available in Burlington, Wisconsin (250 miles from La Crosse) and is scheduled for "off class time" periods. The rotation was established for the sole purpose of providing regional experience within a pain management clinic setting. A stipend is provided for travel, room and board expenses for the two-week rotation.

Franciscan Skemp Healthcare is an Equal Right, Non-Discrimination employer. The Franciscan Skemp Healthcare School of Anesthesia prescribes to the Equal Rights and Non-Discrimination Regulations mandated by the U.S. Department of Health, Education, and Human Services. With respect to students recruitment, admission, education, employment, assignments and promotion of teaching and non-teaching personnel, with respect to student and faculty activities conducted on the premises, Franciscan Skemp Healthcare School of Anesthesia shall not discriminate in favor of or against any person on account of his/her race, creed, color, sex, religion, age, ancestry, marital status, political affiliation, or national origin.

Barb Jochman, Program Director
School of Nurse Anesthesia
700 West Avenue South
La Crosse, Wisconsin 54601
608-785-0940, email Jochman.Barbara@mayo.edu
 
 
 
 
 
 
 
  Last updated September 13, 2005