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The mission of the School of Nurse Anesthesia is to provide an academic environment which allows students to master the intellectual and technical skills necessary to become competent in the safe conduct of anesthesia. This is accomplished by providing a select group of experienced, graduate level acute care nurses with the highest level of didactic, simulation lab, and clinical site experiences. ÐÓ°ÉÊÓƵ's graduate nurse anesthetists develop life-long scholarship, critical thinking skills, and professionalism needed to become compassionate, patient-centered Certified Registered Nurse Anesthetists (CRNA's) in solo practice or within a collaborative anesthesia environment.

Certified Registered Nurse Anesthetists (CRNA's), as Advanced Practice Registered Nurses, have been providing anesthesia care in the United States of America for over 150 years. Currently, there are approximately 50,000 CRNA's in the country with more than 2,800 students graduating per year.

CRNA's are anesthesia specialists who safely administer approximately 43 million anesthetics to patients in the United States each year. As advanced practice nurses, they can serve in a variety of capacities in daily practice, such as a clinician, educator, administrator, manager, and researcher.

• CRNA's administer anesthesia for all types of surgical cases, using all anesthetic techniques and practice in every setting in which anesthesia is delivered, from university-based medical centers to free-standing surgical facilities and offices.
• CRNA's are the primary anesthesia providers in almost 100% of rural hospitals in the United States, affording access to anesthesia care where it would otherwise not be available.  CRNAs provide a significant amount of the anesthesia in inner cities as well.
• CRNAs are qualified and permitted by state law or regulations to practice in every state in the nation. They provide anesthesia in collaboration with surgeons, anesthesiologists, podiatrists, dentists, and other healthcare professionals.

The School of Nurse Anesthesia at the University of New England has been an involved in nurse anesthesia education since 1970, serving as an academic affiliate for hospital-based certificate nurse anesthesia programs. In 1988, we initiated a program leading to the Master of Science in Nurse Anesthesia. In 1993, the ÐÓ°ÉÊÓƵ MSNA program became the sole authority of the education of nurse anesthesia students and the last hospital-based program in Maine closed.

Two-Phase Program

At ÐÓ°ÉÊÓƵ, we offer a 27-month two-phase program.

The first phase is conducted on our historic Westbrook College of Health Professions Campus, situated in the picturesque coastal city of Portland.  The first eight months of study consists primarily of didactic instruction in basic sciences and anesthesia taught by our CRNA and basic science faculty. Included within this 8 month didactic curriculum is instruction using state-of-the-art task trainers and simulation labs which prepare students for their clinical curriculum. In the summer of 2017, the Simulation Lab will be moving to its new home in Innovation Hall and increase simulation opportunities for our students.

The second phase of the curriculum entails clinical training based at our hospital affiliates for a period of 19 months.  Didactic instruction continues during the clinical phase through hybrid, web-based courses in advanced principles of anesthesia and research and on-campus courses involving business and leadership in anesthesia practice and anesthesia crisis resource management simulation. The School has contractual relationships with over 35 hospitals, ambulatory surgery centers, and offices located in New England and throughout the country, which offer our students a varied and diverse clinical education experience. MSNA academic and clinical faculty are proud that our students are trained in collaborative anesthesia environments as well as in non-medically directed, CRNA-only sites. Students will gain experience in all facets of anesthesia management, including ultrasound guided regional anesthesia, pain management, invasive monitoring, and pre- and post-op patient assessment.

With successful completion of the 27 month program, students are awarded a Master of Science degree in Nurse Anesthesia (MSNA). The graduate is then qualified to take the National Certifying Examination.  Upon successful completion of the exam, the graduate becomes a Certified Registered Nurse Anesthetist capable of practicing in all 50 states. To date, 100 percent of our students have passed the certifying examination in their first year post-graduation and 100 percent have successfully obtained employment.

The School of Nurse Anesthesia is accredited by the Council on Accreditation (COA) of Nurse Anesthesia Educational Programs, a specialized accrediting body recognized by the Council on Post-secondary Accreditation and the U.S. Department of Education. The School of Nurse Anesthesia is accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs through the spring of 2021.  The Program received the full 10-year accreditation length in June 2011.

The MSNA curriculum is designed so that students are based on ÐÓ°ÉÊÓƵ's Portland campus for the first eight months (two semesters) of the program. The majority of the basic science and anesthesia didactic courses are offered during this period. The remaining 19 months of the program are clinically-based, with an emphasis on advanced coursework, clinical training, simulation lab experiences, and completion of a capstone project. All students are required to complete the entire curriculum with passing grades. 

Clinical Training

Upon completion of the didactic portion of the program, the students move on to the 19-month clinical portion of the curriculum. The primary focus is clinical anesthesia training. The clinical experience obtained will be of the width and breadth necessary for the student to achieve clinical competency in anesthesia. This is accomplished through affiliations at various clinical sites.

Each student is required to participate in a minimum number of cases and techniques but program and clinical faculty strive for our students to achieve well above the established standards. The Council on Accreditation of Nurse Anesthesia Educational Programs has set minimum standards for clinical experience that each student must achieve prior to graduation from the program in order to qualify for the National Certifying Examination.  All of the surgical specialties are included, including hands-on training in regional anesthesia techniques. Specialty experiences (i.e. neurosurgery, open-heart surgery, high-risk obstetrics) when not available at primary hospital affiliation sites, will be obtained from rotations at other medical facilities.

All types of anesthesia techniques and the latest agents are available for student learning. Students are able to obtain experience in general anesthetics, intravenous agents, invasive line placement, and regional anesthesia including spinal, epidural, and peripheral nerve blocks. Students are required to rotate to CRNA-only sites also and gain this valuable experience.

Clinical Affiliates

Please refer to the school website for a list of clinical sites currently utilized by the School of Nurse Anesthesia.

Graduation Requirements

In order for a student to graduate, the following criteria must be met:

1. Satisfactory completion of all didactic and clinical courses with a minimum GPA of 3.0 on a 4.0 scale.
2. Satisfactory completion of clinical experience as required by the School of Nurse Anesthesia and the Council on Accreditation of Nurse Anesthesia Educational Programs.
3. Satisfactory completion and fulfillment of stated ÐÓ°ÉÊÓƵ School of Nurse Anesthesia Student Learning Outcomes.
4. Completion of twenty-seven actual months in program, exclusive of probationary time.
5. All evaluations must be completed and signed, including University and Program evaluations.
6. All clinical records must be completed and submitted to the Anesthesia School Administrative staff.
7. Successful completion of the capstone project.
8. All fees must be paid in full.
9. All library books must be returned.
10. A current RN license and ACLS, PALS, BLS Certifications must be on file.
11. Successful completion of the Self-Evaluation Exam (SEE) from the NBCRNA. Students are required to obtain a SEE score of 425 or higher before they can complete the program. The program will pay for the first attempt and the student is responsible for subsequent SEE payments until the minimum score is obtained. This may delay graduation for the program

WCHP Academic Policy

The Department of Nurse Anesthesia, the Westbrook College of Health Professions, and the University of New England are committed to offering a quality Nurse Anesthesia education program that complies with the evaluative criteria of the Council on Accreditation of Nurse Anesthesia Educational Programs (COA). The program provides learning experiences to enable graduates to achieve the outcomes required for the practice of Nurse Anesthesia.  Please refer to the WCHP Graduate Program Progression Policies and Procedures for detailed description of academic standards.

PROGRAM COMPLETION TIMELINE

Students are expected to complete 27 actual months in the program.

RULES OF CONDUCT WHILE ON AFFILIATION AT CLINICAL SITES

Success in the Nurse Anesthesia profession requires certain behavioral attributes including but not limited to personal commitment and hardiness, self awareness, resilience, perseverance, empathy, discipline, honesty, integrity, personal regard for others, the ability to work effectively with others in a team environment, and the ability to address a crisis or emergency situation in a composed manner.  Adherence to these attributes requires a high level of maturity and self-control, even in highly stressful situations.  During the clinical phase, students must conduct themselves in a highly professional manner consistent with the patient care responsibilities with which they will be entrusted.  Failure to adhere to these standards, as noted below, or comply with the Clinical Rotation Policies will result in a disciplinary action ranging from a written warning to dismissal from the program (depending upon the violation and the circumstances surrounding the offense).

1. Creating or contributing to situations that jeopardize patient safety. 
2. Students are expected to follow all policies in the Student Code of Conduct section of the University of New England Handbook.  Unethical behavior such as academic dishonesty, falsifying case logs or medical records is considered a violation of the Program’s standards of conduct. 
3. Respect the confidentiality of patients and fellow students.  One is not permitted to discuss any patients by name outside the clinical encounter situation.  Students should not discuss other students with preceptors.  For academic presentations, all identifying data, including name, initials, date of birth and facility where seen will be omitted.
4. Unauthorized possession, use, copying, or distribution of hospital records or disclosure of information contained in such records to unauthorized persons.
5. Use, distribution, or unauthorized possession of intoxicating beverages or drugs on hospital premises or reporting to work under the influence of intoxicants.
6. Unauthorized absence from the Anesthesia Department during regularly scheduled clinical hours.
7. Failure or refusal to follow instructions of a duly assigned preceptor including refusal to accept clinical assignment.
8. Use of vile, intemperate or abusive language, or acting in a disrespectful manner to any employee, supervisor, patient, or visitor.
9. Any disorderly conduct on hospital premises.
10. Creating or contributing to unsanitary conditions.
11. Theft, fraud, or unauthorized use of property belonging to the hospital, patient, or visitor.

CLINICAL PRACTICUM COURSE EXPECTATIONS

To successfully complete each clinical practicum course, students must achieve a grade of A or B.    Details regarding clinical practicum expectations will be detailed in the Student Clinical Practicum Handbook and course syllabus.  Briefly speaking, clinical progression will be monitored during each clinical practicum.  If students are not meeting clinical objectives, they will be placed on Probation.   
  
If a student is placed on a 30- day Probationary Status, they will continue with the clinical objectives scheduled for that level.  The student will communicate with program faculty and clinical faculty to develop a plan based on their clinical evaluations, clinical faculty feedback and/or program faculty findings.  The plan will include strategies for improvement of clinical performance. 

At the end of the 30-day Probationary Status, the student’s performance will be re-evaluated by the clinical and program faculty. If they are successful, they will re