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The mission of the School of Nurse Anesthesia is to provide an academic environment that 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 critical 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, technical 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 (CRNAs), as Advanced Practice Registered Nurses, have been providing anesthesia care in the United States of America for over 150 years. Currently, there are approximately 55,000 CRNAs in the country with more than 2,800 students graduating per year.

CRNA's are anesthesia specialists who safely administer approximately 49 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.  CRNAs work in the administrative positions of hospitals, academic institutions, and other health care facilities. 

• CRNA's administer anesthesia to patients across the lifespan 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 also provide anesthesia in inner cities as well as urban areas including teaching institutions.
• 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 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 when the last hospital-based program in Maine closed.

Two-Phase Program

The University of New England's program is a 27 month two-phase program. 

Phase I is conducted on our historic Westbrook College of Health Professions Campus, situated in the picturesque coastal city of Portland. The first two semesters of study consist of didactic instruction in basic sciences and anesthesia taught by our CRNA and science faculty. During the eight-month didactic curriculum  instruction using state-of-the-art task trainers and simulation labs is utilized to prepare students for the clinical experience.  In the summer of 2017, the Simulation Lab moved to a multi-million dollar, high fidelity center in Innovation Hall on the Portland campus, increasing the quality and number of simulation experiences provided.

Phase II 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 and on-campus courses in advanced principles of anesthesia, research, and business and leadership in anesthesia practice. Anesthesia crisis resource management is taught in both lecture and simulation modalities.  The School has contractual relationships with over 38 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. Our students are trained in collaborative anesthesia environments as well as in non-medically directed, CRNA-only sites. Students gain experience in all facets and types 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 qualified to practice 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.

Transition Plan to the Entry-Level Doctor of Nursing Practice (DNP) Program: The Council on Accreditation of Nurse Anesthesia Educational Programs (COA) requires that all students matriculating into a nurse anesthesia educational program on January 1, 2022, or thereafter, be enrolled in a program approved by the COA to award a practice doctoral degree. The University of New England Nurse Anesthesia program plans to submit its application to the COA for approval to award the Doctor of Nursing Practice (DNP) degree in February of 2021. Pending approval by the COA, the program plans to enroll its first doctoral cohort of students in September of 2022. Further information regarding this transition may be obtained by contacting the Program Director, Cheryl L. Nimmo, DNP, MSHSA, CRNA at (207) 221-4519, or at cnimmo@une.edu.

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 for Higher Education 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 fall of 2021. The program received the maximum 10-year accreditation length in June 2011. We are scheduled for reaccreditation in the fall of 2021. 

For the first 8 months (two semesters), students attend classes full time on ÐÓ°ÉÊÓƵ's Portland campus or online as necessary.  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 senior research project. All students are required to complete the entire curriculum with a minimum GPA of 3.0.

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 experiential education. The clinical experience obtained encompasses all areas for the student to achieve clinical competency in anesthesia. This is accomplished through affiliations at various clinical sites. 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 to qualify for the National Certifying Examination. Each student is required to administer a specific number of anesthetics including all techniques, agents, and patients across the lifespan. Students complete more than the required minimum case numbers and clinical hours. All of the surgical specialties are included, including hands-on training in regional anesthesia techniques with ultrasound. Specialty experiences (i.e. neurosurgery, open-heart surgery, 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 including the use of ultrasound. Students also rotate to CRNA-only rural sites for experience in autonomous practice settings.

Clinical Affiliates

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

Graduation Requirements

The following criteria must be met to qualify for graduation:

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 the 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 or three attempts 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 from the program. Students who do not attain the required SEE score will take a series of comprehensive exams prior to graduation. 

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 and didactic knowledge to enable graduates to take the National Certifying Exam and become providers of high quality anesthesia.  Please refer to the WCHP Graduate Program Progression Policies and Procedures (PDF) for a 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 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. 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 resume their clinical practicum at the same level their peers are at and return to good standing. Being placed on probationary status will delay the student's graduation date accordingly. If progress continues to be unsatisfactory, the student will receive an 'F' for the course and be dismissed from the program.

Students may be placed on a second 30-day probationary period for additional (unresolved or newly identified) performance issues. The process described above would apply for this as well. Students are granted a maximum of two (2) probationary periods not to exceed 60 days total. If additional (newly identified) performance issues continue to occur after a student has been granted (2) probationary periods, the student would be immediately dismissed.

ESSENTIAL TECHNICAL STANDARDS

Principles
Nurse anesthesia education requires that accumulation of scientific knowledge be accompanied by the simultaneous acquisition of specific skills and professional attitudes and behavior. Nurse Anesthesia faculty have a responsibility to society to matriculate and graduate the best prepared nurse anesthetists, and thus admission to this program has been offered to those who present the highest qualifications. The essential technical standards presented in this document include pre-requisites for matriculation, subsequent promotion from year to year, and ultimately graduation from t