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Podcasts as a Learning Adjunct in Nurse Anesthesia Education
Get PDFEducational approaches are constantly evolving due to of influences from technology and improvements in the resources that are available to educators as well as learners. Current literature suggests that utilizing podcasts in addition to conventional educational methods contributes to a higher level of satisfaction among learners. The goal of this translational research project was to provide student registered nurse anesthetists (SRNAs) with educational podcasts as an adjunct to their traditional learning process and then measure their satisfaction after listening to the podcasts. A series of six educational podcasts were recorded and made available on From the Head of the Bed, which is a free podcast platform for the anesthesia community that is available to Apple, Android, Spotify, or Rich Site Summary (RSS) users. The intervention of using educational podcasts was intended to supplement and reinforce customary learning practices in nurse anesthesia education. A post-intervention anonymous online survey was administered to the SRNAs at Marian University. A mixed methods study design was developed to assess the satisfaction of the educational podcasts
Active and Collaborative Learning in the Program Design Process: Launching Professional Selling in the Byrum School
No full textSales is an applied discipline that is in high demand by businesses. The development of a professional selling program in the Byrum School followed a model of active and collaborative learning to prepare students for success in professional sales. Experiential learning theory was used in course design, and course components were mapped to identify how they support higher levels of thinking using a Bloom’s taxonomy framework. The new Professional Selling Concentration emphasizes actively practicing skills to prepare future sales representatives with the necessary competencies, and to position the Byrum School as the partner of choice to businesses seeking to hire sales professionals
Getting to Know Our Online Students Through Their Computer Screens
Get PDFI will be sharing a few examples of assignments and exercises that I have done or have students do in the courses I teach at Marian. They allow students to get to know myself, so they don\u27t think of me as just an authority on the other side of the computer, and as a way for me to get to know them through their work. I have found this give and take helps students to feel more comfortable with me as an instructor, and with completing my assignments and exercises. This also has given them a space to openly discuss topics and feelings and past experiences behind the computer screen. In doing this, it lets the student relate the assignment to their real life, and having them use the concepts they\u27ve learned through the textbook or reading articles
Preoxygenation of Patients with Class Three Obesity
Get PDFPatients with class three obesity, formerly defined as morbid or extreme obesity, presenting for anesthesia come with an increased risk of experiencing complications. The oxygen storage capabilities and the functional residual capacity (FRC) in the lungs are reduced, making this patient population at risk for rapid oxygen desaturation with apnea. This patient population also has an increased risk for complications to occur while securing the patient’s airway during induction of anesthesia and are at risk for difficult airway management. Preoxygenation is performed before the induction of anesthesia to replace nitrogen in the lungs with oxygen, this will increase the time a patient can tolerate apnea without desaturating. Due to the increased risks which present with the class three obesity population, it is important to optimize preoxygenation prior to the induction of anesthesia and to consider providing apneic oxygenation during the intubation process to prevent desaturation. There are many studies and recommendations found in the literature concerning optimizing preoxygenation, patient positioning, and providing apneic oxygenation to the class three obesity patient population as means to prevent desaturation during induction of anesthesia. The objective of this project was to utilize the Iowa Model of Research-Based Practice to Promote Quality Care (IOWA Model) to perform a review of the literature concerning preoxygenation of obese patients and examine current preoxygenation practices at Hendricks Regional Health Hospital (HRH). Current practice at HRH was examined via retrospective chart review of three months of data. During September, October, and November of 2019, HRH had 82 patients with a BMI of 40 or greater receive anesthesia which required endotracheal tube (ETT) placement for airway management. 16 (20%) of these patients experienced a desaturation measured by a peripheral capillary oxygen saturation (SpO2) less than 90%. Data extracted from the retrospective chart review produced descriptive as well as parametric statistics. The results of the data analysis did not offer significant results identifying differences between the group of patients who experienced a desaturation and the group of patients who did not have a desaturation. Because of this, it is suggested each patient at risk for desaturation, including those with class three obesity, be treated as though they are going to experience a desaturation and measures to prevent this desaturation be taken. Techniques to decrease the percentage of patients who experiencing a desaturation during the induction of anesthesia at HRH are discussed in this paper
Needs Assessment of Podcast Use for Professional Development and Lifelong Learning in CRNAs
Get PDFIn the rapidly evolving world of medical education and content, professional development is not just a choice, it is an obligation. Despite the rising popularity of podcast use over the last 10 years, there is still little-known if they effectively meet the needs of professional development and lifelong learning for anesthesia experts, specifically CRNAs. A needs assessment was performed to determine if anesthesia-focused podcasts are a valuable component to professional development and lifelong learning. The needs assessment survey encompassed 14 questions that looked at participant demographics, overall outlooks and preferences on current anesthesia-focused podcasts, desired modes of professional development, and if they considered podcasts to be a valuable component of professional development and lifelong learning in nurse anesthesia. After data analysis was completed, results from the survey responses indicated that anesthesia-focused podcasts are perceived as a valuable component to professional development and lifelong learning. In-person lectures/professional meetings were the most preferred mode of professional development (75% of responses). Podcasts were the 2nd most preferred mode of professional development (52.27% of responses). Relevant (92.86%), Credible (71.43%), Quality-focused (50%), and accessible (50%) were found to be the most valuable principles of professional development and lifelong learning. Although there is no research on podcast-use as an alternative method to achieving professional development and lifelong learning, this project demonstrates how anesthesia-focused podcasts have the potential to become a valuable component to the future of the nurse anesthesia profession
Navigating the Third Frontier of Antimicrobial Therapy to Support Women’s Health
Get PDFThis paper explores one of the underappreciated reasons for lack of efficacy in certain cases of antimicrobial therapy, namely the occurrence of a non-genetic resistance to antimicrobial drugs due to a metabolic quiescence of microorganisms. This review has centered on those microorganisms of particular importance in obstetrics and gynecology and accordingly has reviewed the nature and extent of the persister phenotype in relation to infectious agents affecting women’s health. We show how the quiescent persister microbial phenotype represents the next significant issue that could compromise successful antibiotic therapy. A brief history of antimicrobial therapy is provided as context for the problem posed by the persister phenotype. This review has been focused on the current literature having relevance for physicians concerned with women’s health. The study of this phenotype has led to increasing understanding of the molecular mechanisms for this state which also provides ideas for rational development of drug candidates to interdict these organisms in human disease and explores the possibility of developing specifically targeted molecules to address persisters, research on screening botanicals, existing drugs and chemicals to discover novel approaches to the clinical consequence of microbial persisters. Of interest in this review, is the return to naturally occurring botanical substances, first to be used as anti-infectives, now being considered as possible agents to address persister microorganisms. Overall this paper aims to provide information tailored especially to the obstetrics and gynecology specialists
Analgesic Efficacy for Total Knee Arthroplasty
Get PDFBackground: The number of annual total knee arthroplasties (TKA) had doubled over the last decade. Although this procedure treated chronic pain and restored mobility from end-stage osteoarthritis and other etiologies, it was associated with acute moderate-to-severe pain in the early postoperative period. Various analgesic techniques such as local infiltration, neuraxial blocks, and peripheral nerve blocks (PNB) were used in conjunction with multimodal anesthesia to prevent postoperative pain following TKA. The large variety of analgesic regimens accompanied with differing institutional and provider preferences challenged the ability to standardize a postoperative analgesic technique for TKA.
Local Problem: Anesthesia providers at the project site often utilized the adductor canal block (ACB) alone or combined ACB and popliteal sciatic nerve block (PSNB) techniques for postoperative analgesia following TKA. However, it was unclear which technique was superior.
Purpose: To understand the analgesic efficacy between ACB and combined ACB/PSNB following TKA.
Methods: A retrospective chart analysis on 100 subjects that received ACB alone or ACB/PSNB for TKA in 2019. Pain was assessed upon post anesthesia recovery unit (PACU) admission, at 12 hours, and at 24 hours. Total opioid consumption was recorded for the first 24 hours. Length of hospitalization (LOH) was recorded per documentation.
Results: Pain during PACU stay, pain at 12 hours postoperatively, and opioid consumption at 12 hours postoperatively were all significantly lower in the combined ACB/PSNB group (P = 0.0182, 0.0488, 0.0106 respectively). Pain and opioid consumption at 24 hours and LOH were not significantly different between the two groups.
Conclusion: Combined ACB/PSNB therapy decreased pain and opioid consumption in the first 12 hours postoperatively following TKA. Large randomized controlled trials (RCT) need to be performed to deem the efficacy and incidence of related complications between these two blocks.
Keywords: Adductor canal block, sciatic nerve block, femoral nerve block, knee, total knee arthroplast