Nurse Anesthesia

Master of Science (M.S.), Nurse Anesthesia

Westbrook College of Health Professions

School of Nurse Anesthesia

Office of Graduate and Professional Admissions, gradadmissions@une.edu or 1-800-477-4863 for more program information or details about the application process.

For additional curriculum and program information, contact the Department of Nurse Anesthesia at 207-221-4516.

Mission

The mission of the School of Nurse Anesthesia is to provide an academic environment which allows candidates to master the intellectual and technical skills necessary to become competent in the safe conduct of anesthesia. It does this by providing a select group of experienced, graduate level nurses with the highest level of didactic, simulation lab, and clinical site experiences. Our graduates develop life-long scholarship, critical thinking skills and professionalism needed to become compassionate, patient-centered anesthesia providers in solo practice or within anesthesia care teams.

Behavioral Outcomes
Upon completion of this educational program, the student shall demonstrate, to the satisfaction of the faculty, specific competencies expected of graduates.  These competencies identify knowledge and skills necessary for competent entry-level practice of nurse anesthesia.  Upon completion of the program, the graduate will:

  1. Perform an anesthetic related history and physical exam.
  2. Formulate a comprehensive anesthetic care plan for a given patient based on the pre-anesthetic assessment (ASA Classification I).
  3. Implement and evaluate anesthesia management plans.
  4. Demonstrate proficiency in skills necessary to deliver anesthesia care.
  5. Evaluate the postoperative course of a patient.
  6. Perform, within medically established guidelines, resuscitation of the newborn infant, child or adult.
  7. Function, within medically established guidelines, as a team leader for cardiovascular and/or pulmonary emergencies.
  8. Provide first echelon care and maintenance of all anesthesia equipment.
  9. Critically analyze published data in the field of anesthesia and apply new evidence in technology, pharmacology, and techniques to patient care.
  10. Develop interpersonal behaviors consistent with that of a health care professional.
Degree Description

Nurse Anesthetists, as Advanced Practice Registered Nurses, have been providing anesthesia care in the United States of America for over 125 years.

Certified Registered Nurse Anesthetists (CRNAs) are anesthesia specialists who safely administer approximately 30 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 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.
  • CRNAs are the sole anesthesia providers in more than two-thirds of all rural hospitals in the United States, affording some 70 million rural Americans access to anesthesia.  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.

The School of Nurse Anesthesia at the University of New England has been an involved in nurse anesthesia education since 1984, serving as an academic affiliate for hospital-based certificate nurse anesthesia programs. In 1987, we initiated a program leading to the Master of Science in Nurse Anesthesia. In 1993, a fully-accredited School of Nurse Anesthesia was opened at the University.

Two-Phase Program

At UNE 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 medical sciences and anesthesia taught by our CRNA and anesthesiologists faculty, as well as physiologists and pharmacologists, who share a joint appointment with the University of New England's College of Osteopathic Medicine. Included within this 8 month didactic curriculum is instruction using a state-of-the-art simulation labs which prepare students for their clinical curriculum.

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 web-based courses in advanced principles of anesthesia, as well as periodic lectures and seminars held on campus. The School has contractual relationships with over 32 hospitals located in New England and as far away as Florida, which offer our students a varied and diverse clinical education experience.

With successful completion of the 27 month program, students are awarded a Master of Science degree in Nurse Anesthesia. 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.

In addition to our own integrated M.S.-Nurse Anesthesia Program, the University also serves as the academic center for St. Joseph's School of Anesthesia for Nurses, which is a hospital-based program. Under this arrangement, the University provides only the academic component and awards the academic Master of Science degree in Nurse Anesthesia, while the hospital-based program provides the clinical training leading to the Certificate of Clinical Anesthesia Education, which they award independently.

Accreditation

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.

Admissions

All applicants to the University of New England's Nurse Anesthesia program must apply through UNE's online application

Prerequisite Courses

Biochemistry Course:  Biochemistry is required and must be completed within the five years prior to expected enrollment into the Nurse Anesthesia program; and must be completed with a grade of "B" or better. The Nurse Anesthesia Program will accept the online biochemistry course offered through UNE's distance education program, as well as many other courses.

Courses Specifics Semester
Credits
Required    
Biochemistry Lab/No Lab 4 - 3
Other Recommended Science Courses    
Anatomy Lab 4
Physiology Lab 4
Biology Lab 4
Chemistry Lab 4
Microbiology Lab 4
Organic Chemistry Lab 4
Pharmacology No lab 3 - 4
Physics Lab 4

Grades for the science courses listed above are used to calculate a cumulative science GPA for the Admissions Committee to review the applicant's foundational science base and to evaluate the applicant's aptitude for the sciences.

Academic / Experience Requirements

  • Graduation from a regionally accredited baccalaureate or higher degree generic program in nursing ORgraduation from a regionally accredited associate degree/diploma program in nursing and completion of a baccalaureate degree in another field. 
  • Official transcripts from ALL colleges and universities attended must be submitted as part of a complete application
  • Proof of current licensure as a registered nurse in your own state at the time of application. Upon acceptance into the program, licensure in the state where clinical experience is obtained will be required.
  • A minimum overall cumulative GPA of 3.0, especially in the science and professional courses is highly recommended.
  • Applicants are strongly encouraged to "shadow" a nurse anesthetist for at least a day in the operating room prior to application. In addition, to fully grasp the commitment involved in studying to be a nurse anesthetist, it is especially valuable to "shadow" a student registered nurse anesthetist for a day. Neither of these experiences is a requirement for application, but is highly recommended.
  • Minimum of one year of experience as a registered nurse in a critical care area (specifically ICU, CCU, SICU, MICU, PICU and Neuro ICU) prior to application to the program. Note: Emergency Room, Recovery Room or Post-Anesthetic Care Unit (PACU) will be considered on a case by case basis but is generally not sufficient as the sole critical care experience.  
  • Successful completion of the general GRE test.  It is highly recommended that all section scores be above the 30th percentile
  • Three references/recommendations, submitted as part of the online application; one reference must be from the applicant's immediate acute care nursing supervisor/manager and must attest to the total length of time the applicant has worked in the acute care setting as a registered nurse.
  • Current Advanced Cardiac Life Support (ACLS) Certification
  • Current Pediatric Advanced Life Support (PALS) Certification
  • CCRN, highly recommended

Note: Before matriculation, accepted applicants will need to obtain a physical exam with proof of up-to-date immunization status. Immunization of students is based on current Centers for Disease Control recommendations for health professionals. This information must be presented prior to matriculation. 

As required by clinical training sites, students will be subject to criminal background checks and drug screens periodically throughout the Nurse Anesthesia program.

Procedures and Policies

  • Applications for admissions are accepted through the University of New England's online application only.
  • Applications submitted and completed by the posted deadline will be fully considered. Applications submitted and/or completed after the deadline will be reviewed on a space available basis only.
  • On-campus interviews are granted to qualified applicants upon invitation by the Admissions Committee, and are required for admission to the program. Interviews will be held after the application deadline.
  • Admissions decisions will be made, by the program Admissions Committee. Decision letters will be sent to applicants, from the Office of Graduate and Professional Admissions.
  • International applicants and applicants with international degrees must have their transcripts evaluated for degree and grade equivalency to that of a regionally accredited institution in the US. See International Admissions for a list of educational credential evaluators. 
  • International applicants must submit the International Student Supplemental Application Form at time of acceptance to the university.
  • All applicants to UNE must be able to understand and communicate in English to be admitted to the university. UNE accepts several methods of English Proficiency, see International Admissions. English Proficiency requirement must be completed at the time of application.

The Admission Committee reserves the right to make changes or exceptions to the admission policies and procedures without notice when it deems such a decision is appropriate.

For additional information on the admissions process and requirements, please access the Nurse Anesthesia program website.

 

Transfer Credit

Transfer Credit

There is no transfer credit awarded to students in the Nurse Anesthesia program.

Advanced Placement

There is no advanced placement.

Experiential Learning

No credit will be awarded to students for experiential learning.

Program Academic and Technical Standards

Satisfactory Academic Progress

The School of Nurse Anesthesia is designed to integrate didactic and clinical learning experiences to optimize competency as an anesthesia provider.  Therefore, successful completion of every course is necessary to progress through the Program.

In order to meet the Council on Accreditation guidelines and to maintain our high standards, the School has established the following policy:  Anyone who receives an examination grade below 80%  is encouraged to make an appointment to meet with their academic advisor.  This is done to determine if there are any issues/problems with the student or course work, to provide appropriate counseling to the student, and to promote successful advancement through the program.

Students must successfully pass each clinical practicum course in order to advance to the next level.  Student success will be measured against the clinical objectives designed for each clinical practicum experience.  Grades will take into account clinical performance, clinical preceptor feedback, student self-evaluations and faculty insights.

Program Completion Timeline

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

Student Progression

In addition to course grades and clinical or field evaluations, student progression is monitored through three processes: regular instructor evaluation of assignments and performance; a programmatic level review through regularly scheduled Comprehensive Student Reviews; and through Student Development Committee (SDC) Reviews as needed.  Comprehensive reviews are the responsibility of the full faculty of each program.  Each program also has a Student Development Committee (SDC), comprised of a minimum of three faculty members.  Program Directors cannot serve on the SDC, but membership can include faculty from other college programs.  The primary function of the SDC is to conduct reviews of student performance in order to assess whether a student can progress in a program, make a determination of student status, and to make recommendations for action when a student has failed to maintain academic and professional standards, whether in class, clinical setting, or community.

Evaluation of Assignments and Performance

The most sensitive and detailed assessment of student progress is that conducted on an everyday basis through the evaluation of assignments and student performance of classroom and clinical performance. To enhance success, performance concerns should be addressed with the student by the instructor as soon as they arise and not held for mid-term reviews, or end-of term grades.  This may also lead to involvement of the student’s advisor and/or the Student Development Committee as determined by the faculty member.

Comprehensive Student Review

At a pre-determined time or times in each semester, (but no later than mid-semester,) the faculty of each program will conduct a comprehensive review of student performance.  Students’ standing will be noted as follows: 

  1. Good Academic Standing: Students who meet the minimum standards and requirements set by the program and UNE.  Students in good standing may continue to progress without restriction toward graduation.
  2. Probationary Standing:  Students who remain  on probation as a result of a prior SDC  Review.  Progress or concerns should be noted and discussed as needed at this time.  
  3. New Concern(s) Identified:  Any concerns newly identified by the Comprehensive Student Review may be referred for Advising or to the SDC for resolution
  • Referral for Advising:  When initial or minor concerns are first noted by a faculty member at or prior to the Comprehensive Student Review, , the relevant faculty member(s) will notify the student and the student's academic and/or field/clinical advisors as appropriate to review the circumstances in person with the student.  The content and action steps determined at any such meeting will be documented and shared with the student in writing within two business days.  
  • Referral to Student Development Committee:  If a resolution cannot be reached at the level of the Advisor or the concerns are substantial in nature, the matter is referred to the SDC for a formal Review.  Significant concerns may include academic performance (e.g. falling below a 3.0 GPA for semester or cumulative, C- or below in course, or “Fail” in a pass/fail course) or professional conduct. (See below.)

Student Development Committee Review

SDC reviews are intended to support students’ academic progression, and are required in cases where a student is failing to maintain academic standards in the classroom or field, is accused of engaging in professionally inappropriate behavior, or is accused of violating academic integrity.  An SDC review can be recommended by an advisor or other faculty member, Program Director, or the faculty as a whole as an outcome of the Comprehensive Student Review.  In the event of an alleged breach of ethical conduct, any aggrieved or responsible party may request that an SDC Review be conducted.  Through the review process, the Student Development Committee is responsible for examining the concerns cited, evaluating their merits, determining student status, and recommending a course of action.

  • Responsibilities of the Committee Chair:
    The SDC Chair is responsible for notifying all involved parties including the student when a formal SDC Review is required and the rationale for it.  When the rationale includes clinical or fieldwork concerns, every effort will be made to include the relevant parties from the clinical or fieldwork site in the meeting either in person, conference call or videoconference.
  • Responsibilities of the Committee: 
    ​The SDC is responsible for:
    • gathering all pertinent information relevant to the stated concerns from all relevant parties, including the identified student, faculty, advisors, preceptors or field instructors.  The process is outlined in the standard SDC Review Form (INSERT link here.) 
    • Determination of Student Status:
      • Probation:  Probationary status allows a student to continue under certain specific criteria as determined by the SDC at a formal review. Students placed on probation will receive a letter from the PD outlining the conditions of probation and the steps required to return to good standing.  Barring any exceptional circumstances, students who do not return to good standing within the specified time frame will be dismissed from the program.
      • Return to good standing: Once a student has successfully completed the criteria specified in the SDC Review to the satisfaction of the SDC, the Committee will inform the PD who will send a letter to the student indicating return to good standing.
      • Dismissal: Students may be dismissed for a variety of reasons, including but not limited to (1) unacceptable academic performance; ( 2) failure to remove probation status; or ( 3) a conduct violation. 
    • Recommending Actions steps:
      The SDC will develop and recommend a plan of action to be taken to achieve stated outcomes, including the identification of responsible parties and expected dates of actions. This may include helping a student achieve educational objectives (e.g., remediation, use of the learning assistance center);  employing  alternate pathways to achieve educational objectives (e.g. extending field work hours beyond normal expectations, retaking a course); or specifying other terms for a student to remain in the program.  The plan of action also describes the consequences for success (e.g. removal of probationary status) or failure to comply with or achieve the stated goals (e.g., probation, dismissal, or other.)
    • Timetable:
      The SDC decision regarding student status and recommended action steps are made within two (2) business days following the meeting(s) and communicated to the program director in writing.  The PD reviews the report and seeks clarification if needed.  The PD then communicates the action steps to the student in writing within five (5) business days.
    • Scheduling:
      To insure the greatest chance for a successful outcome, educational and conduct concerns should be identified as early as possible, and the SDC Review process initiated promptly.  Except in rare exceptions, this means a minimum of 2 weeks prior to the end of the current semester or term. 
  • Responsibilities of the Student:
    The student is responsible for participating in the SDC Review process. This includes providing information as requested and playing an active role in the development of the action steps.
  • Responsibilities of the Program Director:
    The PD has a unique role as a member of the faculty while also providing administrative oversight for all program functions.  In the case of SDC Reviews, the PD will review the determination of status by the SDC to ensure that policies have been followed and procedures implemented.  In the case that the PD believes that there are any potential concerns about the process, such as procedural irregularities or additional information that should be considered, the PD will communicate these concerns to the SDC for reconsideration.  The SDCs recommended action steps will be reviewed by the PD for logistical viability (faculty workload, support services, etc.).  The PD will then either approve the plan as is or recommend modifications to the SDC.  Following this step, the SDCs determination of status and recommended action steps will again be forwarded to the PD, who then communicates the outcome to the student. 
  • Responsibilities of the Associate Dean(s):
    The Associate Dean(s) serves as a consultant to the SDC and PD re policies and procedures on an as needed basis. 
  • Student Appeals:
    A student has the right to appeal to the Dean decisions affecting progression following the process outlined in the UNE Student Handbook .

Ethical and Behavioral Standards

Failure to adhere to the Student Code of Conduct section of the University of New England Handbook or the Rules of Conduct while on Affiliation at Clinical Sites (see below) may result in a disciplinary sanction. Under these circumstances, the student will go before the SDC.  The SDC may do any or all of the following:

          1. recommend issuing a letter of concern or reprimand
          2. recommend disciplinary probation, which could result in a clinical probation as well 
          3. recommend dismissal from the Program

The SDC may consider any other behaviors in reaching a decision to make a recommendation to the Program Director for adverse actions. This includes actions outside the classroom or in the clinical rotation, which do not reflect well on the Program, profession or individuals.

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, 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 (noted below) or comply with the Clinical Rotation Policies will result in a disciplinary action ranging from a written warning to discharge 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 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 “pass.”    Details regarding clinical practicum expectations will be detailed in the Student Clinical Practicum Handbook and/or coursesyllabus.  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 remediation 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 Probation Status, the student’s performance will be re-evaluated by the program faculty. If they are successful, they will resume their clinical practicum at the same level their peers are at. If progress continues to be unsatisfactory, the student will receive a “fail” for the course and be dismissed from the program.    

Students may be placed on a second 30-day probation period for additional (newly identified) performance issues.  The process described above would apply for this as well.  Students are granted 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 school faculties 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 are pre-requisite for matriculation, subsequent promotion from year to year, and ultimately graduation from the University of New England School of Nurse Anesthesia. These standards pertain to all matriculated students. All required courses in the curriculum are necessary in order to develop essential skills required to become a competent nurse anesthetist.

The faculty is committed to fostering relationships with its candidates that encourage human and professional growth. Its policies and procedures attempt to reflect this commitment to proactive and supportive communication.

Nonetheless, it is imperative that all candidates recognize that the primary responsibility for a successful nurse anesthesia education, both in and outside the classroom, rests with the individual. Candidates, including candidates with disabilities, must have the capacity to manage their lives and anticipate their own needs. The School has incomplete influence in helping students achieve these personal adaptations. Situations can arise in which a candidate’s behavior and attitudes resulting from a disability or other personal circumstances represent a secondary problem which impairs the candidate’s ability to meet the School’s standards, even after implementation of all reasonable accommodations have been made by the School.

The School’s obligation and mission is to provide an academic environment which allows candidates to master the intellectual and technical skills necessary to become competent in the safe conduct of anesthesia. It does this by providing a select group of experienced, graduate level nurses with the highest level of didactic education, simulation lab and clinical site experiences. Our graduates develop life-long scholarship, critical thinking skills and professionalism needed to become compassionate, patient-centered anesthesia providers in solo practice or within anesthesia care teams. Therefore, all applicants, regardless of disability, will be held to the same admission standards, with reasonable accommodations if needed.

Recommendations:

  1. No otherwise, qualified individual will be denied admission to the School of Nurse Anesthesia based solely upon a disabling condition.
  2. Candidates with disabilities applying to the School of Nurse Anesthesia will be expected to have achieved the same requirements as their non-disabled peers.
  3. Matriculation into the School of Nurse Anesthesia assumes certain levels of cognitive, emotional, and technical skills. Nurse anesthetist candidates with disabilities will be held to the same fundamental standards as their non-disabled peers. Reasonable accommodations will be provided to assist the candidates in learning, performing and satisfying the fundamental standards, so long as the candidate provides timely, comprehensive documentation establishing the candidate’s disability status and need for reasonable accommodation.
  4. Reasonable accommodations that facilitate candidate progress will be provided but only to the extent that such accommodation does not significantly interfere with the essential functions of the School of Nurse Anesthesia, fundamentally alter the program, or significantly affect the rights of other candidates.
  5. The School, under the law, is obligated to provide all reasonable accommodations that will eliminate or minimize the barriers disabled candidates may face in the process of successfully completing the requirements for graduation from the University of New England’s School of Nurse Anesthesia.

Abilities and Skills:
A candidate for this program must have abilities and skills of five varieties including observational skills; communication skills; fine and gross motor skills; intellectual skills: conceptual, integrative and quantitative abilities; and behavioral and social/emotional attributes.

I. Observational Skills
The candidate must be able to acquire a defined level of required information as presented through demonstration and experiences in the basic sciences and anesthesia courses including, but not limited to, information conveyed through gross anatomy labs and simulated anesthesia patient exercises. Furthermore, a candidate must be able to observe a patient accurately, at a distance, and close at hand, acquire information from written documents and visualize information as presented in radiographic images and patient monitors. The candidate must have visual and hearing acuity, including use of depth perception and peripheral vision; hearing normal and faint body sounds (blood pressure and heart sounds) and hearing auditory alarms on monitors and anesthesia delivery systems. Such observation and information acquisition necessitates the functional use of visual, auditory and somatic sensation while being enhanced by the functional use of other sensory modalities.

In any case where a candidate’s ability to observe or acquire information through these sensory modalities is compromised, the candidate must demonstrate alternative means and/or abilities to acquire and demonstrate the essential information without reliance upon another person’s interpretation of the information. The university will provide appropriate reasonable accommodations to foster the student’s ability to meet these standards, so long as the student registers with UNE Disability Services.
 
II. Communication Skills
The candidate must be able to effectively and efficiently communicate using verbal, written, and reading skills, in a manner that demonstrates sensitivity to patients, their families and all members of the health care team.  A candidate must be able to accurately elicit information, describe a patient’s change in mood, thought, activity and status. He or she must also demonstrate established communication skills using traditional or alternative reasonable means that do not substantially modify the standard.

III. Fine and Gross Motor Skills
The candidate must be able to, with or without the use of assistive devices, but without reliance on another person, to interpret x-ray and other graphic images and digital or analog representations of physiologic phenomenon (such as EKGs).

The ability to participate in basic diagnostic and therapeutic maneuvers and procedures (e.g. palpation, auscultation) is required. It is also essential for a candidate to possess the gross motor skills sufficient to provide a full range of safe and effective care to patients. These include the ability to move within confined spaces, reach above shoulders, bend, stoop, squat, stretch and to reach below the waist. Fine motor skills are necessary to perform psychomotor skills such as picking up objects, grasping, pinching with fingers (intubations, manipulating a syringe, starting IVs), twisting and squeezing.

Physical stamina sufficient to complete the rigorous course of didactic and clinical study is required. In addition, physical endurance and strength is a requirement in order to tolerate working an entire shift (including overtime or call), standing for long periods of time and sustaining repetitive movements (performing CPR, positive pressure ventilation, etc). Candidates must be able to provide hands-on patient care such as lifting, pushing and pulling excessive weight to position patients, pick up and carry children, ambulate patients and transfer anesthetized patients from stretchers and beds. When transporting patients to patient recovery areas, the candidate is required to move not only the patient's weight but also the heavy bed.
The candidate is required to carry heavy equipment and supplies, sit for long periods of time on stools with and without any back support, twist and turn to visualize monitors and the surgical field and possess the strength and flexibility to assist in the restraint of combative patients. In addition, the candidate must be able to move quickly to respond to emergencies. At all times the ability to administer care to patients in a safe manner is paramount.
 
IV. Intellectual Skills - Conceptual, Integrative and Quantitative Abilities
The candidate must be able to measure, calculate, reason, analyze and synthesize information in a timely fashion. In addition, the candidate must be able to comprehend three-dimensional relationships and to understand the spatial relationships of structure. Problem-solving, the critical skill demanded of nurse anesthetists, requires all of these intellectual abilities. These problem-solving skills must be able to be performed in a precisely limited time demanded by a given clinical setting. In addition, the candidate must be able to adapt readily to changing environments and deal with unexpected activities.

V. Behavioral and Social/Emotional Attributes
Candidates must possess the emotional health required for full utilization of their intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients, and the development of mature, sensitive and effective relationships with patients.
Candidates must be able to tolerate physically taxing workloads and to function effectively under stress. They must be able to adapt to changing environments, to display flexibility and to learn to function in the face of uncertainties inherent in the clinical problems of patients. They must be able to measure, calculate, reason, analyze and synthesize information effectively in a precisely limited time demanded by a given clinical setting, while under stress, and in an environment in which other distractions may be present.
Compassion, integrity, concern for others, interpersonal skills, interest and motivation are all personal qualities that will be assessed during the admissions and educational processes.

Curricular Requirements

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

Course Requirements    
  Hours Credits
Summer (May - August)    
ANE 504 - Advanced Pharmacology I 45 3
ANE 507 - Basic Principles of Anesthesia I 60 4
ANE 601 - Professional Aspects I 30 2
ANE 603 - Advanced Physiology I 45 3
ANE 609 - Research Methods for the Health Professions 45 3
ANE 615 - Pathophysiology I 30 2
Subtotal  255 17
     
Fall (August-December)     
ANE 512 - Airway Management and Regional Techniques 60 4
ANE 602 - Anesthesia Principles II 60 4
ANE 604 - Advanced Physiology II 45 3
ANE 606 - Advanced Pharmacology II 45 3
ANE 612 - Advanced Physical Assessment 30 2
ANE 616 - Pathophysiology II 30 2
ANE 617 - Research Seminar 15 1
Subtotal 285 19
     
Spring  (January-April)     
ANE 623 - Advanced Anesthesia Principles I 45 3
ANE 650 - Clinical Practicum I 15 1
Subtotal 60 4
     
Summer (April - August)     
ANE 624 - Aadvanced Anesthesia Principles II 45 3
ANE 652 - Clinical Practicum II 15 1
Subtotal  60 4
     
Fall (August - December)     
ANE 625 - Advanced Anesthesia Principles III 45 3
ANE 654 - Clinical Practicum III 15 1
ANE 628 - Research Practicum I 15 1
Subtotal 75 5
     
Spring (January-April)     
ANE 656 - Clinical Practicum IV 15 1
ANE 630 - Research Practicum 15 1
ANE 619 - Special Topics in Anesthesia I 15 1
Subtotal  45 3
     
Summer (April - August)     
ANE 658 - Clinical Practicum V 15 1
ANE 627 - Special Topics in Anesthesia II 15 1
Subtotal  30 2
     
Program Total  810 54

Clinical Training

Upon completion of the didactic portion of the program, the students move on to the 19-month hospital-based 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 will participate in a minimum number of cases and techniques. 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 available, 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, and regional anesthesia to include, but not limited to: spinal, epidural, axillary block, and Bier blocks.

Clinical Affiliates

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

Academic Policy

Grading

All programs in the Wetbrook College of Health Professions (WCHP) use the following scale to determine grades:

Percentage Grade
94 - 100 A
90-93 A-
87-89 B+
84 - 86 B
80 - 83 B-
77 - 79 C+
74 - 76 C
70 - 73 C-
67 - 69 D+
64 - 66 D
<64 F

NOTE: Fractional numeric grades are rounded at the discretion of the instructor
NOTE: Standards for Paa/Fail courses are determined by each program

Grade Point Average

Equivalent quality points assigned to grades as follows:

A 4.0
A- 3.75
B+ 3.5
B 3.0
B- 2.75
C+ 2.50
C 2.0
C- 1.75
D 1.0
F 0.0
Financial Information

Tuition and Fees

Tuition and fees for subsequent years may vary. Other expenses include books and housing. For more information regarding tuition and fees, please consult the Financial Information section of this catalog.

Equipment  
Ear mold for precordial stethoscope (approximately) $75.00
Books  
Required texts (approximately) $1400.00
Other Expenses  
Malpractice Insurance (annual) - St. Joseph's students exempt $500.00
AANA membership fee $100.00
National Certification Exam fee $725.00

Financial Aid

Detailed information and applications are available on request from the Financial Aid Office at the Biddeford Campus. Call 207-283-0170, extension 2342 or by visiting the Financial Aid website.

Learning Outcomes

Upon completion of this educational program, the student shall demonstrate, to the satisfaction of the faculty, specific competencies expected of graduates.  These competencies identify knowledge and skills necessary for competent entry-level practice of nurse anesthesia.  Upon completion of the program, the graduate will:

  1. Formulate and discuss a patient’s anesthesia care plan (ASA Classification I-V).
  2. Implement and evaluate anesthesia management plans. 
  3. Perform and utilize appropriate procedures during the anesthetic management of a patient. 
  4. Evaluate the postoperative course of a patient. 
  5. Perform, within medically established guidelines, resuscitation of the newborn infant, child or adult. 
  6. Function, within medically established guidelines, as a team leader for cardiovascular and/or pulmonary emergencies. 
  7. Provide first echelon care and maintenance of all anesthesia equipment. Develop interpersonal behaviors consistent with that of a health care professional.  
Graduation Requirements

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

  1. Satisfactory completion of all didactic material.
  2. Satisfactory completion of clinical experience as required by the school and the Council on Accreditation
  3. of Nurse Anesthesia Educational Programs.
  4. Satisfactory completion of stated UNE School of Nurse Anesthesia behavioral objectives.
  5. Completion of twenty-seven actual months in program, exclusive of earned time.
  6. Evaluations must be completed and signed.
  7. All clinical records must be completed and submitted to the Anesthesia School Administrative staff.
  8. Completion of the capstone project.
  9. All fees must be paid in full.
  10. All library books must be returned.
  11. A current RN license and ACLS and PALS Certifications must be on file.

Notice and Responsibilities Regarding this Catalog

This Catalog documents the academic programs, policies, and activities of the University of New England for the 2013-2014 academic year. The information contained herein is accurate as of date of publication August 12, 2013.

The University of New England reserves the right in its sole judgment to make changes of any nature in its programs, calendar, or academic schedule whenever it is deemed necessary or desirable, including changes in course content, the rescheduling of classes with or without extending the academic term, canceling of scheduled classes or other academic activities, in any such case giving such notice thereof as is reasonably practicable under the circumstances.

While each student may work closely with an academic advisor, he or she must retain individual responsibility for meeting requirements in this catalog and for being aware of any changes in provisions or requirements.