DNP Nurse Anesthesia Curriculum

The curriculum of the DNP Nurse Anesthesia concentration provides the student with scientific, clinical, and professional foundations upon which to build a sound and safe clinical practice. This three year (9 semester), full-time program offers concentrated courses in anatomy/physiology, pathophysiology, pharmacology, basic and advanced principles of anesthesia, and professional roles. Courses in anesthesia practice provide clinical practicum encompassing all anesthetic techniques to diverse patient populations. The supervised clinical practice provides students the opportunity to incorporate didactic anesthesia education into clinical practice.  During the clinical experience, students are supervised by anesthesiologists/nurse anesthetists who provide instruction in the safe administration and monitoring of a variety of techniques including both general and regional anesthesia.

This advanced practice nursing option includes client-oriented practice as well as foundation in core courses, which serve to develop clinical scholars. Courses include content in advanced evidence-based practice and proposal writing; data management in healthcare; theories in nursing and other health care disciplines with particular emphasis on utility in practice; and, sound decision-making within legal and ethical frameworks in a complex health care and policy-making system.  Additional skills addressed in the program include information competence, critical thinking, problem solving within an inter-professional framework, advocacy, clinical prevention and population health, and organizational and systems leadership for quality improvement and systems thinking. 

All nurse anesthesia concentration courses are held at Kaiser Permanente in Pasadena, CA and affiliated clinical sites utilizing state-of-the-art facilities. This concentration requires 110 units of full-time study including a doctoral project. Clinical hours are based on competency guidelines from KPSA.

STUDY PLAN

  Term Courses Units
Year 1 Fall NURS 542/L - Advanced Health Assessment (2)/Lab (1)
NURS 600 Biostatistics for APN (3)
NURS 601 Theoretical Perspectives for Advanced Nursing Practice (3)
NURS 605 Advanced Evidence-Based Practice in Nursing (3)
NURS 615 Epidemiology and Clinical Prevention (3)
NURS 640 DNP Clinical Practicum: Professional Role Development (1)
16
Spring NURS 610 Leadership, Management and Economics in Adv. Nursing Practice (3)
NURS 620 Informatics in Healthcare (3)
NURS 630 Healthcare Policy, Ethics and Advocacy (3)
NURS 680 Advanced Pharmacology for Anesthesia I (3)
NURS 681 Anesthesia General Principles (3)
15
Summer NURS 682 Anesthesia for Surgical Procedures and Special Populations (4)
NURS 683 Advanced Physiology (3)
NURS 684 Advanced Pharmacology for Anesthesia II (3)
NURS 685L Nurse Anesthesia Practicum I (2)
12
Year 2   Fall NURS 686 Pediatric and Obstetric Anesthesia (3)
NURS 687L Nurse Anesthesia Practicum II (5)
NURS 695 Seminar in Integrative Clinical Scholarship (Proposal Writing) (2)
NURS 697A  Integrative Clinical Scholarship I: Evidence-based Practice (1)
11
Spring NURS 688 Advanced Pathophysiology for Anesthesia I (4)
NURS 689L Nurse Anesthesia Practicum III (6)
NURS 697B Integrative Clinical Scholarship II: Evidence-based Practice (3)
13
Summer NURS 690 Advanced Pathophysiology for Anesthesia II (4)
NURS 691L Nurse Anesthesia Practicum IV (6)
NURS 694 Advanced Pharmacology for Anesthesia III (3)
13
Year 3   Fall NURS 692 Professional Nurse Anesthesia Role: Clinical Integration (3)
NURS 693L Nurse Anesthesia Practice (6)
NURS 697C Integrative Clinical Scholarship III: Evidence-based Practice (3)
12
Spring NURS 692 Professional Nurse Anesthesia Role: Clinical Integration (3)
NURS 693L Nurse Anesthesia Practice (6)
9
Summer NURS 692 Professional Nurse Anesthesia Role: Clinical Integration (3)
NURS 693L Nurse Anesthesia Practice (6)
9
TOTAL UNITS 110

*All courses and sequencing subject to change at any time.

COURSE DESCRIPTIONS

NURS 542 Advanced Health Assessment
Application of theoretical concepts related to comprehensive health assessment of patients across the lifespan. Analyzing, synthesizing and applying comprehensive health assessment data, including the bio-psychosocial, development and environmental needs of patients and families. (2 unit)

NURS 542L Advanced Health Assessment Laboratory
Clinical application of advanced health assessment skills and strategies necessary for advanced practice nursing role in a particular area of specialization. Credit/No Credit only. (1 unit)

NURS 600 Biostatistics for Advanced Practice Nurses
Provides DNP students with the necessary skills and knowledge to interpret research that employ multivariate statistical techniques. Topics include choosing correct statistical methods; descriptive, univariate and multivariate statistics; probability; estimation and hypothesis testing; and use of a statistical software package. (3 units)

NURS 601 Theoretical Perspectives for Advanced Nursing Practice (3)
Advanced course focused on theories in nursing and other health care disciplines with particular emphasis on utility in practice; evaluate specific theoretically based strategies for individual nurse or patient change and those for planned changes within organizations. (3 units)

NURS 605 Advanced Evidence-Based Practice in Nursing
Advanced research course focused on reading, interpreting, and evaluating studies using quantitative and qualitative methods in nursing and other health care disciplines; develop initial literature review for integrative scholarship proposal. (3 units)

NURS 610 Leadership, Management and Economics in Advanced Practice Nursing
Emphasis on analyzing leadership theories and organizational models within healthcare delivery systems. Principles of change theory, financial management, strategic planning, program development and implementation are evaluated. Application focuses on fiscally sound leadership management in providing healthcare for individuals and populations. (3 units)

NURS 615 Epidemiology and Clinical Prevention
Emphasis on application of epidemiological principles and approaches related to health and illness in at-risk populations. Epidemiological models and inquiry are used to determine population needs and promote interventions to enhance health-related quality of life and prevent illness. (3 units)

NURS 620 Informatics in Healthcare
Use of information systems/technology resources to implement quality improvement initiatives and support practice and administrative decision-making. Topics include standards and principles for selecting and evaluating information systems and patient care technology, and related ethical, regulatory, and legal issues. (3 units)

NURS 630 Healthcare Politics, Ethics and Advocacy for Nurses
Critical appraisal of how national and international health policies, advocacy efforts, ethics, and economics impact health care delivery and its outcomes and influence advanced practice nursing. Development of health care policy, delivery models, reimbursement mechanisms, and economic perspectives are investigated. (3 units)

NURS 640 DNP Clinical Practicum: Professional Role Development
Supervised clinical opportunities in selected clinical settings to enhance professional role development in advanced nursing practice. Synthesis of prior graduate learning experience; focus on evidence-based best practices to enhance safety, quality and efficiency in the student’s nursing specialty area (1 unit)

NURS 680 Advanced Pharmacology for Anesthesia I
This course is designed to provide the student with a thorough understanding of the basic science of pharmacology. The primary focus will be on those topics which are an integral part of modern anesthesia practice. These include pharmacodynamics, pharmacokinetics, pharmacotherapeutics, pharmacogenetics, pharmacy and toxicology. (3 units)

NURS 681 Anesthesia General Principles
This course serves as an introduction to the art and science of anesthesia and is intended to provide introductory knowledge and psychomotor preparation prior to commencing a clinical residence. (3 units)

NURS 682 Anesthesia for Surgical Procedures and Special Populations
Provides students with the pathophysiological basis for anesthesia care delivery as related to both the general and cardiac adult surgical patient populations, as well as specific clinical situations. Case study discussions incorporate theory and principles applicable to anesthesia care delivery. (4 units)

NURS 683 Advanced Physiology
Study of cardiovascular, respiratory, renal, neurological, hematological, and cellular physiology, with particular emphasis on how these systems relate to anesthesia management. (3 units)

NURS 684 Advanced Pharmacology for Anesthesia II
This course focuses on pharmacology and physiology as an integral part of modern anesthesia practice. The focus includes pharmacodynamics pharmacokinetics, pharmacotherapeutics, pharmacy, toxicology of muscle relaxants, narcotics, beta and alpha adrenergics, and autonomic nervous system drugs. (3 units)

NURS 685L Nurse Anesthesia Practicum I
Supervised increasingly complex clinical experience designed to provide the nurse anesthetist student with clinical application of the foundational principles in anesthesia. (2 units)

NURS 542 Advanced Health Assessment
Application of theoretical concepts related to comprehensive health assessment of patients across the lifespan. Analyzing, synthesizing and applying comprehensive health assessment data, including the bio-psychosocial, development and environmental needs of patients and families. (2 unit)

NURS 686 Pediatric and Obstetric Anesthesia
This course focuses on instruction and assessment provided for the anatomy, physiology, and pathophysiology of the pediatric and obstetric patient. Anesthesia considerations and case management strategies will be discussed for several types of pediatric and obstetric surgical and non-surgical procedures.(3 units)

NURS 687L Nurse Anesthesia Practicum II
Supervised increasingly complex clinical experience designed to provide the nurse anesthetist student with clinical application of the foundational principles in anesthesia. (5 units)

NURS 688 Advanced Pathophysiology for Anesthesia I
This course focuses on cardiac and pulmonary pathophysiology for anesthesia practice. Discussion will include anesthesia case management for each disease process, and the use of current evidence based research literature to guide current practice. Regional anesthesia principles will be discussed with corresponding lab. Acute and chronic pain management principles will be discussed relating to anesthesia practice. The end of the course will culminated in student led participation and discussion of cardiopulmonary anesthesia case management. (4 units)

NURS 689L Nurse Anesthesia Practicum III
Supervised increasingly complex clinical experience designed to provide the nurse anesthetist student with clinical application of the foundational principles in anesthesia. (6 units)

NURS 690 Advanced Pathophysiology for Anesthesia II
This course incorporates the pathophysiologic basis for anesthesia management including neurologic, endocrine, hepatic/renal, burn, and trauma anesthesia diseases and processes. Integrated within this are pharmacology principles related to anesthesia, and application of current scientific literature. In addition, adjunct pharmacologic agents that have impact on anesthesia delivery will be presented and discussed. (4 units)

NURS 691L Nurse Anesthesia Practicum IV
Supervised increasingly complex clinical experience designed to provide the nurse anesthetist student with clinical application of the foundational principles in anesthesia. (6 units)

NURS 692 Professional Nurse Anesthesia Role: Clinical Integration
An analysis of the professional component of nurse anesthesia practice emphasizing ethical, medical and legal responsibilities of the practitioner with emphasis on various aspects that impact the profession of nurse anesthesia. Review of anesthesia topics for national anesthesia certification examination. (3 units, may be repeated twice for a total of 9 units)

NURS 693L Nurse Anesthesia Practice - Supervised increasingly complex clinical experience designed to provide the nurse anesthetist student with clinical application of the foundational principles in anesthesia. (6 units)

NURS 694 Advanced Pharmacology for Anesthesia III - This course focuses on pharmacology and physiology as an integral part of modern anesthesia practice. The focus includes pharmacodynamics pharmacokinetics, pharmacotherapeutics, pharmacy, toxicology of adjunct drugs including antibiotics, diabetic agents, antiretrovirals, asthma medications, cardiac medications, and antihypertensives. (3 units)

NURS 695 Seminar in Integrative Clinical Scholarship -- Proposal development as applied to clinical scholarly work for Doctor of Nursing Practice project. Course requires 90 hours in a clinical setting with faculty consultation. Outcome is a proposal for a scholarly clinical doctoral project.

NURS 697A Integrative Clinical Scholarship I: Evidence-based Practice -- This course is complementary to NURS 695 and focuses on scholarly work directed toward a Doctor of Nursing Practice (DNP) project. This doctoral project will be completed within a clinical setting under faculty supervision (NURS 695 instructor) with facilitation by a Faculty Chair (NURS 697A). Outcome for this course is a proposal for a scholarly clinical project on a topic in the student’s area of interest and area of specialization. Course includes consultation with instructor leading to development of a scholarly project proposal as applied to clinical problems (1 unit)

NURS 697B Integrative Clinical Scholarship II: Evidence-based Practice -- Implementation of DNP project within a clinical setting using integration of theory and evidence-based change from nursing science and other disciplines. Emphasizes incorporation of principles of practice inquiry and evidence-based practice. Integration of core DNP concepts and competencies.

NURS 697C Integrative Clinical Scholarship III: Evidence-based Practice -- Within a clinical setting, evaluation and completion of the DNP project. Emphasizes incorporation of principles of practice inquiry and evidence-based practice. Integration of core DNP concepts and competencies.