Background: Orientation programs are crucial for introducing individuals to educational institutions, internships, residencies, and workplaces, providing insight into expectations and operational procedures. However, at Marian...
Objective: Adverse Childhood Experiences (ACEs) are harmful or distressing events occurring within a child’s social or family environment which disrupt psychological and physical development. The goal of this DNP project is to...
Simulation experiences are a mandatory part of nurse anesthesia programs. Simulations are intended to improve students’ skills in a safe environment, but their effects on cognitive knowledge and confidence are not well...
<b>Background</b> The Certified Registered Nurse Anesthetist (CRNA) profession is fast growing and at an all-time high, with over 56 thousand licensed professionals. Nurse Anesthetist programs are tasked with developing a high...
Background and Review of Literature: Intravenous (IV) catheter-associated bloodstream infections (CABIs) are a substantial problem in healthcare. Recently, intraoperative care was identified as a risk factor for the development...
BACKGROUND AND LITERATURE REVIEW: Hand hygiene (HH) is the number one way to reduce healthcare associated infections (HAI). These infections account for increased morbidity and mortality and are linked with poor HH among...
Effective communication during the handoff process between anesthesia providers and post-anesthesia care unit (PACU) nurses is crucial for ensuring patient safety. This Doctor of Nursing Practice (DNP) project aimed to...
Semaglutide is a prescription medication for weight loss and combating obesity. Current evidence indicates patients are regaining weight after discontinuing the medication unless diet and exercise regimens are sustained....
During surgical interventions of upper or lower extremities, one of the methods in which blood loss can be decreased is through application of the pneumatic tourniquet. A bloodless field provides important advantages for the...
Background and Review of Literature: Lumbar plexus block and fascia iliaca block are two commonly used anesthesia modalities for patients underdoing hip arthroplasty at Union Hospital in Terre Haute, Indiana. Currently, there...
Background: Many patients seek the advise from their primary care providers (PCPs) to provide insight into alternative treatment options, however, little is known about the practices of primary care providers (PCPs) and the...
A common theme among Student Registered Nurse Anesthetists is an impact on their mental and physical wellbeing during didactic and clinical education. This DNP project is aimed for the current Marian University graduate nursing...
This DNP project’s significance is to help SRNAs self-recognize psychological and physical manifestations of negative stress, manifested as anxiety, depression, and suicidal thoughts during anesthesia training. The objective is...
The COVID-19 pandemic has highlighted the need for additional health precautions in medically fragile populations. COVID-19 is a respiratory virus demonstrating increased mortality in individuals with risk factors such as...
Background and Review of Literature: Cricoid pressure is a technique of applying digital pressure along the outside of the upper airway to reduce the risk of aspiration of stomach contents during anesthesia induction. Improper...
Background: Anesthesia providers are trained to adapt and rapidly respond to cannot intubate cannot ventilate situations based on a difficult airway algorithm. In anesthesia education, simulated events allow for effective...
The difficult airway algorithm is a necessary technique that must be mastered by all student nurse anesthetists. Students in Marian University’s Nurse Anesthesia Program are taught the potentially life-saving skills included in...
Background and Review of Literature: Post-operative nausea and vomiting remains a constant threat to patients undergoing anesthesia. As such a myriad of drug compounds are utilized in the practice of anesthesia to prevent and...
COVID-19 is an infectious respiratory illness that has taken hundreds of thousands of lives and infected millions more in the United States. Unfortunately, Black Indigenous and People of Color (BIPOC) communities are...
The United States Preventative Services Task Force (USPSTF) recommends initiating colorectal cancer screening for asymptomatic, average-risk individuals at age 45, which is a new update to the previous recommendation of age 50....
Total Hip Arthroplasty (THA) is a commonly performed procedure in the operating room and often the patient population undergoing this procedure are elderly with multiple comorbidities. Despite new research on spinal anesthesia...
<b>Background and Review of Literature</b>: Substance use disorder (SUD) is increasing nationwide, including within the anesthesia provider community. Anesthesia providers are shown to be at an increased risk of developing SUD...
The stress levels experienced by student registered nurse anesthetists (SRNAs) make them excellent candidates to experience the benefits of peer mentoring. Many students assigned as mentors lack the necessary skills to support...
Background and Review of Literature: Operating room (OR) fires can inflict devastating harm to healthcare organizations, staff, patients, and caretakers. All perioperative staff members need specific education on preventing and...
Neuraxial blocks are widely used by anesthesia providers in primarily orthopedic and obstetric populations. In many anesthesia programs, education surrounding regional blocks is limited to the classroom setting without thorough...
Imposter Phenomenon (IP), better known as Impostor Syndrome, may be defined as a state of fearing intellectual phoniness and an inability to internalize success. What was first discovered to appear in high-achieving women; now...
Precedex is a common sedative used for procedural sedation and as an adjunct in general anesthesia. This project uses a retrospective chart review to determine if intraoperative Precedex boluses increase the length of stay in...
The future and strength of the nurse anesthesia profession starts here, with this generation of doctoral nurse anesthesia students. Setting up a foundation of healthy coping skills is key to the longevity of a healthy nurse...
A common misbelief is that non-nutritive sweeteners (NNS) are healthier than natural sugars, only because of their lower caloric content. Individuals are unaware of the consequences that high amounts of NNS pose to the bacteria...
This project was submitted to the faculty of Marian University Leighton School of Nursing as partial fulfillment of degree requirements for the Doctor of Nursing Practice Certified Registered Nurse Anesthetist Track. The...
Background and Review of Literature: Laryngoscopy is one of the most important skills that an airway provider performs, and recent technological advances through video laryngoscopes have changed the canvas for performing this...
This project is submitted to the faculty of Marian University Leighton School of Nursing as partial fulfillment of degree requirements for the Doctor of Nursing Practice, Nurse Anesthesia track. Enhanced Recovery After Surgery...
Marian University utilizes a student-led mentorship program to assist fellow graduate students of Doctorate of Nursing Practice (DNP) Nurse Anesthesia Program (NAP). Marian’s NAP accreditor, The Council of Accreditation of...
Background and Review of Literature: Bag-mask ventilation (BMV) is a critical skill in the perioperative setting and is difficult to master for student registered nurse anesthetists (SRNAs). BMV has been shown to be the...
Background: A child’s pain is different from pain experienced as adults. Different emotional and psychological factors can affect the child’s pain comprehension and stimulate their response to pain. Procedural pain can have...
Cognitive aids have been shown to enhance clinical performance and improve patient care by increasing the completion of essential tasks and facilitating clinical decision-making. Cognitive aids have also been demonstrated to be...
When a patient arrives at the postoperative anesthesia care unit (PACU), a transfer of care report from the anesthesia provider to the PACU nurse occurs at the bedside. Historically, there has been a lack of completeness in...
The Marian University Nurse Anesthesia program offers two pharmacology courses prior to students entering the clinical setting. The pharmacology I course provides students with foundational knowledge of medications used daily....
Background: Simulation based training continues to be a growing element of healthcare education. Simulation training allows student registered nurse anesthetists (SRNAs) to practice critical skills in a low stress environment....
Background: Throughout the last decade simulation education has become an integral part of healthcare education. Designing simulation training for educational programs takes careful consideration and thought to plan an...
Background and Review of Literature: The ability to manage a patient's airway is a critical skill an anesthesia provider must possess. Poor airway management can result in inadequate ventilation, which can lead to brain damage...
Background: Inadvertent perioperative hypothermia (IPH), defined as recorded temperature at or below 36°C (96.8°F), is a common adverse effect that can occur during any surgical procedure, leading to increased postoperative...
Background and Review of Literature: A surgical site infection after posterior instrumented spinal fusion can negatively affect the patient and increase healthcare costs. Spinal fusions are becoming increasingly common as a...
Background and Review of Literature: Subjective methods for assessing airway device cuff pressures (CP) remain in use to determine correct inflation, despite evidence indicating inadequate sensitivity for identifying under and...
<b>Objective</b>: Carotid intima-media thickness (CIMT) is utilized to predict cardiovascular risk. CIMT uses ultrasound to measure the thickness of the two innermost layers of the carotid artery. Increased plaque in the...
Laryngospasm and bronchospasm are anesthesia complications that occur commonly in the operating room. Laryngospam and bronchospasm can both lead to hypoxia, hypercarbia, and hemodynamic instability. Our goal was to determine if...
Lipid metabolism affects cell and physiological functions that mediate animal healthspan and lifespan. Lipidomics approaches in model organisms have allowed us to better understand changes in lipid composition related to age...
Malignant hyperthermia is a rare but potentially catastrophic syndrome that can occur during general anesthesia. High mortality rates occur when this complication is left untreated or when care is delayed. Due to the rare...
Background and Review of Literature: Laparoscopically assisted vaginal hysterectomy (LAVH) is a minimally invasive surgical procedure commonly performed to remove the uterus. While the LAVH technique offers many advantages,...
Understanding the effect of stress on Student Registered Nurse Anesthetists (SRNAs) during their CRNA school could improve the development or expansion of program structure and wellness interventions to help manage stress...
Understanding the effect of stress on Student Registered Nurse Anesthetists (SRNAs) during their CRNA school could improve the development or expansion of program structure and wellness interventions to help manage stress...
<b>Background</b>: Anesthesia providers are subjected to chemical, biological, physical, ergonomic, and psychosocial risk factors that threaten the individual's health. While pregnancy alone is not considered an independent...
Background and Review of Literature: Spinal anesthesia is the current gold standard of practice for providing care in elective cesarean sections. However, spinal anesthesia is commonly associated with untoward side effects...
Background: Cesarean sections account for 31% of all births annually, with spinal anesthesia being the preferred method of anesthesia. The side effects from spinal anesthesia in the parturient include hypotension, bradycardia,...
Background: The most common causes of morbidity during general anesthesia in pediatrics are airway and respiratory complications that commonly occur in both healthy children and infants. The high stress environment of...
There has been increased attention to pain control as well as patient satisfaction following surgical procedures. The interest in pain control coupled with the growing opioid epidemic has prompted anesthesia providers to...
Inadequate pain management during a laparoscopic cholecystectomy can affect postoperative hemodynamics, impair recovery, and extend hospital stay. The use of opioid medications during and after surgeries can reduce...
Patients 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...
<b>Background and Review of Literature</b>: This study examined individual opinions from healthcare providers in Indiana about their willingness to prescribe Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus...
Medication errors and interactions happen every day in the perioperative setting. It is the responsibility of the post-anesthesia care unit (PACU) nurse to manage pain, nausea, vomiting, and maintain hemodynamics after surgery...
<b>Background</b>: Many surgical procedures require muscle paralysis of the patient to ensure optimum operating conditions. Monitoring the level of paralysis is an important responsibility of the nurse anesthetist throughout...
In the intraoperative setting, the intersection of hand hygiene practices and contamination of the anesthesia workstation presents a critical juncture for reducing hospital acquired infections that ultimately lead to increased...
In 1984, Ultrasound-Guided (USG) Intravenous (IV) access was first used to place central venous catheters (CVC) in real-time. This led to increased success rates, reduced procedural times, decreased site associated...
Background and Review of Literature: Postoperative nausea and vomiting (PONV) frequently occur in patients after anesthesia, significantly impacting patient satisfaction and potentially leading to untoward complications....
<b>Background and Review of Literature</b>: Caesarean sections are one of the most performed procedures in the operating room. Managing pain for these patients is vital to ensure a positive birthing experience for mothers and...
Background and Review of Literature: The presurgical anesthesia machine check is a critical procedure that all anesthesia providers must be capable of performing. Failing to perform an anesthesia machine check increases...
Background: Malignant hyperthermia is a disorder of the skeletal muscle that can present as a hypermetabolic response to triggering agents. Anesthesia providers frequently administer these triggers in the operating room....
Anesthesia providers who give spinal anesthetics in obstetric anesthesia commonly witness spinal induced hypotension (SIH) in patients due to the sympathetic blockade after injection. This DNP project evaluated Indiana...
Background and Review of Literature: Postoperative nausea and vomiting (PONV) is one of the most common patient complications following general anesthesia. Recent literature supports the practice of supplemental intravenous...
Creating a focused simulation design promotes an essential structure needed to support SRNA confidence and performance success on GA inductions. Additionally, the successful completion of simulation designs is consistent with...
The use of perioperative opioids for pain management can come with great consequences as the opioid crisis is more prevalent than ever. In the US, nearly 70% of all opioid tablets prescribed after surgery become problematic as...
Introduction: The didactic year in Marian University's Nurse Anesthesia program equips students with a comprehensive understanding of anesthesia's core concepts, including pathophysiology, pharmacology, and physics. The first...