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The Villanova University College of Nursing’s Nurse Anesthesia concentration
began in 1997 with the admittance of the first class of students. The program
was housed at Lankenau Hospital and was known as the Lankenau Hospital School of
Anesthesia. The school of anesthesia had been in existence since 1964, first as
an 18-month diploma program, then as a 24-month diploma program and in 1986
affiliated with St. Joseph’s University to offer a Master of Science degree on
an optional basis, which by 1992 became mandatory.
In
1996, the program director, Bette Wildgust CRNA MS MSN began to seek an academic
affiliation with a college of nursing. Villanova accepted the offer and the
nurse anesthesia concentration began. In the summer of 2000, it became obvious
that a new clinical base would be required and explorations began with Crozer
Chester Hospital. An agreement between Villanova and Crozer Chester was signed
in January 2002 solidifying the arrangement between the two institutions. The
Council on Accreditation of Nurse Anesthesia Educational Programs was notified
of the major programmatic change in May 2002 and approval was granted in June
2002 to begin the transfer of the ownership of the Lankenau Hospital School
of Anesthesia from Lankenau Hospital to a joint sponsorship between Villanova
University and Crozer Chester Hospital. The program is now known as Villanova
University/Crozer-Chester Medical Center Nurse Anesthesia Program. The first
class was admitted in August 2002.
Villanova University/Crozer-Chester Medical Center Nurse Anesthesia
professional program has access to all facilities at Crozer-Chester Medical
Center and its affiliating institutions. There are 15 clinical sites where the
students can gain experience. The full-time adjunct faculty consists of
board-certified anesthesiologists, certified registered nurse anesthetists,
doctorally prepared nurses and guest lecturers.
The
27-month program consists of a didactic and clinical experience that exceeds
the minimum requirement set forth by the Council on Accreditation. Upon completion
of the professional curriculum, the student is eligible to sit for the National
Certification Exam administered by the Council on Certification of Nurse Anesthetists.
The first semester in the program is mostly didactic, with the goal of preparing
the student for integration into the clinical area. During the next 12 months,
the student receives the majority of the basic theoretical framework necessary
for anesthesia practice. This didactic education is geared towards developing
a nurse anesthetist equipped with the knowledge and skills of an advanced practice
nurse necessary to practice nurse anesthesia. Clinical experience is obtained
at 15 clinical sites located
in Philadelphia and its suburbs, central Pennsylvania and in Delaware. Assignments
to the various sites are made in consultation with the program director, clinical
site coordinator and the student. Students who live in the Lehigh gorge or Hershey
area will rotate to Hershey Medical and Lehigh Valley hospitals. Lancaster General
has been added as a site available to students from that area also. Senior students
may elect to rotate through several community hospitals, again in consultation
with the program director, clinical site coordinator and the student.
Students administer, under supervision, all types of general anesthesia.
Clinical instruction is given on a one instructor-one student ratio until the
staff feels that the student can be left alone to gain self-confidence. During
this time, an instructor is immediately available for consultation.
A necessary factor for the totally-prepared nurse anesthetist is exposure to
the anesthesia care of the critically-ill, trauma victim patients, and
resuscitation of patients; therefore, students are scheduled to spend time in
“on call” service to ensure adequate exposure to the pathophysiology of
emergency anesthesia care.
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