Date of Award

Fall 2023

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Michong Rayborn

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Nina Mclain

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Ultrasound-guided regional anesthesia techniques are valuable tools for anesthesia providers to learn and implement in their practice. Two specific blocks that student registered nurse anesthetists (SRNAs) need to utilize are the Adductor Canal Block (ACB) and the Interspace between the Popliteal Artery and Capsule of the Knee (iPACK) for total knee arthroscopy (TKA). Teaching these blocks to SRNAs in the clinical setting may be difficult as they will be under higher pressure to perform since they will be practicing on live patients. Understanding this stress led to a review of current Nurse Anesthesia Program (NAP) curriculum at The University of Southern Mississippi (USM) and found a gap in the education, which an Observed Structured Clinical Examination (OSCE) for the ACB and iPACK block would fill.

Since an OSCE would take place in a simulated clinical setting instead of a real clinical setting it would allow for a more controlled environment with a more standardized evaluation of the SRNA. Development of the OSCE was completed utilizing the current EBP. Upon completion, the OSCE was sent to five current USM NAP faculty, nineteen 2nd Year SRNAs, and twenty 3rd Year SRNAs for review. Of the 44 potential participants emailed, 27 participated in the survey. The majority of participants agreed that this OSCE would aid in the teaching of ACB and iPACK block for TKA.

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