Date of Award

Fall 12-2023

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Nina McLain

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Mary Jane Collins

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Pheochromocytoma, whether recognized or unrecognized, has the potential to cause severe cardiovascular complications during surgery. This paper focuses on the creation and importance of an Objective Structured Clinical Examination (OSCE) and a short trigger film focused on the anesthetic management of pheochromocytoma. This OSCE intends to help prepare students to recognize and treat undiagnosed or improperly managed pheochromocytoma in the didactic phase of their learning so as to better prepare them for the possible real-life scenario.

The pathophysiology of pheochromocytoma regarding the catecholamines epinephrine and norepinephrine are discussed along with their potential to wreak havoc on the patient. The treatment algorithm is summarized into a concise and potentially handheld cognitive aid for quick reference of any anesthesia provider. The overriding goal of this project is to help improve patient outcomes. The participants in this OSCE were also the judges of its effectiveness. After a video and short trigger film were viewed, participants graded the project with the use of the provided survey questions. Overwhelmingly the feedback was positive, participants stating that the OSCE was beneficial in that they are now better able to identify and treat pheochromocytoma signs and symptoms.

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