International Training Program for Nurse Anesthetist The program: International training program for nurse anesthetist Name of certificate:

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1 International Training Program for Nurse Anesthetist Department of Anesthesiology Faculty of Medicine Siriraj Hospital Mahidol University, Bangkok, Thailand The program: International training program for nurse anesthetist Name of certificate: Certificate in Anesthesiology Program owner: Department of Anesthesiology, Faculty of Medicine Siriraj Hospital Objectives: To provide knowledge and expertise in anesthesia: 1. How to prepare the patients for anesthesia and surgery / intervention 2. Choose the appropriate anesthetic techniques and provide safe steps of anesthesia 3. Provide airway management for anesthesia in elective and emergency situations 4. Provide standard care for patients in post anesthetic care unit/recovery room 5. Provide safe anesthesia under supervision of anesthesiologists 6. Increase appropriate manpower in anesthesia personnel for other countries Place of training: Siriraj Hospital, Bangkok, Thailand Prerequisite of applicant: 1. Age below 35 years, except special recommendation from authority of sender country 2. Able to communicate in academic English in all four parts speaking, reading, listening and writing 3. Must hold registered nurse certificate / diploma from sender country 4. Must have a minimum of 2 years experience in Nurse or Anesthesiology 5. Not being pregnant before application and throughout the time of training Document Required (all in English, if not all, documents should be translated by official/license translator attached with original document) 1. Curriculum Vitae (CV) 2. A copy of certificate / diploma in Nursing 3. A letter of confirmation from the chairman of the working place 1

2 4. A certificate of good health from a physician (Valid varicalla screening and immunization for chicken pox) 5. Two letters of professional recommendation including his/her characters and experience 6. Two photos size 2x2 inch Application: Application form + all documents should be sent: - Before 31 st May of each year - to: The Chairwoman of Department of Anesthesiology Faculty of Medicine Siriraj Hospital 2 Prannok Rd, Bangkok Noi, Bangkok Thailand Tel: , Fax: siriporn.pit@mahidol.ac.th Announcement: The selecled candidates will be amouneed/intormed before 30 th June of each year. If number of trainees less than four, the training will not held that year. Program fee: 300,000 B would be paid to Faculty of Medicine Siriraj Hospital - Siriraj hospital will not responsible for trainees stipend, accommodation, airfare, health insurance or visa fee - If the trainee fails to complete the program, 15-50% of fee will be refunded according to the duration of the training period. Payment : Please transfer the program fee through the bank below: A/C Name : Income of Faculty of Medicine Siriraj Hospital Bank : The Siam Commercial Bank Public Company Limited Branch : Siriraj Branch Type : Saving Account A/C NO. : SWIFT CODE : SICOTHBK Bank Address : 2 Prannok Road, Siriraj, Bongkoknoi, Bongkok Thailand

3 Regulation: 1. The program term starts would expect from 1 st August to 31 st July. 2. The trainee promises to follow all trainng regulations and promises to work hard to gain the knowledge and expertise, including work out-of-office hours. 3. If the trainee does not work hard or has severe unethical conduct, the training will be terminated judged by the training committee. 4. The trainee will complete all on-the-job record, log book and examination. The certificate will be granted to the trainee who finished the course and passes the examination. 5. During the training, 14-day vacation will be allowed under permission of the training committee. Sick leave must be accompanied by a physician certificate. 6. After the training finished, the trainee will go back to sender country to work in the sender hospital. Curriculum: 1. Class work teaching / learning (all conduct in English): a. The main subjects are anesthesia and anesthesia related subject: anatomy, physiology, pharmacology. b. There will be lectures, case discussion, skills lab and hand-on workshop. c. Academic activities such as interesting cases and case discussion will be assigned to present by trainees. 2. Practical teaching / leaning a. Roster schedule in anesthesia services both in operating room (OR) outside OR, acute pain service (APS), ICU and other departments involved in anesthesia practice etc. b. Trainee will rotate to work in various sites that the Department has services, such as neuroanesthesia, obstetric-gynecological anesthesia, orthopedic anesthesia, etc. c. Trainee will be taught about infection control, anesthetic equipment and machine. d. Trainee will do an on-call service 3

4 Program evaluation: The trainee must 1. Good behavior and pass the formative evaluation and at least 80% attendance of training program will be needed to take the final examination. 2. To pass the final evaluation, 50% of scores both in the written examination and the practice evaluation. Content of Training Program for Nurse Anesthetist: (reference from the Royal College of Anesthesiologists of Thailand) 1. Summary of content 1.1 Introduction to anesthesia 1.2 Basic knowledge in anesthesia 1.3 Anatomy of respiratory and cardiovascular systems: clinical implications 1.4 Physiology of RS, CVS: clinical implications 1.5 Principle of pharmacology and clinical use of anesthetic drugs and adjuvants 1.6 Clinical anesthesia in different situations and diseases 2. Lecture and discussion plan which covers as follow: No. Topic 1 Introduction and history of anesthesia 2 Anesthetic equipment and preparation before use 3 Monitoring and the anesthetic records 4 Aseptic techniques 5 Basic knowledge of anatomy and physiology of respiratory system 6 Basic knowledge of anatomy and physiology of cardiovascular system 7 Airway management (tracheal intubation and laryngeal mask airway) 8 Positioning in anesthesia 9 Inhalation anesthetics 10 Clinical assessment of the depth of anesthesia 11 Intravenous anesthesia 4

5 12 Neuromuscular blocking agents 13 Preanesthetic evaluation and choice of anesthesia 14 Premedication, preparation for anesthesia and transportation to the operating room 15 Intravenous fluid administration during anesthesia 16 Blood and blood component replacement 17 Complications of general anesthesia: general consideration, cause and treatment 18 Post anesthesia care 19 Common vasopressor drugs related to anesthesia 20 Obstetric anesthesia 21 Pediatric anesthesia 22 Anesthesia for neurosurgery 23 Anesthesia for eye, ear nose and throat operation 24 Anesthesia in geriatric patients 25 Anesthesia in the patient with liver disease 26 Anesthesia in the patient with renal disease 27 Anesthesia in the patient with lung disease 28 Anesthesia in the patient with cardiovascular disease 29 Anesthesia in the patient with DM and other endocrine disorders 30 Anesthesia in trauma and burn patient 31 Anesthesia in obese patient 32 Emergency anesthesia 33 Ambulatory anesthesia 34 Outside OR anesthesia 35 Sedation 36 Postoperative pain management 37 Local anesthetics and toxicity 38 Patient care during regional anesthesia 39 Hazards in the operating room 40 Ethical issues in anesthesia 5

6 3. Hand - on workshop - Airway management - Anesthetic machine - Simulation perioperative crisis management - Cardiopulmonary resuscitation (Basic life support and Advanced cardiac life support) If there is any query please directly contact Assist.Prof. Patchareya Nivatpumin (program director) via patchareya.niv@mahidol.ac.th. 6