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IFNAs Approval Process forAnesthesia Programs

APAP

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Goals of APAP

To encourage programs to comply with

IFNAs Educational Standards for PreparingNurse Anesthetists through an approval

process that takes cultural differences into

consideration

To improve the health and welfare ofhumanity by promoting international

educational standards

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Philosophy Behind APAP

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IFNAs Belief

If nurses are utilized for preoperative or

postoperative preparation of the patient andif they perform venous and arterial

cannulation, induction and emergence of

anesthesia, intubation, and extubation, and if

they are left alone for any reason, theyshould be appropriately educated.

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IFNAs Belief

If nurses are being utilized in such a mannerIFNA isconcerned that their educational process is sufficient

to support anesthesia practice and patient safety.

Professional Study & Resource

Guide for the CRNA

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Development of APAP

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Interest in Quality Assurance forAnesthesia Education

1997: CQAIE speech in Vienna

1998: Education Committee proposed QAprogram for education & practice

2000: Discussed at Chicago World Congress

2001: Discussed at Officers meeting

2002: COA-USA presents to CNR in Helsinki 2005: Education Committee begins plan for

international approval of programs

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Procedure Used to Develop APAP

2006-2007: First draft of application process

developed by Education Committee withmembers from Switzerland, Africa, Taiwan,Sweden & USA

June 2008: Three programs completed the

pilot project and were awarded Recognition Sweden The Netherlands

USA

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Procedure to Develop APAP

Application process revised based on feedback from

pilot project Preliminary approval of draft documents by decision

making bodies of IFNA

Call for public comments on IFNA website plus

individual organizations invited to comment

Proposal revised based on comments received

Final approval by IFNA

Introduction ofAPAP at World Congress in 2010

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Categories of Approval

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Categories of Approval

APAP is designed to work with anesthesia

programs as they currently exist if theypledge to meet IFNAs Education Standards

to the best of their ability.

Three categories of approval are available.

Only one type will be awarded to a programat any given time.

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Three Categories of Approval

Recognizes the

(1) diversity of nurse anesthesia programsthroughout the world;

(2) the economic stage of development of a

country;

(3) the resources available to individual programs; (4) a commitment of diverse programs to a

common standard of educational quality.

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Categories of Approval

Programs can apply for one category of

approval: Registration

Recognition

Accreditation

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IFNA Anesthesia EducationProgram Registration

Pledge to comply with Education Standards

to best of its ability Signature of program director and highest

institutional official

Submit curriculum for posting on IFNAs

website

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IFNA Anesthesia Education

Program Recognition

Pledge to comply with Education Standards

to best of its ability Signature of program director and highest

institutional official

Submit curriculum for audit to determine

substantial compliance with Education

Standards

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IFNA Anesthesia Education

Program Accreditation

Pledge to comply with Education Standards

Submit a self study Host an on-site visit by IFNA representatives

Review by Education Committee

Agreement or remand by Board of Officers &CNR

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Eligibility for Approval

(All 3 Categories)

Programs in IFNA member or non-member

countries Students are non-physicians

Require education in nursing or another

scientific background (Registration &

Recognition)

Require education in nursing (Accreditation)

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Eligibility for Approval

(All 3 Categories)

Evidence from government that program has

current official status* in the country, ifavailable

Evidence that the program has not beendenied approval by a governmental ornongovernmental accreditation or qualityassurance entity

*Authorized, recognized, chartered, audited or accredited

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Decision Process

CNR

President & Board

of Officers

Education Committee

Agree or send it backTo Education Committee

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Types ofDecisions

Registration

Recognition Accreditation

Denial

Withdrawal Warning

Revocation

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Certificate of Approval

Awarded to approved programs in every

category Signed by IFNAPresident & Education

Committee Chair

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Renewal 5 year intervals

Program requirements

Update application or self study to meet newrequirements & changes in program

Complete faculty & student evaluations in

categories of Recognition and Accreditation

New self study & site visit may be requested ifproblems with meeting Standards

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Fees

Registration or Recognition: No fee

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Fees

Accreditation:Program pays

1500 Swiss Francs at application Costs of site visit

1 day to review self study

2 days on site

2 days travel

1 day to write report

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APAP Outcome

Encourage programs to comply with IFNAs

Educational Standards for Preparing NurseAnesthetists through an approval process

that considers cultural, national, or regional

differences.

Collegial process to improve educationprograms

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Summary

APAP can encourage globalization of

education for nurse anesthetists Global education standards are important

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Thank you!

bhorton@pwr-net.coop