Online Continuing Education Module Transthoracic Echocardiogram

Abstract

A Transthoracic Echocardiogram (TTE) is the utilization of an ultrasound probe to obtain five different views of the heart (Aurora Health Care, 2022). A TTE allows the anesthesia provider to assess a patient’s cardiac ventricles and valves in real-time to elicit information about fluid status, ejection fraction, and rhythm abnormalities. Several observational, pilot, and case studies have shown both hands-on and computer-based training for TTE have been implemented in healthcare education (Anderson et al., 2021; Bhatia et al., 2017; Elison et al., 2020; Goldstein et al., 2020; Goldstein et al., 2021; Haskins et al., 2017; Hempel et al., 2020; Kline et al., 2021; Sanders et al., 2019; Shields & Gentry, 2020). The studies demonstrate how effectively these methods improve TTE skills and knowledge in nurse anesthesia and physician residency programs. Applying this information allows the provider to determine fluid requirements and hemodynamic condition and assess changing cardiac rhythm during the perioperative care period. Certified registered nurse anesthetists (CRNAs) are required to complete continuing education (CE) modules to maintain their licensure through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). CE is critical to developing skills and gaining knowledge for all anesthesia providers. This project developed a CE module to teach student registered nurse anesthetists (SRNAs) and CRNAs how to perform a basic TTE to obtain the five views of the heart. AdventHealth University (AHU) SRNAs developed an evidence-based educational module regarding TTE assessment for publication in AHU Echelon and received CE credit approval from the American Association of Nurse Anesthetists (AANA) in September 2023.

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