The Dental Anesthesia Assistant Program is a certificate program approved by the Washington State Dental Commission and the Oregon Dental Board. A Dental Anesthesia Assistant works at the direction of a Dentist, Oral Surgeon, Maxillofacial Surgeon, or other provider in preoperative, operative, and postoperative anesthesia, monitoring, and interventional care. Among other duties, Anesthesia Assistants obtain a pre-anesthetic health history, perform vascular access, establish non-invasive monitoring, assist with the preparation and administration of medications, assist in the treatment of life-threatening situations, and assist with all aspects of anesthesia techniques, as allowed by certification and as directed by a licensed provider. The Resuscitation Group students learn and apply anesthesia skills and manage life-threatening situations in simulation. The practical experience gained is not typical of all programs and is extremely valuable to the participants when real world situations occur. Program Tuition: $1500 usd. Prerequisites for Program Participants: Participants must have the following at the initiation of the course: Washington State KNOW HIV Prevention Education for Health Care Facility Employees (7 hour course certificate). Prior experience in dental or outpatient environment. Media and Print Resources Required for Course Participant: Participants should plan to obtain the listed resource materials and textbooks at least 30 days prior to the start of the program and initiate study of all materials. Students are required to obtain and read the following textbooks, as well as, have them available during class: Basics of Anesthesia 8th Edition by Manuel Pardo MD. American Heart Association ACLS Provider Manual 2020. This program utilizes resources from multiple formats including but not limited to the following required pre-course study materials: Conscious Sedation for Minor Procedures in Adults NEJM. Understanding IV Conscious Sedation Gina L. Salatino DMD, FAGD. Principles of Capnography Lesson 1. Principles of Capnography Lesson 2: Basic principles. Principles of Capnography Lesson 3: Capnography waveforms Nitrous Oxide Oxygen Sedation; Royal College. How to start an IV: Antecubital Fossa.  Med School Made Easy Inc. Reasons Why People Miss Veins When Starting an IV or Drawing Blood. RegisteredNurseRN.com. Complete reading of Anesthesia 101. Professional Certification and/or License. Upon successful completion of the Anesthesia Assistant Program, the participant may apply to the Washington State Department of Health Dental Anesthesia Assistant Licensing process or the Oregon Dental Board for certification endorsement for Dental Anesthesia Assistant. Program Delivery: Educational delivery will be a combination of: In person, instructor led classroom session. In person, instructor led practical/lab/simulation skills sessions. Program Length 80 hours of instruction and a minimum of 20 hour pre-course learning required Participation Expectations: In order to successfully complete this course of instruction, a registered participant must be present for all scheduled hours and be engaged in the interactive discussions, case reviews and knowledge evaluation. Participants will successfully: Complete a comprehensive written examination with a score of 85% or better. Successfully manage three anesthesia emergencies in an immersive simulation environment, under the observation of instructor staff and scored against the GEMR scenario skills sheet. Successfully complete five (5) intravenous catheter placements under the observation of the instructor staff, using the GEMR IV Access Skills Sheet Standard. Successfully complete ten (10) intravenous catheter placements under the supervision of their Dental or Medical Provider. Program Objectives: Educational content covered in this course includes a review of current science and best practices, with the following objectives: Demonstrate synthesis of the continuum of sedation. Demonstration of pre-procedure patient evaluation and monitoring. Demonstrate recognition of respiratory and/or circulatory compromise. Ability to describe patient safe monitoring procedures. Recognize the role of pulse oximetry and quantitative waveform capnography in sedation.

• Demonstrate the ability to interpret common waveform capnography waveforms. Demonstrate familiarity with common anesthesia pharmacological agents; including, but not limited to: Ketamine, Lorazepam, Midazolam, Methoxyflurane, Nitrox, Opioids, and Propofol.
• Demonstrate the ability to respond with a systematic resuscitative approach to the following common anesthesia emergencies; including: hypoxia, hypotension, hypertension, bradycardia, cardiac arrest, respiratory conditions, angina, syncope, stroke, allergy, and hypoglycemia. Recognize the role of IV Therapy and medication infusion. List factors that affect flow rates of IV solutions. Describe proper use of specific IV therapy equipment. Initiate IV therapy utilizing standard precautions and patient safety by: Preparing the patient psychologically. Explaining the rationale for venipunctures. Differentiating between the types of skin puncture, venipunctures and arterial devices and their appropriate uses. Differentiating between skin puncture, arterial puncture, and venipunctures. Distinguishing between types of intravenous solutions and their appropriateness
• Preparing equipment properly and aseptically
• Selecting and correctly preparing the most appropriate vein for venipuncture. Preparing the site in a manner which reduces the chance of infection. Performing venipuncture utilizing direct or indirect method. Dressing site according to policy. Securing and immobilizing device appropriately and safely. Regulating flow rate and fluid accurately. Documenting on medical record. Recognize complications related to venipunctures. Recognize local and systemic reactions related to intravenous therapy and medications. List the measures taken to reduce local and systemic reactions. List three reasons to discontinue and restart IV access. List the cause and differentiate clinical symptoms of electrolyte imbalances. Identify the role of IV therapy and pH balance. Differentiate actions, dosages, side effects, and implications of specified intravenous solutions. Correlate the IV fluid container label with the name of the solution as commonly ordered. Examine the differences between techniques used in adult and pediatric IV therapy. Discuss situations related to IV therapy and legal implications. Describe appropriate ways of minimizing legal risks in IV therapy and blood withdrawal practice.
• Identify the safety precautions in regards to administering IV fluids. Properly calculate, draw up, and administer IV medications. Successfully manage three anesthesia emergencies in an immersive simulation environment. Outcomes: Participants who successful complete this course will be able to: Discuss the continuum of sedation. Explain the perimeters for patient safe monitoring during conscious sedation. Describe pharmacological agents for conscious sedation. Demonstrate proper administration of pharmacological agents. Discuss proper pre-procedure evaluation and physical exam processes. Demonstrate proper response to anesthesia emergencies in a simulation environment. Discuss the structure and function of veins. Identify the names and the locations of the veins most suitable for phlebotomy and cannulation/venipuncture. Assemble equipment and supplies needed to collect blood and for cannulation/venipuncture and discuss the correct use of each. Demonstrate the steps in performing blood collection and cannulation/venipuncture procedure. Assess techniques and equipment used to minimize biohazard exposure in blood collection and cannulation/venipuncture. Evaluate procedural errors in blood collection and cannulation/venipuncture and discuss remedies for each. Differentiate complications associated with blood collection and cannulation/venipuncture and their effect on the quality of laboratory results. Special Considerations: Students will be establishing IV access on each other during the course and should be prepared for that eventuality. Students may bring a volunteer for IV access to the IV Access Lab, the volunteer may not have any chronic medical conditions and must sign a waiver after verbal orientation by the instructor to the dangers of IV Access. A minimum of five successful IV skills sheets must be completed under instructor observation during the course, students may obtain an additional five with their provider outside of class but must complete ten successful skills sheets by the end of the course.