This module includes the mechanism of nociception and multimodal therapy as well as opioids and adjuvants used in multimodal therapy.

This module includes patient care priorities for the Parkinson’s patient.

This module includes the etiology, rick factors, incidence, signs & symptoms, and treatment for PTSD/PTSS.

This module includes preprocedural assessment, intraoperative positioning, possible complications & interventions and patient teaching.

This module includes strategies for to handle crucial conversations in stressful situations.

This module includes special anatomical and physiological considerations unique to the pediatric, geriatric and pregnant patient.

This module includes anesthesia techniques and commonly used anesthetic agents.

This session presents current information on COVID-19 and priorities for the perianesthesia nurse.There is no registration fee for this module. 1.25 CH (DC) will be awarded after successful completion.

Authors: Christopher H. Stucky, PhD, RN, CSSM, CNOR, NEA-BC, RN-BC, Marla J. De Jong, PhD, RN, CCNS, FAAN, Joshua A. Wymer, MSN, RN, CSSM, CNOR, CPHIMS, NEA-BC, RN-BC
Specialty certification promotes improved surgical outcomes, enhances health care quality, and is an important external benchmark of overall clinician competence. Given the growing technological, financial, and administrative demands of the modern health care system, the roles of perianesthesia and perioperative nurse managers are increasingly complex. The Certified Surgical Services Manager (CSSM) certification establishes a standard of excellence for perioperative managers, demonstrating that they possess the capacity to adapt and lead in the continually evolving roles of perioperative leadership and surgical services management. In this article, we comprehensively review CSSM certification and offer insights into the importance of lifelong learning and continuous professional development. The topics discussed include the advantages of holding the CSSM credential, the importance of specialty certification, and a general examination overview. In addition, we emphasize the value of the CSSM credential and adopting it as the national standard for surgical service managers.

Authors: Edwin N. Aroke, PhD, CRNA. Susan P. McMullan, PhD, CRNA, Katie O. Woodfin, MSN, CRNA, Ryan Richey, MSN, CRNA, Jordan Doss, MSN, CRNA, Bryan A. Wilbanks, PhD, DNP, CRNA
In the United States, more than 100 million people suffer from chronic pain. Among patients presenting for surgery, about one in four have chronic pain. Acute perioperative pain management in this population is challenging because many patients with chronic pain require long-term opioids for the management of this pain, which may result in tolerance, physical dependence, addiction, and opioid-induced hyperalgesia. These challenges are compounded by the ongoing opioid epidemic that has resulted in calls for a reduction in opioid use, with a concurrent increase in the number of patients with chronic opioid exposure presenting for surgery. This article aims to summarize practical considerations for acute postoperative pain management in patients with chronic pain conditions. A patient-centered acute pain management plan, including nonopioid analgesics, regional anesthesia, and careful selection of opioid medications, can lead to adequate analgesia and satisfaction with care. Also, a meticulous rotation from one opioid to another may decrease opioid requirement, increase analgesic effectiveness, and improve satisfaction with care.