CAPA study materials
CAPA study resources

CAPA (ABPANC) study plan

CAPA · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Preprocedure Assessment and Preparation

  • Map the complete preprocedure assessment into six buckets: history and comorbidities, airway and dentition, medication and anticoagulant review, NPO status, allergies, and informed consent

  • Differentiate ASA physical status classes I–IV and classify 10 short patient vignettes into the correct class

  • Construct a one-page screening tool that flags obstructive sleep apnea risk, difficult airway predictors, and anticoagulant or herbal holds

  • Identify which routine labs and diagnostic studies are indicated versus discretionary for common ambulatory procedures

  • Sequence the preprocedure workflow from scheduling call through day-of-surgery readiness check

Your checkpoint

A one-page preprocedure screening checklist you authored, plus a scored 30-question Domain 1 quiz at 80% or higher with a written error log for every missed item.

Week 2

Preprocedure Assessment and Preparation & Sedation, Analgesia, and Anesthesia Care

  • Connect preprocedure risk findings to intraprocedural monitoring and staffing decisions using three worked case examples

  • Distinguish the four levels of the sedation continuum by describing responsiveness, airway, spontaneous ventilation, and cardiovascular function at each level

  • Compare the onset, peak, duration, and reversal options of the sedative and opioid agents used most often in ambulatory settings

  • Calculate weight-based dosing ranges for two sedative and two opioid agents across adult and pediatric weights

  • Interpret capnography and pulse oximetry waveforms to identify hypoventilation and airway obstruction before desaturation occurs

Your checkpoint

A two-column drug reference card (agent versus onset/peak/duration/reversal/cautions) covering at least 10 agents, self-quizzed to 90% recall on a blank copy.

Week 3

Sedation, Analgesia, and Anesthesia Care

  • Design a multimodal analgesia plan that layers local, non-opioid systemic, and opioid components for two procedure types

  • Explain local anesthetic systemic toxicity: recognition, progression, and the lipid emulsion rescue sequence in the correct order

  • Differentiate malignant hyperthermia, laryngospasm, and anaphylaxis by earliest presenting sign and first-line action

  • Rank airway rescue interventions from least to most invasive and state the trigger for escalating to each

  • Evaluate a sedation record for documentation completeness against required monitoring elements

Your checkpoint

A one-page emergency algorithm sheet for local anesthetic systemic toxicity and malignant hyperthermia, plus a written critique of one blank sedation record listing every required documentation element.

Week 4

Postprocedure Recovery and Complication Management

  • Order the postprocedure assessment sequence using an airway-breathing-circulation-surgery-pain-alertness framework

  • Apply two validated discharge scoring systems to the same patient scenario and compare their verdicts

  • Distinguish the recovery phases: immediate post-anesthesia, intermediate, and phase-three readiness for discharge

  • Interpret vital sign, drain output, and wound findings to decide whether a patient meets recovery benchmarks or needs escalation

  • Identify the criteria that mandate unplanned admission from an ambulatory setting

Your checkpoint

Two fully worked recovery case vignettes scored against both discharge tools, including a written justification for each disposition decision.

Week 5

Postprocedure Recovery and Complication Management

  • Differentiate post-discharge nausea and vomiting risk factors and match each risk tier to an appropriate prophylaxis strategy

  • Classify postprocedure complications by timing (immediate, early, delayed) and by system

  • Prioritize nursing actions for hypothermia, bleeding, urinary retention, and emergence delirium in a timed decision drill

  • Explain the mechanism and management of last-minute airway emergencies occurring in the recovery area

  • Analyze three complication case studies to identify the earliest missed cue and the point where intervention should have occurred

Your checkpoint

A cause-and-response table of at least 12 postprocedure complications with earliest sign, immediate action, and escalation trigger, plus a timed 20-question drill completed at 85% or higher.

Week 6

Patient Education, Discharge, and Follow-Up

  • Draft a discharge teaching script using teach-back for three common procedures, written at a sixth-to-eighth-grade reading level

  • Compose written discharge instructions that state warning signs, when to call, who to call, and follow-up timing

  • Formulate a follow-up call script with structured questions that screen for delayed complications and unresolved pain

  • Adapt education delivery for limited health literacy, language barriers, and hearing or vision limitations

  • Predict which discharge instructions patients most often misunderstand and design a check for each

Your checkpoint

A complete discharge packet for one procedure - teach-back script, written instructions, and a 48-hour follow-up call script - validated by running it on a non-clinical reader who repeats back all warning signs correctly.

Week 7

Patient Education, Discharge, and Follow-Up & Professional Practice, Safety, and Quality

  • Map the standards and position statements that govern perianesthesia practice to the specific behaviors they require

  • Differentiate the nurse's role in informed consent, patient advocacy, and documentation of patient refusal

  • Identify staffing, monitoring, and competency requirements for each phase of perianesthesia care

  • Analyze a near-miss scenario using a root-cause or failure-mode approach and propose two system-level fixes

  • Outline the elements of a quality improvement project from problem statement through measurable outcome

Your checkpoint

A one-page quality improvement proposal on a perianesthesia safety topic of your choice, including a measurable outcome and a 30-day data collection plan.

Week 8

Professional Practice, Safety, and Quality & Preprocedure Assessment and Preparation & Sedation, Analgesia, and Anesthesia Care & Postprocedure Recovery and Complication Management & Patient Education, Discharge, and Follow-Up

  • Re-test every domain with timed practice sets and record a score for each

  • Rebuild your weakest two domains by re-drilling only the previously missed items

  • Consolidate all personal reference cards into one indexed sheet for rapid final review

  • Simulate exam conditions with a full-length timed practice test and manage pacing

  • Distinguish answer choices that are true statements from those that answer the question asked

Your checkpoint

A full-length timed practice exam completed with all five domain scores logged at 75% or higher and a final one-page consolidated review sheet.

Milestones

Week 2: Score 75% or higher on a 40-question mixed set covering domains 1 and 2, with the drug card recited from a blank copy at 90% accuracy.

Week 4: Score 75% or higher on a 50-question mixed set covering domains 1 through 3, with no single domain below 70%, and both week-4 case vignettes resolved to the correct disposition.

Week 6: Score 80% or higher on a 40-question set covering domains 3 and 4, and confirm the discharge packet passed a teach-back validation with a lay reader.

Week 8: Complete a full-length timed practice exam with an overall score of 75% or higher and every domain at or above 70%; if any domain falls short, schedule a targeted re-drill before test day.