CAPA (ABPANC) study plan
CAPA · Give each week a clear focus.
8 weeks · About 7 hours per week
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.
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.
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.
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.
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.
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.
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.
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.