NASC CRNFA study plan
NASC CRNFA · Give each week a clear focus.
8 weeks · About 7 hours per week
Intraoperative Surgical Technique and Assisting
Map the full intraoperative workflow from incision to closure and write a one-page sequencing outline for each phase
Draft a personal instrument-and-suture reference table covering 25 commonly used items with their primary and secondary uses
Explain aloud the assisting principles for exposure, hemostasis, and tissue handling, recording yourself and noting three gaps
Solve 40 practice items on intraoperative technique and log every miss with the underlying principle, not just the answer
Your checkpoint
A 25-item instrument/suture reference table plus a written error log of at least 15 explained misses from intraoperative practice items
Intraoperative Surgical Technique and Assisting & Surgical Anatomy and Physiology
Trace the anatomy of the abdominal wall, inguinal region, and neck, labeling structures on blank outline drawings from memory
Connect each major anatomic structure to the surgical step where it is at risk of injury and state the protective maneuver
Practice 30 intraoperative scenario items and justify each answer in one written sentence citing anatomy or technique
Rehearse verbalizing anatomy intraoperatively in concise call-out format for three representative procedures
Your checkpoint
Three self-drawn, fully labeled anatomic maps with a risk-of-injury column for each structure
Preoperative Assessment and Planning & Surgical Anatomy and Physiology
Build a preoperative assessment checklist covering history, comorbidities, medications, allergies, and prior surgeries
Interpret ten laboratory and diagnostic values and write the perioperative implication of each abnormal result
Identify which comorbidities change intraoperative risk and state the specific adjustment each demands
Complete 40 preoperative assessment items and categorize each error as knowledge gap or misread stem
Your checkpoint
A one-page preoperative risk checklist plus a ten-row lab interpretation table with perioperative implications
Asepsis, Sterilization, and Infection Prevention & Patient Safety, Positioning, and Equipment
Sequence the full sterilization and disinfection workflow and distinguish which items require which method and why
Diagram the surgical hand scrub, gowning, and gloving steps in order and self-audit against a written standard
List the principles of safe patient positioning for supine, prone, lateral, and lithotomy, naming the pressure points and nerves at risk in each
Solve 40 combined asepsis and safety/positioning items and record the rationale for every incorrect option
Your checkpoint
A positioning quick-reference card covering four positions with pressure points, at-risk nerves, and equipment checks
Anesthesia and Pharmacology
Classify the major anesthetic agents and adjuncts by mechanism, onset, duration, and key adverse effects in a comparison table
Explain the assisting role during induction, maintenance, emergence, and airway management, including monitoring cues to watch
Match ten common intraoperative drug scenarios to the appropriate pharmacologic response and state the reasoning
Complete 30 anesthesia and pharmacology items, then re-teach the three weakest concepts in writing
Your checkpoint
A drug comparison table of at least 15 agents with mechanism, effect, and assisting implications
Postoperative Management and Complications & Patient Safety, Positioning, and Equipment
Outline normal postoperative recovery by system and identify the earliest indicator that something is deviating
Differentiate the presentation and immediate response for eight major postoperative complications
Audit equipment and safety practices including counts, electrosurgery, and specimen handling, writing the failure mode for each
Solve 40 postoperative and safety items and rank your errors by clinical severity to prioritize review
Your checkpoint
An eight-complication response sheet listing earliest sign, immediate action, and escalation trigger for each
Professional Practice, Ethics, and Scope of Practice & Preoperative Assessment and Planning
Define the CRNFA scope of practice boundaries and write three realistic situations where the line is tested and how to respond
Apply an ethical decision framework to four scenarios involving consent, advocacy, and conflict with the surgical team
Draft a personal statement of professional accountability describing documentation and communication standards you will follow
Complete 30 professional practice items and defend each answer against scope and ethics principles
Your checkpoint
A written scope-and-ethics decision guide with four worked scenarios and your reasoned response to each
Preoperative Assessment and Planning & Intraoperative Surgical Technique and Assisting & Asepsis, Sterilization, and Infection Prevention & Anesthesia and Pharmacology & Surgical Anatomy and Physiology & Patient Safety, Positioning, and Equipment & Postoperative Management and Complications & Professional Practice, Ethics, and Scope of Practice
Revisit every logged error from weeks 1 through 7 and rewrite the corrected reasoning for each without notes
Complete two timed mixed-domain practice sets and record per-domain accuracy to confirm the weighted weak spots
Drill only the two lowest-accuracy domains until each reaches your target threshold
Rehearse a one-page summary of high-yield facts per domain and recite each from memory
Your checkpoint
A final error-review log showing corrected reasoning for all prior misses plus a per-domain accuracy summary from two timed sets
Milestones
Week 2: Can label three anatomic maps from memory and explain the injury risk for each structure without referring to notes
Week 4: Scores at least 75 percent on a 40-item mixed set drawn from domains 2, 3, 5, and 6, with every miss logged and explained
Week 6: Scores at least 80 percent on a 40-item mixed set covering domains 1, 6, and 7, and can state the earliest sign and immediate action for all eight major complications
Week 8: Scores at least 85 percent on two timed mixed-domain sets, and all logged errors from weeks 1 through 7 have rewritten corrected reasoning