Topics in Anesthesia
7-Night Alaskan Explorer Cruise
June 3-10, 2023

Seattle, Washington

Bounded by the Puget Sound to the west and Lake Washington to the east, and surrounded by forests and mountains, Seattle, Washington boasts a stunning location.
Cruise to Seattle and explore the largest city in the Pacific Northwest. Seattle is as much an homage to human ingenuity as it is to natural beauty. From logging to shipbuilding to aircraft manufacturing to modern-day software and biotech development, the Emerald City has worn a succession of industrial hats, birthing the likes of Amazon and Starbucks—not to mention music legends Jimi Hendrix and Nirvana—along the way.

Visitors are spoiled for choice of things to do in Seattle, Washington with iconic attractions, such as the Space Needle, Chihuly Garden and Glass, and Pike Place Market along a stunning, steel-gray waterfront with ferries gliding back and forth. Tour local attractions, go sightseeing, and explore the city’s museums Seattle on a shore excursion. "Local" and "sustainable" are words to live by in Seattle, an ethos reflected in the profusion of fresh-seafood restaurants, independent coffee roasters and quirky boutiques nestled among sleek skyscrapers. Whatever you end up doing, you’ll fall in love with the Emerald City. Seattle is a popular departing port for Alaska cruises.

Scenic Cruising Puget Sound

Puget Sound cruises deliver incredible Pacific Northwest scenery, more than enough reason to choose Seattle as an Alaska departure port. Keep your eyes peeled. On Puget Sound cruises en route to the Great Land, you’ll see everything from ice-capped mountains to remote islands dotted with gigantic Douglas firs to Mount Rainier, hulking behind Seattle’s sleek skyscrapers as if to remind coffee-fueled urbanites that nature is boss.

You, yourself will soon be reminded that nature is boss as you cruise San Juan Islands from Seattle. The San Juan Islands are a wildlife-rich archipelago and popular vacation spot amongst locals. From the comfort of your cruise, watch for soaring eagles, harbor seals, and both humpback and orca whales. Both whale species appear to be making a comeback in recent years and scientists are cautiously optimistic. However, dwindling salmon populations remain a concern for the Puget Sound resident orcas. Cruises to San Juan Islands often lead to whale sightings, especially between March and October for the famous resident orcas of the J, K, and L pods.

Also look for humpback whales bubble-net feeding: Teams of whales spiral upward around prey, blowing cyclones of air. When the panicked fish crowd into a column, the predators launch toward the surface en masse - pleated throats wide open - to suck in as many as possible. Even if you don’t see whales as you cruise San Juan Islands, the beauty of the landscape is unforgettable from rocky outcrops to hundreds of forested mounds.

Scenic Cruising Stephens Passage

Stephens Passage is like the best shortcut in the world, a straight line through Southeast Alaska in a landscape that comes with very few straight lines. It’s not only people and ships that use the passage: Concentrated in and around its waters is a greatest hits of Alaskan wildlife, from humpback whales, the whoosh of their breath loud enough to be heard almost a kilometer away, to giant sea lions and their very distinctive smell—well, okay, call it a stink—that can carry just as far.

The southern reaches of Stephens Passage start at the edges of Frederick Sound, one of the best whale-watching areas in the state. The sound narrows and as you are funneled into the passage, the mountains come right down into the sea, high tide licking the roots of spruce and hemlock. In tiny bays, guillemots and gulls gather; when they take off at the ship’s wake, the noise is like applause.

The water of the passage is ridiculously deep, well over 300 meters (1,000 feet) in places. But in this landscape cut by the last ice age, you really have to measure to the mountain peaks for true scale: They climb to summits at 1,500 meters (5,000 feet), their slopes covered with forests, meadows that turn sunset into alpenglow, and best of all, by the purple tinge of glaciers that form the passage’s crown.

Juneau, Alaska

Cruise to Juneau, Alaska and visit the most remote, most beautiful and strangest state capital in the United States. Surrounded by water, forest and mountain sights, visitors seeking things to do in Juneau indoors and outdoors can hike a glacier, eat fresh-caught fish on a seaside patio and tour a grand capitol building all in one day.

Juneau is known for its outdoor recreation, fresh seafood and fine dining. The city itself is pleasant, but the real highlight of a visit to Juneau is tracking down some wildlife. You can hike up Mount Roberts to chance upon wild deer and bald eagles. Most sightseeing and whale-watching tours head north to Auke Bay - bring a good pair of binoculars to get the best view of these majestic and surprisingly graceful creatures. If you prefer land mammals, catch a floatplane to a nearby wildlife reserve such as Chichagof or Admiralty Island to spy some bears lolling around on Alaska cruise excursion. The sleepy, misty city of around 32,000 - mostly fishermen and small-business owners - has a frontier town vibe, but welcomes more than a million visitors each summer to its natural attractions, cementing Juneau as Alaska’s number-one tourist destination. Experience this breathtaking city on an Alaska cruise.

Scenic Cruising Glacier Bay

On your cruise to Glacier Bay, close your eyes and take in the sounds - the creaks and groans of “living” ice, the shrill cries of gulls and soaring eagles, the splash of a breaching humpback whale. Frosted peaks towering over mossy forests, wide tidewater glaciers (there are seven in the park), and marine wildlife are givens on Glacier Bay cruises, but every experience in this changing biosphere is unique.

Glacier Bay National Park & Preserve is best explored on an Alaska Cruise or an Alaska Land+ Sea Journey cruise tour. Holland America's' ships are perfectly sized for the optimal experience. Prepare for inclement weather, even in summer and dress for rain. Pack a hat, gloves, wool or fleece layers, a warm coat and waterproof gear to comfortably admire the landscape from the open deck of your ship. There are glaciers, fjords, inlets, rivers, streams and wildlife galore on Glacier Bay cruises, so bring those binoculars.

Icy Strait Point, Alaska

Icy Strait Point is a popular cruise destination on Alaska cruises and is only open when a cruise ship is in port. This historical town is filled with history and culture. Back in the old days when a freezer was a piece of ice, fishermen in Alaska had two problems. The first one was finding the fish, although that wasn’t too complicated, the ocean was chock-full of fins; but the second problem was a little harder. The government regulated how long you could keep your catch on the boat, and it wasn’t very long.

Canneries were the answer. Owning a cannery was having a license to print money. Really. As operations spread up and down Southeast Alaska, each cannery had its own currency. True company towns, canneries had their own workforce, their own laws. A big cannery needed a couple hundred workers, for everything from keeping books to making the millions of cans needed to ship all that fish, as well as the actual cleaning and prepping of fish on the line, called "slime row." Canneries were usually somewhere beautiful, someplace you could see from far off and aim your boat towards. But canneries didn’t survive the advent of refrigeration. Most were taken back by the forest or simply left to rot. With one exception: Icy Strait Point, beautifully restored. Just opposite Glacier Bay, Icy Strait Point stretches for a few hundred meters along the beach; the old wooden buildings, bright red in the endless green of the Tongass, now offer a museum and a cannery demo. But more interesting is simply the madness of scale. Icy Strait Point gives a chance to look into history to see where Alaska’s money came from, all in a ghost town of millions of fish.

Sitka, Alaska

A storied past mixed with jaw-dropping scenery sets Sitka, Alaska apart from other ports. Located on Baranof Island surrounded by the Sitka Sound’s icy blue water, it not only boasts lush scenery and captivating wildlife, Sitka offers a unique glimpse into Alaska history. Russia controlled Alaska from the mid-1700s until the United States purchased it in 1867, and Sitka was settled as the capital of Russian America with the name New Archangel.

Sail to Sitka on an Alaska Cruise today and you’ll see vestiges of Russia’s influence. Stroll past the onion dome of St. Michael’s Cathedral and the Russian Bishop’s House, both National Historic Landmarks. On a Sitka, Alaska shore excursion, stop by the visitor center of the Sitka National Historical park to peruse fascinating collections of Russian and Native Alaskan artifacts, and then join a ranger-led tour of the battlefield where Russia fought the native Tlingit people.

Surrounded by the Tongass National rain forest, nature abounds in Sitka, Alaska. A walk up Castle Hill offers the ideal vantage point to take in Mount Edgecumbe, a dormant volcano. Visits to the Fortress of the Bear and Alaska Raptor Center are in order for any animal-lover. Both provide the opportunity to see Alaska wildlife, such as bears or raptors up-close, but safely.

Ketchikan, Alaska

Take an adventure and cruise to Ketchikan, Alaska. Alaska's "First City" of Ketchikan is so named because it’s the first major landfall for most cruisers as they enter the picturesque fjords of the Inside Passage, where the town clings to the banks of the Tongass Narrows, flanked by green forests nurtured by abundant rain.

Ketchikan has long been an important hub of the salmon-fishing and -packing industries. Visitors can try their luck on a sportfishing or simply savor the fresh seafood at one of the local restaurants on a cruise to Ketchikan excursion. Ketchikanis also one of the best spots along the Inside Passage to explore the rich cultural sights of Native Alaskan nations like the Tlingit, Haida and Tsimshian. You can see intricately carved totem poles at the Totem Heritage Center and Totem Bight State Park, while the attractions of Saxman Village just outside of Ketchikan offers the chance to see Tlingit culture in action, with working carvers and a dance show in the clan house. On an Alaska cruise to Ketchikan don't forget to leave time to explore the sights in the town itself, including historic Creek Street, a boardwalk built over the Ketchikan Creek, where you can shop for souvenirs, smoked salmon and local art, while exploring gold rush­era tourist attractions like Dolly’s House Museum.

Victoria, British Columbia, Canada

A Victoria cruise delivers passengers to a charming British-influenced city plunked in the rugged Pacific Northwest. You can have high tea in an English garden and go whale watching the same day. Victoria ranks high for quality of life - you’re always a stone’s throw from a windswept beach or a pint at a convivial pub - and it’s the perfect swirl of city life and nature. The influence of the First Nations culture is also strong in Victoria, with totem poles taking a front-and-center position on the Inner Harbour and in Beacon Hill Park and extensive galleries devoted to the First People at the Royal Columbia Museum. A Victoria cruise means delicious dining is in store. Taste your way through Canada’s oldest Chinatown, sample fresh fish and chips, and gobble down heavenly Nanaimo bars.

The Victoria, British Columbia cruise port is just a pleasant walk or cab ride away from the Inner Harbour. Whale-watching cruises and sightseeing floatplanes take off and return here and government buildings, museums, the Visitor Centre and the grand Fairmont Empress provide a dignified welcome. Just around the point, Fisherman’s Wharf offers working fishing boats, paddling harbor seals and busy seafood restaurants. Roam the peaceful paths of the vast Butchart Gardens and see vibrant blooms at every turn. Enjoy afternoon tea or a walk in the park or a shopping trip to Market Square or along Government Street. Whatever you choose to do on your Victoria cruise, you will be so charmed by the city, you may never want to leave.

The Ship: ms Eurodam

Signature features of ms Eurodam include:

Lincoln Center Stage: Enjoy classical cruise ship music and onboard entertainment. In an exclusive partnership with the world’s leading center for the performing arts, music virtuosos perform familiar classics and twists on contemporary favorites.

B.B. King's Blues Club: When you’re in the mood to move, it's time for live music on your cruise. Direct from Beale Street in Memphis, B.B. King's All-Star Band cooks up a rich southern heritage of classic soul and rock & roll to get you dancing.

BBC Earth in Concert: Holland America partnered with BBC Earth to bring innovative and breathtaking programming that features a massive backdrop of BBC Earth nature footage paired with live music. See eye-to-eye with wildlife and witness incredible scenes as talented musicians play the score. It’s an unforgettable experience that will fill you with awe and leave you with a new perspective on the planet.

Billboard Onboard: 2 pianos - 60 Years of Chart Toppers - 100s Of Songs. Sing along, test your music trivia skills or just sit back and enjoy as the hits fill the room each night. World Stage: Watch music shows and other entertainment like you never have before at World Stage.

Greenhouse Spa & Salon*: During a leisurely day at sea, few places help you refresh, relax and rejuvenate like the Greenhouse Spa & Salon®. This heavenly retreat nurtures every aspect of your well-being with renowned spa rituals and healing touches. In the spa, pamper your skin with facial treatments featuring premium, naturally sourced ingredients. Nurture your body, too, with massage treatments employing time-honored, hands-on massage techniques gleaned from around the world.

The Casino: Your Holland America Line ship’s Casino offers a wide array of gaming options. Whether you prefer slot machines or want to try your hand at blackjack or poker, dealers and staff are available to provide complimentary instruction - and they offer many engaging tournament options. The Casino is only open at sea.

Club HAL: Holland America Line's youth activities program, Club HAL, offers an array of entertaining events for kids and teens ages 3-17, supervised by a full-time, professionally trained staff. They'll have an opportunity to join other kids their age for arts and crafts, sports, video game competitions, scavenger hunts, challenging team games and themed parties.

Pinnacle Grill*: Pinnacle Grill is the ultimate steakhouse at sea, where an exceptional menu and impeccable service make for one of finest meals you’ll ever have. The refined menu features a selection of 28-day wet-aged USDA Prime steaks - meticulously chosen to guarantee the finest quality - as well as classic steakhouse dishes and innovative recipes from James Beard Award-winning chef and Culinary Council® member, David Burke. Every dish is exquisitely prepared, beautifully plated and complemented by a vast collection of award-winning wines. Here, your meal is an event unto itself, a celebration of fine dining and a triumph of flavor.

Canaletto*: In Italy, there’s nothing more important than coming together to celebrate the joy of great food. This is the inspiration for our onboard Italian restaurant, Canaletto. Enjoy amazing Italian classics like braised chicken cacciatore al forno, branzino ai ferri or garlic shrimp ravioli. And for dessert: tiramisù, cannoli alla Siciliana, gelato, and more. Including pasta made fresh daily. Buon Appetito!

Dive-In: Dive-In offers a variety of casual culinary classics, using the highest quality ingredients. Enjoy a burger, grilled to perfection and served on a toasted brioche with our own trade-marked secret sauce. Savor a succulent Nathan’s Famous gourmet hot dog with golden French fries. Or choose a grilled chicken breast sandwich or juicy portabella mushroom stack. Dive-In is the perfect spot to dine poolside on the best burgers at sea.

Nami Sushi*: Inspired by Culinary Council® member and world-renowned sushi master, Andy Matsuda, Nami Sushi offers a tempting array of the sushi rolls he’s created. Choose from such delectable selections as Tempura Lobster Roll with soft shell crab tempura; Dragon Roll with tempura shrimp, unagi sauce and avocado; Tsutsumi Roll with snapper, green olive, caper and avocado; Futomoki Roll with crab, yamagobo, avocado and cucumber; Volcano Roll with sesame-marinated salmon and Thai chilis; Nigiri sushi with tuna, salmon and ebi shrimp; and more. The word “nami,” Japanese in origin, means “wave” and is an homage to the ocean views you’ll enjoy as you dine on the freshest, tastiest and most inventive sushi at sea.

Rudi's Sel de Mer*: Named for Master Chef Rudi Sodamin, Rudi’s Sel de Mer is an intimate brasserie featuring classic French dishes reimagined with contemporary flair. Menu selections include whole Dover sole meunière with shaved pink Himalayan sea salt, oysters on the half shell, fruits de mer, and salt-crust baked branzino, as well as favorites such as steak frites, duck cassoulet and coq au vin. Conclude your dinner with a classic dessert and fine French cheeses.

Tamarind*: Praised by Condé Nast Traveler for cuisine "that rivals the top restaurants on land," Tamarind is the perfect place to explore the culinary traditions of Southeast Asia, China and Japan. The menu, which honors the elements of water, wood, fire and earth, features such exotic fare as wok-seared lobster, barramundi (Asian sea bass) in banana leaf and sushi, accompanied by chilled or heated sake. And, try specialty sushi created in collaboration with Culinary Council member and Master Sushi Chef, Andy Matsuda.

The Dining Room: For an elegant breakfast, leisurely lunch or unforgettable multi-course dinner, The Dining Room is your destination. Behind the scenes, the Culinary Council,® an elite team of seven world-renowned chefs, and talented onboard executive chefs have worked to bring each dish to perfection. For dinner, choose from classics such as Boneless Lamb Loin en Croute, Rosemary Roasted Chicken, as well as regionally inspired cuisine and artfully prepared vegetarian dishes. Enrich your journey with an extensive selection of wines, carefully selected by Wine Curator, world-renowned wine critic James Suckling.

* These activities/restaurants involve additional cost (not included in cruise fare).

Verandah Stateroom

Filled with light from floor-to-ceiling windows overlooking a private verandah, these staterooms include a sitting area, two lower beds convertible to one queen-size bed - Holland America's Signature Mariner's Dream™ bed with plush Euro-Top mattresses, and bath tub with premium massage showerheads.

Ocean View Stateroom

These expansive staterooms include include two lower beds convertible to one queen-size bed - Holland America's Signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads, a host of amenities and an ocean view.

Inside Stateroom

Two lower beds convertible to one queen-size bed - Holland America's signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads and a host of amenities are featured in these comfortable staterooms.

Photos and renderings of guestrooms are representative of the general design and view of the rooms.
The exact layout and view in any of the guestroom photos are not guaranteed.

Travel Arrangements

To receive these discounted cruise fares you must book your cruise through us. We have all of the information regarding the cruise and seminar and can make your cruise reservations.

Reservations

Reservations will be secured and cabins assigned upon receipt of passenger deposit of $700 per cabin. Final payment as instructed by our travel agent. Due to the number of details needed to complete cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 1-800-222-6927 or 1-509-547-7065 to complete your cruise reservation.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise! See reservation form for details. ALWAYS CALL US BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927

TARGET AUDIENCE

This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the anesthesia specialty or are impacted by it.

PROGRAM PURPOSE

The practitioner of anesthesiology must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the healthcare provider in reviewing, updating, and/or expanding knowledge and abilities in one or more of these areas vital to the practicing professional.

OBJECTIVES

At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia professions.

Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, and similar drugs.

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care.

Apply the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Incorporate the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards.

Apply the new techniques in the clinical setting of the participant.

ACCREDITATION

Northwest Anesthesia Seminars / Northwest Seminars is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Northwest Anesthesia Seminars / Northwest Seminars designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0® requirements.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA approval number 1042209; Expiration Date 06/09/23.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 20 hours of Category I credit for completing this program.

Registered Nurses: NWAS/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.

COURSE DIRECTOR

Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest Seminars, Pasco, Washington

SCHEDULE AND FACULTY CHANGES

Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.

COURSE CANCELLATION BY PROVIDER

We reserve the right to cancel a course for any reason. In such case, a minimum of days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/NWS and NWWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.

COURSE CANCELLATION FEE

$100 April 4, 2023 to May 4, 2023. No refund after May 4, 2023; however, 50% of tuition paid may be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures. The concierge can provide you with childcare information.

Travel at your own risk.

REGISTER EARLY

We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.