Sail ports across New Zealand and Australia when you join us aboard Royal Caribbean’s Radiance of the Seas®.


  Day Date Port Arrive Depart
  Tue Mar 5 Sydney, Australia 4:30 PM
  Wed Mar 6 At Sea
  Thu Mar 7 At Sea
  Fri Mar 8 Bay of Islands, New Zealand 8:00 AM 5:00 PM
  Sat Mar 9 Auckland, New Zealand 8:00 AM 5:00 PM
  Sun Mar 10 Tauranga, New Zealand 7:15 AM 5:00 PM
  Mon Mar 11 Napier, New Zealand 10:00 AM 6:00 PM
  Tue Mar 12 Picton, New Zealand 8:00 AM 4:00 PM
  Wed Mar 13 At Sea
  Thu Mar 14 At Sea
  Fri Mar 15 Sydney, Australia 6:30 AM

Tuesday, March 5 – Sydney, Australia

Considered one of the most cosmopolitan cities in the Southern Hemisphere, Sydney offers just about anything—from beaches and wineries to stunning landmarks and world-class shopping. Tour architectural marvels like the Sydney Opera House and the Sydney Harbor Bridge, view life below the surface from Sydney Aquarium’s underwater walkways, or take it all in from above on a tour of the Sydney Tower. For a cultural experience, book tickets for blockbuster stage shows and musicals at the State Theatre, Capitol Theatre and Sydney Lyric.

Wednesday, March 6 – At Sea

Thursday, March 7 – At Sea

Friday, March 8 – Bay of Islands, New Zealand – Day Open

Those who love beaches consider these some of the world’s finest, with their perfect white sand and crystal-clear water. Set up a lounge chair to soak up the sun and beautiful scenery, or take advantage of popular activities, such as kayaking, parasailing, swimming with dolphins, and scuba diving. On land, enjoy beautiful river and seaside walking tracks or encounter the mighty Kauri Tree in pristine subtropical rainforest.

Saturday, March 9 – Auckland, New Zealand – Day Open

Step ashore into the bustling port city of Auckland. Inspiring views await 50 stories above this active metropolis on the observation deck of the Auckland Sky Tower. This lush, leafy urban cityscape is filled with beautiful parks, and a number of renowned art galleries waiting to be discovered. Just beyond the city outskirts, you can take a boat ride through the glow worm grottos at Waitomo Caves or visit the landscapes that inspired Peter Jackson’s Lord of the Rings movie trilogy. The area also boasts geological treasures including a total of 48 dormant volcanoes.

Sunday, March 10 – Tauranga, New Zealand – Day Open

Known as the Bay of Plenty, Tauranga is located at the entrance to one of the largest natural harbors in New Zealand. You can take a ride on a bush jet boat, go white-water rafting on the Rangitaiki River, or dine on the freshest fish and chips you’ll ever taste, served al fresco. If you’re looking for a more exotic adventure, travel to the Mount Mauganui Hot Salt Water Pools or take a refreshing dip in the swimming holes by Kaiate Falls, which cascade gracefully over the bluffs.

Monday, March 11 – Napier, New Zealand – Day Open

Once devastated by an earthquake in 1931, the town of Napier was rebuilt in decadent Art Deco style and remains a delightful architectural touring excursion. Walk along Marine Parade, the miles-long seaside path featuring landscaped parks perfect for picnicking. Utilizing time-tested techniques and modern technology, several local wineries offer tastings of their original wines. Families will enjoy the National Aquarium with exhibits dedicated to unique New Zealand wildlife including sharks, stingrays, living coral, kiwi, tuatara and a wide range of fish species.

Tuesday, March 12 – Picton, New Zealand – Day Open

Relax with a perfectly paired Sauvignon Blanc as you dig into a plate of local greenshell mussels. No shortage of spectacular views are here to greet you along the sounds of Picton. Hop aboard the Queen Charlotte Sound Mail Boat Cruise for an interesting approach to sightseeing! On foot, the best views of local flora and fauna is on The Queen Charlotte Track.

Wednesday, March 13 – At Sea

Thursday, March 14 – At Sea

Friday, March 15 – Sydney, Australia – Disembark

Disembark and leave for home or extend your stay to enjoy this marvelous city down under!

The Ship: Royal Caribbean - Radiance of the Seas®

Radiance of the Seas® is your epic edge of the map escape. Linger longer in the world down under. Enjoy roads less traveled and high seas splendor in one unparalleled, unforgettable adventure.



Ship Features:

Café Latte-tudes: From a nice breakfast blend to get you going to an after-dinner cappuccino—or even a little pick-me-up and a pastry any time of day—just drop by this café for sweets, specialty coffee beverages, and a bit of people watching.

Izumi: From sushi to tableside meal preparation using Hot Rocks, Izumi offers guests an exotic Asian-inspired dining experience. You’ll enjoy a wide variety of hot and cold appetizers, entrees, desserts and more, all made-to-order with intense flavors, the best ingredients and impeccable presentation. Now that’s fresh.

Chops Grille: For more than a decade, the chefs of Chops Grille have proudly presented quality, hand cut steaks at this hallmark Royal Caribbean restaurant. Now, they give you a fresh twist on a favorite, with a revamped menu that brings contemporary flair to traditional steakhouse offerings.

Giovanni’s Table: Rustic Italian dishes are served with contemporary flair at Giovanni’s Table. This casual trattoria serves up a seemingly endless selection of Italian classics, like Gnocchi Al Gorgonzola, Melanzane alla Parmigiana, Risotto, Bolognese and much more. From the mouth-watering fresh pastas to the carefully braised meats and stews, you can tour all of Italy without ever leaving the ship.

Schooner Bar: Is the pianist playing your song? Join the fun at Schooner Bar, where a nautical theme, warm decor and perfectly mixed cocktails come together. Cozy up in a seat under the mast, by the portholes, or right by the gleaming grand piano.
Solarium: While you’re soaking up the vibe of the adults-only Solarium, grab a refreshment from the Solarium Bar, where friendly bartenders serve wine, beer, cocktails and chilled umbrella drinks perfect for sipping beneath your poolside umbrella.

Rock Climbing Wall: Climb forty feet above deck on the signature Rock Climbing Wall, where everyone from beginners to speed climbers can strap in and go vertical.

Adventure Ocean®: When the kids are happy, parents are happy. And the award-winning Adventure Ocean® Youth Program is designed with that in mind. Tiny travelers ages 3-5 will have an education blast in the Aquanauts group. The Explorers program keeps 6-8 year olds entertained with activities like themed parties and more. And learning is a thrillfest for 9-11 year olds in the Voyagers group.

Mini Golf: Play the greens as you enjoy wide, blue ocean views.

Mystery Dinner Theater: Professional cast members host an evening of theater packed with mystery, intrigue, and lots of laughs. Solve the crime over an exquisite multi-course dinner paired with fine wine. Reserve your spot early!

Live Bands: Live music venues feature world-class musicians performing nightly. Follow your musical tastes or explore a new sound, from cover bands and acoustic to Latin and live jazz. Enjoy a different live concert every night.

Vitalitysm Spa: Emerge renewed, relaxed and rejuvenated at the Vitalitysm Spa. Professional spa products from acclaimed brands such as Elemis®, bliss®, La Thérapie and Ionithermie bring the most advanced services to the sea. Massages, wraps, facials and acupuncture, or choose medi-spa treatments to smooth wrinkles, lift and tone. A more brilliant smile is just a tooth whitening away, while a salon completes the perfect look with hair and nail services.

Veranda Stateroom

2 Twin beds convert to 1 King, features private balcony, sitting area, vanity, private bathroom, mini-fridge, hair dryer, TV, phone, radio, safe, and other amenities.

Outside Stateroom

2 Twin beds convert to 1 King, features ocean view, sitting area, vanity, private bathroom, mini-fridge, hair dryer, TV, phone, radio, safe, and other amenities.

Inside Stateroom

2 Twin beds convert to 1 King, features sitting area, vanity, private bathroom, mini-fridge, hair dryer, TV, phone, radio, safe, and other amenities.

We have a block of cabins for seminar participants.
Once this block is sold, cabins are on availability only and may be at a higher rate.
Cruises sell out early

Travel Arrangements

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


Reservations will be secured and cabins assigned upon receipt of passenger deposit of $500 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


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 specialty or are impacted by it.


Presentations are designed to facilitate the physician, nurse specialist, and other providers maintaining skills of the same kind to review and update knowledge and abilities in one or more of these areas vital to the practicing professional:

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

Provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner


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.

Clinical Concerns in Anesthesia10-Day New Zealand and Australia Cruise March 5–15, 2019

Tuesday, March 5 - Sydney, Australia

  1630 Ship Sails (Subject to change)

Wednesday, March 6 - At Sea

  0815 Registration - Mandatory Sign In
  0840 Welcome NWAS Staff  
  0845 Traumatic Shock: The Anesthesia Provider's and the Intensivist's Point of View L.Pelinka  
  0945 Treating Traumatic Shock: What's New? L.Pelinka  
  1045 Break
  1100 Preoperative Evaluation of the Pediatric Patient J.Sanders  
  1200 Preoperative Medication and Induction for Pediatrics J.Sanders  
  1300 Lunch Break
  1400 Natural Disaster Management: Taking Anesthesia Beyond the OR L.Pelinka  
  1500 Blast Injury: Are You Ready? L.Pelinka  
  1600 Adjourn
2.8 Pharmacology Hours

Thursday, March 7 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Pediatric Sedation: Procedures, Politics and Pitfalls J.Sanders  
  0945 Perioperative Fluid Management in Pediatric Anesthesia J.Sanders  
  1045 Break
  1100 Problems in the PACU: Is It Serotonin Syndrome? L.Pelinka  
  1200 Sugammadex: My Favorite Doughnut L.Pelinka  
  1300 Lunch Break
  1400 Pediatric Anesthesia: Dangerous Perioperative Problems and Their Prevention J.Sanders  
  1500 Preventing Perioperative Cardiac Arrest in Children J.Sanders  
  1600 Adjourn
4.0 Pharmacology Hours

Friday, March 8 - Bay of Islands, New Zealand - Day Open

Saturday, March 9 - Auckland, New Zealand - Day Open

Sunday, March 10 - Tauranga, New Zealand - Day Open

Monday, March 11 - Napier, New Zealand - Day Open

Tuesday, March 12 - Picton, New Zealand - Day Open


Wednesday, March 13 - At Sea

  0845 Registration - Mandatory Sign In
  0900 NOAC Reversal Agents: A Dream Come True? L.Pelinka  
  1000 The Most Common Drug-Related Errors: How Can We Improve? L.Pelinka  
  1100 Comfort Without Side Effects J.Sanders  
  1200 Traps We Fall Into and How to Avoid Them J.Sanders  
  1300 Adjourn
2.5 Pharmacology Hours

Thursday, March 14 - At Sea

  0845 Registration - Mandatory Sign In
  0900 A Few Things We Thought We Knew but We Were Wrong J.Sanders  
  1000 How Do I Handle a Catastrophe in the OR? J.Sanders  
  1100 Forever Young: Anesthesia in the Elderly L.Pelinka  
  1200 Is There a Medical Professional on Board This Aircraft? Challenges at 35,000 ft. L.Pelinka  
  1300 Adjourn
1.2 Pharmacology Hours

20 CME

20 Class A CEC

10.5 Pharmacology Hours†


Friday, March 15 - Sydney, Australia - Disembark


Linda E. Pelinka, MD, PhD
Professor of Anesthesiology and
Critical Care Medicine
University of Vienna and
Ludwig Boltzmann Institute of
Experimental and Clinical Traumatology
Vienna, Austria, European Union

John C. Sanders, FRCA, MBBS, BA, MA
Attending Anesthesiologist
Shriners Hospitals for Children, Salt Lake City
Associate Professor
Pediatric Anesthesiology
University of Utah
Salt Lake City, Utah


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health and Northwest Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health 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: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certification in Anesthesiology Program (MOCA®).

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 AANA for 20 Class A CEC; AANA Code #1036203; Expiration Date 3/14/2019.

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 is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), California Board of Registered Nursing (Provider Number 4833), 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). This program offers 20 contact hours.

†Pharmacology hours subject to change.


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


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.


$100 between January 4, 2019 and February 3, 2019. No refund after February 3, 2019; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be made in writing.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Ask us for details. Please be aware that premiums paid for insurance are non-refundable.


We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NWWT will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including net cruise, net hotel, and tuition booked through NWAS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% of net cruise fare credit toward future tuition!. 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.

Airfare available through Universal Travel. Be sure to mention Northwest Anesthesia Seminars when booking. Contact Kellee Kilmer: Phone number: (858) 456-7962 - Email:


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.