No one knows the Caribbean better than Royal Caribbean International. After all, it is their middle name. From snorkeling and swimming to shopping and golf, the Caribbean is the ultimate outdoor playground. What better way to vacation than to be surrounded by white-sand beaches, turquoise waters and the most beautiful islands on earth? Join us aboard Royal Caribbean’s Harmony of the Seas®.



  Day Date Port Arrive Depart
  Sat Apr. 15 Fort Lauderdale, Florida 4:30pm
  Sun Apr. 16 Nassau, Bahamas 7:00am 2:00pm
  Mon Apr. 17 At Sea
  Tue Apr. 18 Charlotte Amalie, St. Thomas 10:00am 7:00pm
  Wed Apr. 19 Philipsburg, St. Maarten 8:00am 5:00pm
  Thu Apr. 20 At Sea
  Fri Apr. 21 At Sea
  Sat Apr. 22 Fort Lauderdale, Florida 6:15am

Please note: Royal Caribbean, Ltd. will no longer allow Samsung Galaxy Note 7 cell phones onboard their ships. This decision was made in light of recent incidents and safety concerns raised by Samsung about this particular device, as well as the Federal Aviation Administration (FAA) recent ban of the phone from all airplanes.

We kindly ask that guests who own a Samsung Galaxy Note 7 not bring the device on your cruise. Thank you.

Saturday, April 15 – Ft. Lauderdale, Florida

Ft. Lauderdale is an entire destination in itself. If you arrive early there are lots of fun things to do in this tropical city. Fort Lauderdale lies along the Atlantic Ocean at the mouth of the New River, 25 miles north of Miami. Its warm tropical weather attracts many people throughout the year. For sun-worshippers, the city has six miles of beaches.

There are also many recreational waterways with extensive boating facilities and access to every conceivable watersport. Go fishing, scuba dive a wreck, or take one of many sightseeing cruises of the harbor, ocean, or wetlands. Take a 30-minute airboat ride across the Everglades, one of the most breathtaking natural areas in America. Discover a variety of fish and birds that inhabit the area, and perhaps see the most famous Everglades inhabitant, the alligator.

Visit a variety of fascinating museums, an array of entertainment venues, and trendy restaurants. Fish is fresh and delicious in Florida. Grouper is probably the most popular choice and is served almost any way imaginable. A true Florida staple is a fresh grouper sandwich and fries eaten outside by the water.

Sunday, April 16 – Nassau, Bahamas – Morning Open

For a city now known for its warming sun and balmy breezes, Nassau has a tumultuous past. First settled by the English, the area was contested by England, France, and Spain. For many years, Nassau was a home base for notorious pirates, and it was burned to the ground by the Spanish three different times. Since 1740, however, visitors from all over the world in search of both relaxation and adventure have made Nassau their favorite destination. Visit the luxurious Bahamian resort, Atlantis in Paradise Island. Interact with amazing dolphins at Atlantis Dolphin Cay, one of the largest dolphin habitats in the world. View more than 50,000 fascinating species of marine life in the largest open air aquarium in the world. Take a break and relax on your own semi-private island. Located just a short boat ride away from Nassau, Blackbeard’s Cay is surrounded by crystal-clear turquoise water, sandy beaches and swaying palm trees. Or better yet, check out the Stingray Adventure. Go on a glass-bottom-boat tour for a glimpse into the underwater world of the Bahamas. While in Nassau, experience the wonders of a majestic coral reef or the intrigue of a sunken wreck on a dive excursion.

Monday, April 17 – At Sea

Tuesday, April 18 – Charlotte Amalie, St Thomas, U.S.V.I. – Day Open

This is one of the most beautiful regions in the world. Charlotte Amalie is the capital and major passenger port of the island of St. Thomas, which together with St. Croix and St. John form the principal islands of the United States Virgin Islands. Charlotte Amalie has always attracted large mercantile ships, even before the arrival of the transatlantic passenger cruisers, and tourism has been the major maritime activity for the last few years. Discover duty-free shops, historical buildings, and stunning waterfront views. Small boutiques offer high fashions and cozy bistros serve delectable cuisine. Why not ferry to nearby St. John where you can take a scenic tour of this gorgeous island including the beautiful Virgin Islands National Park that covers over half of the island of St. John.

Wednesday, April 19 – Philipsburg, St. Maarten – Day Open

When the Spanish closed their colonial fort on St. Maarten in 1648, a few Dutch and French soldiers hid on the island and decided to share it. Soon after, the Netherlands and France signed a formal agreement to split St. Maarten in half, as it is today. Philipsburg displays its Dutch heritage in its architecture and landscaping. The island offers endless stretches of beach, beautiful landscapes, and great shopping. Compete in an actual race on an America’s Cup shortened course. Grind a winch, trim a sail or just sit back and enjoy. Professional sailors will give you a quick lesson, then you’re off to compete on Stars and Stripes, one of the most famous sailboats in the world. Rendezvous at one of the newest and trendiest restaurants in French St. Maarten. Explore Orient Bay, the French Riviera of the Caribbean, with over 1.5 miles of white-sand beaches. Admire the delicate nature and dazzling colors of hundreds of butterflies as you tour St. Maarten’s popular Butterfly Farm.

Thursday, April 20 – At Sea

Friday, April 21 – At Sea

Saturday, April 22 – Disembark in Ft. Lauderdale, Florida

The Ship: Harmony of the Seas®

Introducing the Harmony of the Seas - the newest addition to Royal Caribbean’s award-winning Oasis Class fleet. The world’s biggest ship with the world’s best features just got even better. There’s no turning back once you take the plunge 10 stories into the mysteries of the deep on the tallest slide at sea, Ultimate Abyss, as well as the exhilarating multilevel Perfect Storm slides. As the kids explore Splashaway Bay, take a tree-lined stroll through Central Park, or find your own haven in any of the other seven iconic onboard neighborhoods. Sip a cocktail crafted by a robot in Bionic Bar, and enjoy VOOM - the fastest Internet at sea. Discover the biggest, boldest family vacation ever on a ship unlike anything else on the ocean.


Ship's Features:

Bionic Bar: Featuring robot bartenders serving up one-of-a-kind crafted cocktails while dancing to a fluid beat.

The Ultimate Abyss: Plummet 10 stories into the mysteries of the deep on the tallest slide at sea. Are you brave enough?

The Perfect Storm: This tremendous trio of water slides is our Perfect Storm. Typhoon, Cyclone and Supercell are their names, and they’re here to take you on a wet, wild ride.

Zip Line: Brace yourself for a spine-tingling rush as you race across the Boardwalk®, suspended nine decks in the air. It’s a thrill you won’t find on any other cruise line.

Rock Climbing: Rise to the occasion and take on our signature rock climbing wall. From beginners to speed climbers, everyone can enjoy an unparalleled view from 40 feet above deck.

FlowRider®: Only Royal Caribbean gives you the chance to catch a wave right onboard. Grab a board and hang ten on our 40-foot-long surf simulator, or cheer on friends from stadium seating with prime wipeout views.

Fitness Center: Get in ship shape at a state-of-the art fitness center, fully loaded with the latest weight systems and cardio equipment—plus sweeping ocean views while you work up a sweat.

AquaTheater Dive Shows: 137,000 gallons of incredible. Only onboard Oasis®-class ships, experience the AquaTheater—dancers, divers and acrobats pull off stunts against a backdrop of backlit fountains, big screens and the endless horizon of the sea.

Ice-skating Shows: Royal Caribbean is the first and only cruise line with ice-skating rinks right onboard, and complimentary ice spectaculars featuring professional skaters that amaze with jumps, lifts and spins.

Original Productions: Royal Caribbean Productions brings together world-class performers to star in awe-inspiring original shows from contemporary dance to headline musical acts, aerial acrobatics and more.

Chops Grille: Royal Caribbean’s popular signature steakhouse, featuring grade-A premium cuts of steak cooked to your specifications—plus fresh seafood, hearty side dishes and signature desserts in an upscale, contemporary setting.

Izumi: The traditional Asian dishes at Izumi will impress you with pure, delicate flavors, freshness of ingredients and impeccable presentation. Choose from sushi rolls, sashimi, hot rock (ishi-yaki) plates, and more.

Jamie’s Italian: Chef Jamie Oliver may be one of Britain’s most famous food exports, but it’s his love of Italian cooking and the Italian way of life that drives his menu of rustic Italian favorites, handmade with fresh, seasonal ingredients.

Solarium Bistro: A hearty but healthful lunch destination in the Oasis-class Solarium, with lighter options for breakfast and lunch. Try soups and stews, crepes, salad bars, fresh-cut fruits and more.

Ocean View Balcony Staterooms

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.

Ocean View Staterooms

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.

Interior Staterooms

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.

Current Anesthesia Practice
7-Night Eastern Caribbean Cruise April 15-22, 2017

Saturday, April 15 - Ft. Lauderdale, Florida

  1630 Ship Sails (subject to change)    

Sunday, April 16 (Easter) - Nassau, Bahamas - Morning Open

  1530 Registration - Mandatory Sign In
  1555 Welcome NWAS Staff  
  1600 Preoperative Risk Assessment C.Popa  
  1700 Acid/Base, Fluids, and Electrolytes C.Popa  
  1800 Adjourn
0.4 Pharmacology

Monday, April 17 - At Sea

  0715 Registration - Mandatory Sign In
  0730 Perioperative Cardiac Risk Reduction A.Wallace  
  0830 Breakfast Break
  0915 Pacemakers Made Ridiculously Simple A.Wallace  
  1015 Management of Biological Agent Casualties C.Popa  
  1115 Management of Chemical Agent Casualties C.Popa  
  1215 Lunch Break
  1330 Perioperative Drug Interactions C.Popa  
  1430 Inotropes: Risks, Benefits, and How to Pick Them A.Wallace  
  1530 Hemodynamic Management and Goal Directed Therapy A.Wallace  
  1630 Adjourn
3.4 Pharmacology

Tuesday, April 18 - Charlotte Amalie, St. Thomas, U.S.V.I. - Day Open

Wednesday, April 19 - Philipsburg, St. Maarten - Day Open

Thursday, April 20 - At Sea

  0715 Registration - Mandatory Sign In
  0730 Anaphylaxis C.Popa  
  0830 Breakfast Break
  0915 Obstetrical Emergencies C.Popa  
  1015 Blood Transfusion C.Popa  
  1115 Difficult Airway Management: The ASA Airway Algorithm and Beyond A.Wallace  
  1215 Lunch Break
  1330 Anesthesia Machines A.Wallace  
  1430 Quality Improvement Through the Use of Big Data, Artificial Intelligence, and Your Anesthesia Record Keeping System A.Wallace  
  1530 Autonomic Physiology A.Wallace  
  1630 Adjourn
2 Pharmacology

Friday, April 21 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Sedation A.Wallace  
  0945 Echo Physics: How Do I Adjust the Knobs to Get Good Pictures and Why A.Wallace  
  1045 Break
  1100 Anesthetic Considerations for Mediastinal Surgery C.Popa  
  1200 The Management of Septic Shock C.Popa  
  1300 Adjourn
1.5 Pharmacology

Saturday, April 22 - Ft. Lauderdale, Florida

Departure as scheduled

20 CME I

20 Class A CEC

7.3 Pharmacology Hours†



Christian Popa, MD
Colonel, Medical Corps, United States Army
Assistant Professor of Anesthesiology
Uniformed Services University of the Health Sciences
Director, Critical Care Anesthesiology
Walter Reed Army National Military Medical Center
Bethesda, Maryland

Arthur Wallace, MD, PhD
Professor of Anesthesiology
University of California
San Francisco, California
Chief Anesthesia Service
Veterans Affair Medical Center
San Francisco, California


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 #1033941; Expiration Date 4/21/2017.

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: 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 Murphy, MD, MSN Education, Austin, Texas, and 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 February 14, 2017 and March 16, 2017. No refund after March 16, 2017; 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 on a CD 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) 456-7887 - 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.