Sail ports across the South Pacific in style and comfort when you join us aboard Royal Caribbean’s Explorer of the Seas®.


  Day Date Port Arrive Depart
  Wed Mar 28 Sydney, Australia   6:30 PM
  Thu Mar 29 At Sea
  Fri Mar 30 At Sea
  Sat Mar 31 At Sea
  Sun Apr 1 Lautoka, Fiji 12:00 PM 8:00 PM
  Mon Apr 2 Suva, Fiji 8:00 AM 5:00 PM
  Tue Apr 3 At Sea
  Wed Apr 4 Lifou, Loyalty Island 8:00 AM 5:00 PM
  Thu Apr 5 Noumea, New Caledonia 8:00 AM 5:00 PM
  Fri Apr 6 At Sea
  Sat Apr 7 At Sea
  Sun Apr 8 Sydney, Australia 6:30 AM

Wednesday, March 28 – 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.

Thursday, March 29 – At Sea

Friday, March 30 – At Sea

Saturday, March 31 – At Sea – Day Open

Enjoy various onboard activities and amenities during your days at sea. Play a round of mini-golf, climb the rock wall, or surf the waves with Royal Caribbean’s FlowRider® attraction. When hunger strikes, dine on amazing sushi platers or traditional pasta favorites. The choices are limitless!

Sunday, April 1 – Lautoka, Fiji – Day Open

Do as the locals do when you hit up the Lautoka Market for fresh fruits and vegetables, spices, and sweets. Enjoy the peaceful setting inside the Botanical Gardens amongst lush local greenery, beautiful orchids, and bustling butterflies. Finish you visit with a trip to the spa for a heavenly massage from an expert massage therapist.

Monday, April 2 – Suva, Fiji – Day Open

The Fiji Museum is a great resource for Fijian history from colonialism to modern times with exhibits featuring boats, clothing, tools and other artifacts from the past. Hike the meandering trails of Colo-I-Suva Forest Park where you can grab a rope swing into the natural pool at the lower falls. If you’ve worked up an appetite, the colorful displays of Suva Municipal Market will entice you with local produce including cassava, coconut, kava, pineapple, and watermelon.

Tuesday, April 3 – At Sea – Day Open

Wednesday, April 4 – Lifou, Loyalty Island – Day Open

Lifou is a pristine paradise, rife with corals, marine life, and crystal clear waters. Walk through the village market for souvenirs and authentic island cuisine. Tour a vanilla plantation, or walk up the hill to the local church for spectacular views of the beach below.

Thursday, April 5 – Noumea, New Caledonia – Day Open

Noumea, on the island of Grand Terre, is the capital of the French territory of New Caledonia. The peaceful port city has a diverse population and colorful European architecture, reflecting its colonial history. Having served as the headquarters of the US Army during WWII, the tropical shrubbery of Ouen Toro Mount is now under the protection of abandoned Naval guns. The Michel Corbasson Zoological and Forest Park offers visitors shaded walks amongst rare birds and views out over the lagoon.

Friday, April 6 – At Sea

Saturday, April 7 – At Sea

Wind down from your whirlwind Fijian island excursions with a spa day aboard ship. Relax with a swim in the pool or a glass of wine paired with the perfect gourmet meal.

Sunday, April 8 (Saturday, April 7 in US) – Sydney, Australia

Disembark or stay over to enjoy this coastal city down under!

The Ship: Royal Caribbean's Explorer of the Seas®

Whether you are seeking adventure or leisure, Explorer of the Seas® is home to an array of spectacular innovations that will cater to whatever type of vacation you desire. Enjoy the thrill of rock climbing our signature wall overlooking the sea or spend the afternoon ice skating. Relax in the soothing VitalitySM Spa or liven things up at the exciting Royal Promenade. Grab a bite to eat at the complimentary Windjammer Café or make reservations at Giovanni’s Table for one low cover charge. There is no limit to what you can do onboard Explorer of the Seas!



Signature Features:

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

Ice Skating: Put your vacation on ice with a spin on the ice rink, an onboard feature exclusive to Royal Caribbean. Skates provided.
Mini Golf: Hit the links on the high seas! Refine your mini-golf game on a green that overlooks a sea of blue.

Sports Court and Tournaments: Whether it’s a game of one-on-one or an all-out tournament to fuel your competitive fire, the sports court is just the spot for basketball and volleyball action.

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

Pool Deck: Soak up the sun or savor the shade on expanded pool decks, featuring complimentary loungers, live music, and the opportunity for a frosty cocktail. Every ship boasts multiple whirlpools for you to take a relaxing dip in.

Vitality at Sea Spa: A luxurious sanctuary boasting signature treatments, medi-spa services and a full-service salon to make you glow from the inside out. Reserve your preferred treatments ahead of time and relax.

Massages: Elemis treatments varying in technique and length offering muscle tension relief and the opportunity for ultimate relaxation.
Adults-Only Solarium: Retreat to the glass-canopied, adults-only Solarium, where inspired surroundings and whirlpools promise the ultimate in relaxation.

Club Twenty: A South Beach style nightclub event in a venue transformed with billowing sheers from floor to ceiling, go go dancers, living statues and an amazing club DJ.

Viking Crown Lounge®: Perched high above the sea on every ship, the Viking Crown Lounge® is our fleet’s signature architectural wonder, with panoramic sea views and live entertainers nightly.

R Bar: A sophisticated new bar with a distinct retro glamour vibe, the R Bar serves up all the classics—martinis, gin, whiskeys and more—plus specialty drinks crafted by the resident mixologist.

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.

Café Promenade: Pick a table with a view at Café Promenade, serving Seattle’s Best Coffee®, snacks, pastries and sandwiches throughout the day and into the night—so you can enjoy the action when you please.

Main Dining Room: Sweeping, multi-level ambience, world-class cuisine and extraordinary personal service from a dedicated wait staff.

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.

Giovanni’s Table: A casual Italian trattoria with indoor and al fresco seating, Giovanni’s Table offers rustic dishes with a contemporary flair, including toasted herb foccacia, pastas, braised meat dishes and stews, all served family-style.


Balcony Oceanview Stateroom

Open your private balcony and take in the beautiful view. It’s a great way to get close to every destination and make the most of your vacation at sea.

Oceanview Stateroom

You’ll never miss a moment of the breathtaking scenery just outside your window. Experience the perfect balance of value and ocean views.

Inside Stateroom

Relax in all the comfort of a cozy interior stateroom. These nicely appointed rooms are an excellent value with plenty of 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.

Anesthesia Update 11-Night South Pacific & Fiji Cruise March 28 - April 8, 2018

Wednesday, March 28 - Sydney, Australia

  1830 Ship sails (subject to change)

Thursday, March 29 - At Sea

  0830 Registration - Mandatory Sign In
  0855 Welcome NWAS Staff  
  0900 Managing the Patient With Cardiac Disease I: What Does Cardiac Clearance Really Mean? M.Murphy  
  1000 Managing the Patient With Cardiac Disease II: Stents and CIEDs in the Perioperative Period M.Murphy  
  1100 Hard Lessons Learned From Unexpected Bad Outcomes Part I J.Drummond  
  1200 Lunch Break
  1300 Hard Lessons Learned From Unexpected Bad Outcomes Part II J.Drummond  
  1400 Chemical and Biological Warfare Agents: What We Must Know Part I M.Murphy  
  1500 Chemical and Biological Warfare Agents: What We Must Know Part II M.Murphy  
  1600 Adjourn
3.3 Pharmacology Hours
  1730-1830 Welcome Cocktail Reception    

Friday, March 30 - At Sea

  0830 Registration - Mandatory Sign In
  0900 Should Our Patients (Some? All? None?) Take Statins Perioperatively? J.Drummond  
  1000 Should Anyone Else in the OR Be Taking Statins Too? J.Drummond  
  1100 A Routine Case, Then Anaphylaxis M.Murphy  
  1200 Lunch Break
  1300 The Obesity Epidemic M.Murphy  
  1400 Tight Perioperative Glucose Control: Where Are We Now and How Did We Get Here? J.Drummond  
  1500 Recent Misconceptions and Misadventures in Neuroanesthesia J.Drummond  
  1600 Adjourn
4.7 Pharmacology Hours

Saturday, March 31 - At Sea - Day Open

Sunday, April 1 - Lautoka, Fiji - Day Open

Monday, April 2 - Suva, Fiji - Day Open

Tuesday, April 3 - At Sea - Day Open

Wednesday, April 4 - Lifou, Loyalty Island - Day Open

Thursday, April 5 - Noumea, New Caledonia - Day Open


Friday, April 6 - At Sea

  0830 Registration - Mandatory Sign In
  0900 New Anticoagulants: How They Impact Your Regional Practice M.Murphy  
  1000 How Federal Regulations Affect Anesthesia Practice M.Murphy  
  1100 Anesthetic Neurotoxicity in the Very Young: The Evolving Saga J.Drummond  
  1200 Are You Confused About Delirium (And Its Causation, Prevention, and Treatment?) J.Drummond  
  1300 Adjourn
3 Pharmacology Hours

Saturday, April 7 - At Sea

  0830 Registration - Mandatory Sign In
  0900 Dexmedetomidine: A Useful Drug (If You Understand the Kinetics) J.Drummond  
  1000 Intravenous Fluid Selection: The Neuroanesthesia Perspective J.Drummond  
  1100 Everyday Cases, Everyday Landmines M.Murphy  
  1200 Ethics in Our Business M.Murphy  
  1300 Adjourn
1.5 Pharmacology Hours

20 CME

20 Class A CEC

12.5 Pharmacology Hours†


Sunday, April 8 (Saturday, April 7 in US) - Sydney, Australia

Disembark or stay over to enjoy this coastal city down under!
Refreshments served at the meeting are for registered attendees only.


John C. Drummond, MD, FRCPC
Professor, Department of Anesthesiology
University of California, San Diego
Staff Anesthesiologist, VA Medical Center
San Diego, California

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


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 #1034984; Expiration Date 4/7/2018.

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 27, 2018 and February 26, 2018. No refund after February 26, 2018; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be 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) 456-7887 - 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.