Virginia Beach, Virginia

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Virginia Beach provides the perfect balance of coastal charm with a three-beach experience and a vibrant downtown. At the Resort Beach, from First to 40th Streets, visitors can enjoy a stroll along the iconic three-mile oceanfront boardwalk, a fishing pier and plenty of opportunities for biking, boating, kayaking, jet-skiing, parasailing and stand-up paddle boarding. King Neptune, a 34-foot tall cast bronze statue of the mythological sea god, is a must-stop spot for a selfie at 31st Street and Atlantic Avenue.

Visitors seeking a more relaxed day at the beach will enjoy Chesapeake Bay Beach, which is preferred for its tranquility along the scenic Chesapeake Bay. The area is home to a marina, as well as multiple dockside seafood restaurants and incredible sunset views over the Lynnhaven Inlet. Sandbridge Beach on Virginia Beach’s southern shore is just 20 minutes away from the main resort area and provides a more secluded, island-like environment.

Nestled up against the Back Bay National Wildlife Refuge, visitors can enjoy sheer serenity in Sandbridge, where area outfitters offer everything from bikes and paddleboards to surfboards and kayaks. When it’s time to grab a bite to eat, enjoy Virginia Beach’s coastal cuisine, a rich culinary style of fresh seafood from the Atlantic Ocean and Chesapeake Bay, mixed with organic produce harvested by local farms, making it easy for the city’s nearly 300 restaurants, many locally owned and operated, to serve only the freshest ingredients.

Looking for something else? Local restaurants also celebrate a diverse range of cultures, offering a myriad of choices for every palate. Have fun in and out of the sun at the brand-new treetop Adventure Park at the Virginia Aquarium and Indoor Sky Diving complex. From the urban appeal of Town Center, to the personal attraction of local boutiques and shopping centers, there’s a lot of ground to cover and even more deals to be found. So stretch out those shopping bags and fill them up with a bounty of coastal charm.

The Cavalier Virginia Beach

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For nearly a century, the grand Cavalier has stood sentinel over the Virginia Beach Oceanfront. Perched on a grassy hill overlooking the Atlantic Ocean, Virginia’s most iconic hotel has welcomed ten U.S. Presidents, countless celebrities and distinguished guests from around the world. The history within the stately architecture reveals a sense of timeless elegance and glamor and earned the Cavalier a spot on the National Register of Historic Places.

Today, The Cavalier has been reinvented to bring you an experience that marries grand tradition with a warm, contemporary feel. Experience an incomparable Autograph Collection hotel in Virginia Beach. Relax in lavishly designed rooms, where classic architecture is complemented by plush fabrics and rich metalwork. Indulge your palate in one of three destination restaurants, where farm-to-table dishes are artfully crafted. Or simply relax at the soothing spa or the infinity pool at the new Cavalier Beach Club. Savor delicious light fare poolside. Take in sublime ocean views while you sip a hand-mixed cocktail made from spirits crafted in their own distillery. Lose your inhibitions with exciting live bands and performances.

Run of House guest rooms feature 1 King or 2 Queen beds, complimentary Wi-Fi access, flat screen TV, iPod dock, coffee/tea maker, mini-fridge, mini-bar, iron/board, safe, marble bathroom, hairdryer, robe, slippers and more.

The Cavalier Virginia Beach is located approximately 20.1 miles from the Norfolk International Airport (ORF). Valet parking is available for day as well as overnight at $18.00 per car for guest usage, on a per day/night basis, with unlimited in/out privileges.  Rates are subject to change without notice. Self-parking is not available.

Email us at or call us (800) 222-6927 • (509) 547-7065


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.

Update in Obstetrical Anesthesia
Virginia Beach, Virginia
April 8-11, 2019

Monday, April 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Trauma in Pregnancy: Anesthetic Considerations A.Girnius  
  0830 Substance Abuse in the Parturient A.Girnius  
  0930 Break
  0945 What's New in Obstetric Anesthesia 2019? B.Clayton  
  1045 Important Changes in Anesthetic Pharmacology During Pregnancy, Labor, Delivery and Breast Feeding P.Flood  
  1145 Controversial Topics for Labor and Delivery P.Flood  
  1245 Adjourn
2.3 Pharmacology Hours

Tuesday, April 9

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 CSE and DPE Techniques B.Clayton  
  0830 Optimizing Post-Cesarean Pain Control B.Clayton  
  0930 Break
  0945 Drug Shortages and FDA Warnings: What Is an Anesthesia Provider to Do? P.Flood  
  1045 Controversial Topics for Cesarean Delivery P.Flood  
  1145 Bleeding Disorders and Neuraxial Anesthesia in Pregnancy A.Girnius  
  1245 Adjourn
2.4 Pharmacology Hours

Wednesday, April 10

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Obstetric Anesthesia Management of Parturients With Congenital Heart Disease P.Flood  
  0830 Update on Preeclampsia for the Anesthesia Provider P.Flood  
  0930 Break
  0945 The Use of Non-OB Ultrasound in Pregnancy A.Girnius  
  1045 Code in the OB Unit A.Girnius  
  1145 Understanding Maternal Health Disparities B.Clayton  
  1245 Adjourn
1.0 Pharmacology Hours

Thursday, April 11

  0700 Registration - Mandatory Sign In
  0730 Eating During Labor: Revisiting Current NPO Guidelines A.Girnius  
  0830 Non-Obstetric Surgery During Pregnancy A.Girnius  
  0930 Break
  0945 Management of Chronic Pain in Labor and Delivery P.Flood  
  1045 Management of Maternal Hemorrhage B.Clayton  
  1145 Postpartum Headache: Diagnosis and Treatment B.Clayton  
  1245 Adjourn
1.7 Pharmacology Hours

20 CME

20 Class A CEC

7.4 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


Beth Ann Clayton, DNP, MS, CRNA
Program Director, Nurse Anesthesia Major
Associate Professor of Clinical Nursing
University of Cincinnati Academic Health Center        
College of Nursing
Cincinnati, Ohio

Pamela Flood, MD, MA
Professor of Anesthesiology, Perioperative and Pain Medicine
Stanford University
Stanford, California

Andrea Girnius, MD
Assistant Professor of Anesthesiology, University of Cincinnati
University of Cincinnati Medical Center
Cincinnati, Ohio


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 #1036271; Expiration Date 4/11/2019.

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.


We reserve the right to cancel a course for any reason. In such case, a minimum of 30 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 airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.


$100 February 7, 2019 to March 9, 2019. No refund after March 9, 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.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including 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! 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 (booking fees may apply.) 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.