Anesthesia Update
7-Day Bermuda Cruise
Round-trip from New York, New York
April 22-29, 2012

Sunday, April 22 - Board Ship in New York, New York

Immerse yourself in New York City for five minutes and you'll see why it's like no other place on earth. Only here will you find all of America's best attributes - the diversity, culture, and style - intensified in such an intriguing way. If you're a first-time visitor, see the Empire State and Chrysler Buildings, the Statue of Liberty, Rockefeller Center, Times Square, the Bronx Zoo, Staten Island Ferry, Brooklyn Bridge, and all the other world-famous attractions. If you've been here before, there's always another neighborhood to explore, another restaurant to try, another Broadway show or museum to see, another don't-miss cultural performance or sporting event. In Brooklyn, you can enjoy taking a roller coaster ride, visiting the beach, seeing a dolphin show at Coney Island, or exploring one of the world's best Egyptian collections at the Brooklyn Museum of Art. The Bronx has more parkland than any of the other boroughs, a renowned botanical garden, a world-famous zoo, stately mansions, historic sites, a 'Little Italy', beaches, and City Island, an island reminiscent of a New England fishing village. Don't forget to include a trip aboard the free Staten Island Ferry. The excursion from the tip of Manhattan cruises through New York Harbor past the Statue of Liberty, Ellis Island, and Governors Island, allowing an unobstructed view of lower Manhattan. Visit the Jacques Marches Museum of Tibetan Art, which is one of only two Himalayan-style, monastery buildings in the Western world, and the only one in the United States. The Chinese Scholar's Garden at the Staten Island Botanical Garden is the only authentic one of its kind in the country. Shoppers can discover it all in New York City-from bargain bazaars to luxury boutiques to major department stores and more. Discover the flavor of the five boroughs by choosing from a variety of world-famous New York City restaurants. Come early before your cruise or stay afterward to enjoy this city!

Monday, April 23 - At Sea

Tuesday-Friday, April 24-27 - Hamilton, Bermuda

Set alongside its beautiful natural harbor, the City of Hamilton is a thriving center of international and local business, adorned with historic buildings, churches, museums, galleries, parks, and gardens. Founded in 1790, Hamilton became the capitol of Bermuda in 1915. Shipwrecks, boat building, whaling, privateering, and the Royal Navy were all part of Bermuda's maritime history and you can learn about it all at the Bermuda Maritime Museum.

There are plenty of sightseeing opportunities in Hamilton, including the new Bermuda Underwater Exploration Institute. Most attractions are easily seen on foot. Start your Hamilton visit with a stroll down Front Street, lined with charming pastel-colored buildings. At the intersection of Front and Queen streets you can see the "birdcage" where Bermudian shorts-clad constables direct traffic. At Albuoy's Point watch sailboats and ferries maneuver around the many islands that clutter Hamilton Harbor. Of course there are also plenty of pink beaches and golf courses for visitors to enjoy. If you're feeling adventurous you can even swim with dolphins at Dolphin Quest. Bermuda offers a great shopping selection when it comes to art, cigars, clothing, accessories, jewelry, cosmetics, and perfume. There are imports from Great Britain and Ireland such as English woolens, Harris tweed jackets, Irish linen, china, local crafts made of Bermuda cedar, and of course Bermuda Shorts! Visit the Bermuda National Gallery. It is the home of the national art collection, showing both Bermuda and world art. The museum has a diverse collection and exhibition program of past and present works by local and international artists that tells Bermuda's history through its fine and decorative arts as well as reflecting Bermuda's multicultural heritage. After wandering the gallery, head up to the Bermuda Society of Arts. This gallery consists of constantly changing exhibits. Next, stop by the Sessions House and learn more about the powerful role Parliament plays in Bermuda. At noon, wander up to Fort Hamilton for the Skirling Ceremony. Here, overlooking the harbor in an untried fortress, authentic kilted pipers, drummers, and dancers perform to the bagpipe "skirl" of the Bermuda Islands Pipe Band. Later, enjoy a Bermuda Cookery Demonstration located in the No.6 Passenger Terminal, Front Street. Here Bermudian cuisine is showcased as a "melting pot" of ethnic influences. And don't forget to stay for the Gombey Revue. The swirling rhythm and vivid costumes of the Gombey Dancers and musicians are an exciting, historic Bermuda folk art event. Be sure to bring your camera! By night, take in live music, great food, and dancing along Front Street which becomes party central. All of Bermuda fits in a cozy 21 square miles and may seem like one continuous landmass to visitors, but is actually made up of 181 islands, islets and rocks. Most of these are uninhabited, but eight of the larger ones are linked by bridges and one causeway that form the subtropical paradise visitors cannot resist to explore via ferry, bus, taxi, or scooter. Ferry to the West End to explore the Royal Naval Dockyard and browse in the nearby village of Somerset or take the ferry or bus to the town of St. George and explore shopping alleyways and historic sights on foot. Bermuda's 'Historic Town of St. George and Related Fortifications' are designated World Heritage Sites. St. George's is where Bermuda began. Known by mariners as the 'Isle of Devils', Bermuda became inhabited after an English ship, the Sea Venture, shipwrecked on the reefs off the East End in 1609. Today, nearly four centuries later, evidence of its remarkable history abounds, visible in its picturesque cottages, quaint lanes and alleyways, and its wealth of military, civic, and religious architecture that attracts visitors from all over the world. The Crystal and Fantasy caves are a must see and feature Floating pontoon pathways spanning a large 55-foot-deep azure blue underground lake. Here, you can experience the mind-boggling profusion of pristine white stalactites, soda straws, and helectite formations above the lake. Don't forget to stop at the Bermuda Perfumery for a free tour and sample the beautiful perfumes. If historical re-enactment is your game, be sure to be at King's Square at 10:30am. A guided tour through narrow alleys and lanes of St. George's is offered after which the Mayor of St. George's great visitors back to the square. At noon, the Ducking commences which is a light-hearted, historical re-enactment of public punishment. With incomparable weather, pink sand beaches, breadth of historic sites, and warm, friendly people, it's no wonder Condé Nast Traveler readers have voted Bermuda "Best Island in the Caribbean/Atlantic" 16 times since 1994.

Saturday, April 28 - At Sea

Sunday, April 29 - Disembark in New York, New York

The Ship:   MS Veendam

Grandly proportioned and recently enhanced, the MS Veendam offers an onboard experience defined by spacious comfort and the latest Signature of Excellence features and amenities. Guests aboard the MS Veendam will not only enjoy elegant dining rooms, a $2 million art and antique collection, wide teak decks and spacious staterooms - many with private verandahs - but also new and exciting venues, stateroom options along with a complete update to all stateroom furnishings.

Other features of the MS Veendam include:

• Rotterdam Dining Room - features impeccable service, an extensive wine list, and five-course menus including continental cuisine, vegetarian, and low-carb options
• Pinnacle Grill - intimate reservations-only venue offers an elegant, sophisticated dining experience and features premium Sterling Silver beef, inspired seafood dishes, and many select wines rated "Excellent" by Wine Spectator - as well as distinctive Bvlgari® china, Riedel® stemware, and Frette® linens
• Lido Restaurant - offers a relaxed ambiance for all three meals and features a variety of fresh, cooked-to-order specialties
• Canaletto - an evening venue for Italian fare adjacent to the Lido Restaurant and offering waiter service
• The Culinary Arts Center, presented by Food & Wine Magazine - state-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by Holland America's Master Chefs or culinary guests
• Digital Workshop, powered by Windows® - offering fun, free learning about digital photography, videos, scrapbooking, blogging, and social networking
• Mix - an innovative meeting place featuring three specialty venues: Champagne, for mid-day mimosas or anytime celebrations; Martinis, for Grey Goose cocktails and martini flights; and Spirits & Ales for microbrews, single malts, and sports updates
• The Retreat - a private resort-style pool experience offering sophisticated poolside amenities and service
• Explorations Café, powered by The New York Times - a comfortable, coffee house environment where you can browse through an extensive library, surf the Internet, check email, or simply read the morning paper
• Greenhouse Spa & Salon - features heavenly beauty and wellness rituals - enjoy a facial, hot stone massage, steam in a thermal suite, and have your hair and nails done for a special evening
• The Showroom at Sea: glamorous nightclub venue for world class entertainment
• Crow's Nest - offers sweeping 270° views during the day and a hip, fashionable nightclub each evening
• Club HAL® - our dedicated youth facilities and activities for kids ages 3 - 12
• The Loft and The Oasis - designed exclusively for teens (13 - 17) to have fun, socialize, and hang out with people their own age

Deluxe Verandah Suites

2 lower beds convertible to 1 king-size bed, whirlpool bath and shower, large sitting area, dressing room, private verandah, 1 sofa bed for 2 persons, mini-bar, refrigerator, floor-to-ceiling windows, 556 square feet.

Verandah Suites

2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, private verandah, mini-bar, refrigerator, floor-to-ceiling windows, 292 square feet

Large Oceanview Staterooms

2 lower beds convertible to 1 queen-size bed, bathtub and shower, 197 square feet.

Large or Standard Inside Staterooms

2 lower beds convertible to 1 queen-size bed, shower, 182 square feet.

NW-WWT has 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 Northwest-Worldwide Travel. 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 in the amount of $350 of fare per person. Final payment as instructed by our travel agent.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Discounted airfares are also available. Various promotional fares may also be available. ALWAYS CALL BEFORE BOOKING ANYWHERE ELSE.

TARGET AUDIENCE

This course is designed for Physicians, CRNAs, Physician Assistants, Registered Nurses and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty but also of all additional, related disciplines which may impact 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, pharmacologic 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 physician and 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.

OBJECTIVES

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

Discuss 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.

Discuss 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.

Discuss incorporation, into practice, of 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.

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

FACULTY