About Founder, W. Keith Barnhill, PhD, CRNA, ARNP
W. Keith Barnhill, PhD, CRNA, ARNP, has specialized in Pain Management and Nurse Anesthesiology for over 31 years.
The student will be expected to meet the following objectives:
Relate anatomical, pathological and physiological theory to identify normal and abnormal findings.
Perform a comprehensive pain assessment that includes systematically obtaining a history, ordering and interpreting diagnostic tests, and identifying normal and abnormal physical examination findings.
Make a clinical diagnostic impression that includes the Emory Pain Estimate Model categorization, defines the type of pain syndrome and symptoms, and prescribes the appropriate treatment.
Differentiate between the various types of pain pathology: neuropathic pain, bone pain, myofascial pain, psychogenic pain, sympathetic maintained pain, visceral pain and cancer related pain syndromes.
Participate in a synthetic cadaver lab and practice various injections and associated spinal interventions based on an anticipated pathological disorder.
Apply knowledge of pharmacology, pharmacokinetics and pharmacodynamics in the management of pain syndromes using allopathic, osteopathic, naturopathic and herbal modalities.
Understand the underlying biomechanics of the human body as it relates to pain disorders and apply basic manual therapy interventions to correct abnormal posture related disorders.
Explain thoroughly the role of the different members of the interdisciplinary and multidisciplinary team.
By the completion of this program, the student will be expected to have acquired the following clinical skills to:
Perform and document a thorough pain assessment and evaluation, including requesting consultations and diagnostic studies
Order, provide and modify pain relief therapy through the use of drugs, natural medicines, infusion therapy, manual therapy, electrical therapy, prolotherapy and neural therapy techniques
Demonstrate on a synthetic cadaver or actual patient the performance of some common spinal interventional techniques that includes: spinal injections, epidural injections, peripheral nerve blocks, regional nerve blocks, ligamentous and myofascial injections, facet medial branch nerve blocks and other regional anesthesia related nerve blocks
Practice in conformity with established Code of Ethics identified by the American Association of Nurse Anesthesiology
Meet the criteria for credentialing by NBCRNA in Non-Surgical Pain Management.
1. Epidural Injections and Considerations
A. Anatomy of the epidural space
B. Techniques for the various epidural injections
C. Use of radiopaque contrast dye
D. Pathology responsive to epiduralinjections
E. Complications related to epidural injections
2. Facet Injections and Considerations
A. Zygapophyseal joint anatomy
B. Spine range of motion
C. Intraarticular and medial branch nerve blocks
D. Spinal vasculature considerations
3. Perspectives in Pain Management
A. Definitions
B. The personal pain experience
C. Pain epidemiology
D. Consequences of untreated pain
E. Culture and pain
4. Pathophysiology of Pain
A. Pain and pain pathways
B. Gate control theory
C. Central and peripheral sensitization
D. Pain and neurotransmitters
E. Spine and brain opiate receptors
F. Role of ketamine
5. The Assessment of Pain
A. Objective components of pain
B. Pain intensity measurement
C. Pain complaint and data collection
D. Pain history
E. Physical examination
F. Dictating the findings
6. Painful Polyneuropathies
A. Diabetic peripheral neuropathy
B. Diagnostic testing
C. Treatment of neuropathies
D. Nerve anatomy
E. Examination of the foot
7. Painful Joints and Injections
A. Anatomy of the sacroiliac joint
B. Treatment of the SI joint
C. Trochanteric bursitis
D. Iliotibial band syndromes
E. Piriformis muscle syndromes
F. Joint and bursa injections
G. Genicular nerve blocks
8. Diagnostic Testing and Interpretation
A. Anatomical planes of view
B. MRI interpretation
C. Radiographic interpretation
D. Disc pathology
E. EMG and nerve conduction testing
9. Neuropathic Pain
A. Neuropathic pain disorders
B. Pharmacological considerations in neuropathic pain
C. CRPS-I and CRPS- II
D. Acute herpes zoster and post-herpetic neuralgia
E. Trigeminal neuralgia
10. Weight Loss Considerations in Pain Management
A. Nutrition and pain management
B. Anti-inflammatory diet
11. Cancer Pain Considerations
A. Pain in the patient with cancer
B. Neurosurgical interventions
C. Role of neurolytic techniques
D. Cancer pain control guidelines
E. Sympathetic blockade
12. Psychological Considerations in Pain Management
A. Psychosocial issues
B. Psychological assessment and testing
C. Neurolinguistic programing
D. Treatment strategies
13. Pharmacological considerations in Pain Management
A. Pharmacology of pain management
B. Steroids
C. NSAIDs
D. Antiepiletic drugs
E. Antispasmodics
F. Tricyclic antidepressants
G. Compounded agents and transdermal application
H. Prescribing protocols
14. Geriatric and Special Population Pain Management
A. Assessment of persistent pain
B. Pharmacological considerations
C. Non-pharmacological considerations
D. Palliative care and hospice
15. Pain in Infants and Children
A. Analgesic therapy
B. Conscious sedation considerations
C. Palliative care and hospice
16. Integrative Medicine and Pain Management
A. Complementary and alternative medicine
B. Meditation and hypnosis
C. Exercise and life pacing
D. Neural therapy
E. Prolotherapy and regenerative therapy principles
F. Other interventions
17. Complications in Pain Management
A. Anticoagulants and spinal interventions
B. Spinal interventional incidents
C. Renal failure and contrast dye
D. Particulate steroids
18. Pain Clinic Organization and Set Up
A. Pain clinic types
B. Role of pain clinic staff
C. Organization and set up
19. Ethics of Pain Management
A. Code of ethics
B. Patient's Bill of Rights
C. Legal considerations
20. Monitoring Quality of Pain Services
A. Accreditation
B. Standard of care
C. Research issues
Assessments
Lesson 1-20 will each have a self-assessment to measure your knowledge
I. Perspectives in Pain and Pain Management
A. Historical Perspectives of Pain Management
B. Patient Descriptions of Pain
C. IASP and Other Descriptions of Pain
D. Consequences of Untreated Pain
E. Culture and Pain
F. Family and Pain
G. Sex, Gender and Pain
H. Racial and Ethnic Issues in Pain
I. Myths and Pain Therapy
II. Pathophysiology of Pain
A. The Neuroscience of Pain and Analgesia
B. The Pharmacodynamics of Pain and Transmission
III. Multidisciplinary Approaches to Pain Management
A. Components of a Multidisciplinary Pain Clinic
B. Starting a Pain Clinic
C. Quality Assurance in Pain Management
D. The Role of Nursing in Pain Management
E. The Role of the Physician in Pain Management
F. The Role of the Podiatrist in Pain Management
G. The role of the Physical Therapist
H. The Role of the Occupational Therapist
I. Vocational Rehabilitation
J. The Role of the Dentist and Oral Surgeon in Pain Management
IV. The Assessment of Pain
A. Measuring Pain Intensity
B. Medical History and Clinical Interview
C. Neuromuscular Examination
V. Common Pain Syndromes
A. Types of Pain: Classifications and Concepts
1. Somatic Pain
2. Neuropathic Pain
3. Cancer Pain
4. Psychogenic Pain
5. Bone Pain
6. Sympathetic Pain
7. Visceral Pain
B. Fibromyalgia
C. Primary Headache Disorders
D. Post-Traumatic Head Injuries
E. TMJ Disorders
F. Abdominal Pain
G. Low Back Pain
H. Pelvic Pain
I. Urologic Pain
J. Rheumatologic Related Pain
K. Orthopedic Pain
L. Myofascial Pain Syndromes
M. CRPS Type I and II
N. Post-herpetic Neural
O. Painful Polyneuropathies
VI. Diagnostic Interpretations
A. Lab Testing for Pain Disorders
B. Functional Capacity Evaluations
C. Plain Films
D. CT Scans
E. MRI
F. Thermography
G. PET Scans
H. EMG and NCV
I. Ultrasound
J. Bone Scans
K. Discography
L. Myelogram
VII. Bio-Behavorial Assessment and Interventions
A. Chronic Pain and Addictions
B. The Role of the Psychologist in Pain Management
C. The Role of the Social Worker in Pain Management
D. Addressing Anxiety and Depression
E. Psychogenic Pain and it’s Implications
F. Psychological Assessment Tools
G. The Bio-Psycho-Social Model of Pain Management
H. Psychotherapeutic Interventions
I. Hypnotherapy and Pain Management
J. Neurolinguistic Programming
K. Biofeedback and Relaxation Interventions in Pain Management
L. Guided Imagery
VIII. Pharmacotherapy Considerations
A. The Role of the Pharmacist in Pain Management
B. Opioid Therapy for Non-Cancer Related Pain
C. NSAIDs
D. The Role of Cannabis and Cannabinoids in Pain Management
E. Anti-Convulsants and other Adjuvants
F. Anti-Depressants
G. Muscle Relaxants
H. Role of Vitamins and Minerals in Pain Management
I. Natural Supplements
J. Chemical Neurolytics: Alcohol, Phenol and Glycerine
K. Corticosteroids
L. Topical and Compounded Drugs
IX. Interventional Pain Management
A. Epidural Steroid Injections
B. Sympathetic Neural Blockade
C. Facet Injections
D. Radiofrequency neurolysis
E. Muscular Injections
F. Joint Injections
G. Spinal Cord Stimulation
H. Intrathecal Pumps
X. Integrative Medicine Approaches
A. Osteopathic and Chiropractic Manual Medicine Techniques
B. Prolotherapy
C. Neural Therapy
D. Acupuncture and Traditional Chinese Medicine
E. Aromatherapy
F. Homeopathy
G. Massage Therapy
H. Naturopathy
I. Art Therapy
J. Music Therapy
XI. Legal and Ethical Considerations
A. Code of Ethics in Pain Management
B. Practitioner Specific Code of Ethics
C. American Academy of Pain Management Credentialing
D. Legal consideration in Pain Management
E. Controlled Substance Issues in Chronic Pain Management
XII. Electrical and Related Therapy
A. Alpha Stimulation
B. Micro vs. Macro-current and Stimulation
C. Auricular Therapy
D. Percutaneous Neuromodulation Therapy
XIII. Special Populations and Their Considerations
A. Pain in Infants and Children
B. Pain in the Elderly
C. Pain in the Cognitively Impaired
D. Occupational Medicine
E. Hospice and Palliative Care
F. HIV and AIDS Related Pain
G. Cancer Pain
H. Weight Loss Program
XIV. Spiritual Aspects
A. The Role of Prayer in Pain Management
B. Spiritual Assessment
XV. Additional Issues in Pain Management
A. CRNA Billing Issues
B. Organization and Set-up of a Multidisciplinary Pain Clinic
XVI. Case Presentations in Pain Management
A. Low Back Pain
B. Neck Pain
C. Post-thoracic Pain
D. Opioid Addiction
E. Radicular Pain
XVII. Lesson Plans
A. Available for each lesson
​
XVIII. Examinations
A. Each assignment has specific course questions
B. Each course will have a self-assessment test
XIX. Writing Assignments
A. One Ethics Paper
Iowa
Story County Medical Center: Nevada
Hansen Family Hospital: Iowa Falls
Grundy County Memorial Hospital: Grundy Center
Greene County Medical Center: Jefferson
Decatur County Hospital, Leon, Iowa
Cass County Hospital, Atlantic , Iowa
Clinical Rotations are available for non-pain externs/CRNAs/ARNPs at a $1,500/day fee.
What is the difference between a consult and a referral?
What are the CPT codes for a consult level I-V and what are the criteria to determine each level?
What are the CPT codes for an inpatient and outpatient follow up level I-IV?
What is the CPT code for using fluoroscopy or CT scan for an injection?
Define the following diagnosis and list their diagnostic codes: see recommended list.
What is the ICD-10 code for the following conditions:
Low back pain
Facet arthropathy (cervical, thoracic and lumbar)
Cervicalgia
Radiculopathy (cervical, thoracic and lumber)
Neuropathy
Degenerative disc disease
Spondylolysis
Spondylolythesis
Fibromyalgia
Myofascial pain syndrome
Complex regional pain syndrome I & II
Vertebral fracture
Sacrolitis
Neuralgia
Trochanteric bursitis
Postherpetic neuralgia
7. Define the following terms:
a) Visceral pain
b) Neuropathic pain
c) Bone pain
d) Sympathetic maintained pain
e) Cancer pain
f) Psychogenic pain
g) Somatic pain
8. List the components of the Emory Pain Estimate Model.
9. Describe the P-3 and BHI-2 psychometric tests and include the components of each.
10. Describe the role of the following specialties in pain management:
Anesthesiologist
CRNA
Registered Nurse
Advanced Practice Nurse/Physician Assistant
Physiatrist
Psychologist/Psychiatrist
Chiropractor
Orthopedic surgeon
Neuologist
Neurosurgeon
ENT specialist
Oral surgeon/dentist
Physical therapist
Occupational therapist
Massage therapist
Social worker
Family physician
Podiatrist
Brace specialist
Radiologist
11. List the components of a pain consultation/assessment:
12. Describe the components of a professional dictation:
13. Describe the following techniques:
Trigger point injection
Joint injection
Bursa injection
Sympathetic injection
Epidural injection
Facet joint/MBN injection
Radiofrequency Lesioning
Cryoablation
Neuroablation
14. What is a home exercise program (HEP)?
15. What is the treatment criteria for a worker’s compensation injury?
16. What procedures are CRNAs allowed and disallowed to perform on medicare insured patients?
17. What are the components of an opiate and treatment compliance contract?
18. What restrictions do private insurance carriers put on CRNAs?
19. What are the minimum requirements for a pain chart or medical record?
20. Describe the significance of the following diagnostic tests:
Plain films
CT scan
MRI
Bone scan
EMG/NCV
The student will be expected to meet the following objectives:
Relate anatomical, pathological and physiological theory to identify normal and abnormal findings.
Perform a comprehensive pain assessment that includes systematically obtaining a history, ordering and interpreting diagnostic tests, and identifying normal and abnormal physical examination findings.
Make a clinical diagnostic impression that includes the Emory Pain Estimate Model categorization, defines the type of pain syndrome and symptoms, and prescribes the appropriate treatment.
Differentiate between the various types of pain pathology: neuropathic pain, bone pain, myofascial pain, psychogenic pain, sympathetic maintained pain, visceral pain and cancer related pain syndromes.
Participate in a synthetic cadaver lab and practice various injections and associated spinal interventions based on an anticipated pathological disorder.
Apply knowledge of pharmacology, pharmacokinetics and pharmacodynamics in the management of pain syndromes using allopathic, osteopathic, naturopathic and herbal modalities.
Understand the underlying biomechanics of the human body as it relates to pain disorders and apply basic manual therapy interventions to correct abnormal posture related disorders.
Explain thoroughly the role of the different members of the interdisciplinary and multidisciplinary team.
By the completion of this program, the student will be expected to have acquired the following clinical skills to:
Perform and document a thorough pain assessment and evaluation, including requesting consultations and diagnostic studies.
Order, provide and modify pain relief therapy through the use of drugs, natural medicines, infusion therapy, manual therapy, electrical therapy, prolotherapy and neural therapy techniques.
Demonstrate on a synthetic cadaver or actual patient the performance of some common spinal interventional techniques that includes: spinal injections, epidural injections, peripheral nerve blocks, regional nerve blocks, ligamentous and myofascial injections, facet medial branch nerve blocks and other regional anesthesia related nerve blocks.
Practice in conformity with established Code of Ethics identified by the American Association of Nurse Anesthesiologists (AANA).
Meet the criteria for credentialing by NBCRNA in Non-Surgical Pain Management.
1. Epidural Injections and Considerations
A. Anatomy of the epidural space
B. Techniques for the various epidural injections
C. Use of radiopaque contrast dye
D. Pathology responsive to epiduralinjections
E. Complications related to epidural injections
2. Facet Injections and Considerations
A. Zygapophyseal joint anatomy
B. Spine range of motion
C. Intraarticular and medial branch nerve blocks
D. Spinal vasculature considerations
3. Perspectives in Pain Management
A. Definitions
B. The personal pain experience
C. Pain epidemiology
D. Consequences of untreated pain
E. Culture and pain
4. Pathophysiology of Pain
A. Pain and pain pathways
B. Gate control theory
C. Central and peripheral sensitization
D. Pain and neurotransmitters
E. Spine and brain opiate receptors
F. Role of ketamine
5. The Assessment of Pain
A. Objective components of pain
B. Pain intensity measurement
C. Pain complaint and data collection
D. Pain history
E. Physical examination
F. Dictating the findings
6. Painful Polyneuropathies
A. Diabetic peripheral neuropathy
B. Diagnostic testing
C. Treatment of neuropathies
D. Nerve anatomy
E. Examination of the foot
7. Painful Joints and Injections
A. Anatomy of the sacroiliac joint
B. Treatment of the SI joint
C. Trochanteric bursitis
D. Iliotibial band syndromes
E. Piriformis muscle syndromes
F. Joint and bursa injections
G. Genicular nerve blocks
8. Diagnostic Testing and Interpretation
A. Anatomical planes of view
B. MRI interpretation
C. Radiographic interpretation
D. Disc pathology
E. EMG and nerve conduction testing
9. Neuropathic Pain
A. Neuropathic pain disorders
B. Pharmacological considerations in neuropathic pain
C. CRPS-I and CRPS- II
D. Acute herpes zoster and post-herpetic neuralgia
E. Trigeminal neuralgia
10. Weight Loss Considerations in Pain Management
A. Nutrition and pain management
B. Anti-inflammatory diet
11. Cancer Pain Considerations
A. Pain in the patient with cancer
B. Neurosurgical interventions
C. Role of neurolytic techniques
D. Cancer pain control guidelines
E. Sympathetic blockade
12. Psychological Considerations in Pain Management
A. Psychosocial issues
B. Psychological assessment and testing
C. Neurolinguistic programing
D. Treatment strategies
13. Pharmacological considerations in Pain Management
A. Pharmacology of pain management
B. Steroids
C. NSAIDs
D. Antiepiletic drugs
E. Antispasmodics
F. Tricyclic antidepressants
G. Compounded agents and transdermal application
H. Prescribing protocols
14. Geriatric and Special Population Pain Management
A. Assessment of persistent pain
B. Pharmacological considerations
C. Non-pharmacological considerations
D. Palliative care and hospice
15. Pain in Infants and Children
A. Analgesic therapy
B. Conscious sedation considerations
C. Palliative care and hospice
16. Integrative Medicine and Pain Management
A. Complementary and alternative medicine
B. Meditation and hypnosis
C. Exercise and life pacing
D. Neural therapy
E. Prolotherapy and regenerative therapy principles
F. Other interventions
17. Complications in Pain Management
A. Anticoagulants and spinal interventions
B. Spinal interventional incidents
C. Renal failure and contrast dye
D. Particulate steroids
18. Pain Clinic Organization and Set Up
A. Pain clinic types
B. Role of pain clinic staff
C. Organization and set up
19. Ethics of Pain Management
A. Code of ethics
B. Patient's Bill of Rights
C. Legal considerations
20. Monitoring Quality of Pain Services
A. Accreditation
B. Standard of care
C. Research issues
21-26 Nonsurgical Pain Management Prep Courses
Assessments
Lesson 1-26 will each have a self-assessment to measure your knowledge
I. Perspectives in Pain and Pain Management
A. Historical Perspectives of Pain Management
B. Patient Descriptions of Pain
C. IASP and Other Descriptions of Pain
D. Consequences of Untreated Pain
E. Culture and Pain
F. Family and Pain
G. Sex, Gender and Pain
H. Racial and Ethnic Issues in Pain
I. Myths and Pain Therapy
II. Pathophysiology of Pain
A. The Neuroscience of Pain and Analgesia
B. The Pharmacodynamics of Pain and Transmission
III. Multidisciplinary Approaches to Pain Management
A. Components of a Multidisciplinary Pain Clinic
B. Starting a Pain Clinic
C. Quality Assurance in Pain Management
D. The Role of Nursing in Pain Management
E. The Role of the Physician in Pain Management
F. The Role of the Podiatrist in Pain Management
G. The role of the Physical Therapist
H. The Role of the Occupational Therapist
I. Vocational Rehabilitation
J. The Role of the Dentist and Oral Surgeon in Pain Management
IV. The Assessment of Pain
A. Measuring Pain Intensity
1. Types of Pain: Classifications and Concepts
a. Somatic Pain
b. Neuropathic Pain
c. Cancer Pain
d. Psychogenic Pain
e. Bone Pain
f. Sympathetic Pain
g. Visceral Pain
B. Fibromyalgia
C. Primary Headache Disorders
D. Post-Traumatic Head Injuries
E. TMJ Disorders
F. Abdominal Pain
G. Low Back Pain
H. Pelvic Pain
I. Urologic Pain
J. Rheumatologic Related Pain
K. Orthopedic Pain
L. Myofascial Pain Syndromes
M. CRPS Type I and II
N. Post-herpetic Neural
O. Painful Polyneuropathies
B. Medical History and Clinical Interview
C. Neuromuscular Examination
V. Common Pain Syndromes
VI. Diagnostic Interpretations
A. Lab Testing for Pain Disorders
B. Functional Capacity Evaluations
C. Plain Films
D. CT Scans
E. MRI
F. Thermography
G. PET Scans
H. EMG and NCV
I. Ultrasound
J. Bone Scans
K. Discography
L. Myelogram
VII. Bio-Behavorial Assessment and Interventions
A. Chronic Pain and Addictions
B. The Role of the Psychologist in Pain Management
C. The Role of the Social Worker in Pain Management
D. Addressing Anxiety and Depression
E. Psychogenic Pain and it’s Implications
F. Psychological Assessment Tools
G. The Bio-Psycho-Social Model of Pain Management
H. Psychotherapeutic Interventions
I. Hypnotherapy and Pain Management
J. Neurolinguistic Programming
K. Biofeedback and Relaxation Interventions in Pain Management
L. Guided Imagery
VIII. Pharmacotherapy Considerations
A. The Role of the Pharmacist in Pain Management
B. Opioid Therapy for Non-Cancer Related Pain
C. NSAIDs
D. The Role of Cannabis and Cannabinoids in Pain Management
E. Anti-Convulsants and other Adjuvants
F. Anti-Depressants
G. Muscle Relaxants
H. Role of Vitamins and Minerals in Pain Management
I. Natural Supplements
J. Chemical Neurolytics: Alcohol, Phenol and Glycerine
K. Corticosteroids
L. Topical and Compounded Drugs
IX. Interventional Pain Management
A. Epidural Steroid Injections
B. Sympathetic Neural Blockade
C. Facet Injections
D. Radiofrequency neurolysis
E. Muscular Injections
F. Joint Injections
G. Spinal Cord Stimulation
H. Intrathecal Pumps
X. Integrative Medicine Approaches
A. Osteopathic and Chiropractic Manual Medicine Techniques
B. Prolotherapy
C. Neural Therapy
D. Acupuncture and Traditional Chinese Medicine
E. Aromatherapy
F. Homeopathy
G. Massage Therapy
H. Naturopathy
I. Art Therapy
J. Music Therapy
XI. Legal and Ethical Considerations
A. Code of Ethics in Pain Management
B. Practitioner Specific Code of Ethics
C. American Academy of Pain Management Credentialing
D. Legal consideration in Pain Management
E. Controlled Substance Issues in Chronic Pain Management
XII. Electrical and Related Therapy
A. Alpha Stimulation
B. Micro vs. Macro-current and Stimulation
C. Auricular Therapy
D. Percutaneous Neuromodulation Therapy
XIII. Special Populations and Their Considerations
A. Pain in Infants and Children
B. Pain in the Elderly
C. Pain in the Cognitively Impaired
D. Occupational Medicine
E. Hospice and Palliative Care
F. HIV and AIDS Related Pain
G. Cancer Pain
H. Weight Loss Program
XIV. Spiritual Aspects
A. The Role of Prayer in Pain Management
B. Spiritual Assessment
XV. Additional Issues in Pain Management
A. CRNA Billing Issues
B. Organization and Set-up of a Multidisciplinary Pain Clinic
XVI. Case Presentations in Pain Management
A. Low Back Pain
B. Neck Pain
C. Post-thoracic Pain
D. Opioid Addiction
E. Radicular Pain
XVII. Lesson Plans
A. Available for each lesson
XVIII. Examinations
A. Each assignment has specific course questions
B. Each course will have a self-assessment test
XIX. Writing Assignments
A. One Ethics Paper
Clinical Sites
Decatur County Hospital, Leon, Iowa
Hansen Family Hospital, Iowa Falls, Iowa
Grundy Center Memorial Hospital, Grundy Center, Iowa
Greene County Hospital, Jefferson, Iowa
​
Clinical Rotations are available for non-pain externs/CRNAs/ARNPs at a $1,500/day fee.
What is the difference between a consult and a referral?
What are the CPT codes for a consult level I-V and what are the criteria to determine each level?
What are the CPT codes for an inpatient and outpatient follow up level I-IV?
What is the CPT code for using fluoroscopy or CT scan for an injection?
Define the following diagnosis and list their diagnostic codes: see recommended list.
What is the ICD-10 code for the following conditions:
Low back pain
Facet arthropathy (cervical, thoracic and lumbar)
Cervicalgia
Radiculopathy (cervical, thoracic and lumber)
Neuropathy
Degenerative disc disease
Spondylolysis
Spondylolythesis
Fibromyalgia
Myofascial pain syndrome
Complex regional pain syndrome I & II
Vertebral fracture
Sacrolitis
Neuralgia
Trochanteric bursitis
Postherpetic neuralgia
7. Define the following terms:
a) Visceral pain
b) Neuropathic pain
c) Bone pain
d) Sympathetic maintained pain
e) Cancer pain
f) Psychogenic pain
g) Somatic pain
8. List the components of the Emory Pain Estimate Model.
9. Describe the P-3 and BHI-2 psychometric tests and include the components of each.
10. Describe the role of the following specialties in pain management:
Anesthesiologist
CRNA
Registered Nurse
Advanced Practice Nurse/Physician Assistant
Physiatrist
Psychologist/Psychiatrist
Chiropractor
Orthopedic surgeon
Neuologist
Neurosurgeon
ENT specialist
Oral surgeon/dentist
Physical therapist
Occupational therapist
Massage therapist
Social worker
Family physician
Podiatrist
Brace specialist
Radiologist
11. List the components of a pain consultation/assessment:
12. Describe the components of a professional dictation:
13. Describe the following techniques:
Trigger point injection
Joint injection
Bursa injection
Sympathetic injection
Epidural injection
Facet joint/MBN injection
Radiofrequency Lesioning
Cryoablation
Neuroablation
14. What is a home exercise program (HEP)?
15. What is the treatment criteria for a worker’s compensation injury?
16. What procedures are CRNAs allowed and disallowed to perform on medicare insured patients?
17. What are the components of an opiate and treatment compliance contract?
18. What restrictions do private insurance carriers put on CRNAs?
19. What are the minimum requirements for a pain chart or medical record?
20. Describe the significance of the following diagnostic tests:
Plain films
CT scan
MRI
Bone scan
EMG/NCV
Didactic-online Litmos Includes course content and supportive references One time fee: $800
Clinical labs and mini-courses See below for labs and cost
Clinical observation only Requires minimal credentialing- Negotiable fee
Supervised hands-on clinical Requires state license, malpractice, extensive credentialing, and completion of online training Fee is $9,000 for all the above components combined
Mentoring Available for the novice or experienced with each course
Physical Assessment: The Focused Examination
TBA
Time: 0800-1200
Location: Grundy Center, Iowa
Price: $250
Diagnostic Interpretation for the Nurse Pain Specialist
TBA
Time: 1300-1600
Location: Grundy Center, Iowa
Price: $250
Fluoroscopic-Guided Epidural Training
TBA
Time: 0800-1700
Location: Grundy Center, Iowa
Price: $1,200
Fluoroscopic-Guided Selective Joint Injection Training
TBA
Time: 0800-1600
Location: Grundy Center, IA
Price: $1,200
Radiofrequency Ablation Training
TBA
Time: 0800-1800
Location: Grundy Center, IA
Price: $1,500
Spinal Interventional Lab
TBA
Time: 0800-1800
Location: Grundy Center, IA
Price: $1,500
Ph.D. Nursing Education
Studied Biobehavioral Aspects of Pain (Hypnotherapy)
Post-Graduate Certificate in Pain Management
MHS Nurse Anesthesiology for Army Nurse Corps Officers
Bachelor of Science in Nursing
Diplomat American Academy of Pain Management
2015 Ira P. Gunn Award winner for professional advocacy
2015 Exceptional Leadership, Service, and Dedication Award, IANA
PhD Student and Pain and Associated Symptoms Research Fellow, University of Iowa
Graduate Certificate in Applied Biostatistics, University of Minnesota
Fellowship in Nonsurgical Pain Management, Texas Christian University
Externship in Pain Management, Premier Pain Management
Master of Science, Nurse Anesthesia, Saint Mary’s University of Minnesota
Bachelor of Science, Nursing Science, St. Cloud State University
Ph.D. Nursing Education
Studied Biobehavioral Aspects of Pain (Hypnotherapy)
Post-Graduate Certificate in Pain Management
MHS Nurse Anesthesiology for Army Nurse Corps Officers
Bachelor of Science in Nursing
Diplomat American Academy of Pain Management
2015 Ira P. Gunn Award winner for professional advocacy
2015 Exceptional Leadership, Service, and Dedication Award, IANA
Collaborative Faculty, University of South Florida Pain Management Fellowship
Clinical Instructor, Texas Christian University Pain Management Fellowship
President and Owner, Midwest Integrated Pain Care, P.C.
Pain Management Practitioner, Midwest Integrated Pain Care, P.C.
Adjunct Assistant Professor, University of South Florida, Tampa, FL
​Clinical coordinator and preceptor, CRNA accredited fellowship post-graduate program in Advanced Pain Management.​
Adjunct Clinical Instructor, Texas Christian University, Ft. Worth, TX
Clinical coordinator and preceptor, CRNA accredited fellowship post-graduate program in Advanced Pain Management.​
Adjunct Assistant Professor, University of Iowa, Iowa City, IA
Curriculum Developer/Instructor, AANA Jack Neary Advanced Pain Management I and II Program
Curriculum Developer/Instructor, National Anesthesiology Pain Education Seminars
Former Assistant Professor, Bradley University School of Nursing, Peoria, IL
​Clinical preceptor for nurse anesthetists and physicians in residency
Former Adjunct Professor, University of Illinois Medical College, Peoria, IL
​​Clinical preceptor for nurse anesthetists and physicians in residency
​Expert witness-consultant in medical/legal cases involving nurse anesthesia and pain management
Founding member of the Nurse Anesthesiology Pain Education Seminars (NAPES) corporation
President/Owner, Sleepers Anesthesia Service, P.C.
President/Owner, Premier Pain Management LLC​
Adjunct Assistant Professor, University of South Florida, Tampa, FL
​Clinical coordinator and preceptor, CRNA accredited fellowship post-graduate program in Advanced Pain Management.​
Adjunct Clinical Instructor, Texas Christian University, Ft. Worth, TX
Clinical coordinator and preceptor, CRNA accredited fellowship post-graduate program in Advanced Pain Management.​
Adjunct Assistant Professor, University of Iowa, Iowa City, IA
Curriculum Developer/Instructor, AANA Jack Neary Advanced Pain Management I and II Program
Curriculum Developer/Instructor, National Anesthesiology Pain Education Seminars
Former Assistant Professor, Bradley University School of Nursing, Peoria, IL
​Clinical preceptor for nurse anesthetists and physicians in residency
Former Adjunct Professor, University of Illinois Medical College, Peoria, IL
​​Clinical preceptor for nurse anesthetists and physicians in residency
​Expert witness-consultant in medical/legal cases involving nurse anesthesia and pain management
Founding member of the Nurse Anesthesiology Pain Education Seminars (NAPES) corporation
President/Owner, Sleepers Anesthesia Service, P.C.
President/Owner, Premier Pain Management LLC​
American Association of Nurse Anesthetists
Iowa Association of Nurse Anesthetists
American Nurses Association and the Iowa Association of Nurses
International Association for the Study of Pain (IASP)
International Association for the Study of Pain (IASP)
American Society of Ketamine Physicians, Psychotherapists & Practitioners (ASKP3)
American Society for Pain Management Nursing (ASPMN)
American Association of Nurse Anesthesiologists (AANA)
Iowa Association of Nurse Anesthetists and Iowa Nurses Association
American Association of Nurse Anesthetists
Iowa Association of Nurse Anesthetists
American Nurses Association and the Iowa Association of Nurse Anesthesiologists (AANA)
International Association for the Study of Pain (IASP)
Active in the organization and set up of pain clinics and physician practices throughout the US. His professional interests are in interventional pain management, bio-behavioral approaches to pain management, and pain management education.
Presently, Dr. Barnhill works for Heartland Pain Management a professional healthcare company in Des Moines, Iowa.
He manages pain clinics in four locations in Iowa.
His significant projects include:
Collaboration with the American Association of Nurse Anesthetists for the Jack Neary Course
Collaboration in the Development of the Hamline University Post-Graduate Program in Advanced Pain Management.
Collaboration in the Development of the Texas Christian University Post-Graduate Program in Advanced Pain Management
Also acts an clinical instructor for the spinal interventional simulation lab at the USF facility.
Most recent publication, co-authored: "Answering the call to address chronic pain in military service members and veterans: Progress in improving pain care and restoring health," (September-October, 2016), Nursing Outlook. http://dx.doi.org/10.1016/j.outlook.2016.05.010
Mr. Jacobs currently shares his time between his clinical pain practice and research interests. His clinical interests include interventional pain management, management of central pain disorders, and training/mentoring advanced practice nurses in comprehensive pain treatment. His research interests include exploring biomarkers and therapeutics for nociplastic pain syndromes, advanced neuroimaging techniques of the spine, and symptomatology of neurogenic inflammation.
Active in the organization and set up of pain clinics and physician practices throughout the US. His professional interests are in interventional pain management, bio-behavioral approaches to pain management, and pain management education.
Presently, Dr. Barnhill works for Heartland Pain Management, a professional healthcare company in Des Moines, Iowa.
He has pain clinics in four locations in Iowa.
His significant projects include:
Collaboration with the American Association of Nurse Anesthetists for the Jack Neary Course
Collaboration in the Development of the Hamline University Post-Graduate Program in Advanced Pain Management.
Collaboration in the Development of the Texas Christian University Post-Graduate Program in Advanced Pain Management
Also acts an clinical instructor for the spinal interventional simulation lab at the USF facility.
Most recent publication, co-authored: "Answering the call to address chronic pain in military service members and veterans: Progress in improving pain care and restoring health," (September-October, 2016), Nursing Outlook. http://dx.doi.org/10.1016/j.outlook.2016.05.010