Collaborative Advanced Management of Airways for Nurses (CAMAN)

Everyone knows there is oxygen and intubation...but what about everything between and beyond?

The course is a combination of lectures and hands on skill stations.

Lectures

In lieu of a formal test, students work together to used a staged approach to oxygen delivery, ventilation techniques including the management of the difficult to ventilate patient. Good BVM technique is heavily emphasized. Students will learn about  airway assessment, RSI, awake intubations, surgical airways and when each are recommended.  Options for your team when facing a difficult or failed intubation are also discussed.  Students are expected to understand the appropriate drugs, dosages & delivery used in RSI, and to incorporate those pharmacology decisions into the airway management decision tree. 

The alliance with the AIME course has allowed CAMAN to incorporate the AIME professionally produced videos and pictures giving the course a depth not possible before. The goal is to ensure physicians and nurses have one unified approach to airway management.  Both courses use the same manual, the AIME Manual by Dr Adam Law and Dr George Kovacs. 

Skill Stations

  1. Airway Assessment and Ventilation Techniques.  Emphasis is on assessment, recognizing and managing the difficult to ventilate patient.
  2. Intubation Station.  Identifying airway anatomy, and grades of laryngoscopic views, nurses learn the basics and challenges of intubation, including using the bougie for a grade 3A view.  Various techniques for securing ETT tubes for infants, children and adults are also covered.
  3. Alternative Intubating and Rescue Devices. Includes use of the bougie,  blade change, use of ELM or BURP, Trach-light, LMA,  ILMA , Combitube  or King LT and a look at surgical airways using the Melker kit when used by appropriately trained personnel. 
  4. ‘Pulling it All Together’ Scenarios.  This final station provides nurses with the opportunity to lead airway  management cases, making all the decisions based on clinical presentation, including RSI specific pharmacy decisions; appropriate use and timing of rescue devices; and post intubation care.

Important Note Regarding Scope of Practice

Attendance at the course does not certify the Registered Nurse to perform the skills in their workplace.  Skills learned in this course fit into Sections 6 and 7 of the Scope of Practice for a Registered Nurse in The College of Registered Nurses of British Columbia’s Scope of Practice document.  It is the responsibility of a Registered Nurse’s employer to provide policy and guidance surrounding advanced skills and the ability for a Registered Nurse to perform these independently in the workplace.  At this time, endotracheal intubation and surgical airways are explicitly not within the scope of the Registered Nurse in British Columbia.

Alternative and Rescue Devices fit within Sections 6 and 7 and have been shown to be extremely beneficial to patients and in many cases take away from the need for intubation until the patient is more stabilized.  We support their use independently by Registered Nurses and are willing to work with employers to ensure that Registered Nurses who take the CAMAN course are supported with performing these skills in the workplace.  This can be through a variety of means from developing policy to specific policy review provided by employers in the course.

It is up to each employer to deem a Registered Nurse competent at performing a skill and providing policy to support the skill.  We are willing to work with employers to provide a complete solution on the day of the course to complete any skill review requirement and provide a report back to the employer that the skill was demonstrated if this is requested and the staff member consents.

How our CAMAN registration process works...

  1. Search our online course availability below.
  2. If there are still confirmed spaces in the course available you will see "Regular Registration" selected.  If there are no spaces left, you will see "Waiting List" selected.  If you are registering for a waiting list space, make sure you read the process at the link mentioned.
  3. Your textbook will be sent five weeks before the course start date but may arrive earlier depending on the availability of the textbooks from the USA.  All shipping is by Canada Post, please include your PO Box in your shipping address if you are from a rural community without mail delivery.  Please also use an address where you will be 5-6 weeks before the course.  If you have an extenuating circumstance that requires a different shipping arrangement (or an address that might be changing around shipping time), please make note of this in the comments section of the Checkout page and we will contact you.