Online Courses

The Transgender Patient and Perioperative Complications

Price: $15.00
Nursing CE: 1.50   Imaging CE: 2.50
This course is accessible until 7/31/2025

This course was designed to assist the healthcare practitioner in developing a solid understanding of perioperative complications in the transgender individual undergoing surgery and offer recommendations regarding the anesthetic care of this population. The critical risks of Hormone Replacement Therapy (HRT) and Gender Affirming Surgery (GAS) in the perioperative period most pertinent to the anesthesia provider such as venous thromboembolism (VTE), myocardial infarction (MI), cerebrovascular accident (CVA), restrictive lung patterns, and difficult airway will be discussed. Anesthesia care recommendations will involve the anesthesia provider’s plan including preoperative evaluation, induction considerations, intraoperative considerations, and plan for emergence. The recommendations encountered in the research will increase the anesthesia provider’s knowledge of the benefits of tailoring care to this population, thereby decreasing morbidity and mortality while increasing patient safety.

Anesthesia care recommendations will involve the anesthesia provider’s plan including:

  • Preoperative Evaluation
  • Induction Considerations
  • Intraoperative Considerations
  • Plan for Emergence

Upon the successful completion of this course, program participants will be able to:

  1. Define the transgender individual.
  2. Identify the transgender surgical patient undergoing gender affirming therapies at risk for perioperative complications.
  3. Examine the effects of HRT discontinuation prior to surgery and potential medication interactions.
  4. Summarize the critical complications associated with HRT in the transgender patient during the perioperative period.
  5. Formulate an anesthetic plan for transgender surgical patients on HRT.
  6. Summarize the critical complications associated with gender affirming surgeries and practices in the transgender patient during the perioperative period.
  7. Formulate an anesthetic plan for transgender surgical patients who have undergone gender affirming procedures or have partaken in gender confirming practices.

Qualified Planners/Faculty

Abilio Cima, BSN, RN, CCRN

Abilio Cima is currently a Student Registered Nurse Anesthetist (SRNA) pursuing a Doctorate of Nurse Anesthesia Practice (DNAP) degree at AdventHealth University, Orlando FL. Prior to the DNAP program, Abilio obtained his Bachelor in Science of Nursing (BSN) at AdventHealth University, graduating with Summa Cum Laude, GPA 3.92. He then began working for AdventHealth Orlando in 2017 as a bedside nurse on the Surgical Oncology Progressive Care Unit, caring for post-surgical and chronic cancer patients. In 2018, he worked in the Cardiac/Medical Intensive Care Unit (CICU/MICU) and gained vast experience and professional growth by caring for critically ill patients including ECMO evaluations, pre-heart and lung transplant, and advanced heart failure, post-cardiopulmonary arrest. He also worked on the first COVID ICU in Florida up until being accepted into the DNAP program. During this time in the ICU, he attained his Critical Care Registered Nurse (CCRN) certification. After two and a half years of experience, Abilio then pursued a career in Nurse Anesthesia.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

Kelsey Dobes, BSN, RN, CCRN

Kelsey Dobes is currently enrolled in a Doctorate of Nurse Anesthesia Practice program at Adventhealth University. She is a Certified Critical Care Registered Nurse, with a background in surgical, transplant, and cardiac intensive care. She also practiced as an ICU nurse at the frontlines of the Covid-19 crisis. Kelsey attended The University of Central Florida Honors College where she was awarded the John C. Hitt Presidential Scholarship. Here, she graduated as Salutatorian with her degree in the Bachelor of Science in Nursing. Kelsey is currently utilizing her position as a student nurse anesthetist to educate and promote inclusive and safe anesthetic care to her peers and colleagues.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

Bao Ta, BSN, RN

Bao Ta is a University of Central Florida alumnus where he graduated with Cum Laude while receiving his Bachelors in Science of Nursing. He began his nursing journey in 2017 on a Multisystem PCU with AdventHealth Orlando where he was able to expand his knowledge of the field and work amongst a variety of patients. After expanding his role as a preceptor for new graduates, Bao strived to broaden his proficiency further which led him to become a Cardiovascular Intensive Care Unit (CVICU) nurse. As a CVICU nurse, he adapted to working with heart and lung transplant patients, patients who required mechanical circulatory support devices, such as ventricular assistive devices and total artificial hearts, as well as precepting within a year of being on the unit. Bao is constantly seeking to feed his passion for learning and aggrandize his knowledge in the medical field. During his time in CVICU he also obtained his CCRN certification, which encouraged him to pursue schooling at AdventHealth University for his Doctorate of Nurse Anesthesia where he is currently a Student Registered Nurse Anesthetist.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

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2001 K Street, NW
Suite 300 North
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Phone: 978.443.7591
https://www.ahra.com
CE Credits: 2.50, Category: A ARRT
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https://www.nursingworld.org
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Phone: 501-686-2700
https://www.arsbn.org/
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Registered Nurse Practitioner
Certified Nurse Practitioner
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Phone: 877-672-2174
https://dchealth.dc.gov/bon
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Registered Nurse (Clinical Nurse Specialist)
Licensed Practical Nurse
Registered Nurse (Nurse Practitioner)
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Registered Nurse (Registered Nurse Anesthetist)

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BIN C-02
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Phone: 850-245-4444
https://floridasnursing.gov/
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Registered Nurse
Advanced Practice Registered Nurse
Licensed Practical Nurse
Certified Nursing Assistants

- 7/31/2025
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Phone: 478-207-2440
https://sos.ga.gov/georgia-board-nursing
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Licensed Practical Nurse
Registered Professional Nurse

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Phone: 5024293300
https://kbn.ky.gov
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Licensed Practical Nurse

Registered Nurse

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900 SW Jackson
Landon State Office Building, Suite 1051
Topeka, KS 66612
Phone: 785-296-4929
https://ksbn.kansas.gov/
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Registered Nurse

Licensed Practical Nurse

Nurse Practitioner

Clinical Nurse Specialist

Nurse Midwife

Registered Nurse Anesthetist

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713 S. Pear Orchard Road
Suite 300
Ridgeland, MS 39157
Phone: 601-957-6300
https://www.msbn.ms.gov/
Contact Hours: 1.50, Category: General

Registered Nurse

Licensed Practical Nurse

- 7/31/2025
Bureau of Professional Licensing
611 W. Ottawa
Lansing, MI 48933
Phone: 517-241-0199
https://www.michigan.gov/lara/bureau-list/bpl/health/hp-lic-health-prof/nursing
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Licensed Practical Nurse Special Volunteer

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Suite 504
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Phone: 701-328-9777
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Advanced Practice Registered Nurse
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Suite 710
Albuquerque, New Mexico 87110
Phone: 5058418340
https://nmbon.sks.com
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Licensed Practical Nurse
Certified Registered Nurse Anesthetist
Certified Nurse Practitioner
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Phone: 803-896-4550
https://llr.sc.gov/
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Phone: 4073039798
https://www.ahu.edu/academics/doctor-of-nurse-anesthesia-practice
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Suite B
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Phone: (307)777-7601
https://wsbn.wyo.gov/
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Certified Nurse Specialist
Certified Nursing Assistant
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Licensed Practical Nurse
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Suite 203
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Phone: 304-744-0900
https://wvrnboard.wv.gov/
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Registered Nurse
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Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules
  • Participate and pass all learning checks
  • Pass the Post Test(s) with a minimum score of 80%
  • Complete and submit the on-line evaluation

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

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*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.