/reference/coa
COA case minimums
Council on Accreditation requires nurse anesthesia students hit specific case-experience minimums to graduate. Check current COA Standards for Accreditation (most recent revision) for binding numbers — these are summary targets.
Total minimum cases: ~1665 across all categories (note: a single case can count toward multiple categories — e.g., a thoracotomy under GA with epidural counts toward general, regional, thoracic, and intra-abdominal).
Patient Care: Lifespan
Patient ages 2 mo to 65 yr
≥ 600
Pediatric (< 2 yr)
≥ 30
Geriatric (> 65 yr)
≥ 100
Anesthesia Methods
General anesthesia
Mix mask, LMA, ETT
≥ 400
Regional anesthesia (any technique)
≥ 25
MAC
≥ 25
Airway Management
Endotracheal intubation
≥ 200
Mask only
≥ 25
LMA / supraglottic
≥ 25
Fiberoptic intubation
Awake or asleep
≥ 5
Surgical Specialty
Intra-abdominal
≥ 20
Intracranial
≥ 5
Cardiac
On- or off-pump
≥ 5
Vascular
≥ 5
Thoracic (non-cardiac)
≥ 5
Orthopedic
≥ 25
Obstetric
Both vaginal + cesarean
≥ 35
ENT
≥ 5
Genitourinary
≥ 5
Special Procedures
Arterial line placement
≥ 25
Central line placement
≥ 5
Spinal anesthesia
≥ 25
Epidural anesthesia
≥ 35
Peripheral nerve block
≥ 25
Trauma
≥ 5
Transplantation
No minimum but exposure encouraged
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Personal case-tracking dashboard launches with auth (Day 4). Drop a CSV from Typhon and we'll map it to these targets + show what you're short on.