
0756_SHVGR_WALANT Hand Surgery_Live
Description:
This virtual grand rounds will provide a comprehensive overview of Wide Awake Local Anesthesia No Tourniquet (WALANT) surgery for common hand procedures, including carpal tunnel release, trigger finger release, and tendon repairs. Beyond addressing knowledge gaps, the session will clarify the pharmacologic principles, dispel persistent myths, and present current data on safety and efficacy. The session will also explore how WALANT can improve patient outcomes, and enhance surgical efficiency, empowering providers to confidently integrate this technique into their practice.
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
Fish MJ, et al. [Updated 2023 Apr 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Updated 2023 Apr 17
Available via StatPearls: Read the article
Bravo D, Townsend CB, Tulipan J, Ilyas AM. Economic and Environmental Impacts of the Wide-Awake, Local Anesthesia, No Tourniquet (WALANT) Technique in Hand Surgery: A Review of the Literature. J Hand Surg Glob Online. 2022 Jun 17;4(6):456-463. doi: 10.1016/j.jhsg.2022.05.009. PMID: 36425376; PMCID: PMC9678698.
Free full text available via Europe PMC: Read the article
Target Audience
Nurse Practitioner (NP)
Nurse, Registered (RN)
Pharmacists (PharmD)
Physicians (MD or DO)
Physician Assistant (PA)
Psychologists
Social Workers
Other Healthcare Professionals
Physical Therapist
Learning Objectives
By the end of this learning activity, participants will be able to:
1.) Review presentations and treatments of common hand pathologies.
2.) Analyze the principles and pharmacology of WALANT surgery.
3.) Explore the benefits and challenges of WALANT surgery.
Gnanagurudasan Prakasam, MD, a planning team member for this activity, receives consultant fees from Novo Nordisk (related to growth hormones), Medtronic (related to insulin pumps), Dexcom (related to glucose sensors), Mankind (related to inhaled insulin), Alexion (related to HPP), and K Kirin (related to XLH) as well as speaker fees from Lilly (related to diabetes), Sanozi (related to Diabetes Type 1 prevention), and Abbvie (related to puberty). These ineligible relationships were deemed not relevant to this activity’s topic, and thus mitigation was not needed.
Sophia Humphreys, PharmD, a planning team member for this activity has recently ended financial relationships with the following ineligible companies: Pharmacosmos (ended 12/2023), Fresenius Kabi (ended 10/2022), and Heron (ended 10/2022).
No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
Additional faculty involved the planning of this learning activity are as follows:
Carolin Delker, NP
Max Ingersoll, FNP-BC, MSN
Jill Kacher Cobb, MD
Tam Nguyen, MD
Lori Petrini
Michelle Mah
Luanne Ridgley, LSW
Christopher Mack
Sharmi Mukherjee, PT
Jennifer Biltoft, Pharm.D., MHA, BCPS
– Provider Designee/Verification: Fozia Ferozali, Ed.D
Accreditation

In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 1.00 AMA PRA Category 1 Credits™ for physicians, 1.00 continuing professional development contact hours for nurses, 1.00 knowledge-based contact hours for pharmacists,1.00 approved continuing education hours for social workers, and 1.00 continuing education competency credits for physical therapy units for physical therapists.
Note to Other Disciplines: Non-Physician Participation Credit (AKA - AMA PRA Category 1 Credits HOURS™) Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Available Credit
- 1.00 ACPE
Pharmacy Credit - Accreditation Council of Pharmacy Education (ACPE)
Sutter Health designates this Live activity for a maximum of 1.00 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Pharmacists should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 1.00 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
- 1.00 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 1.00 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ASWB-ACE
Social Work Credit
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
- 1.00 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity. - 1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
- 1.00 PTBC
Physical Therapy Board of California
Sutter Health designates this Live activity for a maximum of 1.00 PTBC credit(s). Physical therapists should claim only the credit commensurate with the extent of their participation in the activity.

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