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Norton, John A. DO


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410 W 10th Ave
Columbus, OH 43210

Phone: (614) 293-8487

Email: norton.7@osu.edu

 

Current OSU Appointments

Associate Professor-Clinical, Anesthesiology

Physician, FGP-Anesthesiology

 

Biographical

I am a board-certified anesthesiologist practicing at The Wexner Medical Center at The Ohio State University for the past 10 years. I maintain a very active role in clinical anesthesia practice, teaching and administrative leadership. As such, I am on the clinical excellence track for promotion in the Department of Anesthesiology at The Ohio State University Wexner Medical Center. I have made efforts to excel in teaching, scholarship and administrative service consistent with the requirements of this promotion track.

My true passion has always been in the delivery of dedicated and caring anesthesia service to our patients while teaching what I have learned to others in training. Examples of my efforts in teaching excellence include: I was awarded Teacher-of-the-Year by both the Department of Anesthesiology and the University (2007). I acted as the Regional Anesthesiology and Acute Pain Medicine fellowship director from 2009 to 2013. During this time, I developed the fellowship curriculum for the Regional Anesthesiology and Acute Pain Medicine fellowship currently in use by our department. I have acted as an advisor for numerous fellows and residents enrolled in our training program. I helped develop and maintain one of the first out-patient perineural catheter services in the Columbus area based at University Hospitals East (UHE). I coordinated with 2 other anesthesiologists at UHE to have our site designated as a Center of Excellence for perineural catheter placement for one year under the Kimberly Clark Foundation. As a Center of Excellence, invited faculty would observe our patient care as we placed perineural catheters for outpatient surgery. In so doing, it allowed visiting faculty an opportunity to learn about our specialized patient management, ask questions and modify their own practices as a result.

I have also co-authored an award-winning (British Medical Association Medical Book Award Winner: Highly Commended in the Anaesthesia category) and international selling (sold on 5 continents in 2011 alone) textbook published in 2011 entitled "Ultrasound Guided Regional Anesthesiology: A Practical Approach to Peripheral Nerve Blocks and Perineural Catheters". This text has been translated into Chinese since the initial publication. I have and continue to serve on committees for the American Society of Anesthesiology (Committee on Regional Anesthesiology (2014, 2015)) and the Ohio Society of Anesthesiologists, and I have fulfilled commitments as an invited faculty to teach at local and regional anesthesia workshops.

I have also made a commitment to excel in scholarship and clinical research over the past 10 years. Examples of some of my accomplishments in this area include co-authoring a new and novel approach to sciatic nerve blockade under ultrasound guidance (Khabiri B; Arbona F; Norton J. ""Gapped supine" position for ultrasound guided lateral popliteal fossa block of the sciatic nerve." Anesthesia and Analgesia. Vol. 105, no. 5. (Nov 2007): 1519.) along with other clinical research relating to regional anesthesia. I have collaborated with surgeons and other anesthesia faculty members to study investigational medications and the effects on postoperative pain control (Flanigan D, Kaeding C, Uribe A, Norton J, Hamilton C, Roth A, Bergese S, Desocio P, Arbona F, Editor. "A Pilot Study to Determine the Efficacy of Intravenous Ibuprofen for Pain Control Following Arthroscopic Knee Surgery." Presented at Arthroscopy Association of North America Annual Conference (Apr 2015)).

I have made a strong commitment to service in an administrative leadership role for the purpose of improving the work environment for patients, physicians and staff alike. I was asked to fill the position of Perioperative Medical Director at University Hospital East in 2012. Since that time, I have directed multiple process improvement initiatives for the betterment of our perioperative team (including physicians, staff and patients). University Hospital East provides operative services to approximately 7500 patients annually, running up to 13 ORs/day. Examples of my involvement in process improvement efforts impacting our surgical patient and staff populations include: 1.) I led an initiative that improved and sustained first-case on-time OR starts success from 35% average to >80% average, 2.) I facilitated improvement of ambulatory PACU throughput at UHE by implementing changes involving communication of readiness for discharge, communication to physical therapy (if needed), and the timing in which patients were being dressed for discharge. Instituting these changes resulted in our goal of "patient discharge in 90 minutes" improving from less than 20% to near 50% over the first month without staffing increases. 3.) I implemented processes to improve OR room turnover including defining staff roles, updating surgeon preference cards and communication timing between turnover-team members. UHE OR room-turnover has decreased since project implementation from an average of >36 minutes to now 30 minutes, 4.) I acted as the physician champion of our Central Sterile Supply (CSS) process improvement effort resulting in an overhaul of the UHE CSS environment including area renovation and organization, staffing and leadership changes, and ultimately a decrease in our average number of contaminated trays reported from >60 / month in 2013 to @20 /month in 2015, 5.) I created and instituted benchmarks, with UHE administration approval, for management of the UHE block schedule to improve processes related to block time requests, 6.) I instituted and continue to chair the UHE OR Utilization Committee which meets quarterly to review surgeon utilization data based on the benchmarks created and approved in #5, 7.) I led a hospital-wide, multidisciplinary workgroup to improve the safe and efficient dispensing of blood products that resulted in a UHE-specific protocol for mass transfusion scenarios, 8.) I act as the physician lead, contact and champion for our UHE perioperative renovation (PREOP and PACU) advising the administration on behalf of faculty who will be working in this environment in the future. 9.) In 2014, I was awarded a physician excellence award by the health system: the Physician-Champion of Nursing. 10.) I have continued to serve on multiple health system, hospital and departmental committees.

I feel these examples exemplify my commitment to clinical excellence at The Ohio State University Wexner Medical Center.

Continuing Education, Extension, and Other Courses Taught

Title: Ultrasound Guided Placement of Perineural Catheters
Conference: Kimberly Clarke Corporation / OSUMC Center of Education, September 2010
Location: Ohio State University Hospital East
Presented by: John A. Norton, D.O.
Educational course for visiting anesthesiologists to learn and further develop skill-set for the placement of peripheral nerve blocks and catheters.
Taught ultrasound guided techniques for the placement of peripheral nerve catheters to rotating professionals.

Title: Ultrasound-Guidance in Regional Anesthesia – Workshop
Conference: Midwest Anesthesia Residents Conference, January 2010
Location: Cincinnati, OH
Presented by: John A. Norton, D.O.
Taught fundamentals of ultrasound guidance in regional anesthesia to workshop participants

Title: Ultrasound-Guidance in Regional Anesthesia
Conference: University of Cincinnati College of Medicine, March 2010
Location: Cincinnati, OH
Presented by: John A. Norton, D.O.

Title: Ultrasound-Guidance in Regional Anesthesia
Conference: The Ohio Society of Anesthesiologists, September 2010
Location: Columbus, OH
Presented by: John A. Norton, D.O.
Taught fundamentals of ultrasound guidance in regional anesthesia to workshop participants

Title: Ultrasound-Guidance in Regional Anesthesia
Conference: The Ohio Society of Anesthesiologists, September 2009
Location: Columbus, OH
Presented by: John A. Norton, D.O.
Taught fundamentals of ultrasound guidance in regional anesthesia to workshop participants


NATIONAL

Title: "A Case Report of Central Anticholinergic Syndrome Following Transdermal Scopolamine Use in an Ambulatory Surgery Patient" Poster Presentation
Conference: The Society of Ambulatory Anesthesia, January 2010
Location: Baltimore, MD
Presented by: Beltran R, John A. Norton, D.O.

Title: "A Case Report of Central Anticholinergic Syndrome Following Transdermal Scopolamine Use in an Ambulatory Surgery Patient"
Conference: The American Society of Anesthesiology, October 2010
Location: San Diego, CA
Presented by: Beltran R, John A.Norton, D.O.

Academic Advising

Fellows:
2013-2014 Richard Bryant, MD, Dane Yuratich, MD
2011-2012 Derek Foerschler, DO
2010-2011 Steven Beckley,MD; Nick Franklin, MD

Residents
2013-2014 Alec Lawrence, MD
2009-2010 Ralph Beltran, MD
2004-2007 Brian Witte, DO
2005-2008 Michael Kreuter, MD
2008-2011 Yasdet Maldonado, MD

Academic Advising

2011 - present Dr. Derek, Ohio State University College of Medicine.
 

Licenses

2003 - present Doctor of Osteopathic Medicine: State Medical Board of Ohio
2006 - present Diplomate: American Board of Anesthesiology
 

Chapters in Books

Fernando L. Arbona, Babak Khabiri, and John A. Norton. "Ultrasound Basics for the Novice Practioner in Regional Anesthesiology." In International Anesthesia Clinics. 4 ed. Vol. 49. 34-51. Columbus, OH, US|USA: Lippencott/Williams/Wilkens, January 2011.

 

Degrees

1995 B.S., The Ohio State University

1996 M.S., The Ohio State University

2001 D.O., Midwestern University

 

Edited Books

Khabiri B, Arbona F, Norton J. "Ultrasound-Guided Regional Anesthesia: A Practical Approach to Peripheral Nerve Blocks and Catheters - The China Edition." Edited by Khabiri B, Arbona F,Norton J. Peking, CN|CHN: Peking University Medical Press, January 2000.

Khabiri B, Arbona F, Norton J. "Ultrasound-Guided Regional Anesthesia: A Practical Approach to Peripheral Nerve Blocks and Catheters." Edited by Khabiri B, Arbona F, Norton J. Columbus, OH, US|USA: Cambridge Publishing, January 2010.

 

Honors

2006 - 2007 Excellence in Teaching Award.
2006 - 2007 Teacher of the Year. Department of Anesthesiology.
2014 Physician Excellence, Champion of Nursing Award. Rose Riachi, RN, Travee Sanderson, RN, Joel Lucas, MD.
 

Journal Articles

Norton J,Kuhr L, Snow R, Fuerst R.. "Health Care provider and community interventions to improve influenza vaccination rates among Medicare benfeciaries in rural Ohio.." AJE supplement. Vol. 145, no. 11. (June 1997.): 57-.

Khabiri B; Arbona F; Norton J. ""Gapped supine" position for ultrasound guided lateral popliteal fossa block of the sciatic nerve.." Anesthesia And Analgesia. Vol. 105, no. 5. (November 2007.): 1519-.

B Khabiri, F Arbona, J Norton. "Seizure complicating an infraclavicular brachial plexus nerve block: Could use of ultrasound prevent the problem?." Journal of Clinical Anesthesia. Vol. 8, no. 22. (December 2010.): 627-631.

Norton,John,A; Khabiri,Babak; Arbona,Fernando,L; Kover,Alan,J. "Possible central anticholinergic syndrome following transdermal scopolamine in an ambulatory surgery patient." CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE. Vol. 58, no. 12. (December 2011.): 1149-1150.

Moran K, Arbona F, Khabiri B, Hamilton C, Norton J, Foerschler D, Papadimos T. "The need for patient teaching, follow up, and physician availability for the prevention of outpatient perineural catheter complications." The Internet Journal of Pain, Symptom Control and Palliative Care. Vol. 8, (December 2011.): 2-.

Arbona,Fernando,L; Khabiri,Babak; Norton,John,A. "Ultrasound basics for the busy novice practitioner.." International anesthesiology clinics. Vol. 49, no. 4. (October 2011.): 34-51.

Khabiri B, Hamilton C, Norton J, Arbona F. "Ultrasound-guided supine posterior approach for popliteal sciatic nerve block." Journal of Clinical Anesthesia. Vol. 24, no. 8. (December 2012.): 680-680.

Khabiri B, Hamilton C, Norton J, Arbona F, Carlson L. "The difficult to remove perineural catheter: A technique for removing an intact catheter." Open Journal of Anesthesiology. Vol. 3, (August 2013.): 304-307.

 

Softwares

January 2011 Fernando L. Arbona, Babak Khabiri, John A. Norton."Ultrasound Guided Regional Anesthesia: A Practical Approach to Peripheral Nerve Blocks and Catheters" Cambridge University Publishing
January 2011 Fernando L. Arbona, Babak Khabiri, John A. Norton."Basics of Ultrasound in Regional Anesthesiology" SAMBA
January 2011 Fernando L. Arbona, Babak Khabiri, John A. Norton."Applications of Ultrasound in Regional Anesthesia" SAMBA

Presentations

"Anesthetic Management of Cardiac Tamponade." Presented at Department of Anesthesiology Grand Rounds, Columbus. (October 2003)

"Ultrasound-Guidance in Regional Anesthesia - Workshop." Presented at The Ohio Society of Anesthesiology, Columbus, OH, US|USA. (January 2009)

"Ultrasound-Guidance in Regional Anesthesia - Workshop." Presented at Midwest Anesthesia Residents Conference, Cincinnati, OH, US|USA. (January 2010)

"Transdermal Scopolamine: Friend or Foe?." Presented at Midwest Anesthesia Residents Conference, . (January 2010)

"A case report of central anticholinerigic syndrome following transdermal scopolamine use in an ambulatory surgery patient. (submitted)." Presented at The American Society of Anesthesiology, Columbus. (October 2010)

"A case report of central anticholinergic syndrome following transdermal scopolamine use in an ambulatory surgery patient." Presented at The Society of Ambulatory Anesthesia, . (January 2010)

"The Universal Protocol for Prevention of Wrong Site Procedures." Presented at OSU Department of Anesthesiology Grand Rounds, . (October 2010)

"Ultrasound-guided supine posterior approach for popliteal sciatic nerve block." Presented at SAMBA 27th Annual Meeting, Miami, FL. (May 2012)

"Fire Safety in the OR." Presented at AORN District Meeting, Columbus, Oh. (January 2012)

"Fire Safety in the OR." Presented at Anesthesiology Safety Blitz, . (October 2013)

"RSD following sciatic nerve block: Is regional block to blame?." Presented at OSU Anesthesiology Grand Rounds, . (June 2013)

"A Pilot Study to Determine the Efficacy of Intravenous Ibuprofen for Pain Control Following Arthroscopic Knee Surgery." Presented at American Society of Anesthesiology, . (October 2013)

"Reducing outpatient LOS in the 2nd Floor PACU at UHE." Presented at Fisher Business School / Cardinal Health Academy of Operational Excellence, . (January 2014)

"Reducing outpatient LOS in the 2nd Floor PACU at UHE." Presented at Fisher Business School / Cardinal Health Academy of Operational Excellence for Health Care, . (May 2014)

"Ultrasound-Guidance Vascular Access - Workshop." Presented at The Ohio Society of Anesthesiologists, . (September 2014)

"The Surgical Safety Checklist: Improving Team Engagement." Presented at Clinical Quality and Patient Safety Committee, . (April 2015)

"A Pilot Study to Determine the Efficacy of Intravenous Ibuprofen for Pain Control Following Arthroscopic Knee Surgery." Presented at Athroscopy Association of North America Annual Conference, . (April 2015)

"A Pilot Study to Determine the Efficacy of Intravenous Ibuprofen for Pain Control Following Arthroscopic Knee Surgery." Presented at 2015 American Academy of Orthopaedic Surgeons Annual Conference, . (March 2015)

"Fluid and Blood Management in Active Bleeding." Presented at Mednet21, . (April 2016)