Beyond The Mask: Innovation & Opportunities For CRNAs (Jeremy Stanley)

The Provider Non-Discrimination law from the Affordable Care Act, which prohibits commercial payers from discrimi-nating against providers based on their licensure, has been in effect for more than a decade now. In 2020, Congress re-quired the federal government to issue rules and enforcement policies that would prevent commercial payers from dis-criminating against providers. But enforcement isn’t happening, and deadlines keep getting missed. This has led to two big commercial payers to institute policies paying CRNAs 15% less than physician anesthesiologists for the exact same services, which has created a discriminatory environment.

On September 27, 2024, the AANA took action to protect patients' access to care and prevent further discrimination on its members by filing a writ of mandamus against the Biden administration for failure to do more to enforce this law. Why did AANA feel compelled to bring this lawsuit? What does this mean for CRNAs and the facilities where they work? And ultimately, what does this mean for the patients they serve?

Today, we're going to get the latest and learn the details from AANA CEO Bill Bruce, AANA President Janet Setnor, MSN, CRNA, Col. (Ret), ASAFR, NC, and AANA President-elect Jeff Molter, MBA, MSN, CRNA. This could be a huge moment in time for the profession and we’re going to fill you in on everything the AANA hopes to accomplish.

Here’s some of what we discuss in this episode:

• Why now for the lawsuit and what exactly does the writ of mandamus mean?
• The cost shift that will happen and what it means for billing.
• Are CRNAs able to recoup financial damages?
• Can AANA members get involved?
• What is the AANA doing to further prevent Anthem’s policy or stopping Cigna’s policy?
• What is the timeline for everything moving forward?

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

If you’ve ever considered being your own boss and building a business that can supplement or replace your CRNA income, there are paths out there that our peers are paving. One of those people is Mariann Trice, CRNA, ARNP, who transitioned to an independent practice after working more than 30 years in the medical field. Today she’ll tell us about her journey into entrepreneurship, the continuing education process, and why aesthetics and wellness have become a booming business.

About our guest: http://luminositeaesthetics.com/

Read more: https://beyondthemaskpodcast.com/

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss in this episode:

3:47 – Background on our guest today

6:02 – Move to Seattle

8:26 – A W2/1099 offer she received

10:22 – Launching her new business

12:21 – Additional training required

14:39 – 3 CRNAs that offer training courses

18:40 – Biggest challenges in this journey

21:14 – Starting during a pandemic

23:19 – Market is booming

24:37 – Pandemic’s impact on the industry

26:03 – ‘Brotox’

30:24 – Income

37:52 – Limitations

41:51 – AANA advocacy

47:56 – Biggest reward

51:36 – Social media marketing

55:43 – Final thoughts

You might have noticed a surge in articles and stories about the nurse anesthesia profession in recent days and weeks, and that’s because of the push for regulatory reform. Joe Rodriguez, CRNA, has always been one to push for change and advocate for healthcare policy reform, and that’s the position he’s in once again. He joins us on this episode to discuss the changing landscape in the AANA, why leadership needs to be a priority, and explains what reform can mean for the future.

Read more: https://beyondthemaskpodcast.com/ep-145-why-regulatory-reform-strengthens-the-crna-profession/3007/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

4:51 – Welcome in Joe

7:28 – Why we’re discussing this right now

10:55 – Background on Joe and his practice  

14:44 – Diving into politics  

18:22 – Building relationships  

20:57 – How advocacy has impacted business

25:28 – Being scared of losing

30:35 – Corporate responsibility

34:30 – Time and effort it takes

38:36 – Collaboration is key

41:43 – Value in nurse anesthesiologist  

44:44 – Biggest challenge facing CRNAs  

48:42 – Message to folks that disagree with him

54:09 – Final thoughts

54:43 – Lightning round

We’ve seen and heard a lot of questions about the new Maintaining Anesthesia Certification (MAC) Program from the NBCRNA so we’re going to tackle as many of those as we can head-on with incoming president Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN. This innovative four-year program is designed to streamline credentialing and reflect CRNA's commitment to continuous improvement in safe, quality patient care, and we’ll discuss all of the details today.

Here’s some of what we discuss in this episode:

The history of the CPC program and all of the dialogue surrounding it at the beginning.

What is the role of the Board of Nursing compared to the NBCRNA?

Why do the modules go away?

What can you expect from the questions and how are they evaluating scores?

Why do they want to know how confident you are in answers?

About the MAC program: https://www.nbcrna.com/certification-programs/mac 

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

When you think about your future as a CRNA, you likely to see court playing any part in it. But as nurses are included more and more in lawsuits, there’s a chance you could end up in front of a judge. The best way to be prepared is by understanding the legal process and your role in a trial. Judge April Wood brings nearly 20 years experience on the bench and will share what she knows on the show today.

Show notes & additional resources: https://beyondthemaskpodcast.com/ep-96-why-crnas-need-to-understand-the-judicial-system/2671/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on the show: 

2:43 – Introducing our guest, Judge April Wood. Sharon tells the story of how they got to know each other well.

5:00 – Background on her career

8:30 – What does a judge look for when someone is testifying 

9:29 – Know what you’re talking about

12:28 – How should you dress in court?

14:40 – Be aware of judiciary 

18:27 – The process of becoming a judge.

22:11 – Current campaigns   

24:46 – What is merit selection? 

26:47 – How many people voted actually voted on judges last time?

30:53 – Why is Supreme Court a lifetime appointment?

33:15 – What we want to get across to CRNAs

35:08 – How to learn more about Judge Wood

38:31 – Final thoughts from our guest.

Nearly all of us have been in a situation where we’ve noticed something off or not right about someone we work with or someone we know but we didn’t say anything or take action. It’s a problem across the country, but the CRNA profession has a higher rate of substance use disorders than the general public.  

So how can we do a better job identifying and helping our peers who feel isolated and suffer from a substance use disorder? Today’s guest has spent a lot of her time in recent years trying to help educate people in this area. Leigh Taylor, DNP, MS, CRNA, APRN, presented at the AANA Annual Congress, which is where we first saw her and knew it’s a topic we wanted to spend more time discussing on the podcast.

Here are some of the things you’ll learn on this show:

• Background on Leigh and the topic we’re discussing. 2:36
• The substance abuse disorder data within the CRNA community. 6:50
• Why does she think this is so prevalent in the community? 8:10
• The stats show about 10% of CRNAs have an SUD. 13:46
• The signs and symptoms to be on the lookout for 20:46
• Where can you go to get help for someone? Here are some of the resources that are available. 26:05
• The other drugs that are most common in those with SUDs. 30:18
• What can you do if you feel like you’re suffering from this but afraid to speak up. 36:25

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We’re excited to welcome DNP candidates Morgan Mahle, CRNA and Rachael Ellis, CRNA to present their doctoral project on the show, which proposes the implementation of MMI or other non-cognitive testing tools into the admissions process. Join us to learn more about what the MMI process accomplishes and why non-cognitive testing might be able to help differentiate candidates in a highly competitive pool.

Here’s some of what we discuss in this episode:

• What is the Multiple Mini Interviews (MMI) process?
• How the stations work during the process.
• What their review focused on and the results of the literature review.
• What they found from the needs assessment they performed.
• How did they identify the non-cognitive attributes to test.

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Substance use can’t be treated without open communication and discussion and that’s what we want to do on this episode. Jack Stem, Peer Assistance Advisor for Ohio, joins the show to share his own personal battle with addiction and how he’s dedicated much of his life to helping others with the same struggles. Find out what you need to know about substance use, why our profession is more vulnerable, and what you can do if someone you know is dealing with an SUD.

Read more on this episode here: https://beyondthemaskpodcast.com/ep-92-substance-use-disorders-in-anesthesia-providers-with-jack-stem/2619/ 

About our guest: http://www.peerassistance.jackstem.com/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss: 

1:42 – Welcome in Jack Stem

2:03 – Background on Jack and what we’re talking about.

4:43 – Jeremy remembers his first kidney stone. 

6:13 – Is this a genetic-based disease?

9:15 – A study that shows why our profession has a higher rate of addiction. 

10:41 – Medications

14:10 – Jack shares his overdose story.

15:50 – Behaviors to look for

16:50 – What to do if you suspect a peer has a problem.

19:41 – Ways people hide the substance abuse?

22:14 – Peer assistance resources available to you.

24:15 – What happens when someone gets caught diverting?

27:49 – Advice for people returning to work after substance use.

31:06 – Contact info

32:32 – Final thoughts from Jack

It has been more than a decade since Paul Santoro, CRNA, MS, served as the president of the AANA, but his impact on the organization can still be seen today. In this installment of our Courage to Lead series, we were finally able to catch up with Paul to talk about a busy year at the AANA, which included the new Affordable Care Act, time spent on the elimination of physician supervision under Part A of Medicare, the 50 state service strategy, and much more.

Here are some of the things we’ll discuss in this episode:

• The time spent on the elimination of physician supervision under Part A of Medicare.
• His decision to take on a restructuring of the finance department.
• The idea behind the 50 state service strategy.
• What he thought the Affordable Care Act would mean on anesthesia and what he thinks looking back now.
• The Commission on Anesthesia, Economics and Reimbursement
• Why they worked to improve the health of leadership but also increase the compensation for those that served the AANA.
• What value did having a CRNA in the D.C. office bring to the organization?

About our guest: https://www.linkedin.com/in/paul-santoro-55922531/

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care.

Focusing on lung protective ventilation strategies, Terry and Garry delve into the intricacies of reducing postoperative pulmonary complications, drawing upon historical practices and cutting-edge research to provide valuable insights for anesthesia providers.

With a blend of anecdotal reminiscences and evidence-based discussions, they aim to empower listeners with knowledge to enhance patient outcomes and navigate the complexities of modern anesthesia.

Join Terry and Garry as they embark on a captivating exploration of the past, present, and future of anesthesia.

Here’s some of what we discuss in this episode:

• The transformation of anesthesia technology over the years.
• Understanding atelectasis and its impact on pulmonary physiology.
• The role of PEEP, tidal volumes, and recruitment maneuvers in lung protection.
• The significance of limiting driving pressure during mechanical ventilation.
• The concept of mechanical power and how it relates to potential lung injury.
• Strategies for optimizing patient outcomes and mitigating postoperative complications.

Anesthesia Machine Commercial mentioned in the show:

https://www.youtube.com/watch?v=w13QxH9vS1E

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jeremy and Sharon had a chance to speak at the 2020 NCANA/SCANA Virtual Meetings about the impact COVID-19 on CRNAs and their financial security. They’ll provide some eye-opening stats about the economy overall from the past six months and share the direct effect it’s had on CRNAs. But don’t fret, there will also be guidance on what you can be doing to get your financial future in order. Hear that full presentation on this episode.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-97-how-covid-19-has-affected-the-economy-and-crna-retirements/2679/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this show: 

3:05 – Background on where we’re recording and what we’re talking about.

5:09 – How much will the average CRNA make over their lifetime?

6:44 – The impact of COVID on the economy

9:59 – Consumer spending

13:37 – This is different than 2008.

15:12 – Taxes

19:00 – What is GDP?

20:24 – Healthcare changes

26:19 – CRNA work during the pandemic

33:05 – Worries for people nearing retirement.

36:09 – We’re seeing people look to retire earlier than planned.

39:30 – What can CRNAs do to improve their financial situation?

44:13 – How can I make my portfolio pandemic-proof?

46:55 – Thoughts on the continuing rise in CRNA salaries.

49:32  – What could the government do differently?

As more CRNAs continue practicing well into their 60s and 70s, it raises a critical and complex question: how do we balance respect for experience with the need to protect patient safety? As ​healthcare ​evolves, ​so ​does ​the ​understanding ​of ​how ​aging ​affects ​performance ​in ​high ​stakes ​environments ​like ​the ​operating ​room. Today we’re going to have an open and honest conversation with longtime educator and CRNA Judy Thompson about ​cognitive ​health ​testing ​protocols ​and ​the ​path ​forward ​for ​those ​at ​the ​peak ​of ​their ​careers.

With over 35 years of leadership in nurse anesthesia education, Judy brings both professional insight and personal experience to the discussion. We’ll tackle everything from mandatory retirement age debates, discrimination concerns, and the value (and pitfalls) of cognitive testing, to what healthcare systems—and CRNAs themselves—can do to navigate this sensitive issue fairly.

Here’s some of what we discuss in this episode:

🧠 Cognitive testing in late-career CRNAs: fairness or discrimination? 🏥 Patient safety vs. provider autonomy—how do we find the balance? 📉 Aging impacts everyone differently; there’s no one-size-fits-all solution 🛠️ Simulation and early baselines could be part of a better approach 👩‍⚕️ Aging CRNAs bring wisdom—but also face scrutiny and bias

Visit us online: https://beyondthemaskpodcast.com/

Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Today we’re joined by the distinguished Elena Meadows, DNP, CRNA, who is the Associate Director of Didactic Education at Wake Forest University’s nurse anesthesia educational program.

In this episode, the trio dives deep into Alpha-Gal Syndrome, an emerging and pressing healthcare concern involving severe allergies to animal proteins, primarily transmitted by the Lone Star tick. Elena shares her extensive background in nursing education and her journey into the study of Alpha-Gal Syndrome.

Here’s some of what we discuss in this episode:

• Background on Alpha-Gal and how the allergy gets started.
• The precautions you can take if you’re out and about.
• Why types of symptoms would you exhibit if you have an Alpha-Gal allergy?
• How to manage anaphylaxis.
• The anesthesia implications for evaluating patients at risk for Alpha-Gal and how to plan anesthesia care for these folks.

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

When we finally make it through the worst of the COVID-19 outbreak, there will be stories from across the country about heroes on the front lines that saved lives and prevented disasters. Nurses everywhere are battling the virus, and one millenial SRNA is giving them a voice now through an anonymous platform.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2370 

See the Mission for Masks form here: https://docs.google.com/forms/d/e/1FAIpQLScqX7mNJv4cZtJTAsyb9ZEf-9VOxlXk9xwVehO8sy0h5XKbbg/viewform 

Today's rundown: 

2:56 – Welcome in our guest Sonja Schwartzbach, BSN, RN, CCRN

3:45 – Sonja explains what her book is all about.  

5:02 – Sharon found out about Sonja just recently and the impact she’s been making.  

6:16 – How she started her Instagram account and found a way to use it to build the nursing community.

8:38 – She’s been doing a lot of work involving COVID-19 right in a hard hit area and describes where the biggest needs are.

9:48 – She started the Mission for Masks Google Form template to anonymously collect stories and got a lot of feedback immediately.

11:29 – These strains are happening across the country, not just in CA, NY, and WA.

12:59 – This is giving nurses a platform to speak out and share info from the frontlines.

15:10 – The history of retaliation in the nursing profession.

18:16 – What else has happened since the article came out in the The New York Times?

19:44 – Sonja shares some of the stories she’s hearing around the country right now.

21:33 – ‘There’s a sense of such helplessness.’

23:45 – Hopefully we come out of this and are much more prepared for an outbreak like this.

27:28 – Wrapping up the conversation with a final message from Sonja.   

Our next guest in the Presidential Leadership Series is Deb Geisler, CRNA, who served as AANA President from 2001-02. Not only did she oversee some significant issues during her year in charge, but she’s also been a part of multiple committees through the years whose decisions have shaped direction of the profession.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2508 

Today's show schedule: 

2:37 – We’re still in quarantine and talking to Deb Geisler today.

3:15 – A former AANA president and a UNC graduate.

5:13 – Historical overview of the supervision battle with physicians.

8:53 – Here’s what the problem is with this supervision law.

11:53 – The letters that were being written to the legislature about nurse anesthetists.

12:22 – It’s a reimbursement issue. 

15:07 – How the SODC began.

20:43 – The other goal for the SODC and how it was funded.

22:27 – The states were given funds in the form of a loan

25:21 – Helping states that were in position to be attacked.

27:12 – How was the dues increase embraced at the time?

31:51 – Being part of that committee is something she’s eternally grateful for.

34:04 – Some history on how regions were formed.

37:17 – She chaired the committee in 2003 to look at regional re-allocation

38:24 – A statistical analysis was done to see if the structure of the regions had anything to do with electability.

39:05 – The committee devised a study and sent it out to members to determine a course of action.

41:49 – From that study, the committee came up with a five region concept.

44:35 – How did people react to the regional suggestion. 

46:16 – Sharon has always been a big fan of Deb.

47:33 – The most valuable leadership lessons that she’s learned through her career.

With the rise in methamphetamine use across the country, CRNAs need to be prepared to provide anesthesia to a substance use disorder patient. Jenny Krogh, CRNA, has noticed several misconceptions and conflicting management of patients who have used methamphetamines through her time working and researching. Today she joins us to explain the effects of methamphetamines on the body and clarifies some of the inaccuracies. 

Read her research: https://www.apsf.org/article/practice-considerations-for-the-anesthesia-professional-for-methamphetamine-substance-use-disorder-patients/ 

Learn more about financial planning: https://www.crnafinancialplanning.com/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss in this episode: 

2:39 – Introducing our guest

5:28 – Why we are talking about this

7:14 – The use of meth in patients

8:52 –  Why words are important

10:21 – Neurochemistry

14:39 – Chasing the high

17:59 – How meth use changes anesthesia

20:44 – Treating hypertension 

23:01 – How it affects work in the OB

28:09 – Use of Ketamine

30:20 – Her research

34:04 – Final thoughts

37:21 – Lightning Round 

We talk all the time about the lack of nurse representation in policy-making positions, but that doesn’t make the data any less surprising. Today we’ll have a great discussion with Darlene Curley, EdD, RN, FAAN, about a study she recently completed on state nurse legislators. She’ll share some of the details with us in this episode and we’ll also have a wide-ranging discussion on how CRNAs and other nurses can continue increasing their involvement.  

Here are some of the things you’ll learn on this show:

• How she took an interest in community engagement and volunteering to a policy level.  (5:17)
• Would the pandemic have looked different if more nurses would have been in more leadership positions? (12:21)
• Background on the study and what she found. (18:08)
• Why she thinks the trend is going  (24:14)
• How can each of us support the nurses in these leadership positions. 26:09)
• How does a policy-maker decide about an issue without a background on that issue? (30:36)
• What are we losing by not having nurses representing us in all 50 states? (45:21)

Read the State Nurse Legislature study: https://www.nursingworld.org/~4a6c69/globalassets/practiceandpolicy/advocacy/state/9.12.22-status-report--nurse-state-legislators-2020-22.pdf 

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The history of the nurse anesthesia profession is a bit murky as records weren’t kept well through the years as medicine and healthcare progressed, but there are opinions on who the first anesthetist was. Today we’ll examine the most likely candidates with our historians Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, and try to determine who can claim the title of the real first anesthetist.

Read more: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss in this episode: 

3:00 – Background on this topic

6:36 – History books on anesthesia

10:21 – Historical information

15:08 – Humphry Davy

16:16 – Crawford Long  

17:51 – Horace Wells  

19:27 – William Morton

22:35 – James Simpson

23:06 – John Snow

28:39 – The real first anesthetist according to AANA

33:56 – Who was in the earliest American hospitals?  

38:08 – Disputes  

40:44 – The role nuns played

42:58 – The evolution of names for anesthetists

46:32 – Sandy’s opinion on first anesthetists

48:21 – Final thoughts

Resources mentioned on the show: 

The Wondrous Story of Anesthesia

The Etherist Podcast

The Global Voice for Nurse Anesthesia - IFNA (1989-2021)

Voting started this week for the next round of AANA Board of Directors elections, and we want to help you get to know your candidates a little better. Thanks to our friends at the American Association of Nurse Anesthetists, we will share the opening statements from the Board of Director Candidates’ Forum during the Mid-Year Assembly so you can hear first-hand from each of the talented CRNAs running for office.

Remember that you can cast your vote now so visit the AANA Election Center and get all of the information you need.

Here’s who you’ll hear from on this show:

• Candidate for Director: Mike MacKinnon, DNP, FNP-C, CRNA 2:04
• Candidate for Director: Jodie Szlachta, PhD, RN, CRNA 4:05
• Candidate for Director: Andrea Roberts, DNAP, CRNA, APRN 6:06
• Candidate for Director: Howie Goodwin, DNAP, CRNA 8:07
• Candidate for Director: Susan Newell, MSN, CRNA 10:10
• Candidate for Director: Daniel King, DNP, CRNA, CPPS 12:12
• Candidate for Director: Stacy Yancey, CRNA 14:21
• Candidate for Treasurer: Eric Rauch, DNP, CRNA 16:21
• Candidate for Treasurer: Kristie Hoch, DNP, CRNA 19:33
• Candidate for Vice President: Jeffrey Molter, MSN, MBA, CRNA 22:30
• Candidate for President-Elect: Janet Setnor, MSN, CRNA, Col (ret) 25:32

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Choosing to become a CRNA requires a lot of hard work or dedication but the time has never been better to enter this profession. We wanted to get a better sense of the challenges and opportunities for anesthesia school students in 2020 and Dr. Kristie Hoch, DNP, CRNA, MS, RRT, from the University of Arizona’s College of Nursing will help us gain that perspective.

About the guest: Dr. Kristie Hoch, DNP, CRNA, MS, RRT is the Program Administrator for the University of Arizona's DNP-Nurse Anesthesia program. She chose to become a CRNA after serving with them in Desert Storm.  Kristie has years of experience as a CRNA in every practice model and setting, to include office based, critical access, academic teaching hospital and trauma centers

Check out the show notes and get additional resources here: https://beyondthemaskpodcast.com/?p=2309 

***CE CREDIT ALERT: Did you know you can get continuing education credit from the AANA for listening to this episode? Go to AANACKN.com to get the details and get your credit today! And see a list of other episodes that qualify for CE credit here. Note, some episodes are pending CE approval and may have an expiration date.

Today's show rundown: 

2:08 – Welcome in our guest Dr. Kristie Hoch, DNP, CRNA, MS, RRT 

2:33 – Today we’re focusing on students and their perspectives as they learn in anesthesia school.

3:57 – This is an important topic because these students are our future and we need to provide all the tools they need.

4:29 – What are the advantages of being a nurse anesthesia student in 2020?

6:17 – Online classes today allow Kristie to provide students the lecture ahead of time and use class for discussion.

7:24 – Anesthesia class is such a challenge so we want to make sure each student has a support system.

7:50 – Students are able to find mentorships through social media and other online sites.

9:00 – How has the demand for CRNAs affected Kristie’s work?

10:22 – How is the DNP changing opportunities for students and CRNAs?

12:20 – Dr. Hoch shares an ‘aha moment’

13:25 – The prospects for these graduating students is very bright in 2020.  

14:42 – One of the big challenges still is how costly the education process has become.

16:48 – Financial education needs to be a conversation for students throughout the process.

19:12 – We tell students to live like they did on a nurse salary for a few years to pay off debt and gain control of finances.

21:24 – Another thing students are completely unaware of is that they move up a tax bracket.

21:49 – A popular conversation we have with students is W-2 vs 1099 work.

22:38 – What are some of the other challenges are students are facing right now?

26:29 – Social media has its advantages, but it can also be very disruptive to students and their careers.  

30:25 – There’s so much negativity on social media with people tearing each other down. Why is that?

31:48 – How Dr. Hoch got into education. She shares the story of saying no to the job and why her mind changed.

33:50 – Dr. Hoch explains the unique way that she picks her travel.            

35:09 – Her last trip was to Santa Fe.

35:46 – Dr. Hoch’s final message to students about how challenging school is but how rewarding it will ultimate be.

Today we’re excited to dive into a topic we’ve been very curious about with a guest we’ve had the pleasure of interviewing previously. Tom Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA with a lot of high-level experience in anesthesia, and throughout his CRNA career, he’s really focused on two aspects of the profession: healthcare leadership and patient safety. In doing this, he’s learned so much about emotional intelligence and the role it plays in creating a preferred workplace. He joins us this episode to define emotional intelligence, explain why listening is crucial, and help us better understand how we can improve our own EI.

Here are some of the things you’ll learn on this show:

• What does emotional intelligence look like? 5:11
• The role that emotional intelligence plays in the workplace. 8:04
• Why listening is at the heart of emotional intelligence. 11:32
• Level 3 and Level 4 listening is so important in connecting with people. 17:45
• How emotional intelligence can help improve the CRNA shortage. 21:53
• What is the ‘drama triangle’? 25:25
• Amygdala hijack and the emotional response that happens. 33:24
• The behavioral continuum and how it impacts what you think, say and do. 42:41
• What’s the best leadership style for the workplace and how can you bring in emotionally intelligent people? 46:46

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Back in 2006, the AANA Board of Directors appointed a Doctoral Task Force to explore the future direction in nurse anesthesia education. Sandy Ouellette was chosen to co-chair the task force and help lead those discussions that would shape the future for CRNAs. Today she joins us to provide an inside look at how it was composed, the original purpose and process, and all of the options were on the table.

Get the show notes: https://beyondthemaskpodcast.com/ep-143-a-complete-look-into-the-aana-doctoral-task-force-with-sandy-ouellette-crna/2983/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode:

2:07 – Welcome back Sandy  

4:37 – Events that led to the task force

6:59 – Move to university-based graduate programs

9:00 – What happened in 2004  

11:56 – Summit meeting in 2005 to create the Task Force

13:27 – Start of the Task Force

16:33 – Who was appointed to the Task Force?  

20:06 – Responsibilities given to the task force

21:49 –  The options they had to decide on

23:59 – Board adopts a position

25:51 – Thoughts behind the options the discussing

32:17 – Option 2 discussed  

35:58 – Option 3

38:30 – Option 4  

43:36 – Cautionary tales she would share with other directors

49:39 – Lightning Round

In the latest installment of our Courage to Lead series, we spend some time with Dick Ouellette, CRNA, MEd, who was a two-term president of the AANA. During his time serving in that capacity, Ouellette helped reinvigorate the profession by focusing on education standards and had a heavy involvement in direct reimbursement coming to pass.

Read more about this episode: https://beyondthemaskpodcast.com/?p=2223 

Today's Rundown: 

2:43 – Our special guest today is Dick Ouellette, CRNA   

3:17 – Give us some highlights from your two terms as AANA President.

4:46 – The second thing he was interested in at the time.

6:19 – Where he was focused during the second term.

7:18 – Why were joint committees so important to Dick at the time?

10:39 – Direct reimbursement’s beginning and how it progressed during his term.

16:42 – What’s the significance of direct reimbursement?

19:18 – What would it look like today if direct reimbursement didn’t happen?

23:48 – Education was a big concern for Dick. What was the response when he wanted to increase requirements?

28:08 – Dick shares a great story about Sandy and education.  

28:33 – Moving to 1990 and the commission that formed.

33:06 – The thing that Dick feels we’re lacking the most today.

36:39 – If Dick could pick one other profession, what would it be?

Today we bring back Sandy Ouellette, CRNA, to provide us with a look back at an important time in the IFNA’s history. Soon after the organizationwas formed, a meeting with the World Health Organization led to Maura McAuliffe, CRNA, Ph.D, FAAN, being appointed the first official researcher. Find out how it all came about as we document what was learned about nurse anethetistsaround the world over the past 30 years. 

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2569 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today's show schedule: 

2:41 – A topic that came up on a recent podcast about nurse anesthetists.  

5:11 – What led to IFNA appointing an official researcher in the 90s?

6:34 – Maura McAuliffe, CRNA, Ph.D, FAAN, appointed as the INFA official researcher.

8:24 – Concerns for the IFNA leaders at the time.  

9:29 – Why was Dr. McAuliffe the right person for the job?

11:21 – What was found from the first phase of surveys?

14:56 – How many total nurse anesthetists are there? Do we know?

19:21 – Phase 2 findings

25:09 – Why do European countries avoid using nurses in anesthesia?

31:56 – Ouellette wrote a letter to the editor about this European article.

35:51 – The future of the IFNA.

Goldie Brangman, CRNA, might be known best for becoming the AANA’s first African-American president, but there’s so much more to know about her life and career. Today we wanted to celebrate everything she accomplished, including helping save Dr. Martin Luther King, Jr’s life, and we do so with the help of Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA.

Read more and see additional shows here: https://beyondthemaskpodcast.com/ep-122-how-goldie-brangman-crna-broke-barriers-throughout-her-life/2854/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

1:21 – Talking about Goldie Brangman

2:12 – Her education and early life

5:52 – The barriers she faced

8:23 – Her days as as student

9:56 – Establishing Harlem Hospital School of Anesthesia

14:00 – Male vs Female

16:27 – Henry Kelly

18:32 – Service to state and national associations

22:02 – Her accomplishments as president

30:36 – Focus on communication

35:01 – How she helped save Martin Luther King Jr’s life

47:25 – How she spent retirement in Hawaii

49:17 – Awards and honors

Once you decide to step away from your CRNA career, have you thought about how you want to spend retirement? As you get closer to that next chapter, it’s important to think through your lifestyle to help determine what kind of expenses you might incur and how much money you’ll need to cover it. Today we’ll tell you about the most common lifestyles that CRNAs choose and some of the financial considerations that come along with each option.

Read more here: https://beyondthemaskpodcast.com/ep-125-what-retirement-lifestyle-will-you-choose/2873/ 

Learn more about CRNA Financial Planning: https://www.crnafinancialplanning.com/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:37 – Why we’re discussing lifestyles

3:59 – Thinking about life after work

6:05 – Get serious a few years out

7:35 – Retirement age

10:38 – Two-house lifestyle

17:13 – Front porch lifestyle

19:36 – Moving to a college town

20:58 – Moving to Florida

24:22 – Golf lifestyle

26:03 – Follow your passion

Any CRNA who’s gone through the credentialing process knows how inefficient and frustrating it can be. There’s got to be a better way right? Andi Stamper, DNP, CRNA and Kiki Mattress, MSNA, CRNA are working to streamline this process through their company, HealthShield Credentialing. The pair joins the podcast today to tell us more about the work they're doing and how it all works to improve healthcare credentialing.

Here are some of the things you’ll learn on this show:

• Why they been focused on this credentialing challenge. (5:01)
• The original idea and how this all came together. (7:24)
• Challenges of building the website and platform. (14:00)
• Details on how a CRNA can use the website. (15:24)
• Where they hope to grow and expand. (19:24)
• What is primary source verification? (22:31)
• A breakdown on costs and fees and the tax benefits. (25:43)

About our guests: https://healthshieldcredentialing.com/

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When you look at how critical mistakes happen in the workplace, the normalization of deviance is often the culprit. You can find examples of this in all different areas of life, but CRNAs frequently face the pressure of doing things as fast as we can to meet the demands of production pressure. Today we want to explore this idea of normalization of deviance with Randy Cornelius, DNP, ARNP, CRNA, and discuss how CRNAs can work to overcome this.

Here are some of the things you’ll learn on this show:

• The reason this topic is so important and examples of how this occurs. (10:00)
• What went wrong during the Challenger space shuttle disaster. (20:18)
• Production pressure in nurse anesthesia and how it causes normalization of deviance. (24:06)
• How can we prevent this normalization? (27:37)
• How this occurs in the OR and some cases we’ve seen. (31:13)

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When Sharon visited the NCANA meeting in Wilmington, she sat through a lecture full of people with children and grandchildren that were panicked listening to the speaker. It was eye-opening and something we wanted to bring awareness to because it can be avoided.  The person speaking that day was Emily Funk, DNP, CRNA and we asked her to come on to talk to us about the danger of button batteries and the harm they can cause almost immediately when ingested.

Here are some of the things you’ll learn on this show:

• How she became aware of button battery ingestion and the heartbreaking story of a young girl that passed away. (6:06)
• What you should do if a kid swallows a battery. (10:54)
• What do anesthetists need to know about care. (14:02)
• Warnings and protections that are currently in place. (18:09)
• How to be more aware of what’s in the home. (20:00)
• What care is needed after the battery is removed? (26:11)

About our guest: https://nursing.duke.edu/directories/emily.funk

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

No one could have predicted the outbreak we’ve seen from COVID-19, and it’s served as a wake up call for many people. We’ve all been impacted financially or emotionally or both, and now we’re getting a lot of questions about how we can manage finances when income is up in the air. On this bonus episode, we’ll look at the options you have during this uncertain time.  

Read more and get additional resources here: https://beyondthemaskpodcast.com/bonus-episode-covid-19-has-impacted-my-income-what-are-my-options/2358/ 

Contact CRNA Financial Planning here: https://www.crnafinancialplanning.com/ 

Today's rundown:

1:32 – Everyone is being impacted financially and emotionally right now.

4:08 – Things can change in an instant, like employment status, so you need to have an emergency fund.

7:19 – Roles and responsibilities for CRNAs are even changing during this pandemic.

10:09 – A lot of CRNAs are worried right now about income.  

14:30 – Can I file for unemployment?

16:47 – What if you work for a company/hospital and get reduced hours?

18:09 – Options for hospital-employed CRNAs

22:03 – How is the unemployment amount calculated?

24:27 – Hopefully we all learn a lot from this experience once it passes.  

26:32 – Basic financial steps you need to be taking everyday.

30:32 – Don’t forget that tax deadlines have been pushed back.

32:50 – Jeremy’s final message for everyone.

The next episode in our presidential series brings us a conversation with Dennis Bless, APRN, MS, CRNA, who served as AANA president for 2013-14. His financial background provided the organization with a new perspective and that helped make significant changes that still live on today. We’ll hear about his experiences and talk with him about diversity, compensation, relationship-building, reallocation and more.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2469 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today's show schedule: 

3:32 – Today we’re joined by Dennis Bless, CRNA. He shares his career background.

9:32 - The ASA PR campaign that ran as he was taking office.

13:07 – His role with helping rebuild the relationship between the NBCRNA and AANA

15:43 – AANA also knew they had to be clear that the members were the focus.

17:05 – Towards the end of his presidency, they held a recertification summit to bring all the important parties together.

18:31 – The feeling they had when first hearing about the NBCRNA and testing.

24:33 – There was also a diversity summit during his year. Some background on how that happened.

29:19 – The work he did on CEO compensation and evaluation.

31:56 – How they decided to reallocate money and established new by-laws.

35:18 – What were the most valuable leadership lessons learned during his time as president

36:47 – Dennis leaves this message for new CRNAs coming into the profession.

38:12 – If there was any other profession he could chose, what would it be?

Are you ready to support the next generation of CRNAs as they transition into their professional careers? The transition from student to practicing CRNA can be overwhelming, filled with challenges that require effective support systems. Today we welcome back Laura Ardizzone, DNP, CRNA, DCC and Kirsten Meister, DNP, CRNA to share their expertise on effective strategies to provide support and offer perspectives on how to build a strong foundation for a successful career in anesthesia.

Here’s some of what we discuss in this episode:

• How to talk with the younger generation versus established CRNAs.
• The strategies they’ve found to be successful when onboarding people.
• The mentor program they’ve created and why it’s been successful.
• What hasn’t been successful?
• What are some of the challenges new CRNAs face outside of giving anesthesia?

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Here are some of the things you’ll learn on this episode:

• The early life and childhood for Betty growing up in Canada. (3:22)
• How she became passionate about nursing after World War I. (5:16)
• What she accomplished during her time as the Chief Nurse Anesthetist in Boston. (8:31)
• Her role in advancing pediatric anesthesia. (17:50)
• The early involvement she had in state and national associations. (29:06)
• Her final resting place and how she’s remembered. (34:43)
• Nancy and Sandy’s final thoughts on Betty. (37:58)

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The issue of diversity isn’t one that’s limited to certain areas of the country or specific professions. It’s a problem that people everywhere are trying to solve, including the CRNA profession. We want to explore the topic and try to get a better understanding of the barriers and challenges for minorities entering this field so we asked Richard Flowers, CHSE, CRNA, DNP, to join the show to provide us with his insight and experience in this area.

Read more: https://beyondthemaskpodcast.com/ep-144-cultural-humility-in-the-nurse-anesthesia-profession/3002/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode:

4:24 – Excited for our guest today

7:27 – Background on Richie

10:06 – Why is this topic important

13:18 – Where does the problem start?

18:17 – Bringing awareness and context to the problem

20:19 – Barriers to diversity

25:05 – Cultural humility vs Cultural competence

26:58 – Programs at Wake Forest

36:04 – Millennials’ view of race

39:17 – Takeaway for CRNA listeners

44:32 – Why are you teaching this?

53:05 – Lightning round

Today we’re going to talk about something that’s very important and needs attention in the nurse anesthesia space, and that’s diversity, equity, and inclusion (DEI). Hosts Larry and Kevin are joined by Donté Flanagan, DNP, CRNA, FAANA during Black History Month to have a conversation pressing need for diversity in healthcare and the importance of creating an inclusive environment for all CRNAs.

Whether ​it's ​mentoring, ​faculty ​development ​programs, ​or ​wellness ​support ​groups ​for ​the ​students ​around ​the ​country ​that ​are ​kind ​of ​isolated ​and ​feel ​alone, Doc explains that he’s been focused ​on helping grow ​the ​profession and continue ​the ​excellence ​that ​we ​have ​inside ​of ​nurse ​anesthesia.

Check Out The AANA Diversity, Equity, And Inclusion Timeline and Milestones: https://beyondthemaskpodcast.com/wp-content/uploads/2025/02/DEI.History.pdf

Here’s some of what we discuss in this episode:

• How people have helped him through his career and the opportunities he’s been given.
• The goals for the Multicultural CRNA Conference and details on a successful inaugural event.
• We don’t talk enough about how isolating it can be in these professional spaces.
• What tips does he have for folks that want to speak up but don’t want to make things uncomfortable or awkward.
• The future of diversity in the anesthesia profession.

About our guest: https://drdonteflanagan.com/

Visit us online: https://beyondthemaskpodcast.com/grade-1-view/

Visit the AANA Resident Hub: https://www.aana.com/resident-hub/ 

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

In this episode, we’re going to continue discussing our crisis checklists and the ones that relate to distributive shock specifically. Let’s talk about what happens during neurogenic shock by discussing a case involving a 34-year-old male that came into the ER after a motor vehicle crash. We’ll talk about what you should do if you face this scenario and lay out the checklist to help prioritize care for this patient.

Here are some of the things you’ll learn on this show:

• The details for today’s case study and how to set priorities. (3:00)
• Pathophysiology of neurogenic shock. (6:28)
• The signs and symptoms that come along with this. (9:43)
• Breaking down the treatment needed. (13:45)
• Things to be worried about. (17:26)
• Vasopressor support, (21:15)
• Differential diagnoses we should be considering. (26:50)

About our hosts: https://www.kpsan.org/school/people/

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

CRNAs spend their days providing support for others, but we don’t always give ourselves the attention we need. Today we tackle the health and wellness challenges CRNAs face in the current healthcare climate with Donna Keeney, CRNA and Dr. Cathy Horvath. Both women are on the Health and Wellness Committee at the AANA, and the insights shared in this episode will resonate with anyone in healthcare trying to maintain their passion for the profession amidst burnout.

Here’s some of what we discuss in this episode:

• How to get rid of negative self-talk and why that’s so important.
• Two strategies that can improve clinician well-being at your place of employment.
• Two strategies that you can employ today to start taking steps toward better health and wellness.
• Resources and support for CRNAs and SRNAs to access.

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

While there’s plenty we want to forget about 2020, there was also a bit of history we want to spotlight. Sydney Davis, CRNA, and Taylor Rehfeldt, CRNA, became the first two CRNAs to be elected to a state legislature during the November 3 general election in South Dakota. Join us as we celebrate their story, find out why they pursued office, and learn about the issues they’re focusing on. 

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-111-finally-two-south-dakota-crnas-elected-to-state-legislatures/2769/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

4:23 – Welcoming our special guests today

8:34 – Did they plan for this career in politics?

9:31 – Background on the election

13:54 – Innovative ways to campaign

15:51 – What made them go down this path?

21:33 – How much money was raised?

24:21 – Did the anesthesiologists come after you?

26:25 – Marketing as a nurse vs nurse anesthetist

29:02 – Why women and moms should run for office

30:47 – How has your family handled this?

36:19 – The issues Taylor wants to tackle

39:57 – Did being a nurse help your campaigns?

We’ve been waiting for a little while to let the cat out of the bag but it’s finally time to make an exciting announcement about the future of the podcast.

Here are some of the things you’ll learn on this show:

• What’s coming up for the show. (1:57)
• Who are the hosts and what will they be discussing? (3:02)
• The reason they’ve decided to host these clinical episodes. (5:34)

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today we welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to take a detailed look at the evolution of education in the nurse anesthetist profession. In part two of the conversation, we’ll look back through the significant transformations over decades, evolving from diploma programs to doctoral entry. Learn more about the challenges and triumphs that have shaped the profession, from early practice battles to the establishment of standardized education and accreditation.

Here’s some of what we discuss in this episode:

• Why it became necessary for nurse anesthetists to organize around the time of World War I.
• The role that pioneers like Agatha Hodgins, Gertrude Fife, and Helen Lamb played in certification and accreditation programs.
• Why the ASA formed regionally and locally to try to eliminate nurse anesthetists.
• The formation of nurse anesthesia councils and their autonomy.
• What impact did direct reimbursement have on nurse anesthesia programs?
• What drove the decision to move nurse anesthesia education to the doctoral level?

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Most people know about Dagmar Nelson in terms of her being involved in the only court trial ever to test the legality of nurses administering anesthesia, but there’s much more to her than just that. We’ll lean on Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to learn more about how amazing she was as a woman and what happened at the trial.

Here are some of the things you’ll learn in this episode:

• Details on her early life and education. 4:38
• How she got her anesthesia training. 9:08
• What the beginning of her career as an anesthetist was like. 14:02
• California physicians were trying to get rid of nurse anesthetists when she moved out there. 23:54
• Details of the trial as it got started in 1934. 30:52
• The testimony that was given on behalf of the physicians. 41:17
• Here’s what the defense argued. 43:52
• What the judge said when he handed down the decision. 51:22

Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken 

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today we’re looking forward to sharing a deep and insightful conversation with Anita Bertrand, a seasoned CRNA, about the challenging topic of nurse anesthesia diversion and recovery. Anita candidly shares her personal journey, emphasizing the importance of early intervention, support, and a compassionate approach to addressing the complex issues that lead to diversion.

Here’s some of what we discuss in this episode:

• What leads a struggling CRNA into diversion?
• The signs and the indicators that a nurse anesthetist might encounter in the workplace, which could lead them to consider diversion.
• Resources and organizations you can turn to for support.
• What are the processes that a state board typically follows and what impact could it have on someone’s career?
• Her personal journey and the struggles that she has been able to overcome.

About our guest: https://www.aorn.org/outpatient-surgery/article/2017-March-editors-page-a-crnas-story-of-addiction-and-recovery

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Substance Use Disorder (SUD) impacts all types of people but trying to confront addiction is never easy. Today we’ll try to unravel the stigma surrounding SUD among anesthesia providers with Amy Yerdon, DNP, MNA, CRNA, CNE. Our discussion illuminates the personal and professional challenges that arise when confronting substance abuse within our ranks. We tackle the complexities of recognizing signs of diversion and the imperative actions that follow, while sharing the poignant emotional toll it takes on everyone involved.

Here’s some of what we discuss in this episode:

• Her perceptions about people with SUD and how that’s changed as she’s learned more about the disease.
• Stories that highlight how much more common this is than many people want to believe.
• Understanding the pharmacology and physiology of substance use disorder may help decrease our negative perceptions.
• Understanding the occupational and personal factors making anesthesia providers more likely to fall into SUD may help change negative perc
• Why anesthesia providers should look out for one another and communicate when they see something.

About our guest: https://scholars.uab.edu/6674-amy-yerdon

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Running a state association takes a lot of work and it's made even more challenging when the board doesn't have all the tools to do the best job possible. That’s where association management companies come in. Find out how Peggy Blankenship, CAE, and Accent on Management are helping four state associations already and why it can be a big benefit to members. 

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-90-how-association-management-can-help-your-state-association/2606/ 

About our guest: https://accentonmanagementcom.wordpress.com/our-team/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

On today's show: 

2:12 – Welcome Peggy Blankenship to show

3:11 – Background on Peggy and her business

4:32 – Her certification and the work it took to receive it

5:27 – Why is this topic important?

7:07 – How often should organizations be reviewing governing documents?

8:17 – Communication is a key piece to this.

10:39 – Most common mistakes she sees from boards.

12:04 – Resources that CRNAs could access.

13:00 – How involved do you get with social media issues?

14:24 – Why would people want to use an association management firm?

18:49 – Are their particular clients that might not fit with your group?

20:18 – What should you look for from a management company partnership?

23:39 – How did you and your sister get into this industry together?

25:11 – How are you evaluated?

26:50 – Closing thoughts from Peggy

What does a second Trump term mean for the future of healthcare? In this episode, we sit down with Scott Becker, founder and publisher of Becker’s Healthcare, to break down the potential changes, challenges, and opportunities in the evolving healthcare landscape. With major shifts ahead, understanding how policies may shape healthcare access, quality, and costs is more important than ever.

Here’s some of what we discuss in this episode:

• What significant policy shifts does Scott anticipate during President Trump’s second term?
• Why Medicare Advantage has become a complete debacle.
• Are we moving to a two-tiered system and what could that look like?
• What do all these changes mean for CRNAs?
• Is he hearing about any possible solutions for the workforce problem?

Check out Becker's Hospital Review: https://www.beckershospitalreview.com/ 

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

We’re excited to welcome Julie Linton, DNAP, APRN, CRNA back to the show to explore the development and implementation of a standardized orientation program for state associations. She has undertaken a significant doctoral project on this subject and she is going to share her insights and findings with us. Today’s show will get into the motivation behind her project, the process ​of ​developing ​and ​implementing ​the ​pilot ​program, ​and ​the ​potential ​impact ​of ​standardized ​orientations ​on ​the ​leadership ​and ​governance ​of ​state ​associations.

Here’s some of what we discuss in this episode:

• Why many state boards still don’t fully understand how to run a board meeting.
• What’s the most effective way to do board orientations?
• Establish what you want the culture of your organization to be before you dive into the nuts and bolts.
• The leadership principles and ethics portion of the board.
• The difference in charismatic leadership and transformational leadership.

Get in touch with Julie: shenanesthesia@gmail.com

About our guest: https://www.tncrna.com/julie-linton-dnap-crna-aprn/

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Randy Moore, DNP, MBA, CRNA, left his role as the AANA CEO about a year ago to take over as Chief Anesthetist Officer at NorthStar Anesthesia. It was a little surprising because it seemed like a great long-term position, but the reasons for his departure make sense when you hear him explain his vision moving forward. That’s why we’ve invited our friend and colleague onto the show to catch up on this huge career change.

Here are some of the things you’ll learn on this show:

• What attracted him to this new position at NorthStar. (3:06)
• What pushed him to move from the OR to a leadership career track. (9:10)
• The characteristics that high-performing executives possess. (12:51)
• Some of the reasons behind the decision to leave the AANA. (17:19)
• How he would structure the AANA CEO position to allow for more balance between work and time spent with the board. (25:18)
• How he thinks he can impact the profession more positively in this new role. (31:57)

About our guest: https://northstaranesthesia.com/our-culture/leadership.html

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In November of 2021, the AANA lost a great man in Patrick Downey. This former president and patriarch of the Diamond Club served as a CRNA for more than 50 years and impacted many lives along the way. It’s fitting that this St. Patrick’s Day episode is a look back at his incredible life and the work he did for nurse anesthesia. 

Read more: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss in this episode: 

3:47 – The loss of Patrick Downey in 2021

4:45 – The AANA Diamond Club

8:01 – Role Patrick played in the club 

9:45 – Patrick’s early life

11:50 – Education and marriage

13:56 – Anesthesia highlights 

16:35 – Time as AANA president 

22:23 – Goals and challenges

29:50 – Outreach away from operating room

32:29 – Viable public relations program

34:15 – The money in anesthesia

42:50 – His message to anesthesia

47:27 – His passing in 2021

52:08 – Patrick Downey Montage

With more and more CRNAs shifting to 1099, it’s time to start thinking about how to best position yourself from a tax standpoint as your finances change. Today, Jeremy Stanley, CFP® will share nine tax strategies that most S corporations can utilize each year to maximize their earnings and minimize what they owe.

Read more: http://beyondthemaskpodcast.com 

Learn more about financial planning: https://www.crnafinancialplanning.com/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss in this episode: 

2:36 – Background on our topic

3:40 – Reasons for not being S corporation  

5:40 – Strategy #1: Taking money out as distributions

7:49 – Strategy #2: Deduct health insurance premiums.  

9:22 – Strategy #3: Employee your children

12:40 – Strategy #4: Reimbursement of home office expenses

13:36 – Strategy #5: Rent your home to your S corp

15:41 – Strategy #6: Reimburse you for depreciating expenses

17:13 – Strategy #7: Vehicle deductions

20:57 – Strategy #8: Reimbursement of travel expenses

23:49 – Strategy #9: Cell phone expenses  

26:23 – Final thoughts

We’re thrilled to spend time today with a special guest who is not just a nurse anesthetist but also a passionate advocate for healthcare and community issues. Kellie Deeter, CRNA is currently running for a seat in the Ohio House of Representatives with a campaign focused on her extensive experience in the medical field and a commitment to public service. Join us as we hear about her journey, the vision she has for Ohio, and how her CRNA background has prepared her for politics.

Here’s some of what we discuss in this episode:

• Her background as a nurse anesthetist, wife, mother of six, and a small business owner.
• She was motivated to run because a regulation in Ohio posed a barrier to practice.
• Details on the seat she’s running for and her district.
• What’s been the hardest part of campaigning?
• The advice she would give someone who is thinking about running for office.

Donate to Kellie’s campaign: https://secure.winred.com/deeter-for-ohio/donate-today-?sc=winred-directory&money_bomb=false&recurring=false

Learn more about Kellie: https://www.facebook.com/kelliedeeterforohio?mibextid=LQQJ4d

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

We’ve stressed the importance of having CRNAs in clinical leadership positions as well as local government positions, but it’s equally valuable to have our peers in academic leadership roles as well. That’s why we’re excited to welcome Angela Mund, DNP, CRNA, back onto the show to talk about her new position as a department chair at the Medical University of South Carolina. In the first few months, she’s learned quite a bit about many different divisions and she’ll share some of that with us along with helping young CRNAs that are considering a similar path in academia.

Read more: https://beyondthemaskpodcast.com/ep-157-why-having-nurse-anesthesia-academic-leadership-matters/3101/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 

What we discuss in this episode: 

4:36 – Welcome in Dr. Mund

5:44 – Her academic background

8:51 – What divisions she oversees

11:30 – Learning curves

13:45 – How did she get this role

15:25 – Advocating for CRNAs  

19:29 – Favorite part of this role  

21:42 – Biggest challenges

24:31 – How her experience as a CRNA has helped  

28:28 – CRNAs that want to go this route

37:40 – Impact of moving to the doctorate

41:51 – Quality and quantity of students increasing

47:44 – Closing message from Angie

As CRNAs continue to push for more awareness and understanding of the profession, social media has emerged as one of the great tools for accomplishing this goal. Rhianna Ferial, CRNA, and her husband have completely embraced the medium on multiple platforms to educate, mentor, and inspire. Today she joins the show to talk about the reason she devotes so much time to social media and how it ties into her entrepreneurial drive in conjunction with anesthesia.

Show notes: https://beyondthemaskpodcast.com/ep-142-promoting-crnas-anesthesia-through-social-media/2978/ 

Connect with Rhianna: https://www.instagram.com/rhiannaferial/?hl=en 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

3:32 – Welcome in Rhianna

6:03 – Background on her nursing career

8:07 – Importance and influence of social media  

9:50 – Becoming aware of the CRNA profession

10:44 – How she got started in social media and what platforms she uses

13:16 – Pursuits outside of anesthesia

14:42 – Real estate investing

17:40 – Goal to become a millionaire  

22:51 – When do you want to retire from anesthesia?  

25:52 – Working per diem

27:32 – What’s the ultimate objective

31:05 – Her Financial Freedom business

34:19 – Why the passion for finance?

37:23 – Final thoughts

39:35 – Lightning round

Burnout has always been an issue for nurses and CRNAs but the issue has risen ever since COVID and the added stress that’s put on the healthcare industry. What if there was a way to help individuals guard against it? Today we dissect the concept of grit with Michell Smith, CRNA and explore how passion and perseverance are not just buzzwords but critical tools for CRNAs striving to achieve their long-term goals.

Here’s some of what we discuss in this episode:

• Grit is perseverance and passion to achieve long-term goals and is predictive of success in a variety of domains.
• The four stages of grit: interest, practice, purpose, and hope.
• Higher rates of burnout in CRNAS since COVID but higher grit scores are correlated with lower burnout rates.
• An individual can grow and cultivate grit over time.
• How to set goals and prioritize them for yourself.

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Today’s episode is about aging and longevity—topics that have intrigued humanity for millennia. But today, we have cutting-edge science that shows aging is not just a random, unstoppable process; it’s governed by specific biological pathways, environmental factors, and lifestyle choices. We’re going to explore the cutting-edge science and evidence-based strategies for enhancing both lifespan and healthspan—because it's not just about living longer, but living better.

Here’s some of what we discuss in this episode:

• The blue zones around the world where people typically live well past 100 years of age.
• Polyphenols ​are ​found ​in ​plants ​that ​have ​significant ​antioxidant ​and ​anti-inflammatory ​properties.
• Social structures and how healthy structures can impact longevity.
• The significant changes our cardiovascular systems undergo as we get older.
• Several key biochemical pathways that control the aging process have been identified.

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

As transgender patients become more common for hospitals across the country, procedures and processes continue to be updated to meet their needs. Jose D. Castillo, III, PhD, MS, CRNA, ARNP, has spent a lot of time researching this subject and educating CRNAs. Today, he’ll address some of our questions and provide us with a better understanding of how best to care for transgender patients.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-94-perioperative-updates-for-care-of-transgender-patients/2652/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this show: 

2:33 – Introducing our guest today

3:58 – Why this is a timely topic

6:00 – Definitions related to the care of transgender patients 

8:20 – Pronoun use and best practices

14:30 – The different stages of transition

17:33 – Perioperative experience Sharon had

19:53 – Anesthesia considerations for transgender patients

24:15 – Common medications with hormone replacement therapy

29:10 – Be aware of your biases and prejudices for every patient you care for.

30:26 – How to get more information from our guest

Election season can be a stressful time for many, especially when it comes to financial concerns. The uncertainty of political outcomes often leads to anxiety about the future of the economy and the stock market. But is your fear warranted? Today we’re going to remove the emotion and look at election season from a historical perspective.

Here’s some of what we discuss in this episode:

• Why the Federal Reserve changes interest rates and will this help prevent a recession?
• An economics lesson and some insight into the factors moving the market in recent months.
• Let’s go all the way back to 1949 and look at how the S&P 500 has reacted to different presidents.
• What returns look like for different parties in the White House and Congress.
• What your investing strategy should be if you’re concerned about the election.

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

***Use coupon code BEYOND1999 to get 20% off through November 2024

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

We’re excited for today’s episode as we explore the intersection of anesthesia, leadership, and military service with the incredible Debra Diaz, DNP, CRNA, APRN, FAANA. She’s a CRNA who served in the US Navy and shares her profound experiences from the front lines to the operating room. Discover the unique challenges of military anesthesia, the critical importance of leadership, and the unyielding spirit of service that defines the CRNA profession.

Here’s some of what we discuss in this episode:

• The difference between being a CRNA in the military and working as a civilian.
• The training the military provides and how the Navy stresses leadership training.
• The experiences she had on aircraft carriers, including being on a ship that had just two females among a crew of 5500 people.
• Debra shares stories about treating combat injuries and why she had to carry multiple weapons during some of her assignments.
• What she gained from her military service that benefits her as a CRNA.

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

This week, we’re shining a spotlight on Ciprofol, a cutting-edge intravenous anesthetic that has been making headlines in both clinical research and operating rooms worldwide. With its innovative formulation and promising safety profile, Ciprofol is poised to transform the landscape of anesthetic practice.

Join us as we explore how this new drug compares to established agents like propofol and what it could mean for the future of procedural sedation and anesthesia.

Here’s some of what we discuss in this episode:

• What is Ciprofol, and why are nurse anesthetists buzzing about it?
• The reduction in dosage isn’t just about using less drug—it has ripple effects.
• What about its pharmacokinetics? Does it have the same quick onset and recovery profile that we’ve come to rely on with Propofol?
• How does Ciprofol stack up when it comes to adverse events?
• We dissect the study—a randomized, double-blind trial conducted in China.
• Is Ciprofol the future?

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

There’s been a huge strain put on the anesthesia business in recent years due to the way that hospitals and surgeries have changed, and there’s some uneasiness about what it could mean for the future.

Today we’ve invited NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, on to assess the state of the profession and discuss what’s to come for CRNAs as processes evolve.  

Here are some of the things you’ll learn on this show:

• How hospitals have changed over the past few years to create this strain on anesthesia. (4:48)
• The financial truth behind hospital revenues. (11:01)
• Meeting the future demand for CRNAs and what it means for earnings. (16:13)
• Why solutions will be market-by-market. (24:41)
• Where do CRNAs fit into these new business models? (31:02)
• An explanation of how a lot of the demand is artificial. (36:49)
• Will the rate of growth continue for CRNAs? (40:26)

About our guest: https://northstaranesthesia.com/our-culture/leadership.html

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Our historical series wouldn’t be complete without an episode dedicated to the life and accomplishments of former AANA president Helen P Vos. What better way to truly understand her impact on the profession than by talking with two of her former students who were later mentored by Ms. Vos. Let’s welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to the show to tell us about this special person.

Read more:https://beyondthemaskpodcast.com/ep-160-remembering-helen-vos-the-mother-of-continuing-education/3127/

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 

What we discuss in this episode: 

3:31 – Introducing today’s subject

4:37 – Early life

8:29 – A spirit for adventure

12:20 – Education

19:15 – Her work in anesthesia

25:00 – Career as a CRNA

28:26 – Story about how direct she could be

33:14 – Service to the AANA

38:29 – Mother of Continuing Education

43:52 – Her passing

50:06 – Final thoughts on Helen

Today we are going to discuss the uncertainties surrounding healthcare restructuring and why it’s critical for anesthesia to play an influential role moving forward. We’re excited to do that with guest host Angela Mund, DNP, CRNA, and Kevin Smith, MBA, CRNA, MSN, APRN of North American Partners in Anesthesia. We’ll have a roundtable discussion about where the anesthesia profession is headed and how CRNAs can create influence at local levels. 

Here’s some of what we discuss in this episode:

• Why he feels like there’s no real influencer in the healthcare industry.
• The role that anesthesia plays in healthcare and what we have to do to take a seat at the table.
• His fears about healthcare restructuring and where we’re headed.
• Why it’s important for there to be positive messaging on the ground to offset the negative associated with many CRNAs leaving institutions.
• What can we do to prepare graduates to work with companies like NAPA to create influence?
• How social policy plays into current legislation.

About our guest: https://napaanesthesia.com/who-we-are/kevin-smith/

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Caring for surgical patients who have an associated penicillin allergy is relatively common. Should we avoid cefazolin (Ancef) in these patients?

In this episode, Jeremy and Sass look at current and past evidence to uncover the truth about the relationship between penicillin and Ancef. This episode will get you thinking about the antibiotics you administer in your anesthesia practice.

Here are some of the things you’ll learn on this show:

• An estimated 8-10% of patients have an allergy to penicillin and where did this projection come from?
• Why many people might think they have a penicillin allergy but test negative.
• Why are we concerned that medications might cause allergies?
• What the information and studies tell us.
• Three cases where a patient had a documented penicillin allergy and received Ancef.
• The efficacy of the other antibiotics.
• What a liability study discovered.
• Our key takeaways from the evidence we have.

About our hosts: https://kpatprogram.org/about-the-school/faculty.html 

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today Garry and Terry will be focusing on the revolutionary benzodiazepine – remimazolam. In this episode, we unravel the intriguing tales from diverse case studies, exploring the unique applications and benefits of remimazolam in different surgical scenarios. From thyroid surgeries to emergency cardiac procedures, remimazolam emerges as a promising ally in ensuring smoother inductions, minimal postoperative complications, and enhanced patient experiences.

Here’s some of what we discuss in this episode:

• Understanding the mechanism of action behind remimazolam.
• We talk about the context of intravenous benzodiazepines.
• How remimazolam's versatility makes it a potential candidate for various clinical scenarios, catering to the unique needs of both procedural sedation and general anesthesia.
• What have the different case studies taught us?
• How could the landscape evolve as more research is conducted?

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We don’t have to go very far back to find the guest on the latest installment in our Presidential Leadership Series. Garry Brydges PhD, DNP, MBA, CRNA, ACNP-BC, FAAN, in the AANA, served as the AANA president for the 2018-19 year so his experiences are still very fresh. Join us as we look back at the challenges of his term, the lessons learned, and why self-reflection has become part of his daily life.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-103-courage-to-lead-2018-19-aana-president-garry-brydges-phd-dnp-mba-crna-acnp-bc-faan/2717/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this show: 

1:27 – Traveling during COVID

3:19 – Welcome in Garry Brydges

5:12 – Garry’s extensive educational background

8:16 – Was going to law school when elected AANA president

11:20 – Looking back on his presidency. Why did he decide to run?

19:48 – Why Garry was the right person for a role the board.

24:38 – Meetings are such a wonderful opportunity for presidents

27:38 – Challenges Garry faced during his year

36:26 – Leveraging social media

42:08 – Advocacy issues during his presidency

45:16 – The most valuable leadership lesson he learned

50:56 – A message to the younger CRNAs

52:40 – Garry’s athletic career

Gaining a seat at the table is something our profession is working diligently to achieve so CRNAs can advocate for everyone on a local, state, or federal level. This year has served as a reminder that we need to continue fighting to eliminate barriers and moving forward. Debbie Barber, DNP, CRNA, is the former Chair of the AANA Government Relations Committee and dedicates much of her professional life to pushing for advocacy and increasing awareness among young CRNAs. Today she’s joins us to talk about those efforts along with all of the resources that the AANA has available to members.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2595 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

On Today's Show:

2:48 – Welcome Debbie Barber, DNP, CRNA

3:53 – Some background on Barber

6:38 – The importance of understanding CRNA practice.

8:47 – The resources offered up by the AANA

11:17 – Should the temporary CMS guidelines become permanent?

15:53 – The standard of care is the same

17:14 – State resources available from the AANA.

21:37 – Should students be involved in advocacy?

26:58 – The barriers facing CRNAs.

30:41 – CRNAs need to become the administrator rather than relying on someone else.

34:16 – Running for office could become a great retirement job.

37:44 – What other career would you have chosen if not CRNA?

38:57 – Final thoughts from our guest today.

We’re excited to sit down with a distinguished CRNA and a leader in our profession for our first interview. Jackie Rowles, DNP, CRNA, NSPM-C, FAANA has devoted much of her life to pain management and it’s taken her to the height of the profession. She’s currently the president of the International Federation of Nurse Anesthetists and formerly served as the AANA president, making her a pivotal figure in global advocacy and education.

Today she opens up on her fascinating journey through pain management and offers up incredible advice and insight that any young CRNA can benefit from.

Here’s some of what we discuss in this episode:

• How her father, a surgeon from Iran, inspired her to become a nurse anesthetist.
• Her advice for students who want to be more involved in healthcare and leadership positions beyond outside of the operating room.
• The different types of fellowships for CRNAs and what that process looks like.
• How does CRNA school today compare to what schooling was like when she was going through.
• What advice does she have for faculty to ensure students have resources for wellness?
• What’s the scope of practice for CRNAs outside of the United States?

Visit us online: https://beyondthemaskpodcast.com/grade-1-view/

Visit the AANA Resident Hub: https://www.aana.com/resident-hub/ 

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Over the past five decades, quite a bit of attention has been paid to the challenges facing the CRNA workforce, especially when numbers dropped significantly in the 80s and 90s. The lack of manpower pushed Congress, the AANA, and other organizations to study the reasons behind the lack of graduates and determine what solutions might exist. Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, join us today to take us back through the history of these shortages and the studies that followed in part one of this two-part series.

Read more: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today's Key Topics: 

2:40 – Trends from 70s and 80s   

5:40 – The reductions at Wake Forest

9:02 – The major factors that led to this issue 

10:52 – Factors in the 80s

13:18 – Study on Program Closures

17:05 – CRNA manpower study in 1990 

19:20 – Obstacles to achieving the study’s recommendations

26:39 – Steps the AANA has taken

30:49 – Anesthesiology training in the 90s

37:04 – Supply and Demand study in 2003

40:13 – Economic impact on the profession

42:35 – 2006 study

46:59 – Key points from 2009 study

48:59 – Cromwell study

Nearly a century ago, nurse anesthetists took the first steps towards standardizing education and moving towards an approval process. It was a journey that faced many challenges and took various forms before reaching the point where we are today. Betty Horton, PhD, CRNA, FAAN, and Mike Kremer, PhD, CRNA, FAAN, join the show to take us through this history of education and accreditation along with where we’re headed.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2541 

Today's show schedule: 

3:34 – Another historical episode today with Betty Horton and Mike Kremer

6:06 – Why was their interest in starting an approval process for the schools of nurse anesthesia?

7:55 – What was Helen Lamb’s role in the process?

8:20 – The AANA archives are impressive.

9:08 – What all went into the accreditation process?

11:57 – When did we start approving nurse anesthesia schools and has that changed over time?

16:37 – How has the education changed for SRNAs and CRNAs

18:55 – Nurse anesthetists have lead the way in the nursing industry.

21:39 – Seeking external approval for accreditation.

25:03 – Challenges for accreditation through history.

29:54 – Physicians tried to shut down the schools at one point.

32:57 – What’s the status of nurse anesthesia education now?

36:31 – Closing thoughts from our guests.

Money drives many of the decisions industries have to make and healthcare is no exception. As things become more expensive and less efficient, people are looking for ways to improve the quality and cost of care. Ian Hewer, PhD, CRNA, is an assistant professor at Western Carolina University and has turned much of his focus to healthcare economics and QZ team billing. Today he’ll tell us more about this team approach, how it’s impacting cost, and why it’s a good thing for CRNAs.    

Read more: https://beyondthemaskpodcast.com/ep-155-how-the-economics-of-healthcare-could-change-anesthesia/3076/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 

What we discuss in this episode: 

4:34 – Introducing today’s guest and topic

6:53 – The anesthesia care team model

11:24 – Background on QZ billing

14:15 – Supervision

16:45 – How will affect the future of anesthesia?

22:48 – What does the average anesthetist make?

26:03 – Outcomes vs amount spent

30:57 – Solutions for the future

35:49 – What patients think of their care

37:02 – Problems with employer-based insurance system

38:34 – Two options we face

42:46 – CRNAs in good position

44:10 – Lightning Round

As we prepare to turn the page to the new year, it’s time to start thinking about our goals and laying out the resolutions we want to achieve in 2022. Sharon and Jeremy will take you through 22 life and money resolutions that will help you grow as a CRNA and put you on a path to financial freedom.

Read more: https://beyondthemaskpodcast.com/ep-161-22-life-money-resolutions-for-2022/3132/(opens in a new tab) 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0

What we discuss in this episode: 

2:01 – Looking back on 2021

3:17 – Setting goals and resolutions

4:35 – Resolution #1 – Reduce your debt

7:11 – Resolution #2 – Boosting retirement savings

8:41 – Resolution #3 – Prepare for unexpected

10:57 – Resolution #4 – Don’t overreact to the headlines

12:24 – Resolution #5 – Set a budget

15:13 – Resolution #6 – Meet with financial & tax advisors

16:52 – Resolution #7 – Check beneficiary designations

19:39 – Resolution #8 – Carve out time for tough conversations

21:40 – Resolution #9 – Audit your insurance

22:58 – Resolution #10 – See if refinancing your home makes sense

23:46 – Resolution #11 – Organize your finances

25:35 – Resolution #12 – Check your credit

28:06 – Resolution #13 – Understand and review 1099 options

35:06 – Resolution #14 – Have a retirement income plan

31:34 – Resolution #15 – Look for more donation opportunities

33:00 – Resolution #16 – Ask about Roth conversions

34:30 – Resolution #17 – Update paycheck withholdings

35:21 – Resolution #18 – Rebalance your portfolio

35:51 – Resolution #19 – Plan your transition into retirement

37:30 – Resolution #20 – Consolidate your accounts

38:19 – Resolution #21 – Define your why or revisit it

40:08 – Resolution #22 – Listen to more episodes of the podcast

41:24 – 5 signs for good financial health

The CRNA community is filled with multi-talented individuals and today’s guest is a wonderful example of that. In this episode, Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA sit down David Giardinelli-O'Connor, PhD, DNAP, CRNA, who has successfully balanced a demanding career in anesthesia with his lifelong passion for music. We’ll hear about his music and multiple bands, his adventures playing for U.S. troops overseas, and the crossover between music and anesthesia.

Here’s some of what we discuss in this episode:

• Challenges and frustrations of trying to balance a CRNA career with a passion for music.
• The effort it took to get overseas to perform for the USO.
• The virtual shows he had success with during COVID.
• Crossover between anesthesia and music careers, with emphasis on fluid management.
• The ‘Iowa story’ about nitroglycerin and traveling through the airport.

Learn everything about Dave's music: https://www.dave-oconnor.com/

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

We all experience acute stress. Sometimes on a daily basis. In this episode Jeremy breaks down acute stress and talks about the anatomy and physiology of stress. He reviews a theory on how highly stressful situations can affect our thinking and performance. He also points out how a certain amount of acute stress is actually helpful.

Here are some of the things you’ll learn on this show:

• The anatomy of stress – what role does each part of the body play? (4:08)
• A theory of the psychology and physiology of stress. (11:01)
• The right amount of stress can actually be a motivator and enhance performance. (13:48)
• The BVM acronym provides strategies for handling stress. (15:45)

Resources:

• David Grossman –On Combat: The Psychology and Physiology of Deadly Conflict in War and in Peace by Lt.-Col. Dave Grossman and Loren W. Christensen, PPCT Research Publications, 2004.
• A good site to see a representation of Grossmans’ Graph of how stress affects one’s psychological and physiological response: https://www.cdnfirefighter.com/stress-management-5807/
• Marcus, Hani, et al. (2013). Practice makes perfect? The role of simulation-based deliberate practice. Neurosurgery 72:A124-A130.
• Bramson, Rachel, et al. (2011). Comparing the effects of mental imagery rehearsal and physical practice. Annals of Behavioral Science and Medical Education, Vol. 17, No. 2, 3-6.

About our hosts: https://www.kpsan.org/school/people/

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The rate of mental health illness has already been on the rise among young adults and these past two years have added even more stress to our lives. We know first-hand how difficult things have been for healthcare workers and students alike. Michael Rieker, CRNA, DNP, FAAN, like many people, has been personally impacted by suicide and now uses that experience to help improve the mental health for people he comes in contact with each day. He joins us on this episode to talk about the challenges facing our industry, how we can personally make a difference in someone’s life, and an upcoming event that will honor the memory of an SRNA.

Read more: https://beyondthemaskpodcast.com/ep-148-mental-health-awareness-for-healthcare-workers-and-trainees/3022/ 

About our guest: https://school.wakehealth.edu/Faculty/R/Michael-Rieker 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:44 – Welcome in Mike Rieker. Why this is important to talk about.

4:53 – Background on Mike

5:32 – What has been driving mental health issues

8:49 – Effect on healthcare workers

13:20 – The quiet stressors

18:48 – Enormous pressure on anesthesia students

22:48 – Lessons he’s learned  

27:06 – Empathizing with people

30:22 – Providing support  

34:43 – Difficulty in finding balance

39:00 – The annual run

40:59 – Final thoughts

41:29 – Lightning round

45:25 – Details on the run

Advocacy is the driving force behind elevating our profession and continuing to push nurse anesthetists and CRNAs forward. One of the key people advocating for us is Lorraine Jordan, PhD, CRNA, CAE, FAAN. As the Chief Advocacy Officer for the AANA and the CEO of the AANA Foundation, Dr. Jordan works tirelessly for her peers and devotes countless hours to research that benefits us all. Today we want to spotlight the work she’s doing and learn more about the goals and purpose of the AANA Foundation as it leads us into the future.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-124-aana-foundation-leading-crnas-into-the-future/2868/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:46 – Welcome in Lorraine

3:03 – Everything she does with the AANA

6:09 – What is the Foundation’s purpose?

9:48 – The research

14:44 – How expensive these studies are

16:50 – Spending  

18:33 – Other methods for funding  

19:53 – 40th Anniversary  

21:42 – Friends for Life program

25:22 – Her role as Chief Advocacy Officer  

29:21 – State advocacy issues  

30:33 – Opportunities for CRNAs to help  

33:19 – What drives Lorraine

36:05 – Lightning Round

As the debate over whether the AANA should make the region director positions an at-large vote or maintain the current structure, we wanted to help present both sides of the debate. On this episode, we’re joined by Sallie Poepsel. MSN, PhD, CRNA, Julie Linton, MSN, CRNA, and Nick Blank, CRNA, MSN, APN, to hear why region directors should represent the area in which they live. The issue will be voted on Saturday, August 15, 2020. 

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2578 

Read more on the Bylaws here: https://www.aana.com/docs/default-source/exec-unit-my-aana-web-documents-(members-only)/goverance-docs/master-2020-proposed-bylaw-amendments-final-7-10-2020.pdf?sfvrsn=1f5ce5a1_2 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today's show schedule: 

2:06 – Background on what we’re talking about.

2:55 – Our guests today.

4:07 – Julie Linton provides background on the issue.

8:44 – Wouldn’t at-large directors provide better qualified candidates?

11:57 – How a change could disenfranchise smaller states.

14:14 – Explaining how at-large voting would work.

18:19 – Nick shares an example from Region 1

21:13 – The perceived problem of regional leadership development.

26:17 – If there are a lot of great leaders out there, why aren’t they running already?

29:59 – If you abolish the current system, how assignments determined?

33:32 – Recommendation for requirements and qualifications to run.

36:49 – The one point of concern for everyone working on this issue.

38:48 – Nick adds to Julie’s point about one region or state having the majority of directors.

41:53 – Why are we going back to undo something that was voted on?

44:41 – Should the AANA function more as a business than it currently does?

47:19 – Making diversity a priority.

For more than 20 years, the AANA Mentorship Program has played an integral role in the development of young CRNAs thanks to both the mentors and mentees that have committed to the annual event. Tracy Castleman, CRNA, has been deeply involved in the mentoring process so we asked her to join us to talk about the program, why it’s important for CRNAs to get involved, and what young professionals can expect to get out of this experience.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-116-importance-of-mentoring-in-crna-leadership-development/2805/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

4:47 – Background on Tracy   

7:13 – Why mentoring is important

9:28 – The first mentoring program

10:55 – Growth of the program

12:17 – Reasons mentorship is important for CRNAs 

14:37 – Key attributes of mentors and mentees

17:51 – How someone can get involved

19:16 – What happens on-site

28:31 – Charitable arm of NJANA

34:06 – Final thoughts on today’s topic

In this episode of Grade 1 View, host Olivia Conn shares her experiences and insights gained from attending AANA’s Assembly of Didactic and Clinical Educators (ADCE) conference and provides her perspective on the importance of student participation. The ADCE might not seem like an event aimed at students, but understanding the educators' perspectives and engaging in discussions can enhance the learning experience for future CRNAs.

Tune in for a robust discussion with Charity and Kevin about topics impacting the future of CRNA education, like the use of AI and animated curricula.

Here’s some of what we discuss in this episode:

🎤 ADCE Conference Insights:

• Importance of SRNAs participating in conferences for a deeper learning experience

🤖 AI in Education:

• How AI is enhancing learning through lecture transcriptions and customized exam questions

🎬 Animated Curriculum:

• Using animated videos to simplify complex subjects like pharmacology and physics

🧮 Mental Math Deficit:

• Discussing the critical need for SRNAs to develop strong mental math skills

March 17 Resident Roundtable: https://www.aana.com/resident-hub/residents/resident-wellness/

You can register directly here: https://us06web.zoom.us/meeting/register/tZMkdeCrqj8iGNfYbM6hkR20n8MXGEUHUNuJ#/registration

Visit the ADCE online: https://www.aana.com/premier-event/assembly-of-didactic-and-clinical-educators/

Visit us online: https://beyondthemaskpodcast.com/grade-1-view/

Visit the AANA Resident Hub: https://www.aana.com/resident-hub/ 

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

The loss of a child can be the greatest weight a parent can carry through life, but Steve James, CRNA, and his wife turned a tragedy into a world-changing mission. Today we’ll learn all about this remarkable journey from Alabama to Kenya and how CRNAs are making a major difference halfway around the globe.

Show notes and additional resources: https://beyondthemaskpodcast.com/ep-118-a-crnas-light-in-the-darkness-featuring-steve-james-crna/2821/ 

About our guest: https://www.kenyarelief.org/  

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:23 – The day his life changed   

6:12 – The first trip to Kenya

8:00 – How this has changed him

9:45 – Starting Kenya Relief

11:52 – How many people have they impacted   

13:24 – Getting involved with this organization

17:13 – Surgeons in Kenya

19:45 – Progress being made in Kenya

21:05 – Impact of COVID

25:20 – Expired drugs

27:53 – One thing that’s changed for the better in Steve’s life

31:39 – How can CRNAs help

35:09 – Lightning Round

Have you ever aspired to be the association president in your state but aren’t completely sure how to get there? We brought together four former state presidents for a roundtable discussion on the path to reach that position. We’ll talk about the traits you need, the importance of getting involved, and what everyone gained from the experience.  

Read more and get additional CRNA resources: https://beyondthemaskpodcast.com/?p=2323 

Today's show rundown: 

2:25 – A Facebook message sparked the idea for this episode.

2:58 – Former presidents Jackie Rowles, Tracy Castleman & Carole Doyscher join us today.

4:03 – What’s the first step on that path to presidency?

5:48 – Carole feels finding a mentor is very important.  

6:36 – Tracy was a big part of the AANA’s mentorship program getting started.

8:19 – Jackie shares her perspective on what it takes to rise up.

9:51 – If a young CRNA wants to get involved, what should that first step be?

11:41 – The women discus character traits they’ve seen from leaders.

15:48 – You have to be able to identify someone that can come up behind you and be your replacement.  

17:04 – There’s a sacrifice to be made when you take a leadership position.  

19:22 – What resources do we have at the AANA level?

23:06 – How do you prepare for issues?

25:04 – Carole shares her point of view working in a small state like South Dakota.

27:44 – Teamwork is important and finding a great lobbyist is crucial

28:45 – As a president in a state, what exactly do you do?  

30:56 – Remember that you are a representative the entire profession.

32:04 – Summarizing what everyone feels about the role of the president.

33:37 – What did each woman get out of taking the president role in their state?

The beauty of technology is that information is accessible to anyone, anywhere, and the ability to learn is right there at our fingertips. Thanks to FOAM (Free Open Access Meducation), CRNAs are able to pull from all types of resources to continue education and improve their anesthesia skills. To help us understand what is available and how these digital platforms are giving content creators an outlet, we’ve asked Jon Lowrance, MSN, CRNA, the producer at Anesthesia Guidebook, to join us on the show.  

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-140-free-open-access-meducation-leveraging-social-media-podcasting-for-learning/2967/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:49 – Background on Jon

9:06 – The educational role of podcasting

14:50 – Asynchronous learning programs

18:05 – Peer review standards

24:03 – Addressing outdated content

28:52 – Charging for content

37:29 – Teaching about CRNA history

40:29 – Learning by audio

47:40 – Closing thoughts

50:47 – Lightning round

The early years of anesthesia were a time when nurses proved just how valuable they were as this new world was being explored. Olive Berger, CRNA was one of the women that rose to the occasion and helped shape the profession through her work with ‘blue babies’ and with the AANA. Today we look back on her career with show historians Nancy Bruton-Maree, CRNA and Sandy Ouellette, CRNA.

Here are some of the things you’ll learn on this episode:

• Her early career graduating in 1922, the rise to Chief Nurse Anesthetist just nine years later, and some of her accomplishments. (6:38)
• The story behind the ‘blue baby’ operations and the Blalock-Taussig-Thomas shunt that was developed for patients with cyanotic heart disease. (12:01)
• Details from a 1948 AANA Journal article where Ms. Berger spoke about the early anesthesia administered. (16:20)
• The Austin Lamont study that concluded anesthesiology should become a medical specialty. (21:19)
• The multiple roles she held with the NANA and then AANA. (25:22)

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The world of anesthesia is evolving, and pain management is at the forefront of this transformation. In this episode, we dive into the revolutionary non-opioid analgesic, Suzetrigine, a selective NaV1.8 inhibitor making waves in perioperative and acute pain management. With increasing pressure to reduce opioid dependence while maintaining effective pain control, anesthesia providers must stay ahead of cutting-edge developments. Join us as we break down the pharmacology, safety profile, clinical trial data, and real-world implications of this game-changing drug.

Here’s some of what we discuss in this episode:

• We’ll talk about dosing in extreme detail because, as anesthesia providers, we know that precision matters.
• The drug interactions is a critical consideration and we’ll run through adjustments that need to be made.
• We get to the into the physiology and pharmacology implications of Suzetrigine, focusing on what this means for nurse anesthetists.
• The pharmacological properties of Suzetrigine and how it functions at a molecular level to modulate pain perception.
• The side effects and contraindications.
• Scientific trials and comparisons to other analgesics for nurse anesthetists.

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

We focus quite a bit on specific people or issues in nursing, but it’s always great to take a few steps back and take a high-level view of the profession. Today we’re excited to welcome someone who has been incredibly influential and has used that position to give back through service and endowment. Becky Patton, DNP, RN, CNOR, FAAN joins the show to give us a thorough assessment of the state of nursing today and address some of the industry's key questions and challenges. 

Here are some of the things you’ll learn on this show:

• The work she’s done in nursing through service, policy, endowment, and working with past Presidents. 2:28
• The issues she feels are most important right now. 8:29
• Why she feels relationships and shift times are why so many nurses are leaving the profession early in their careers. 12:07
• Can we change the current model for nursing? 20:39
• Her thoughts on the fraudulent nursing degrees that have been in the news. 27:10
• Incorporating policy into the coursework for nursing students. 38:06
• Her favorite memory from serving as ANA president.  45:25

Get her book: https://www.amazon.com/Nurses-Making-Policy-Third-Boardroom/dp/0826166458/ 

About our guest: https://case.edu/nursing/about/fpb-directories/faculty-directory/rebecca-m-patton 

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Imagine the impact a structured shadowing program can have on ICU nurses thinking about a future as a CRNA. That’s why today’s guest, Caroline Killmon, MS, CRNA has helped create a shadow program at her hospital in North Carolina and will share the experience so far. We’ll look at the positive ripple effects it can have on the nursing community, the success stories emerging from these shadowing experiences, and the impact a well-constructed shadowing opportunity could have on the future of healthcare.

Here’s some of what we discuss in this episode:

• Background on how the program originated and why she saw the need for it.
• How to get everyone to buy in and how to spread the word.
• Processes that she would recommend for shadow programs.
• What do CRNAs stand to gain from doing all the work to run a shadow program?

About our guest: https://www.wakehealth.edu/providers/k/caroline-d-killmon

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Artificial Intelligence has disrupted many different industries despite it being a relatively young technology, and there’s no doubt that AI will greatly impact healthcare as well.

Today we’re talking with Ajay Gupta, who runs a health tech firm, to learn more about how AI is harnessed to leverage social determinants of health, predicting patient outcomes with greater accuracy. Join us as we explore AI's transformative potential in reshaping healthcare delivery and enhancing patient care.

Here’s some of what we discuss in this episode:

• AI is like a medical or nursing student whose capabilities grow as it learns more.
• We need to improve, streamline our operational practices – raise our game – to fully benefit from the powers of AI.
• The future of what AI will bring to healthcare is uncertain but we have a window of opportunity to shape our outcomes.
• Is there a concern that AI will worsen health equity?
• Can AI help speed up new drug discovery?

Learn more about HSR Health: https://www.hsr.health/

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

CRNAs are self-starters who strive in individual settings, but we’re all much stronger and successful with the support of others. In our latest podcast episode, we had the privilege of sitting down with the Fab Four, a group of extraordinary women who have left an indelible mark on the CRNA community.

These trailblazers, innovators, and phenomenal individuals have not only shaped the profession but have also built a powerful support network that has been instrumental in their success. Join us for a heartfelt and inspiring discussion on leadership, mentorship, and the power of friendship.

Here’s some of what we discuss in this episode:

• The memories each of us have about when we first met.
• How important these relationships and friendships are on a career.
• Finding a mentor to help you become a better leader in this profession.
• The advice each woman would give a young CRNA trying to find their path.

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

As we continue our case series on these clinical episodes, we’re going to start out by talking about surgical procedures and pathology related to the endocrine system. Today’s episode will focus on a thyroidectomy, which is the surgical removal of all or part of the thyroid gland. We’ll take you through a case and walk you through the essential points of what you need to know.

Here are some of the things you’ll learn on this show:

• Airway management tools and what should you pay attention to. (2:46)
• Pre-operative pharmacological management. (6:56)
• Pre-operative thyroid tests that can be given. (9:48)
• Hemodynamics during a thyroidectomy. (12:09)
• What should you look for in terms of thyroid storm. (17:49)
• Deep vs awake extubation. (20:46)
• What happens if someone develops a hematoma. (24:52)

About our hosts: https://www.kpsan.org/school/people/

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The rate of cannabis use has exploded exponentially in the past 10 years and the widespread consumption demands us to be knowledgeable on the topic. Dr. Daniel King, CRNA, has become a dedicated subject matter expert in cannabis implications for anesthesia patients after taking an interest in the issues he was observing in his day-to-day practice. Today he’ll help educate us on the subject, the different risk factors, and what he’s learned about providing anesthesia for these patients.

Here are some of the things you’ll learn on this show:

• The legal status of cannabis today and has it’s evolved rapidly over the last few decades.
• The lack of education on this subject despite the fact that cannabis use has overtaken tobacco use.
• The different ways patients are using and consuming cannabis.
• What we know about THC concentrations and anesthesia requirements.
• The cardiac, respiratory and other risk factors for patients who use cannabis.

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Have you ever managed an airway with both a video-laryngoscope and a flexible intubating (fiberoptic) scope? Wait…what???

Yep, in this episode Jeremy and Sass talk about an evolving airway management technique that utilizes both devices to help secure difficult airways. They call it VIFI!

Here are some of the things you’ll learn on this show:

• What is VIFI and how does it work?
• What are the advantages to using this technique?
• Case reports of airway obstruction and airway closure.
• A case study of successful airway management using video laryngoscope.
• How do you perform this process?

About our hosts: https://kpatprogram.org/about-the-school/faculty.html 

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

With Sharon away for work this week, we invited Andrew Opdyke, CFA from First Trust to join us to address a concern that many people have this year: the future of the market. What's ​the ​Fed ​going ​to ​do? ​Where's ​this ​economy ​going? ​How's ​this ​election ​going ​to ​affect ​my ​portfolio ​and ​my ​financial ​future? We tackle all these pressing financial questions and get Andrew’s thoughts on the year ahead.

Here’s some of what we discuss in this episode:

• What will the Fed do with interest rates in 2024?
• What impact did COVID have with the shutdown and the government spending that followed?
• What is driving inflation right now?
• The issue that stems from consumer debt continuing to rise.
• How will the US service their massive debt and what problems is that causing?
• The impact AI will have on everything.

About our guest: https://www.linkedin.com/in/andrewopdyke 

Visit us online: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

In this episode of Grade 1 View, we sat down with two incredibly brave and inspiring guests, Louisa Martin, PhD, CRNA and Rigo Garcia, MSN, MBA, CRNA, who opened up about their personal battles with substance use disorder. They didn’t hold anything back. From near rock bottom to recovery, from fear and shame to leadership and advocacy, their stories are raw, real, and deeply relevant to our lives as students and future CRNAs.

Here’s some of what we discuss in this episode:

🧠 Why high achievers and CRNAs are especially at risk for substance use

📖 Personal stories of addiction, recovery, and redemption from Louisa and Rigo

📞 What to know about Parkdale’s 24/7 confidential helpline

🚫 Breaking the stigma: why it’s okay not to be okay

❤️ How to help a classmate or colleague in crisis

If you or someone you know need support, please utilize these resources:

https://parkdalecenter.com

24 Hour Hotline: 888-895-2471

Partnership with AANA: https://parkdalecenter.com/about-us/aana-partnership/

Wellness Resources from AANA: https://www.aana.com/membership/here-for-you/health-and-wellness/

Visit us online: https://beyondthemaskpodcast.com/grade-1-view/

Visit the AANA Resident Hub: https://www.aana.com/resident-hub/ 

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

It can be challenging enough for CRNAs to keep up with their own responsibilities each day so we understand how difficult it is to stay updated on changing legislation and regulatory issues. Did you know the AANA can be a huge resource for you? We brought on Senior Director of State Government Affairs Anna Polyak, RN, JD, to tell us about where the organization is focused and what they’re doing to help CRNAs.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2253 

About the guest: 

Ms. Polyak is the Senior Director of State Government Affairs and Legal at the AANA’s where she works closely with state associations of nurse anesthetists to remove barriers to CRNA practice to assure that CRNAs can practice to the full extent of their training and education.  Ms. Polyak received her BSN and JD from Loyola University Chicago.  Prior to joining the AANA in April 2011, she worked as the Corporate Compliance attorney for a national long-term care company and served as the Associate Chief Counsel for the Illinois Department of Public Health. Prior to starting her legal career, Ms. Polyak practiced as an operating room nurse.

Today's rundown: 

2:21 – Welcome our guest today, Anna Polyak, RN, BSN, JD

3:15 – Let’s begin by talking about the legislative and regulatory things that CRNAs face and who regulates our practice.

4:46 – Why is this topic so important right now for CRNAs?

5:33 – What are some of the AANA goals have related to CRNA practice and scope of practice?

6:41 – Are all CRNAs under the board of nursing in all states?

7:43 – Anna explains the tracking service tool the AANA offers.

9:53 – Let’s talk about how CRNAs are regulated at the state level.

10:53 – AANA members can use the group to get help understanding the regulations.

11:55 – They look at these basic areas and focus attention here.

12:55 – How states can opt out from the federal supervision requirement.  

15:40 – Most members don’t know about this added value resource.  

18:35 – What states are going through certain issues currently that the AANA is spending time on?

19:17 – AANA is rolling out a pilot program in Oklahoma, Alabama, and Arkansas.

23:00 – What advice would you have for practicing CRNAs right now and what can they do to keep things moving forward?

25:42 – Sharon’s experience building relationships with legislatures in North Carolina.  

26:50 – Educating your facility administrator can also be very helpful. 

29:46 – What do you say to the CRNAs that don’t want to get involved beyond the day-to-day responsibilities of the job?

32:37 – Does Anna have any predictions about how the landscape might change in the coming years?

33:50 – Anna is in the middle of organizing a charity race.

Recently our dean asked our faculty to include education about disparities in healthcare in one of our introductory courses in our graduate nursing programs. And it didn't take long doing a simple Google search of disparities in healthcare to come up with some interesting articles addressing a variety of sources of disparity in healthcare that exist in our society and their influence on our country’s overall population health. This is a problem in our society and it influences a lot of our population, which is why we need to tackle the problem and possible solutions.

Here’s some of what we discuss in this episode:

• Disparities in rural areas and possible solutions.
• The health of minority groups declines over time and subsequent generations.
• The racial disparities that exist between and within the US states.

Visit us online and get show resources here: https://beyondthemaskpodcast.com/

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

The military isn’t a career path for everyone but those that choose that life get an experience and training that can’t be found anywhere else. Today we spend some time with one of those wonderful people to learn more about life in the military as a CRNA and the lessons that were learned along the way.

Janet Setnor, MSN, CRNA is a retired Colonel with the US Air Force Reserve Nurse Corps and someone we talked to last year about how she helped bring full practice authority to that branch of the military. Today she joins us to tell us more about her time in the military, how it helped prepare her for civilian life, and what she thinks will happen with the VA issue still being debated.

Here are some of the things you’ll learn on this show:

• What made her decide to serve? 6:45
• The advantages and disadvantages to being in the military. 9:00
• Why she made the switch from flight nurse to CRNA. 13:57
• Jan’s insight on the VA issue and what she’s seen. 18:31
• What are the differences in CRNA training in the military vs civilian world. 27:43
• Jan details what it was like going to war. 30:00
• Is there a threat to independent practice for the military? 40:40

Visit us online: http://beyondthemaskpodcast.com 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Our leadership series continues with this conversation with the 2018-19 AANA president, Bruce Weiner, DNP, MSNA, CRNA. He looks back on the year that just wrapped up and shares his perspective on the challenges facing the board, why leadership development was prioritized, and how the battle for reimbursement continued on.

Read more about this episode: https://beyondthemaskpodcast.com/ep-91-courage-to-lead-2018-19-aana-president-bruce-weiner-dnp-msna-crna/2611/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss: 

2:46 – Dr. Bruce Weiner joins us today. Some background on our guest.

5:05 – His experience with the AANA

5:52 – Highlights from his year as president.

10:23 – What millennials want.

14:38 – Leadership development

17:18 – The AANA is member driven

20:45 – Who influenced your leadership style?

24:15 – Dealing with reimbursement issues.

30:03 – What does it mean for each CRNA?

33:09 – Bruce shares a story about what he faced when he first began in the profession.

35:04 – What would you have done differently during your year?

38:48 – The sacrifices that have to be made.

Home values continue to rise all across the country and it has many people thinking back to the crash of 2008. Are there parallels or is this time different? Josh Mettle of NEO Home Loans joins the show to share his data and insight into the real estate market. Plus, he’ll tell us how he helps CRNAs secure a mortgage with a 1099 income.

Read more: https://beyondthemaskpodcast.com/ep-134-the-state-of-the-us-housing-market-crash-or-opportunity/2931/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

2:33 – Introducing our guest Josh

3:48 – His background

6:44 – The book that impacted Jeremy

9:45 – Who are you mentoring?

13:36 – 2008 housing crash

17:04 – How today’s housing market isn’t like 2008

18:53 – Josh’s view of the real estate market

24:12 – Does this take into account census data?

26:42 – Existing homes for sale

28:37 – The demand side of the equation

37:47 – What should you be doing today in real estate?

41:05 – Mortgages for 1099 employees

46:34 – Commercial properties

50:07 – Final thoughts

There’s a relatively new concept in the healthcare industry that many of its professionals are facing and might not even realize it. The ‘Second Victim’ phenomenon hasn’t always been well-known but more and more people are acknowledging this silent epidemic that frontline workers like CRNAs are dealing with every day. Robyn Finney, APRN, CRNA, DNAP has created a peer support program called HELP – Healing Emotional Lives of Peers – that is working diligently to improve the lives of anesthesia providers, and she joins the show today to help us better understand this phenomenon and how it’s affecting our industry.

Read more here: https://beyondthemaskpodcast.com/ep-132-the-silent-epidemic-in-healthcare-second-victim-phenomenon/2919/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

3:14 – Background on Robyn  

4:10 – Why this topic is important  

6:34 – What is the third victim?

8:45 – Symptoms

11:09 – Stigmas  

18:11 – Events that cause this  

22:36 – Second Victim Peer Support Program

25:36 – Institutional support

29:31 – What kind of support is beneficial?  

32:12 – More resources

36:25 – Challenges she faced

41:03 – Training she’s doing

46:17 – How will this play out with COVID

50:58 – Final thoughts

In this episode, we’re going to explore the transformative role of Thromboelastography (TEG) in blood coagulation and transfusion therapy. This groundbreaking technology has revolutionized how we understand and manage blood coagulation.

Here’s some of what we discuss in this episode:

• TEG provides a detailed picture of what the patient's coagulation status is.
• How coagulation and traditional tests of coagulation work.
• Understanding these pathways and their associated tests is crucial for diagnosing and managing bleeding disorders.
• What are some common treatments for preoperative anemia?
• Risks and costs associated with transfusion therapy.

Visit us online: https://beyondthemaskpodcast.com/

The 1099 CRNA Institute: https://aana.com/1099

Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

You won’t find many people on this planet that have a story to tell like Nick Zerwas. Born with congenital heart defect, Zerwas has been given six months to live on six separate occasions but he’s still here living life to the fullest. Who better to get an opinion on healthcare policy changes than someone like Zerwas, who has also served in the Minnesota House of Representatives? Join us as we hear his amazing story of beating the odds and how he’s overcoming his greatest fear of wasting precious time by trying to make a difference.

Read more: https://beyondthemaskpodcast.com/ep-129-given-6-months-to-live-healthcare-policy-from-the-patients-perspective/2899/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this episode: 

3:23 – Introducing our guest today

5:32 – Nick’s health history

10:26 – Surviving the Fontan procedure

13:01 – Being told 6 months left to live multiple times

16:00 – Julie interviewed for anesthesia school

19:57 – How has this shaped Nick

25:44 – His decision to run for public office at 25 

28:40 – Health policy

32:34 – CRNA’s role in policy-making

36:48 – Pitting people against each other

40:22 – What is important to all elected officials?

43:15 – How effective are emails?

43:15 – Closing thoughts

50:03 – Lightning round

When you think back on the history of the AANA, few people left a legacy like John Garde, CRNA, MS, FAAN. A former President, Education Director, and Executive Director, Garde played a critical role in the growth and prominence of the organization and he made a positive impact on so many CRNAs. Today we honor his legacy and share our memories of this gift to our profession, and we’ll have the help of Nancy Bruton-Maree and Sandy Ouellette to do it. Plus, we’ll have a special montage at the end of the episode that you won’t want to miss.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-108-honoring-the-legacy-of-john-garde-crna-ms-faan/2749/ 

Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

What we discuss on this show: 

1:57 – Honoring John Garde on today’s show

3:07 – He remembered everyone

4:51 – John’s early life

8:18 – How he became a nurse anesthetist  

9:50 – Some of his major contributions to the profession and AANA

12:20 – A lot happening with the AANA in the early 1980s  

14:24 – The other organizations he served  

16:14 – John’s leadership style at the AANA

21:56 – The awards he received

23:18 – Quotes about John

26:36 – Work hard, play hard

28:40 – The t-shirt he got at retirement

30:32 – Closing thoughts on John

37:37 – Special montage to honor and remember John