Beyond The Mask: Innovation & Opportunities For CRNAs

Airway Exchange – Ep. 13 – Preparing CRNA Educators for the AI Era

Tue, 10 Mar 2026 02:02:00 -0400

In this episode of Airway Exchange, Jiale (Gary) Hu, PhD, RN, FAAN joins the conversation to explore how AI is reshaping the way we teach, learn, and prepare future CRNAs. He’s currently the Director of Research and Global Outreach in the Department of Nurse Anesthesia, and his scholarship focuses on enhancing knowledge translation in healthcare environments, with a lot of his current projects encompassing AI integration in healthcare education.

We’ll go beyond theory and into practical implementation of AI, like integrating AI literacy into the curriculum and building custom GPT tools for student handbooks. We also want to address the concerns many educators share: ethical use, institutional support, academic integrity, prompt engineering, and how to keep humans “in the loop.”

Here’s some of what you’ll hear in this episode:

🤖 AI Literacy as a Core Skill

🧠 Prompt Engineering with the CARE Framework

📚 Integrating AI Across the Curriculum

🛠️ Custom GPT Tools for Educators

⚖️ Ethics, Accuracy & Human Oversight

About our guest: https://nrsa.chp.vcu.edu/our-team/jiale-gary-hu-phd-rn-faan.html

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

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

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Surviving Dirty John: Lessons from a CRNA Survivor

Thu, 05 Mar 2026 01:16:00 -0500

Today’s episode is one of courage, survival, and reclaiming your voice. Tonia Bales, CRNA and author of When You See It: How I Outsmarted and Outlasted Dirty John, shares her deeply personal story of manipulation, coercive control, and psychological abuse. While the world knows the headline-grabbing “Dirty John” narrative, this conversation takes us behind the scenes to explore how even strong, capable professionals can be targeted and trapped by someone hiding in plain sight.

Here’s some of what you’ll hear in this episode:

🚩 Psychopaths and manipulators hide in plain sight. Charm and intelligence can mask danger.

🧠 You can be “smart in the brain and not so smart in the heart.”

💬 Silence protects abusers. Speaking up creates safety and support.

🔍 Trust your instincts, subtle red flags deserve attention.

🌱 Healing is ongoing, resilience and community make rebuilding possible.

Get the book here: https://www.amazon.com/When-You-See-Outsmarted-Outlasted/dp/B0FCDDC6FL

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – S2, E5 – Impactful Leadership From Women in Nurse Anesthesia

Tue, 03 Mar 2026 02:00:00 -0500

In honor of International Women’s Day on March 8, this episode of Grade 1 View highlights the power, resilience, and impact of women shaping the future of nurse anesthesia.

Dr. Bimpe ‘Bebe’ Adenusi shares her remarkable journey from clinical chemist to CRNA, educator, program director, national leader, and founder of the Nigerian American Nurse Anesthetist Association. With authenticity and humility, she reflects on the mentors who shaped her path, the challenges of stepping into leadership, and the responsibility of lifting the next generation.

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

👩🏾‍⚕️ From Student to National Leader

💬 Listening as a Leadership Skill

🤝 The Power of Mentorship

🌍 Mission Work & Purpose

📚 Building the Next Generation

About our guest: https://nanaa.org/team/dr-bimpe-adenusi/

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

Mentorship Matters: The Impact of Effective Preceptorship

Thu, 26 Feb 2026 01:16:00 -0500

Becoming a CRNA isn’t just about mastering pharmacology, physiology, and airway skills. It’s about mentorship.

In this episode of Beyond the Mask, Kelly Elmore, DNP, APRN-CRNA joins the show to discuss one of the most critical and often overlooked elements of nurse anesthesia education: preceptorship training. From bridging classroom theory to real-time clinical decision-making, preceptors are the link between knowledge and confidence. And when that experience goes well, it can shape a career. When it doesn’t, it can leave lasting scars.

Here’s some of what you’ll hear in this episode:

🧑‍🏫 Preceptorship Is a Role, Not a Side Task

🤝 What Students Actually Need

⚖️ Balancing Control & Independence

🔥 Burnout & Preceptor Fatigue

🌐 The Preceptor Resource Hub

About our guest: https://marybaldwin.edu/people/kelly-r-elmore-dnp-aprn-crna/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 12 – Scholarly Writing & Peer Review as a CRNA Educator with Dr. Edwin Aroke

Tue, 24 Feb 2026 02:08:00 -0500

Writing for a grade is one thing. Writing to contribute to a scientific conversation is something entirely different.

In this episode of Airway Exchange, Dr. Edwin Aroke, an internationally recognized CRNA pain scientist and Editor-in-Chief of the AANA Journal, joins hosts Erin and Nickie to talk with us about scholarly writing and peer review. His scholarship has resulted in over 60 peer-reviewed publications and many nationally and internationally presentations on pharmacogenomics, pain disparities and anesthesia outcomes.

This conversation is a practical guide for nurse anesthesia educators who want to elevate their scholarship, as we’ll discuss developing a focused research niche to navigating peer review, grant funding, and common reasons for desk rejection.

Here’s some of what you’ll hear in this episode:

✍️ From Classroom Writing to Publication

🔬 Building a Focused Research Niche

📚 Common Reasons for Journal Rejection

🤝 Grant Funding & Mentorship Strategy

🤖 AI in Scholarly Writing

About our guest: https://scholars.uab.edu/4965-edwin-aroke

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

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

The Anesthesia Crisis We Need to Address with Dr. Randy Moore

Thu, 19 Feb 2026 02:01:00 -0500

CRNAs are in demand. Salaries are strong. Jobs are plentiful. So why is Dr. Randy Moore sounding the alarm?

In this episode, Randy joins Sharon and guest host Kevin Chem, DNP, CRNA to unpack his viral Substack article, “No One Is Coming to Save Us.” The core message is uncomfortable but clear: while anesthesia organizations remain divided over turf and titles, payers are quietly reshaping reimbursement policy in ways that could have long-term consequences for both CRNAs and anesthesiologists.

Here’s some of what you’ll hear in this episode:

🐺 “The Wolf Is at the Door”

💰 Reimbursement Drives Practice Models

⚖️ Fragmentation Weakens Leverage

🏛️ Multi-Front Strategy: Litigation, Legislation, PR

🔄 Cycles in Compensation & Demand

Read Randy’s Substack post here: https://randymoore.substack.com/p/no-ones-coming-to-save-us-the-anesthesia

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Optimization ≠ Clearance: Setting the Record Straight in Anesthesia

Wed, 18 Feb 2026 03:01:00 -0500

This week, Lynn and Garry sit down with guest Dru Riddle to tackle one of the most misunderstood and increasingly problematic concepts in perioperative care: the idea that patients can be “cleared” for anesthesia by non-anesthesia providers. While well-intentioned, this language blurs professional boundaries and creates real risks for patients and anesthesia teams alike.

The goals for this show are to help you be able to:

Differentiate between preoperative medical optimization and anesthesia clearance.
Explain why anesthesia providers are uniquely qualified to determine anesthesia-related risk.
Describe the appropriate role of non-anesthesia consultants in the perioperative period.
Apply modern risk assessment tools, such as the DASI scale, to evaluate perioperative anesthesia risk.

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – S2, E4 – Advocacy in Action: Why SRNAs Must Show Up

Tue, 17 Feb 2026 02:19:00 -0500

Advocacy can feel intimidating, especially as a student. But what if your future scope of practice, reimbursement, autonomy, and even student loan access are being shaped right now?

Mackenzie and Levi recently attended Lobby Day in Florida and Nicolas went to Capitol Day in Arizona. Kelsey asks them about their experiences and advice for other SRNAs. You’ll learn more about what advocacy events actually look like, how they prepared, what surprised them most, and the powerful realization that legislators often know very little about what CRNAs truly do. Showing up to advocate isn’t just crucial for policy, it’s also important for every SRNA’s professional journey.

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

🏛️ What Lobby Day & Capital Day Really Look Like

📢 Scope of Practice & Autonomy Bills

💰 Reimbursement & Legislative Barriers

🎓 Student Loan Caps & Federal Policy Threats

🔥 “If You’re Not at the Table, You’re on the Menu”

Tell the Department of Education: CRNAs are professionals - https://aana.quorum.us/campaign/151823/?utm_campaign=21808239-Letter%20from%20the%20Board%20of%20Directors%20Newsletter%20-%20MY26&utm_medium=email&_hsenc=p2ANqtz-_aIux9bDYGSMnBHT8ofMd4Soboojl0igMxgnXHzvkjlNUNiJgq50f2fSPLl0FV518L46QnmodIQKlPYVGef6ShbqCNBA&_hsmi=402704119&utm_content=402704119&utm_source=hs_email

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

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

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The Fab 4 & the Power of Relationships in the CRNA Community

Thu, 12 Feb 2026 01:11:00 -0500

In this special episode, the conversation goes beyond anesthesia, leadership, and practice models and into something just as essential: friendship, health, and wellness. In a profession that is demanding, high‑stakes, and often isolating, the relationships CRNAs build with one another can be a powerful source of strength.

Sharon is joined by longtime friends Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Carole Doyscher, CRNA, BSN, MS, APRN—four CRNAs whose bond, known affectionately as the Fab Four, was forged through shared experiences, mutual respect, and plenty of laughter along the way. Together, they reflect on how authentic connection within the CRNA community supports resilience, personal well‑being, and professional longevity.

Here’s some of what you’ll hear in this episode:

👩‍⚕️ Each leader shares their unique leadership style and AANA experience

🤝 The power of unity, trust, and supporting one another in CRNA leadership

🧭 How policy, mentoring, and advocacy shape the future of the profession

💬 Stories from the trenches — what it's really like to lead under pressure

🚀 Encouragement for the next generation of CRNA leaders

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 11 - Inside EDGE: The Conversations Shaping Nurse Anesthesia Education

Tue, 10 Feb 2026 02:18:00 -0500

Recorded live at the EDGE Conference, this special episode brings all four hosts together for an honest, reflective conversation about what makes this meeting so meaningful for CRNA educators, and why it continues to matter more than ever.

Here’s some of what you’ll hear in this episode:

🎓 The Value of EDGE for Educators - Why this conference remains a cornerstone for faculty connection and growth.

🤝 Mentorship, Networking, and Community - How relationships shape educator confidence and career paths.

📚 Supporting Early & Mid-Career Educators - Bridging gaps in training, expectations, and professional development.

🧠 Innovation, AI, and Educational Change - Adapting to rapid shifts while maintaining academic rigor.

🧭 Leadership, Longevity, and Faculty Wellness - Navigating burnout, administrative pressure, and long-term sustainability.

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

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

Reimagining the Oral Airway: Innovation Born in the OR

Thu, 05 Feb 2026 01:58:00 -0500

Oral airways have looked basically the same for nearly a century despite dramatic changes in patient populations, sedation practices, and monitoring standards. What if a simple design change could bring significant improvements to safety and efficacy? In this episode, CRNA John Brown and entrepreneur Jason Keen of Arete Medical Devices share the story behind a newly designed oral airway that aims to solve problems anesthesia providers have quietly worked around for decades.

Here’s some of what you’ll hear in this episode:

🫁 Why traditional oral airways no longer meet modern sedation needs

🔧 Designing an adjustable airway to reduce waste and mis-sizing

📉 Improving end-tidal CO₂ accuracy while lowering oxygen flow rates

🏥 Clinical testing across hospitals and surgery centers

🌱 Cost savings, plastic reduction, and sustainability in anesthesia tools

Learn more about Arete Medical Devices: https://aretemedicaldevices.com/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Authority Without Aggression: Leadership Skills Every CRNA Needs (Part 2)

Wed, 04 Feb 2026 01:32:00 -0500

Incivility doesn’t always announce itself loudly—it often creeps in quietly, becoming normalized in high-stress clinical environments. In this episode, Lynn and Garry are joined by leadership veteran Meri Gilman-Mays, CRNA, DNP to continue a candid conversation on addressing incivility in nurse anesthesia.

Part two of this conversation shifts from recognizing incivility to actively addressing it through leadership. We’ll challenge the notion that leadership requires a title, highlighting how CRNAs lead daily at the bedside, in the operating room, and through committee work. Listeners are invited to consider the impact of silence versus intervention and how modeling professionalism under pressure influences team culture.

After listening to this episode, participants will be able to:

Identify leadership behaviors that CRNAs can demonstrate regardless of formal title or position.
Apply real-time de-escalation strategies to address incivility while maintaining professionalism and authority.
Utilize a structured framework for conducting difficult follow-up conversations and ensuring accountability.
Describe strategies for fostering a culture of respect and psychological safety within anesthesia and perioperative teams.

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – S2, E3 - Culturally Competent Care and the Importance of Representation

Tue, 03 Feb 2026 02:31:00 -0500

Representation in nurse anesthesia is about access, excellence, and belonging. It’s the responsibility of every CRNA to help shape the future of the profession in a way that affords opportunity and access to anyone who wants to pursue that goal. In this episode, hosts Nicolas and Kelsey are joined by two influential leaders in nurse anesthesia advocacy, Lena Gould, EdD, CRNA, FADLN, FAANA, FAAN and Vincent Ford, DNAP, CRNA, to talk candidly about diversity, mentorship, and responsibility.

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

🎓 Why representation in textbooks, faculty, and leadership matters

🧠 Mentorship as the bridge between access and opportunity

🌍 Diversity of thought and experience drives better decisions at the institutional level.

🏫 Barriers in admissions and the push for holistic review

🌱 Paying it forward and shaping the next generation of CRNAs

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 McMechans & the Origins of the CRNA–Physician Conflict

Thu, 29 Jan 2026 01:33:00 -0500

From the very beginning of nurse anesthesia, opposition was organized, strategic, and relentless. Two central figures who devoted their careers to making anesthesia a physician-only specialty in the United States in the early 1900s were Frank and Laurette McMechan. Today, we’ll examine their lives and professional impact in this historical episode with our show historians Nancy Bruton-Maree, CRNA and Sandy Ouellette, CRNA.

Here’s some of what you’ll hear in this episode:

🔥 Who Frank and Laurette McMechan were and why they mattered
📜 Early efforts to eliminate nurse anesthesia in the U.S.
🏛️ How physician anesthesia organizations were formed
⚖️ Legal battles that protected CRNA practice
🧠 Why understanding history is essential for the future of CRNAs

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 10 – How the Best CRNA Programs Approach Accreditation with Dr. Angie Mund

Tue, 27 Jan 2026 02:20:00 -0500

Accreditation can feel overwhelming, but when done well, it’s not a once-every-ten-years scramble. Dr. Angie Mund joins us this week to help reframe accreditation as an ongoing leadership practice that shapes program culture, faculty development, and student outcomes.

Drawing on decades of experience as a program director, department chair, and national leader, Dr. Mund explains what’s usually true long before a successful COA site visit ever begins.

Here’s some of what you’ll hear in this episode:

📁 Why accreditation should start on day one—not year ten

🧭 How strong processes prevent people and measurement problems

📝 Common self-study mistakes that undermine good programs

🎓 Mentoring faculty to take ownership of accreditation standards

🔍 Early warning signs that programs are drifting out of compliance

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

Be a part of EDGE: Educate. Develop. Grow. Engage. >> https://www.aana.com/premier-event/edge/

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

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

Embracing AI: The Future of Anesthesia Care

Thu, 22 Jan 2026 01:16:00 -0500

Artificial Intelligence has become much more than a buzzword. It’s transforming industries as it rapidly evolves, and the big question for CRNAs is what does this mean for anesthesia providers? Sharon and guest co-host Larry Sears, CRNA sit down with CRNA educator and technology thought leader Richard Wilson, DNPA, CRNA, FAANA to explore how AI is quietly reshaping perioperative care, education, and decision-making in the operating room.

Here’s some of what you’ll hear in this episode:

🤖 Generative vs. predictive AI, and why the difference matters

📉 Predicting hypotension and adverse events in real time

🫀 AI-driven ventilators, monitoring, and micro-learning systems

🧠 Why AI can’t replace vigilance, intuition, or clinical judgment

🎓 How students and educators are already using AI responsibly

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Culture Matters: How Everyday Behaviors Shape CRNA Well-Being (Part 1)

Wed, 21 Jan 2026 02:33:00 -0500

Workplace culture in anesthesia doesn’t just live in policies or mission statements, it shows up in hallways, handoffs, and yes, even the lounge. In Part I of this conversation, Lynn and Garry welcome guest Meri Gilman-Mays, CRNA, DNP, for an honest, thoughtful conversation about incivility in the perioperative environment and how it quietly shapes the daily experiences of nurse anesthetists.

Part I focuses on awareness as the first step toward change. By helping CRNAs recognize incivility in its many forms and understand its ripple effects on wellness, teamwork, and patient care, this conversation invites reflection rather than blame. It’s an educational yet relatable dialogue designed to validate lived experiences and encourage healthier, more respectful professional environments one interaction at a time.

Here’s some of what we’ll discuss:

⚠️ What incivility actually looks like in anesthesia practice

🏥 Power dynamics between CRNAs, physicians, and students

🧠 How unchecked behavior leads to burnout and moral distress

🗣️ Why silence, eye-rolling, and dismissal are not harmless

🧩 The leadership gap fueling toxic workplace cultures

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – S2, E2 – Applying to CRNA School - Rejection, Reapplying, and Resilience

Tue, 20 Jan 2026 02:04:00 -0500

Applying to CRNA school can feel overwhelming—stats, GPAs, ICU experience, GRE scores, interviews, and endless comparisons to peers and strangers alike. It’s easy to talk yourself out of applying (or reapplying) so today we’re going to back the curtain on the application process and share our real, unfiltered journeys to CRNA school.

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

📄 What the CRNA application process really feels like

🚫 Handling rejection, waitlists, and “not this cycle” moments

🧠 Interview formats: emotional intelligence vs. clinical knowledge

📈 How to strengthen your application when reapplying

💪 Why resilience and authenticity matter more than stats

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

CRNAs in Business: The Journey From Clinic to Entrepreneurship

Thu, 15 Jan 2026 01:07:00 -0500

More CRNAs are stepping beyond the operating room and building something entirely new, and this episode dives into what that transition truly looks like. Today, we’re sitting down with Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Ollivate app, a gamified learning platform designed to help CRNAs earn CEs and residents prepare for boards in a calmer, more effective way. Want to know what it’s like to transition to entrepreneurship, the challenges of non-clinical business, and what it takes to succeed? Join us for this candid conversation with a fellow CRNA who’s taken the bold leap.

Here’s some of what you’ll hear in this episode:

🚀 Transitioning from clinical practice to entrepreneurship

🧠 Why gamified learning reduces anxiety and improves retention

📱 Micro-learning, spaced repetition, and modern CE engagement

🤝 The importance of not building a business alone

💡 Why CRNAs are uniquely positioned to innovate

Check out Ollivate here: https://ollivate.com/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 9 – Lessons Learned from the Accreditation Process

Tue, 13 Jan 2026 02:51:00 -0500

As we kick off the new year, all four hosts are back for a discussion that every nurse anesthesia program will face at some point. We’re sitting down together for a candid, experience-driven conversation about what accreditation really looks like from the inside, whether you’re a program director, faculty member, or educator preparing for your first review.

Drawing from multiple accreditation cycles, on-site visits, and self-study efforts, the panel discusses what works, what surprises programs, and why accreditation should be viewed as a measure of compliance, not a judgment of educational quality. We understand how overwhelming the process can feel at times, but getting guidance and resources from peers can help alleviate some of the pressure.

Here’s some of what you’ll hear in this episode:

📋 Accreditation as compliance—not a measure of program quality

🗂️ Self-study strategies, timelines, and organization tips

🤝 Why accreditation must be a team sport

🏥 Clinical challenges: case numbers, regional anesthesia, and central lines

📈 How standards can drive program growth and institutional support

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Be a part of EDGE: Educate. Develop. Grow. Engage. >> https://www.aana.com/premier-event/edge/

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

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

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Celebrating the Exceptional Life & Legacy of Betty Horton

Thu, 08 Jan 2026 01:27:00 -0500

Today we’re honoring the life, leadership, and lasting influence of Betty Horton, PhD, CRNA, FAAN, a woman whose impact on nurse anesthesia education spans generations. With her passing on December 27, 2025, we wanted to revisit the conversation we had with her five years prior about the evolution of education and accreditation in nurse anesthesia, something that she cared about tremendously. This conversation captures Betty’s wisdom, humility, and unwavering commitment to lifting others rather than highlighting herself.

The show originally aired July 2, 2020, and we’ve asked Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, the founder and president of Our Hearts Your Hands Inc, and Sandy Ouellette, CRNA, DS (hon), Med, FAAN, vice president of Our Hearts Your Hands Inc., to share a few of their thoughts on her lasting legacy before we begin.

Listening now, her words carry even greater meaning. They reflect the wisdom, humility and steady leadership that defined her life's work. We invite you today to listen not only with your ears, but with your heart. It’s an honor to share her voice once more.

Here’s some of what you’ll hear in this episode:

🕊️ The life and legacy of Betty Horton in nurse anesthesia

📚 How accreditation standards transformed education and safety

🌍 Global impact through IFNA and the APAP program

🤝 Navigating political and professional challenges with integrity

🌱 Mentorship, service, and building pathways for future generations

Read the AANA’s obituary for Betty: https://www.aana.com/news/in-memoriam-betty-horton-phd-crna-faan-1936-2025/

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

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

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Not All Hypotension Is Thirsty: Rethinking Fluids in the OR

Wed, 07 Jan 2026 02:30:00 -0500

In this episode of Anesthesia Alchemy: Lynn & Garry Unplugged, Garry dives deep into the science and strategy behind Goal-Directed Fluid Therapy (GDFT), moving beyond dogma to deliberate, physiology-driven decision-making.

Our guest, Richard Wilson, traces the evolution of perioperative fluid management from liberal “fill-the-tank” approaches to modern, data-informed strategies that respect the Frank–Starling relationship and the nuanced concept of fluid responsiveness. Along the way, they unpack essential hemodynamic variables—stroke volume, cardiac output, preload, afterload, and contractility explaining why hypotension or low output doesn’t always mean the patient needs more fluid.

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

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

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Grade 1 View – S2, E1 – Passing the Mic: Meet the New Voices for Season 2

Tue, 06 Jan 2026 02:13:00 -0500

Season two of Grade 1 View begins with a transition featuring new voices, new perspectives, and the same commitment to honesty, community, and growth. As we hand off the torch to a new group of future CRNAs, founding host Olivia Conn, RN, DNP introduces the new host team: Nicolas Alexander, BSN, SCRN, CCRN; Levi Davis, BSN, RN, CCRN; Mackenzie Lane, BSN, RN, CCRN; and Kelsey Muir, BSN, RN, CCCRN.

Through candid introductions and rapid-fire questions, you get to know the people behind the microphones, not just where they are in CRNA school, but the winding paths that brought them here. From non-linear career journeys and long-distance relationships to favorite comfort shows, coffee orders, and unexpected habits picked up during anesthesia training, we’ll keep things light as we kick off the new year.

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

🎙️ Introducing the Season Two Hosts

🧭 Non-Linear Paths to Nurse Anesthesia

🤝 Why Community Matters in CRNA School

😂 Keeping It Human

🚀 Setting the Tone for Season Two

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

New Year, New Energy: Making Sense of the Evolving Anesthesia Ecosystem

Thu, 01 Jan 2026 01:41:00 -0500

We’re back once again for our annual conversation with NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer/Executive Vice President of Clinical Strategy Randy Moore, DNP, MBA, CRNA to provide us with a state of the profession as we begin 2026. They’re here to help us make sense of the ever-evolving anesthesia ecosystem by explaining what’s going on in our space right now and telling us where they think we’re headed.

Here’s some of what you’ll hear in this episode:

Current state situation in the anesthesia business sector
Status of CRNA supply shortage and its impact on the labor market
What’s going on with private equity supported firms?
Current state of hospital and outsourced anesthesia firms relationships
What’s going on with hospitals today?

Learn more about Northstar Anesthesia: https://northstaranesthesia.com/our-culture/our-leadership/

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

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

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Airway Exchange – Ep. 8 – New Year, Honest Conversations: Addressing SUD in Anesthesia

Tue, 30 Dec 2025 02:02:00 -0500

As we finish up wellness month, today’s conversation is about substance use disorder, recovery, and how people think about intentional living around this time of the year. Hosts Nickie Damico and Louisa Martin are joined by Bridget Petrillo, MS, CRNA and Rodrigo Garcia, CEO of Parkdale Center of Professionals, for an honest, deeply personal conversation about SUD, recovery, stigma, and hope within the anesthesia community.

Drawing from their own lived experiences, our guests explain why anesthesia providers face unique occupational risks, how shame and fear often delay getting help, and why recovery is not only possible but life-giving. The discussion also highlights the importance of peer support, education, and institutional resources, including the AANA Helpline, Wellness Ambassador Network, and Anesthetists in Recovery (AIR) meetings.

As the year comes to a close, we turn our focus to intentional living, gratitude, and wellness, especially during the holidays, when stress and isolation can intensify.

The 24/7 confidential, AANA Helpline (800-654-5167) answered by addiction professionals to improve access to help for SUD.

Here’s some of what you’ll hear in this episode:

🧠 Why Anesthesia Is an Occupational Risk for SUD

🤝 Recovery Stories That Change Lives

📞 The Power of Peer Support & the AANA Helpline

🏫 What Educators Can Do Differently

🌱 Intentional Living, Gratitude & Wellness in 2026

Follow @AirwayExchangePodcast on Instagram

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Be a part of EDGE: Educate. Develop. Grow. Engage. >> https://www.aana.com/premier-event/edge/

Find out how Parkdale can help: https://parkdalecenter.com/

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

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

12 Financial Gifts That Should Be On Every CRNA’s Christmas List

Thu, 25 Dec 2025 01:42:00 -0500

As the year comes to a close, many CRNAs find themselves focused on family, travel, and well-deserved rest. But year-end is also one of the most important times to pause and take stock of your financial picture. Small, intentional decisions made before December 31 can have an outsized impact on your long-term success.

In a special holiday episode of Beyond the Mask, Jeremy and Sharon walk through a ‘CRNA Christmas list’ with 12 financial moves designed to help you finish the year strong and start the next one with confidence.

Here’s some of what you’ll hear in this episode:

💰 Roth, Retirement & Tax Strategy Decisions - Why tax diversification matters and how Roth strategies fit long-term plans.

📒 1099 & Bookkeeping Cleanup - What independent CRNAs should finalize before December 31st.

🛡️ Protecting Your Family & Income - Beneficiaries, disability insurance, estate planning, and risk management.

🎯 Setting Intentional Goals for the Year Ahead - Turning income into progress with clear financial goals and direction.

Get comprehensive planning for CRNAs: https://www.crnafinancialplanning.com/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – Ep. 28 – Year One is a Wrap!

Tue, 23 Dec 2025 02:54:00 -0500

After a full year of conversations, shared experiences, and hard-earned lessons, the first season of Grade 1 View has reached the finish line. In this final wrap-up episode with our first four hosts, we’re reflecting on what it truly takes to survive and grow through nurse anesthesia school, clinicals, graduation, and the transition into practice.

Today’s show is honest, personal, and often humorous, covering everything from the emotional toll of clinical rotations to the shock of becoming a “real” CRNA overnight. Find out what surprised us the most, the moments that nearly broke us, and the experiences that ultimately shaped our confidence, resilience, and identity as anesthesia providers.

Thank you for being a part of the journey, but stay tuned for the next iteration of the show. We’ll have four more SRNAs or RRNAs taking the reins for year two, and that announcement will be coming soon!

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

🎓 Graduation, Boards & the Reality of “Being Done”

🏥 Clinical Rotations: Confidence, Humility & Growth

💼 The First Months as a New CRNA

🧠 Mental, Emotional & Physical Toll of Training

🌱 What We’d Tell Our Past Selves

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 Anesthetic Implications of Vaping with Beth Wilkes

Thu, 18 Dec 2025 02:16:00 -0500

Vaping has exploded in popularity among teens, young adults, and even surgical patients who don’t think of themselves as “smokers.” But for anesthesia providers, vaping is not harmless. It brings new airway, cardiovascular, and pharmacologic challenges to the OR.

This week we’re joined by Beth Wilkes, DNAP, CRNA, CHSE, FAANA to break down what CRNAs must understand about vaping: how these devices work, what chemicals they contain, why adolescents are drawn to them, and the rapidly emerging evidence on how it’s impacting anesthesia.

Here’s some of what you’ll hear in this episode:

🔥 What’s Really Inside an E-Cigarette

🫁 Respiratory & Airway Risks

❤️ Cardiac & Hemodynamic Effects

⚕️ Anesthetic Considerations

🧨 Device Dangers

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 7 – Cultivating Wellness in CRNA Programs

Tue, 16 Dec 2025 02:46:00 -0500

As our wellness theme continues, today we’re focused on student wellness, which is essential to producing competent, confident, and emotionally healthy CRNAs. Erin and Greg welcome Matthew Zinder, DNAP, CH, CRNA, practice owner, educator, wellness researcher, and co-founder of Program Prep, to break down the realities of stress inside anesthesia programs and what both faculty and students can do about it.

Here’s some of what you’ll hear in this episode:

🧠 ICU culture follows students - Care for others → ignore self.

😷 COVID changed baseline stress - PTSD + chronic stress entering programs.

🎢 Type-A struggle with “square one” - Big fish → beginner again.

🧘‍♂️ Wellness must be structured - Integrated modules, daily practices, real tools.

💬 Check-ins matter - Safe spaces + simple techniques improve outcomes.

About our guest: https://www.matthewzinder.com/about

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

Be a part of EDGE: Educate. Develop. Grow. Engage. >> https://www.aana.com/premier-event/edge/

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

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

Protect Your Scope of Practice by Understanding Legal and Political Challenges

Thu, 11 Dec 2025 01:53:00 -0500

The political and legal landscape of nurse anesthesia is constantly shifting for CRNAs and the threats to our autonomy are real. But so are the opportunities, and that’s why we wanted Elizabeth Bamgbose, PhD, CRNA to join us for this conversation. She’s a CRNA, educator, practice owner, and a fierce political advocate, and we’re going to break down everything CRNAs must understand about scope of practice, opt-out rules, bylaws, credentialing, and how power structures shape your daily practice more than most realize.

Here’s some of what you’ll hear in this episode:

🏛️ Know Your Regulators - State Nurse Practice Acts, Boards of Nursing, and CMS rules all affect scope — and don’t always agree.

📜 Bylaws = Your Real Power - Institutional bylaws can override practical independence, even in opt-out states.

🗳️ Opt-Out Isn’t a Free Pass - Federal opt-out removes supervision defaults but hospitals can still require supervision internally.

🧭 Political Literacy Matters - CRNAs who avoid politics still live inside political decisions. Knowing the system protects your practice.

🤝 Use Your Practice Division - Your state practice division and lobbyists are crucial allies when your institution or regulators push back.

About our guest: https://keck.usc.edu/faculty-search/elizabeth-blu-bamgbose/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – Ep. 27 – Financial Impact of the Big Beautiful Bill on CRNAs

Tue, 09 Dec 2025 02:08:00 -0500

The “Big Beautiful Bill” has created some concerns in the nurse anesthesia community, especially for future CRNAs who were left wondering what it means for their education, their financial reality, and the future of the profession.

In this special episode of Grade 1 View, Greg Collins, DNP, CRNA and Michelle Canale, DNP, CRNA, APRN, FAANA join Olivia and Kevin to break down what the Department of Education’s proposed borrowing caps really mean. They explain why the issue goes far beyond degree nomenclature, why CRNA education is so costly to deliver, and how the new limits could create barriers for students who simply cannot work during training.

This latest legislation is just another reminder that advocacy for our profession is as important as ever. Current and future CRNAs need to be proactive in voicing their concerns and participating in advocacy efforts, and the AANA is there to help provide updates and actionable steps to help you stay informed and involved.

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

💸 The Real Issue: Borrowing Caps

🏥 CRNAs Are Trained Like Physicians

🧑‍⚕️ A Workforce Crisis Is Already Here

📣 Advocacy Will Decide the Outcome

🌱 The Profession Is Still Worth It

Check out Greg on the Airway Exchange Podcast: https://beyondthemaskpodcast.com/airwayexchange/

Learn more about the AANA Board of Directors: https://www.aana.com/about-us/leadership/board-of-directors/

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

Direct Laryngoscopy vs Video Laryngoscopy – The Great Airway Debate

Thu, 04 Dec 2025 01:27:00 -0500

Direct laryngoscopy vs. video laryngoscopy — which one should be the standard?

In this lively and highly practical clinical debate, Sharon and Jeremy are joined by CRNA leaders Laura Ardizzone, MS, MBA, DNP, CRNA and Karen Maresch, DNAP, CRNA to explore the evidence, training differences, outcomes, technology trends, and real-world experiences behind DL and VL.

We’re going to dig into everything from first-pass success rates and airway injuries to teaching techniques, skill deterioration, and why newer providers often learn differently than seasoned clinicians. Is one truly better than the other? We’ll weigh both sides to try to answer that question today.

Here’s some of what you’ll hear in this episode:

🔍 DL vs. VL Basics – The core differences and why clinicians care.

👀 Training & Teaching – How VL improves education and real-time coaching.

🩺 Safety & First-Pass Success – Why VL boosts outcomes, especially in difficult airways.

🧠 Skill Retention – Why DL skills fade without practice — and VL isn’t immune either.

🤖 The Future: Tech & AI – How imaging, documentation, and decision support will reshape airway management.

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep. 6 – Faculty Wellness and Work-Life Balance

Tue, 02 Dec 2025 02:42:00 -0500

Faculty members are the backbone of every nurse anesthesia program, yet their own wellness is often overlooked. Over the next month, we’re shining the spotlight on wellness, and the first of three episodes features two special nurse anesthesia educator guests. Today, hosts Louisa Martin, PhD, CRNA and Erin Martin, APRN, CRNA, DNP sit down with Leigh Taylor, DNP, MS, CRNA and Crystal Hunnicutt, DNAP, CRNA, two leaders of the AANA Wellness Committee, to discuss the real challenges facing CRNA educators today.

Here’s some of what you’ll hear in this episode:

🩺 Faculty Wellness Is in Crisis - Strained staffing, expanded workloads, and unrealistic expectations are driving educator burnout.

🧠 Personal Stories That Sparked a Mission - Lee and Crystal share the losses and turning points that pulled them into wellness advocacy.

🧱 Boundaries Aren’t Optional - Why answering emails at 10 p.m., hiding stress, and “pushing through” is harming faculty culture.

🤝 Mentorship & Support Matter - Healthy programs have transparent communication, aligned workloads, and peer support.

🎓 AANA Wellness Microcredential - A powerful resource — and free for SRNAs — that builds campus-wide wellness awareness.

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

Wellness Microcredential: https://ce.aana.com/proficiency/?_ga=2.96896415.1682082360.1724073777-1237658414.1717446176&_gac=1.216577636.1720721506.Cj0KCQjwhb60BhClARIsABGGtw-yYL9Nezmf5Td3FLBFijteNi6yQRbclD1ZvVrXcxRj4meAw1ULW2UaArOVEALw_wcB&_gl=1*obh08c*_ga*MTg1NTE3NDkwMi4xNzUxNTYwMzg1*_ga_N61713VJEF*czE3NjQ2NDQ3MDgkbzg2JGcxJHQxNzY0NjQ0NzY1JGo2MCRsMCRoMA..*_ga_EWGE3RE233*czE3NjQ2NDQ3MDgkbzcwJGcxJHQxNzY0NjQ0NzY1JGo2MCRsMCRoMA..

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

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

Thanksgiving Special with New AANA Foundation CEO John Yauger

Thu, 27 Nov 2025 01:52:00 -0500

This Thanksgiving, Beyond the Mask celebrates gratitude, giving, and the CRNAs who make a difference every day.

Joining us for this special episode is John Yauger, PhD, CRNA, FAANA, the new CEO of the AANA Foundation, to discuss how the Foundation is shaping the future of nurse anesthesia through research, scholarships, and community support. It’s an opportunity to shine a light on one of the cornerstones of our profession and reflect on everything they’re doing to continue helping push the anesthesia profession forward.

Here’s some of what you’ll hear in this episode:

🦃 Thanksgiving Reflections: Gratitude for the CRNA community and the power of giving back.

💉 Meet John Yauger: The new CEO of the AANA Foundation shares his journey from combat CRNA to servant leader.

🏛️ The Foundation’s Three Pillars: Philanthropy, research, and scholarly development explained.

🤝 The CRNA Connection: How donations directly fund scholarships, research, and professional growth.

🧱 Building Legacy: Inside the Friends for Life program and lasting ways to give.

Learn more about the AANA Executive Team: https://www.aana.com/about-us/leadership/aana-executive-team/

Learn more about the AANA Foundation: https://www.aana.com/aana-foundation/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – Ep. 26 – Tackling Ageism in Anesthesia with Dr. Cynthia Farina

Tue, 25 Nov 2025 02:18:00 -0500

Ageism might not be the first ‘ism’ that comes to mind in healthcare, but it’s one that affects every provider eventually. Today’s guest, Cynthia Farina, DNP, CRNA, RN, CNE, is an educator who has devoted much of her life to advocating for wellness, inclusion, and professional longevity. She joins Kevin and Charity to break down the subtle ways age bias shows up in anesthesia—from assumptions about “slowing down” to underestimating younger providers—and how both ends of the spectrum can experience its effects.

Dr. Farina was recently part of an AANA webinar titled Respect Across the Lifespan: Tackling Ageism in Anesthesia, and her message today is clear: if you’re lucky, you’ll age too—so build a profession that welcomes wisdom, not just youth.

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

👩‍⚕️ Ageism cuts both ways – Bias can affect both older and younger clinicians.

🧠 Beware of meta-stereotyping – Don’t internalize limiting beliefs about aging or learning.

🗣️ Language matters – Avoid infantilizing patients. Use names and respect.

🔄 Inclusion across generations – Collaboration and mentorship strengthen the CRNA community.

💪 Grace and adaptability – Aging brings change, but not irrelevance—keep learning and leading.

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

Profits Over Patients: Exposing the Impact of Private Equity in Healthcare

Thu, 20 Nov 2025 02:00:00 -0500

Private equity is reshaping healthcare—but at what cost?

In this eye-opening episode of Beyond the Mask, Sharon and Jeremy welcome back Daniel King, DNP, MNA, CRNA, CPPS, CNE and Jennifer Banek, MSN, MHA, CRNA for a candid conversation about how private equity ownership affects anesthesia and beyond. They explain how investor-driven models prioritize profit over patient care, share real-world stories of unsafe conditions and staff cutbacks, and reveal how financial engineering often leaves hospitals saddled with debt.

Keep in mind, not all private equity is bad or creates the problems we discuss in this episode.

Here’s some of what you’ll hear in this episode:

🚩 Red flags – Leadership churn, “efficiency” buzzwords, inflated wages, and bounced checks.

🩺 Patient safety at risk – Missing equipment, delayed prosthetics, and reduced staffing.

⚖️ Legal & financial fallout – Collapsed malpractice carriers left clinicians exposed.

📢 Advocacy matters – Transparency, documentation, and community awareness drive change.

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

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

Airway Exchange – Ep 5 – Faculty Mentorship: Transitioning from Clinician to Educator

Tue, 18 Nov 2025 03:40:00 -0500

In this episode of Airway Exchange, the team explores the transition from clinician to educator and the role mentorship plays in the process. Becky Motykiewicz, DNAP, CRNA joins Nickie Damico, Erin Martin, and Greg Collins to discuss what drew her to teaching, how mentorship shaped her journey, and the emotional realities that come with stepping into academia.

Here’s some of what you’ll hear in this episode:

👩‍🏫 Mentorship matters — a simple tap on the shoulder can change a career.

🌱 Identity shift is real — moving from expert clinician to novice educator brings imposter syndrome.

🧠 You don’t have to be perfect — your first lecture won’t be your best, and that’s okay.

💬 Students are the reward — watching their confidence grow is what keeps educators going.

💼 Work–life balance takes intention — boundaries, breaks, and movement are essential.

🩺 Keep your clinical practice — maintaining skills supports credibility and satisfaction.

Didactic Educator Micro-Credential Information: https://crnaeducationedge.aana.com/Public/Catalog/Details.aspx?id=mEigQMFxphlUI%2fEvoRx8Fg%3d%3d&returnurl=%2fUsers%2fUserOnlineCourse.aspx%3fLearningActivityID%3dmEigQMFxphlUI%252fEvoRx8Fg%253d%253d

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

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

Expanding Nurse Anesthesia Education and Practice in Low-Income Countries

Thu, 13 Nov 2025 01:17:00 -0500

What does it take to deliver anesthesia in a hospital with no ventilator, scarce medication, and power that cuts out mid-surgery?

Today we’re joined by Dr. Mark Newton, pediatric anesthesiologist and longtime medical missionary, Mary Mungai, one of Kenya’s first licensed nurse anesthetists and a leader in anesthesia education across East Africa; and Jackie Rowles, IFNA President and founder of Our Hearts Your Hands will take you far beyond the walls of the US Hospitals and surgery centers into low income countries where nurse anesthetists are delivering care under some of the most resource-limited and demanding conditions in the world.

Together, they share extraordinary stories of resilience, courage, and compassion — from training the first nurse anesthetists in Kenya to bringing safe anesthesia to war-torn regions like South Sudan and Somaliland. It’s a look at how education, mentorship, and global partnerships are transforming access to safe surgical care — one provider, one patient, and one country at a time.

Here’s some of what you’ll hear in this episode:

🌍 Global Perspective: An inside look at CRNAs serving in Africa’s most resource-limited hospitals.

🇰🇪 Kenya’s First Nurse Anesthetist: Mary Mungai’s story of building training programs from the ground up.

💉 Training the Trainers: How education multiplies impact across borders.

⚕️ The Supply Crisis: Performing surgery without halothane, oxygen, or IV fluids.

🤝 Collaboration Over Competition: How CRNAs and physicians work side by side to save lives.

💖 A Global Call to Action: “We didn’t choose where we were born — but we can choose to help.”

Learn more about Our Heart Your Hands: https://www.ourheartsyourhands.org/

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Grade 1 View – Ep. 25 – The Backbone of Rural Anesthesia

Tue, 11 Nov 2025 02:36:00 -0500

This week we’re shining a light on the critical role that CRNAs play in rural healthcare, especially in honor of National Rural Health Month (November). Hosts Kevin and Olivia are joined by two dedicated CRNAs, Pete Hext and Hayden Hayes, who share their personal experiences and the unique challenges they face while providing anesthesia care in rural Texas.

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

🌾 CRNAs provide over 80% of anesthesia care in rural America, often as the only provider for miles.

💉 Independence and collaboration are key — every case requires adaptability and calm under pressure.

🚑 Real-life stories reveal the high-stakes moments that test skill and composure in small-town hospitals.

🤝 Long-term patient relationships create trust, community connection, and professional pride.

🧠 Key advice: Stay humble, stay safe, and let your anesthesia do the talking.

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

Fighting for a Cure: A CRNA’s Mission Against Type 1 Diabetes

Thu, 06 Nov 2025 01:29:00 -0500

What happens when a CRNA’s professional expertise meets a parent’s fight for their child’s life?

In this heartfelt and inspiring episode, Sharon and her daughter Danielle—who was diagnosed with type 1 diabetes at age five—sit down with Devin Holt, CRNA, advocate, and father to a young daughter living with type 1 diabetes.

Here’s some of what you’ll hear in this episode:

💉 A Parent’s Fight: Devin shares his daughter’s rare and early diagnosis story.

🧠 Hope Through Science: New research and emerging treatments that could lead to a cure.

❤️ Turning Pain Into Purpose: How advocacy and education became Devin’s mission.

🩺 CRNA Perspective: The role anesthesia providers play in supporting diabetic patients.

👩‍👧 Generational Impact: Sharon and Danielle reflect on living with type 1 diabetes across decades.

🙌 Shared Hope: A story of perseverance and the belief that a cure is coming.

Join the Crushing T1 Facebook group: https://www.facebook.com/groups/1390799941761436/

Follow Crushing T1 on TikTok: https://www.tiktok.com/@crushingt1

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

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

Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1

Airway Exchange – Ep 4 – Building a Sustainable Nurse Anesthesia Workforce

Tue, 04 Nov 2025 01:27:00 -0500

In this episode of Airway Exchange, we explore the state of the nurse anesthesia educator workforce with a special focus on faculty stabilization. We’re spending time with Terrica Durbin, DNP, PhD, CRNA, FAANA, who is the Director of the School of Nursing at Western Carolina University and a Fellow in the AANA. A passionate advocate for rural health and the workforce in nurse anesthesia education, Terrica discusses the challenges and rewards of working in academic roles.

She’ll also share insights on the future of nurse anesthesia education, from faculty retention to the pressing need for mentorship. With her deep commitment to both rural health and stabilizing the workforce, Terrica provides us an invaluable perspective on the evolution of nurse anesthesia programs across the country.

Here’s some of what you’ll hear in this episode:

💼 Faculty Stabilization: Tackling turnover rates and faculty vacancies in anesthesia education.

🌱 Mentorship Matters: The vital role of mentorship in faculty retention and growth.

💸 Salary Discrepancies: Addressing the gap between clinical and academic salaries.

💪 Future Workforce: Preparing for the demand of nurse anesthetists in the years ahead.

🤝 Support Systems: The need for better support systems to retain new faculty members.

Get Involved! Committee applications open in March: https://www.aana.com/about-us/leadership/committees-overview/

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

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

Who Really Leads in Anesthesia Care?

Thu, 30 Oct 2025 01:55:00 -0400

What happens when a CRNA challenges one of the most controversial questions in anesthesia: Who really leads anesthesia care? That’s the title of the new book by Yana Krmic, MSN, CRNA, APRN, who returns to the show to discuss a topic that cuts to the heart of one of the most important and often misunderstood questions in our profession. Today, she walks us through her journey as an immigrant, the research behind the book, and the dynamics shaping the narrative around anesthesia.

Here’s some of what you’ll hear in this episode:

🌍 Her incredible journey – From Siberia to CRNA leader, Yana’s story celebrates resilience and advocacy.

🗣️ Voice & visibility – Why every CRNA should tell their story and own their professional identity.

⚖️ Leadership & truth – Addressing misconceptions about “team models” and who truly provides anesthesia.

✍️ Inspiring others – Yana explains how she self-published through Amazon KDP and why more CRNAs should write.

Connect with Yana: https://www.linkedin.com/in/yana-krmic-73666961/

Get the book here: https://www.amazon.com/Behind-Scenes-Anesthesia-Responsibilities-Professionals/dp/B0DVC7MDBR

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

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

Grade 1 View – Ep. 24 – CRNA School Recap: The Real Journey

Tue, 28 Oct 2025 02:12:00 -0400

What does it really take to make it through CRNA school, and what happens after the boards are over? Today, Kevin reconnects with former classmates Madison Martin and Nicole Strickland to reflect on their long journeys to becoming CRNAs. Every path to an anesthesia career is unique, and the joy is often found in the process of growth and learning. This episode will give you a candid, first-hand look at the challenges and opportunities that await you.

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

✨ Real stories behind why each guest chose the CRNA path

📚 How to handle rejection in the application cycle (and why “not yet” isn’t “no”)

🧠 Board prep tips: what actually worked, what didn’t, and how it felt

❤️ Balancing family, grief, and life outside of school

🌍 Life goals after graduation: from travel dreams to clinical confidence

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

Scammers Are Smarter Than Ever: How CRNAs and their Families can Protect Your Identity—and Your Future

Thu, 23 Oct 2025 01:50:00 -0400

Scammers have evolved far beyond poorly written emails and suspicious phone calls. Today’s scammers are sophisticated, patient, and increasingly equipped with artificial intelligence (AI) tools that mimic real voices, copy official websites, and create personalized messages that look and sound legitimate. Jeremy has seen this happen all too often and will use this episode as an opportunity to help CRNAs identify red flags and apply real-world strategies to protect their future.

⚠️ Scammers evolve fast – AI and data breaches have made fraud more convincing than ever.

🧠 Emotional targeting – Loneliness, fear, and urgency are common triggers scammers exploit.

💻 Red flags – Pop-ups, “suspended accounts,” and unknown senders are warning signs.

🛡️ Use smart tools – Fraud alerts, credit freezes, and services like EverSafe add extra protection.

📲 Educate your family – Talk openly with parents and loved ones about scam awareness.

Find out how customized planning can help you reach your goals: https://crnafinancialplanning.com

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

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

Airway Exchange – Ep 3 – Inside The CRNA School Admissions Process

Tue, 21 Oct 2025 02:58:00 -0400

The admissions process for nurse anesthesia programs has changed dramatically, from paper applications to video interviews to the challenges of artificial intelligence. But what hasn’t changed is the enormous responsibility faculty feel as the gatekeepers of the profession.

In this episode of Airway Exchange, hosts Nickie Damico, Erin Martin, and Louisa Martin discuss how admissions committees are adapting to a new era of technology, applicant preparation programs, and shifting student expectations.

Here’s some of what you’ll hear in this episode:

🧠 Beyond the GPA – Emotional intelligence and resilience are often better predictors of success.

💬 AI & authenticity – How video interviews and in-person writing help reveal the real applicant.

⚖️ Privilege, not entitlement – Reframing the mindset of entering a rigorous, high-stakes program.

🧩 The right fit matters – Matching candidates to program culture and structure is key to success.

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

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

Leading with Heart: A Conversation with AANA President Jeff Molter

Thu, 16 Oct 2025 02:02:00 -0400

As the new AANA leadership team begins to settle in, we had a chance to sit down with the current AANA President, Jeff Molter, MBA, MSN, CRNA, to hear about his journey to this prestigious position and what keeps him grounded during all the travel and meetings. Plus, we’ll get updates on the biggest issues affecting the CRNA profession and hear what goals this new Board of Directors will have for the upcoming year.

Here’s some of what you’ll hear in this episode:

🩺 Advocacy in action – The AANA continues to fight discriminatory 15% reimbursement cuts from major insurers.

⚖️ Legal momentum – A federal writ of mandamus aims to compel enforcement of provider nondiscrimination laws.

🧭 Leadership with purpose – Jeff emphasizes connection, humility, and the value of mentorship in leadership.

👥 Growing membership – AANA now welcomes RN and APRN members, expanding outreach and influence.

🧠 Governance reform – New bylaws strengthen board accountability and transparency for the future.

Check out the AANA Board of Directors: https://www.aana.com/about-us/leadership/board-of-directors/

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

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

Grade 1 View – Ep. 23 – 3 Golden Rules for Finding Your First CRNA Job

Tue, 14 Oct 2025 02:02:00 -0400

Landing your first job as a CRNA can feel overwhelming but knowing what to expect and how to approach the job market can ease a lot of the uncertainty. Today, Kevin and Olivia sit down with Jay Cobden, a 2023 graduate of Rhode Island College and trauma CRNA at Carolinas Medical Center in Charlotte, North Carolina, to hear about what he learned from navigating the process. After attending the AANA Annual Congress, Jay realized he had many of the same questions as other SRNAs about what to do next after school, and wanted to share that experience with others in this position.

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

🧭 Three Golden Rules – Balance compensation, autonomy, and work-life priorities.

💬 Ask the right questions – In interviews, learn about team dynamics and MDA relationships.

💵 Understand your contract – Know how sign-on bonuses, non-competes, and terms really work.

🧠 Seek mentorship – Guidance doesn’t stop after graduation—learn from others’ experience.

✈️ Be bold – Your first job won’t be your last. Don’t be afraid to move or take risks for growth.

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

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

Courage to Lead: Larry Hornsby’s Battle for CRNA Independence

Thu, 09 Oct 2025 01:52:00 -0400

What does it take to lead through one of the most defining battles in CRNA history?

In this Courage to Lead conversation, Larry Hornsby, CRNA, BSN reflects on his presidency during a pivotal and tumultuous era for the AANA at the turn of the century. Facing national policy shifts, physician supervision debates, and an all-out fight with the ASA, Larry shares the behind-the-scenes stories of late-night strategy sessions, fax campaigns to Congress, and standing on the rope line with President Clinton.

This episode is more than history—it’s a powerful look at leadership under pressure, the sacrifices required, and the resilience that shaped the future of nurse anesthesia.

Here’s some of what you’ll hear in this episode:

⚖️ Policy at the crossroads – How supervision became the central fight for CRNAs.

📨 Fax campaigns & hidden emails – The creative tactics used to get Washington’s attention.

🧑‍⚕️ Courage under fire – Standing firm while facing threats, opposition, and burnout.

💪 Leadership lessons – Listening to your board, your members, and never asking more than you’re willing to give.

🌟 Legacy and inspiration – Why today’s CRNAs stand on the shoulders of giants.

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

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

Airway Exchange – Ep 2 – AI in CRNA Education

Tue, 07 Oct 2025 02:17:00 -0400

Artificial Intelligence is moving at a rapid pace and it’s already having a big impact in the classroom. Today, we’re going to explore how AI is reshaping nurse anesthesia education. From tools like ChatGPT and Grammarly to advanced simulation and custom-built chatbots, we’ll discuss how educators are using AI to improve lectures, assessment design, and even accreditation work.

Here’s some of what you’ll hear in this episode:

🤖 AI is already here – Tools like ChatGPT and Grammarly are reshaping how CRNA faculty teach and students learn.

🧠 Cognitive offloading is real – AI can help, but overreliance may weaken critical thinking and recall.

🧑‍🏫 Teaching with AI – Creative uses include generating lecture feedback, analogies, and story-based learning.

🔐 Academic integrity – Privacy settings, copyright, and prompt design must be taught intentionally.

🧩 Simulation & chatbots – The next wave: AI-driven patient scenarios, assessment chatbots, and adaptive feedback loops.

📚 AI literacy is essential – Nurse anesthesia programs must integrate AI education before standards catch up.

Get resources for today's episode here: https://beyondthemaskpodcast.com/airway-exchange-ep-2-ai-in-crna-education/5727/

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

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

From the OR to the C-Suite – And Back Again

Thu, 02 Oct 2025 01:56:00 -0400

In 2017, Dr. Randy Moore made the leap from the OR and into bigger and bigger leadership roles that challenged him to think beyond patient care. At that time, he thought he was done with clinical practice for good. But, as he explains on today’s show, that assumption was very wrong. Join us to hear about this unique journey, from practicing CRNA to AANA CEO to Chief Anesthetist Officer at NorthStar Anesthesia CEO and then back to patient care after many years away.

Here’s some of what you’ll hear in this episode:

⚖️ Leadership lessons – Strategy and long-term planning vs. OR split-second decisions.

🧠 Growth through discomfort – Why nerves and butterflies signal meaningful growth.

🌍 CRNAs in influence – Why more CRNAs should pursue leadership and policy roles.

🔄 Rediscovering anesthesia – Returning to practice rekindled his love for the profession.

Read his Substack about the decision: https://randymoore.substack.com/p/i-left-the-or-for-the-c-suitethen

Revisit our conversation about moving from the OR to the C-Suite a few years ago: https://beyondthemaskpodcast.com/ep-206-from-the-or-to-the-c-suite-with-randy-moore/3966/

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

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

Grade 1 View – Ep. 22 – The Fundamentals of Mechanical Ventilation

Tue, 30 Sep 2025 05:00:00 -0400

Today we’re diving into one of the most fundamental tools you’ll encounter in clinical practice: the ventilator. Mechanical ventilation can seem intimidating at first, but understanding how it works is essential for keeping your patients safe and for making adjustments in real time.

We’ve invited Richard Wilson, DNAP, CRNA, FAANA of Ursuline College to the show to help us understand the fundamentals of mechanical ventilation. He shares insights on how ventilation and oxygenation are key goals in anesthesia, and walks through how understanding the different modes of ventilation—volume control, pressure control, SIMV, and more—can help CRNAs tailor their care.

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

🧑‍⚕️ Volume vs. pressure control – Learn how volume and pressure modes differ and when to use each.

🩺 Ventilation basics – Oxygenation and CO2 removal are the primary goals in anesthesia ventilation.

💨 Ideal body weight – Use this for accurate tidal volume calculations to avoid lung injury.

🧪 SIMV mode – How to integrate pressure support for more precise control in mechanical ventilation.

About our guest: https://www.ursuline.edu/academics/nurse-anesthesia-faculty

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

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

A CRNA’s Journey From Addiction to Recovery

Thu, 25 Sep 2025 01:31:00 -0400

Addiction in healthcare is often hidden in the shadows, but it doesn’t have to end in tragedy. This powerful episode features an intimate discussion about substance use disorder with Luci New, DNP, CRNA, FAANA and Rob Hartman, a CRNA who shares his journey through addiction and recovery. Now nine years sober, Rob reflects on treatment, rebuilding trust with his family, and his return to practice. He also offers a message of hope for CRNAs and SRNAs who may be struggling: you don’t have to fight this alone.

Here’s some of what you’ll hear in this episode:

💉 From injury to addiction – How prescription use escalated into diversion and dependency.

🚨 Signs and suspicions – Why colleagues often hesitate to speak up, and why they must.

🏥 Treatment & recovery – Parkdale Center, 12-step programs, and rebuilding life after crisis.

👨‍👩‍👧 Family impact – Honesty and amends are part of healing.

🌟 Message of hope – Recovery is possible; support and resources are available.

If you or someone you know need help, the AANA provides these resources to use: https://www.aana.com/membership/here-for-you/health-and-wellness/where-to-get-help/

Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists!

Join Sharon this November 14–16, 2025, at the Hilton Hotel in Walt Disney World Village, Florida, for the Frank Moya Continuing Education Program’s annual conference. She’ll be delivering four insightful talks as part of the guest faculty lineup.

Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!

Click here for more details and to register

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

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

Airway Exchange – Ep 1 – Three Millers and a Mac

Tue, 23 Sep 2025 02:43:00 -0400

In the premiere episode of Airway Exchange, the new series from AANA and Beyond the Mask, hosts Nickie Damico, Greg Collins, Erin Martin, and Louisa Martin introduce themselves and share the vision for the podcast: to empower educators, inspire students, and build community across the nurse anesthesia profession.

Here’s some of what you’ll hear in this episode:

🎙️ New series launch – A podcast created by and for CRNA educators.

👩‍🏫 Meet the hosts – Four faculty members from programs across the country.

🤝 Community building – Keeping the sense of connection alive beyond Congress and EDGE.

🧠 Faculty challenges – Balancing rigor, student wellness, and faculty well-being.

💡 Future focus – Innovative teaching practices, mentorship, and faculty development.

Follow @AirwayExchangePodcast on Instagram

Submit a Topic: https://www.surveymonkey.com/r/airway-exchange-podcast-request

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

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

From Stigma to Support: 10 Years of Parkdale and CRNA Peer Assistance

Thu, 18 Sep 2025 01:25:00 -0400

Mental health and substance use have been impacting CRNAs and SRNAs, but we’ve come a long way in recognizing and addressing these challenges thanks to organizations like the Parkdale Center for Professionals.

This episode is a powerful one centered on healing, growth, and the critical role of peer support. We’re excited to welcome Linda Stone, DNP, CRNA, peer advisor Jack Stem, and Bridget Petrillo, MS, APRN, CRNA to reflect on 10 years of progress since the founding of the Parkdale Center. They share powerful personal stories of struggle and recovery, the evolution of peer assistance in nurse anesthesia, and how initiatives like the AANA helpline and Parkdale’s 24/7 peer-driven support have become literal lifelines.

Here’s some of what you’ll hear in this episode:

📞 Lifeline moments – How the AANA helpline and Parkdale save lives in critical moments.

🧠 Stigma and recovery – Why openly sharing stories reduces shame and fuels healing.

🧑‍🤝‍🧑 Peer assistance legacy – The history of CRNAs supporting each other since the 1980s.

🏥 Healthcare-specific care – Why addiction treatment for providers requires unique approaches.

🌟 Celebrating Parkdale – 10 years of profession-specific recovery and wellness support.

If you or someone you know needs help, you can contact Parkdale here: https://parkdalecenter.com/

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

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

Grade 1 View – Ep. 21 – Staying Driven & Ambitious After Becoming a CRNA

Tue, 16 Sep 2025 02:43:00 -0400

Most CRNAs graduate, get a job, and settle into the profession. But Dr. Erik Rauch proves there’s another path—one of leadership, advocacy, and endless opportunity.

In this episode of Grade 1 View, Erik joins hosts Kevin and Charity to share his 17-year journey from clinical CRNA to program director, pain management fellow, MBA graduate, AANA Board of Directors, and now Chief Clinical Officer of a CRNA anesthesia management company. You’ll hear how economics and workforce shifts are creating unprecedented opportunities for CRNAs to practice independently, and why new grads who embrace skills like ultrasound-guided blocks and critical decision-making will be in high demand.

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

🚀 From teaching to corporate leadership, CRNAs can shape healthcare.

🏥 Rising demand in surgery centers is opening doors for autonomy.

💉 Skills that matter – Ultrasound blocks and independent decision-making set grads apart.

⚖️ Advocacy fights – Insurance reimbursement cuts put hospitals and CRNAs on the frontlines.

🌉 AANA initiatives keep SRNAs connected as they transition to practice.

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

About our guest: https://health.usf.edu/nursing/faculty-staff/directory/esrauch

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

Building a Community for Aspiring CRNAs Through Mentorship

Thu, 11 Sep 2025 01:48:00 -0400

Today’s guest is helping shape the next generations of CRNAs one post, one message, and one connection at a time through his platform, CRNA Mentor. Tyler Anderson, CRNA has become a guiding voice for aspiring and practicing nurse anesthetists across the country. In this episode, he shares the story behind the creation of CRNA Mentor, his vision for mentorship in the CRNA community, and how social media is playing a pivotal role in fostering connections.

Here’s some of what you’ll hear in this episode:

🌐 Social Media Impact: Discover how Tyler uses social platforms like TikTok and Facebook to connect with aspiring CRNAs.

💬 Mentorship Matters: Tyler emphasizes the importance of mentorship in shaping the future of CRNAs.

💡 Learning from Experience: The journey to CRNA school isn’t just about the grades, but about gaining the right experience.

🤝 Building a Community: The CRNA Mentor Facebook group creates a safe space for CRNAs, nursing students, and aspiring CRNAs to connect and share valuable insights.

🌍 International Reach: Tyler’s CRNA Mentor is helping individuals from all over the world navigate their way into the CRNA field.

Enjoy your Dream List video in the link below and learn why nurse anesthesia is the best career in healthcare! If any or all of these ingredients of the "Dream List" resonate with you, this could be YOUR perfect career path.

https://www.crnamentor.com/dream-list-video/1717

About our guest: https://www.crnamentor.com/

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

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

The Five Love Languages for CRNAs in Financial Planning

Thu, 04 Sep 2025 02:14:00 -0400

In the world of financial planning, we often focus on numbers, assets, and strategies, but what about emotions? Just as the concept of "love languages" has helped people understand how to connect with their partners, it can also offer valuable insight into how we approach money management. In this episode, Jeremy and Sharon explain how the five love languages can inform a more compassionate and effective approach to financial planning.

Here’s some of what you’ll hear in this episode:

💖 Acts of Service: Plan for providing for your family, even in retirement.

⏳ Quality Time: Patience and consistency in investing lead to long-term success.

💬 Words of Affirmation: Reassurance from a trusted financial advisor helps manage financial anxiety.

🎁 Gifts: Consider legacy and charitable giving in your financial plan.

🤝 Physical Touch: Build trust and communication in financial partnerships for better outcomes.

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

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

Grade 1 View – Ep. 20 – Strategies for Resident Success & Belonging with Dr. Jorge Valdes

Tue, 02 Sep 2025 03:22:00 -0400

CRNA school is one of the toughest journeys a nurse can take, but success isn’t just about grades and clinical skills. It’s also about wellness, belonging, and support. Today’s guest is a passionate advocate for students in CRNA school and someone you want to listen to if you’ve felt stressed or anxious about the process.

In this episode of Grade 1 View, Olivia sits down with Dr. Jorge Valdes, clinical professor and dean at Florida International University, to talk about what it really takes for SRNAs to thrive. You quickly understand how much he cares about the future of this profession as he shares why community, kindness, and emotional intelligence are just as important as technical training.

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

🧠 Testamentary capacity for students – Success requires both knowledge and belonging.

🏃 Wellness matters – Exercise, endorphins, and small celebrations fuel resilience.

💬 Kindness over fear – Students learn better when they feel supported, not intimidated.

👥 Sense of belonging – Community and connection are vital for persistence and success.

🎓 Pay it forward – Preceptors should foster passion, not perpetuate negative experiences.

About our guest: https://populationhealth.fiu.edu/jorge-valdes/

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

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

Thoracic Anesthesia: Airway, Esophagus, and Mediastinal Mastery with Dr. Melissa Puskac

Fri, 29 Aug 2025 02:42:00 -0400

Thoracic anesthesia is one of the most complex and high-stakes specialties in medicine, where the airway may literally be open on the table, and every breath depends on seamless teamwork.

In this episode of Anesthesia Alchemy, Lynn and Garry welcome Dr. Melissa Puskac, a CRNA and thoracic anesthesia expert, to unpack the challenges and breakthroughs that define this field. From carinal resections and sleeve lobectomies to esophagectomies and mediastinal mass surgeries, Dr. Puskac explains how modern techniques like cross-field ventilation, high-frequency jet ventilation (HFJV), and ECMO are transforming survival and recovery.

Here’s some of what you’ll hear in this episode:

🌬️ Airway mastery

🫁 Carinal & sleeve resections

🥼 Esophagectomy techniques

⚠️ Complications matter

🧠 Collaboration is key

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

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

Catching Up with AANA CEO Bill Bruce at the Annual Congress

Thu, 28 Aug 2025 08:36:11 -0400

The AANA’s Annual Congress just set a new record—over 4,000 CRNAs and SRNAs came together in Nashville for the largest meeting in the association’s history. In this special episode of Beyond the Mask, Bill Bruce, CEO of the AANA, sat down with us in Nashville to share what's happening at the national level and how it directly impacts CRNAs across the country.

Here’s some of what you’ll hear in this episode:

📈 Record-breaking Congress – Over 4,000 attendees, the biggest AANA event ever.

👩‍⚕️ Membership growth – Strong retention and 1,700+ RNA PRN student members.

💡 Innovation spotlight – Hackathon, pitch competition, and new “Airway Exchange” podcast.

⚖️ Advocacy updates – Opt-outs, payer discrimination, and federal action around reimbursement.

Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists!

Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!

Click here for more details and to register

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

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

From Burnout to Balance: Women’s Support in Healthcare

Thu, 21 Aug 2025 01:12:00 -0400

Our guests in this episode are representatives from Woman Within International, an organization dedicated to empowering women through self-discovery and healing. Katey Hurd, president of the Women Within Central USA Board and Linda Stulz, RN, M. ED, join us to explore why many women find themselves overwhelmed and disconnected from their true selves. Today you’ll learn about the organization’s programs that help women set healthy boundaries, heal from burnout, and build lasting community through circles, weekends, and leadership opportunities.

Here’s some of what you’ll hear in this episode:

🌍 Explore the global mission of Woman Within

💬 What makes circles a safe space for healing

🧠 Understanding emotional burnout in healthcare

🛠️ Tools for boundary-setting and resilience

🔄 How ongoing self-work changes lives

Woman Within International: https://www.womanwithin.org/

Woman Within Central USA: https://womanwithincentralusa.org/

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

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

Grade 1 View – Ep. 19 – Transitioning From an RN to CRNA (Live from AANA Congress)

Tue, 19 Aug 2025 02:11:00 -0400

Have you ever wondered what it would take to make the shift from an RN to a CRNA? Would it be manageable? Today we’re sharing our conversation with two talented women who are in the middle of that process right now. Larry and Kevin sat down with Jasmine Dhalla, BSN, BLS, ACLS, PALS, CCRN, TNCC and Damilola Olarenwaju, BSN, RN, CCRN, TNCC at the AANA Congress in Nashville so they could share their powerful journeys as ICU nurses taking their first steps toward nurse anesthesia school.

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

💡 “Why” moments matter: Passion often starts with a powerful, personal experience.

👩‍⚕️ Mentorship is transformative: One connection can change your entire trajectory.

🌍 Conferences are game-changers: Network with CRNAs, residents, and program directors.

🧠 Education is empowerment: RNs are embracing advanced learning and evidence-based practice.

Connect with Damilola: https://www.linkedin.com/in/damilola-o-91812bb4/

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

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

Stronger Through Vulnerability: A Path to Authentic Connections

Thu, 14 Aug 2025 01:39:00 -0400

In a world where men don't usually don't like discussing their feelings, the Mankind Project USA stands as a beacon of hope for men seeking connection and personal growth. In our latest podcast episode, Nathan Ed-wards, CRNA and Boysen Hodgson share their experiences with this transformative organization, which is dedicated to redefining masculinity and fostering a culture of vulnerability and compassion among men.

Here’s some of what you’ll hear in this episode:

🤝 Discover how vulnerability creates deeper connections

🌍 Explore a global movement redefining modern masculinity

💡 Understand why men struggle to share openly

🛠️ Learn practical tools for personal growth and better relationships

🌟 Embrace authenticity for a happier, healthier life

Learn more about the Mankind Project USA: https://mkpusa.org/

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

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

Beyond the OR Walls: How Office-Based Anesthesia is Decentralizing Healthcare

Tue, 12 Aug 2025 02:41:00 -0400

Office-based anesthesia (OBA) is no longer the “wild west” of healthcare. It’s a thriving, highly specialized branch of anesthesia practice that’s changing the way patients experience surgery. In this episode, Lynn and Garry take you inside the rapidly growing world of OBA, where 10 million procedures a year are now performed outside hospitals and ambulatory surgery centers. They explore why patients and providers are embracing this setting, the evolving safety standards, and the anesthetic techniques that make it work.

Here’s some of what you’ll hear in this episode:

📈 OBA is booming – Driven by demand for cosmetic surgery, cost savings, and convenience.

🛡 Safety standards are strong – Accreditation, patient selection, and guideline adherence are key.

💉 PK infusions + nerve blocks – Deliver superior anesthesia without invasive airways.

🤖 Tech innovations – AI decision support & simulation training enhance safety.

🧠 Four Cs for the future – Communication, competency, connectivity, collaboration.

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

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

Measured vs Observed: The Monitoring Debate with Richie Flowers & Lisandro Hernandez

Thu, 07 Aug 2025 01:54:00 -0400

For years, anesthesia providers have relied on subjective assessments to evaluate neuromuscular recovery. These methods, while familiar, often fall short in ensuring patient safety. As evidence mounts regarding the risks associated with residual paralysis, the need for more precise and objective monitoring has never been clearer. That’s why we’re taking a closer look at Quantatative train-of-four (TOF) monitoring with Richie Flowers, CHSE, CRNA, DNP, FAANA and Lisandro Hernandez, DNP, CRNA to learn more about why it’s gaining traction in operating rooms nationwide.

Here’s some of what you’ll hear in this episode:

🔬 Quantitative monitoring helps prevent invisible residual paralysis
🧠 0.9 train-of-four ratio is the new baseline, not 0.7
🤔 Subjective tests like breath-holding and head lifts aren’t reliable
🖐️ Hand placement gives better data than facial monitoring
💡 Using data-driven dosing = safer, faster recovery

🎛️ Why they’ve found Senzime’s device to be the easiest to use

The next-generation TetraGraph with Adaptive Intelligence from Senzime delivers real-time, EMG-based train-of-four data to optimize neuromuscular block management and guide precise reversal dosing. Its proprietary Level-of-Block Gauge helps clinicians confidently avoid both under- and overdosing. Discover how TetraGraph supports compliance with clinical guidelines and helps eliminate residual paralysis at senzime.com/nextgen.

Check out the Senzime AANA Both #1218 and learn more here:

www.Senzime.com/NextGen

Learn more about Senzime:

https://youtu.be/KvTomBYPOMg

Watch the Demo:

https://youtu.be/SmRLgZAtsCE

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

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

Grade 1 View – Ep. 18 – Pursuing a 1099 CRNA Career

Tue, 05 Aug 2025 02:49:00 -0400

For many years, it was rare to see a new CRNA grad get a 1099 opportunity, but that’s been changing over the past decade. This new generation of CRNAs looks at work differently than previous generations and 1099 fits their lifestyle needs much better.

So what do you really need to know if you are choosing between traditional W2 employment and the increasingly popular 1099 pathway? Kevin and Larry welcome on Beyond the Mask hosts Jeremy Stanley, EA, CFP®, AIF® and Sharon Pearce, DNP, CRNA, FAANA, FAAN to talk tax advantages, income potential and career flexibility.

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

💡 Understanding 1099 vs. W2 employment

💰 Financial implications and earning potential

📈 Maximizing tax benefits as a 1099 CRNA

🎯 Navigating career flexibility and work-life balance

🧰 Essential tools and resources for 1099 success

Apply to be on the Grade 1 View Season Two (2026) Host Team!

Applications due November 1, 2025. Applicants must be current CRNA students/residents with a minimum of 12 months remaining in their program.

https://www.surveymonkey.com/r/g1v-host-application

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

When Conventional Maneuvers Fail: A Case Study on the McMurray Enhanced Airway Device

Thu, 31 Jul 2025 01:50:00 -0400

When seconds matter, preparation saves lives. Today’s case study involving a 47-year-old man with severe obesity and obstructive sleep apnea is a great example of that. When a routine EGD resulted in rapid hypoxia shortly after sedation after conventional methods failed, it was the McMurray Enhanced Airway that made all the difference. Sharon shares the experience in this episode and we invited Roxanne McMurray, DNP, CRNA, APRN, FAANA back to the show to talk about how this novel airway tool is changing the game for CRNAs.

Here’s some of what you’ll hear in this episode:

💡 The problem: traditional oral airways don’t reach the distal pharynx
📉 A real emergency: 47-year-old patient crashes post-sedation
💜 How the McMurray Enhanced Airway (MEA) saves the day
🛠️ Designed for today’s obese and sleep-apneic patients
💰 Life-saving innovation for under $20

Revisit our conversation about the McMurray Enhanced Airway: https://beyondthemaskpodcast.com/a-groundbreaking-product-to-improve-airway-management/4640/

McMurray Enhanced Airway (MEA) video link: https://youtu.be/IU1wF923J18?t=2

Website: https://www.mcmurraymed.com/

AANA Congress Booth with Bell Medical: #642

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

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

What You Need to Know About a Potential AANA Bylaw Change

Thu, 24 Jul 2025 01:15:00 -0400

Good governance is proactive, not reactive, and a potential bylaw change could help the AANA move more in that direction. In this episode of Beyond the Mask, Jeremy and Sharon welcome AANA vice president Tracy Young, MSNA, MBA, CRNA to discuss one of the most important proposals facing the AANA: a new bylaw amendment that would establish a clear, fair process for removing a board member before a crisis demands it. We'll walk through what the amendment proposes, the rationale behind it, and the potential implications for the AANA moving forward.

Here’s some of what you’ll hear in this episode:

📜 Why the AANA needs a removal process for board members
🛑 Current fallback is a public, divisive member vote
🗳️ Proposed policy includes due process and confidentiality
⚖️ Grounds for removal: misconduct, nonperformance, conflict of interest
🧠 Why a strong board culture—and not just bylaws—matters most

Will you be among the Congress attendees tackling some of today's most urgent challenges in nurse anesthesiology?

Join nurse innovator and Hackathon host Rebecca Love, RN, MSN, FIEL, along with former AANA president and Beyond the Mask podcast host Sharon Pearce, DNP, CRNA, FAANA, FAAN, and 14 expert CRNA/nurse anesthesiologist mentors for an exclusive opportunity to collaborate, compete, and create real-world solutions.

This team-based, high-energy event is free to attend — but space is limited. Only 112 seats are available. Save your seat at aana.com/hackathon.

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

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

Grade 1 View – Ep. 17 – Examining Opioid-Free Anesthesia

Tue, 22 Jul 2025 02:47:00 -0400

In this episode of Grade 1 View, we had the privilege of speaking with Tom Baribeault, DNP, CRNA, a pioneer in the field of opioid-free anesthesia. As the president and founder of the Society of Opioid Free Anesthesia, Tom has dedicated his career to advancing pain management techniques that prioritize patient safety and comfort.

Today he’ll share how his own clinical curiosity led him to abandon intraoperative opioids altogether, and what happened next. From reducing postoperative nausea to improving respiratory safety, this conversation will challenge you to question the status quo and expand your definition of what anesthesia can look like.

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

💉 What “opioid-free anesthesia” really means

🧠 Why less fentanyl often leads to better outcomes

💊 Key meds used: Ketamine, Precedex, Lidocaine & more

🏥 How to get buy-in from surgeons, admins & care teams

🎓 Resources for students + a free membership offer

About our guest: https://goopioidfree.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

Global Anesthesia Outreach In Low-Income Regions

Thu, 17 Jul 2025 02:01:00 -0400

In a world where access to healthcare can vary dramatically, the role of global outreach initiatives has never been more critical. In this week’s episode, we’re joined by nurse anesthesia doctoral student Chris Wheelock to discuss the impact of global outreach and how an initiative he was involved in is shaping the future of global health care.

Here’s some of what you’ll hear in this episode:

🌍 Only 1 anesthesia provider per 100,000 people in parts of Africa
📚 The cost to train a nurse anesthetist

🧠 Why long-term investment beats short-term missions
💡 How culture, continuity, and context create better outcomes
💸 A new scholarship that connects donors to students and real change

Learn more about Our Heart Your Hands: https://www.ourheartsyourhands.org/

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

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

The R vs. S Enigma: Ketamine Enantiomers and Their Distinct Actions

Tue, 15 Jul 2025 02:28:00 -0400

We dive into the latest research on ketamine's therapeutic potential, including its role in treating ischemic stroke, postoperative cognitive dysfunction (POCD), and PTSD. You'll hear how scientists are studying its effects on brain regions like the hippocampus and amygdala, as well as its impact on neuroinflammation, fear memory, and neurogenesis.

We'll also explore ketamine’s use in anesthesia, its interactions with drugs like oral morphine, and how it's monitored using tools like EEG. From molecular techniques like RT-qPCR and Western blotting to real-world applications—this episode breaks down the science driving ketamine's future in medicine.

Here’s some of what you’ll hear in this episode:

🧠 Ketamine’s impact on brain function, cognition, and EEG readings
🧬 NMDA receptors, BDNF, cytokines & other molecular targets
📉 How ketamine may raise delirium risk in cognitively impaired patients
🧪 In vitro studies on ketamine’s anti-inflammatory and anticancer potential
📊 Why EEG interpretation—not just BIS numbers—matters for patient safety

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

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

Programs to Care for Pregnancy Loss in the OR with Casi Short

Thu, 10 Jul 2025 01:53:00 -0400

CRNAs bring technical precision and expertise to the operating room, but our most powerful impact might be how we show up for our patients during their most vulnerable moments. In this episode, Sharon and Jeremy sit down with Casi Short, a CRNA who developed a compassionate care program for women experiencing pregnancy loss.

Hear how her own fertility struggles and second-trimester losses inspired her to create a supportive program at her hospital for women facing similar grief. This is a story of heart healing and the quiet strength it takes to stand beside someone in their darkest hour, and how one CRNA is helping transform loss into love through meaningful change.

Here’s some of what you’ll hear in this episode:

👶 The personal losses that led Casi to change the system
🏥 How to humanize pregnancy loss care inside the OR
🧸 Why a simple comfort bear can make a lasting impact
🧠 Addressing staff well-being after traumatic cases
❤️ Being courageous enough to “embrace the awkward”

🎗 Beyond the Mask is honored to once again sponsor a team for the HALOS Memorial Walk on August 2nd. HALOS is a nonprofit offering hope and healing to families who’ve lost a child, including Sharon when she lost her granddaughter, Emma. This powerful organization is run by parents who truly understand. To join our team or donate, visit the support page here: https://www.givemn.org/story/Boi21g 💛

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

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

Grade 1 View – Ep. 16 – Grade 1 View – Ep. 16 – RRNA FAQs – Academic and Clinical Success Strategies

Tue, 08 Jul 2025 03:00:00 -0400

What does wellness really look like for nurse anesthesia residents? Today, Kevin and Charity chat with second-year nurse anesthesia resident Cassie Keefe, co-chair of the AANA Resident Wellness Committee, to answer real questions submitted by residents across the country. From burnout and self-doubt to meal prep and mental health, Cassie, Kevin, and Charity share their strategies for academic and clinical success.

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

🧠 Coping with burnout, imposter syndrome, and clinical self-doubt

🍱 Meal prep tips, grocery shortcuts, and SRNA nutrition hacks

🩺 Balancing wellness with high expectations in clinical

📚 Study strategies and the magic of Anki, Apex, and time-blocking

🫶 How to set boundaries with family & stay connected

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

Innovating for Life: The Medical Device Journey Behind Preterm Birth

Thu, 03 Jul 2025 01:29:00 -0400

Before we get started with today's show, we want to take a moment to dedicate this episode to someone very special. Emma, Sharon's granddaughter and the daughter of today's guest co-host Michelle, was born prematurely and spent her short life in the NICU. She passed away just three days after she was born. Today's episode is released on Emma's birthday and we're honored to share it in her memory.

Our guest today is a mother and former labor and delivery nurse who has become an incredible entrepreneur. Ashley Crafton joins us to share the incredible story behind her startup, Galena Innovations, and the development of the Hannah Cervical Cup, a device designed to help prevent spontaneous preterm birth.

Here’s some of what you’ll hear in this episode:

🛠️ How Ashley built a life-saving device from a nurse’s heartbreak
✈️ Stories from war zones: evacuating pregnant women in Afghanistan and Ukraine
🧬 The science of cervical tissue and the Hannah Cup breakthrough
💪 Why nurses and moms are perfect innovators and what holds them back

About our guest: https://www.galenainnovations.com/

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

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

Beyond Burnout: Strategies for Nurse Wellness with Vince Pitstick

Thu, 26 Jun 2025 01:56:00 -0400

The nursing profession has always been a cornerstone of the healthcare system, but in recent years, the pressure, burnout and emotional toll have reached crisis levels. That’s why we wanted to spend time with functional health expert Vince Pitstick, founder & CEO of Vidal Coaching, to help bring awareness to the hidden epidemic facing America’s nursing workforce. Vince draws on decades of experience as a coach and advocate for holistic wellness to reveal how chronic stress, broken reimbursement models, immune system overload, and poor nutritional support are pushing nurses to their breaking point.

Here’s some of what you’ll hear in this episode:

🧠 The real reasons behind emotional burnout and chronic stress in nurses
💉 Why today’s healthcare model is failing the very people who keep it running
📊 Shocking stats about nurse health, weight gain, and metabolic strain
🌡️ How adrenaline, cortisol, and blood sugar wreak havoc on the body
❄️ The surprising power of cold plunges and breathwork to reset the nervous system

About our guest: https://vidalcoaching.com/who-we-are/vince-pitstick/

Connect on Instagram: https://www.instagram.com/vince_pitstick/?hl=en

Connect on TikTok: https://www.tiktok.com/@vince_pitstick

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

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

Grade 1 View – Ep. 15 – The Science, Culture, & Compassion of Anesthesia

Tue, 24 Jun 2025 02:28:00 -0400

From a 72-hour labor in rural India to the operating room as a nurse anesthesia resident, Taranjeet Rathore’s journey is nothing short of extraordinary. Along with Olivia and Kevin, Taranjeet, a nurse anesthesia resident at National University, opens up about the moment that inspired his career in healthcare, the cultural barriers he’s worked to overcome, and his mission to represent underserved voices in nurse anesthesiology.

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

🇮🇳 Taranjeet’s journey from rural India to CRNA resident
👨‍⚕️ Breaking cultural stereotypes as a male Sikh nurse
📱 Using social media as a tool for visibility and mentorship
😰 Managing imposter syndrome in school and online
🌎 Human connection in OB anesthesia and beyond

Connect with Tanjareet: https://www.linkedin.com/in/tr57/

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 First Nurse Anesthesia Hackathon Coming to AANA Annual Congress

Thu, 19 Jun 2025 02:04:00 -0400

It’s bold. It’s fast. And it’s the first of its kind in nurse anesthesiology. Sharon and guest co-host AANA President Jan Setnor welcome back nurse innovator Rebecca Love, RN, MSN, FIEL to introduce a groundbreaking addition to the AANA Annual Congress: the first-ever Nurse Anesthesia Hackathon.

Rebecca has always challenged the status quo and this year she's bringing that energy straight to the AANA with something bold and exciting. From patient safety to AI to perioperative brain health, the challenges are real, and so is your chance to make a difference.

Here’s some of what you’ll hear in this episode:

💡 What a hackathon is and why it matters in healthcare
🧠 How CRNAs will solve problems like brain health, safety, and AI ethics
🤝 The power of collaboration across different roles and experience levels
📢 Pitching solutions live to expert judges
🚀 Why this could spark careers, companies, and lasting change

Check out Rebecca's Ted Talk here: https://www.ted.com/talks/rebecca_love_how_nurses_can_help_drive_healthcare_innovation?utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare

Learn more about AANA Annual Congress: https://www.aana.com/premier-event/annual-congress/

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

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

Don't Get Zapped! Anesthesia Safety with Implanted Cardiac Devices

Tue, 17 Jun 2025 02:53:00 -0400

(If you're hearing an episode on Dexmedatomidine and using Apple Podcasts, please delete the file and re-download it so you can hear the proper episode about Implanted Cardiac Devices)

...

Today, we're diving into a critical topic in modern healthcare: the perioperative management of patients with implanted electronic devices undergoing noncardiac surgery. With significant advancements in cardiology and cardiothoracic surgery, cardiac implantable electronic devices (CIEDs), including pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy devices, are becoming increasingly common in the surgical population. From pre-op assessment and EMI planning to post-op reprogramming, this deep dive breaks down complex protocols into actionable, life-saving steps.

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

🔌 How electromagnetic interference (EMI) affects pacemakers & ICDs
🧲 When and how to use magnets during surgery
📋 Pre-op device ID, interrogation, and collaboration strategies
🛑 Why post-op reprogramming can’t be overlooked
⚠️ Emergency management tips for device failure or inappropriate therapy
📡 What to know about neurostimulators, VADs, and other devices

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

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

What CRNAs Need to Know Before the Tax Cut And Jobs Act Expires This Year

Thu, 12 Jun 2025 02:01:00 -0400

The Tax Cuts and Jobs Act (TCJA), enacted in 2017, introduced sweeping changes to both individual and business tax provisions—many of which have significantly benefited Certified Registered Nurse Anesthetists (CRNAs). But with key components set to expire at the end of 2025, now is the time to understand what’s at stake and how it might affect your financial picture.

Here’s some of what you’ll hear in this episode:

📜 What the TCJA did — and what’s at risk if it expires
💸 How 1099 CRNAs could lose key deductions
📉 What lower standard deductions and higher tax brackets mean for you
🚐 Why CRNAs are buying RVs (hint: depreciation strategy)
⚖️ Policy trade-offs and the $4.5 trillion price tag for extension

Get customized CRNA financial planning: https://www.crnafinancialplanning.com/

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

Grade 1 View – Ep. 14 – Overcoming Imposter Syndrome with Dr. Jeffrey Darna

Tue, 10 Jun 2025 02:16:00 -0400

What if that voice in your head saying “you don’t belong here” isn’t telling the truth? So many professionals suffer from imposter syndrome and that’s no different for CRNAs. We’ve had multiple people talk about this subject with us so we wanted to invited on Jeffrey R. Darna, CRNA, ACNP-BC, DNP, program director at USC and one of the nation’s leading voices on imposter phenomenon in nurse anesthesiology.

Along with Olivia and Larry, Dr. Darna shares his own story of self-doubt, explains how imposter feelings affect high-achieving professionals, and outlines daily practices that can help students and practitioners manage this silent struggle.

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

🧠 What imposter phenomenon really is — and why it’s not “just in your head”

👩‍⚕️ Why CRNA residents are especially vulnerable to it

💬 Common thought patterns and avoidance behaviors to watch for

🪞 How mentorship can be a “mirror” for self-worth

🛠️ Simple, proven strategies to counter self-doubt and reclaim confidence

About our guest: https://keck.usc.edu/faculty-search/jeffrey-darna/

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

RaDonda Vaught Speaks Out After Landmark Healthcare Case

Thu, 05 Jun 2025 01:47:00 -0400

In 2017, a fatal medication error shocked the medical world, and its aftermath has left the nursing community forever changed. In this gripping episode, Jeremy and Sharon sit down with RaDonda Vaught, the nurse who was found guilty of two felony charges in 2022.

She shares the story of how a routine shift, a medication override, and a system-wide communication failure led to a tragedy — and eventually, criminal prosecution. This is more than a case study in medical error. It’s a conversation about system design, transparency, accountability, and what it means to truly support healthcare professionals in moments of crisis.

Here’s some of what you’ll hear in this episode:

⚖️ Criminal charges after a medical error — what happened and why
💊 How an override mistake revealed system-wide vulnerabilities
🧠 The emotional toll on nurses and the danger of silence
📉 The legal, ethical, and professional ripple effects
🛑 Why every healthcare provider needs legal protection in an investigation

Learn more about the case: https://pmc.ncbi.nlm.nih.gov/articles/PMC9724400/

Will you be among the Congress attendees tackling some of today's most urgent challenges in nurse anesthesiology?

This team-based, high-energy event is free to attend — but space is limited. Only 112 seats are available. Save your seat at aana.com/hackathon.

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

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

Dexmedetomidine: The Alpha-2 Enigma in Anesthesia and Beyond

Tue, 03 Jun 2025 01:11:00 -0400

Dexmedetomidine — or “Dex” — has become one of the most intriguing and versatile drugs in the anesthesia world. In this episode of Anesthesia Alchemy with hosts Lynn Macksey, MSN, CRNA and Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN dive deep into the pharmacology, clinical application, and emerging research surrounding this alpha-2 agonist.

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

🧠 CNS receptor action and sedative pathways
💉 IV, buccal, spinal, and local delivery methods
🫁 Organ protection and anti-inflammatory effects
🛏️ Potential future use as a sleep aid
🧬 Promising research on cancer immunity and stress modulation

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

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

Insights from Future CRNAs – A Crossover Episode

Thu, 29 May 2025 01:20:00 -0400

In this special crossover episode of Beyond the Mask, we sit down with two hosts from the Grade 1 View, a new podcast hosted by nurse anesthesia residents for nurse anesthesia residents. Kevin Chem and Charity Garno join Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA to reflect on mentorship, the student experience, and the future of the CRNA profession.

Here’s some of what you’ll hear in this episode:

🎓 The student experience and navigating clinicals with confidence
🧑‍🏫 Why mentorship and grace are essential in training
🎧 Favorite moments from Grade One View podcast
🌍 The future of CRNA practice and international expansion
🤝 How AANA engagement builds legacy and leadership

Learn about Grade 1 View: https://beyondthemaskpodcast.com/grade-1-view/

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

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

Grade 1 View – Ep. 13 – Study Smarter: CRNA Board Prep Advice with Dr. Joshua Olson

Tue, 27 May 2025 05:00:00 -0400

What if studying for boards could actually be fun and sustainable? In this episode of Grade 1 View, Kevin Chem sits down with Dr. Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Olivate app, to talk about the realities of CRNA education, board exam burnout, and what it means to walk alongside students instead of just lecturing from the front of the room.

From the emotional toll of imposter syndrome to the power of spaced repetition, Dr. Olson offers both empathy and innovation, sharing why he’s passionate about changing how CRNAs prepare, teach, and stay mentally healthy.

Whether you're a student wondering if you're good enough (you are) or a seasoned CRNA curious about the future of education, this episode delivers encouragement, fresh perspective, and practical tools for learning that lasts.

Check out Ollivate - Game Your Brain - https://www.ollivate.com

Web Application - https://app.ollivate.com/

Download for iOS Devices - https://apps.apple.com/us/app/ollivate/id6740267864

More of what we discuss in this episode:

📚 Why CRNA students feel “beat down” — and how educators can build them back up
🧠 How memory science and spaced repetition inspired Olivate
📉 Burnout, board anxiety, and the three biggest challenges students face
📱 The “Duolingo for CRNAs” and why it’s more than a quiz app
👥 Why mentorship, grace, and belief matter more than ever in clinical education

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

Advancing the Role of CRNAs: The Latest From AANA CEO Bill Bruce

Thu, 22 May 2025 01:08:00 -0400

What does leadership look like in a profession that never stands still? In this episode, we’re excited to welcome back Bill Bruce, CEO of the American Association of Nurse Anesthesiology, to talk about the challenges and opportunities for CRNAs in 2025. Since stepping into his role, Bill has brought a fresh perspective and a deep commitment to advancing the role of CRNAs across the healthcare landscape.

Here’s some of what you’ll hear in this episode:

🧑‍⚕️ What Bill Bruce learned from shadowing CRNAs in practice
🏛️ Honoring past presidents and staff contributions to AANA
🌍 Expanding CRNA influence on the global healthcare stage
💡 Innovation updates from Room 8 and new partnerships
❤️ The emotional impact of CRNA care and why it matters

Meet the AANA Board of Directors Candidates for 2025-2026

Thu, 15 May 2025 01:25:00 -0400

It’s election season for the AANA, and that means it’s time to hear directly from the candidates. In this special edition of Beyond the Mask, we continue the annual tradition of giving CRNAs across the country an opportunity to listen to the voices, values, and visions of those running for national office.

You’ll hear from all 10 candidates for Director, both Treasurer candidates, and the individuals running for Vice President and President-Elect. Each message has been lightly edited for clarity and time, but the core message is unchanged: these are the professionals who want to help shape the future of nurse anesthesiology. Whether you’re undecided or just want to hear where your peers stand on leadership, advocacy, education, and innovation, this episode will help you make an informed decision before casting your vote.

Voting is open now through May 27. Don’t miss your chance to be heard.

Login into AANA.com and vote here: https://www.aana.com/membership/elections-and-governance/governance/election-center/candidates/

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

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

Grade 1 View – Ep. 12 – SRNAs Make Global Medical Service Trips

Tue, 13 May 2025 05:01:00 -0400

What happens when SRNAs take their training to the global stage? Today, Charity welcomes Natalie, Cailtyn, and Mamawa to discuss their recent life-changing medical service trips to Mauritania and Honduras. These future CRNAs share their experiences providing anesthesia in resource-limited settings, highlighting the unique challenges and rewarding moments they encountered along the way.

Thanks to these three for sharing their experience!

Natalie Janes, 3rd year SRNA, Wayne State University – Service Trip to Honduras

Caitlyn Pichette, 3rd year SRNA, Wayne State University – Service Trip to Honduras

Mamawa Hollendyke, 3rd year SRNA, York College (graduating in a week!) – Service Trip to Mauritania (Africa)

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

🌍 Stories from SRNAs working in Honduras and Mauritania

💉 Delivering anesthesia without standard equipment

⚡ When the power goes out mid-surgery…twice

🧠 Cultural insights and creative problem-solving in global ORs

❤️ Why these trips changed their perspective on care and humanity

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 Surge in Placenta Accreta: What Anesthesia Providers Need to Know

Thu, 08 May 2025 01:50:00 -0400

Placenta accreta is one of the most dangerous and rapidly growing challenges in obstetrics, and CRNAs are often on the front lines when things go wrong. This week we’re joined by OB anesthesia specialists Kira Bruck, CRNA and Kelsey Getzloff, DNP, CRNA to share the latest research, discuss the reasons behind the increase in cases, and outline essential anesthesia strategies for managing high-risk deliveries.

Coordination, communication, and preparation saves lives and this episode will help inform CRNAs about what’s most important to know about accreta cases.

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

🧠 Understanding the placenta accreta spectrum: accreta, increta, percreta

⚠️ Why diagnosis is missed in 50% of cases and what that means for CRNAs

💉 Anesthesia strategies for known vs. unknown accreta cases

💬 Real-world insights from a high-volume OB anesthesia team

🔄 How CRNAs can advocate for transfers to higher levels of care

Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists!
Join Sharon this November 14–16, 2025, at the Hilton Hotel in Walt Disney World Village, Florida, for the Frank Moya Continuing Education Program’s annual conference. She’ll be delivering four insightful talks as part of the guest faculty lineup.

Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!
Click here for more details and to register

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

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

Stopping the Bleed: The Power of TXA in Anesthesia

Thu, 01 May 2025 02:02:00 -0400

Today, we’re excited to bring back Emily Funk, DNP, CRNA to talk about tranexamic acid, or TXA—a drug making waves for its ability to control bleeding and improve surgical outcomes. Originally developed decades ago, TXA has gained new momentum due to its remarkable ability to control bleeding and improve surgical outcomes. Join us as we explore the fascinating story behind TXA’s discovery, its evolving applications, and the impact it’s having on patient safety and recovery.

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

💉 The fascinating origin story of tranexamic acid

🧠 TXA’s evolving uses in anesthesia, trauma, OB, and pediatrics

🚀 Why researchers are studying TXA for space exploration

🧪 How TXA helps reduce bleeding — explained through paper cuts and scabs

👩‍🔬 Honoring the pioneering woman who helped develop TXA

Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!
Click here for more details and to register

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

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

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

Grade 1 View – Ep. 11 – Lead AANA Lobbyists Talk CRNA Advocacy

Tue, 29 Apr 2025 02:43:00 -0400

What does it really mean to advocate for your profession, and why does it matter before you even graduate? In this episode of Grade 1 View, hosts Kevin and Larry sit down with AANA lead lobbyists Matt Thackston and Kristina Weger to provide a look into the world of CRNA advocacy.

From behind-the-scenes insights on Capitol Hill to tips for making your voice count at Mid-Year Assembly, they share eye-opening stories, practical advice, and real talk about how change happens in healthcare policy.

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

🏛️ What CRNA advocacy looks like at the federal and state level

🗣️ How your story—not just stats—moves legislators to act

🧠 Common myths policymakers believe about CRNAs (and how to fix them)

📨 Why following up after Mid-Year is just as important as showing up

🔄 How to engage 365 days a year—not just during conferences

Connect with Matt: https://www.linkedin.com/in/matthew-thackston/

Connect with Kristina: https://www.linkedin.com/in/kristina-weger-12365a160/

Learn more about the Mid-Year Assembly: https://www.aana.com/premier-event/mid-year-assembly/

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

Engaging the AANA & Building the Future with New CRNA Grads

Thu, 24 Apr 2025 01:55:00 -0400

Today, we're focusing on the next generation of CRNAs and the importance of early engagement with the American Association of Nurse Anesthesiology and the AANA Foundation. As new grads step into their careers, they have a unique opportunity to connect, contribute and grow within the profession. Recent grad Jake Bonnema, DNP, APRN-CRNA joins us to discuss why it’s so important to engage and how CRNAs can play a pivotal role in shaping the future of nurse anesthesia.

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

🗳️ What CRNA PACs actually do—and why they matter

🤝 How mentorship sparked Jake’s path into advocacy

💬 Making the ask: peer-to-peer power in growing PAC support

🎓 Why new grads should attend Mid-Year Assembly (and leave inspired)

Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!
Click here for more details and to register

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

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

Unlocking Perioperative Neurocognitive Disorders: From Risk to Resilience

Wed, 23 Apr 2025 02:01:00 -0400

Have you ever wondered about the potential impact of surgery and anesthesia on cognitive function? Today’s show will discuss the complexities of Perioperative Neurocognitive Disorders (PND), a term encompassing conditions like postoperative delirium (POD), postoperative cognitive decline (POCD), and delayed neurocognitive recovery (DNR).

Through insightful discussions rooted in the latest research, we aim to shed light on:

The prevalence and impact of PND, drawing from studies highlighting its occurrence after various surgical procedures.
Potential risk factors that may make individuals more susceptible to developing PND.
Innovative approaches for prevention and management, including the investigation of medications like dexmedetomidine and anesthetic techniques such as total intravenous anesthesia (TIVA) with propofol, which some studies suggest may have neuroprotective properties.
The intricate underlying mechanisms of PND, exploring the roles of neuroinflammation, oxidative stress, and even insulin signaling in the central nervous system.
The use of monitoring techniques like electroencephalography (EEG) to better understand and potentially mitigate neurocognitive complications.
The importance of early identification and comprehensive care for individuals experiencing PND.

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

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

Grade 1 View – Ep. 10 – Green Anesthesia Techniques for Earth Day

Tue, 22 Apr 2025 02:38:00 -0400

Happy Earth Day! In this special episode of Grade 1 View, Kevin and Olivia explore how anesthesia providers can make a real impact on the environment, one case at a time. As healthcare professionals, CRNAs play a significant role in the healthcare sector, which is responsible for nearly 10% of greenhouse gas emissions. This episode emphasizes the importance of being environmentally conscious in our practices, especially when it comes to anesthesia.

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

🌎 How volatile anesthetics contribute to climate change

💉 Three green anesthesia techniques you can implement today

🔬 Real data comparing low flow, TIVA, and regional approaches

🧪 The truth about compound A, oxygen consumption, and CO₂ absorbers

📉 How education and clinical tools can drive sustainable practice

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

Gastric Point-of-Care Ultrasound (PoCUS): A Preoperative Assessment Tool

Thu, 17 Apr 2025 01:21:00 -0400

How can a quick bedside ultrasound transform patient safety in anesthesia? Today, Sharon and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN explore the growing role of gastric point-of-care ultrasound (PoCUS), a tool helping anesthesia providers assess stomach contents in real time.

Joined by Rachel Edgerton, DNAP, MSNA, CRNA, APRN, CHSE and three doctoral students from St. Mary’s University - Molly O’Neill, BSN, RN, Hannah Peine, BSN, RN, CCRN, CMC, Alyssa Klein, BSN, RN - the episode dives into their groundbreaking DNP project educating CRNAs on this skill.

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

🩻 How gastric PoCUS helps assess aspiration risk

💉 GLP-1 medications and their impact on NPO status

📈 DNP students’ national education project and outcomes

⚠️ Why current NPO guidelines are no longer enough

💬 Real-world barriers and solutions to implementing PoCUS in practice

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

Grade 1 View – Ep. 9 – Breaking the Silence on Substance Use Struggles

Tue, 15 Apr 2025 02:00:00 -0400

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 AANA'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

Navigating Late Career CRNA Practice & Patient Safety with Judy Thompson

Thu, 10 Apr 2025 02:01:00 -0400

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

Who Turned Up the Heat? Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Hyperpyrexia

Tue, 08 Apr 2025 02:32:00 -0400

Today we’re going to break down three life-threatening syndromes that every CRNA, anesthesia provider, and healthcare professional should know: Serotonin Syndrome, Neuroleptic Malignant Syndrome (NMS), and Malignant Hyperthermia (MH).

Though these conditions are rare, their symptoms often overlap—making quick, accurate diagnosis and intervention critical. Garry and Terry take a deep dive into the causes, symptoms, physiology, and treatment protocols for each condition, while also sprinkling in their signature humor and real-world insights.

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

🧠 Understanding the overlap and differences between serotonin syndrome, NMS, and MH

💊 Medication triggers to watch out for—from SSRIs to succinylcholine

🚨 Emergency symptoms that demand immediate action

🧬 The role of genetics and pharmacology in MH

👨‍⚕️ Real-world prevention and treatment strategies for anesthesia providers

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

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

Mind Over Memory: Unpacking Postoperative Cognitive Disorders with Dr. Christine Detwiler

Thu, 03 Apr 2025 01:12:00 -0400

Postoperative cognitive disorders (POCD) are often misunderstood, underdiagnosed, and underestimated, but they can dramatically affect a patient’s recovery and long-term quality of life. We’ve invited Dr. Christine Detwiler to join us so we can better understand the science behind POCD, the risk factors, and the strategies anesthesia providers are using to protect brain health.

Along with guest co-host Dana Pederson, CRNA, we dive into this topic with Christine while it’s still very fresh on her mind. She shares the insights she uncovered during her doctoral research, including risk factors, early signs to watch for, and why anesthesia providers play a bigger role in brain health than they might think.

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

🧠 POCD affects more patients than we realize—especially older adults

🔍 Post-op delirium and cognitive dysfunction are different but often overlap

📉 Less is more: lighter sedation may reduce cognitive complications

🩺 Preoperative assessment is key, even with limited time

🗣️ Familiarity, reorientation, and empathy matter in recovery

About our guest:

Dr. Detwiler holds great passion for her profession and practice as a CRNA. She has worked with a variety of patient populations as well as served on multiple international medical missions. Dr. Detwiler earned her DNP after ten years as a CRNA and now enjoys supporting current DNP students in their academic journeys. She strives to care for her patients with compassion and the highest standard of care. Dr. Detwiler is a strong advocate for the CRNA profession by her example and drive for growth. Outside of anesthesia, Dr. Detwiler spends as much time with her middle-school-aged daughter as she will allow, gets outside in the sun with her boyfriend to train for the next race, and takes clarinet lessons to keep her brain stimulated with new challenges.

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

Grade 1 View – Ep. 8 – From NP to CRNA with David Warren

Tue, 01 Apr 2025 02:37:00 -0400

All four hosts are back together to welcome an inspirational guest to the show. We’re excited to spend time with David Warren, a nurse practitioner turned CRNA and well-known content creator in the nurse anesthesia community. David opens up about his unconventional journey—going from emergency medicine to nurse anesthesia—and the lessons he’s learned along the way.

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

📚 David’s unique journey from NP to CRNA

❄️ Life lessons from working locums in Alaska

💡 Tips for board prep and using APEX effectively

💼 Navigating job offers, mentorship, and independence

🧠 Why both NP and CRNA training make for a powerful combo

Check out David’s YouTube channel: https://www.youtube.com/c/DavidWarrenNP

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

From Healers to Healing: The Hidden Side of Care

Thu, 27 Mar 2025 02:01:00 -0400

CRNAs take pride in the precision and care that goes into every procedure, but what happens when things don’t go as planned? In the high-stakes world of healthcare, when something goes wrong, the patient isn’t the only one affected.

Today we’re going to shine a light on Second Victim Syndrome—the emotional trauma healthcare professionals experience following adverse patient events. Joined by Maria van Pelt, PhD, CRNA, CNE, CPPS, FAAN, FAANA and Luci New, DNP, CRNA, FAANA we’ll share personal stories and professional insight on this overlooked phenomenon.

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

🧠 Trauma after adverse events can be emotional, physical, and professional

🤝 Peer support programs play a vital role in recovery

💬 Simple check-ins can make a big difference in someone’s healing

🏥 Culture change is needed—support should be standard, not optional

Learn more about Maria: https://bouve.northeastern.edu/directory/maria-van-pelt/

Learn more about Luci: https://school.wakehealth.edu/faculty/n/luci-l-new

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/

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

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

An Exclusive AANA Update: Advocacy, Leadership & The Road Ahead

Thu, 20 Mar 2025 01:51:00 -0400

What’s next for CRNAs and the future of nurse anesthesia? Today we’re bringing you an exclusive update from the leadership at the American Association of Nurse Anesthesiology about the strategic vision for the future of the profession. AANA President Jan Setnor, MSN, CRNA, Col. (Ret), USAFR, NC and President-Elect Jeff Molter, MBA, MSN, CRNA join us to share key updates, insights, and advocacy efforts shaping nurse anesthesia.

Here are some of the key topics we discuss:

🏛️ CRNA Advocacy Efforts – The fight for full practice authority in the VA

👥 Leadership Development – New programs to support the next generation of CRNAs

📢 Provider Discrimination & Policy Changes – How the AANA is pushing for change

🏡 Inside the AANA Headquarters – The vision for the new facility & archives

🎤 Annual Congress Updates – Exciting changes for networking & professional development

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

Grade 1 View – Ep. 7 – Putting an End to Incivility in the OR

Tue, 18 Mar 2025 03:59:00 -0400

Why is incivility still a major issue in the healthcare field, and how does it impact students, nurses, and CRNAs? In this episode of Grade 1 View, Kevin and Larry had the privilege of speaking with Dr. Louisa Martin, a distinguished nurse anesthetist and educator about the widespread issue of workplace incivility in nurse anesthesia training and beyond.

Dr. Martin was selected to present at the AANA Annual Congress this year for the Jan Stewart Memorial Wellness Lecture about this topic, so we’re excited to have the chance to gain some wisdom from her. The conversation will focus on her research on how hostile work environments, bullying, and toxic leadership can affect learning, patient safety, and overall job satisfaction. She also discusses practical strategies for handling incivility, advocating for yourself as a student, and creating a culture of support in clinical settings.

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

🥼Would she recommend CRNAs get a PhD?

⚠️ Incivility in Healthcare – Why it happens & how it affects students

👥 Toxic Work Environments – The long-term impact on learning & patient care

💡 Advocating for fair treatment in clinical settings

🏥 Creating a Supportive Culture – Why mentorship & education matter

📊 Institutional Change – How hospitals & schools can address bullying

About our guest:

Dr. Martin is a decorated nurse anesthetist who obtained her Master of Science in Nursing Anesthesia from Northeastern University in Boston, Massachusetts in 2015. She continued on to obtain her PhD in nursing at Augusta University in 2022. She is credited in multiple publications regarding workplace and civility in healthcare and promoting cultures of civility in nursing learning environments. She is currently a full-time assistant professor in the Nursing Anesthesia program at Augusta University.

Learn more about the AANA Annual Congress 2025: https://www.aana.com/event/aana-annual-congress-2025/

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 Connection Between Cancer & Anesthesia with Adam Flowe

Thu, 13 Mar 2025 01:25:00 -0400

Does the type of anesthesia used during surgery impact cancer outcomes? Today we’re going to explore the relationship between cancer and anesthesia with Adam Flowe, Chief CRNA at Duke University Hospital. This topic goes beyond the operating room to cover patient outcomes, recovery and even reoccurrence. Join us to learn more about the growing field of Onco-Anesthesia and its critical role in cancer treatment and patient survival.

Here are some of the key topics we discuss:

🫀 Onco-Anesthesia Explained – Why anesthesia may affect cancer recurrence

💉 TIVA vs. Gas Anesthesia – Which approach is better for cancer patients?

📊 Immunosuppression Risks – How anesthetics impact the body’s ability to fight cancer

🚨 New Research on Outcomes – What the latest studies reveal about survival rates

🏥 Should CRNAs Specialize in Oncology? – The growing need for expertise in cancer anesthesia

About our guest:

Adam Flowe, CRNA, MSN, has been the Chief CRNA at Duke University Medical Center since 2015. He completed his anesthesia training at the Raleigh School of Nurse Anesthesia (UNCG) and also holds degrees from UNC-Chapel Hill and the College of William and Mary. A former public school teacher, Adam has been a prison, ICU, and pulmonary nurse. He was also a lieutenant in the U.S. Public Health Service. Since 2010, Adam has been on more than a dozen global health trips to Ghana, Haiti and Rwanda

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

Systolic and Diastolic Heart Failure Defined

Tue, 11 Mar 2025 11:21:57 -0400

Understanding systolic vs. diastolic heart failure is crucial for anesthesia providers, as both conditions present unique challenges in the operating room. In this episode, Terry and Gary break down the key differences between these two types of heart failure, their underlying mechanisms, and the best strategies for anesthesia management.

They discuss the risk factors, symptoms, and pathophysiology of each condition, as well as how preoperative evaluation can help identify high-risk patients. The episode also covers the importance of intraoperative monitoring, fluid management strategies, and why tailoring anesthesia care to each patient can significantly improve outcomes.

Tune in as they unpack the latest evidence, share real-world experiences, and provide practical takeaways for managing heart failure patients in the OR.

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

🫀 Systolic vs. Diastolic Heart Failure – Key differences & how they impact anesthesia

⚠️ Risk Factors & Symptoms – What to look for in pre-op evaluations

📊 Preoperative Assessment – The role of BNP levels & echocardiography

💉 Anesthesia Management Strategies – Best practices for fluid & medication control

🚨 Avoiding Perioperative Complications – How to reduce surgical risks for heart failure patients

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

From Grassroots to Government: Navigating Advocacy at the State Level

Thu, 06 Mar 2025 01:39:00 -0500

We’re turning our focus back to healthcare advocacy with a tremendous panel from the Kentucky Fall Meeting. Sharon was joined by KyANA president-elect Jared Crocker, DNP, APRN, CRNA, past president Debbie Barber, DNP, CRNA, and Libby Milligan, Principal with McCarthy Strategic Solutions to discuss why advocacy matters, how to build relationships with legislators, and the vital role CRNAs play in shaping healthcare policy.

Key Topics Covered:

🔹 The importance of CRNA advocacy in shaping healthcare policy 🏛️

🔹 Building relationships with legislators & the role of lobbyists 🤝

🔹 Real-life stories of impactful advocacy efforts 📢

🔹 How CRNAs can get involved—big or small steps count! 👣

🔹 Why legislative engagement protects the future of nurse anesthesia 🩺

Learn more about Libby and McCarthy Strategic Solutions: https://mssgov.com/team/libby-milligan/

Listen to our previous episode featuring Debbie: https://beyondthemaskpodcast.com/ep-89-crna-advocacy-and-grc-efforts-with-debbie-barber-dnp-crna/2595/

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

Grade 1 View – Ep. 6 – Adapting to New Technologies in Education – Takeaways from Attending ADCE 2025

Tue, 04 Mar 2025 02:22:00 -0500

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

Courage to Lead: Former AANA President Hilda Salomon

Thu, 27 Feb 2025 02:01:00 -0500

We’re back with another Courage to Lead special and we’re honoring the legacy of Hilda Salomon, a pioneering figure in nurse anesthesia and the third president of the AANA. Join us as we look back on her remarkable journey from her early life in Lynn, Massachusetts, to her influential role in shaping the nurse anesthesia specialty.

With special guests and past AANA presidents Sandy and Dick Ouellette, we explore Hilda's contributions, challenges, and the profound impact she had on the profession.

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

Her childhood in Massachusetts where she was raised by her grandmother after losing her parents at age 10.
A look back on her nurse training and the decorated career she would go on to have.
Personal stories from interactions with Hilda.
How she was asked to leave after arriving five minutes late to one of her first interviews.
Her role in the founding of the AANA.
What happened while she was in charge and what areas of the profession did he help change?

REPLAY: ‘Navigating the 1099 CRNA Landscape in 2025: Insights and Strategies for Success’ webinar replay will be avialable in March - Link coming soon

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

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

The Future of Acute Pain Management – Suzetrigine: A Game Changer?

Tue, 25 Feb 2025 05:01:00 -0500

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

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

Navigating Healthcare Policy: A New Approach to Organizational Advocacy

Thu, 20 Feb 2025 01:06:00 -0500

We're diving into the world of policy, legislation and regulation with Nick Blanck, MSN, CRNA, APN-Anesthesia, who is the Executive Director of Legislative Affairs in New Jersey.

Along with guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we’re going to learn more about Nick’s pivotal role in ensuring consistency and clarity in the ever-evolving landscape of healthcare policy in this state. His unique approach is shaping the CRNA industry in New Jersey and we want to find ways that states can implement similar models for improved advocacy.

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

Crafting the right message is all about having versatile, long-term, consistent messaging.
What advantage does consistent visibility have with political advocacy?
Why a CRNA and a lobbyist have driven his advocacy campaign?
What are some of the biggest lessons he’s learned from success?
What does he envision for the future of the healthcare landscape for CRNAs in your region?

About our guest:

Currently serving the New Jersey Association of Nurse Anesthetists and it members as the Executive Director of Legislative Affairs; and Chairman of their Government Relations Committee. In this capacity he tirelessly advances legislation aimed at removing restrictive barriers to profession of Nurse Anesthesiology. Nicholas spends a tremendous amount of time working with various stakeholder groups, both in New Jersey and across the county, aimed at building a consensus about how best to understand the overall value CRNA's have in healthcare markets. To decision makers and lawmakers in New Jersey, Nicholas is a well-established authority on the scope of practice of New Jersey CRNA's, and well as the regulatory and compliance processes surrounding these professionals.

Join our upcoming webinar ‘Navigating the 1099 CRNA Landscape in 2025: Insights and Strategies for Success’ - https://us06web.zoom.us/webinar/register/WN_k3i11leGQFOwvixEHUS9Cg?utm_campaign=1099%20CRNA%20Institute&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_nw-WeZT9JBDErnfLekoQnV3lNLRwCdk2IDvoFeMTd90oHNdmqoXo-4nptpTScKkQT_ql6#/registration

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

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

Grade 1 View - Ep. 5 – Diversity, Equity & Inclusion in Anesthesia

Tue, 18 Feb 2025 01:24:00 -0500

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

Where Are We Headed With Healthcare And Providers?

Thu, 13 Feb 2025 01:30:00 -0500

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

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

Ciprofol Chronicles: The New Star in Procedural Sedation

Tue, 11 Feb 2025 02:46:00 -0500

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

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

Seamless Transitions: Improving Intraoperative Anesthesia Handoffs

Thu, 06 Feb 2025 01:17:00 -0500

With lives on the line, the smallest misstep in communication can have critical consequences. Patient data gets transferred at the handoff from the preoperative area to the operating room to the postoperative area, but most anesthesia practices have been slow to adopt a standardized approach to sharing this information.

Today’s guest, Pete Montrie, CRNA, DNP, created the AMPLE approach for his DNP project, and he’ll explain how this streamlined process can improve communication and enhance patient safety.

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

Why he chose this topic for his DNP at the University of Alabama.
The main issues that the literature identified during these handoffs.
How he developed his project and his plan going in.
The project resulted in a 70% increase in handoffs based on billing data.

Read Pete’s DNP Project: https://ir-api.ua.edu/api/core/bitstreams/fc700ea9-3ec8-44e2-a255-0591ceab4be2/content

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

Grade 1 View - Ep. 4 - Navigating Relationships in CRNA School

Tue, 04 Feb 2025 02:33:00 -0500

Relationships are hard enough on their own so how do you find the time and energy to maintain one while also trying to go to CRNA school? Whether you’re just starting a relationship or married, it’s difficult to find balance between academic responsibilities and personal life.

Zach and Kate Bekken are living that experience right now as she navigates her third year as an SRNA at Samford University in Birmingham, AL. They join Olivia and Larry to share their personal experiences and insights on maintaining a healthy relationship amidst the rigors of nursing education.

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

The many conversations Kate had over the course of months before making her decision.
Her experience having a mentor and how they pushed them to pursue school.
What it was like for Zach to uproot his life for her career and how they worked through that together.
Why they’ve approached this journey as a business trip.
How are they intentional with their time and how do you manage a long distance relationship?
What are the conversations like as they get near the end of school?

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

Don’t Sleep On Your Dreams: Mastering the Art of the TED Talk

Thu, 30 Jan 2025 01:39:00 -0500

Have you ever been inspired by a TED Talk and wondered whether you could inspire people with your own experience? Today’s guest did just that recently. Johnny Garza, MSN, CRNA, delivered a memorable TED Talk inspired by his practice and a personal story that proves life is too short and we should act on our most vulnerable dreams. He’ll share his experience from that TED Talk and tell us more about this inspirational story.

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

What motivated him to take the stage and how did he get a spot in TEDx?
The story of the 25-year-old who inspired this story after he administered her anesthesia.
The stress and emotion of delivering that speech in front of an audience and why anesthesia helps prepare you for this.
What advice would he share with others in this position?
His move from CRNA to being a pilot.

About our guest:

Johnny Garza, MSN, CRNA attended Loma Linda University in Southern California where he completed his Master’s degree in Nurse Anesthesia. He has been practicing independently in Central and Southern California since he graduated in early 2018. As he transitioned into the independent provider role he also found a new passion for education and serves as a clinical associate professor. In addition, he proudly serves on the board of the California Association of Nurse Anesthetists (CANA) and is committed to the success of the profession. Johnny is dedicated and eager to share the knowledge gained with future generations of clinicians and supporting CRNA leadership.

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

Processed EEG Monitoring and Outcomes: What is the Evidence?

Tue, 28 Jan 2025 02:04:00 -0500

In this episode, hosts Garry and Terry explore the transformative role of processed EEG monitors in anesthesia. EEG, or electroencephalography, has been around for a while, but its application in anesthesia is relatively new and incredibly promising.

They dive into the differences between the two, discussing the benefits and controversies surrounding these technologies. From improving patient safety to optimizing anesthesia depth, discover how processed EEG is changing the landscape of anesthesia care.

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

We’ll explain what EEG is and how it's traditionally been used?
Some key differences between Raw EEG interpretation and BIS monitors.
Processed EEG or Bispectral Index (BIS) monitoring is generally recommended during general anesthesia to ensure appropriate depth of anesthesia and to reduce the risk of awareness.
The controversies surrounding EEG monitors.
‘The Triple Low’ phenomenon has gotten attention in the anesthesia community.
The potential benefit of including processed EEG monitors when caring for geriatric patients.

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

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

Launching a Medical Device Company with David Gomez

Thu, 23 Jan 2025 01:05:00 -0500

Have you ever dreamed of starting your own medical business but aren’t sure how to bring an idea to life? Today we’re excited to welcome on David Gomez, CRNA, to share his experience of starting a medical device company from the ground up. David's story is one of perseverance and ingenuity, as he transitioned from a nurse anesthetist to an entrepreneur, bringing life-changing medical devices to the forefront of the healthcare industry through Infinitus Medical Technologies.

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

What steps did he take to give life to his idea and start the company?
The real obstacles that he faced and the resources he utilized.
The truth behind the patent process and the hurdles that need to be overcome.
What are the commercialization challenges in healthcare?
Can we improve on the way we do things and how long does innovation take to hit the market?

David wanted to share a couple messages:

Thanks to Dan Nash of Maverick, sorry I forgot your name!!

Rm8 shout out to Eric O’Conner and David Anderson.

Learn more about Infinitus Medical Technologies: infinitusmedical.com

Get in touch with David: d.gomez@infinitusmedical.com or 817-454-1516

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

Grade 1 View - Ep. 3 - Dr. Jackie Rowles on Leadership, Legacy, & Advanced Education

Tue, 21 Jan 2025 01:28:00 -0500

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

Strengthening the CRNA Workforce Through Innovative Education

Thu, 16 Jan 2025 01:28:00 -0500

With the growing demand for Certified Registered Nurse Anesthetists (CRNAs) in healthcare, developing and preparing future nurse anesthetists is more important than ever. As training needs and educational requirements continue to evolve, anesthesia programs have to adapt as well to maintain the high standards needed to provide the right care.

Today’s guest is Michael Greco, Ph.D., DNP, CRNA, who has been at the forefront of addressing this critical need through innovative educational strategies. This conversation offers a fascinating glimpse into how his initiatives are reshaping the CRNA workforce and improving access to quality anesthesia care.

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

A brief history of the DNP degree and the evolution of educational requirements.
The purpose of the combined AGACNP/CRNA program.
How much buy-in has there been and what pushback has he received?
How can our nurse anesthesiology profession benefit from these combined programs?
The details that are most important to know.

About our guest: https://jobs.northwell.edu/blog/2019/01/20/celebrating-crna-week-meet-michael-greco-spearheading-big-changes-crnas-northwell-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

Grade 1 View - Ep. 2 - Uprooting Your Life

Tue, 14 Jan 2025 01:44:00 -0500

The transition to a new place is hard on its own but add in the stress of CRNA school and it can quickly feel like you aren’t prepared. Moving for school is not just about packing boxes and finding a new place to live. It involves a complete lifestyle shift, requiring careful planning and emotional resilience.

Join us for a candid conversation about the ups and downs of relocating for school, managing personal relationships, and finding balance in a demanding academic environment.

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

The differences between staying local around family/friends and moving a long distance away.
The logistics of moving to a new location.
A story about Olivia’s cat eating a rubber band right before getting in the car for 20+ hours and the craziness that caused.
Jumping in and starting school even though you don’t feel 100 percent financially ready.
What would we do differently if we could go back to the beginning?

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

Why Are You Being So Mean? The Impact of Bullying and Incivility in Nurse Anesthesia Education

Thu, 09 Jan 2025 01:28:00 -0500

Maintaining a culture of respect is crucial, and without it you can shake the foundation of any profession. Yet, incivility remains a significant challenge in nurse anesthesia educational programs, affecting both students and faculty. Today we’re discussing strategies or creating the right culture and professionalism with Nancy A. Moriber, PhD, APRN-CRNA, FAANA and Maribeth Massie, PhD, CRNA, FAANA, FAAN.

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

Incivility is a problem in our society and has infiltrated the healthcare setting and nursing academia, including nurse anesthesia.
Incivility negatively impacts the teaching-learning environment, undermines professionalism, creates unnecessary stress and anxiety, and can lead to significant mental health issues.
The different biases that can impact incivility.
Strategies to combat these behaviors.
Ways to create and sustain positive environments for teaching and learning.

Get the Positive Psychology Coursera course mentioned in the show here: https://www.coursera.org/learn/positive-psychology-resilience

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

Grade 1 View - Ep. 1 - Meet The Hosts

Tue, 07 Jan 2025 01:21:00 -0500

Welcome to the inaugural episode of Grade 1 View! Before we jump into the topics and discussions impacting future CRNAs, we want to introduce you to our hosts: Kevin Chem, BSN, RN, Olivia Conn, MSN, RN, Charity Garno, BSN, RN, and Larry Sears, BSN, RN.

In future episodes, Grade 1 View aims to cover various topics, including navigating the CRNA application process, mental health and wellness, and effective communication within the healthcare team. We’re excited to share this journey with everyone and would love to hear about your experiences as well.

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

A little personal background on each of our hosts.
Why each host wanted to be a part of this podcast.
What we like most about podcasts and what makes them effective for learning.
The topics you can expect us to cover on this show.
Some of the things we do to unwind after clinical.

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

Suicide Prevention for CRNAs and RRNAs

Thu, 02 Jan 2025 01:37:00 -0500

Warning: today’s topic is sensitive but urgent. We’ll be discussing suicide in general and shining a light on the rising rates among nurses and student nurse anesthetists. Mental health struggles are very prevalent in the profession but you often don’t ever see it because it’s hidden behind the mask of professionalism.

So what can we do to help drive change and support nurses struggling with mental health issues? Today’s roundtable discussion with Charles Griffis, PhD, CRNA, FAANA, Elizabeth Bamgbose, PhD, CRNA, FAANA, Maria Van Pelt, PhD, CRNA, FAAN, FAANA, three distinguished guests who share research findings to help us better understand this growing epidemic.

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

Why nurses, nurse residents, and students have a higher rate of suicide than the national population.
They’ll share some of the findings from the research study of suicidality in faculty and RRNAs.
Suicide is preventable with timely and compassionate intervention, and decrying the stigma of mental health challenges will help.
What are some of the warning signs of suicidality and what can you do to intervene?
How do we get rid of the stigma around mental health challenges?

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

TEG Talk: Unlocking the Secrets of Blood Coagulation

Mon, 30 Dec 2024 23:44:04 -0500

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

The Future of Anesthesia in 2025 and Beyond

Thu, 26 Dec 2024 01:37:00 -0500

For the third straight year, we’re bringing on NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA to update the state of the anesthesia profession and speculate on what’s coming in the future. Just like past year-end shows, we’ll offer up a comprehensive overview of the current state of anesthesiology, highlighting key trends, challenges, and future predictions for the field.

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

What has changed the most since we had this conversation a year ago?
What’s the state of CRNA supply shortage and how has the labor market reacted?
How the ASC business is behaving very much like the hospital business from 2021-2023.
What does private equity entering healthcare mean for CRNAs?
The trends in anesthesia practice models.
What do they see coming in the next year or two?

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

AI in Anesthesia: A New Frontier for Healthcare Professionals

Thu, 19 Dec 2024 01:16:00 -0500

Today, we're exploring a captivating topic at the intersection of technology and medicine: the transformative impact of artificial intelligence on healthcare. We're thrilled to welcome special guest Dr. Jiale (Gary) Hu, PhD, RN, FAANB who will share his insights on how AI is currently being utilized in operating rooms, the challenges and opportunities of integrating AI into surgical practices, and what the future may hold for CRNAs in this rapidly evolving field.

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

The fundamental concepts underlying classical and modern approaches to AI.
The current applications of AI within healthcare professions.
The general principles of using AI ethically, effectively and critically.
The prompt engineering for using AI to empower performance in the workplace.
5 priorities for further development of AI in anesthesiology.

About our guest: https://nrsa.chp.vcu.edu/our-team/jiale-gary-hu-phd-rn-faan.html

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

Calcium Scores & Coronary Clues: Unmasking Cardiac Risks in Anesthesia

Tue, 17 Dec 2024 02:02:00 -0500

Dive into the cutting-edge world of perioperative care this week with Terry and Garry. Join us as we unravel the mysteries of coronary imaging and its transformative role in anesthesia practice.

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

The role of coronary CT in preoperative workups.
Understanding coronary CTA, how it differs from calcium scoring, and why nurse anesthetists should care.
When not to use these modalities.
Translating these findings into actionable decisions for our anesthesia plan.
Where do you see coronary CT technology heading in the next decade?

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

AI in Healthcare: Harnessing Tech and Social Data to Improve Outcomes

Thu, 12 Dec 2024 01:12:00 -0500

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

Tax Planning for CRNA Self-Employment Taxes

Thu, 05 Dec 2024 02:01:00 -0500

Navigating the world of taxes can be overwhelming, especially for CRNAs who often juggle both clinical responsibilities and financial planning. Today we’re focused on self-employment taxes and the planning strategies that can help you maximize your earnings. Whether you're a 1099 contractor or a W2 employee, this is information that every CRNA can use to improve their financial future.

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

The history of self-employment tax rates and where they currently stand.
Good tax planning is like an annuity that keeps giving back.
Business deductions that will help reduce your income and taxes.
There’s a big difference between tax avoidance and tax evasion.

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

Let’s Give Thanks for Everything Anesthesia Provides Us

Thu, 28 Nov 2024 01:23:00 -0500

Happy Thanksgiving! Today we want to take some time to show our gratitude—gratitude for the AANA, for our profession, and for those who work tirelessly to support CRNAs across the country. We’re honored to be joined by AANA President Jan Setnor, who shares her reflections on the profound impact of the association and the countless CRNAs who are dedicated to compassionate, expert care.

Join us as we take a moment to recognize the achievements, support, and community that make anesthesia a calling worth celebrating.

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

Why we’re thankful for the AANA.
Advocacy becomes a priority as threats arise and that’s when people get involved. We are fortunate to have a great advocacy team.
What the AANA does and provides for its members.
Jan’s thoughts on the lawsuit that was filed against provider discrimination.

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

Strain and Substance Use: The Workplace Connection Challenge

Thu, 21 Nov 2024 01:37:00 -0500

Today’s show will address the workplace challenges that contribute to risk and impact substance use disorder in healthcare environments, which is a critical issue facing professionals in our industry. Our guests today, Luci New, DNP, CRNA and Linda Stone, DNP, CRNA, both have a passion for wellness and understand the unique stressors faced by anesthesia providers. We’ll hear about their personal experiences and discuss the implications of minority stress theory, workplace violence, and the stigma surrounding substance use disorder.

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

The specific wellness threats for anesthesia providers.
The different types of stress that CRNAs face.
Is there a lasting impact from the COVID pandemic that could be a risk for SUD?
How burnout relates to compassion fatigue and the risks associated.
What we know about SUD and the relationships between mental health, suicide and SUD.
The consequences and countermeasures of SUD in the anesthesia profession.

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

Talking to People in the Community about Fentanyl and Propofol

Tue, 19 Nov 2024 02:01:00 -0500

Anesthesia medications play a crucial role in modern medicine, enabling pain-free surgeries and procedures. However, their potent effects also pose significant risks when misused. Today’s show explores the legitimate and harmful uses of two powerful anesthesia drugs: fentanyl and propofol.

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

These drugs, when manufactured correctly, have legitimate uses.
The risks of recreational use of both fentanyl and propofol.
How these drugs are used in anesthesia.
The significant safeguards that are put in place to ensure safety while they are receiving anesthesia care.
The worry that anesthetists have about addiction and overdose.

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

Smooth Transitions: Empowering New CRNAs in Practice

Thu, 14 Nov 2024 01:25:00 -0500

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

Nurses in Leadership: Shaping the Future from the Boardroom with Jana Bailey

Thu, 07 Nov 2024 01:00:00 -0500

Leadership and advocacy mean getting out of your comfort zone for most CRNAs, and today’s guest is tapped into what it takes to step into roles beyond the confines of the medical field.

Jana Bailey, APRN, CRNA joins us to discuss how nurses and CRNAs can make significant strides in broadening the scope and impact of nursing by serving on various nonprofit, corporate, government and advisory boards. Jana will talk about why it's vital for us to reach out beyond these traditional roles and share ways to start getting involved.

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

Why the Nurses on Boards Coalition began 10 years ago.
The who, what, and where for her project.
How does "Nurses on Boards" expand CRNA influence?
CRNAs who serve on boards should register with NOBC to have their service counted, and those interested in serving should register to get email updates for board position postings.
Tips for how to get more involved in different opportunities near you.

Get access to the course ‘Nurses on Boards Preparation Microlearning Program For CRNAs’: https://acrobat.adobe.com/id/urn:aaid:sc:us:ad6b0e59-1de7-4fa5-99fd-bae1e8413123

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

A 6th Anniversary Special

Fri, 01 Nov 2024 02:01:00 -0400

Join hosts Jeremy and Sharon in celebrating the sixth anniversary of Beyond the Mask, with over 400 episodes and a global reach in 125 countries. In this special episode, we reflect on the journey, the impact of the podcast, and share heartwarming stories from the nurse anesthesia community. From life-saving interventions to groundbreaking legislative support, we revisit some of our favorite memories of the show. Don't miss this milestone episode filled with gratitude, inspiration, and a look into future plans.

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

Some of our top memories from the show.
Stories about people who we’ve connected with or impacted through the show.
How the historical series with Nancy and Sandy began.
The opportunities that have arisen out of this podcast.

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

Medical Podcasting: They Will Always Be Listening

Thu, 31 Oct 2024 01:39:00 -0400

When we started the podcast years ago, we wanted to provide a platform for CRNAs to learn more about the profession and collaborate with other industry leaders to help grow nurse anesthesia. It’s exceeded all of our expectations as the podcasting world as a whole has exploded during that time as well. This has become a medium that can help revolutionize medical education and we’ll explore the impact of podcasting in this episode.

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

How we first learned about podcasting and what gave us the idea to start this one.
What we love about podcasting.
The story behind how we became a platform for students to disseminate their DNP project.
The impact of podcasts in medical education.
How to use podcasting to teach students.
The story of a nurse anesthetist who was preparing to commit suicide before listening to our podcast.

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

CRNA Boss Moves with Laura Ardizzone & Kirsten Meister

Thu, 24 Oct 2024 01:51:00 -0400

Are you looking for ways to enhance your leadership skills and advance your career? Today’s episode is all about the world of CRNA boss moves and we’ll get great advice and inspiration from two outstanding guests, Laura Ardizzone, DNP, CRNA, DCC and Kirsten Meister, DNP, CRNA. Join us as we focus on mastering the administrative side of the profession, avoiding common pitfalls, and elevating your leadership style.

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

Why mentoring was pivotal in their journeys to becoming a leader.
The biggest challenges they’ve faced in leadership roles.
The importance of being an active listener in order to improve your leadership abilities.
Different leadership styles and how to know what works best for you.
The advice they would give someone who aspires to be in a leadership position.

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

Onboarding Excellence: Standardized Orientation for State Nurse Anesthesiology Boards

Thu, 17 Oct 2024 01:08:00 -0400

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

Understanding Cognitive Biases in Anesthesia

Tue, 15 Oct 2024 02:04:00 -0400

Cognitive biases are systematic errors in thinking that can influence clinical judgment and potentially lead to adverse outcomes for patients. By understanding these biases, anesthesia providers can improve their decision-making process and enhance patient safety. Today we’ll take a deep dive into the world of cognitive biases and how they affect decision-making in anesthesia practice.

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

Heuristics or decision-making shortcuts can lead to cognitive biases.
How the different biases impact the performance of CRNAs.
The framing effect and the gambler's fallacy influence decision-making.
Effective team communication reduces the likelihood of confirmation bias or anchoring bias.

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

Gut Feelings: Exploring Aspiration Risks with GLP-1 Agonists

Thu, 10 Oct 2024 01:36:00 -0400

Breakthroughs in healthcare are always exciting to learn more about and one that caught our attention is GLPs, a group of therapeutic agents revolutionizing the treatment of Type 2 diabetes. We spent time with Amy M. Reed, PhD, CRNA at the AANA Annual Congress in San Diego to learn more about the potential of GPS and how therapeutic agents are not only transforming diabetes care but also showing promise in other medical areas.

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

What does the current literature say regarding preoperative management of patients taking GLP-1 RAs?
Importance of nurse anesthesia programs and grassroots effort for POCgUS implementation.
What are our national organizations’ positions on point of care ultrasound?
How Amy became interested in teaching and educating nurse anesthesia residents.
Amy’s perspective on the shortage of faculty and what we can do to rectify the shortage.

About our guest: http://yorkcrnaprogram.com/about/amy-reed/

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

Tax Strategies & Health Insurance Options for the 1099 CRNA – NCANA Session 3

Thu, 03 Oct 2024 01:35:00 -0400

As a CRNA, transitioning to 1099 work can be a game-changer for your career and financial future. Sharon made this move in recent years and is sharing the experience in a series along with Jeremy’s insight on the financial side of the transition. This three-part discussion is aimed to help educate other CRNAs who are considering the move to 1099, and today’s episode will be a bit more detailed with a focus on the tax concepts and strategies you need to know about.

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

The three main health insurance options that 1099 workers typically choose from.
What’s so important about section 179 of your tax return?
What deductions can you take and what can’t you take?
The retirement saving options you have and what’s best.
The Qualified Business Income deduction and why it’s a hidden gem.

Listen to Preparing to Become a 1099 CRNA – NCANA Session 2: https://beyondthemaskpodcast.com/preparing-to-become-a-1099-crna-ncana-session-2/4918/

Listen to Does It Make Sense for CRNAs to Go 1099? – NCANA Session 1: https://beyondthemaskpodcast.com/does-it-make-sense-for-crnas-to-go-1099-ncana-session-1/4796/

Are you a Resident or CRNA looking to transition into independent practice? The AANA and Beyond the Mask are here to help you thrive as your own boss!

Introducing the 1099 CRNA Institute – taught by 'Beyond the Mask' hosts Jeremy Stanley and Sharon Pearce. This comprehensive educational series provides detailed guidance on business structure, legal and tax implications, and financial management tailored specifically for 1099 CRNAs.

Visit AANA.com/1099 to learn more and take the first step toward your new future.

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

Reversing the Clock: Longevity Secrets for Healthcare Professionals

Tue, 01 Oct 2024 10:56:34 -0400

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

BREAKING NEWS: The AANA Files a Lawsuit to Prevent Discrimination Against CRNAs

Fri, 27 Sep 2024 10:13:37 -0400

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

NBCRNA Update – Clearing Up Confusion Around the New MAC Program

Thu, 26 Sep 2024 02:02:00 -0400

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

Should CRNAs Worry About the Election & the Economy?

Thu, 19 Sep 2024 01:12:00 -0400

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

Anesthetic Choices that Save Lives: The Propofol Debate in Cancer Survival

Tue, 17 Sep 2024 05:02:00 -0400

In the ever-evolving field of anesthesia, new research constantly reshapes how we approach patient care. In this episode, we explore the compelling findings of a recent systematic review and meta-analysis on the impact of propofol-based total intravenous anesthesia (TIVA) on cancer outcomes.

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

We’ll provide an overview of the study and some of the key findings.
The biological underpinnings of propofol’s benefits.
The preservation of immune function could be a key factor in why propofol is associated with better survival outcomes.
Dissecting the findings on recurrence-free survival.
A deep dive into propofol’s role in lung cancer.
Clinical implications and practical considerations.
The future of anesthesia and cancer research.

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

Everything You Need to Do When You Become a 1099 CRNA – NCANA Session 2

Thu, 12 Sep 2024 03:00:00 -0400

More and more CRNAs are making the decision to move from a W-2 employee to a 1099 CRNA. Sharon made this move in recent years and is sharing this experience on the podcast to help educate other CRNAs who are weighing the pros and cons. Once you’ve made the decision to go 1099, how do you make sure you’re doing everything right?

Today is part two of a three-part session and we’re answering that question to make sure you’re prepared to be a 1099 CRNA. Join us as we provide a comprehensive roadmap to help you navigate the transition smoothly.

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

How should you set up your company and who should be helping you.
Should you be a sole proprietorship or a PLLC? We’ll give you details on how it impacts taxes.
What accounts do you need to open up?
Keeping records for tax purposes and why it matters if you plan to work in different states.
How you can make your annual meeting a tax deduction for your S corp.

Are you a Resident or CRNA looking to transition into independent practice? The AANA and Beyond the Mask are here to help you thrive as your own boss!

Visit AANA.com/1099 to learn more and take the first step toward your new future.

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

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

Nociception Unveiled: What the NOL Index Means for Anesthesia

Tue, 10 Sep 2024 02:02:00 -0400

In this episode, we’re spotlighting a cutting-edge study on the nociception level (NOL) index and its potential impact on intraoperative opioid management. The NOL index, a tool that uses machine learning to assess nociception during general anesthesia, promises a more precise way to monitor patient responses to pain. However, as we’ll discuss, a recent meta-analysis found that NOL monitoring did not significantly reduce opioid consumption compared to traditional methods, raising questions about its effectiveness in everyday clinical practice.

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

What is the NOL index and can it help improve patient outcomes?
Background on the study and the research involved.
What did the meta-analysis reveal about the effectiveness of NOL monitoring in reducing intraoperative opioid use?
The reduction in extubation time is a positive finding and suggests that NOL monitoring might help anesthesiologists manage the overall anesthesia experience more effectively.
Our thoughts on the study and where we think things could be headed in the future.

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

Deciding with Confidence: An Algorithm For Patients With a History of Cocaine and Methamphetamine Use

Thu, 05 Sep 2024 02:00:00 -0400

In the ever-evolving world of anesthesia, patient safety and clinical outcomes are paramount. This is especially true for patients with a history of substance use, such as cocaine or methamphetamine. Today we’re joined by Laurent Estrada, Omar Silva, and Jake Abel, doctoral students from USC, who have dedicated their research to developing an algorithm designed to manage elective procedures for these patients. Find out how this could impact clinical practice and help standardize care for a growing issue.

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

Why has methamphetamine and cocaine use become a growing problem for CRNAs and how they’re addressing the lack of guidelines for anesthesia?
What signs can you look for to tell if a patient has cocaine or meth toxicity?
A detailed walkthrough of their algorithm and background on how they developed it.
The challenges they’ve faced as they’ve developed this algorithm.

See the algorithm here: https://beyondthemaskpodcast.com/wp-content/uploads/2024/09/Algorithm-.pdf

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

AANA Executive Update: Latest Developments, Partnerships & the Future with Bill Bruce, CEO

Thu, 29 Aug 2024 01:21:00 -0400

During our trip to the AANA Annual Congress in San Diego, we had the chance to catch up once again with Bill Bruce, AANA CEO, to update you on the latest developments and initiatives that will impact CRNAs and SRNAs across the country. Today’s show will get you up to speed on the Rm8 Innovation Lab, the AANA’s focus on access to educational materials, an insurance partnership, and much more.

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

An update on the new AANA building in Rosemont, Illinois, and the new technology they’re incorporating.
The opportunities and collaborations coming out of the Rm8 Innovation Lab.
A new insurance partnership to benefit CRNAs.
Bill’s vision for making the AANA the educational home for all CRNAs.
The organization hopes to build stronger relationships with the next generation of CRNAs.

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

Pain Perspectives: Cutting-Edge Approaches in Non-Surgical Care

Tue, 27 Aug 2024 02:00:00 -0400

In this episode, we’ll explore the evolving landscape of pain management with a focus on non-surgical approaches. While nurse anesthetists are known for their expertise in managing pain in the operating room, this episode delves into the broader and often complex world of chronic pain management.

Today we’re joined by Randy Cornelius, DNP, CRNA, ARNP, a current member of the AANA Board of Directors, and Ben Levinson, CRNA, NSPM-C, a credentialed expert in non-surgical pain management. Together, they discuss the latest strategies, treatments, and innovations in the field.

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

The other factors besides influencing the manifestations of pain.
Neurotransmitters, inflammatory mediators, and pain syndromes and their development.
Risk Factors and Theories/Patient related factors slides.
The Assessment, diagnosis, and creating a plan of care of a non-surgical pain patient

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

Does It Make Sense for CRNAs to Go 1099? – NCANA Session 1

Thu, 22 Aug 2024 01:11:00 -0400

As healthcare continues to evolve, CRNAs find themselves in a unique position – should they stick to the traditional W-2 employment model or transition to a 1099 independent contractor status? This is a trend that we’ve been monitoring for a few years now, and Jeremy was able to convince Sharon to make the transition to 1099. Now we want to share the experience with you and let you know what Sharon has learned since making the change.

This is part one of a three-part session and we’re beginning with the big question in the CRNA industry: Does it make sense to go 1099? Join us as we explain the basics and help you better understand the differences between W-2, PRN, and 1099 work.

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

Exploring the state of the CRNA industry and why now is a great time to be in the freelance market.
The differences between W-2, PRN and 1099 employees.
The reasons Sharon finally made the decision to go 1099.
Some of the biggest reasons to consider 1099 work like tax savings, more opportunities to save, more control, and other pros.
What are you giving up if you decide to go 1099?
How Jeremy helps his CRNA clients determine if it’s best to go 1099 or not.
Be aware of the cons that come with going 1099.

Check out two episodes referenced in this episode:

Understanding Malpractice Insurance Options with the AANAs John Fetcho: https://beyondthemaskpodcast.com/understanding-malpractice-insurance-options-with-the-aanas-john-fetcho/1747/

How CRNAs Can Protect Their Great Asset: Yourself - https://beyondthemaskpodcast.com/ep-121-how-crnas-can-protect-their-greatest-asset-yourself/2838/

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

How to Retain Your Brain as You Age

Thu, 15 Aug 2024 01:14:00 -0400

As science improves, we’re learning more and more about brain health and how to maintain our youth even as we age. Today we’re joined by Ryan Sullivan, CFP®, CRPC®, RCC™ of Hartford Funds to share the valuable knowledge he’s gained from a partnership with the MIT Age Lab and explore how simple lifestyle changes can significantly impact our brain health and, consequently, our financial future.

Ryan is the Vice President and Managing Director of Applied Insights with Hartford Funds. They have a partnership with the MIT Age Lab to better grasp how we make decisions and what motivates us as we age. Understanding these insights and how they tie into our finances can help us improve our long-term outlook.

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

Some of the factors that keep your brain from aging at the same rate as your body.
How can you get a sense of what your brain age is?
Our brain creates trash that needs to be removed from our bodies or else it will accumulate with enough sleep.
The costs that are associated with cognitive health decline and how we incorporate that into retirement planning.
Our diet is connected to our brain health.

Check out ‘The Age-Proof Brain’: https://a.co/d/9XV4j46

About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/john-diehl-bio.html

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

Pain Sensitivity: What Every CRNA Should Know

Thu, 08 Aug 2024 01:56:00 -0400

In the latest episode of Beyond the Mask, Sharon Pearce and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN are joined by Lori Schirle, CRNA, PhD, an assistant professor at Vanderbilt University. We heard her topic at the AANA Annual Congress and wanted to bring her on to discuss the cutting-edge research on pain sensitivity and its implications for CRNAs and advanced practice nurses. Join us as Lori shares her extensive research on pain sensitivity, opioid prescribing practices, and the future of personalized pain management.

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

What is pain sensitivity and how does it impact CRNA practice?
Measuring pain sensitivity through a process called Quantitative Sensory Testing (QST).
How can this research be used and what studies might be coming next?
The role the AANA Foundation played in her position as one of the few full-time CRNA researchers.
Pain sensitivity and its impact on postoperative outcomes.

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

From RN to CRNA: The Power of Developing a Local Mentorship Network

Thu, 01 Aug 2024 01:37:00 -0400

Today we have the pleasure of hosting Ike Bartel, BSN, RN, CCRN, an aspiring CRNA from Kansas. Ike's journey from being an RN to pursuing a career as a CRNA is a testament to the power of mentorship in the nursing community. Ike has pioneered a mentorship program specifically designed to guide and support RNs on their path to becoming CRNAs. Today we’ll learn all about his journey, the inception of his mentorship program, and the impact it has had on the nursing community.

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

Why he decided to establish a mentorship network and the vision he has for it.
You don’t have to be a CRNA to advocate for CRNAs.
Get plugged into the community to identify needs and partner with local leaders to help meet those needs.
Why a RN to CRNA pipeline is important.
How can registered nurses get involved with the AANA and their state associations?

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

The Conversation is Different When You Sit with Warriors

Thu, 25 Jul 2024 01:42:00 -0400

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

Nurse Anesthetists in the Eye of the Storm: A Critical Role in Disaster Response

Tue, 23 Jul 2024 02:11:00 -0400

In this episode, we’ll explore nurse anesthetists’ indispensable role in disaster response and mass casualty incidents (MCIs). Drawing from real-life examples, including the harrowing experiences during Hurricane Harvey in 2017, we’ll highlight the resilience, expertise, and dedication required from nurse anesthetists in times of crisis. We’ll also dive into the American Association of Nurse Anesthesiology (AANA) guidelines and the importance of preparedness, coordination, and innovative problem-solving in managing both clinical operations and emergencies.

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

The role CRNAs play during natural disasters.
Communication and coordination is critical during these catastrophic events.
The protocols in place at hospitals when hurricanes are coming.
Lessons learned from recent disasters.

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

CRNA Financial Preparation for the Final 8000 Days

Thu, 18 Jul 2024 01:02:00 -0400

Retirement represents a pivotal milestone in a CRNA’s life and it ushers in a new phase that could extend over 20 to 30 years or more. How do you best prepare yourself for that transition after work? Today we’re joined by John Diehl, CFP®, CLU®, ChFC® of Hartford Funds to discuss the four stages of retirement and the impact of longevity on financial planning and quality of life. Join us as we explore the concept of 8000 days developed by the MIT Age Lab.

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

Why MIT breaks down things down into 8000 day sections of life.
What is the Age Lab and what research are they doing?
Breaking down the four phases of retirement.
All the things you need to be thinking about as you start aging.
The psychological adjustment CRNAs need to make for retirement.
The most underestimated aspect of working with great advisors is not just the investment component.

About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/john-diehl-bio.html

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

CRNA Advocacy and Campaigning with Kellie Deeter

Thu, 11 Jul 2024 01:02:00 -0400

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

From Diploma to Doctoral Entry: The Evolution of Nurse Anesthesia Education (Part 2)

Thu, 04 Jul 2024 02:02:00 -0400

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

Ticking Time Bombs: Unveiling Alpha-Gal Syndrome

Tue, 02 Jul 2024 02:08:00 -0400

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

From Diploma to Doctoral Entry: The Evolution of Nurse Anesthesia Education (Part 1)

Thu, 27 Jun 2024 02:03:00 -0400

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. We’ll cover everything over two episodes and we’ll begin with the challenges faced by nurse anesthetists, the formation of the National Association of Nurse Anesthetists, and the significant contributions of pioneers like Agatha Hodgins, Gertrude Fife, and Helen Lamb.

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

What led to the formation of the National Association of Nurse Anesthetists (NANA), now known as the AANA.
The legal battles and opposition facing nurse anesthetists in the early 20th century.
The shift in educational advancements that have shaped the profession.
We’ll look back on some of the key figures in nurse anesthesia history and the role they played.
The importance of maintaining high educational standards and the role of accreditation in our profession.

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

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Improving Patient Outcomes for the Intellectually & Developmentally Disabled

Thu, 20 Jun 2024 01:22:00 -0400

In this week’s episode, we tackle a topic that is sometimes overlooked and deserves more attention: the care of individuals with intellectual and developmental disabilities: the care of individuals with intellectual and developmental disabilities. Ginny Ramsey, DNAP, CRNA, ARNP, CHSE has dedicated her career to improving patient outcomes and raising awareness about the unique challenges facing this underserved community, and today’s show will help all nurse anesthetists provide better care.

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

Why people with disabilities don’t have the same level of trust with nurses that most people do.
Healthcare access and inequality for individuals with disabilities.
The differences in care for these patients and the best approach to take for anesthesiologists.
Ways that we can improve anesthesia care for these patients.
The different complexities like patient advocacy and sensory concerns.

Connect with Ginny: londahlramsey@fgcu.edu

Learn more about GIDDN: http://www.golisanofoundation.org/Golisano-Foundation/About/About.aspx

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

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The Clot Thickens: Sepsis-Induced Coagulopathy Revealed

Tue, 18 Jun 2024 01:47:00 -0400

Today we're diving deep into a critical and often deadly complication in septic patients: Sepsis-Induced Coagulopathy or SIC. We'll be discussing the pathophysiology, clinical presentation, diagnosis, and management strategies based on a comprehensive narrative review by Drs. Brittney Williams, Lin Zou, Jean-Francois Pittet, and Wei Chao.

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

The pathophysiology of SIC is a complex interplay between the immune and coagulation systems.
We’ll discuss the diagnostic criteria and tools in detail.
Early and accurate diagnosis is essential for initiating appropriate management strategies and improving patient outcomes.
Management of SIC involves both supportive care and targeted therapies.
Ongoing research is essential to develop more effective diagnostic tools and treatment strategies.

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

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What is Your CRNA Money Story?

Thu, 13 Jun 2024 02:01:00 -0400

Have you ever stopped to think about how your upbringing and personal experiences shape your financial decisions? Even if you don’t classify yourself as a money person, it still drives many of the decisions we make every day. Today we’re joined by Julie Genjac, Vice President and Managing Director of Applied Insights at Hartford Funds, to discuss the concept of a money story and how understanding it can transform your financial future.

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

The relationship we have with money impact the decisions we’re making every day.
Her money starts with babysitting early in life and then a financial internship at 17.
Her partnership with wealth psychology expert Kathleen Burns Kingsbury.
The stories people tell themselves about money that just aren’t true.
What is a money script and how does it apply to you?
How we define our own money story?

About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/julie-genjac-bio.html

Learn more about KBK: https://www.breakingmoneysilence.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

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A TV Sitcom About Anesthesia? It Could Happen

Thu, 06 Jun 2024 01:01:00 -0400

How would you enjoy turning on your favorite streaming platform and finding a sitcom about anesthesia? It could become a reality if a CRNA’s efforts come to fruition. In this episode, we welcome Ben Hartland, CRNA to discuss his creative endeavor in producing a pilot TV episode about dental anesthesia and the challenges that come with producing a show about the world of dental sedation. Find out how this idea even began and what you can do to help support the endeavor.

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

How the TV pilot idea about dentistry came to fruition.
How COVID kicked him out of the hospital and into dentistry.
The biggest challenges and lessons learned during the filming process.
Finding the time between anesthesia and pursuing this project.
Plans for the pilot and the difficulty in getting industry people interested in a project.

Want to see more?

Visit the Teeth TV website: https://www.teethtvshow.com/

Check out Teeth TV on YouTube: https://www.youtube.com/@Teethtvshow2023/

Watch the pilot: https://www.youtube.com/watch?v=-fYnTnewWmE

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

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Disparities in Healthcare

Tue, 04 Jun 2024 02:18:00 -0400

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

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Balancing a Career in Music with Being a CRNA

Thu, 30 May 2024 02:02:00 -0400

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

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Courage to Lead: 1998-99 AANA President Linda Williams

Thu, 23 May 2024 02:07:00 -0400

We’re excited to add another chapter to our Courage to Lead series with 1998-99 AANA President Linda Williams, JD, CRNA. In this episode, Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA sit down with Linda to reminisce about her experiences, offering listeners a rare glimpse into the heart of a leader who has truly been through the fire. Join us for a candid discussion about the supervision issue, the importance of mentorship, and the vital role of professionalism.

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

What she remembers most from a tumultuous year as president.
The battle she fought over the supervision issue.
How and why the mentoring program got started under Linda.
Why professionalism was always a huge focus for her.
The responsibility of past leaders to respect and support the current leadership.
The big lessons she learned and took away from her time as president.

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

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All Things AANA with President Dru Riddle & CEO Bill Bruce

Thu, 16 May 2024 01:03:00 -0400

Today we're delving in the heart of all matters concerning the American Association of Nurse Anesthesiology, and we're privileged to be joined by two prominent guests. AANA President Dru Riddle, PhD, DNP, CRNA, FAAN and AANA CEO Bill Bruce, CAE join us for a candid and informative discussion about the organization’s priorities.

Get a glimpse into the strategic vision propelling the AANA forward and the innovative initiatives designed to cultivate the next generation of CRNAs.

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

The current state of the workforce and the factors leading to a shortage of CRNAs.
What is the AANA doing to help cater to RNs who are showing interest in becoming CRNAs?
The AANA membership recently passed a bylaw that allows for a new membership category.
The focus on making membership meaningful and useful.
An update on reimbursement.
The latest on the Rm8 initiative.
AANA has launched a new education edge learning management system.

About our guest: https://www.aana.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

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Hear from the Candidates for 2024-25 AANA Board of Directors

Thu, 09 May 2024 02:02:00 -0400

It’s another special edition of Beyond the Mask where we let you hear directly from the candidates running for various AANA offices in the upcoming fiscal year. This year we recoded the speeches when they were given in front of a live audience at the Mid-Year Assembly. From advocating for full practice authority to enhancing member engagement, each candidate shares their unique vision for advancing the profession. Don't miss this opportunity to hear directly from those who aspire to shape the future of nurse anesthesiology.

Don’t forget that voting for these candidates is now open! Here’s the link to let your voice be heard: https://www.aana.com/membership/elections-and-governance/governance/election-center/candidates/

Here are the candidates we’ll hear from:

Director Candidates:

Daniel King, DNP, MNA, APRN, CRNA, CPPS, CNE - Illinois

Erik Rauch, DNP, MBA, CRNA, NSPM-C - Florida

Ann Miller, DNP, CRNA, APRN, FAANA - Florida

Sherry Bernardo, DNP, MHA, CRNA - North Carolina

Jason Bauer, MSN, RN, CRNA, PHRN, FAANA - Pennsylvania

Howie Goodwin, DNAP, MSN, CRNA, CHSE, FAANA - Virginia

Dee Bender, DNAP, CRNA, MNNA, ARNP - Washington

Lew Bennett, DNP, CRNA - Pennsylvania

Erin Foley, DNAP, MSNA, CRNA, FAANA - Maine

Susan Hall, DNP, CRNA - Massachusetts

Debra Diaz, DNP, CRNA, APRN, FAANA - Florida

William Howell, DNP, CRNA - Georgia

Treasurer Candidate:

Jennifer Banek, MSN, CRNA - Illinois

VP Candidate:

Tracy Young, MSNA, MBA, CRNA - Louisiana

PE Candidate:

Jeffrey Molter, MSN, MBA, CRNA - Ohio

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

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Charting a Course for Perioperative Hemodynamic Stability

Tue, 07 May 2024 02:02:00 -0400

In this episode, hosts Terry and Garry tackle the pressing topic of hemodynamic instability in surgical patients, exploring its implications, challenges, and potential solutions.

Drawing from data highlighting the alarming rate of preventable harm among perioperative patients, we’ll underscore the urgency of addressing hemodynamic instability. We’ll discuss the gaps in current recommendations, emphasizing the need for a sustained, coordinated plan involving all stakeholders to reduce patient risk.

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

There's a gap in specific recommendations guiding clinicians on identifying risk, utilizing essential monitoring, and knowing those crucial thresholds for intervention.
What do we already know and where do we go from here?
The methods behind tackling perioperative hemodynamic instability.
Technology that will define the future of perioperative care.

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

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The Life & Experiences of a Military CRNA with Dr. Debra Diaz

Thu, 02 May 2024 01:03:00 -0400

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

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Dysphoria: Current Understanding & Recommendations to Prevent Post-Op Cognitive Decline

Thu, 25 Apr 2024 01:40:00 -0400

Today we're exploring a topic that goes deeper into the realms of medicine and neuroscience, and it's something that affects us all: cognitive health post-surgery. Adam Flowe, Chief CRNA at Duke University Hospital, brings his 20 years of experience and a personal connection to the table, discussing the intricate relationship between anesthesia, surgical stress, and the brain. With the aging population and the rise in surgeries, the question of how these procedures affect our cognitive function is more pressing than ever.

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

Post-op cognitive dysfunction is underreported and has greater incidence than expected.
CRNAs are critical to prevention and optimization as direct care has major impacts (more so than they probably realize).
Post-op cognitive decline might be caused by the surgery and not the anesthesia.
The science behind post-op cognitive decline is expanding rapidly. Inflammation is a key factor and the blood-brain barrier is also key.
Anesthesia has been awesome in improving safety through equipment and work on HARD OUTCOMES; the future of quality for us is in SOFT OUTCOMES.

About our guest: https://anesthesiology.duke.edu/personnel/adam-flowe-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

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Like Mother, Like Daughter: Discover the Unique Bond of a Mother-Daughter CRNA Team

Thu, 18 Apr 2024 00:08:14 -0400

In this heartfelt episode of Beyond The Mask, a story of unique dynamics when working alongside family in the world of anesthesia comes to life. Jeremy and Sharon sit down with a remarkable mother-daughter duo, Melody Secrest and Emily King, both CRNAs, who share their experiences working in the same hospital department. We uncover the challenges and triumphs that come with balancing professional boundaries and personal relationships in the operating room.

Discover how Melody and Emily navigate their careers while supporting each other, and how they've managed to maintain their individual identities as healthcare professionals. Their story is a testament to the strength and resilience of family bonds in the face of demanding careers.

This episode is not just a conversation; it’s a celebration of the ties that bind in the world of anesthesia. Join us for an episode that goes beyond the professional mask to reveal the personal connections that enrich the CRNA community.

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

The journey of transitioning from individual careers to working as a family unit.
Strategies for maintaining professionalism while working with relatives.
The impact of family dynamics on patient care and team interactions.
The importance of forging one's own path and identity within the same profession as a parent.

Emily King: https://www.linkedin.com/in/emily-king-a730a320/

Melody Secrest: https://www.linkedin.com/in/melody-secrest-81947b36/

Johnston Health : https://www.johnstonhealth.org/

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

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Ventilating the Future: CRNAs at the Forefront of Lung Protective Strategies

Tue, 16 Apr 2024 02:01:00 -0400

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

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Will the Fed Stick the Landing? Or Will They Stick Us?

Thu, 11 Apr 2024 01:18:00 -0400

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

Beyond the Clouds: Anesthesia for Cannabis Enthusiasts

Tue, 09 Apr 2024 02:08:00 -0400

The intersection of cannabis use, vaping and anesthesia is a topic that’s sparking conversations in operating rooms and beyond. With marijuana legalization spreading across the globe and vaping gaining popularity, it's crucial for healthcare providers and patients alike to understand how these factors can impact the surgical experience. In this episode, we’ll explore this topic and share the considerations CRNAs need to make when dealing with cannabis users.

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

The science behind how cannabis interacts with our bodies.
The physiological effects of cannabis use.
A breakdown of vaping and what it means for those heading into surgery.
How it impacts the postoperative period.

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 Earliest Nurse Anesthesia Pioneers

Thu, 04 Apr 2024 01:29:00 -0400

Step back in time as we celebrate the trailblazing nurse anesthetists who forged a path for today's CRNAs. In this episode, we’re joined by guests Stacy Yancey, MSNA, CRNA and Megan Conner, PhD, CRNA to pay homage to formidable women like Sophie Winton and Gertrude Gerrard, whose remarkable bravery and dedication earned them medals and a place in history. Hear stories of the first nurse anesthetists, whose contributions to medicine have often been overshadowed by time but are no less significant.

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

Nurses were not only the first to give anesthesia, but were and continue to be the clear experts in anesthesia with an amazing safety record from the beginning of surgical anesthesia until today.
Nurses went to the frontlines to care for soldiers and administer anesthesia, and nurse anesthetists are still the ones on the frontlines.
The stories of these early nurse anesthetists need to be told because history often leaves them out.
Today’s CRNAs should be educated and proud of our nurse anesthesia history and know our profession would not be where it is today without the commitment of these ladies.
It’s exciting to think what the 60,000 plus CRNAs will accomplish in the future going forward for our patients and our profession.

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

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A Groundbreaking Product to Improve Airway Management

Thu, 28 Mar 2024 01:22:00 -0400

Most CRNAs have come up with solutions in the operating room for airway management, but today’s guest took it a step further and developed a product to address issues we face as patient body types change. Roxanne McMurray, DNP, CRNA, APRN, FAANA takes us on her journey from recognizing the urgent need for better tools to inventing a groundbreaking device, the McMurray Enhanced Airway.

As patient demographics shift and sedation practices evolve, Roxanne shares the challenges anesthesia providers encounter and the creative, patient-centric solutions that are emerging. Our discussion unveils how these innovations not only enhance safety and comfort but also reflect the ingenuity that CRNAs bring to the operating table.

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

How she came up with the idea and what it took to make it a reality.
The process for developing and securing a medical patent.
How products are tested to see how long they will last.
Roxanne shares stories and outcomes they’ve experienced so far with the product being used.
How this compares to CPAP devices.

About our guest: https://www.mcmurraymed.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

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Stigma Surrounding Substance Use Disorder in Anesthesia Providers: Are We Part of the Problem?

Thu, 21 Mar 2024 02:01:00 -0400

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

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From Standards to Testimony: The Anatomy of Medical Legal Review

Tue, 19 Mar 2024 02:18:00 -0400

Today we're going to dive into an interesting topic: some medical legal considerations. And we’ll talk a little bit about being an expert witness. We'll cover anesthesia standards created and published by the American Association of Nurse Anesthesiology, and share some of our own experiences acting as expert witnesses in medical legal complaints filed on behalf of patients. Perhaps just as important though, we're going to talk about ways that you can keep yourself out of hot water and keep your patients safe.

It's important that as providers we periodically review the standards by which we're expected to practice. Both for the benefit of our patients and to make sure that we're practicing at the highest levels of anesthesia care every single day.

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

Reviewing the Standards for Nursing Practice from the Professional Practice Manual.
The most common problems that I have seen that have resulted in litigation fall into four main categories.
Who evaluates whether or not the standard of care has been satisfied?
The difference between a deposition and trial testimony and how it impacts you.

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

Health and Wellness for CRNAs and SRNAs

Thu, 14 Mar 2024 02:04:00 -0400

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

Running for Office & CRNA Advocacy with Lee Bias

Thu, 07 Mar 2024 01:41:00 -0500

As the fight for the future of anesthesia continues, having a seat at the table to discuss the issues becomes more and more important. That’s why we’re excited to feature another guest who’s been in the arena. Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA had the opportunity to sit down with Lee Bias, a CRNA with an eye on political office, to talk about the critical role political engagement plays in the anesthesia profession.

Discover how Lee's journey into the political arena underscores the importance of advocacy, highlighting the significant influence politics has on our ability to deliver top-notch anesthesia care, particularly in rural communities.

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

The importance of being proactive as a CRNA and how you can do that close to your home.
There are so many more ways to support a campaign beyond giving money.
Why Lee believes that everything falls into three categories and that’s how you should determine how to direct your energy.
The role PACs play during the campaign process.

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

Automated Bliss: Transforming Anesthesia Care through Artificially Intelligent Drug Delivery

Tue, 05 Mar 2024 16:53:00 -0500

Today's episode explores the revolutionary landscape of automated drug delivery systems in anesthesia. The hosts unravel the intricacies of these technologies, discussing real-world examples and contemplating the integration of adaptive, intelligent computer systems.

So, whether you're a seasoned practitioner or simply curious about the convergence of medicine and technology, this podcast episode serves as an insightful gateway to the forefront of precision anesthesia. Join the conversation and stay informed about the transformative potential of automated drug delivery in anesthesia.

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

An overview of what we mean by automated drug delivery systems.
How is AI influencing how we administer anesthesia, and how does it impact patient outcomes?
Controlling the delicate balance between nociception and antinociception poses unique challenges.
The sophisticated control methods shaping the future of closed-loop systems.

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

IFNA Past, Present & Future: Contributions to Global Anesthesia and Surgical Care

Mon, 26 Feb 2024 15:36:00 -0500

Join us as we celebrate the 34th anniversary of the International Federation of Nurse Anesthetists with past president Sandy Ouellette, CRNA and current president Jackie Rowles, DNP, CRNA, NSPM-C, FAANA.

We travel from the federation's humble beginnings in Lucerne, Switzerland, to its growth into a beacon of progress, setting the stage for the future of international collaboration and standards in nurse anesthesia. We think you’ll enjoy this journey through the evolution of a specialty that has revolutionized the way anesthesia and surgical care are delivered across the world.

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

Steps leading to the foundation of IFNA.

How they developed a governing structure for IFNA and how that has evolved through the years.

What do we know today about the need for nurse anesthetists on the global stage.

The IFNA activities that are focused on advancing quality care.

Details on the United Nations Global Surgery Project that Jackie has been appointed to.

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

Get Gritty With It: How CRNAs Can Reduce Burnout and Achieve Long-Term Goals

Thu, 22 Feb 2024 01:27:00 -0500

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

The Anesthesia Enigma: Decoding Sedation and Cognitive Aftermath

Tue, 20 Feb 2024 08:50:23 -0500

Today, we will closely examine a phenomenon that’s growing in frequency and importance and getting more and more attention in the anesthesia community: postoperative delirium. As our population ages and more and more elderly people are having surgery for more and more procedures, are concerned about postop with delirium and its complications and long-term implications have become more and more critical. So, hang onto your scrub caps, ladies and gentlemen, as we explore postoperative delirium, its antecedents, consequences, and how to reduce its incidence.

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

What delirium looks like and what you can anticipate from patients who are experiencing it.
The characteristics of patients that increase their risk of experiencing delirium.
Some of the precipitating factors that happen around the operating room.
The debate over the impact of depth of anesthesia and the duration of surgery on delirium risk.
Good habits that can reduce the risk of delirium.

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

How to Own or Direct an Ambulatory Surgery Center as a CRNA

Thu, 15 Feb 2024 01:02:00 -0500

Most CRNAs are so focused on the work they do day-to-day that they don’t stop to think about the other opportunities that might exist in the healthcare industry. Today’s guest, Brett Maxfield, MS, CRNA, is here to show us the path to owning or directing an Ambulatory Surgery Center after doing it on his own over the past eight years. We’ll take you through a remarkable journey that begins with organ failure and then uncover the vast career opportunities for CRNAs, spotlighting the importance of adaptability and embracing the diversity of roles that await passionate individuals.

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

How an organ failure at age 32 opened this door for him.
Why you can be the owner of an independent surgical practice.
We’ll share some of the resources that are available to help you get started.
The healthcare landscape is changing dramatically, which makes this option even more
The pandemic opened opportunities for those who are willing to take risks and get out of their comfort zone.
The biggest challenges he’s faced as a director/owner and what he’s learned.

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

Employing an Effective Mentoring Program to Recruit, Retain, & Increase Satisfaction for CRNAs

Thu, 08 Feb 2024 01:51:00 -0500

As CRNAs look for ways to attract and retain good people, mentorship programs might be the key to growing the profession. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, Abby Bisch, DNP, CRNA and Elvira Sayfutdinova, MSN, CRNA join the show to share what they’ve learned about building a successful mentorship program in St. Louis. With personal anecdotes and wisdom, they’ll provide a clear picture of their initiative's success, from easing new hires into a high-pressure setting to fostering enduring professional relationships.

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

How Abby and Elvira got into the profession and became involved in mentorship.
Formal CRNA mentorship programs are underutilized and should be adopted by more anesthesia departments.
The many benefits of a formal CRNA mentorship program and how it improves our profession.
The goal of the program is to ensure newly-hired CRNAs have all the tools & guidance they need to succeed.
The crucial elements you need to include to employ a successful CRNA mentorship program.

Learn more about their mentorship program: https://anesthesiology.wustl.edu/patient-care/crna/crna-mentorship-program/

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

The Remimazolam Revolution: Changing the Anesthetic Game

Tue, 06 Feb 2024 05:00:00 -0500

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

How Our Heart Your Hands is Supporting Nurse Anesthetists in Africa

Thu, 01 Feb 2024 01:02:00 -0500

The Fab Four is back together for a great cause as we shine the light on the Our Hearts Your Hands organization that is supporting nurse anesthesia growth globally. Today we want to share the story of two amazing and incredibly dedicated nurse anesthetists in Uganda who need financial support to earn a degree that will be transformational for them and their community. Learn all about the work Our Hearts Your Hands is doing across Africa and how you can be a part of this mission to raise $10,000 for two deserving nurses.

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

The changes we’ve seen this organization help facilitate in these communities.
The access to quality care is even more important than access to care at all.
The amazing story of two nurse anesthetists who received grants in Uganda to help them continue their education.
What are the best ways to support this charity?
What this would mean for obstetrical care and women’s health in Africa.

About the charity: https://www.ourheartsyourhands.org/

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

Treating PTSD and Considerations for the Healthcare Provider

Thu, 25 Jan 2024 02:00:00 -0500

It’s estimated that more than 31 million Americans have PTSD but we still don’t have a great grasp on how to support and treat those struggling with this. Today we’re going to explore anesthesia’s role in patient care with guest host Angela Mund, DNP, CRNA and Major Randy Cornelius, DNP, MBA, CRNA.

They’ll draw on their personal experience to highlight the unique considerations necessary when administering anesthesia to PTSD patients, from personalized anesthetic plans to the vital utilization of drugs like ketamine and dexmedetomidine. With their guidance, we peel back the layers of empathy and precision required to create a safe and supportive perioperative environment for these patients.

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

How treating someone from the Fort Hood shooting made him aware of PTSD and the difficulty at the time providing medication for it.
What to do and what not to do with treating an individual with PTSD.
The different medications and treatments have been most effective.
Understanding the pathophysiology behind PTSD.
The criteria for being diagnosed with PTSD.

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

The Importance of Creating an ICU RN/CRNA Shadow Program

Thu, 18 Jan 2024 01:01:00 -0500

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

Hematoma or Hemostasis: Anticoagulants’ Influence on Anesthetic Outcomes

Tue, 16 Jan 2024 02:02:00 -0500

Today we want to unravel the intricate relationship between anticoagulants and regional anesthesia. Join Garry and Terry as they navigate through the delicate balance of benefits and risks associated with these practices. We’ll dive into the world of anticoagulation reversal agents, discussing FDA-approved options such as Idarucizumab and Andexanet.

So join Garry and Terry as they navigate the complexities of anticoagulants and regional anesthesia, emphasizing the critical role guidelines play in ensuring patient safety in the ever-evolving landscape of anesthetic practices.

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

The evolving perspectives on NSAIDs, COX-2 inhibitors, and aspirin, emphasizing recent data that challenges initial concerns about spinal hematomas.
Neuraxial anesthesia, celebrated for positive outcomes, brings its own set of risks, notably bleeding and hematoma formation.
Heparin administration, both subcutaneous and intraoperative, prompts nuanced considerations, ensuring safety in the neuraxial procedure.
Insights into thrombolytic therapy, urging caution due to limited clinical data.

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

Engaging the Late Career CRNA with Cindy Farina

Thu, 11 Jan 2024 01:43:00 -0500

Examples of ageism can be found in just about any profession but is this something that CRNAs should be concerned about? This episode, with the help of co-host Jackie Rowles, MBA, CRNA, ANP-BC, FAAN and guest Cindy Farina, DNP, CRNA explores how the cultural fixations on youth can not only undermine job satisfaction but can also nudge experienced CRNAs towards premature retirement. We also want to recognize the relevance of late career CRNAs, their contributions to the nurse anesthesiology profession, and the potential challenges they face.

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

What made Cindy become more aware of ageism in the workplace.

The value of late-career CRNAs and their contributions to the profession.

The factors that drive CRNAs to continue working or make the decision to retire.

The strategies for keeping CRNAs in the workforce.

What can late-career CRNAs do to maintain career satisfaction.

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

Captain, We Have a Problem! Medical Emergencies at 30,000 Feet

Thu, 04 Jan 2024 01:12:00 -0500

Imagine being woken up in the middle of a transatlantic flight by a flight attendant asking for your assistance in a medical emergency. That’s the situation today’s guest, Dr. Erin Foley, found herself in recently. Find out how she navigated the tense situation and what she learned about these types of incidents that happen far more often than we hear about.

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

The medical emergency that she responded to while flying to Europe for the IFNA Conference.
The unexpected discovery she made in the stool sample cup.
What she found researching these types of incidents and what she found about altitude sickness.
What medical equipment do they keep on the plane?
Why you might want to reconsider asking for reimbursement for helping on a flight.

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

Unmasking PTSD: A Candid Conversation with Jim Reed, a Special Operations CRNA

Tue, 02 Jan 2024 01:02:00 -0500

In this episode, we’re excited to welcome in LTC(ret) Jim Reed, DNP, MSNA, CRNA to shed some light on diversion and substance use disorder. They begin by discussing Jim's current activities and then delve into his background, starting with his early life in the sunny southwest. Jim shares his journey from growing up in Arizona, joining the military, and becoming an enlisted man in the Army.

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

The decision to pursue anesthesia school.
Immersion and stress in military medicine.
His experiences as a special operations CRNA.
The transition from military to civilian life.
The AANA’s role in supporting healthcare providers.
Supporting veterans and confronting destructive behaviors.

About our guest: https://www.nursing.arizona.edu/jrreed1

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 Future of Anesthesia Heading Into 2024

Thu, 28 Dec 2023 02:00:00 -0500

We’re closing out the year with what’s becoming an annual conversation on the podcast. Today we’ve invited back NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, to update the state of the profession and discuss what’s to come for CRNAs in the year ahead. From business strategy shifts to workforce development to Surprise Billing, we’ll cover some of the top issues impacting anesthesia and CRNAs heading into 2024.

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

A high-level look at what’s happening in the anesthesia business sector.
The status of CRNA supply shortage.
What’s going on with private equity-supported firms.
The impact of Surprise Billing rule implementation.
What’s going on with hospitals today?

Resources for this episode:

Predictions from 2022: https://beyondthemaskpodcast.com/3928-2/3928/

Predictions from 2020: https://beyondthemaskpodcast.com/ep-77-10-predictions-for-the-next-year-from-aana-ceo-randy-moore-dnp-mba-crna/2516/

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

A CRNA’s Move to State Politics After Four Decades in Healthcare

Thu, 21 Dec 2023 01:28:00 -0500

Sometimes opportunities arise where you least expect them and that’s the situation Keith Denning, CRNA found himself in last year when he became a member of the Connecticut House of Representatives. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will learn all about his journey from the operating room to an important position in state politics. It might not have been his intention, but Keith is trying to take full advantage of his opportunity to make a positive impact.

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

Why he made the move to politics after a long career as a CRNA.
How to find the information you need about your state when you run.
The story of how he didn’t meet pushback until he got to the legislature and introduced a bill.
The push for full practice authority in Connecticut.
What he’s learned about politics and how to get a bill passed.
Which CRNA skills best translate to political positions?

About our guest: https://www.housedems.ct.gov/Denning

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

From Struggle to Strength: A CRNA’s Journey Through Diversion and Recovery

Tue, 19 Dec 2023 02:01:00 -0500

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

Doctoral Project Review: Non-Cognitive Needs Assessment for Nurse Anesthesia Candidates

Thu, 14 Dec 2023 02:02:00 -0500

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

Lessons Learned from a CRNA Campaign for PA State Senate

Thu, 07 Dec 2023 02:24:00 -0500

We learned years ago that failing doesn’t mean you are a loser, it means you are a learner. Today’s guest unsuccessfully ran for office but that experience provided plenty of opportunities to learn and grow. Matt McCullough, CRNA shares those lessons learned during his campaign for the Pennsylvania State Senate in 2022 and why he has no regrets about pursuing change in his state.

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

How a conversation around a table at home made him pursue a spot in the PA State Senate.
Why he feels nurses are the perfect candidate to serve in politics.
What are the steps you have to take to get a campaign started?
Why he wishes he would have started sooner to build relationships and meet more people.
Understanding the demographics of your district before you run.
The advice he’d give CRNAs that are thinking about running.

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

From Crisis to Recovery: Anesthesia Professionals’ Journey with PTSD & SUD

Tue, 05 Dec 2023 01:43:00 -0500

Today, we embark on a journey into the heart of some very challenging and critical issues within the anesthesia profession. Our goal is to shed light on the often-overlooked topics of "Second Victim Anesthesia Providers," the clandestine world of "Diversion of Controlled Substances," and the poignant struggle against "Substance Use Disorders."

While today's episode may be somber at times, it is a testament to the importance of addressing these issues. We hope that by shedding light on these topics, we can contribute to the understanding and support of our anesthesia providers.

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

The stress related to critical incidents can overwhelm even the most resilient individuals.
Equipping yourself with the tools necessary to handle these unexpected challenges.
The different stages of intervention.
The briefing-debriefing model and how it’s used.
Why it’s important for providers to feel comfortable with disclosure.
PTSD and its implications for CRNAs.
We explore the signs and behaviors associated with Substance Use Disorder.

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 Legacy of Florence McQuillen, the AANA’s First Executive Director

Thu, 30 Nov 2023 01:52:00 -0500

Our historical series continues today with a detailed look back on the life and career of Florence ‘Mack’ McQuillen, the first executive director of the AANA and someone who held the position for nearly a quarter century. We’re excited to have Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to tell us about how she helped shape the association and why she was considered by some to be a ‘benevolent dictator.

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

How she became the first executive director of the AANA.
Her notable achievements during her 22 years in the role.
A first-hand account of meeting held for mandatory continuing education.
Developing a relationship with the ASA.
Why she considered a ‘benevolent dictator’ by many people.
Her awards and AANA recognitions earned.

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

Nurturing Knowledge with Thanks

Thu, 23 Nov 2023 02:03:00 -0500

As we celebrate another Thanksgiving, we want to show our appreciation for an organization that does so much for CRNAs. Many people don’t know about the AANA Foundation’s purpose and why it’s important to individual CRNAs working in the OR, but they play a critical role in supporting and growing the profession. Today we’ll spend time with Executive Director Nat Carmichael and Treasurer Mike Anderson, DNP, CRNA to learn more about the best kept secret in our profession.

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

The purpose of the Foundation and how they support research and education.
Why it’s so important to have this research to support CRNAs.
The different ways that you can give to the Foundation, from online donations
Learn more about the Friends for Life program and why it’s a valuable commitment to the profession.
The ways you can leave money to the Foundation as part of your estate plan.
The other ways you can contribute to the Foundation besides monetary contributions, including opportunities for students.

Learn more about the AANA Foundation: https://www.aana.com/aana-foundation/

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

The Block Stops Here: A Deep Dive into Neuromuscular Blockades

Tue, 21 Nov 2023 02:50:00 -0500

In this episode of Anesthesia Alchemy, Garry and Terry briefly discuss the history, physiology, and pharmacology of using non-depolarizing neuromuscular blocking drugs as anesthesia adjuncts. They focus on the pitfalls of administrating these agents to surgical patients and the problems associated with residual neuromuscular blockade in the post-anesthesia care unit.

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

What are cyclodextrins and why are they useful?
Understanding the essentials of neuromuscular transmission.
What some of the newer intermediate-acting neuromuscular drugs do and how they work.
How the treatment has changed through the years.
Monitoring recovery from neuromuscular blockade.
Running through the eight recommendations that were published.

Visit us online and get show references 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

Advocacy in Nurse Anesthesiology Training with Dr. Kristie Hoch

Thu, 16 Nov 2023 02:01:00 -0500

We pose the question to guests all the time about how to get more CRNAs involved on the advocacy side of the profession, but today’s guest is taking a hands-on approach to instilling that mindset at the educational level. Dr. Kristie Hoch has taken her passion for advocacy and applied it to the nurse anesthesiology program at the University of Arizona. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will hear all about her training process and why she thinks this leadership training will pay off in all aspects of their careers.

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

Why she thinks we should call our students residents.
Where her passion and fire for getting involved began.
When she starts incorporating leadership and advocacy into her students’ training?
CRNAs are already leaders by making it through school and being a part of this profession.

About our guest: https://www.nursing.arizona.edu/kristiehoch

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

The different ways they integrate this training.

Who has inspired her the most through her career?

A Movement to Enhance Obstetric Anesthesia with Suzie Newell

Thu, 09 Nov 2023 02:03:00 -0500

Today we’re joined by Suzie Newell, DNP, CRNA, FAANA once again, but this time we will focus on an area of anesthesia that has become outdated: obstetrics. Behind her passion for this area of anesthesia, Suzie helped create the Society for Obstetric Nurse Anesthesia and Research (SONAR) to fill a void for people that had practical solutions to problems she was seeing in the field. Find out how this organization came to be, what it hopes to accomplish, and how you can get involved.

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

Why she felt so many places were outdated and out of touch in this area.
How this organization was formed in 2020 and who all is involved in leadership roles.
What are the long term goals for SONAR?
The lofty goals for their first project that Suzie is spearheading.
How others who have a passion for obstetrics can get involved.

Revisit our past episode with Suzie where we discuss her book: https://beyondthemaskpodcast.com/ep-190-using-neuroscience-for-daily-direction-and-coping-mechanisms/3827/

Learn more about SONAR: https://www.sonar-ob.org/

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

The Glucagon-Like Podcast: Navigating GLP-1 Receptor Agonists in Anesthesia

Tue, 07 Nov 2023 02:00:00 -0500

Terry and Garry dive into the fascinating world of GLP-1 receptor agonists, those tiny molecules that can be both a blessing and a potential risk factor when it comes to anesthesia. In this episode, we're going embark on a journey through the world of diabetes management, how it intersects with the realm of anesthesia and what the implications are for providers in the operating room.

And in the perioperative period, we're going to shine a spotlight on these new agents, explore their effects, and we're going to discuss the challenges they present to our CRNA colleagues.

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

How SGLT2 inhibitors help with diabetes management.
The basics of the GLP-1 receptor agonists.
Examples of GLP-1 receptor agonists on the market today.
Anesthesia considerations that need to be addressed.
Unpacking Cyclopentenophenanthrene.
Looking at the study: Characteristics and outcomes of patients hospitalized following a pulmonary aspiration.

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

Strengthening the Future of CRNAs Through Mentorship with Richard Wilson

Thu, 02 Nov 2023 02:02:00 -0400

How do we make the next generation of CRNAs better than the previous generation? This is the question that led today’s guest, Richard Wilson, DNAP, CRNA, to get involved in education and provide leadership training mentorship for the next group of CRNAs so they have the ability to take the profession to another level.

Join us today as we talk about the importance of mentorship, how to be a successful mentor, and what benefits it provides our industry when we have stronger applicants.

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

The people who mentored Richard and inspired him to do the same for other students.
Two instances that have stuck with him and motivated him in his career.
How positive experiences are huge right now and can change the trajectory of someone’s life and career.
The differences between mentoring and teaching.
The keys to being a good mentor and providing a positive mentorship experience.
The qualities you need to possess to be a good mentor and to be mentored.
How to find a mentor if you’re a student that wants to seek this out?

About our guest: https://crnaschoolprepacademy.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

Dr. Jorge Valdés - The Trifecta of a School Nurse Dean

Thu, 26 Oct 2023 02:33:00 -0400

We’re excited to get the opportunity to sit down with someone who holds an incredibly unique position in our industry. Jorge Valdés, DNP, CRNA, APRN, FAANA, is the rare trifecta of a male nurse, minority and a CRNA in the dean’s chair at Florida International University.

His rise from starting as a CRNA 21 years ago to becoming the head of a nursing school was not the path he anticipated, but Dr. Valdés has fully embraced the opportunity to impact nursing education and be a tremendous advocate for the profession. Join us as we learn more about his journey, his view on the future of healthcare, and the important role educators play in our profession.

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

What challenges are facing CRNA educators right now?
The best place to start if you’re considering education is to be a preceptor.
The path from being a CRNA to becoming an active dean.
What does he see for the future of the profession?
The role he’s played in advocacy in Florida.

About our guest: https://cnhs.fiu.edu/about/faculty-staff/profiles/jvalde.html

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

A-OK for Amniotic Fluid Embolism

Tue, 24 Oct 2023 02:02:00 -0400

An amniotic fluid embolism (AFE) remains one of the most devastating conditions in obstetric practice. In today’s episode, Sass and Jeremy review the pathophysiology, signs and symptoms, and management of this rare, but lethal condition. Included in the management of an AFE is the administration of a trio of medications known as A-OK (Atropine, Ondansetron, and Ketorolac). If you want to brush up on current management techniques for an AFE, hit play…because it’s go time!

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

An example of this happening recently where Jeremy works.

How the body reacts when an amniotic fluid embolism occurs.

Who is most at risk for developing AFE?

Signs and symptoms to pay attention to.

The treatment and management of a patient suffering from AFE.

What is the AOK treatment?

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

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

First Advanced Practice Nurse in the NC Legislature Speaks Out

Thu, 19 Oct 2023 02:25:00 -0400

You’ll be hard-pressed to find a nurse who’s impacted her state like our guest today has done in North Carolina. Gale Adcock is serving her term in the NC Senate after eight years in the NC House and seven years on her local town council. Those 16 years in office have given her a seat at the table and she’s used it to provide nurses across the state with an advocate to speak on their behalf. Today we’re sharing our conversation with her from the NCANA Meeting, where she was also surprised with two well-deserved honors.

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

Senator Adcock finds out she has been awarded the Legislator of the Year Award by the NCANA and named an honorary member of the NCANA.
Her four-decade background in nursing and how she got into politics.
Why she feels nurses have the makeup and the background to be great leaders and elected officials.
How to properly communicate with your local representative in a way they’ll pay attention and take notice.
The status of the SAVE Act and why it hasn’t passed yet.
How can CRNAs become more comfortable in the advocacy arena.
What can you do to affect other elections that would be helpful to you as a CRNA?

About our guest: https://www.ncleg.gov/Members/Biography/s/436

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

Influence in Anesthesia with Kevin Smith, CRNA

Thu, 12 Oct 2023 05:01:00 -0400

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

Crisis Management on Demand

Tue, 10 Oct 2023 02:30:00 -0400

This is a super fun episode where we welcome Mark Gabot, DNP, CRNA, FAANA on the show as a cohost. Mark and Jeremy presented at the 2023 AANA Annual Congress in Seattle and recorded this episode at the same time.

Jeremy and Mark talk about how we think during a crisis, the unconscious biases that exist and they focus on a cognitive template for crisis management that can help formulate a working diagnosis of the perioperative problem, and then zero in on appropriate management.

They also have some fun with some guests in the audience and invite them up on stage to talk more about their areas of expertise. Jeremy and Mark first invite one of the authors of the published Cognitive Template article (Lisa Osborne-Smith, PhD, CRNA, FAANA) up on stage to talk more about the utilization of the template. They next invite the Cormac O’Sullivan, PhD, CRNA, ARBP, FAANA to talk about simulated crises at the AANA Annual Congress. Finally, they invite both Sharon Pearce, DNP, CRNA, FAANA and Jeremy Stanley, EA, CFP®, AIF® up on stage to talk about the origins of the Beyond the Mask Podcast.

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

How we develop our own mental model of what to follow in terms of treating a patient.
The two modes of thinking when we make rapid decisions.
The research on cognitive errors and biases.
Background on the cognitive template article from Oregon Health & Science University.
Simulation training with Dr. Cormac O’Sullivan.
Background on the Beyond the Mask Podcast and how it got started.

For more on the cognitive template, check out this earlier episode where we go deeper into the topic: https://beyondthemaskpodcast.com/managing-perioperative-crises-with-a-cognitive-template/4242/

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

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

CRNA Financial Planning: Navigating Finances in Marriage

Thu, 05 Oct 2023 05:01:00 -0400

Today we’re going to turn our attention back to the financial side of our CRNA discussions and focus on the issues that can creep into a marriage when it comes to money. That’s something many couples will argue over so we want to make sure you’re addressing the minefields that might test any marriage.

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

Why it’s important for you to know how your partner feels about money before you get married.
Figuring out whether you should combine finances, keep them completely separate, or do some combination of the two.
Determining what your priorities are for life and your career and focusing on how your finances play into that.
Being on the same page about debt.
Should you consider a prenup before marriage?
The steps you need to take with an estate plan after you get married.

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

What We Gain When We Sacrifice with Yana Krmic, CRNA

Thu, 28 Sep 2023 01:00:00 -0400

Sacrifice is part of the job when you’re a nurse. We all understand that comes with the territory. But there’s an even greater level of sacrifice for those who try to be advocates and leaders within the profession.

Today we’re joined a gain by guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Yana Krmic, MSN, CRNA, APRN to discuss the obstacles we’ve all faced throughout our careers. We explore what it means to be a leader in a challenging profession, the personal experiences that define our career trajectories, and the value of finding purpose in the work we do.

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

Her journey from the Soviet Union to the United States in 1997.
Yana’s pathway to leadership and the obstacles she faced as she tried advance her career.
The five step process in becoming an advocate.
Leaders aren’t always rewarded in our profession and it means we make sacrifices.
What causes some CRNAs to be unsupportive of others in the profession.
The things from the work we did during COVID.
Would Yana have done things differently if she could go back?

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

Q&A for the CPCA

Wed, 27 Sep 2023 15:44:58 -0400

We all have the current requirement to take the CPC Assessment for recertification, and many of our colleagues are asking us “How can I prepare?”.

In an effort to help get our CRNA nation in the mode of answering questions… Jeremy and Sass are going to start doing occasional question and answer episodes.

In this episode they go over respiratory and cardiac physiology questions. This will bring you right back to CRNA school (for better or worse), so have fun!

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

A review of Hypoxic Pulmonary Vasoconstriction
When increased, which factor increases myocardial oxygen consumption to the greatest degree?
Which factors cause a leftward shift in the oxyhemoglobin dissociation curve?
Which vascular response occurs during hypotension?
Which inspiratory muscles are involved with a supplemental inspiratory effect during times of respiratory distress?
Which cardiac responses are associated with bradycardia?

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

Fighting for Inclusivity: How a CRNA Changed Her Community with Maureen McCartney Anderson

Thu, 21 Sep 2023 02:00:00 -0400

Our guest today has quite the story to tell about advocacy but it’s not the same advocacy we normally discuss on the show. Maureen McCartney Anderson, CRNA has been in-volved with her state association in New Jersey for a number of years and was on the path of advocating for professional rights, but that changed dramatically when her baby was born with handicaps. Now she’s pouring much of her energy into advocating for the special needs children’s population and making a difference in her community with the help of other CRNAs.

She realized quickly that some children were being left behind at the playground because they lacked inclusive options for children and adults of all abilities. So she took on the task of advocating for an inclusive playground in her local community of Mansquan, New Jersey. In doing so, they developed a charity called Friends of Manasquan Parks and Recreation to help expand the mission and vision they had for recreation initiatives.

Things really took off when the group ‘CRNA Moms’ got involved and the two-year project was officially completed in December 2022. Today we’ll learn more about Maureen’s advocacy efforts and how the CRNA community rallied around a wonderful cause.

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

The story of how this mission became a top priority for her after her son were born.
How she’s helped educate people on the need for inclusivity.
The back-and-forth efforts they went through on design and why they cared so much about making it fun for everyone.
The incredible support she received from the CRNA community after reaching out to the CRNA Moms Facebook group.
The different fundraising efforts they took on to raise money for this $900,000 project.
What’s next for Maureen and the charity?

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

Discovering the Healing Power of Battlefield Acupuncture with Angel Jaap, CRNA

Thu, 14 Sep 2023 01:00:00 -0400

Battlefield Acupuncture (BFA) is rapidly gaining recognition for its effectiveness in alleviating acute and chronic pain, as well as anxiety. When we heard Angel Jaap, CRNA speak about this at the AANA Spring Symposium, we wanted to bring her on to learn more about this alternative therapy. You’ll understand why she wants more nurses to learn this protocol after you hear some of the applications and success stories she shares today.

For those that aren’t familiar with BFA, patients undergo insertion of five auricular semi-permanent (ASP) needles to the following traditional ear acupuncture points bilaterally: Cingulate Gyrus, Thalamus, Omega 2, Point Zero and Shenmen. Angel learned about this over the past few years and has instituted a Pilot program through Whole Health within VISN 4 which allows RNs to perform BFA for veterans thereby increasing veterans access to this safe, effective pain management therapy.

You’ll learn more about that and have a much better understanding of BFA after listening to our conversation during our trip to Hershey, Pennsylvania.

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

How therapeutic touch works and why it makes you feel the way it does.
How BFA was developed and why the VA began incorporating this into patient care.
What does a day at work look like for Angel?
Angel shares a wonderful success story about treating a veteran and PTSD.
The smaller needles used in BFA have been effective for people scared of needles.

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

PCN Allergy…Why Not Give Ancef?

Tue, 12 Sep 2023 02:38:00 -0400

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

Crafting Your Elevator Speech for Professional Confidence with Julie Gauderman, CRNA

Thu, 07 Sep 2023 05:01:00 -0400

Have you ever been caught off guard when asked to explain who you are or what’s important to you? That's a conundrum our guest Julie Gauderman, MS, DNAP, APRN, CNRA is here to help you navigate. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we dive into the concept of an elevator speech, how to craft it, and why it’s an effective way to confidently represent your profession and control your narrative.

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

Her story about meeting comedian Jim Gaffigan and how it shows the importance of having that elevator speech ready.
The role the elevator speech plays for CRNA in professional settings.
Having this prepared can give you confidence and allow you to control the narrative.
Is there a bad time for an elevator speech?
What do you need to include in your elevator speech and do you need different ones for various situations.
Times when elevator speeches didn’t go the way we intended.
Where to start if you’re uncomfortable putting an elevator speech together.

About our guest: https://www.linkedin.com/in/julie-gauderman-b6286182

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

Courage to Lead: 2010-11 AANA President Paul Santoro, CRNA, MS

Thu, 31 Aug 2023 02:01:00 -0400

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

AANA Launches Rm8 Initiative to Support CRNAs & Healthcare Innovation

Thu, 24 Aug 2023 02:02:00 -0400

Earlier this week, the AANA presented a new initiative called Rm8 to members in a business meeting with Bill Bruce. As you can imagine, there are a lot of questions so we wanted to go to the source and get as many answers as we could for you.

Board members Tracy Young, CRNA, MBA and Jeff Molter, MSN, MBA, CRNA sat down with us at the AANA Annual Congress in Seattle to explain the new innovation lab and what they hope it provides CRNAs around the country.

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

How this will help diversify the revenue streams for the AANA while also providing financial support for CRNAs.
The name is a nod to the formation of the AANA.
They break down the different steps of the process to find people and businesses to partner with.
How they believe this will help the AANA ramp up advocacy efforts.
How does the investment process work and where is the capital coming from?
Details on the businesses they’re testing right now.

Learn more about Rm8: https://www.rm8lab.com/

About our guest:

https://myblockbuddy.com/instructors/jeffrey-molter-crna-msn-mbs/

https://www.linkedin.com/in/tracy-young-158126200/

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

Video-Laryngoscopy Including Flexible Intubation (VIFI)

Tue, 22 Aug 2023 05:02:00 -0400

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

Doctoral Project Review – Peripheral Nerve Catheter Insertion

Thu, 17 Aug 2023 02:06:00 -0400

Today we welcome in two more guests as part of our doctoral series, and we're looking forward to talking with Annie Brademeyer, CRNA and Amanda Janssen, CRNA about their recent study: “Does inserting peripheral nerve catheters over the needle decrease leaking from its insertion site?” Join us as we review their work and find out what they learned about a surprisingly controversial topic.

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

What are some of the problems that are encountered by clinicians who place these peripheral nerve catheters?
The different insertion method of over the needle and through it, and what impact that has on leaking.
The challenges they faced in doing this study.
What they found out about pain scores.
Why they need more randomized controls to get more clarity on the topic.
The need for these continuous peripheral nerve catheters moving forward.

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

Perioperative Cannabis Implications for Anesthesia Providers with Dr. Daniel King

Thu, 10 Aug 2023 02:02:00 -0400

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

Demystifying Awake Intubation

Tue, 08 Aug 2023 03:01:00 -0400

Awake tracheal intubation is a procedure that many of us rarely perform. In this episode, Jeremy and Sass focus on the indications for awake intubation.

They talk about the 2022 ASA Difficult Airway Algorithm portion that focuses on awake intubation, as well as the process and considerations for performing it. Take a listen and help demystify this infrequent (but important) airway management technique.

Also, if you are planning to attend the AANA Annual Congress in Seattle on August 20, consider stopping by Jeremy’s lecture on “Topical Thunder: An Awake Intubation Technique That Works” and see him use the technique on stage to intubate himself.

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

What is an awake intubation and why would you use this procedure?
The overall incidence of awake intubation is actually pretty low.
The history of the ASA algorithm and what it says along with the other algorithms out there.
What was updated in the 2022 ASA difficult airway algorithm.
So when should this procedure actually be considered?
The techniques used during an awake intubation.

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

Lessons Learned in the State Legislature with Taylor Rehfeldt, CRNA, and Sydney Davis, CRNA

Thu, 03 Aug 2023 02:02:00 -0400

We’re back with another great interview from our trip to the mid-year assembly in Washington D.C. as Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA got to sit down with Taylor Rehfeldt, CRNA, and Sydney Davis, CRNA. You might remember them from episode 111, and we have been excited to catch back up with these two state representatives to find out what they’ve learned about advocacy and politics by being on the other side of the table.

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

How Taylor ended up in this new role as assistant Majority Leader in the House of Representatives.
What pushed them to run after they both got exposed to the legislature through involvement with the state association and the leadership there.
The big differences they’ve found from being on the other side of the advocacy push, especially as it relates to campaign finances.
You can make a difference in someone’s campaign by donating your time or talents.
Tips for helping CRNAs get bills passed after they’ve seen how much time and effort goes into getting a bill passed.
Both women share a few of the lessons they’ve learned over these past 2+ years in office.

Check out their first appearance on the podcast here:

https://beyondthemaskpodcast.com/ep-111-finally-two-south-dakota-crnas-elected-to-state-legislatures/2769/

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

About our guest:

https://www.taylorrehfeldt.com/

https://www.votesydneydavis.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

The Cartelization of Heathcare: The Alarming Statistics Behind Healthcare Profits

Thu, 27 Jul 2023 02:03:00 -0400

The healthcare industry is at a crossroads financially as Americans struggle to cover medical costs and profits soar following the COVID pandemic. The push for change is getting louder every day, and one of the strongest voices is coming from North Carolina State Treasurer Dale Folwell.

He describes the issue as ‘the cartelization of healthcare’ and has outlined four significant changes that he wants to see happen. Find out what those are and listen as we highlight some alarming financial statistics.

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

Background on why he uses the word cartel to describe healthcare. 2:35
The 3 things that he wants to accomplish as Treasurer. 5:45
Stats that show the significant financial toll healthcare costs takes on Americans. 8:22
Hospital profits during COVID. 11:19
The vast discrepancy in wage increases between frontline workers and executives. 21:28
His support for nurse anesthetists through the years. 23:53
CEOs motivated to put the profits over the patients. 28:23
What would legislative action look like to enact changes in the healthcare industry? 32:15

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

About our guest: https://kristenziman.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

We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.'

We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time.

Cast your vote here: https://www.podcastawards.com/

“Cric It While It’s Hot” - Surgical Cricothyrotomy

Tue, 25 Jul 2023 02:02:00 -0400

Cricothyrotomy is what’s known as a High Acuity Low Occurrence (HALO) procedure. Meaning anesthesia providers do not often perform this procedure, but when the clinical situation calls for a cricothyrotomy…it can be extremely stressful!

In this episode, Jeremy reviews the anatomy of the larynx, talks about preparation for the procedure itself, and then goes over a surgical cricothyrotomy technique called the Bougie-Assisted Cricothyrotomy (otherwise known as Scalpel-Finger-Bougie).

This is certainly one episode you will not want to miss!

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

A last-ditch effort to provide life-saving ventilation. 4:11
Reviewing the anatomy first. 7:25
Identifying the cricothyroid membrane. 12:27
The potential hardest part of the procedure. 14:26
Walking through the surgical cricothyrotomy technique. 15:51
Things to keep in mind if you’re ever doing this procedure. 23:34

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

Cast your vote here: https://www.podcastawards.com/

The Incomplete CRNA Financial Plan

Thu, 20 Jul 2023 01:02:00 -0400

Cast your vote here: https://www.podcastawards.com/

Most of the financial conversations we’ve had on the podcast recently have been geared toward retirees, but today we want to focus on the financial planning process. So whether you’re a new graduate or a CRNA with over 20 years of experience, we want to share some planning things that everyone needs to make sure aren’t left incomplete.

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

Why you might have too much cash in the bank. 4:01
Why you should keep 3-6 months of expenses in an emergency fund. 7:48
The reasons you need disability insurance and life insurance. 10:56
Budgeting and tracking your cash flow. 19:33
The technique we use to help people pay off debt. 22:55
Why you need to be planning for higher taxes in the future. 30:40
How to prepare for medical costs that are increasing faster than inflation. 32:46

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

Learn more about CRNA Financial Planning: http://crnafinancialplanning.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

CRNAs and Law Enforcement: The Parallels of Managing Pain and Having Compassion

Thu, 13 Jul 2023 01:01:00 -0400

Cast your vote here: https://www.podcastawards.com/

Today we’re excited to bring on two special guests for a compelling conversation. Sharon convinced her husband, Mike, to be a guest co-host on the show while visiting the mid-year assembly in Washington D.C, and they are joined by former Chief of the Aurora (Illinois) Police Department Kristen Ziman.

She wrote a book about her experiences – good and bad – in the law enforcement profession and the leadership lessons she learned. You’ll be surprised by how many parallels there are between her career and the careers of CRNAs and this episode will have some powerful messages to share.

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

A little background on her experience in law enforcement that led to her writing a book and becoming a speaker. 4:11
What she feels are the core tenets of leadership. 8:16
Finding your purpose each day to make yourself feel proud. 13:16
How to become a disruptor in your profession to help improve the culture. 16:13
Why it’s important to allow members of your team to be vulnerable. 23:21
The three things that drive human performance. 30:23
The greatest freedom we have is to choose the way we respond to a specific stimulus. 35:20
The importance of surrounding yourself with a ‘personal board of directors.’ 43:33

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

About our guest: https://kristenziman.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

Topical Thunder: An Awake Intubation Technique That Works

Tue, 11 Jul 2023 01:02:00 -0400

Even though awake intubations are rare, this procedure is still relevant. In fact, this is an anesthesia airway management technique that continues to be recommended for known difficult airways in every single difficult airway algorithm.

In this episode, Jeremy and Sass talk about a specific technique for anesthetizing the airway they call “TOPICAL THUNDER” in preparation for an awake intubation. This is cutting edge, tip of the spear stuff that you won’t want to miss.

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

Reviewing the target nerves that innervate the airway. 3:55
Equipment you’ll need for this. 7:44
Reasons why we don’t like to use nebulized lidocaine. 9:39
Important patient prep to consider. 10:40
The different type of injection nerve blocks. 12:58
What forms of lidocaine will you need? 18:07
The potential for lidocaine toxicity. 25:07

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

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

A Conversation with AANA Daniel D. Vigness FPD Award Winner Kris Rohde

Thu, 06 Jul 2023 01:02:00 -0400

Today we bring you another wonderful conversation from our trip to the mid-year assembly in Washington D.C. Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA were on hand when Kris Rohde, CRNA received the AANA’s Daniel D. Vigness Federal Political Director Award. Afterward, we invited her to join the show to hear her story, talk about the role the FPD plays in each state, and share why the sacrifice has been well worth it.

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

The role the Federal Political Director plays. 4:37
How she ended up in the role of FPD in Nebraska. 8:49
The role mentoring played in her career and helped her grow. 11:40
The importance of relationships with lobbyists. 17:25
Her legislative work with people in DC. 27:22
Has the sacrifices she’s had to make been worth it? 29:52
The message she’d share with other FPDs or rising FPDs who want to be successful. 35:27

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

About our guest: https://www.aana.com/news/kris-rohde-receives-aanas-daniel-d-vigness-federal-political-director-award/

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

How Does the AANA Attract More Young Members? Let’s Ask Two Students

Thu, 29 Jun 2023 05:02:00 -0400

During our trip to the mid-year assembly recently, Sharon and Tracy Castleman, CRNA were having a conversation about declining student membership at the AANA when they met Haley Johnson and Kelby Stanko, who are both students at Saint Vincent College Excela Health School of Nurse Anesthesia.

We decided to spend time with both of these bright, young ladies to learn more about their experience attending this AANA event, being part of the mentorship program, and how they plan to help spread that positive message with other students.

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

What they’ve learned at the assembly and what’s been their reaction to what they’ve experienced. 3:19
The students explain how they didn’t get the value of the AANA until attending the assembly. 8:57
How they’ll share what they’ve learned on the trip with their classmates? 12:54
The story behind the mentorship program and Haley’s experience with it so far. 17:11
The students leave us with a final message. 29:59

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

Awake Flexible Intubation: The Down & Dirty

Tue, 27 Jun 2023 05:00:00 -0400

In today’s episode Jeremy & Sass talk about the flexible intubation technique and some troubleshooting tips that may help you while placing an ETT in an awake patient using the flexible intubation scope. Previously known as “fiberoptic intubation”, this is an infrequent anesthesia technique that is still pertinent today!

Also, if you are attending the AANA annual congress in Seattle in August, you can sign up to practice the flexible intubation technique with Jeremy in the Airway Simulation Lab. Details are on the AANA Annual Congress sign-up page: https://www.aana.com/meetings/aana-annual-congress

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

A little history related to fiber optic intubation. 3:55
Why it’s tougher to perform when a patient is under general anesthesia rather than awake. 6:26
Indications and contraindications of an awake intubation procedure. 7:45
Setup process and equipment needed. 10:21
Running through the patient preparation checklist. 14:38
The hand and wrist movements you need to use during the procedure. 18:35
Similarities and differences in oral intubation and nasal intubation. 21:52
Troubleshooting techniques to utilize if needed. 24:49

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

Early Anesthesia: Dagmar Nelson and Nurse Anesthesia After the Trial (Part 2)

Thu, 22 Jun 2023 05:02:00 -0400

In part two, we'll go on an exploration to uncover the untold chapters of Dagmar’s post trial years and witness how her victory reshaped the landscape of nurse anesthesia, breaking down barriers and paving the way for countless nurse anesthetists who followed in her footsteps. Join us as we delve into part two of our conversation about Dagmar Nelson with show historians Nancy and Sandy.

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

What happened to the profession right after the trial? 1:58
What happened to Dagmar Nelson after the trial? 9:22
Hunt’s murder in 1943 and her death 15 years later. 11:52
What her legacy and that trial means today for anesthesia. 17:35
How anesthesia has changed and what has stayed the same. 20:13
The battle over money and control in the industry. 29:08
Hope for the future of anesthetists. 33:35

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

Early Anesthesia: The Life and Trial of Dagmar Nelson (Part 1)

Thu, 15 Jun 2023 05:24:00 -0400

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

Managing Perioperative Crises With a Cognitive Template

Tue, 13 Jun 2023 05:02:00 -0400

In this episode, Jeremy and Sass review the high points of an article published in the April 2023 AANA Journal by Barry Swerdlow, MD and Lisa Osborne-Smith, PhD, CRNA titled “A Cognitive Template for Management of Perioperative Adverse Events”. This is an episode you won’t want to miss!

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

What is metacognition? 2:29
Six step cognitive checklist 7:31
Step 1: Verifying information is correct. 9:21
Step 2: Generic response 9:45
Step 3: Identification of precipitating event 10:36
Step 4: Formulation of broad differential diagnosis 13:13
Step 5: Formation of a narrowed differential diagnosis 15:14
Step 6: Selection of targeted response(s) 17:28
Let’s use this six-step process on a case study. 18:37

Additional Resources:

Swerdlow B, Osborne-Smith L. A Cognitive Template for Management of Perioperative Adverse Events. AANA J. 2023 Apr;91(2):137-143. PMID: 36951843.

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

Meet Lokum: A New Tech Company Designed to Connect CRNAs to Employers

Thu, 08 Jun 2023 05:02:00 -0400

The nursing industry is filled with so many bright and talented people and today’s guest is just another example of that. Ayoade (Joy) Ademuyewo, DNP, CRNA is the founder and CEO of Lokum, which helps match vendors directly with anesthesiology providers without having to go through recruiting agencies. Find out why this could be the future of work as an independent contractor and learn more about the person behind it all.

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

What is Lokum and how does the Lokum app help CRNAs? 4:36
Where did her entrepreneurship drive come from? 9:05
This is the future of work as an independent contractor. 10:35
How a trip to Europe was the beginning of this idea and how it all came together. 16:37
How being a CRNA and her DNP benefited her develop this company. 24:34
The best way for CRNAs to learn more and why it benefits the profession to get on board. 27:04
Who is her inspiration? 29:16

About our guest: https://lokumapp.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

Overcoming Physical Limitations: Brett Fadgen’s Road to Anesthesia

Thu, 01 Jun 2023 05:02:00 -0400

Jeremy and Sharon were up in Hershey for the PANA Spring Symposium and hosted a live taping of the podcast with Brett Fadgen, MSN, CFRN, CRNA. If you haven’t heard Brett’s story, it’s a remarkable one about perseverance and never giving up in the face of life’s challenges. Join us to hear all about his journey and how he became the only one-armed nurse anesthetist.

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

Brett’s childhood and growing up with a congenital defect. 3:21
The journey from being a paramedic to RN to anesthesia school. 9:05
The challenges he faced in anesthesia school. 13:47
The contact he has with other people with limitations that are interested in anesthesia. 23:55
What questions do patients ask? 26:15
The final message Brett has for people. 32:00

About our guest: https://www.panaforqualitycare.com/single-post/2019/01/23/crna-inspires-by-defying-stereotypes-exceeding-expectations

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

Strengthening Advocacy Efforts with the AANA’s New Deputy Chief Advocacy Officer Ingrida Lusis

Thu, 25 May 2023 05:01:00 -0400

We had a chance to spend some time with the new AANA Deputy Chief Advocacy Officer Ingrida Lusis during our time at the mid-year assembly to learn more about her background in government affairs and how she plans to strengthen advocacy by bringing state and federal affairs all under one umbrella. Join Sharon and guest host Tracy Castleman, CRNA, as we go on the offensive with our newest advocacy leader.

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

Ingrida’s background in government affairs and her goals for the new position. 3:03
Why she feels CRNAs need to go on the offensive. 7:46
Her thoughts and views on full practice authority. 9:52
What other ways we can look at to give CRNAs more power besides just running for office? 18:15
Why supporting the ASAPAC is very important. 22:36
The perception of the AANA vs the reality when she arrived. 29:01
What would she say to get people involved that hate politics? 33:24

About our guest: https://www.prnewswire.com/news-releases/aana-appoints-ingrida-lusis-as-deputy-chief-advocacy-officer-301703396.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

Ep 249: Anesthesia Considerations for Cannabis

Tue, 23 May 2023 05:01:00 -0400

Cannabis has several medicinal uses and is legal in several states. More and more patients are using cannabis as a medication for anxiety, pain management, and for recreational use.

In this episode, Jeremy and Sass discuss the pharmacodynamics of cannabis and focus on the systemic effects of this medication. You won’t want to miss their discussion highlighting the anesthetic considerations of patients who takes cannabis.

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

Adapting to cannabis becoming more acceptable recreationally and for care with patients. 2:29
The pharmacokinetics related to cannabis. 4:32
Reviewing an AANA Journal article on cannabis. 7:54
The respiratory effects you might find from cannabis. 9:25
The anesthetic implications for a cannabis user. 11:58
Does cannabis help with pain management? 15:01

Resources:

Teitel A, Bozimowski G. A Review of the Pharmacology and Anesthetic Implications of Cannabis. AANA J. 2020 Jun;88(3):237-244. PMID: 32442102.

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

Ep 248: Hear from the Candidates for 2023-24 AANA Board of Directors

Thu, 18 May 2023 05:02:00 -0400

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

Ep 247: The Commission for Nurse Reimbursement with Rebecca Love

Thu, 11 May 2023 05:02:00 -0400

The issue of reimbursement is one that we’ve covered from many different perspectives on this show but now it’s time to take the problem into our own hands. Rebecca Love, RN, MSN, FIEL is leading a commission along with Sharon Pearce, DNP, CRNA, FAANA for nurse reimbursement to tackle this broken financial model once and for all. Today we’ll tell you all about the commission’s plan and why we think this will transform the healthcare system and help end the terrible nursing crisis our country is facing.

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

History of the current financial model and why it’s a problem. 4:00
Why is this perpetuating the nursing shortage? 9:21
Where is the money going right now if it’s not going to nurses? 14:30
This next generation is much more in tune with the financial realities of the world. 19:55
The problem with nurses that are being brought in from overseas. 26:59
Details on the commission, who is involved, and what you can do to help. 32:06
Thoughts on why this is so critical for nursing moving forward. 36:27

About the Commission: https://commissionfornursereimbursement.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

Ep 246: POCUS of the Cricothyroid Membrane

Tue, 09 May 2023 05:00:00 -0400

Emergency cricothyrotomy is a rare, but incredibly important procedure that can be lifesaving. A primary step when performing a cricothyrotomy is correct identification of the cricothyroid membrane (CTM).

In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!

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

Understanding and identifying the anatomy. 2:21
The two most effective ways to find the cricothyroid membrane. 8:32
A couple of relevant studies that provide good information. 12:45
The ultrasound procedure to help identify it. 17:19
The educational resources that Jeremy recommends. 21:48
The String of Pearls technique. 22:40

Show Notes & Resources:

Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055.
Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176
Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429.
Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758.
Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376.
Airway Management for Anaesthesiologists. Ultrasound guided marking of the cricothyroid membrane using:
1. Transverse TACA Technique: https://airwaymanagement.dk/ultrasound_needle_cricothyrotomy
2. Longitudinal “String of Pearls” Technique: airwaymanagement.dk/pearls

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

Ep 245: Your Bank Account Might Be Ready for Retirement, But Are You?

Thu, 04 May 2023 05:01:00 -0400

One of the things you find out about CRNAs as they approach retirement is that their bank account might be ready for retirement but they might not be. Many people don’t consider the consequences of walking away from that daily routine of being at the hospital and interacting with colleagues, and not being prepared for that can leave you with a lack of fulfillment in retirement. Today we’ll discuss the importance of not only planning financially for retirement but also preparing emotionally and mentally for this significant life change.

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

Most CRNAs fall in one of two camps when they retire. 5:50
Has COVID caused more burnout among CRNAs? 7:41
Why it’s so important to develop a plan for the next stage of life. 11:29
You have to be prepared for a retirement that could last for 40 years. 18:09
What is the sweet spot for retirement? 24:28
The important takeaways from this discussion. 31:35

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

Ep 244: Military CRNAs – Lessons Learned & Lives Well Lived

Thu, 27 Apr 2023 05:01:00 -0400

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

Ep 243: A Crisis of Malignant Proportions

Tue, 25 Apr 2023 05:02:00 -0400

Malignant Hyperthermia (MH) is a rare and dreaded complication specific to anesthesia. It’s a systemic hypermetabolic syndrome that can result in severe disability or even death. In this episode Jeremy and Sass review the pathophysiology, preoperative considerations, signs and symptoms, complications, and management of this uncommon, but significant critical event.

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

The pathophysiology of Malignant Hyperthermia 3:29
How can you identify patients who might be at risk of MH? 5:54
What’s the best way to test for this and what are the major signs and symptoms? 9:44
How do we manage an MH case when we think we have one? 15:48
The antidote to make this situation stop. 19:10
Details on dosing. 23:06
The potential complications that could occur. 26:43

Resources:

Connect with the Malignant Hyperthermia Association of the United States (MHAUS): 1-800-664-9737 https://www.mhaus.org/

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

Ep 242: The Role of Emotional Intelligence in Creating a Preferred Workplace for CRNAs

Thu, 20 Apr 2023 05:02:00 -0400

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

Ep 241: Top Retirement Planning Mistakes CRNAs Need to Avoid

Thu, 13 Apr 2023 05:01:00 -0400

Are you a CRNA who feels lost in the complicated world of retirement planning? With many different accounts and investment options, it’s easy to make mistakes when it comes to your finances. In this episode, Jeremy Stanley, CFP® will cover some of the mistakes CRNAs make with their retirement plan and help you better understand how to best utilize different account types to save for the future.

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

The different types of retirement accounts CRNAs commonly have. 3:50
What you should do with those retirement accounts with former employers? 7:52
Are you rebalancing your portfolio enough? 10:12
Why Target Date Funds aren’t as effective as you might believe. 11:26
Do you know what fees and costs you’re paying? 15:35
Investing options for CRNAs who are 1099 and independent contractors 18:12
Final retirement planning thoughts from Jeremy. 29:28

Get retirement planning assistance: http://crnafinancialplanning.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

Ep 240: The Anatomy of Acute Stress & Strategies to Manage It

Tue, 11 Apr 2023 05:00:00 -0400

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

Ep 239: What Can Be Done to Solve the Nursing Shortage?

Thu, 06 Apr 2023 05:02:00 -0400

More nurses are leaving the bedside every year and it has created a shortage nationally. If you’re listening to this podcast, you probably already know good and well about this issue. So what can be done to attract and keep more nurses? Former ANA president Ernest Grant, PhD, RN, FAAN joins us to sort through this pressing issue within the profession and share ideas about what can be done at every level to solve the problem.

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

Why is this crisis different than past nursing shortages. 4:30
What can be done on the frontend through school and attractive jobs to get more people interested in the profession? 9:25
What he thinks nurses want in their work environment based on what he’s learned. 20:27
Can the government do anything to help with the shortage? 26:55
Why ratios might not be the solution in some locations. 31:34
What does he think will actually happen in the upcoming years. 38:01

Check out Ernest Grant's previous appearance on the podcast: https://beyondthemaskpodcast.com/ep-139-nursing-politics-and-the-future-of-our-country-with-ernest-grant-phd-rn-faan/2960/

About our guest: https://www.nursingworld.org/news/news-releases/2022-news-releases/ana-president-dr.-ernest-grant-named-among-modern-healthcares-top-100-most-influential-people-in-health-care/

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

Ep 238: Having a Plan B – Why CRNAs Should Consider a Side Hustle

Thu, 30 Mar 2023 05:00:00 -0400

The CRNA profession continues to be a strong career path that allows you to comfortably save for retirement, but that doesn’t mean you shouldn’t always have a backup plan just in case. As we’ve seen over the last few years, crazy things can happen that shake up our day-to-day routines at a moment's notice. In this episode, we’ll talk with Plan B CRNA Podcast host Bobby Jones, MSN about how anyone can start a side hustle, and maybe more importantly, how and why they should consider it.

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

Why he began his podcast in order to help CRNAs with side hustles and wealth building. 5:20
The reason why most small businesses fail. 18:27
What’s he learned about cryptocurrency, being a loan signing agent, merchant processing, and holiday side hustles. 24:14
What pushed him to start the podcast and why did he want to focus on CRNAs. 30:08
Why you need to be prepared financially for the unexpected by having a plan B. 38:30

About our guest: https://www.oncallinvestments.com/

Check out the Plan B CRNA Podcast: https://theplanbcrnapodcast.buzzsprout.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

Ep 237: To DNP or Not To DNP

Thu, 23 Mar 2023 05:01:00 -0400

Many CRNAs are returning to school to earn their Post-Master’s Doctor of Nursing Practice but is it worth it to spend the time and money to earn another degree? You can find plenty of information and discussion about DNP project topics and people that have earned their DNP, but it’s not as easy to find a thorough explanation of how to go through that process and the actual value it provides. Devin Miller, CRNA, DNP joins the show today to get into the details of a DNP and tell us why he feels it can empower nurses after completing the program.

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

Background on the topic today and why Devin wanted to share more on getting your DNP. 3:59
Details on Devin’s DNP project. 8:56
What’s the point of going back to get your DNP? 17:23
Do you have to aspire to work in teaching at some point? 26:54
How to find your DNP project. 32:00
Don’t let yourself resist empowerment as a nurse. 48:29

About our guest: https://school.wakehealth.edu/education-and-training/nursing-programs/doctor-of-nursing-practice-program/projects/educational-intervention-to-improve-awareness-and-knowledge

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

Ep 236: 3 Updated Guidelines for Neuromuscular Blocking Agents

Tue, 21 Mar 2023 05:00:00 -0400

Even in 2023, residual paralysis from neuromuscular blocking agents (NMBA) is still a problem. Recently a task force developed by the ASA released guidelines for the reversal of NMBA. Jeremy and Sass examine these guidelines and talk about what they mean for current anesthesia practice.

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

Background on this report and the three primary reasons for these guidelines. (2:30)
What to know about the Train of Four ratio (6:34)
The first three recommendations the guidelines provide. (10:31)
Recommendations four through seven. (17:33)
The final recommendation about atracurium and cisatracurium. (26:23)

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

Ep 235: 2023 AANA Update with CEO, Bill Bruce

Thu, 16 Mar 2023 05:02:00 -0400

Bill Bruce, MBA, CAE, took over as the CEO of the AANA last summer so we caught up with him to get an update on how the organization has progressed over his first eight months. It’s already been a busy term already with staffing changes and the AANA moving into a new building, but there are many policy issues to be managed and addressed as well. Join us as we find out what’s happening inside the AANA and how the organization is tackling key issues.

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

Update on the new AANA building the organization moved into a few months ago. (4:15)
The efforts to make the organization more modernized and efficient, and the key staff changes that have occurred (9:49)
What is the organization doing about supervision with current guidelines set to expire soon? (18:12)
What’s the status of the VA and full practice authority? (23:48)
The other big advocacy issues the AANA is paying close attention to. (27:38)
How he’s adjusted to the new position as an ‘outsider.’ (29:51)

Listen to our first conversation with Bill:

https://beyondthemaskpodcast.com/ep-195-meet-the-new-aana-ceo-bill-bruce/3864/

About our guest: https://www.aana.com/about-us/aana-staff-directors

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

Ep 234: The State of Nursing Today with Becky Patton

Thu, 09 Mar 2023 05:02:00 -0500

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

Ep 233: The Treatment for Hypovolemic Shock

Tue, 07 Mar 2023 05:02:00 -0500

Hypovolemic shock is the final shock state in this series of episodes that focuses on the identification, management, and differential diagnosis of different shock states. Jeremy and Sass discuss current treatment options for a patient experiencing hypovolemic shock and some of the various problems that can occur during this crisis.

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

Which medications should you hold and which ones are okay to continue taking during surgery? (5:10)
The different options for differential diagnosis. (9:09)
The two variations of hypovolemic shock. (13:08)
The mechanism of cardiac compromise at the cellular level. (17:33)
What interventions can you take to save the patient if the bleeding begins? (20:16)
A few questions relating to this topic to help students prepare. (27:51)

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

Ep 232: If You’re Not At The Table, You’re On The Menu with Wisconsin Lt. Governor Sara Rodriguez

Thu, 02 Mar 2023 14:23:46 -0500

Every year it seems like more and more nurses are taking an active interest in politics, both local and regional, and today’s guest is someone who’s been on the rise as a public official. Sara Rodriguez, a nurse and community leader, won her campaign in Wisconsin to become the state’s next Lieutenant Governor and joins us today to talk about her shift from public health to policymaker.

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

Her background in public health and the Peace Corps. 3:13
How COVID triggered her transition into politics. 6:23
Using her background and nurse training to better communicate with the community when campaigning. 9:27
From serving in the legislature to Lt. Governor, what that jump has been like. 12:55
Does she think COVID and the pandemic would have been different if more nurses in politics. 18:14
What would she tell nurses who are considering running for a position? 24:48
The final thoughts she wants to leave for nurses. 32:49

About our guest: https://www.saraforwi.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

Ep 231: How to Care for People with a Substance Use Disorder

Thu, 23 Feb 2023 05:01:00 -0500

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

Ep 230: The Best Options for Push-Dose Vasopressors

Tue, 21 Feb 2023 05:01:00 -0500

It’s not uncommon to use push-dose vasopressors for blood pressure management in anesthesia practice. Maybe even more so now than in the past.

Jeremy and Sass talk about the various options and situations for blousing vasopressors, and perhaps most importantly which one to use. In fact, recently there was a Journal Course in the AANA Journal talking about the increased (and safe) use of push dose Norepinephrine which they review in this episode.

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

Why we’re administering push-dose vasopressors more often now. (2:18)
Different vasopressors that we use. (7:09)
Here’s our scenario for treatment for this episode. (10:45)
What the research tells us. (13:03)
Comparing phenylephrine to ephedrine. (18:03)
How effective norepinephrine is and what are the concerns? (19:26)
The best method for administering norepinephrine. (21:27)

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

Ep 229: $80 Billion Going to the IRS: What Does it Mean for CRNAs?

Thu, 16 Feb 2023 05:03:00 -0500

Last year, President Biden signed the Inflation Reduction Act into law, and one of the items that received many of the headlines was the $80 billion allocated to the Internal Revenue Service.

This will impact every taxpayer but what does it mean specifically for CRNAs and other nurses. Your work earns a nice paycheck every year so tax changes will have an impact on you. Plus, there’s a lot to pay attention to if you’re a business owner or a 1099 worker, which is a group that many CRNAs will fall into.

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

Background on why we’re talking about the IRS today. 2:25
How is this money being distributed and what will it be used for? 6:58
The IRS has the fewest auditors than at any time since WWII. Let’s look at some of the current auditing data. 11:48
How can CRNAs that are 1099 plan for this legislation? 16:42
Some final advice for CRNAs from Jeremy. 20:51

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

Ep 228: Betty Lank’s Role in Boston Children’s Hospital

Thu, 09 Feb 2023 05:01:00 -0500

The 20th century was filled with advancements in nursing and anesthesia with much of the innovation coming in the world of pediatrics. One of the women who had a huge hand in improving the care for children was Betty Lank, who worked as the Chief Nurse Anesthetist at Boston Children’s Hospital for decades. Today we’ll look back and her life and career with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA and try to capture the impact she made on a hospital and a profession.

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

Ep 227: Crisis Checklist for Cardiogenic Shock

Tue, 07 Feb 2023 05:01:00 -0500

You’re quietly sitting behind the drape and all of a sudden you see significant dysrhythmias on the ECG during an operation. Now what?

In this episode Jeremy and Sass review a case of Cardiogenic Shock and go over the crisis checklist for this critical event. They also examine current diagnostic strategies and potential differential diagnoses.

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

Thinking about the cardiovascular system in three separate parts (2:18)
Here’s the case we’re facing on today’s episode. (3:19)
What are the initial thoughts on this overall picture? (4:33)
What are the goals for managing this patient? (7:13)
What happens if you see ST changes interoperatively? (9:48)
Signs, symptoms and diagnostic criteria of cardiogenic shock. (12:13)
What is prescribed? (19:50)
The primary goal for this type of patient is to get them to the Cath lab. (24:12)
Here’s a question to test your knowledge. (25:03)

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

Ep 226: The Need for More State Nurse Legislators

Thu, 02 Feb 2023 05:01:00 -0500

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

Ep 225: An Inside Look at Lobbying for Your State Association

Thu, 26 Jan 2023 05:00:00 -0500

During our visit to the NCANA meeting last fall, we had the opportunity to host a live podcast about lobbying for your state association and we had the pleasure of bringing NCANA lobbyists Patrick Ballantine and Tracy Kimbrell onto the panel with us.

Both of them have been tremendous assets to our association because of their passion for lobbying. We explored that role to find out what skills it takes, how to utilize a lobbyist, and what you should expect from them.

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

Background on our guests today and how they got into lobbying for the NCANA. (2:38)
What qualities does a legislator look for in a lobbyist? (7:09)
What is the ultimate goal of lobbying? (9:50)
How should the lobbyist interact with the organization? (15:49)
How do you keep different groups and issues separated? (22:52)
The importance of Lobby Days. (39:20)
How can you evaluate the work your lobbyist is doing? (45:04)

About our guest:

https://www.parkerpoe.com/attorneys/tracy-w-kimbrell

https://www.ballantinecompany.com/profile.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

Ep 224: ASA 2022 Difficult Airway Algorithm Update

Tue, 24 Jan 2023 05:03:00 -0500

The latest update to the ASA Difficult Airway Algorithm has a number of key changes that Jeremy and Sass will take you through in this episode of the podcast. You’ll notice that the Algorithm is much more practical and easier to use in an emergency. Overall there’s been a massive emphasis placed on situational awareness and limiting attempts, and for the first time, there are guidelines for pediatric difficult airways.

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

The updates to the algorithm that you should be aware of. (2:21)
The most important changes in this fourth iteration. (3:14)
Why airway management might not be safer today than it’s been in the past. (6:15)
Intubation awake vs after induction. (9:17)
Providing oxygen throughout airway management. (12:54)
An update on capnography. (15:20)
A greater emphasis on the passage of time. (16:09)
Combination techniques. (19:01)
Follow-up care suggestions. (20:38)

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

Ep 223: Starting Your Own Aesthetic Injectables Practice

Thu, 19 Jan 2023 05:00:00 -0500

Necessity is the mother of invention and today’s guest is a living example of that. Suzanne Jagger, DNP, CRNA, APRN, was on vacation in Fiji when she got an email that her contract was up. Without work and a family to care for, she quickly decided on the trip to learn Botox and ended up starting her own business soon after returning home.

Now Suzanne is helping other CRNAs and NPs learn how to follow her path to start their own aesthetic injectables practice, and she’ll share that experience on this episode.

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

The fascinating story of how she got started in this business. (4:54)
Why she started training CRNAs and NPs. (6:21)
What all does running a business entail and how much different is it from working as (9:58)
How long does it take to start your own practice and will you make any money? (18:57)
Why are CRNAs in a position to do great in this business? (21:53)
She recommends advance practice providers to get the best training. (23:09)
Why she calls aesthetics ‘happy medicine’ (35:38)

About our guest:

https://aurapdx.com/

https://www.appaesthetics.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

Ep 222: The Experience of a WWII Nurse Anesthetist & the Lessons Learned

Thu, 12 Jan 2023 05:02:00 -0500

When you look back over the history of nurse anesthesia, the most forgotten group of nurses might have been those that served the country during World War II. It took nearly a half-century to tell their story but thanks to Carolyn Nicholson the legacy of that group of incredible nurses is being carried on today. We’ll look back at the war and the role of nurse anesthetists by telling the story of Adeline Simonson, whose experience is very much like all the brave individuals serving on the front lines.

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

Why she got interested in this topic and what’s she learned about that time period. (3:45)
How she discovered Adeline and what she learned about her going overseas. (5:02)
The training they received before leaving. (8:39)
What agents were they using at that time? (13:02)
How they dealt with anesthesia shortages and improved upon them. (16:49)
Details on the horrible conditions that nurses had to endure. (20:34)
The boom in anesthesia that happened following the war. (27:15)
Carolyn’s experience meeting Adeline’s family. (28:39)
Carolyn’s final thoughts on the topic. (34:52)

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

Ep 221: Name That Shock State

Tue, 10 Jan 2023 05:01:00 -0500

Before a CRNA ever gets to the operating room to perform anesthesia, they need to be thoroughly prepared for what they might face. Having checklists to follow is great, but they’re only effective if the diagnosis is correct.

That’s why Jeremy and Sass believe in reviewing the principles related to crisis management so that you can make the correct diagnosis for every scenario you find yourself in. In this episode, we’re going to help you identify different shock states by reviewing differential diagnoses, the rationale for the treatment, and the mechanism of action of medications used for the treatment of the crisis. Then we’ll finish it off by providing a few test questions to better prepare you for upcoming exams.

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

How we think of shock. (3:18)
The case we’re facing on this episode. (4:35)
The issues you’re facing. (7:52)
What can you rule out at this point and what shock state does this seem to be? (11:50)
Signs and symptoms associated with cardiac tamponade. (13:29)
The mechanism of cardiac compressive shock. (17:44)
Diagnosing cardiac tamponade. (19:36)
What treatment should you use to manage this scenario? (19:36)
A few test questions to prepare you. (24:44)

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

Ep 220: Financial Therapy for CRNAs

Thu, 05 Jan 2023 05:02:00 -0500

CRNAs face stressful situations every day but that doesn’t always prepare them to deal with the obstacles that life can throw your way, especially when those events put a strain on your finances. Oftentimes, your relationship with a financial advisor might feel more like a therapy session during emotional times, and that’s ok. Let’s discuss some scenarios where it’s almost inevitable that a talk with your advisor seems like a counseling session.

Here are some of the scenarios we’ll discuss on this show:

Going through a divorce. (5:55)
When you face career difficulties. (12:20)
If you’re facing medical problems. (16:48)
When you’re not happy with the financial decisions your kids are making. (21:18)
The loss of a spouse (24:45)

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

Ep 219: The Future of Healthcare & Anesthesia with Scott Becker

Thu, 29 Dec 2022 05:03:00 -0500

As we put the finishing touches on another year, we didn’t want to use this time looking backward. Instead, we want to zoom out and get a better idea of where healthcare is headed. Who better to discuss this than Scott Becker, who is the founder of Becker’s Healthcare and someone who has his finger on the pulse of the industry.

We’re loaded with a long list of questions and have plenty we want to discuss, but we’re going to focus most of the conversation on anesthesia and the shortage of providers that will be a big issue heading into the new year and beyond. Having an outsider's perspective of our profession is incredibly valuable and we think you’ll agree after listening to everything he has to say.

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

How he started the business and how it’s evolved since the beginning. (4:02)
The shortage of anesthesia providers will be one of the big issues in healthcare in 2023. (7:46)
The future of CRNA salaries and whether pay increases are sustainable. (20:00)
Could a reimbursement model based on acuity be a possibility? (30:24)
Can rural hospitals survive in this current environment? (35:55)
What will health insurance look like in the future and what are the main challenges? (42:41)
What role does private equity play in the future of healthcare? (51:13)
What bold move(s) can CRNAs or our associations take now to position ourselves as healthcare leaders? (55:48)

About our guest: https://www.beckershospitalreview.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

Ep 218: Respiratory Q&A Test Prep

Tue, 27 Dec 2022 07:41:00 -0500

We’re shifting gears a bit in this episode by focusing on the examination side of anesthesia and hosting our first ever Q&A episode. Since students take a lot of tests in anesthesia school and CRNAs are prepping for the CPC examination, testing is a critical part of the profession.

As educators, Jeremy and Sass both write a lot of test questions so they’ll share their experience from that side of the test-taking process. They'll also give you methods to analyze the questions in a way that can help you narrow down to the correct answer. Hey...it's Q&A day, so let us know what you think.

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

Which measure is an accurate indicator of preoxygenation? (3:04)
Which effect explains the right work shift in the oxyhemoglobin dissociation curve? (6:15)
Which factors cause a left work shift in the oxyhemoglobin dissociation curve? (10:14)
Hypoxic Pulmonary Vasoconstriction is inhibited by…? (12:58)
What is the infrared wavelength measured by pulse oximetry? (17:20)
Which inspiratory muscles are involved with supplemental inspiratory effort during times of respiratory distress? (23:09)

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

Ep 217: Doctoral Project Review – Optimizing Transition from SRNA to CRNA

Thu, 22 Dec 2022 05:02:00 -0500

Today we bring on our first DNAP candidate, Gerald Murphy, MS, CRNA, APRN, to share his Doctoral Scholarly Project and use this platform as the dissemination piece. He has focused his attention on the transition period for SRNAs moving into the workforce and beginning their career as CRNAs. This new independence can be overwhelming and a bit scary so improving that process and providing guidance for our newest professionals can be very valuable.

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

Gerald’s background and why he chose this topic. (6:18)
What was his experience when he finished anesthesia school? (8:24)
The problem he found when reviewing the literature. (11:05)
What questions did he ask during his pilot survey and what did he want to gather from them? (16:11)
Are our anesthesia programs doing a good job preparing SRNAs for this transition? (23:40)
What can preceptors do to help the SRNAs? (27:51)
Advice for SRNAs. (34:10)

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

Ep 216: Identifying & Treating Imposter Phenomenon as a CRNA

Thu, 15 Dec 2022 05:02:00 -0500

It’s not something people openly talk about but feeling like you’re professionally inadequate happens to a lot of people. This is known as imposter phenomenon (IP) and it’s something that CRNAs deal with much more than you might realize. We’ve invited former CANA president Jeffrey Darna, PhD, DNP, CRNA, ACNP-BC onto the show to explain why high-achieving individuals have this self-perception of intellectual phoniness and what we can do to treat it.

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

What imposter phenomenon actually means and how it has evolved over decades. (4:58)
What triggers this within someone? (8:00)
The attributes that you’ll find in someone who has this. (13:24)
The different levels of intensity for imposter phenomenon. (14:46)
The ways you can treat IP if you are dealing with it. (20:37)
How prevalent is IP in the CRNA profession? (24:35)
Hear about our own experiences dealing with IP. (28:56)

About our guest: https://canainc.org/about/cana-spotlight/jeffrey-r-darna/

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

Ep 215: Anesthesia Management for Septic Shock

Tue, 13 Dec 2022 05:02:00 -0500

Today Jeremy and Sass talk about the third type of distributive shock, septic shock. They review the need-to-know info for this shock state based on the updated Surviving Sepsis Guidelines released in 2021. They'll walk you through a crisis checklist that will help you identify and manage septic shock. So, buckle up...it's go time!

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

Case presentation for today’s patient (3:28)
Pathophysiology of Sepsis and septic shock. (7:50)
Signs and symptoms to look for. (12:31)
Management for septic shock. (15:47)
Things to think about if the patient comes to you in the operating room. (21:20)
Differential diagnosis in this scenario. (23:41)

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

Ep 214: Where is VA CRNA Practice Headed?

Thu, 08 Dec 2022 05:02:00 -0500

The VA CRNA practice has been a topic of importance for a while because the VA hospital is the largest healthcare system in the country and currently employs more than 1,100 CRNAs. The worry is that if it fails, it will have a huge domino effect across the country. So what direction is the Association of Veterans Affairs Nurse Anesthetists (AVANA) headed? Executive Director Peter Kallio, DNP, CRNA, APNP, FAANA, joins the show today to talk about the state of the VA and what they’re focused on improving for CRNAs.

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

The current state of the VA. (5:49)
The reason why so many VAs have one-to-one supervision. (7:56)
Why are there so many different types of models? (14:46)
Why VA CRNAs choose to work in that environment. (18:04)
The benefits that working for the government provides CRNAs. (20:57)
What can we do to improve the situation? (26:50)

About our guest: https://www.vacrna.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

Ep 213: Moral Injury and Nurse Anesthesia

Thu, 01 Dec 2022 05:02:00 -0500

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.

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

How moral injury was first identified and the impact it has on nurses. (4:47)
Second victim vs Moral Injury (12:38)
What to do if you start to feel this? (18:45)
The effects of COVID on MI (21:50)
Can you step away from a situation you aren’t morally comfortable with? (27:40)
Resources are available for anyone dealing with MI. (34:39)

About our guest: https://pc.fsu.edu/person/gerard-hogan-dnsc-crna

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

Ep 212: Thankful for the AANA and Its Ongoing Efforts for CRNAs

Thu, 24 Nov 2022 05:02:00 -0500

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angela Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.

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

What the AANA means to nurse anesthetists. (5:45)
What’s on Angie’s agenda for the next year. (6:56)
Angie’s vision for communication with the members. (11:52)
What advocacy and wins look like in her mind. (20:52)
The work the AANA is doing to increase membership. (23:50)
What can members do to help the AANA board? (34:18)

Support the veterans: https://www.veteransneedcarenow.org/share-your-story/

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

Ep 211: Anesthesia Management for a Pheochromocytoma

Tue, 22 Nov 2022 05:01:00 -0500

CRNAs and SRNAs/RRNAs have asked us to give them the essential information needed to manage different OR cases. Episodes they can listen to while on their commute, on a run, or just relaxing at home with their headphones. Today we’re going to review the Anesthesia Management for a Pheochromocytoma. This is the second episode in our endocrine surgical procedures series, so get ready for this power-packed episode full of "need to know" info you can use in the OR and stuff you might even find on exams.

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

The pathology of a Pheochromocytoma. (3:40)
The signs and symptoms you’ll find. (5:16)
What if it goes undiagnosed? (6:37)
How to differentiate this from other interoperative problem. (7:25)
Treating known diagnosed Pheochromocytoma. (10:52)
What will you be watching for as you monitor patient? (15:58)
Intraoperative hemodynamic goals. (19:29)
Let’s work through a PACU scenario. (24:45)

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

Ep 210: The Dangers of Button Batteries & the Immediate Care Required

Thu, 17 Nov 2022 05:03:00 -0500

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

Ep 209: Tips for Getting the Right CRNA Job with Lt. Col. (ret) Tom Davis

Thu, 10 Nov 2022 05:02:00 -0500

CRNAs continue to be in high demand so finding a job isn’t always the challenge, but how do you go about identifying and landing the right job? Thomas Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA who learned a lot about leadership during his time in the military and has used that to start ProSynEx Authentic Leadership. Today we’ll dive into the hiring process and share tips for any CRNA exploring new employment so that you have the best chance at landing that perfect job.

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

What the Gallup Q12 survey has found about employment needs. (8:35)
How to go about creating a list of what you’re looking for. (12:37)
Why emotional intelligence becoming more and more important on both sides. (14:54)
The dangers of social media for future employment. (23:59)
What to put on your cover letter. (29:11)
Preparing for the questions you might be asked during an interview. (36:11)

Learn more about the Gallup Q12 Engagement Survey: https://www.gallup.com/workplace/356063/gallup-q12-employee-engagement-survey.aspx

About our guest: https://prosynex.com/about/

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

Ep 208: Crisis Checklist for Neurogenic Shock

Tue, 08 Nov 2022 05:01:00 -0500

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

Ep 207: Normalization of Deviance and Production Pressure for CRNAs

Thu, 03 Nov 2022 05:02:00 -0400

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

Ep 206: From the OR to the C-Suite with Randy Moore

Thu, 27 Oct 2022 05:02:00 -0400

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

Ep 205: Case Management for Thyroidectomy

Tue, 25 Oct 2022 05:00:00 -0400

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

Ep 204: CRNA Strong – Inspirational Stories from Four CRNAs

Thu, 20 Oct 2022 05:02:00 -0400

Our profession is filled with incredible individuals who are resourceful and know how to make the most out of whatever comes their way in the operating room and in life. During our time at the AANA Annual Congress in Chicago, we got to hear a handful of those stories and asked each of these four wonderful CRNAs to join the show and share the obstacles they overcame to achieve extraordinary accomplishments.

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

Elizabeth’s story of 40+ years in anesthesia and overcoming lack of diversity. (2:37)
Jennifer’s story of transitioning from a CRNA to Coroner. (9:00)
Brett’s story of becoming the only credentialed and practicing CRNA with the physical disability of having one arm. (13:48)
Tim’s story of being a part of the group of CRNAs providing ICU care at the Javits Center in NYC during the COVID outbreak. (25:23)

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

Ep 203: The Future of Anesthesia with NorthStar CEO & CAO

Thu, 13 Oct 2022 05:03:00 -0400

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

Ep 202: Case Management and Crisis Management – Anaphylactic Shock State (Part 1)

Tue, 11 Oct 2022 05:02:00 -0400

As we begin our new clinical episodes of Beyond the Mask, we’re kicking things off with a case management and crisis management series on the different states of shock. This series is going to start out by reviewing differential diagnosis, the rationale for treatment, and the mechanism of action of the medications used to treat the crisis.

On this first part of our shock state series, we’re going to focus on anaphylaxis and share a case that we experienced. We’ll take you through the ways to identify the shock, how to treat it, and share how this case unfolded.

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

Details on the new podcast and what to expect from these educational shows. (2:15)
How do you define shock and what’s happening in these different states. (3:47)
Here’s the case we’re faced with on this episode. (5:29)
The signs and symptoms that could be associated with an anaphylactic episode. (9:42)
What do you in this situation? (15:42)
How this case played out. (22:34)
Instances of antibiotics causing anaphylaxis. (28:16)

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

Ep 201: Why Member Engagement from Everyday CRNAs Is Vital to the Health of the AANA

Thu, 06 Oct 2022 05:00:00 -0400

Every member of the AANA is taking an active approach by paying dues and being a part of the organization, but the success of the AANA relies on participation by each and every CRNA.

On this episode, we sat down with a CRNA that took that step to move out of her comfort zone and voice her opinion on issues that affected her and many of her peers. Jenny Andersen, CRNA, was a flight nurse in Alaska for many years, which is as adventurous as it sounds. But she eventually had an illness that kept her from continuing and that eventually led her to become a CRNA.

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

How do you engage the member that doesn’t take an active approach? (9:55)
What drove her to the microphone to speak for the first time. (13:13)
How can the Board of Directors to build trust with members? (22:08)
What factors drive some of the mistrust? (27:33)
The guidance that Jenny would give to people who are hesitant to speak up. (33:31)

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

Ep 200: Exploring the Power of Nursing and Its Future Impact on Healthcare

Thu, 29 Sep 2022 05:01:00 -0400

As we celebrate the release of our 200th episode, it seemed fitting to shine the spotlight on the profession as a whole and the people who devote their lives to helping others. Many CRNAs, and nurses in general, don’t give themselves enough credit for the work they do every day. So today we’re going to take a big picture look at the power of nursing and the innovation we’re doing that could change healthcare with Rebecca Love, RN, MSN, FIEL.

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

Looking back on milestones from the first 199 episodes. (2:57)
The statistics that provide us a clear look at where nursing is today. (8:01)
The balance of men and women in CRNA profession compared to others. (25:22)
How do we change the status quo in nursing? (37:57)
How do you harness the power of nursing within the healthcare industry? (49:59)
What is a Hackathon and what can nurses get out of this? (55:45)

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

Ep 199: Olive Berger, CRNA – Founding Member of the AANA

Thu, 22 Sep 2022 05:02:00 -0400

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

BONUS: We Have an Exciting Show Announcement to Make

Thu, 15 Sep 2022 05:18:00 -0400

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

Ep 198: An Upcoming Opportunity for All Doctoral Students

Thu, 15 Sep 2022 05:05:00 -0400

Earlier this year we spoke to Marianne Cosgrove, CRNA, DNAP, APRN, PhD, on the podcast and she emailed us later about a student that would like to come on the podcast to discuss their doctoral project. At that moment, a lightbulb went off and we realized this is a great opportunity for other students to do the same.

Today we’ll introduce the committee we’ve put together, explain the application process, and lay out our goals for what’s to come.

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

What we’re doing with doctoral students and who will be helping us. (1:57)
What was the charge for the committee? (5:30)
The opportunities that arise for state associations from this process. (10:34)
The details for the application process and what to expect. (12:32)
If you plan to apply, here is some of the criteria that we’ll be looking for. (19:26)

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

Ep 197: Healthcare Provider Wellness and Self-Care

Thu, 08 Sep 2022 05:03:00 -0400

If COVID taught us anything, it’s that it’s just as important for healthcare workers to take care of their own health as it is to take care of others. It’s a shift away from how we’ve always thought about providing care, but it’s necessary for the wellness of CRNAs and all workers. Today we’ll talk with Matthew Zinder, CRNA, who is a co-founder of the upcoming Provider Wellness Symposium, about tips and suggestions for improving yourself and we’ll find out more about what his event will offer.

Learn more about the symposium: https://www.providersymposium.com/

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

Background on this anesthesia business and how he began focusing on provider wellness. (3:08)
What strategies does he utilize for wellness. (9:19)
How to take the time to take care of yourself. (11:05)
Details on the Provider Wellness Symposium and AANA’s involvement. (17:02)
Ways to change the culture within the industry. (22:04)
How they’re helping with student wellness. (28:45)
What his parting message is for everyone. (36:36)

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

Ep 196: Trying to Solve the Healthcare Credentialing Problem

Thu, 01 Sep 2022 05:02:00 -0400

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

Ep 195: Meet the New AANA CEO, Bill Bruce

Thu, 25 Aug 2022 05:04:00 -0400

The AANA introduced its new CEO earlier this summer and Bill Bruce, MBA, CAE has already hit the ground running. So what does a non-CRNA bring to the organization? We got the opportunity to sit down with him to learn more about his background, his leadership style, and how he hopes to engage and build trust with members.

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

How he got into the association business and what his past membership looked like. (4:45)
What has surprised him through these first couple of months. (9:29)
His military experience and how that changed the path he was on. (12:27)
What a non-CRNA can bring to the organization. (23:26)
The challenges that come with bringing in a new staff each year. (27:12)
Building and retaining trust with the members of the AANA. (32:29)
What kind of culture does he want to build within the organization? (36:32)
What he’s learned about keeping members engaged. (42:28)
How he describes his leadership style. (48:18)

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

Ep 194: Norwegian Anesthetist’s Story of Saving a Drowning Infant

Thu, 18 Aug 2022 16:02:32 -0400

Sometimes it’s about being in the right place at the right time, but even more than that, it’s about taking action to help a fellow human when the time calls for it. That’s exactly what Olaf Jacobsen experienced a few years ago when he came across a mother and three children in frigid water coming home from work in Norway. Hear the heartbreaking but incredible story about what was discovered and how they were able to rescue the infant and save its life.

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

The start of the story and the scene he came across on his bike ride home. (5:44)
What the police found when they arrived. (9:41)
The rescue work he did on the infant. (11:13)
How anesthetists were out in the field and working on the scene. (12:27)
What to do when you’re in a drowning situation. (19:55)
What happened when they arrived at the hospital with the child. (23:36)
What the investigation concluded. (25:50)
How is the child doing now? (27:00)
Nurse anesthesia practice in Norway compared to the USA. (30:25)

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

Ep 193: A Nurse for Sheriff? History Could Be Made

Thu, 11 Aug 2022 05:00:00 -0400

Nurses are uniquely qualified for the responsibilities that come with holding a public office, which is why we’re seeing more and more campaigning. But did you ever think about running for sheriff? Caitlin Sepeda is a registered nurse in Massachusetts that’s doing just that and today she joins the show to tell us about her path to this point and why she hopes to make history.

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

How does a nurse end up running for Sheriff? (7:09)
The difficult decisions that have to be made with the limited budget provided by the state. (12:43)
What makes nurses so qualified for public office? (16:50)
Details on the election she’s campaigning for. (19:45)
How do you overcome the lack of law enforcement experience? (23:49)
Why a new outlook and approach can benefit law enforcement. (26:59)
The campaign budget she’s working with. (34:04)
What it would mean to become the first nurse to hold a Sheriff position? (37:37)

Learn more about Sepeda's campaign: https://www.sepedaforsheriff.com/

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/

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

Ep 192: Effective Federal Advocacy Starts at Home

Thu, 04 Aug 2022 05:00:00 -0400

The great thing about being an advocate for nurse anesthetists is that anyone can have an impact no matter where they live. Many federal legislators starts locally so there are opportunities to create relationships early and close to home. Sarah Tweedy, CRNA, got a first-hand look at working with legislators as a student and has carried that interest into her young professional career. Find out what she’s learned about advocacy and how best to build relationships with policy-makers.

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

5:58 – Background on Sarah

10:07 – Importance of getting involved as a student

11:32 – Why this topic is important

13:28 – Federal or state advocacy?

16:20 – How to talk to a legislator

21:22 – Educating them on CRNAs

23:43 – What should you not say?

26:10 – Where to start to get involved

28:46 – Advice she’d give

32:07 – Running for office

33:10 – Final thoughts

Ep 191: Decreasing Healthcare Disparity Through Improved Diversity

Thu, 28 Jul 2022 05:00:00 -0400

You’ve probably already noticed that most of our colleagues in nurse anesthesia look pretty similar. Through innovation and educational pipelines, the industry is working to improve the diversity in our workforce, which will lead to better healthcare outcomes for all. Sonya Moore, DNP, CRNA, joins the show to talk about her experiences as a minority in healthcare and how she’s helping drive change through her LEAP program.

Learn more about LEAP: https://case.edu/nursing/programs/dnp/nurse-anesthesia-dnp/leap-certificate-pathway

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

5:25 – Background on Sonja

7:21 – Getting started in anesthesia

14:28 – Systemic barriers

17:29 – Importance of a diverse workforce

22:30 – Finding common ground

30:41 – The LEAP program

38:46 – How the program works

42:47 – Program costs and acceptance rates

48:13 – Final thoughts

Ep 190: Using Neuroscience for Daily Direction and Coping Mechanisms

Thu, 21 Jul 2022 05:00:00 -0400

Each of us faces our own battles every day, some of which are much more difficult than others. No matter what mental health challenges you’re dealing with, finding ways to manage everything are so important for everyone. Susie Newell, DNP, CRNA, wrote a book recently about creating activities and mindsets to help people cope with mental issues and it’s all focused on neuroscience. She joins us today to share her research and what she’s learned during the publishing process.

Get the book: https://www.thepath365.com/

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

5:00 – Background on Suzie Newell

6:42 – Her book

10:01 – The neuroscience behind addiction

15:23 – How she created a life

18:34 – How COVID impacted project

20:34 – Neuroplasticity

23:33 – Breaking down neuroscience

27:01 – Process of writing the book

34:36 – The extra day

37:13 – Creating a publishing company

38:32 – The title

42:25 – Who should read the book?

Ep 189: Catherine Lawrence, First Nurse to Administer Anesthesia

Thu, 14 Jul 2022 05:00:00 -0400

On this look back through the history of nurse anesthesia, we’ll tell you the story of Catherine Lawrence. This Civil War nurse became the first to administer anesthesia during the Second Battle of Bull Run but she also accomplished a lot more during her life. Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, will give us all the details and help us learn more about this important figure in nursing.

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

5:51 – Back in the studio with Sandy and Nancy

7:24 – Introducing Catherine Lawrence

10:09 – As a child

13:00 – How she lost faith as a child

14:38 – Began teach at 14

18:11 – Enlisting in the Civil War

23:19 – Her relationship with Dorothea Dix

26:25 – After the Civil War

32:09 – Summarizing her life

35:26 – Her death

36:25 – Final thoughts

Ep 188: How Innovation is Changing Nursing

Thu, 07 Jul 2022 05:00:00 -0400

The nursing profession has always been the backbone of the healthcare system but it’s time to start thinking bigger. The talent and determination found in nurses can shape the future of healthcare and it begins through innovation and entrepreneurship. Rebecca Love, RN, BS, MSN, FIEL, is leading that charge by creating a program for nurses to pursue innovation and help lead the profession forward. Join us for a wonderful conversation that we believe will motivate and inspire.

Learn more about SONSIEL: https://sonsiel.org/

Visit us online: http://beyondthemaskpodcast.com

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

5:00 – Welcome in Rebecca

8:31 – Entrepreneur at heart

11:06 – Nurses as innovators

14:46 – Launching the program

19:10 – The curriculum

21:04 – Society of Nurse Scientists Innovators Entrepreneurs &Leaders

22:23 – Giving her Ted Talk

26:36 – The talents of nurses

29:07 – Challenges she’s faced

38:39 – Empowerment

40:18 – Why you should be interested

Ep 187: Panel on Incivility and Bullying with the Nebraska State Association

Thu, 30 Jun 2022 05:00:00 -0400

Jeremy and Sharon took part in a panel discussion on incivility and bullying within the CRNA workplace and educational system. Speaking alongside members of the Nebraska Association of Nurse Anesthetists, they were able to dive into the core issues at the heart of this behavior from the perspective of both the student and the preceptor. Plus, they offered up solutions to help curb incivility and bullying.

To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.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:

3:40 – Meet the panel

8:40 – What we’re talking about today

9:45 – What is incivility and bullying?

11:52 – Effects of bullying on SRNAs

13:18 – Perspective from a new CRNA

15:43 – Challenges to changing this behavior

21:35 – Qualities of a good preceptor

24:21 – Improving communication in school

26:46 – Can you identify problem CRNAs?

31:47 – Stress on the preceptor

36:43 – What makes a great preceptor?

40:01 – 1st vs 2nd year students

43:01 – How do we change a bully’s thoughts?

45:50 – What actions can you take in the moment?

49:06 – Have you ever bullied anyone?

54:56 – Final thoughts on this topic

Ep 186: Empowered Women Empower Women

Thu, 23 Jun 2022 05:00:00 -0400

None of us get to where we are without the help and guidance of other people. We rely on mentorship from our peers to lift us up and empower us to accomplish great things. With the input from a few powerful women on this episode, we want to highlight women that have played a key role in helping advance the industry and discuss how we can elevate each other through empowerment.

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

Today's Key Topics:

2:22 – Highlighting powerful women

8:47 – If someone doesn’t appreciate your unique traits

11:04 – Tough conversations

13:43 – AANA bringing people together

17:12 – Iron sharpens iron

18:27 – Being willing to help out

22:23 – Mentoring

25:45 – Being there in good and bad times

27:59 – Advice

31:39 – Final thoughts

35:07 – Jeremy’s final thoughts

Ep 185: 9 Tax Saving Strategies for CRNAs with an S Corporation

Thu, 16 Jun 2022 05:00:00 -0400

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.

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

Ep 184: CRNA Manpower – Trends from the Past Decade & a Look Into the Future (Part 2)

Thu, 09 Jun 2022 05:00:00 -0400

Today we’re continuing the conversation with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, on the history of CRNAs in the workforce. In part two, we’ll look at educational changes since 2010 along with the updated statistics on active professionals and students. We’ll also turn our attention to the future of anesthesia and discuss the trends that might be on the horizon.

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

Today's Key Topics:

2:14 – No studies in last 13 years

3:19 – Doctoral programs

4:18 – Total number of CRNAs

7:39 – 2019 Merritt Hawkins whitepaper

15:32 – Why do CRNAs leave?

17:44 – 10 trends for the future

29:42 – Where does Nancy and Sandy see things going?

31:07 – Healthcare expenses out of control

35:28 – Wrapping up the conversation

Ep 183: CRNA Manpower – The History of Shortages and the Studies That Followed (Part 1)

Thu, 02 Jun 2022 05:00:00 -0400

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.

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

Ep 182: The Push for Full Practice Authority for VA CRNAs

Thu, 26 May 2022 05:00:00 -0400

More than 1,000 CRNAs work with the Veterans Health Administration and they can’t operate with full practice authority like their counterparts serving in every branch of the military. The Association of Veterans Affairs Nurse Anesthetists is working to change that despite significant pushback, and former president Diane Boettger, CRNA, joins the show to talk about her time on the board and the work the organization is doing to push CRNAs forward.

About the AVANA: https://www.vacrna.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:

2:17 – Background on this topic

3:18 – Why this is important

4:25 – How AVANA is structured

8:59 – Establishing full practice authority

13:33 – Different standards while serving

16:20 – How veterans have been affected

20:15 – What changed during COVID

22:57 – Why the huge pushback

25:55 – What can CRNAs do to help?

29:41 – Opioid crisis

31:37 – How to help AVANA

31:57 – Closing message

Ep 181: The CRNA Coroner – Another Avenue to Serve

Thu, 19 May 2022 05:00:00 -0400

As more and more CRNAs are trying to find their place in the political setting, Jennifer Banek, CRNA found her own path to serving. In 2020, Banek was elected Coroner in Lake County, Illinois, and she’s currently holding that position alongside her job as a nurse anesthetist. She joins the show today to share her unique story and pull back the curtain on the campaign and election process for those aspiring to run for office in the future.

About our guest: https://www.lakecountyil.gov/450/Coroners-Office

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

Today's Key Topics:

2:27 – Welcome in Jennifer

3:28 – What we’re talking about today

4:45 – Her path to politics

10:26 – Getting signatures

13:35 – The campaigning process

20:25 – How many states did she fundraise from

22:04 – Election and challenges

24:00 – Husband deployed during the election

25:14 – What does Coroner’s Office do?

28:30 – How nurse anesthetist training benefits this position

30:51 – Balancing Coroner and CRNA roles

32:03 – How running for office changed her perspective

35:59 – Her future in politics

37:20 – Final thoughts

Ep 180: Lobbying for CRNAs – How to Influence State Legislatures and Agencies

Thu, 12 May 2022 05:00:00 -0400

If you want an eye-opening perspective on lobbying and what it takes to influence lawmakers, this will be an episode you don’t want to miss. Bob Guyer of The Lobby School gives us a master class on how to be successful in convincing legislators to align with your goals, which is essential for CRNAs as we continue to fight to protect our industry and our paycheck.

Get The Lobby School's free resources here: https://lobbyschool.com/free-resources/

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

Today's Key Topics:

3:18 – Introducing our guest

5:35 – His organization

7:37 – Why this topic is important

8:46 – What groups influence legislation

10:53 – Convincing legislators of your goal

13:23 – Motivating special interest groups

15:00 – Legislative staff

19:15 – Agency officials

21:00 – Bobisms

23:46 – Motivating legislators to vote

26:43 – What CRNAs can do to help

28:51 – Simplifying things for lawmakers

31:57 – Hiring consultants

34:07 – Managing and evaluating lobbyists

38:30 – Do campaign donations help?

43:01 – CRNAs running for office

45:47 – Final thoughts

Ep 179: Ukranian Born to New York State President – Meet Yana Krmic, CRNA

Thu, 05 May 2022 05:00:00 -0400

Few people in our profession represent what it means to be a CRNA more than Yana Krmic, MSN, CRNA, APRN. Born in Ukraine and raised in Siberia before moving to the United States 25 years ago, Krmic overcame many challenges to become a CRNA and eventually rise to the position of president of the New York State Association of Nurse Anesthetists. Her story is an inspiration to us all and one we’ll share on the podcast today along with her feelings on what’s happening in her home country.

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

Today's Key Topics:

4:02 – Introducing our guest

5:24 – Yana’s professional background

6:58 – Growing up in Ukraine

10:22 – Mom moves to New York

12:21 – Yana moves to Siberia

15:43 – Getting into healthcare

17:50 – Green card lottery

19:21 – Determination and assertiveness

20:18 – Her mother’s upbringing

22:08 – Arriving in America

24:56 – Adjusting to a new world

28:08 – Getting a degree and moving into healthcare

35:21 – Experience during COVID

39:53 – Driving more advocacy

46:00 – Her perspective on Ukraine

52:24 – Ukrainian resilience

57:17 – Her identity became clear

1:02:15 – Final thoughts

Ep 178: How Cochrane Collaborates to Promote Evidence-Based Decision Making

Thu, 28 Apr 2022 05:00:00 -0400

The healthcare industry has always depended on collaboration to advance medicine and improve care for patients. Much of that collaboration comes in the form of sharing findings from studies and research, which is what the Cochrane Network tries to compile into thorough and systemic reviews. By working with clinicians, policymakers, providers, and even CRNAs like Dru Riddle, PhD, DNP, CRNA, FAAN, Cochrane promotes evidence-based decision making across healthcare, and today we’ll learn more about the US Network and the role it plays for CRNAs.

Learn more about Cochrane: https://us.cochrane.org/cochrane-us-network

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:

3:28 – Introducing our guests

4:30 – Introducing our topic

8:05 – Who is involved

10:16 – Financial support

12:19 – Building credibility

13:42 – Reviews in US and UK

15:37 – Why he got involved

18:56 – Reviewing anesthesiologists efficiency

21:33 – Cochrane’s new strategy

23:16 – Why isn’t this research being applied to CRNAs?

25:40 – Generating a topic review

29:52 – How Cochrane worked for Sharon recently

34:42 – Why they need CRNA influence

36:23 – Micro-volunteerism

38:13 – Final thoughts

Ep 177: The Path to Full Practice Authority in the Air Force

Thu, 21 Apr 2022 05:00:00 -0400

The fight to give CRNAs full practice authority continues in states across the country but there have been some important victories along the way. All you need to do is look to our military to find a model that many people would like to see across the profession as the U.S. Army, Navy, and Air Force have all removed restrictions on CRNAs. Today we’ll talk with Air Force Colonel Jan Setnor, MSN, CRNA, who was one of the key people involved in helping the Air Force gain that authority and she’ll share the story of how it all happened.

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:

2:53 – Jan’s background in the Air Force

7:07 – ASA and military CRNAs

9:53 – Battling against restrictions

14:27 – Calling Deb Molina

17:04 – Details from the meeting

20:55 – How they reached an outcome

24:21 – Different rules

27:18 – Advocating

29:23 – VA rules in different states

33:38 – Final thoughts

34:50 – Where she was on 9/11

Ep 176: Meet Candidates in the 2022 AANA Elections

Thu, 14 Apr 2022 05:00:00 -0400

The AANA Elections to appoint 2022-2023 board and elected committees will open on April 19 and members will have two weeks to cast their votes. We had the opportunity to go to the mid-year assembly in Washington D.C earlier this month and give candidates the chance to speak directly to you about their views and goals to help you make a more informed decision. Today you’ll hear from 13 CRNAs who will be on the ballot this month.

Meet the candidates: https://www.aana.com/governance/election-center/aana-election-slate-announced

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

Candidates for President

2:52 – Heather Rankin, DNP, MBA, CRNA, FAANA - Alabama

7:13 – Dru Riddle, PhD, DNP, CRNA, FAAN – Texas

Candidates for Vice President

11:15 – Kristie Hoch, DNP, MS, CRNA - Arizona

15:18 – Debra Diaz, DNP, CRNA, APRN, CDR - Florida

17:26 – Janet Setnor, MSN, CRNA – Virginia

Candidates for Treasurer

18:19 – Jeffrey Molter, MBA, MSN, CRNA - Ohio

Candidates for Directors

19:53 – Jill Mason, EdD, DNAP, MSN, CRNA, COI - Indiana

23:03 – Paul Packard, DNAP, CRNA, CPPS - North Carolina

24:33 – Jennifer Banek, MSN, CRNA - Illinois

26:39 – Cathy Harrison, DNAP, MSN, CRNA, CAPT - Virginia

27:47 – Andrea Roberts, DNAP, CRNA - Minnesota

31:12 – Randy Cornelius, DNP, CRNA, ARNP - Iowa

33:49 – Tracy Young, MSNA, MBA, CRNA – Louisiana

Ep 175: Why More Nurses Need to Be Elected to Congress

Thu, 07 Apr 2022 05:00:00 -0400

As we approach another round of midterm elections, we wanted to introduce you to one of the few nurses around the country that hopes to represent her state in Congress. Renee Ellmers is running again in North Carolina after previously serving three terms and she’s doing so with the goal of improving access to healthcare in our country. We’ll also discuss why it matters to have nurses representing our profession as elected leaders and how it might have made a difference in a recent ruling in Tennessee.

How to help Renee's campaign: https://www.reneeellmers.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:

2:18 – Renee’s view of healthcare and why she’s running

5:45 – Why nurses make good elected officials

7:06 – Getting full practice authority

9:08 – Quality of care

11:57 – Restrictions lifted during COVID

13:59 – What can be done?

16:57 – Current nurses in politics

19:03 – Why are nurses elected more?

21:58 – Surprises in Washington

23:24 – Nurse in Tennessee convicted

27:54 – Did the lack of representation impact the ruling?

29:35 – The precedent it set

32:05 – How nurses can help her

35:23 – Advice for nurses

37:09 – Lightning Round

Ep 174: Anesthesia Practice Considerations When Dealing with a Methamphetamine Patient

Thu, 31 Mar 2022 05:00:00 -0400

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

Ep 173: When Guessing Goes Wrong for CRNAs in Retirement

Thu, 24 Mar 2022 05:00:00 -0400

When planning for retirement, many CRNAs end up guessing at some of the most important questions. You’d never enter an operating room unprepared so why risk everyone you’ve worked so hard for throughout your career by not having a plan in place? Today we’ll get answers to these key financial questions so you don’t have to play the guessing game.

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:

3:10 – What we’re talking about today

5:25 – How much monthly income will you need?

7:07 – Trying to determine lifespans

8:22 – Underestimating your needs

10:32 – Monthly average income needs

12:53 – Planning for major purchases

15:16 – Millennials are savers

16:48 – Inflation

18:03 – Interest rates

21:38 – Healthcare costs

26:35 – Final thoughts

Ep 172: Remembering the True Leadership of Patrick Downey

Thu, 17 Mar 2022 05:00:00 -0400

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.

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

Ep 171: Health and Wellness for the CRNA

Thu, 10 Mar 2022 05:00:00 -0500

Long hours and high stress is typically a recipe for poor health, which is why it’s always good to get a reminder to put ourselves and our bodies first. That can be difficult for CRNAs, who are trained to prioritize the needs of others. That’s why we wanted to bring on master nutritionist Donnell Carter, MBA, MS, CRNA to give us the information and motivation we need to take steps towards a healthier lifestyle.

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:

3:20 – Welcome in Donnell

5:18 – Time in the Navy

7:11 – Event that changed his life

12:18 – Going to anesthesia school

14:25 – How CRNAs can integrate health and wellness

19:04 – Master nutritionist

21:33 – His services

22:40 – Coaching

29:53 – Fighting depression

36:59 – Obesity’s role in the pandemic

43:33 – Final thoughts

45:20 – Lightning round

Ep 170: The History of TEFRA and How It Changed Anesthesia

Thu, 03 Mar 2022 05:00:00 -0500

Forty years have passed since the Tax, Equity and Fiscal Responsibility Act (TEFRA) became law and this piece of federal legislation changed the way payment and reimbursement was tracked. Today we’ll look back on the history of TEFRA with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about the reasons behind it, how the AANA responded, and what revisions have been made through the years.

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 – What we’re talking about today

5:05 – Why was TEFRA implemented?

8:04 – Quality of care standard

9:33 – What the practice used to look like?

14:27 – Preparing practitioners

15:36 – What the original rules said

20:32 – Medical supervision and direction

26:56 – 7 conditions of payment

28:49 – AANA’s reaction to TEFRA

31:23 – Concerns between 1993 to 1998

34:32 – Proposed revisions

37:45 – What is immediately available

40:44 – Current TEFRA rules

44:20 – Any updated revisions?

47:15 – Physicians starting schools

51:15 – A book recommendation

52:02 – Final thoughts

Ep 169: CRNA Advocacy in Pennsylvania and the Lessons Learned

Thu, 24 Feb 2022 05:00:00 -0500

Today we want to shine the advocacy spotlight on the work being done by CRNAs in Pennsylvania, who have helped drive some significant changes in their state. Laura Wiggins, DNP, CRNA and Jessica Poole, DNAP, CRNA are two of the nurses involved in shaping the legislation and they join us to share the details on what’s happening in the Keystone State and what it means for all of us in the profession.

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:

3:05 – Welcome Jessica and Laura

4:32 – Background on Jessica

6:29 – Background on Laura

7:59 – Legislation they’ve been working on

11:11 – The opposition to it

13:03 – Board of Nursing’s position

14:52 – Who makes these designations?

18:38 – Other changes they’ve gotten enacted

22:15 – The physician requirement of Act 60

23:38 – Getting students involved in legislative issues

25:29 – Relationship with lobbyists

27:03 – Developing relationships with legislators

30:07 – Compensating CRNAs to advocate

32:41 – Networking support from other groups

39:06 – CRNA practice during COVID in PA

41:12 – Getting involved in advocacy

Ep 168: A Free App Created to Improve Anesthesia

Thu, 17 Feb 2022 05:00:00 -0500

Time is of the essence in the operating room, and it’s important that you’re able to track down the information you need as quickly as possible. Thanks to technology, this process is becoming much more efficient. Today we’ll introduce you to Matthew Willis, DNP, CRNA, the person who developed, coded and maintains the educational app Master Anesthesia. Find out how this app is changing the way nurse anesthetists are able to track down information and make instant calculations right from their phones.

Get the app: https://masteranesthesia.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:

2:35 – What we’re talking about

3:53 – Matthew’s background

5:26 – What the app does

9:25 – Developing the app

12:50 – Why provide all this for free?

19:38 – How long did the coding take

23:45 – Capabilities of the app

25:49 – The calculator

29:22 – The future of the app

31:49 – His costs

33:42 – How can CRNAs get involved

Ep 167: In Search of the First Anesthetists

Thu, 10 Feb 2022 05:00:00 -0500

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.

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)

Ep 166: How Elevated Ambient Noise in the OR Impacts Health & Safety

Thu, 03 Feb 2022 05:00:00 -0500

It’s something outside people might never think about but ambient noise can have a direct impact on the health of CRNAs and the safety of the patients. Many people working in operating rooms don’t realize the effect that elevated noise levels can have and there might be different reasons for that. But we wanted to bring Marianne Cosgrove, CRNA, DNAP, APRN, PhD, onto the show to tell us more about the research she’s done in this area and what she’s found.

About our guest: https://medicine.yale.edu/profile/marianne_cosgrove/

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:

2:06 – Welcome in our guest today

4:15 – Where did this interest come from?

6:45 – Sharon’s background in this subject

7:56 – Her study

13:27– Sound levels in the OR

15:43 – Return on the surveys

18:35 – Other survey findings

20:00 – Other contributors to the noise

22:42 – CRNAs reaction to this

26:41 – Patient safety

29:54 – How to mitigate the noise

34:44 – Lightning Round

Ep 165: Incivility and Bullying by Healthcare Providers in the Clinical Setting

Thu, 27 Jan 2022 05:00:00 -0500

Incivility and bullying can be found in all types of environments in our society and that’s unfortunately true with the academic and clinical settings for SRNAs. This can create an environment that interferes with a student’s ability to learn, ability to cope, relationships, health and well-being. Holly Chandler EdD, CRNA, conducted a study with students to learn more about the issues they're facing and joins us to share her findings and look at the larger problem within the healthcare industry.

About our guest: https://www.bryanhealthcollege.edu/bcohs/faculty-staff-directory/nurse-anesthesia-faculty/meet-holly/

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:

3:39 – Why the topic is important

5:19 – Background on Holly

6:56 – Incivility vs Bullying

8:48 – Has Sharon ever felt bullied?

11:13 – SRNAs put in tough position

13:41 – Student risk

17:28 – Reporting

19:47 – Resources that are available

22:40 – What to do if you have a colleague behaving this way?

25:10 – Encouraging people to speak up

27:23 – Self-policing

29:59 – Is this more of a societal trend?

32:35 – Jeopardizing accreditation

34:21 – Lightning Round

Ep 164: CRNA Entrepreneurship in Aesthetics and Wellness

Thu, 20 Jan 2022 05:00:00 -0500

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/

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

Ep 163: How to Negotiate & Review CRNA Contracts

Thu, 13 Jan 2022 05:00:00 -0500

Talking about money isn’t an easy thing for most people to do. That’s why conversations around CRNA contracts can get uncomfortable and eventually lead to deals that don’t provide the value or benefits that you want and deserve. That’s why we’ve invited Jon Appino, founder of Contract Diagnostics, to talk about the negotiation process and how to approach your next contract review.

About our guest: https://contractdiagnostics.com/about-us/

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:

2:16 – Background on guest and topic

4:07 – How he got into this business

8:03 – What is negotiable

10:07 – Tactics for negotiating

15:44 – W2 vs 1099

19:03 – Helping people understand their options

21:55 – Understanding your worth

25:57 – Red flags in contracts

27:56 – AANA compensation benefit study

31:19 – Current trends

34:12 – Is it okay to push back?

36:26 – What do these services cost?

40:05 – Re-negotiating

41:29 – Pay for men vs women

43:27 – Lightning round

Ep 162: A Lifetime of Advocacy & Volunteerism with Linda Moore, CRNA, BS

Thu, 06 Jan 2022 05:00:00 -0500

Being a CRNA means caring for and about people and you won’t find many people that are better examples of that than Linda Moore, CRNA, BS. The former president of the NCANA has been in nursing for nearly 50 years, using much of that time on advocacy and volunteerism. Today she joins us to share that experience and help us understand why it’s so critical to nurse anesthesia.

Watch the documentary referenced on the show: https://app.box.com/s/ldy0pye5lpnccccdgmt29b044e563m60

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:

3:01 – Background on Linda

7:08 – Why advocacy & volunteerism is important

9:22 – Nursing Practice Act

12:56 – Lessons she’s learned

13:59 – Mentorship

18:01 – Where she volunteers

23:46 – Political involvement

27:24 – Her role within NC Democratic Party

31:42 – Final thoughts on the topic

33:20 – Lightning Round

Ep 161: 22 Life & Money Resolutions for 2022

Thu, 30 Dec 2021 05:00:00 -0500

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.

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

Ep 160: Remembering Helen Vos, The Mother of Continuing Education

Tue, 21 Dec 2021 05:00:00 -0500

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.

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

Ep 159: Tracking Surgeon Quality to Improve Cost & Care for Patients

Thu, 16 Dec 2021 05:00:00 -0500

Patients trust that their healthcare providers are sending them to the best surgeon possible when the need arrives, but that’s not always the case. Too often, patients aren’t receiving the best match when surgery is required due to outdated methods but times are changing. Sanjay Prasad, MD, CACS, started the company SurgiQuality to better track surgeon results and better identify quality of care. Today he joins us to talk about this new business and its goal to improve both costs and care for all parties.

About our guest and his book: https://resettinghealthcare.com/

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:

2:36 – Background on our Dr. Prasad

5:03 – What’s the issue with surgical referrals right now?

7:52 – How SurgiQuality operates

10:18 – Acquiring data on surgeries

13:51 – COVID’s impact on healthcare

16:56 – Where are we headed?

19:02 – Dealing with difficult patients

21:20 – Working with surgeons for tracking results

24:02 – Dr. Prasad shares a story

26:11 – Who buys into SurgiQuality?

26:11 – How many companies are self-insured?

29:40 – Medicare and Medicaid

30:31 – Cost savings

32:22 – Details on his book

33:22 – Building the SurgiQuality platform

35:30 – Final message from Dr. Prasad

Ep 158: How to Protect Your License from Litigation

Thu, 09 Dec 2021 05:00:00 -0500

Although you never go into a patient’s room with the expectation that anything will go wrong, sometimes it does. It’s important for nurses to be prepared in the event that a lawsuit is ever filed against you. Today we’ve invited attorney Nick Dowgul to the show to tell us more about the legal process and what can happen to your nursing license after a lawsuit. There’s a lot to learn and we want to make sure you are able to protect yourself and your career.

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:

3:24 – Background on Nick

5:19 – Malpractice coverage

8:50 – Lawsuits impacting your license

10:46 – How investigations work

12:06 – Pulling cell phone records of nurses

16:07 – Examples of cases he’s seen

21:31 – Where you can find infractions?

22:14 – Failing to adhere to minimum standards case

24:14 – Following a doctor’s order

30:16 – Should you get a lawyer?

32:00 – Insurance side of this

34:14 – How to find someone like Nick

35:53 – Summarizing the conversation

Ep 157: Why Having Nurse Anesthesia Academic Leadership Matters

Thu, 02 Dec 2021 05:00:00 -0500

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.

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

Ep 156: How the Economics of Healthcare Could Change Anesthesia

Tue, 23 Nov 2021 05:00:00 -0500

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.

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

Ep 155: Proving the Quality and Cost Efficiency of CRNAs

Thu, 18 Nov 2021 05:00:00 -0500

Research is crucial to pushing the CRNA profession forward and that’s something that the AANA Foundation has dedicated its efforts to. To help us understand why so many resources are being poured into research and what we’re learning about anesthesia, AANA Foundation CEO Lorraine Jordan, PhD, CRNA, CAE, FAAN, joins the show. She shares the mission behind the foundation and gives us her perspective on what's ahead for CRNAs.

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:

5:12 – Welcome on Lorraine

9:09 – Why we picked this topic

11:37 – Cost of research studies

15:23 – Research results

24:48 – Quality not being a priority

29:10 – CRNAs in rural areas

35:27 – Anesthesiologists and CRNAs working together

39:02 – Lorriane’s forward vision

45:20 – How to donate

50:10 – Final thoughts

Ep 154: Anne Penland’s Story - Nursing on the Frontlines of World War I and Early 20th Century Medicine

Thu, 11 Nov 2021 05:00:00 -0500

You won’t find Anne Penland’s name mentioned very often in the early history books about nursing, but this North Carolina nurse anesthetist served our country in some of the toughest environments. Our historical series continues with a spotlight on Penland and all of the incredible detail she provided on the war and early 20th-century anesthesia thanks to a well-written diary. We’re joined by our resident historians, Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about this incredible person.

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:

2:57 – Great feedback on the historical series

4:30 – Why is Penland so important?

5:45 – Early life

8:38 – Her time in Europe during WWI

13:35 – Working as a nurse anesthetist during the war

16:10 – Lessons learned from her diary

20:48 – Happy moments from the diary

22:48 – Serving with Agatha Hodgins

26:08 – Recognition for her service

29:42 – After the war

34:26 – Ceremony in 2017

41:54 – From the military to civilian healthcare

44:16 – So much happening in the world at the same time

47:51 – Building on the past

53:01 – Where to get additional information

Ep 153: The Business Side of Anesthesia

Thu, 04 Nov 2021 05:00:00 -0400

There’s no doubt that anesthesia is a big business but not every CRNA pays attention to that side of the profession. It might not be something you’re immediately interested in, but it’s important to help you understand your true value as a CRNA. Today we’re going to ask Tracy Young, MSNA, MBA, CRNA, the CEO of YPS Anesthesia, about a number of important topics involving the business side of anesthesia and what the future might hold as the industry evolves.

About our guest: https://ypsanesthesia.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:

2:41 – Excited for our guest today

3:58 – Background on Tracy

6:00 – How much the business has grown

7:42 – Trials and successes

9:56 – CRNAs that want to build a business

12:41 – Other areas he’s interested in beyond anesthesia

18:47 – How COVID has changed hospitals and health facilities

22:57 – Creating a great workplace

28:12 – Flexible models

30:12 – 1099 vs W-2

36:45 – Advice for healthcare insurance

39:17 – Understanding your value

45:14 – Cost-effectiveness of CRNAs

50:46 – Future for CRNAs

54:45 – What scares him the most about the future

56:36 – Lightning round

Ep 152: The Growth of Computerized Surgical Implants

Thu, 28 Oct 2021 05:00:00 -0400

Technology has been changing the healthcare industry for many years now but we’ve reached a point where computers have gone from outside the body to inside the body. Computerized surgical implants are being utilized in many different capacities to provide better care for patients, and that’s presenting some unique challenges for CRNAs. Today we talk with Adam Flowe, CRNA, who is the Chief Nurse Anesthetist at Duke, to talk about all the advancements in technology and what it means for the profession today and in the future.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-152-the-growth-of-computerized-surgical-implants/3054/

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:

3:16 – Welcome in Adam

4:23 – Background on Adam

6:51 – Why this topic?

11:42 – Why are we seeing more of these implants?

13:23 – Different types of implants

21:42 – Challenges for anesthesia providers

23:39 – Training SRNAs for this

26:59 – Can we be made smarter?

30:52 – Elon Musk health technology company

41:54 – How long can the body tolerate these things

42:38 – Final thoughts

43:19 – Lightning Round

Ep 151: Tips & Techniques for Maintaining Strong Relationships During the Pandemic

Thu, 21 Oct 2021 05:00:00 -0400

Long-term relationships, whether they be personal or professional, have been under tremendous stress since the start of the pandemic. The same dynamics that typically produce rewarding relationships can also be turned around and used to negatively affect the parties involved. Keith and Lynn Macksey, CRNA, wrote Miracles in Marriage during COVID to explore the miracles that lie within these special relationships in our lives. Today we hear their story, learn from their experiences, and pick up a few tips and techniques that we can apply to our own relationships.

Check out their book on Amazon: https://www.amazon.com/Miracles-Marriage-Long-term-Committed-Relationships/dp/B08WV2Z3RM

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:

3:33 – Why this topic?

4:46 – Story behind the book

9:35 – The value of the book

12:12 – Context drives content

15:38 – Story about one of the characters in the book

21:02 – Creating a positive context

24:45 – When you partner drives you nuts

31:04 – The CRNA personality type

37:00 – How we learn about relationships

40:16 – Where breakthroughs come from

47:35 – Taking things personally

56:09 – How age impacts things

1:00:51 – Ultimate veto

1:02:11 – Love is a verb not a noun

1:06:08 – Final thoughts

Ep 150: Expanding Role of CRNAs in Disaster Response

Thu, 14 Oct 2021 05:00:00 -0400

With the resources and skills that CRNAs possess, they are trained to succeed in crisis situations, which is why more and more of our peers are assisting in disaster response. One of those generous people is Corinne Chausse, a CRNA from North Carolina that has worked on the front lines of Iraq, at the epicenter of the pandemic, and other highly stressful locations. Today she joins the show to talk about this experience, share remarkable stories, and explain the many benefits of serving in these response roles.

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:

4:09 – Background on Corrine

6:47 – Places she’s traveled to

10:41 – Preparing herself for these violent locations

11:54 – Handling blast injuries

14:55 – Influencing her work at home

16:38 – Dealing with COVID in NYC

21:16 – Positive memories she has

26:54 – The tremendous levels of stress

34:24 – Advice CRNAs with an interest in this work

37:54 – Lightning Round

Ep 149: Quality of Care Studies in Anesthesia – Fact vs Myth

Thu, 07 Oct 2021 05:00:00 -0400

For the past 50+ years, numerous quality of care studies have been published that evaluated outcomes based on the anesthesia provider. These studies have produced great data but some of the research methods and findings were flawed. That’s been used by the ASA and AANA to promote agendas. We’ve invited Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, back on the show to tell us about the different studies through the years and sort out the difference between fact and fiction.

AANA Document: Quality of Care in Anesthesia

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:

4:27 – An overview of the studies and findings

6:58 – Studies from the 1970s and 80s

10:58 – Bechtodt study

14:48 – When Sandy was president elect

17:30 – The Silber Study

24:00 – Flawed results

26:45 – Analysis by Dr. Michael Pine

31:48 – Abenstein and Warmer article in 1996

32:27 – Vila Study in Archives of Study

33:17 – Dulisse & Cromwell study

38:15 – Needleman study in 2008

39:41 – Simonson study in 2007

41:15 – What do we know now in 2021?

43:05 – How to learn more

48:04 – We need to keep producing data

53:21 – The future is quality, cost and access

Ep 148: Mental Health Awareness for Healthcare Workers and Trainees

Thu, 30 Sep 2021 05:00:00 -0400

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.

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

Ep 147: APRN Regulation and Independent Practice with Ronald Castaldo, PhD, MBA, MS, CRNA, APRN

Thu, 23 Sep 2021 05:00:00 -0400

One positive that’s emerged from the pandemic is the reality that nurses are extremely good at their job and can thrive in an independent setting. The hope is that this will help APRNs and CRNAs move closer to a career where they can practice to the full extent of their training and education without statutory barriers. Today we’ve invited Ronald Castaldo, PhD, MBA, MS, CRNA, APRN, onto the show to discuss the pro-APRN wins in recent years and to help all CNRAs understand the importance of the state boards of nursing. He also provides a detailed background and breakdown of the APRN Consensus Model and the APRN Compact.

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:

2:59 – Welcome in Ron

6:37 – State board of nursing

8:35 – Different levels of discipline

12:57 – What gets reported to the national practitioner databank

16:09 – Losing your nursing license

21:12 – What is the APRN Consensus Model

26:29 – CRNAs working independently

32:13 – APRN compact

39:37 – Pandemic silver lining

40:32 – What’s the process to move states?

42:17 – Opponents to this

45:12 – Final thoughts

48:48 – Lightning round

Ep 146: Leading Up – How CRNAs Can Lead Without Being in Charge

Thu, 16 Sep 2021 05:00:00 -0400

Being a great leader doesn’t require a person to be in a position of power. Every CRNA has the opportunity to make a difference each day by leading up. The dean of Loma Linda University’s School of Nursing, Shawn Collins, PhD, DNP, CRNA, joins the show today to talk with us about this idea of making an impact from whatever role you’re in.

Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-146-leading-up-how-crnas-can-lead-without-being-in-charge/3012/

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:

2:39 – Background on our guest today

5:03 – Why this topic is important

6:11 – Different types of power

9:21 – What is leading up?

12:47 – Takeaways from being on hospital board

14:34 – Tips for leading up

18:20 – Emotional intelligence

22:43 – Leadership is learned

24:48 – Final thoughts from Shawn

26:45 – Lightning Round

Ep 145: Why Regulatory Reform Strengthens the CRNA Profession

Thu, 09 Sep 2021 05:00:00 -0400

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.

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

Ep 144: Cultural Humility in the Nurse Anesthesia Profession

Thu, 02 Sep 2021 05:00:00 -0400

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.

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

Ep 143: A Complete Look Into the AANA Doctoral Task Force with Sandy Ouellette, CRNA

Thu, 26 Aug 2021 05:00:00 -0400

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

Ep 142: Promoting CRNAs & Anesthesia Through Social Media

Thu, 19 Aug 2021 05:00:00 -0400

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

Ep 141: 5 Things CRNAs Must Know About Decumulation to Retire Successfully

Thu, 12 Aug 2021 05:00:00 -0400

When it comes to saving and investing during your working career, CRNAs can find plenty of help and resources to get them to retirement. Unfortunately, there’s not nearly as much support to help you manage that nest egg and spend down your assets. This period, known as decumulation, is just as important as anything you do with your finances so let’s make sure you know what it takes to retire successfully.

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:

4:00 – The retirement topic we’re covering today

6:24 – Preparing for longevity

9:17 – Finding the right type of support for retirement

12:23 – Fear of spending money is a real thing

15:42 – Risks in retirement

18:43 – Taxes play such an important role.

22:08 – Jeremy shares a client story

24:07 – Replacing your paycheck

27:20 – What age should you start planning?

30:07 – Final thoughts from Jeremy

31:43 – Lightning Round

Ep 140: Free Open Access MEDucation: Leveraging Social Media & Podcasting for Learning

Thu, 05 Aug 2021 05:00:00 -0400

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.

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

Ep 139: Nursing, Politics, and the Future of Our Country with Ernest Grant, PhD, RN, FAAN

Thu, 29 Jul 2021 05:00:00 -0400

Many issues are facing our country right now and nurses will play a key role in helping communities move forward. As the most trusted profession, nursing should embrace that position and that’s what many leaders are trying to do. ANA President Ernest Grant, PhD, RN, FAAN, joins us on this episode to share his view on what he feels are priorities right now, how nurses can impact the future, and why representation is still crucial for the profession.

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:

3:03 – Excited to talk with Dr. Ernest Grant

3:54 – Bringing more sectors of nursing together

5:45 – Background on our guest

8:25 – How Sharon and Ernest met

11:45 – Why is this so important right now?

17:01 – Nursing is the most trusted profession

21:43 – Vaccinations

28:52 – AANA Newsletter

30:48 – Health and policy

40:22 – Financial situation for nurses

47:38 – Future of nursing report

54:31 – Bringing more people into the profession

1:03:33 – Lightning round

Ep 138: The Highs & Lows of Sharon’s Journey to a DNP

Thu, 22 Jul 2021 05:00:00 -0400

Before we share anything, please note that this is an emotional episode. Not only was the journey to a DNP a long and arduous one for Sharon with plenty of highs and lows that we’ll discuss, but we begin the show with heartbreaking news about Sharon’s granddaughter, Emma Kate. It’s tough to discuss but it’s important for the healing process and we appreciate everyone for the support along the way.

Details on the upcoming walk to remember Emma Kate: https://grouprev.com/HALOSWALK2021-jillian-pechacek?fbclid=IwAR0h0VNcATrqUTMrJ7xHQqP4YS2kxgoSo7kmIac_BHxsYeiLW-__iuMoSHQ#.YPRcAR48eeA.facebook

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:

2:25 – Plan for the show today

3:32 – Heartbreaking loss for Sharon’s family

8:39 – Sharon’s journey to get her DNP

13:01 – The why behind her decision

15:28 – Pros and cons of distance learning

18:34 – Why should you go back to get your DNP?

22:54 – Words of wisdom

26:57 – Getting overwhelmed through this journey

32:46 – Looking back on the process

35:45 – Final message to the younger CRNAs

Ep 137: Balancing Motherhood with a CRNA Career with the Smart Mamas (Re-release)

Thu, 15 Jul 2021 05:00:00 -0400

On this episode, we’re going back to a previous conversation with the three women behind the Scrub Caps & Sippy Cups podcast. This trio does great work for mothers in our profession so we wanted to spotlight them once again on the show. Plus, a lot has changed for them since we talked in early 2020.

About our guests: https://www.facebook.com/heysmartmommas/

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:

0:50 – Why we’re revisiting this conversation

5:23 – Welcome our guests

6:18 – Background on Laci

7:19 – Background on Ellen

8:23 – Background on Crystal

10:24 – Why this topic is so important

11:52 – Connecting through social media

16:24 – Misconceptions about parenting

18:37 – Breastfeeding

25:58 – Keeping marriage intact

34:56 – What do you do for yourself?

38:18 – Maintaining your own identity

40:45 – How to connect with them

41:25 – Final Thoughts

Ep 136: APEX Live Anesthesia Helping CRNAs Prepare for CPC Assessment

Thu, 08 Jul 2021 05:00:00 -0400

Testing is never a relaxing experience and that’s why the upcoming CPC Assessment has created some anxiety for CRNAs. Thankfully, the duo behind APEX Live is working hard to help educate and prepare CRNAs through events, podcasting, and teaching. Jeremy Heiner EdD, CRNA and Sass Elisha EdD, CRNA, FAAN join us today to tell us more about the work they’re doing and then take us through some sample questions that might be found on the assessment.

About our guests: https://www.apexlive.com/podcast

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:

3:45 – Introducing our guests today

5:52 – Background on Jeremy and Sass, and the podcast

9:48 – Educational goals for the podcast

14:26 – Instilling confidence in testing

19:38 – Using humor

25:37 – APEX Live events

31:22 – How they develop their questions

33:44 – Sample questions

37:30 – The four domains on the test

38:08 – Test question

42:33 – Crisis checklist

50:28 – Test question

57:42 – Ways to connect with Jeremy and Sass

1:00:00 – Lightning round

Ep 135: Closed Claims Involving CRNAs and SRNAs

Thu, 01 Jul 2021 05:00:00 -0400

No matter how closely you follow standard of care, mistakes can be made in the operating room. CRNAs often get named in claims, even if they did everything right, so it’s important to be aware of how this happens. Marjorie Everson, PhD, CRNA, has been studying closed claims and there are plenty of findings that she hopes can help CRNAs and SRNAs in the future.

Read more and get additional resources here: https://beyondthemaskpodcast.com/2936-2/2936/

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:

3:12 – Introducing Marjorie

6:11 – Why is this so important for CRNAs?

7:39 – Defining closed claims

9:26 – Key Findings

12:31 – Why does it happen to experienced CRNAs?

19:03 – Any follow-ups?

24:25 – Story about turning patient away

28:19 – Unexpected findings

32:23 – Are students taught how to say no?

35:19 – Violations that were found

41:34 – Final thoughts from Marjorie

42:24 – Lightning Round

Ep 134: The State of the US Housing Market: Crash or Opportunity?

Thu, 24 Jun 2021 05:00:00 -0400

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.

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

Ep 133: How Geographic Information Systems Are Being Used to Identify Veteran Suicide Risk

Thu, 17 Jun 2021 05:00:00 -0400

The rate of suicides among our veteran population continues to rise and the number is probably higher than most people realize. The good news is people are leveraging incredible new data to improve support and care for those that need it most. Kevin Driscoll, DNP, MSN, CRNA, is the only CRNA certified in these geographic information systems (GIS) and he joins us today to share his passion for data, how it’s being used to serve veterans, and the other possibilities that could come from GIS.

Read more here: https://beyondthemaskpodcast.com/ep-133-how-geographic-information-systems-are-being-used-to-identify-veteran-suicide-risk/2924/

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

The show rundown for this episode:

3:20 – Welcome Kevin!

4:32 – Background on Kevin

9:33 – Who’s at risk for suicide?

12:15 – Geographic Information Systems (GIS)

17:21 – What the data can teach us

23:16 – Who can access this data?

25:32 – Using this to help veterans

29:22 – What else he uses GIS for

37:38 – How CRNAs & SRNAs can use this data

42:51 – Process of plotting

47:11 – Tracking the type of cases CRNAs are working

51:45 – Final thoughts

Ep 132: The Silent Epidemic in Healthcare – Second Victim Phenomenon

Thu, 10 Jun 2021 05:00:00 -0400

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.

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

Ep 131: PTSD and Suicide Prevention for CRNAs and SRNAs

Thu, 03 Jun 2021 05:00:00 -0400

A significant number of people in our country are dealing with the effects of PTSD and it often goes overlooked or ignored. With the amount of added pressure CRNAs and SRNAs have due to the job, it shouldn’t be a surprise that suicides happen too often among our peers. So how do you identify issues and help those you think might be struggling? We’ve asked mental health experts Jerry Hogan, DNSc, CRNA and Chuck Griffis, PhD, CRNA to join the show to help us all learn more about the struggles people are facing and what can be done to prevent suicides in the future.

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:

4:31 – Background on Jerry

8:40 – Background on Chuck

13:15 – Why this topic is so important right now

16:19 – How PTSD goes undiagnosed

21:48 – Examples of PTSD in CRNAs

25:54 – The amount of people affected by this

29:26 – CRNAs prone to suicide

34:35 – If you know someone that might be facing this

41:08 – Statistics

42:43 – Resources the AANA offers

50:25 – How do you know if you have PTSD?

56:27 – Improving education

59:53 – Study Griffis is doing

Ep 130: Generational Challenges and Opportunities in SRNA Education

Thu, 27 May 2021 05:01:00 -0400

Generational differences can often be the source of disagreements and misunderstandings. It happens in every profession and nurse anesthesia is no different. Erin Martin, CRNA, DNP, is the Program Director at the Mayo Nurse Anesthesia Program and has an incredible grasp on how and why each generation is different. She joins today to provide a thorough examination of these unique communication characteristics and how we can use them to improve education.

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:

2:55 – The root of miscommunication

4:34 – Erin’s background

5:38 – The differences in each generation

9:36 – Influences on each generation

19:47 – How this impacts nurse anesthesia

26:14 – Communication preferences

28:45 – Relating to a different generation than your own

32:27 – How do we bridge this gap?

35:44 – Relating to Millenials

37:00 – Inclusion

42:38 – Understand each other’s weaknesses

Ep 129: Given 6 Months to Live: Healthcare Policy from the Patient’s Perspective

Thu, 20 May 2021 05:00:00 -0400

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.

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

Ep 128: How CRNAs Can Protect Their Greatest Asset: Yourself

Thu, 13 May 2021 05:00:00 -0400

It’s easy to assume that your employer insurance coverage will protect you during a catastrophic event, but that’s not necessarily the case. To truly cover your greatest asset as a CRNA, which is yourself and your ability to earn a living, a personal disability insurance policy can be a life saver. Today we talk with BrightThink Wealth Strategies insurance specialists Robert and Kyle Smith, who specialize in working with CRNAs, to learn about the why this coverage is so critical.

Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-121-how-crnas-can-protect-their-greatest-asset-yourself/2838/

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

Learn more about Disability Insurance: https://beyondthemaskpodcast.com/wp-content/uploads/2021/03/Disability-Flyer-For-Web-maybe-make-a-PDF.docx

What we discuss on this episode:

2:01 – Welcome our guests today

3:23 – What we’re talking about today

4:10 – Background on Robert and Kyle

5:03 – The companies that offer disability insurance

7:26 – Do you have adequate coverage through your employer?

11:56 – Have an emergency fund

14:37 – What if anesthesia is the cause of your disability?

17:01 – Understanding your employer policy

19:01 – How does age effect your policy?

24:05 – Financial planning process

25:19 – Plans for 1099 vs W-2

30:04 – Story about someone that didn’t insure

33:21 – Advantages of working with BrightThink Wealth

36:23 – How to get in touch with Robert and Kyle

38:33 – Lightning Round

Ep 127: A CRNA’s Experience Being Deployed to Afghanistan

Thu, 06 May 2021 05:00:00 -0400

Most people buy an expensive car or go on an outlandish spending spree when they’re in their late-40s, but Michael Rieker, CRNA, DNP, FAAN, isn’t like most people. Instead of doing any of those other things, he used his talent and skills in nurse anesthesia to join the Army Reserve, which led to him serving in Afghanistan. Today he’ll tell us about that experience and how it’s helped him in his current role at Wake Forest University.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-127-a-crnas-experience-being-deployed-to-afghanistan/2886/

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:

2:14 – Welcome in our guest

3:58 – Deployment to Afghanistan

8:11 – How busy was he

11:27 – Providing anesthesia to civilians

12:48 – Conditions overseas right now

14:47 – What a typical day looked like

17:06 – Transitioning back to real life

20:20 – Very limited connectivity on deployment

21:02 – School while he was away

22:52 – Top things he learned

25:29 – Benefits of the military

26:41 – Final thoughts

Ep 126: Gertrude Fife’s Lasting Impact on Education and the AANA

Thu, 29 Apr 2021 05:00:00 -0400

Agatha Hodgins earned notoriety as the founder of the AANA but a person right behind her often gets overlooked. That’s Gertrude Fife, the second president of the AANA, and she’s the next focus of our historical series. We look back on how she helped shape the organization and set the standards of education for CRNAs with the help of Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA.

Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-123-gertrude-fifes-lasting-impact-on-education-and-the-aana/2880/

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:

2:10 – Welcome Sandy and Nancy

5:22 – Early part of her life

6:49 – Contributions to clinical anesthesia

13:39 – Contributions to AANA

24:38 – Elected NANA president

27:52 – Real proponent of an accreditation program

34:15 – An organizer and promoter

36:27 – Membership categories

39:02 – What annual dues would be today based on inflation

40:55 – Settings standards for education

45:37 – Woman of many talents

47:46 – Dagmar Nelson Trial

45:37 – Disagreement between Hodgins and Fife

51:59 – First qualifying exam

54:54 – Other awards

56:45 – Her life’s work and its relevance today

Ep 125: What Retirement Lifestyle Will You Choose?

Thu, 22 Apr 2021 05:00:00 -0400

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.

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

Ep 124: AANA Foundation Leading CRNAs Into the Future

Thu, 15 Apr 2021 05:00:00 -0400

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

Ep 123: Remembering Steve Mund with a Past Conversation

Thu, 08 Apr 2021 05:00:00 -0400

The AANA and CRNA community suffered a great loss in March with the passing of Steve Mund, DNP, CRNA, CENP, FACHE. To help remember him and his legacy in the profession, Jeremy and Sharon wanted to go back and revisit a conversation they had with him in 2019 on the future of healthcare.

See the show notes: https://beyondthemaskpodcast.com/ep-123-remembering-steve-mund-with-a-past-conversation/2859/

Listen to our other episode with Steve: https://beyondthemaskpodcast.com/ep-54-how-crnas-should-prepare-for-depositions-with-steve-mund/2215/

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:

1:13 – Jeremy and Sharon share their thoughts on the passing of Steve Mund

4:27 – Sharon shares some background on Steve.

2:22 – It’s an interesting time in healthcare and there’s no way to predict how it will change in the years to come.

9:56 – The three payment models healthcare needs to engage in for the future.

12:12 – Accountability on the patient side?

13:17 – The providers get penalized but what about the payer?

15:59 – Let’s talk about mergers. Are their benefits to these large mergers?

19:39 – Where is all the money going?

22:02 – What factors are driving the utilization of healthcare?

24:00 – What does Steve see as the future of healthcare payers?

27:26 – How do you determine value in healthcare these days?

29:39 – How can we help cut down on waste in financial, clinical and personnel areas?

32:37 - Some final thoughts from Steve.

Ep 122: How Goldie Brangman, CRNA, Broke Barriers Throughout Her Life

Thu, 01 Apr 2021 05:00:00 -0400

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.

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

Ep 121: Begin Your Path to a CRNA Non-Surgical Pain Management Practice

Thu, 25 Mar 2021 05:00:00 -0400

There’s a growing need for pain management solutions in our country and it could be the next great opportunity for CRNAs. Cheryl Schosky, DNAP, MSN, CRNA, is one of only 89 CRNAs in the country with a non-surgical pain management certification and will share everything she’s learned about the practice and why she believes it needs to become an educational track for future CRNAs.

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:

2:12 – Welcome our guest today

3:28 – Background on the topic and why it’s important

7:15 – Her career path to this point

12:18 – Challenges to building a pain management practice

15:24 – Transitioning to a 1099 contractor

16:53 – The personal reason for this choice

18:52 – Where she did her fellowship

22:17 – Mentors in this area

24:01 – Traits you need to possess

27:52 – The opportunity for CRNAs

29:54 – Deeper issues beyond chronic pain

35:15 – Final thoughts

Ep 120: The Secret Middle East Mission CRNAs Took Part In

Thu, 18 Mar 2021 05:00:00 -0400

It’s like a story right out of a Hollywood blockbuster. One that involves predawn flights, heavy military ammunitions, and a Crown Prince from the United Arab Emirates. Most importantly, it’s a secret mission involving CRNAs. Join us as we get the first-hand account of this 2017 covert operation from Lt. Col Laura Wiggins, CRNA, who was a part of this flight into Yemen.

Show notes: https://beyondthemaskpodcast.com/ep-120-the-secret-middle-east-mission-crnas-took-part-in/2826/

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 our guest

6:23 – How the mission unfolded

9:50 – No time to sleep

14:02 – Flying into Yemen

15:49 – CRNA patch

17:24 – Dealing with Injured patients

19:00 – Media knew the story

20:39 – A walking bloodline

21:36 – Combat take-off

22:51 – The reason for the mission

24:18 – How this affected the peace accord

27:14 – Running for office

29:24 – Final thoughts from Laura

Ep 119: Advocating for CRNAs Using YouTube and Social Media with Jason Bolt, CRNA

Thu, 11 Mar 2021 05:00:00 -0500

You might know him as Bolt CRNA on social media. This new-age advocate for the profession has built a strong following through YouTube, Facebook, Instagram and now Tik-Tok. Find out how Jason Bolt, CRNA, began this journey as an ‘influencer’ and how he uses his platform to help educate current and aspiring nurse anesthetists.

Read more and find out how to connect with Jason here: https://beyondthemaskpodcast.com/ep-119-advocating-for-crnas-using-youtube-and-social-media-with-jason-bolt-crna/2827/

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 – Welcome in Jason

3:26 – Background on Jason

5:47 – Why is this topic important

7:53 – CRNA school

8:54 – Building a following on social media

13:57 – The negative side of social media

15:37 – How he uses it to advocate

19:11 – Who got him interested in being a CRNA

21:29 – How he got started on social media

24:08 – How can other CRNAs use social to advocate?

27:07 – Future plans

30:41 – Words of wisdom

31:49 – Membership

32:41 – Lightning Round

Ep 118: A CRNA’s Light In the Darkness featuring Steve James, CRNA

Thu, 04 Mar 2021 05:00:00 -0500

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

Ep 117: A Hand Up! How Dr. Lena Gould, EdD, CRNA, FAAN is Improving Diversity in Nurse Anesthesia

Thu, 25 Feb 2021 05:00:00 -0500

When you look at areas of the nurse anesthesia profession that need improvement, diversity would be near the top of that list. Thanks to Dr. Lena Gould, EdD, CRNA, FAAN, there’s a mentorship program in place that is helping facilitate entry into the profession for people of color. Today we’ll spotlight that work that’s being done, share Dr. Gould’s incredible journey to this point, and discuss ways to keep increasing diversity in the operating room.

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:

2:17 – Welcome our guest today, Lena Gould.

6:47 – Her first trip to an AANA annual meeting

9:26 – How education saved her during homelessness

14:54 – HRSA grant

18:58 – The beginning of the diversity and mentorship program

23:49 – How she found out about nurse anesthesia

27:47 – Stats on nurses of color

31:38 – Financial barrier to entry

38:33 – An equity issue

40:18 – Lightning Round

Ep 116: Importance of Mentoring in CRNA Leadership Development

Thu, 18 Feb 2021 05:00:00 -0500

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

Ep 115: Summit Your Everest – A CRNA’s Story of Peaks, Valleys, and World Records

Thu, 11 Feb 2021 05:00:00 -0500

If you’re in the need for inspiration, you’ll be hard-pressed to find a better story than the one that Jeanne Stawiecki, CRNA, will tell on this episode. Thanks to the power of positive and determined thinking, she went from smoking two packs of cigarettes each day to setting two Guinness World Records for marathon running and mountain climbing. It’s an incredibly powerful and emotional story and one you don’t want to miss.

About our guest: https://jeannestawiecki.com/biography/

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:

3:02 – Background on Jeanne and her accomplishments

6:35 – Her childhood

9:54 – Why she began smoking

13:04 – Marathon running begins

18:54 – Changing her thoughts and mindset

21:53 – The goal of 7 marathons on 7 continents

27:33 – Health challenges

30:27 – Second Everest attempt

35:23 – Climbing travel

47:13 – What she’s doing now

48:52 – The incredible story of how she summited Everest

56:30 – Final message on being conscious every day

Ep 114: Crucibles of Leadership – Overcoming Fear, Doubt, and Uncertainty to Find Your Voice with AANA CEO Dr. Randall Moore

Thu, 04 Feb 2021 05:00:00 -0500

Being the lead of an organization like the AANA takes a special set of leadership skills, but reaching that point doesn’t come without obstacles like uncertainty and doubt. Join us as we talk with AANA CEO Randy Moore, DNP, MBA, CRNA, about his journey to his leadership role and how he’s handled periods of self-doubt along the way.

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:

2:00 – Why is this topic important?

4:09 – Developing leadership style

7:46 – His role vs what he expected

13:05 – Essential skills of leadership

17:12 – Struggling with being happy

25:28 – Learning from failure

27:43 – The role his wife played

29:34 – What he’s good at

31:45 – The hedonic treadmill

35:03 – Advice he’d give to aspiring leaders

Ep 113: Life in a 50-50 World - What Financial Impact Will It Have on CRNAs?

Thu, 28 Jan 2021 05:00:00 -0500

After watching another historic Inauguration Day, we can’t help but notice that the country has mixed feelings about where we’re headed. You can say we’re living in a 50-50 world. So as we welcome in a new administration, what can CRNAs expect from the economy moving forward and what does it mean for your finances?

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-113-life-in-a-50-50-world-preparing-crnas-financially-for-2021/2780/

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:

2:27 – Why we’re talking about this today

3:10 – The Social Dilemma

5:20 – New stimulus money

7:45 – Have we always had this large divide?

9:00 – The stock market

12:11 – Event-driven economic problems

14:47 – Tax concerns

18:16 – Investing in the market this year

22:15 – The key is having a plan

Ep 112: Courage to Lead – Two-Term AANA President Peggy McFadden, CRNA, BS

Thu, 21 Jan 2021 05:00:00 -0500

The next installment of our Presidential Leadership Series features Peggy McFadden, CRNA, BS, who actually served two terms as the AANA president. Join us as we look back on her impressive career and learn what challenges were facing the AANA in the mid-1980s and early 1990s.

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:

3:17 – Background on Peggy’s life and career

5:25 – Challenges of the first term

16:10 – Replacing the Executive Director

19:00 – Medicare reimbursement

23:58 – Back for a second term

27:07 – Highlights of the second term

33:56 – What would she do differently?

36:29 – Her message to young CRNAs

39:58 – Running for public office

41:40 – Her hobbies

44:25 – Final thoughts

Ep 111: Finally! Two South Dakota CRNAs Elected to State Legislatures

Thu, 14 Jan 2021 05:00:00 -0500

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.

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?

Ep 110: A Conversation with Powerful Women

Thu, 07 Jan 2021 05:00:00 -0500

In recent years, we’ve watched women rise to levels of power previously never seen. While it’s been an amazing evolution to watch, there’s still plenty of inequality in the world. Today we’ll take a look at the top issues in our country as it relates to women and discuss the pivotal roles women have played over the years. Kimberly Gordon, CRNA, and Judge April Wood join Sharon and Jeremy for a roundtable discussion.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-110-a-conversation-with-powerful-women/2760/

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:

3:06 – Is Jeremy ready for this show?

4:25 – Introducing our guests

10:33 – Amy Coney Barrett

15:35 – Coronavirus impact on elections

21:22 – Great quote from Ruth Bader Ginsburg

25:38 – Should the Supreme Court be a lifetime appointment?

36:36 – The Equal Rights Amendment

39:57 – Woman’s role in the family

53:40 – Why has the ERA never passed?

55:59 – Making less money than male counterparts

1:02:17 – Do women put their careers on hold for family?

1:08:55 – Are men okay with women making more?

1:12:10 – Jeremy’s cat

Ep 109: Goodbye 2020 – How to Financially Prepare for 2021 and Beyond

Thu, 31 Dec 2020 05:00:00 -0500

We’ve finally reached the end of 2020 and everyone is looking forward to turning the page to a new year. These past ten months have been a financial burden on so many CRNAs and their family and friends, but now is an opportunity to assess your future and make the changes you need. Financial planning can feel overwhelming so we put together a checklist to guide you through the most important areas of your money.

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:

6:52 – How Sharon & Jeremy feel about the vaccine

9:49 – The financial topics we’re going to cover on this show

12:03 – Are you scared?

13:21 – People have spent less this year

14:58 – Make sure you have your emergency reserve fund

16:20 – Should you refinance your mortgage?

20:00 – Have you checked your credit recently?

26:21 – Investing considerations for 2021

29:20 – Where will taxes go in the future

31:52 – Retirement contributions

33:20 – College funding

34:20 – If you’re getting close to retirement

38:32 – Charitable giving

41:54 – Estate planning

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

49:32 – What could the government do differently?

Ep 108: Honoring the Legacy of John Garde, CRNA, MS, FAAN

Thu, 24 Dec 2020 05:00:00 -0500

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

Ep 107: Mrs. Georgia American Using Her Platform for CRNA Awareness and Support for Healthcare Workers

Thu, 17 Dec 2020 05:00:00 -0500

None of us will soon forget this year, but 2020 has been especially life-changing for Christen Roberts, CRNA. Over the past year she’s created Bambu bracelets to support healthcare workers across the country and became the first Mrs. Georgia American. Both platforms have given her an opportunity to increase awareness for the CRNA profession and she joins us to tell us about this amazing journey.

About our guest: https://bambustrong.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 show:

2:38 – Welcome in Christen Roberts, CRNA and Mrs. Georgia American

6:50 – Her background as a CRNA

9:12 – Anesthesia school

13:06 – Why this topic is important to her

15:00 – How the idea for bracelets came to be

18:40 – Financial challenges for 1099 employees

20:52 – Why she competed for Mrs. Georgia American

23:16 – How she’s using her platforms to bring awareness to the CRNA profession

25:09 – The upcoming national pageant

26:18 – Explaining what CRNAs do

28:53 – Their goals for the bracelets and how to get one

31:17 – How they socially distanced at the pageant

33:04 – Her favorite word

34:26 – Is your Christmas tree up?

35:33 – A final message from Christen

Ep 106: The Impact of COVID 19 on Nurse Anesthesia Educational Programs with Erin Martin, CRNA, DNP

Thu, 10 Dec 2020 05:00:00 -0500

The wide-ranging effects of COVID on the healthcare system have been well-documented, but what impact is this pandemic having on nurse anesthesia students and educational programs? Erin Martin, CRNA, DNP, is the Program Director at the Mayo Nurse Anesthesia Program and has seen the changes first-hand. She joins the show to share her experience this year and tell us what it could mean for the future of the profession.

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 – Welcome in Erin Martin

3:52 – Why this is an important topic

5:27 – Program admissions

8:27 – What’s been the biggest challenge?

10:20 – Dealing with the lack of PPE

12:31 – How she helped students on the mental health side

16:06 – Repercussions for being out of clinical for six weeks

21:21 – Experiences that students are missing out on

26:13 – New students haven’t ever been in a room together

29:26 – What happens after this all stops?

31:31 – What would you tell someone thinking about applying to an anesthesia program?

34:53 – Showing empathy to these students

37:37 – Final message from Erin

Ep 105: Nursing, Policy and Politics with Minnesota State Senator Erin Murphy, RN

Thu, 03 Dec 2020 05:00:00 -0500

As we’ve learned in 2020, having more nurses in leadership and decision-making positions would benefit the entire country greatly. One nurse that’s embracing their power to bring change is Erin Murphy, RN. After years in the nursing profession, she transitioned into politics 15 years ago and served as a state representative for more than a decade, became the first nurse to run for governor, and recently became a Minnesota State Senator in 2020. Listen as she shares her experience, the role of nurses in politics, and her ideas for getting more people involved.

About our guest: https://www.murphyfor64.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 show:

1:49 – Welcome in, Erin

2:52 – Background on Erin

5:00 – Her experience in politics

9:42 – Door knocking on the campaign trail

13:21 – Balancing work and politics

17:42 – Her experience running for governor

21:41 – How can nurses get past the negatives and want to run for office?

25:51 – What would the pandemic looked like if a nurse was in charge?

28:10 – We need more nurses in public office

32:33 – Final message to nurses

34:00 – Sharon’s biggest takeaway from this conversation

Ep 104: How Ira Gunn Shaped Nurse Anesthesia Through Service, Education & Advocacy

Wed, 25 Nov 2020 09:21:05 -0500

Few people had an impact on nursing and the nurse anesthesia profession like Ira P. Gunn, CRNA, MLN, FAAN. Widely regarded as a visionary in the profession, Gunn’s legacy lives on through many different capacities. To help us better understand her life and accomplishments, Nancy Bruton-Maree and Sandy Ouellette join us to share what they know about Gunn and what they learned from working with her.

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:

2:53 – Nancy and Sandy joining us again in studio

3:30 – Today we’re talking about Ira Gunn

4:35 – Background on Ira Gunn and her early years

8:02 – Developing her life mission and vision

10:14 – Her career in the military

14:48 – Dr. Weeks served under Ira Gunn

17:03 – Her many gifts to nursing and nurse anesthesia profession

23:52 – Nancy tells a story about a time Ira saved her

27:25 – Awards and honors she received

28:54 – How was she viewed by her professional friends?

35:29 – What beliefs did she instill us that still has relevance today?

40:15 – Final Thoughts on Ira

Ep 103: Courage to Lead – 2018-19 AANA President Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN

Thu, 19 Nov 2020 05:00:00 -0500

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.

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

Ep 102: What Does Gen X, Y, and Me Believe is the Future of Nurse Anesthesia Profession?

Thu, 12 Nov 2020 05:00:00 -0500

While the CRNA profession continues to remain steady and strong, we’re at a critical point in time if things are going to stay that way. What can be done to motivate and engage the younger generations of CRNAs to be active and involved? We put together a panel for the CANA to discuss the future of the profession and its organizations.

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:

2:08 – Today we’re recording for the CANA with some special guests

4:44 – Different generations

6:07 – What will take to move the profession forward?

8:02 – Building on the foundation that’s been laid

10:31 – Will it take a threat to a profession to get CRNAs to become engaged?

16:11 – Why did you feel compelled to join the AANA?

19:16 – Going through the program with children

20:58 – How to move our profession forward?

23:07 – What’s the solution to public awareness problem?

26:49 – How do you feel about the name change to anesthesiologists?

30:22 – Any pushback from physician anesthesiologists?

33:45 – How important is it to have a unified front on this issue?

36:51 – Ways to attract younger generations to the AANA

42:20 – Should business background be more of a priority during training?

45:09 – The role of social media

49:06 – Final thoughts from each of our guests

Ep 101: How Ketamine Infusion Therapy is Treating Mental Health

Thu, 05 Nov 2020 05:00:00 -0500

The dynamic field of psychotropic medication has seen groundbreaking results with the introduction of dissociative therapies. This episode hopes to shed light on the use of ketamine for mental health and chronic pain relief and put an emphasis on how CRNAs are uniquely positioned to benefit from its application. Dr. Nicholas Kalynych and Brian Hogan of Sunbelt Wellness Institute will join the show to help us do that.

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:

2:22 – What we’re talking about today

3:04 – Background on our guests

6:32 – What’s important about this topic right now?

7:21 – This history and uses of ketamine

10:28 – Microdosing

12:52 – Stigma of mental health

14:25 – Ketamine with other anti-depressants

16:19 – What’s the stigma attached to ketamine

18:09 – How their business got involved with this treatment.

21:23 – Insurance not covering this right now

22:36 – How can CRNAs get more involved with this?

24:30 – Why CRNAs are uniquely qualified

27:39 – How did these uses for ketamine come about?

30:24 – The role of a psychiatrist

34:30 – How they help people get started with this.

38:53 – How is COVID impacting supply?

45:03 – Final message on the topic

Ep 100: Driving Innovation & Technology in Healthcare with Shawna Butler, RN, MBA

Thu, 29 Oct 2020 05:00:00 -0400

We’re celebrating 100 episodes with a fascinating look to the future of health. Shawna Butler, RN, MBA, has been leading the charge towards merging clinical care, technology, and sustainable business models and much of that conversation centers around the true value of nurses. Join us as we learn all about the work and research Butler has been doing, where the industry is headed from a technology standpoint, and what needs to be done to continue moving our profession forward. This show is going to be a celebration and a reflection on an exciting first 100 episodes, and we also have a special message to share with Sharon and Jeremy.

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:

0:36 – Celebrating 100 episodes with a surprise

6:36 – Sharon & Jeremy look back on 100 episodes

8:38 – Welcoming in our guest today

9:29 – Background on Butler’s health and tech background

12:27 – Money is the root of many issues

14:57 – We don’t quantify nursing

22:24 – What her podcast is all about

30:22 – How to get policy changes to push nurses forward

35:38 – Examples of what nurses are doing now to innovate

41:58 – How is technology changing nursing?

49:07 – Changing the way nurses view the problems we face.

55:11 – How to get nurses the business training to become an entrepreneur

1:02:03 – A 100th episode request for Butler

1:03:33 – What does the future hold for the podcast?

1:07:27 – A final, inspirational message from Butler

Ep 99: Courage to Lead – 2011-12 AANA President Debra Malina, CRNA, MBA, DNSc

Thu, 22 Oct 2020 05:00:00 -0400

Nearly 10 years ago, the NBCRNA introduced the Continued Professional Certification program much to the surprise of many people in the profession. That announcement came just a few days before former AANA president Debra Malina, CRNA, MBA, DNSc, took office, and it led to many difficult discussions and decisions. Join us as we take you back to 2011-12 and into those meetings, and then find out what Malina remembers most about her time leading the organization.

Read more and get additional resources here: https://beyondthemaskpodcast.com/courage-to-lead-2011-12-aana-president-debra-malina-crna-mba-dnsc/2687/

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:

3:00 – Introducing our special guest today

4:57 – Her history in nursing

6:14 – The challenges of her presidency started with NBCRNA and CPC

15:09 – Fallout from the CPC program

16:34 – Another thing they looked at was cutting expenses

21:18 – Helping fund Council on Accreditation

24:53 – Reimbursement advocacy

26:58 – Article written an anesthesiologist in March 2012

31:02 – What happened with removing supervision during her term.

32:42 – Supervision win for Air Force

36:33 – Most important leadership lessons learned

38:53 – Her final message for younger CRNAs

Ep 98: Why Nurses Make Effective Elected Officials at Every Level of Government

Thu, 15 Oct 2020 05:00:00 -0400

Politics carry a connotation that’s gotten worse in recent years, but that’s why it’s even more important for nurses to be a part of the decision-making process. As we continue lobbying on this podcast for activism and involvement, we brought on a guest that took that leap nearly 15 years ago. NC House Representative Gale Adcock, MSN, RN, FNP-BC, FAANP, FAAN, will explain why nurses are so effective in leadership roles and why this topic is so important in 2020.

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

What we discuss today:

2:40 – Welcome in our guest, Rep. Gale Adcock. Some background on her

3:43 – Why this topic today is important

5:24 – Ways to get involved without running for office.

6:50 – Don’t be intimidated by your legislators

10:38 – Political Action Committees

19:30 – When she ran for Town Council

24:10 – What helped her win

28:13 – Why don’t more nurses run?

31:40 – What have you liked and disliked about serving?

36:44 – When people get to know you as a person, things change.

Ep 97: How COVID-19 Has Affected the Economy and CRNA Retirements

Thu, 08 Oct 2020 09:31:44 -0400

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?

Ep 96: Why CRNAs Need to Understand the Judicial System

Thu, 01 Oct 2020 05:00:00 -0400

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.

Ep 95: Courage to Lead - 1994-95 AANA President Mary DePaolis Lutzo, CRNA, PhD

Thu, 24 Sep 2020 05:00:00 -0400

Our leadership series continues with a look back to the 1990s with former AANA president Mary DePaolis Lutzo, CRNA, PhD. That decade featured many heated battles for CRNAs and she was right in the middle of it during that 1994-95 year in office. Today we look back on all the strides the AANA took over that time period, including a transition onto the internet.

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:

3:21 – Sharon welcomes in Mary DePaolis-Lutzo

4:36 – Her background in the profession

8:30 – Her experience when moving to Florida.

11:35 – Fellowship in human sexuality

13:46 – Getting her doctorate.

16:09 – What was going on when she became president

19:08 – The theme for her year

20:23 – She had an amazing Board of Directors

22:32 – Highlights from her year as president.

26:01 – Establishing the AANA archives

28:23 – Changing the regional director structure

30:56 – Utilizing the internet early on

34:37 - Valuable leadership lessons learned

36:02 – The message she has for new CRNAs

Ep 94: Perioperative Updates for Care of Transgender Patients

Thu, 17 Sep 2020 05:00:00 -0400

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

Ep 93: CRNA Supervision & Direction – Its History and Relevance Today

Thu, 10 Sep 2020 05:00:00 -0400

The issue of supervision and direction within our industry has come to the forefront during the COVID pandemic, but it’s anything but a new conversation. We’ve asked Sandy Ouellette, CRNA, to give us another history lesson on the subject. It’s something she’s actively been involved with for over multiple decades. Join us as we define supervision and direction, explain how this has evolved over time, and why it’s just as relevant today.

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

What we discuss:

2:36 – Sandy Ouellette joins us in the studio.

4:05 – Why we’re talking about supervision and direction.

5:35 – Why is this topic important in 2020?

8:19 – When this concept began.

10:57 – Changes in 1960s and 1980s

14:16 – Reimbursement for supervision

17:36 – AANA position statement on supervision vs direction

21:11 – Prescriptive authority for nurses

24:32 – Care vs Cure

27:03 – Liability

33:55 – Where are we today on this issue?

38:41 – Best time to be a CRNA

40:52 – COVID’s impact on this

45:05 – States opting out temporarily

Ep 92: Substance Use Disorders In Anesthesia Providers With Jack Stem

Thu, 03 Sep 2020 05:00:00 -0400

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.

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

Ep 91: Courage to Lead - 2018-19 AANA President Bruce Weiner, DNP, MSNA, CRNA

Thu, 27 Aug 2020 05:00:00 -0400

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.

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.

Ep 90: How Association Management Can Help Your State Association

Thu, 20 Aug 2020 05:00:00 -0400

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

Ep 89: CRNA Advocacy and GRC Efforts with Debbie Barber, DNP, CRNA

Thu, 13 Aug 2020 05:00:00 -0400

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.

Ep 88: Courage to Lead - Former AANA President Cheryl Nimmo, DNP, MSHSA, CRNA

Thu, 06 Aug 2020 05:00:00 -0400

The next episode in our presidential series provides a thorough look at the challenges - expected and unexpected - that AANA board members face every year. Cheryl Nimmo, DNP, MSHSA, CRNA, was the AANA president in 2016-17 and she dealt with a wide range of issues that she never anticipated, including the departure of CEO Wanda Wilson.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2589

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

Today's show schedule:

3:27 – Dr. Cheryl Nimmo joins us today. Here’s some background on our guest.

6:45 – Remembering her year as AANA President

10:42 – No matter how prepared you are, there are always fires popping up.

11:45 – The VA issue

13:05 – The next issue that came up was CEO Wanda Wilson deciding to retire.

15:35 – Why she used a third party to search for the new CEO.

18:40 – How the decision was viewed internally.

25:14 – The next issue with Novitas.

27:20 – Then there were all the normal initiatives the board deals with.

30:22 – Most valuable leadership lessons learned during her time.

33:31 – Two other professions she might have chosen if not for CRNA.

36:17 – Everything she’s gained personally and professionally from the AANA.

Ep 87: Arguments Against Keeping AANA Region Director Structure in Place

Tue, 28 Jul 2020 10:30:00 -0400

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. Today we look at the arguments against Bylaw Amendments 5 & 6 and Jeff Molter, MSN, MBA, CRNA, Mike MacKinnon, CRNA, MSN, Tracy Young, CRNA, MSNA, MBA, and Joe Rodriguez, CRNA, will provide their perspectives. The issue will be voted on Saturday, August 15, 2020.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2583

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

Today's show schedule:

2:34 – Introducing our guests today.

4:19 – Joe begins the discussion on why this issue is so important.

6:07 – Why this movement now after the issue passed?

7:21 – Mike on his belief that leadership is about choice.

9:47 – Are Amendments 5 and 6 separate issues and votes?

12:38 – The issue of a lack of member activity.

18:35 – Do you feel like you could represent California if you don’t live there?

21:23 – How the national leaders rely on regional directors.

23:29 – How the board members would be assigned.

29:47 – Would this mean candidates now have to run a national campaign?

31:55 – Will at-large voting disenfranchise minorities?

36:48 – What’s the larger question here?

41:20 – How can we increase interest in running for the board?

44:50 – The importance of face-to-face meetings with CRNAs

47:10 – Closing thoughts from our guests on this topic.

Ep 86: Pro Arguments for Keeping AANA Region Director Structure in Place

Mon, 27 Jul 2020 10:30:00 -0400

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

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.

Ep 85: The Story of the First IFNA Researcher, Dr. Maura McAuliffe

Thu, 23 Jul 2020 05:00:00 -0400

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.

Ep 84: Promoting Professional Wellness with NCANA President Linda Stone, DNP, CRNA

Thu, 16 Jul 2020 05:00:00 -0400

Now more than ever, putting a focus on your wellness needs to be a priority for every CRNA. We all deal with stress and fatigue each day so giving our body a break is important. The good news is you’ll find a lot of resources and help from the professional organizations supporting CRNAs. Let’s find out more about those along with ways to improve wellness, and we’ll do it with NCANA President Linda Stone, DNP, CRNA.

About our guest: https://www.ncana.com/ncana-board-of-directors

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

Today's show schedule:

3:02 – Today we’re joined by NCANA President Linda Stone, DNP, CRNA

4:30 – Why is professional wellness important for CRNAs?

5:57 – Challenges in the workplace.

6:53 – Recent studies show burnout is on the rise.

8:41 – The issue of addiction.

9:43 – Coping mechanisms for CRNAs to use.

12:09 – Ways to develop a healthy workplace.

15:36 – Resources available for students dealing with stress.

19:08 – That feeling when leaving a leadership role.

21:52 – Here’s what the AANA offers for resources.

25:14 – Closing thoughts from Linda.

Ep 83: Courage to Lead - Former AANA President Dennis Bless, APRN, MS, CRNA

Thu, 09 Jul 2020 05:00:00 -0400

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?

Ep 82: The Story of Nurse Anesthesia Education and Accreditation

Thu, 02 Jul 2020 05:00:00 -0400

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.

Ep 81: How CRNAs Get Lost in the Financial World

Thu, 25 Jun 2020 05:00:00 -0400

CRNAs already have plenty to worry about each day and it’s convenient to put finances to the side. As we’ve seen in 2020, the unexpected can happen at any time so we need to make sure you have a plan for your money. Today we’ll talk about the way CRNAs typically get off-track with their finances but we’ll also give you steps to getting everything in order.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2533

Get CRNA financial planning guidance here: https://www.crnafinancialplanning.com/

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

Today's show schedule:

3:38 – If every job paid the same, which one would Sharon choose?

5:26 – What would Jeremy choose?

8:11 – Quote of the Month: “There’s a gigantic difference between earning a great deal of money and being rich.”

9:34 – An interview with Tom Brady stuck with Jeremy.

11:21 – Mailbag question: The coronavirus scare has me convinced that the market will keep crashing again and again. I’m ready to move everything to cash right now. Is there any reason to wait?

14:27 – Getting lost in the financial world happens to a lot of CRNA clients.

15:15 – Examples of bad tools people use that lead them astray in retirement planning.

17:36 – The next issue is bad directions.

19:41 – Another reason people make mistakes is a lack of attention.

21:41 – What you need to do to get back on track.

24:40 – Don’t be afraid to ask for help.

27:30 – Develop a plan for where you want to go and how you want to get there.

29:02 – This COVID pandemic might be a bit of a financial wake-up call for CRNAs.

Ep 80: Leader From the Start - Lessons Learned From a State Presidency with Julie Linton, MSN, CRNA

Thu, 18 Jun 2020 05:00:00 -0400

The continued growth of the CRNA profession will rely on the young generation taking charge and leading the way, and that’s exactly what Julie Linton, MSN, CRNA, is doing as the president of the WVANA. Today we’ll talk to her about the drive to be in leadership positions, why it’s important for all CRNAs to be invested, and how she developed her cow-milking skills.

Today's show schedule:

3:16 – Our guest today is Julie Linton

3:48 – Background on her career and current roles.

5:18 – She can teach you how to milk a cow

6:37 – Why she feels it’s important to get involved.

8:13 – Is there a disconnect between leadership and CRNAs

11:42 – Money is the great equalizer.

16:53 – What does Julie think about CRNAs that are non-members.

18:10 – Even if you don’t want to be political, paying dues is essential.

19:38 – The story of how she get involved in leadership roles so early.

23:30 – What’s it like serving on one of these leadership boards?

26:10 – What can we do to get the younger professionals more involved?

28:24 – What has your typical day looked like during your presidency?

33:28 – Favorite thing she’s done in a leadership role.

35:33 – Tell us something interesting about you.

39:25 – Sharon has one shameless request before we go.

Ep 79: The Path to Direct Reimbursement with Dick & Sandy Ouellette, CRNA.

Thu, 11 Jun 2020 05:00:00 -0400

You can argue that the passage of direct reimbursement in 1986 was one of the most significant lobbying achievements in healthcare. This process took much of the decade and spanned seven AANA presidents, including Dick and Sandy Ouellette, CRNA. We revisit those momentous years and learn more about all the hard work that went into getting direct reimbursement.

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

Today's show schedule:

1:44 – We have a couple of our favorites with us today.

3:20 – Let’s get some background on this great lobbying achievement.

5:30 – What happened when the regulators tried to fix this reimbursement problem?

9:10 – The unintended consequences of TEFRA Seven Steps

11:22 – Healthcare costs over $3 trillion today.

11:50 – PPS and DRGs

15:25 – What we brought to legislatures when we first started pushing direct reimbursement.

17:27 – Things can change quickly.

19:38 – Difficulty understanding the numbers.

20:55 – What was the plan for economic survival?

24:25 – Direct Reimbursement created some conflict.

26:17 – Let’s talk the actual road to reimbursement from 1983-89.

31:53 – The passage finally happens and the announcement that followed.

32:45 – It took the effort of all the members to make this happen.

34:03 – What did they do back then without a DC office?

35:42 – It was just as difficult in the years following direct reimbursement.

40:55 – Did you think we’d still be dealing with issues three decades later?

43:25 – A big victory for nursing as a whole.

44:36 – Closing thoughts on how great of a time this is for CRNAs.

Ep 78: Courage to Lead - Former AANA President Deb Geisler, CRNA

Thu, 04 Jun 2020 05:00:00 -0400

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.

Ep 77: 10 Predictions for the Next Year from AANA CEO Randy Moore, DNP, MBA, CRNA

Thu, 28 May 2020 05:00:00 -0400

With so much uncertainty in our lives right now, it’s hard enough to figure out what’s going to happen over the next week much less the next year. But that’s what AANA CEO Randy Moore, DNP, MBA, CRNA, has spent a lot of time thinking about to help the organization and its members plan for the next year. Find out what he thinks will happen in the industry and the profession over the next 12 months.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2516

Today's show schedule:

1:03 – Jeremy just got back from a trip to the beach.

1:37 – Our guest today is Randy Moore, DNP, MBA, CRNA CEO of the AANA

2:07 – How this show idea came up.

3:55 – What is view of the impact of unemployment on healthcare delivery and reimbursement.

5:18 – Does this lead us further down the path of a single payer system?

8:16 – Will the reliance on foreign countries for drugs and supplies change?

10:37 – What could the future waves of COVID-19 look like for our country?

14:52 – What effects might we see on CRNAs and members of the AANA.

18:02 – Has there been an increase in the AANA help line during this time?

19:07 – Do you think rural hospital may close as a result of what’s happening?

21:20 – Will big hospitals acquire those hospitals and use them or close them?

22:31 – How does this improve telehealth?

27:58 – Where will elective care go over the next year?

33:48 – Another big winner out of this is commercial payers.

35:48 – CRNAs are in a great position as scope of practice is modernized.

Ep 76: Where Should CRNAs Turn for Financial Advice?

Thu, 21 May 2020 06:00:00 -0400

You likely seek financial advice from lots of different sources. And some of those sources will certainly have good intentions, but they’ll often give bad financial advice. Let’s look at some examples and explore the reasons why we have to be very careful from whom we’re taking this important guidance.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2496

Get in touch with Jeremy's financial planning team: https://www.crnafinancialplanning.com/

Today's show schedule:

1:33 – How are we handling quarantine?

3:12 – Looking back on your life, what would you tell yourself 20 years ago that you know now?

5:22 – If you could go back to any age, what would it be?

6:39 – Quote of the week on the quickest way to double your money.

8:36 – Let’s take some listener questions. Mailbag question #1: I retired two years ago with more than million in my IRA, which I thought would be more than enough to give me the lifestyle I want. I’ll probably be fine but I get nervous every time I withdraw from my account because I don’t want to worry about running out. Am I worrying too much?

13:09 – Let’s talk about finance some more and talk about bad advice.

14:17 – Many people get their financial advice from their family. Sharon shares her experience.

17:13 – Why that advice from family might not be good for you.

18:02 – What about advice from friends?

20:48 – Getting financial advice from CPAs

23:26 – Listening to financial experts in the media.

25:02 – Money leads to a lot of arguments in marriage.

25:58 - Stats on the average amount saved by age group.

31:07 - Here’s how much Jeremy’s CRNA clients usually have saved.

31:36 - Here’s what to do if you need to improve your retirement savings.

32:05 - Final words of wisdom from Jeremy.

Ep 75: Identifying & Coping with the Mental Health Effects of COVID-19

Wed, 13 May 2020 13:00:00 -0400

Workers in the healthcare industry have always prioritized others over self, and that sacrifice has grown even larger during the COVID-19 pandemic. That also means we have even less time for self-care and that’s leading to an increase in anxiety, depression, and other mental health issues. We're joined by Linda Stone, DNP, MSN, CRNA, and Rigo Garcia, CRNA, to talk about what you can do to help someone that might be struggling and find out what resources are available to you on a state and national level.

Here all the contact info you need to access the many resources available:

888-883-8433
https://parkdalecenter.com/
https://parkdalecenter.com/support-the-front
AANA 24/7 Helpline Number: 800-654-5167

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2480

Today's show schedule:

1:55 – We’re joined today by Linda Stone.

3:16 – Rigo Garcia is also on the show with us today.

3:53 – Some background on Garcia and Parkdale.

5:02 – Today we’re talking about coping with the mental affects of COVID.

5:34 – What type of mental health issues is Linda seeing with SRNAs?

7:22 – What is Rigo seeing from CRNAs?

8:17 – Many nurses are facing serious mental health issues.

10:37 – Anxiety and depression has been common in the nursing profession for some time.

11:37 – How many people in our population have substance abuse issues?

13:33 – Why is it important for us to be talking about this right now?

14:42 – What are the signs that someone might be in trouble or needs help?

17:04 – What are some coping strategies you can use?

21:28 – What should you do if you suspect someone is dealing with mental health issues?

23:00 – Here are some of the resources that are available from the AANA.

26:49 – We all need to exercise more empathy as a society.

28:34 – What is Rigo hearing from people on the front lines?

30:03 – If you’re worried how someone might react if you attempt to help them, here’s some guidance.

32:57 – The problems Parkdale is seeing during this health crisis.

36:10 – What resources are available to SRNAs?

38:31 – There will likely be long-term effects from COVID-19.

40:00 – Final message from Linda.

40:37 – Final message from Rigo.

Ep 74: Engaging New Graduates In Healthcare Advocacy with Angela Mund, CRNA

Thu, 07 May 2020 06:00:00 -0400

Healthcare continues to evolve every year with the industry becoming more complex in the process. As changes happen, it’s important for CRNAs to be educated and put in a position to have a voice in local and national policies. Angela Mund, CRNA, has made this the focus of her career and she joins us to discuss ways to get our young professionals involved in advocacy.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2454

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

Today's show schedule:

1:50 – Angela Mund joins us for the show today.

2:02 – Background on Angela’s 22-year CRNA career.

2:48 – Engaging new graduates in healthcare advocacy is an important topic.

3:40 – What’s the optimal route for nurses to study health policy?

4:56 – Is it best to catch nurses while they’re young?

5:21 – Why is this more important now?

6:05 – How do we make sure our profession is educated about policy?

7:40 – Are there any programs that help foster this interest in politics to younger CRNAs?

9:13 – The AANA mid-year assembly

11:49 – What advice would you give other program directors?

13:19 – The difference in generations within the CRNAs.

16:07 – How did Angela ‘fall into’ a leadership role?

17:20 – How do you address the CRNAs that don’t to be involved in politics?

19:14 – We’re all lobbyists whether you know it or not.

20:50 – If you don’t want to get involved at a national level, what about the local level?

25:26 - Final message from Angela on getting involved in healthcare advocacy.

Ep 73: Candidate Interviews for 2020 AANA Election

Mon, 04 May 2020 16:31:24 -0400

On this special episode of Beyond the Mask, we sat down with many of the candidates running for a position on the 2020-21 AANA Board of Directors. Hear more about their qualifications, their goals, and their vision for the future of CRNAs.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-73:-candidate-interviews-for-2020-aana-election/2460/

Learn more about the candidates from the AANA here: https://www.aana.com/candidates

Today's show schedule:

1:01 - Message from Jeremy Stanley about this episode.

President-elect

2:04 - Heather Rankin, DNP, MBA, CRNA - Alabama

9:23 - Maribeth Massie, PhD, MS, CRNA - New York

Vice President

12:57 - Angela Mund, DNP, CRNA - South Carolina

17:56 - Debra Diaz, DNP, CRNA, APRN, CDR - Florida

Treasurer

23:02 - Sonya Moore, DNP, CRNA, CCRN - Ohio

Director - Region 2

26:17 - Janet Setnor, MSN, CRNA - Virginia

Director - Region 3

28:52 - LTC Peter Strube, DNAP, CRNA, MSNA, AP - Wisconsin

Director - Region 6

32:06 - Jeffrey Molter, MBA, MSN, CRNA - Ohio

Director - Region 7

33:56 - Erik Rauch, DNP, CRNA, NSPM-C - Florida

37:06 - Dru Riddle, PhD, DNP, CRNA, FAAN - Texas

Ep 72: CRNAs Balancing Fitness and a Busy Life with Jamie B and Jamie C

Thu, 30 Apr 2020 06:00:00 -0400

Jamie Bailey, CRNA and Jamie Chamberlain, CRNA are the motivated women running a popular social media fitness account that promotes the balance between working and working out. They joined us on the podcast to share their story, tips for beginners, and how they stay motivated even when they aren’t.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2419

Today's show schedule:

2:00 – We’re excited for this conversation.

2:22 – Welcome in our guests today.

2:55 – Give us some background on yourself and how long you’ve been doing this.

4:29 – How they started working out together.

5:35 – The early morning workout schedule.

6:07 – What time do you go to bed?

6:57 – What’s the key to getting started down this fitness path?

8:18 – Working out in the morning changes your entire mood for the day.

9:14 – What’s the key to staying motivated?

10:27 – Do you hold yourself accountable?

11:18 – Strong Instagram following

13:57 – What eating routine do you have?

18:14 – It’s important to make it fun.

19:07 – What fitness person motivates them?

21:28 – What’s the Sweat App?

22:53 – Do other CRNAs connect with you?

24:13 – What’s the best way to get started if you haven’t worked out in years?

26:09 – Sharon shares a story about a friend who went from smoking to breaking a running record.

27:42 – A final message from the Jamies.

Ep 71: Courage to Lead: Former AANA President Jackie Rowles, MBA, CRNA, ANP-BC, FAAN

Thu, 23 Apr 2020 06:00:00 -0400

Our presidential leadership series rolls along with a visit from Jackie Rowles, MBA, CRNA, ANP-BC, FAAN, who served as AANA President in 2009-10. She brought a background in pain management to the position and led the organization through a transitional period for the board. Not only has she made a significant impact on the profession, but she continues to be a leader at the International level.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2336

Today's rundown:

2:47 – Welcome in our guest Jackie Rowles, who gives us a quick overview of her career.

3:42 – Jackie’s dad was an amazing person and took such an interest in nurse anesthesia.

7:08 – How she had been recruited into a pain management practice before becoming president.

9:12 – In October of 2008, they had their first AANA sponsored pain management education and the timing worked out for her.

10:14 – Pain management has come full circle and has been legitimized and appreciated today. But it took 15 years.

11:11 – The VA Pain Act was signed.

12:49 – What were some of the internal issues she dealt with during her presidency?

15:34 – Why it was different working with John Garde.

17:04 – John Garde made the change of Executive Director smooth but he got diagnosed with pancreatic cancer.

21:08 – After John’s funeral, Jackie became interim Executive Director during the final weeks of her presidency.

22:33 – Sharon shares her memory of Jackie during that time and the story about a cruise they were taking together.

25:15 – A couple more highlights that Jackie wants to document.

31:13 – The most valuable leadership lessons she learned.

36:05 – What message would you give new CRNAs?

37:25 – If she could pick any other profession, what would it be?

39:07 – Jackie’s final message to everyone.

Ep 70: The Story of CRNAs & an Antitrust Victory with Tafford & Lori Oltz - Part 2

Thu, 16 Apr 2020 06:00:00 -0400

This is the conclusion to the story about Tafford Oltz, CRNA, and his antitrust victory in the late-80s, which came to our attention during a previous podcast. Find out the details to the depositions, how a few of the anesthesiologists were caught lying, and how a couple became expert witnesses. Plus, we’ll find out how it all ended and how much time and money went into the case.

Get part one here: https://beyondthemaskpodcast.com/ep-67-the-story-of-crnas-an-antitrust-victory-with-tafford-lori-oltz-part-1/2348/

Read more about this episode and get additional resources here: https://beyondthemaskpodcast.com/?p=2391

Today's show rundown:

2:04 – Pre-trial settlements and the summary judgement

3:08 – Taff and Lori had a lot going on at this time.

4:19 – After the first depositions, Taff got a surprise call.

6:03 – Demands came to fire them.

7:22 – The remaining three anesthesiologists were each deposed but conspired to not tell the whole truth.

8:11 – In the meantime, St. Peter’s Chief of Staff received a subpoena with instructions.

9:15 – Taff tells the story of the last two anesthesiologists and how depositions went down.

10:20 – First settlement was offered but rejected by the Oltzs.

10:41 – Let’s shift to post-trial rulings.

14:42 – How long did it take to close this case and the costs associated?

16:02 – The court ordered a settlement conference and required all 24 hospital board members to attend.

16:45 – Taff details settlement money.

18:30 – Final thoughts on this experience from Taff.

21:15 – How CRNAs can use this case.

23:29 – Final thought from Lori on MDAs and CRNAs

Ep 69: The Story of CRNAs & an Antitrust Victory with Tafford & Lori Oltz - Part 1

Thu, 09 Apr 2020 06:00:00 -0400

This is the story about Tafford Oltz, CRNA, and his antitrust victory in the late-80s, which came to our attention during a previous podcast. When we heard it, we had to talk with Taff and his wife Lori - also a CRNA - to hear how it all happened. It’s a fascinating story that hinges on a manilla folder and you’ll hear all the details that led up to the trial in part one.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2348

Today's rundown:

2:30 – We think this is going to be one of the most interesting podcast we’ve done.

3:50 – Background on the Oltz vs St. Peter’s Community Hospital case.

3:47 – Tafford Oltz and his wife Lori tell us about their background.

4:54 – The couple just celebrated their 50th wedding anniversary.

5:15 – How their employment was structured in the 70s and how the relationship with St. Peter’s began.

9:23 – Taff shares one specific patient story he still remembers.

9:56 – The medical landscape in Montana in the mid-70s.

10:31 – When the third MD arrived, he informed the vascular surgeon the use of a CRNA was medical malpractice.

11:46 – Here’s how a typical day looked for Taff with a 100-mile commute.

13:05 – What changed with his situation?

14:45 – The story turns because of a folder. Taff explains.

17:40 – Lori shares details of what was actually written in some of the letters.

19:38 – How was that working relationship after finding out about their plans?

21:52 – How the lawsuit began.

22:45 – What anti-trust litigation is and the three things you need for a case.

27:07 - Many courts aren’t familiar with anti-trust cases. There had only been one prior in Montana.

28:41 - Once they started investigating, they found St. Peter’s market power near 84%.

30:31 - The hospital produced a letter that the anesthesiologists were increasing charges by 10%.

32:58 - How do you choose legal representation for a case like this and what were the costs?

37:15 - How important were other cases at the time?

44:17 - The role Lori played during the trial.

46:07 - To be continued…

Ep 68: CARES Act - What CRNAs Need to Know About Coronavirus Aid

Wed, 01 Apr 2020 12:40:43 -0400

As we continue to devote our attention to the ongoing COVID-19 pandemic, let’s move our focus to the aid options for CRNAs. On this episode, we’ll break down the Coronavirus Aid Relief and Economic Security (CARES) Act and explain the ways in which you might be able to get some financial relief during these difficult times.

Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-68-cares-act-what-crnas-need-to-know-about-coronavirus-aid/2376/

Click here to download the PDF with more CARES Act FAQs: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/CRNA-FP-BTM-CARES-Act-FAQs-V4.pdf

Today's rundown:

1:41 – Here’s the topic for this episode.

2:53 – Will CRNAs be able to benefit from the cash payments the stimulus will provide?

4:18 – What options do people have for withdrawing money from retirement accounts?

6:33 – You need to have coronavirus-related reasons for taking advantage of this option.

7:28 – If you’re diagnosed with coronavirus, does it qualify for workers’ comp?

8:16 – Are you still required to take your RMDs this year?

9:38 – What unemployment benefits are available?

12:12 – The loan options available to small business owners.

15:43 – Paycheck protection program could be very beneficial for CRNAs

22:05 – The government is acting quickly and might be rolling more out.

23:14 – Employee retention credit

25:02 - The AANA is also providing relief

27:32 - Let’s all do little things to help each other

Ep 67: Mission for Masks - A Millennial Influencer Making a Difference During COVID-19 Outbreak

Tue, 31 Mar 2020 06:00:00 -0400

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.

Bonus Episode: Global Update on Nurse Anesthesia and COVID-19

Fri, 27 Mar 2020 09:00:00 -0400

When we talk about COVID-19, our attention goes immediately to our own cities and states, but the US is one of more than 150 countries dealing with the pandemic right now. To get an update on how CRNAs around the globe are being impacted, we talk with IFNA President Jackie Rowles, MBA, CRNA, ANP-BC, FAAN.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2363

Today's rundown:

1:42– Jackie Rowles updates us on some of the headlines globally, which countries are being impacted, and how students are being called to help.

7:06– Jackie details her visit to Brussels before returning back to the US.

8:27– How is everyone holding up around the world?

11:32– We’re all going to deal with a learning curve through this ordeal but we also have to do an in-depth analysis after to become more prepared.

12:40 – Do countries have the personal protective equipment that they need?

13:49– Why was the US so underprepared?

20:28– The bottomline is there’s just so much uncertainty with this and it’s impacting employment.

23:16– Teamwork rises above the politics and we’re all having to come together.

25:26– There’s a demand for healthcare and the elective procedures will come back strong.

28:04– We need to take more precautions when we’re traveling.

32:07 – Jackie’s final message about being blessed to serve the IFNA on behalf of our country.

Bonus Episode: COVID-19 Has Impacted My Income - What are My Options?

Thu, 26 Mar 2020 11:53:23 -0400

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.

Ep 66: Nursing & Public Policy: Why Nurses Need to Be Involved with Lt. Governor of Delaware

Thu, 26 Mar 2020 06:00:00 -0400

Nursing continues to grow its presence in politics and no one represents those achievements better than Bethany Hall-Long. The Lt. Governor of Delaware became the first nurse in the country to hold that esteemed position and she joins the show today to talk about the importance of being involved and having a voice in policy-making.

About our guest: https://ltgov.delaware.gov/

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2353

Today's rundown:

1:44 – We’re excited to welcome Bethany Hall-Long on the show.

2:19 – Bethany gives us a little background on herself and career.

4:15 – The Coronavirus shows why it’s so important to having the calming voices of nurses in the policy-making world.

5:30 – Sharon begins the conversation with a story about connecting with Bethany.

6:44 – Where did Bethany’s interest in a political career come from?

9:32 – Take us back to your first election and what lessons you learned from that?

14:09 – Why should nurses be involved in policy?

16:11 – What are some of the risks when nurses aren’t at the table?

19:02 – If no one is speaking for nurses, who will?

20:04 – We’re seeing examples of this with COVID-19.

21:44 – Nurses seem to have the makeup to be strong leaders. Why don’t they run very often?

25:31 – Bethany will be joining the candidate school for nurses at Yale.

29:08 – If you could choose another profession, what would it be?

32:19 – Bethany leaves us with one final message.

Ep 65: The Road to State Presidency with Sharon Pearce, Jackie Rowles, Tracy Castleman & Carole Doyscher

Thu, 19 Mar 2020 06:00:00 -0400

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?

Ep 64: Courage to Lead – Former AANA President Nancy Bruton-Maree, CRNA

Thu, 12 Mar 2020 06:00:00 -0400

We continue our ‘Courage to Lead’ series by bringing Nancy Bruton-Maree, CRNA, MS, into the studio to look back on her time as AANA President. Join us as we discuss the accomplishments, the lessons learned, and what message she wants to get across to the next generation of CRNAs.

Read more about Nancy and get additional resources here: https://beyondthemaskpodcast.com/?p=2319

Today's show rundown:

2:12 – Nancy Bruton-Maree joins us in studio today.

2:28 – Summarize some of the things that happened during your AANA presidency.

4:26 – The office based guidelines began during her time on the board. She explains how it came to be.

6:50 – Mentoring program for doctorate-level students was a new concept 25 years ago.

9:56 – This progression of education has taken place over a short period of time. Why is that?

11:34 – Nancy remembers the new program director’s orientation workshop that was in place.

13:31 – The AANA was an early adopter of the dedication of the Women in Military Service Memorial.

14:47 – Were there a lot more women than men in the 80s and 90s?

16:00 – The first CRNA boat cruise was held during her year.

16:45 – HCFA and the deferral to states on supervision of CRNA Medicare cases.

21:30 – Nancy talks about the strong board that she had.

23:45 – Board meetings were very organized and efficient.

25:16 – Here are some of the lessons Nancy learned as president.

28:16 – What would you tell the new generation of CRNAs about the profession?

31:42 – If she couldn’t be a CRNA, Nancy would be a veterinarian.

Ep 63: Student Perspectives of Anesthesia School with Dr. Kristie Hoch, CRNA

Thu, 05 Mar 2020 05:00:00 -0500

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.

Ep 62: Hey Smart Mamas - Balancing Motherhood with a CRNA Career

Thu, 27 Feb 2020 05:00:00 -0500

The three women behind the Scrub Caps & Sippy Cups podcast joins us to talk about the personal side of the profession. Being a mother is such a difficult job on its own but then you add in a CRNA career and it can be a struggle at times. You’re not alone! Let’s speak candidly about the challenges and how we can lean on each other for support.

Full show notes and additional resources: https://beyondthemaskpodcast.com/?p=2292

Today's rundown:

1:33 – Jeremy and Sharon use Facebook Live today.

1:55 – Sharon is excited about this topic. She’s been talking about this for months.

2:38 – Welcome CRNAs Crystal, Ellen, and Laci from the Scrub Caps & Sippy Cups podcast.

2:49 – Laci shares her background as a CRNA.

3:50 – Ellen tells us about growing up in the Ukraine, her career, and family.

4:54 – Crystal shares her background.

7:28 – Why is this subject so important and what made you start this podcast?

8:23 – Social media has allowed moms from all over the country to connect with each and support one another.

9:52 – All three ladies live in different states and time zones. Have they been able to meet face to face yet?

12:56 – What was your biggest misconception about parenting?

13:52 – What was Crystal most unprepared for when becoming a parent?

14:33 – The difficulty of breastfeeding explained to Jeremy.

16:52 – Jeremy stirs it up with another question about breastfeeding.

18:34 – There’s so much external guilt placed upon moms to breastfeed.

20:13 – Mom-judging goes both ways, too.

21:26 – Let’s talk about the difficulty of making a marriage work on top of everything else.

24:38 – Crystal talks about the issues and challenges of marriage with kids and a career.

25:20 – The subject of love language comes up and some of us share ours.

27:19 – The discussion of laundry and husbands takes over.

29:40 – What do you make time for to take care of yourself?

33:06 – It’s important to maintain your own identity.

35:28 – Here’s where you can find the ladies and connect with them.

36:10 – Final thoughts from the ladies.

Come join us on Facebook: https://www.facebook.com/beyondthemaskpodcast/?modal=admin_todo_tour

Ep 61: NCANA History with Cathy Briggs, CRNA

Thu, 20 Feb 2020 05:00:00 -0500

The state of North Carolina is fortunate enough to have Cathy Briggs, CRNA, documenting the history of the organization as well as the profession for the NCANA. She joins us today to look back on the lessons learned through the years, the important legal battles, and the people who have influenced the most.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2279

Today's rundown:

1:33 – We’re recording at the NCANA meeting in Wilmington.

2:16 – Today we’re joined by Cathy Briggs, historian for NCANA.

2:38 – How did you get involved in this role?

3:49 – Kathy being given the lifetime achievement award from the NCANA.

4:24 – What are some of the important things in our history that we can learn from?

6:21 – 50% of all CRNAs are going to retire in the next 10 years.

6:50 – How strong is the NCANA?

7:33 – Looking back on some of the legal battles North Carolina has faced.

9:11 – North Carolina has used strong advertising efforts to create awareness for the industry.

11:37 – Who has influenced the history of the NCANA the most?

12:48 – Cathy is seeing a trend that current students aren’t as aware of the association as past generations.

15:18 – Has there been much collaboration between other advanced nursing professionals?

16:22 – What can we do to encourage SRNAs?

21:16 – Tell us more about what’s happening with legislation.

22:42 – Some history on when the NCANA was formed.

24:44 – What would Cathy be doing if she wasn’t a CRNA?

26:14 – Final message from Cathy on staying involved.

29:09 – Cathy recalls a message she heard years ago that sticks with her today.

Ep 60: Courage to Lead – Sandy Ouellette Reflects on Year as AANA President

Thu, 13 Feb 2020 05:00:00 -0500

Our latest installment of the ‘Courage to Lead’ series features Sandy Ouellette, CRNA, who was president of the AANA in 1989. We go back in time to reflect on her long list of accomplishments from that year and beyond. Sandy played a key role in Medicare reimbursement, the IFNA’s creation, and AANA insurance and she looks back on each of these and more.

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2270

Today's Rundown:

2:18 – One of our favorites is in studio with us today, Sandy Ouellette.

2:47 – Sandy takes us back through her year as AANA president.

3:42 – A list of achievements in 1989.

6:52 – ‘Sandyisms’

7:45 – What was the role of the board of directors and Medicare reimbursement that year?

9:51 – It takes a village to make these changes.

10:28 – TEFRA and how ratios were agreed upon.

12:18 – Some history on the formation of IFNA

16:03 – AANA insurance celebrated 30 years in 2019. Why was it formed and what was the purpose of that?

18:53 – The insurance has also created some additional benefits.

19:21 – Sandy describes the replica dividend check she received which shows how much has been given back to the AANA.

21:17 – The College Bowl has become a special event.

23:16 – Sandy shares the trade publications that have made a big impact on the industry and how history will be documented moving forward.

27:58 – What are the most valuable leadership lessons Sandy learned during her year in office?

30:05 – As this new generation of CRNAs takes over, what message would you like to get across to them?

32:05 – We need to use the power of social media for good.

34:10 – Sandy wouldn’t change her career path if given another opportunity.

36:00 – One final message from Sandy.

Ep 59: Legislative and Regulatory Issues CRNAs Face with Anna Polyak

Thu, 06 Feb 2020 05:00:00 -0500

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.

Ep 58: CRNA Dogma & Traditions with Peter Strube: Where’s the Evidence?

Thu, 30 Jan 2020 05:00:00 -0500

Have you ever stopped and asked yourself why something is done a certain way? There are so many aspects of our job that are based on standards and procedures developed years before us but should we be questioning these? Today we talk with Peter Strube, CRNA, DNAP, about dogma and traditions in nurse anesthesia and how things will continue to evolve.

Read more and get additional resources: https://beyondthemaskpodcast.com/?p=2245

Today's rundown:

1:43 – Let’s welcome Peter Strube to the show. Tell us a little about yourself.

3:29 – Why is this topic dogma and tradition important?

6:22 – What’s the oddest dogma that you talk about in your lectures?

7:33 – How hard is it to break tradition?

10:36 – What’s Peter’s favorite current dogma trend?

11:57 – How LR leads to panic attacks.

13:46 – Peter recently had to undergo surgery.

15:27 – How did Peter get involved in this area?

17:06 – Do you implement the things you learn about in your practice?

18:47 – What does the future hold for changing dogma?

21:03 – What would Peter be if he wasn’t a CRNA?

22:34 – Final message from Peter on this subject.

Ep 57: How CRNAs and SRNAs Can Deal with Stress and PTSD

Thu, 23 Jan 2020 05:00:00 -0500

Working as a nurse anesthetist can be a highly emotional and stressful position as you constantly deal with pressure to perform. That’s why there’s an emphasis being put on health and wellness by people like Jerry Hogan, DNSc, CRNA, ARNP-BC, who is the program director at Rush University. He joins us to talk about this topic and ways that CRNAs and SRNAs can cope with the stress and PTSD brought on from work.

Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2238

Today's rundown:

2:25 – Our guest today is Jerry Hogan, DNSc, CRNA, APRN-BC

3:37– Opening up with the key points on today’s topic of PTSD, Second Victim Syndrome, wellness, and stress.

5:55 – PTSD is divided into three clusters: re-experiencing, avoidance, and persistent arousal.

7:28 – How much of this is a societal issue?

10:09 – Anesthesia school is very trying and that’s where wellness starts.

13:13 – Jerry believes that healthy people are people that can control their thoughts and feelings and behaviors.

14:28 – We are the ones responsible for our own well-being.

15:43 – Wellness resources that are available for CRNAs.

17:32 – How do you practice mindfulness?

20:30 – What’s your response when people say we are babying our students?

22:35 – Discussion on cognitive reframing.

26:00 – What Jerry does when his stress level is elevated?

28:31 – Jerry recaps his career and experience in the military, which led him to this field.

34:00 – Final message from Jerry

Ep 56: Courage to Lead: Looking Back at Dick Ouellette’s Time as AANA President

Thu, 16 Jan 2020 05:00:00 -0500

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?

Ep 55: How Smart Leaders Prepare for an Unknown Future with Calvin Stovall

Thu, 09 Jan 2020 05:00:00 -0500

The healthcare industry, much like the world around us, is full of uncertainty. How comfortable are you with the potential for change? Today we talk with keynote speaker Calvin Stovall about actions and principles you can apply to your life to help you continue to grow and perform at a high level.

Read more about this topic and get additional resources: https://beyondthemaskpodcast.com/?p=2231

Today's rundown:

1:50 – Our guest today is Calvin Stovall.

4:36 – What can a person do to prepare for uncertainty?

5:43 – Widen your circle to become a better person.

7:01 – What keeps people from stepping out of their comfort zone and meeting new people?

8:51 – We aren’t taught how to fail. How does someone move forward after failing?

11:16 – Putting this podcast together was stepping out for us and a big learning experience.

12:07 – What Sharon would tell her children when things weren’t going well.

12:59 – You should never stop learning. It’s a big part of being successful.

15:31 – What do you tell people that are scared to step out of their comfort zone?

17:58 – Do you know how much the average attention span has changed since 1980?

20:52 – What Sharon does every year to challenge herself.

22:27 – Calvin has a mastermind group that meets every quarter.

24:41 – How can take that entrepreneurial spirit and apply it to the CRNA industry?

26:29 – The book ‘Think and Grow Rich’ talks about mastermind groups.

28:20 – Why Calvin’s favorite word is passion.

31:12 – What final message would Calvin like to leave for listeners?

32:34 – How to get in touch with Calvin.

Ep 54: How CRNAs Should Prepare for Depositions with Steve Mund

Thu, 02 Jan 2020 05:00:00 -0500

No one ever expects to be a part of a lawsuit but situations arise where CRNAs have to answer questions under oath. It’s an intimidating process, especially for someone who’s never been a part of a trial before, but we’ll help prepare you for a deposition by explaining the process and how you can protect yourself.

Show Notes and Additional Resources: https://beyondthemaskpodcast.com/ep-54-how-crnas-should-prepare-for-depositions-with-steve-mund/2215/

Today's Rundown:

2:23 – Today we’re joined by Steve Mund.

4:07 – Why is this topic so important?

4:59 – Here’s what got Steven interested in depositions.

7:14 – Why would a CRNA ever need to be deposed?

8:26 – Steve explains the deposition process.

10:46 – You need to have a lawyer that represents you personally.

13:26 – It’s important to understand your insurance policy and what it says.

15:44 – So I’m being sued, what do I do?

17:16 – How often do administrators have to deal with lawsuits?

18:38 – How are depositions different from trials?

21:13 – Being deposed makes people nervous. Here’s what you can do to make sure you don’t speak out of turn.

22:28 – Charting is extremely important.

24:24 – What do you do if you make a mistake while you’re testifying?

26:58 – If you feel like you’re losing your cool in that environment, what should you do?

29:48 – Why your demeanor can affect your deposition.

32:51 – What training or resources are available to CRNAs?

37:13 – Final thoughts on the subject.

Ep 53: Sharing the Gifts of Our Past

Thu, 26 Dec 2019 05:00:00 -0500

Past AANA presidents Sandy Ouellette, CRNA, and Nancy Maree, CRNA, join the show for the final episode of 2019. We’ll take a look back at how they’ve seen the profession evolve and discuss the gifts they’ve given and received from the profession through the years.

Show Notes and Additional Resources: https://beyondthemaskpodcast.com/?p=2208

Today's Rundown:

1:32 – We’re joined today by Nancy Maree and Sandy Ouellette for another historical episode.

2:27 – Today we want to talk about gifts received over a career in anesthesia.

3:42 – What drew Nancy into a career as a nurse anesthetist?

5:26 – Here’s what got Sandy into the career and it started at a young age.

8:50 – How has the educational process for nurse anesthetists changed over the past 40 years?

13:47 – Sandy remembers a coup that happened when she began school.

16:28 – Sandy talks about how different many of the processes were.

19:54 – The return on investment is still tremendous for CRNAs.

22:07 – Over 90% of CRNAs spend a career in clinical anesthesia, but Nancy and Sandy moved from clinical to educational. They talk about why.

26:47 – Both ladies have given back a lot to the profession.

31:59 – Nancy gives her thoughts on what she’s thankful for and what the next generation of CRNAs should be thankful for.

35:45 – Here’s what Sandy is thankful for.

37:12 – Sharon has a message for Jeremy.

Ep 52: Should CRNAs Contribute to Roth or Pre-Tax or Both?

Thu, 19 Dec 2019 05:00:00 -0500

As much as you love the work you do, eventually you’ll want to step away and enjoy time to yourself in retirement. But what’s the best way to invest for your future? Should you contribute your pre-tax money into a traditional IRA or is Roth a better option? Let’s discuss all the options available to you and what factors will determine the best route to retirement.

Full Show Notes and Additional Resources: https://beyondthemaskpodcast.com/?p=2200

Today's Rundown:

1:52 – Today we’re talking whether CRNAs should be contributing to a Roth or a pre-tax retirement account. Or both?

2:43 – There are two sides to remember to this. First you have Roth IRA vs Traditional (or pre-tax) IRA. And now you have Roth 401k/403b vs Traditional 401k/403b

3:43 – There’s no blanket answer. It’s different for everyone.

4:40 – Let’s start with the Roth IRA. Here’s what you need to know.

6:17 – The big debate is pay taxes now or pay them later. Here’s what you should consider.

8:20 – There’s an opportunity cost for utilizing the Roth. What if you took that extra pre-tax money and invested that elsewhere?

10:23 – What are some other reasons we might potentially choose the Roth?

12:25 – If we know you need to control your taxable income, Roth can be utilized.

14:19 – Planning helps you determine what percentage of your money to put into each account?

15:36 – Why the retirement system is skewed against high-income earners like CRNAs.

17:02 – How can you save more than the $19,000 limit?

18:55 – Jeremy explains backdoor contributions.

21:22 – Here’s the caveat to the backdoor though.

22:55 – Let’s talk about another option for CRNAs that have 1099 gigs.

25:18 – Can you contribute to both Roth and pre-tax within the same employer retirement account?

26:59 – How healthcare can impact your decision.

29:17 – Jeremy’s goal is to help the CRNA community be prepared.

30:47 – Everyone should have a financial check-up every year.

32:02 – Final thoughts on the topic.

Ep 51: Ronald Caulk, CRNA - An Agent For Global Change

Thu, 12 Dec 2019 05:00:00 -0500

Ronald Caulk poured more than 50 years of his life into being a Certified Registered Nurse Anesthetist and his impact on the profession can still be felt today. Among his lifetime of achievements was his determination to have CRNAs around the world recognized for the work they do. Today we’ll look back at his life and his legacy with Sandy Ouellette, CRNA.

Full Show Notes: https://beyondthemaskpodcast.com/?p=2192

On This Episode:

1:59 – Sandy Ouellette back in the studio with us today to discuss Ronald Caulk.

2:37 – Who was Ronald Caulk and what did he accomplish?

5:02 – Most of his level of service at the state level was with the Arizona Association of Nurse Anesthetists.

6:09 – He had many AANA contributions.

7:10 – The establishment of the council on recertification and how he ended up meeting his wife Susan Smith.

10:13 – How did Sandy and Ron get involved together?

10:42 – They began working very closely when the idea of the IFNA began.

12:40 – How the IFNA formed.

15:22 – One of Ronald Caulk’s most memorable experiences happened on a trip to Ghana.

17:47 – Tell us about his contributions to the AANA and IFNA.

21:18 – Sandy tells a story about a time they visited North Carolina and Sandy’s jeep got stuck on the beach.

26:02 – How will Ron be remembered?

Ep 50: Promoting Diversity and Inclusion with Dr. Courtney Brown

Thu, 05 Dec 2019 05:00:00 -0500

The nurse anesthesia profession hasn’t traditionally been a field known for its diversity but that’s something leaders are trying to change. At the forefront is Dr. Courtney Brown at Wake Forest. She joins the show to discuss the importance of recruiting people from all backgrounds to nurse anesthesia and what’s being done to make that happen.

Show Notes: https://beyondthemaskpodcast.com/?p=2150

Today's Rundown:

2:16 – Welcome in our guest, Dr. Courtney Brown

3:23 – Dr. Brown has made many efforts to improve diversity and inclusion at Wake Forest and that will be our focus today.

3:46 – Why is this topic of diversity so important for our field?

4:35 – We’re behind many other health professions

6:00 – Explain diversity and inclusion and what they mean.

6:28 – An example of a recent graduate that almost didn’t apply to the program because of the marketing materials.

8:26 – Is there a negative perception of nurse anesthesia due to the lack of diversity?

10:26 – Why do people associate promoting diversity with Affirmative Action?

13:37 – Now that things are on the radar, is progress being made?

16:58 – How does recruitment work and what do you look for?

19:01 – Dr. Brown shares the updated statistics from her program.

20:23 – Explaining pipeline programming and how it works.

23:04 – The balance of male versus female in the profession.

24:49 – What can faculty at other programs do to improve diversity and inclusion?

27:20 – Where can the average CRNA start?

31:52 – What should be a part of the national agenda to assist in diversifying our profession?

27:17 – Final thoughts from Dr. Brown.

Ep 49: Thanksgiving Day Special: Showing Gratitude for the AANA

Thu, 28 Nov 2019 08:00:00 -0500

Happy Thanksgiving! To celebrate this wonderful day of gratitude, we welcome on AANA CEO Randy Moore and AANA Senior Director of Federal Government Affairs Ralph Kohl to help us give thanks for an organization that does so much for the CRNA profession every year.

Full show notes: https://beyondthemaskpodcast.com/?p=2172

On this episode:

1:37 – Thanksgiving morning!

2:00 – We’re thankful for our guests today, Randy Moore, CEO of the AANA, and Ralph Kohl, the Senior Director of Federal Government Affairs for the AANA.

2:35 – This podcast will focus on giving thanks for the AANA.

3:12 – Ralph explains what he’s thankful for.

4:15 – What this organization means to Randy.

6:31 – What mentors – past or current – are you thankful for knowing? Randy first.

8:13 – Ralph on his mentors.

10:23 – What does success look like for the AANA from Randy’s perspective?

11:49 – Ralph’s idea of success.

12:39 – What should every CRNA be thankful for?

14:49 – How would you explain your enthusiasm for the AANA?

18:43 – How do you want to be remembered if you move on, Ralph?

20:55 – What about Sharon, what are you thankful for from the AANA?

22:00 – Jeremy shares what he’s thankful for.

Ep 48: How OSAEMR is Changing Data Collection for CRNAs

Thu, 21 Nov 2019 05:00:00 -0500

Dan Simonson and Jack Hitchens are long-time CRNAs that identified a need in the profession to be able to easily track and manage data. That’s why they created the Open-Source Anesthesia Electronic Medical Record, which they believe provides great value – at no charge – to CRNAs around the world. Find out everything you need to know about OSAEMR and its future.

Full show notes: https://beyondthemaskpodcast.com/?p=2163

Today's rundown:

1:55 – Welcome in our two guests, Dan Simonson and Jack Hitchens.

3:55 – Today’s topic is OSAEMR or Open-Source Anesthesia Electronic Medical Record. Here’s some background on what it is.

4:46 – Why is this important for our profession?

5:32 – This even allows you to track your data as a student.

6:26 – This is a project Dan and Jack have worked on for five years. Here’s how it all started.

8:54 – A labor of love for Dan and Jack.

10:21 – It’s been a way for both guys to contribute to the profession and more than 400 CRNAs are using it now around the world.

11:44 – How does this interface with other systems already in place?

13:10 – Have these EMRs been helpful in the development in OSAEMR

15:02 – Is there a reason people wouldn’t want this data out there?

16:14 – What is OSAEMR’s motto relative to data?

17:28 – There’s no data being captured in plastics work but this can change.

20:04 – Pain management procedures are going to be a part of the data collection.

21:09 – Here’s what CRNAs can do to help OSAEMR continue to move forward and grow.

23:04 – There are three versions of the product currently.

25:56 – What are the near-term goals for the product?

26:51 – Final thoughts from Dan.

Ep 47: How Legal Cases Have Shaped the CRNA Industry

Thu, 14 Nov 2019 05:00:00 -0500

We were on location at the North Carolina Association of Nurse Anesthetists and wanted to get a historical perspective on CRNAs. With the help of past AANA presidents Sandy Ouellette and Nancy Maree, we take a look back at the important battles fought and won by nurse anesthetists through the years that help shape the way our industry operates today.

Full show notes: https://beyondthemaskpodcast.com/?p=2167

On today's show:

1:37 – We’re recording live from the North Carolina Association of Nurse Anesthetists meeting.

1:51 – Two popular guests, Nancy Marie and Sandy Ouellette, join the show.

2:37 – Sandy highlights some of the past challenges that will help CRNA’s unite and fight future issues.

3:12 – Background on Frank vs South and why that decision is still important today.

5:04 – The next important case involved Dagmar Nelson in the 1930s.

6:34 – The road to reimbursement was a 7-year process in the 1980s.

7:50 – How the ANA helped turn around the industry when it began dying out in late 80s.

9:25 – The ongoing issue of federal supervision of nurse anesthetists in Medicare. Why we need to remove it and what role states are playing.

13:31 – ANA threw their support behind antitrust cases.

18:06 – Antitrust fights still go on today.

19:24 – Nancy explains the antitrust and fraud case against Twin City Hospitals in 2004 and what came from it.

23:42 – What role has the ASA played in all of the challenges and crises the industry has faced?

26:30 – The recent Anesthesia Care Team statement and why many believe it’s restrictive.

29:13 – What can ANA members do today to help the association succeed and remain strong moving forward?

30:36 – Why membership is so important for ANA.

32:24 – New students and new graduates seem to be the biggest hole in membership.

36:20 – Can the ANA be listening to members better? Here are issues they have spoken out on.

40:24 – Jeremy’s perspective as an outside on the membership issue.

44:11 – Final thoughts from Sandy on why it’s such a great time to be a CRNA.

Ep 46: Employment Contracts – Prevalent Issues with Mark Silberman

Thu, 07 Nov 2019 05:00:00 -0500

Accepting a new job is such a rewarding feeling that motivates you to get to work and continue growing your career, but understanding your employment contract first is vital. Mark Silberman, legal counsel for the AANA, will break down the specifics of a contract, what you need to know, and how to protect yourself. Plus, he’ll help us understand the different types of employment statuses and which is better for CRNAs.

***CE CREDIT ALERT: Did you know you can get continuing education credit from the AANA for listening to this episode? Go to https://knowledgenetwork.aana.com/home to get the details and get your credit today! And see a list of other episodes that qualify for CE credit here: https://beyondthemaskpodcast.com/series-ce-credit

Show Notes: https://beyondthemaskpodcast.com/?p=2142

Today's rundown:

2:29 – Welcoming on our guest today, Mark Silberman, who is legal counsel for the AANA

3:05 – What we’re talking about on this show and why it’s important.

4:17 – Mark breaks down the parts of a contract and what you need to know about one.

5:45 – A real-life example from a CRNA of a contract that didn’t get put in writing.

6:47 – Let’s define the differences between an employee and an independent contractor.

9:08 – Mark explains independent contractors even further.

10:20 – Trying to understand why some independent contractors are classified that way when they appear to be an employee.

12:02 – It all comes down to what is the intention.

13:16 – You have to remember that employers will almost always have leverage because they hold the commodity: the job.

13:57 – Define ‘employee at will’ and how many states have that status.

15:48 – What’s the difference between job description and employee contract?

16:59 – Job descriptions are not enforceable. The contract specifics are.

18:02 – Does every CRNA need a contract?

20:06 – The biggest mistake people make when they’re looking at a contract.

21:44 – What are the most important things CRNAs should pay attention to in a contract?

20:07 – Can you re-negotiate your contract?

24:31 – Let’s talk non-competes. Every state has its own interpretations of these.

27:46 – How do we find out if these non-competes are enforceable?

29:12 – What happens when a new employer takes over?

31:39 – Should Independent contractor CRNAs incorporate for protection?

33:11 – Final words of wisdom for CRNAs entering a contract.

Ep 45: Empowering Nurses in Electoral Politics

Thu, 31 Oct 2019 06:00:00 -0400

Nurses have all the right attributes to be successful in politics but there are so few in office around the country. We want to help change that by empowering nurses to feel confident and comfortable running for office. We’ll spend this episode discussing why it’s an important topic and we’ll learn more a new campaign school that Sharon Pearce and Kimberly Gordon are working to launch in 2020.

On this episode:

1:52 – Introducing our topic and our guest Kimberly Gordon.

2:19 – Sharon talks about what her and Kimberly have done together in the past.

3:45 – Why is this topic so important?

4:57 – Only two nurses serve in office at the Federal level right now.

5:21 – Why aren’t there more nurses in office?

7:01 – North Carolina has three nurses in state legislature, including Gale Adcock.

8:10 – Who are the two nurses on the national level?

8:52 – Neither of those are advanced practice nurses, which we’ve never had at the Federal level.

10:01 – Let’s talk about the breaking down barriers project Sharon and Kimberly are working on at Yale.

12:37 – We’ve met nurses from all over the country and they feel like this is very important.

13:40 – We as nurses are really late to this game. Physicians have been training people for politics since the 70s.

14:34 – Is it intimidating for nurses to consider running for office?

15:35 – Occupation-specific schools have become popular for a reason.

16:29 – A huge barrier is we don’t like to ask for money or help and that’s an issue.

18:41 – We’re not asking people to run for governor. We want to build a pipeline that starts in county commissions, school board, places like that.

19:32 – Maybe one day we’ll have a nurse as president.

19:55 – What kind of timeline are we talking about for this project?

20:34 – Yale has provided so much acceptance and assistance through this process.

21:39 – “If you’re not at the table, you’re on the menu.”

22:51 – Applications open on January 1, 2020.

Get the full show notes and additional resources here: https://beyondthemaskpodcast.com/?p=2135

Ep 44: Medicare Decisions For The Retiring (or Retired) CRNA

Thu, 24 Oct 2019 06:00:00 -0400

Retirement means many different things but one of the most important is transitioning to a new healthcare plan. For many people, Medicare becomes the best option but it can be difficult to sort through and understand. Who is eligible? What are my options? How much are premiums? We brought on Medicare guru Joanne Giardini-Russell to clear up a lot of questions for us.

On this episode:

1:51 - Today we're talking about Medicare decisions for the retiring or retired CRNAs.

2:48 - Our guest today is a Medicare expert, Joanne Giardini-Russell

3:29 - Joanne gives us her background in the industry.

5:47 – Let’s start with the basics: what is Medicare?

7:09 – Who is eligible for Medicare and is it mandatory?

8:22 – If I’m still working at 65, does that effect anything?

9:44 – You don’t have to take Medicare at 65. It’s important to know that everyone’s situation is different.

11:14 – Understanding how the Health Savings Account plays into your decision.

11:54 – A lot of people don’t understand that premiums are income-related.

13:09 – When you start talking about retirement, planning needs to begin as soon as possible to work through options like these.

13:43 – Your HSA contributions get taxed and many people don’t know that.

14:40 – What does the acronym IRMA mean?

17:51 – Client story about a couple found out they were paying more than they needed to for premiums.

19:35 – Are there other costs for Medicare beyond the premium?

21:11 – You have two choices to handle the 20% beyond Medicare’s coverage.

23:02 – What are the pros and cons of the Medicare Advantage plan?

25:27 – What else does a CRNA need to know after they enroll? Let’s talk basics.

27:22 – If you’re over 65 and you’ve enrolled in Medicare, can you make changes or are you stuck?

28:44 – Pre-existing conditions do come back into play with Medicare.

29:33 – It’s very important to know that people with pre-existing conditions have one shot to get into Medicare. Here’s what you need to know.

30:23 – How much flexibility do you have in picking an insurance carrier?

32:29 – What are my annual requirements with Medicare coverage?

35:19 – Final thoughts from Joanne

Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2123

Ep #43: The Future of Healthcare with Steve Mund

Thu, 17 Oct 2019 06:00:00 -0400

What does the next 5, 10, 20 years look like for the healthcare industry? That’s a question everyone would love an answer for, but there are many opinions out there. We sat down with Steve Mund to pick his brain on everything from insurance to costs to payments and more.

On this episode:

1:59 – Introducing our guest on this episode, Steve Mund.

2:29 – Sharon shares some background on Steve.

4:24 – It’s an interesting time in healthcare and there’s no way to predict how it will change in the years to come.

6:57 – How to be a problem-solver for your department.

7:58 – The three payment models healthcare needs to engage in for the future.

10:14 – What about the accountability on the patient side?

11:19 – The providers get penalized but what about the payer?

12:57 – Jeremy shares a recent discussion he had with an insurance executive about drug costs.

14:01 – Let’s talk about mergers. Are their benefits to these large mergers?

14:59 – One prediction projected operating margin to be -16%.

15:55 – The length of stay can be an area of improvement potentially.

16:47 – Hospitals only operate on a 2.5-4% margin.

17:41 – Where is all the money going?

20:04 – What factors are driving the utilization of healthcare?

22:03 – What does Steve see as the future of healthcare payers?

23:36 – The best way to stay informed is Becker’s Review.

25:29 – How do you determine value in healthcare these days?

26:58 – So how can providers show their value to their organizations?

27:42 – How can we help cut down on waste in financial, clinical and personnel areas?

29:16 - The waste isn’t always about money, it’s also about time.

30:40 - Some final thoughts from Steve.

Show notes: https://beyondthemaskpodcast.com/ep-#43:-the-future-of-healthcare-with-steve-mund/2115/

Ep #42: The Role of Nurse Practitioners in Healthcare

Thu, 10 Oct 2019 06:00:00 -0400

Nurse practitioners play such an important role in healthcare so let’s learn more about the profession. The CEO and president of the American Association of Nurse Practitioners join us on this episode to share their accomplishments, challenges, and goals to improve the industry and empower their nurses. Did you know the CEO of the Nurse Practitioners used to work for the AANA? Come join us for a great conversation.

Here's what we have on this episode:

1:46 – Welcome in our guests Sophia Thomas and David Hebert

3:06 – What is a nurse practitioner?

4:44 – Tell us more about your organization, AANP

5:47 – Sophia explains how the AANP is structured.

6:44 – David talks about his role at AANP and a little about the role of nurse practitioners.

8:41 – Why lobbying is so important in this line of work.

9:27 – The AANP has really increased their PR and media efforts in recent years.

11:31 – What are the challenges facing nurse practitioners today?

12:29 – David explains why nurse practitioners should be able to work independently.

14:23 – 28 states still require some sort of collaborations and that makes it difficult on NPs.

17:15 – It’s important for everyone in the profession to understand the issues and then get involved politically.

20:02 – Sharon talks about her goals to get nurses involved in the formulation side of the profession.

22:57 – We want to empower nurses to do more than just work and go home.

23:46 – Quality and cost of healthcare is important to consumers, but so is convenience. These are things that nurse practitioners can provide.

27:01 – A unified voice in the profession is very important and that’s the goal of the AANP.

28:26 – How does your credentialing work?

30:40 – What is David most proud of in his role at the AANP?

31:51 – David shares his history with AANA and what he remembers about that role.

34:18 – Some final thoughts from Sophia on the history of the profession.

To get the full show notes and additional resources from Beyond the Mask, click here: https://beyondthemaskpodcast.com/?p=2108

Ep #41: The Importance of Getting Involved with Joe Rodriguez, CRNA

Thu, 03 Oct 2019 06:00:00 -0400

We always talk about the importance of community within the CRNA profession so let’s take it a step further by discussing how and why you should get involved. There are varying levels of involvement, as we’ll get into, but Joe Rodriguez will help us understand what your participation means to the industry.

Show Notes: https://beyondthemaskpodcast.com/the-importance-of-getting-involved-with-joe-rodriguez-crna/2079/

Today's rundown:

2:20 – Introducing our guest today, Joe Rodriguez.

3:08 – His topic today is ‘getting involved.’ Here’s why it’s important.

4:07 – Participating in community at work versus neighborhood is a little different for Joe.

5:09 – Have you always been like this or did you develop this interest in getting involved?

7:25 – Should everyone be as engaged as Joe? What’s the happy medium?

9:18 – How many CRNAs total compared to AANA members?

11:16 – What is the average CRNA career worth?

12:17 – Do you remember MI 68? Their story shows why it’s important to be engaged.

13:00 – Sometimes people just need to be asked.

14:23 – Why Joe is so passionate about all these regulatory issues.

15:37 – How do you overcome an opponent that’s better funded?

19:12 – Highlighting the progress that Joe has seen through the years.

21:27 – How do you balance your time to get so much accomplished?

23:43 – If he wasn’t a CRNA, Joe would be a lawyer.

26:30 – What advice would you give people to get them involved? And specifically for people at different stages of their career – early, middle, late.

Ep #40: Strategies for Handling Media Interviews with Communications Expert Chris Bettin

Thu, 26 Sep 2019 06:00:00 -0400

As CRNAs, we don’t have a lot of experience dealing with the media or being in front of the camera. We’re used to working behind closed doors and out of the spotlight. But there are times whem we’re called upon to be a spokesperson for a place or an event. That’s why we brought on a public relations specialist to give us tips and techniques that make us feel like the experts we are.

Today's rundown:

1:38 – Chris Bettin is our guest today.

2:21 – Some background on Chris

2:48 – Chris about to head off on a new endeavor in PR.

3:27 – Why we’re talking about spokesperson training today.

4:23 – How do you deal with the media and why it’s so important for CRNAs.

5:07 – Every CRNA is a candidate to be interviewed.

6:05 – Scenarios where CRNAs might be called on to be interviewed.

7:21 – What you need to understand about reporters.

8:18 – The biggest fears we have in an interview.

10:15 – Things that Sharon has learned from Chris.

11:35 – The message you’re trying to deliver is critical so don’t wing it.

13:47 – Have a built-in answer ready to give you time to gather yourself.

15:47 – Three techniques for navigating an interview: flagging, hooking and bridging.

20:47 – How can you control your nerves in front of the media?

21:39 – Do’s and Don’ts of spokesperson training.

23:20 – Any other techniques you want to share with us?

24:28 – More on Chris’ new company, Crossdot Communications.

Get the show notes and additional resources here: http://beyondthemaskpodcast.com

Ep #39: Understanding Legal Implications of Anesthesia with Lynn Macksey

Thu, 19 Sep 2019 06:00:00 -0400

Lynn Macksey, CRNA, has been an expert witness on more than 50 cases and she’s bringing that knowledge to the show to help us understand the legal side to the profession. She’ll share what she’s learned through the years that will help you protect yourself and keep your name out of a case.

Today's rundown:

1:47 – Lynn Macksey is here with us today to talk medical legal implications in anesthesia.

2:18 – Some background on Lynn.

2:32 – How she decided to make the transition into anesthesia after 20+ years in ICU.

4:43 – Why this topic today is so important.

5:29 – Keeping yourself from being named in a case is so important.

5:59 – What are closed claims?

8:14 – Lawsuits now include everyone that has control.

10:08 – What are the reasons for surgical or anesthesia related lawsuits?

13:07 – The four elements of a medical malpractice case that must be present for negligence.

14:54 – What specific cases have you been involved in that might have changed your practice?

18:13 – A story about a former Saturday Night Live cast member.

21:02 – We learn so much from our mistakes.

23:37 – What range of money is involved in these types of cases?

25:48 – Final thoughts from Lynn on this topic.

Get the full show notes and additional resources by clicking here.

Ep #38: Courage to Lead: A Conversation with Former AANA President Terry Wicks

Thu, 12 Sep 2019 06:00:00 -0400

Our first installment of the presidential leadership series begins with a conversation with former AANA president Terry Wicks. His decorated career includes this year leading the organization in 2006-07, and we’ll go back with him to discuss the highlights, the challenges, and what he still remembers about the experience. You’ll enjoy some great stories along the way.

The rundown for today's episode:

1:53 – Welcoming Terry Wicks to the show.

2:19 – Introducing the Presidential Leadership Series we’ll be doing.

3:26 – Sharon has a story about Terry she wants to share first.

5:02 – Terry talks about the new endeavor he’s taking on at UNC-Greensboro.

6:14 – Highlights from his year as president of the AANA from 2006-07

8:52 – There were some challenges as well.

10:28 – We want to do this series to teach people about the history of the industry and those that have impacted CRNAs.

11:45 – The accessibility of leaders has been so rewarding.

13:17 – What Terry enjoyed best about being the AANA president.

14:40 – What the travel is really like for an AANA president.

16:32 – Another unforgettable story that Terry will always remember.

18:14 – What advice would you give an incoming AANA president?

20:20 – What ways did your experiences shape your participation in the AANA after you left office?

22:30 – Helping people deal with substance abuse has become a passion.

23:46 – What advice would you share with new CRNAs?

25:09 – Is there another profession you’d like to be a part of if you had your choice?

26:50 – Some parting words from Terry.

Get the full show notes and additional resources by clicking here.

Ep #37: Spotlighting the IFNA – A Global Anesthesia Community

Thu, 05 Sep 2019 06:00:00 -0400

The International Federation of Nurse Anesthetists is celebrating 30 years as an organization in 2019 and we had the chance to spend some time with four current board members and one past president. During this episode, we had the chance to talk about the IFNA’s history, its mission, where it hopes to go in the future, and much more.

Check out the full show notes by clicking here.----more----

Today's rundown:

1:54 – Introducing today’s topic on the International Federation of Nurse Anesthetists

2:09 – Welcome in our IFNA guests to the show.

2:28 – Some history on IFNA and how it formed from Sandy Oullette

5:15 – President Jackie Rowles introduces today’s panel: 1st VP Ingrid Andersson, Treasurer Zorica Kardos, and Executive Committee member Gye Seon Jeong

5:58 – Andersson shares the value of IFNA to her Swedish national organization.

7:16 – Similar practices between US and Sweden.

9:15 – Gye Seon Jeong on her experience with IFNA in Korea

14:10 – How many nurse anesthetists in Korea?

15:40 – Zorica Kardis from Slovenia joins the show to share her experiences.

16:40 – The challenges of being the treasurer of an international organization.

18:43 – The number of CRNAs in Slovenia and how their practice compares to the US.

20:05 – How the IFNA supports the growth within individual countries.

21:15 – 107 countries reported nurses provide nurse anesthesia and we have 43 country members.

21:48 – What IFNA is doing to grow and expand the organization.

22:55 – What are the greatest accomplishments of the IFNA?

26:33 – Where is the focus for the IFNA in the future?

28:49 – Each guests shares their best memory of IFNA

43:54 – Sandy Oullette shares a funny story.

46:27 – Jacky shares some closing comments on IFNA.

Ep #36: First Impressions – How to Prepare for Your Interview with Laura Ardizzone, CRNA

Thu, 29 Aug 2019 06:00:00 -0400

Whether you’re looking for that first CRNA job or you're a veteran in the industry, the interview process can be stressful. It’s easy to question yourself and your preparation. That’s why we wanted to bring on a guest from one of the country’s top medical centers to give you an inside look at the interview process and share tips to help you land your next job.

Visit the Beyond The Mask Podcast website...

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Show Notes:

2:17 – Introducing our guest Laura Ardizzone

5:46 – What we’re talking about today: CRNA job interviews

7:10 – What are some of the skills and strategies of the interviewer?

9:16 – Be confident that your future employer has seen your social media posts.

10:00 – Some companies/hospitals utilize software to cull social media feeds.

11:28 – Social media works both ways and employers are often reviewed by candidates.

12:52 – CRNAs are in high demand right now.

13:46 – Resources that can help you prepare for an interview.

15:00 – What types of questions are off-limits?

15:50 – Jeremy shares a funny interview story.

17:02 – A surprising thing that candidates have told Laura.

18:58 – How long does a typical interview last?

19:42 – A question that Laura commonly likes to ask to gauge the interview direction.

20:32 – Should CRNA’s ask about time off during an interview?

21:45 – How should you dress for an interview?

22:36 – How and when should a candidate follow up after an interview?

24:30 – What if you haven’t heard back for a while?

25:40 – Have you ever hired someone that turned out to be completely different than expected?

26:25 – Final words of wisdom from Laura.

Ep #35: The Relevance of Nurse Anesthesia in Evolution of the Profession

Thu, 22 Aug 2019 06:00:00 -0400

There’s some concern in educational circles that the history of nurse anesthesia has lost importance during the evolution of the profession. We want to dive into that topic today and explore the history, accomplishments, and milestones with two experts on the subject. Sandra Ouellette and Evan Koch will provide historical insight and some wonderful information on this episode.

Check out the full show notes by clicking here.----more----

Today's rundown:

1:38 – Introducing Sandra Ouellette, one of our guests today.

3:50 – A little background on Ouellette’s career and recent honor.

5:16 – Introducing our second guest Evan Koch and his background.

6:16 – Our main topic today: relevance of nurse anesthesia history in evolution of profession.

6:46 – What are some of the common themes found throughout history?

9:05 – Surgeons can be a CRNA’s greatest asset.

9:26 – Surgeon Evarts Graham’s impact on the history of the industry.

11:18 – Humbug in anesthesia at the outset of discovery.

12:47 – Ouellette on some of the history that’s been edited through the years.

14:01 – Where you can find a lot of great information on anesthesia history.

14:47 – The role that educators have played in our history.

15:54 – Helen Lamb’s impact.

17:00 – Educators have faced various threats and obstacles through the years.

19:30 – Contributions that CRNA’s have made on anesthesia.

22:19 – Has the discussion of professional identity been around for a while? The debate surrounding the title Nurse Anesthesiologist.

28:23 – It’s important to know and understand the history of nurse anesthesia.

30:51 – What’s the difference between DNPs vs PhD?

34:38 – When did history get taken out of the nurse anesthesia curriculum?

39:17 – History of the CRNA journal and other achievements.

42:13 – Closing thoughts from both guests.

Ep #34: To Block or Not to Block: The Story Behind the Block Buddy App

Thu, 15 Aug 2019 06:00:00 -0400

Peripheral nerve blocks are a growing type of regional anesthesia and there’s an app out there that serves as a reference guide for CRNAs. We brought on Block Buddy co-founders Scott Urigel and Jeff Molter to find out how the idea was developed and how it’s benefiting the industry.

Check out the full show notes for this episode by clicking here. ----more----

Today's rundown:

1:38 – To Block or Not to Block: That is the question

2:00 – Introducing our guests: Scott Urigel and Jeff Molter.

2:26 – Who are our guests today?

4:05 – How difficult was it to develop the Block Buddy app?

6:39 – How long did the process take?

8:57 – The app has evolved quite a bit since it was first published.

9:37 – How are CRNAs utilizing blocks now?

10:30 – What we’ve been seeing from large anesthesia companies in Ohio.

12:12 – There’s always a learning curve and peripheral nerve blocks are no different.

13:53 – When we first started doing it, we thought it was the worst idea.

15:18 – Some locations nationwide have limitations on blocks in our practice.

17:03 – Block Buddy is hosting its own conferences and programs now.

20:30 – Is there a financial opportunity for CRNAs?

22:08 – How can a CRNA that learns this skill go out and benefit from it?

24:38 – Congratulating Scott for a great award he just won.

25:17 – Jeff won Ohio CRNA of the Year.

Ep #33: Understanding Malpractice Insurance Options with the AANA’s John Fetcho

Thu, 08 Aug 2019 06:00:00 -0400

Protecting yourself should be a priority for every CRNA and often times it’s easy to think that you’re already covered. But there are many options to consider with malpractice insurance, from the policy type to the company that you purchase the policy through. John Fetcho, Director of AANA Insurance Services, joins us to these differences and clear up any misconceptions we might have.

See the full show notes on our website here.----more----

Take a look at the rundown for this episode:

1:40 – Welcome John Fetcho – Director of AANA Insurance Services

2:47 – Why is this topic of malpractice insurance so important?

4:50 – You want to understand who is insuring you and what coverage you have.

7:16 – Occurrence coverage vs claims made

10:45 – The two types of insurance companies: Admitted and Non-Admitted

14:30 – When CRNA is involved in a claim, 100% of the time there are legal expenses.

15:28 – How can you find ratings for insurance companies?

17:51 – Insurance policies aren’t created equally. There are significant differences.

20:39 – Are moonlighting policies still available?

21:42 – A real-life story about a how a supplemental policy could have made a huge difference.

24:26 – How the policy premiums different state to state.

30:00 – AANA is there as a resource for members.

31:11 – AANA premiums for CRNAs have gone down 33% since they began.

Ep #32: Tom Baribeault - Opioid Free Anesthesia

Thu, 01 Aug 2019 06:00:00 -0400

This week, we have the pleasure of speaking with Tom Baribeault, Chief CRNA at Lexington Surgery Center and Founder of the Society for Opioid Free Anesthesia (SOFA). He discusses his personal experiences with eliminating opioids in his own practice, and the challenges of breaking away from standard anesthesia practices. Tune in to find out what kind of opoid replacements are being used, as well as how you can begin to implement non-opioid strategies with your patients.

Ep #31: Understanding Taxes For CRNAs Under The New Tax Law

Thu, 25 Jul 2019 06:00:00 -0400

The Tax Cuts and Jobs Act, which went into effect at the beginning of this year, created a lot of changes that will heavily affect the taxes that CRNAs pay over the next several years. Jeremy will walk you step-by-step through some new options that you should consider taking advantage of, as well as some hazards that could trip you up if you're not in the know.

Ep #30: Historical Series: Helen Lamb, Mother Of Nurse Anesthesia Education

Thu, 18 Jul 2019 06:00:00 -0400

We turn the spotlight now to Helen Lamb, who spearheaded the efforts to standardize education across nurse anesthesia programs nationwide. Her vision for the future of nurse anesthesia education led to certification and accreditation and resulted in the very first standard curriculum for CRNAs.

Ep #29: Historical Series: Alice Magaw, Mother Of Anesthesia

Thu, 11 Jul 2019 06:00:00 -0400

This week, we'll continue our Historical Series with a look into the life and career of Alice Magaw. With a keen attention to detail and an unprecedented record of safety, she gained recognition around the world as a leader, teacher, published author and innovator in her field, and ultimately became known as the mother of anesthesia.

Ep #28: Bullying in Social Media - Fear of Engagement

Wed, 03 Jul 2019 06:00:00 -0400

Caroline Killmon and Ashley Fedan are back, and this time they're teaming up to discuss the CRNA and SRNA presence on social media, and the bullying that has begun to pervade various platforms. We'll explore important issues such as the expectations of students versus practicing CRNAs, the disconnect between people's actions inside and outside of social media, and the importance of knowing your audience. We'll talk about why many of these elements have led to a fear of engagement, and what we can do to take back social media and make it a positive environment moving forward.

Ep #27: CRNA State Advocacy, Leadership, & Professionalism

Thu, 27 Jun 2019 06:00:00 -0400

So, you want to get involved in CRNA advocacy, but you don't know how. Or, you want to be involved, but you don't want to be the actual person doing the advocating. That's okay! Kimberly Gordon, faculty member at Wake Forest School of Medicine, is here to share her insights into CRNA state advocacy. We'll talk about how to build positive relationships with legislators, the importance of partnering with other associations, and the advantages of forming an independent expenditure. But most importantly, we'll talk about how you can get involved and how you can get others to join in.

Ep #26: Student Leadership in Nurse Anesthesia

Thu, 20 Jun 2019 06:00:00 -0400

Caroline Killmon, student at Wake Forest and student representative to the AANA Education Committee, joins us to talk about some of the barriers to student leadership within the nurse anesthesia community. We'll unpack issues such as bullying within the nursing profession, generational differences, millennial stereotypes, work-life balance and much more.

Ep #25: Unintended Consequences Relative To Nurse Anesthesia Education & The Nurse Anesthesiologist Descriptor

Thu, 13 Jun 2019 06:00:00 -0400

We've talked in a past episode about the doors that could very well be opened by a switch to the Nurse Anesthesiologist descriptor. However, what kind of unintended consequences might we face as a result? This week, we'll shift perspectives and speak with four nurse anesthesia educators about how they believe this change would affect not only their own particular educational programs, but CRNA students as a whole.

Ep #24: International Federation of Nurse Anesthetists (IFNA) 30th Anniversary

Thu, 06 Jun 2019 06:00:00 -0400

June 10, 2019 is the 30th anniversary of IFNA, and to celebrate, we're talking to Sandra Ouellette, who was one of the founders of the organization as well as a past president of IFNA. She'll give us a brief history of the organization from the earliest discussions to present day. We'll also hear from Jackie Rowles, current president of IFNA, about how the federation has made enormous strides over the last several years to connect with other international organizations, and to help create solutions for global access to care.

Ep #23: The Wealthy CRNA

Thu, 23 May 2019 06:00:00 -0400

It's unfortunate but true, that as much time as CRNAs spend in school, there's little to no education offered on personal finance. So this week, Jeremy is bringing us a crash course. We'll get some simple tips on dealing with topics like budgets, debt, and insurance, and we'll learn what it takes to build a strong financial foundation and become a truly wealthy CRNA.

Ep #22: Mike McKinnon - Risks of Anesthesiologist Assistants

Thu, 16 May 2019 06:00:00 -0400

We finally got a chance to talk to Mike McKinnon, past president of the Arizona ANA, and he has a wealth of information to share about Anesthesiologist Assistants in the current healthcare environment. What kind of role do AAs play in overall healthcare costs, access to care, and the greater objectives of the ASA? What kinds of risks do they pose to CRNAs? We'll dive into these pressing issues, as well as some possible solutions moving forward.

Ep #21: The Oklahoma Legislative Fight That Every CRNA Needs To Hear!

Thu, 09 May 2019 06:00:00 -0400

This week, we speak with special guest Jenny Schmitt, President of the Oklahoma ANA, about the troubling state of the Oklahoma healthcare system. Amidst this struggle, the Oklahoma State Medical Association has launched a ruthless million-dollar anti-CRNA campaign aimed at frightening patients about receiving care from CRNAs. Jenny discusses how local CRNAs have fought to be heard, and why she believes CRNAs are the key to turning the tides in the future of Oklahoma healthcare.

Ep #20: "What If" Series: What If The AANA Didn't Exist?

Thu, 02 May 2019 06:00:00 -0400

Current AANA CEO Randall Moore, DNP, MBA, CRNA joins us live at the Mid-Year Assembly to discuss some thought-provoking hypotheticals. Who would advocate for CRNAs if the AANA didn't exist? How would the profession be different today without the organization? Find out on our first episode of the "What If" Series.

Ep #19: Ralph Kohl - On The Hill Advocating For Your Profession

Thu, 18 Apr 2019 06:00:00 -0400

We're joined this week by Senior Director of Federal Government Affairs for the AANA, Ralph Kohl. Ralph has his finger on the pulse of all the current Congressional topics relevant to CRNAs, and he works each day to advocate for our goals as an organization. He'll share with us why it's essential for CRNAs to get involved in advocating both locally and nationally, as well as some simple ways you can take part. If you're not familiar with the AANA Mid-Year Assembly, or if you're not quite sure of the importance of your state and federal PACs, this is the episode for you.

Ep #18: A Moment With The 2019 AANA Election Candidates

Thu, 18 Apr 2019 05:00:00 -0400

At the mid-year assembly we took the opportunity to extend an offer to all the candidates running for office in the upcoming AANA elections to join us for a few minutes on this podcast. Not all candidates took us up on the offer, but all were invited. On this episode, you'll get to hear the candidates that did participate outline their platforms and vision for the future of the AANA.

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The candidates appear at the below times.

1:29 - President Elect Candidate - Bob Gauvin

5:18 - VP Candidate - Heather Rankin

- Heather's Facebook Page

7:00 - VP Candidate - Henry Talley

9:50 - Treasurer - Maribeth Massie

13:25 - Region 5 - Julia Harris

- Julia's Facebook Page

16:05 - Region 5 - Kristie Hoch

- Kristie's Facebook Page and Twitter

18:13 - Region 4 - Mike Anderson

- Mike's Facebook Page and Twitter

Ep #17: CRNA Retirement Ready Series Part 2 - Preparing For Life After Anesthesia

Thu, 11 Apr 2019 06:00:00 -0400

This week, we'll continue the topic of how CRNAs can plan for a successful retirement. We'll talk about when you should take social security, how much money is safe to withdraw from your savings, and how taxes will affect you. We'll even take a look into a lesser-known way that high income earners like CRNAs can contribute to Roth IRA accounts and lower their tax burden in retirement.

Ep #16: CRNA Retirement Ready Series Part 1 - Preparing For Life After Anesthesia

Thu, 04 Apr 2019 06:00:00 -0400

If you're like many CRNAs, retirement is not too far off in the distance. And the first step in preparing for retirement is knowing what to expect. How can you maintain your current lifestyle when you walk away from a regular paycheck? What kind of expenses will you encounter? Jeremy will help get your wheels turning on this first part of the CRNA Retirement Ready series.

Ep #15: The Nurse Anesthesiologist Descriptor Debate

Thu, 21 Mar 2019 06:00:00 -0400

Special guests Carole Doyscher and Joe Rodriguez join us for a spirited debate discussing how the CRNA title may or may not have become a limitation to growth and understanding of the profession as a whole. However, what should CRNAs be called instead? What are the potential repercussions of this kind of change? The answer is not so simple.

Ep #14: CRNA Historical Series Part 4 - The Life Of Agatha Hodgins

Thu, 14 Mar 2019 06:00:00 -0400

We continue our historical series with a journey back into the very first years of nurse anesthesia where Agatha Hodgins began her career. Following a quite unexpected series of events, Agatha would ultimately become the foremost anesthesia expert and educator of her time, as well as the founder of the AANA.

Ep #13: CRNA Historical Series Part 3 - The National Commission On Nurse Anesthesia Education

Thu, 07 Mar 2019 05:00:00 -0500

Former AANA presidents Richard and Sandra Ouellette pay us a visit to share the story of how the National Commission On Nurse Anesthesia Education was brought about in a time of turmoil to rebuild CRNA educational programs from the bottom up.

Ep #12: National CRNA Week

Thu, 21 Feb 2019 05:00:00 -0500

Chris Bettin and Dan Lovinaria, two of the creative minds behind National CRNA Week, make a special appearance. Tune in to find out why more and more CRNAs and SRNAs are getting involved in promoting their profession, and why the importance of this event extends far beyond a single week.

Ep #11: Ashley Fedan - The Good, The Bad & The Ugly Of Social Media In The CRNA World

Thu, 14 Feb 2019 05:00:00 -0500

Join us this week as we talk to Ashley Fedan about the world of opportunities that social media offers to the CRNA community, as well as some of the pitfalls. As an administrator of a Facebook forum of over 25,000 CNRAs and SRNAs, she'll give you a look behind the scenes.

Ep #10: Pioneering Nurse Anesthesia Education

Thu, 07 Feb 2019 05:00:00 -0500

Special guests Sandra Ouellette and Nancy Bruton Maree return to delve into the history of nurse anesthesia education as seen through their own personal experiences in the field. How have educational programs evolved over the last several decades, and what awaits us in the future?

Ep #9: A Conversation Stopper: The ACT Statement

Thu, 24 Jan 2019 05:00:00 -0500

Former AANA presidents Sandra Ouellette and Nancy Bruton Maree are back, and this week they'll begin a two-part series on the history of the AANA. To kick things off, this episode will focus on the problems with the Anesthesia Care Team Statement.

Ep #8: Julia Harris - What To Know About Opioid-Free Anesthesia

Thu, 10 Jan 2019 05:00:00 -0500

The California Association of Nurse Anesthetists former president Julia Harris joins the program to discuss the merits of opioid-free anesthesia.

Ep #7: Patrick Ballantine - CRNAs & The Legislature

Thu, 03 Jan 2019 05:00:00 -0500

Having a voice for CRNAs in the legislature is incredibly important. On this episode of the podcast, we'll speak with Patrick Ballantine, lobbyist for the NCANA, about what kinds of conversations are happening on the legislative level and how you can get involved in making sure CRNA interests are represented in government.

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Patrick Ballantine served 10 years in North Carolina State Senate, winning all 5 general elections with over 65% of the popular vote. He was first elected in 1994 and quickly rose through the ranks, being elected the Senate Republican Leader in 1998 and re-elected unanimously in 2000 and 2002. Under his leadership, the number of Republican Senators in the 50 Member State Senate increased from 11 to 22.

Ballantine also co-sponsored tort reform that would help provide quality affordable health care for all North Carolinians. He sponsored regulatory reform and welfare-to-work legislation. Ballantine called for a restructuring of state government which had become bloated, non-responsive, and inefficient. He was a champion for small businesses and at the same time won environmental awards for his stewardship. Further, Ballantine established and chaired a statewide committee of diabetes stakeholders to develop a national legislative model to protect and support children with diabetes in schools.

Ballantine is an attorney licensed to practice in State Court, Federal Court, and the United States Supreme Court. Ballantine graduated from the University of North Carolina at Chapel Hill with a BA in Political Science, and he received his law degree from the University of Dayton, where he was bestowed the Order of Barristers.

Ep #6: Special Guests: Sandra Ouellette and Nancy Bruton Maree

Thu, 20 Dec 2018 05:00:00 -0500

Past AANA presidents Sandra Ouellette and Nancy Bruton Maree join the program on this edition of the show to discuss how the CRNA profession has evolved to its current state. Sandra and Nancy will share stories of their experiences as presidents of the AANA. We'll also take a look at the future of the industry and some of the major issues facing CRNAs going forward.

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Ms. Bruton-Maree graduated from N.C. Baptist Hospital School of Nurse Anesthesia, Guildford College (BS) & Wake Forest University (MS). She is a member of Sigma Theta Tau and Chaired the NCANA Program and Publications Committees, served on NCANA Education & Research, Bylaws, Finance, & Strategic Planning Committees. Ms. Bruton-Maree served as NCANA Secretary, President-Elect, and twice President of the NCANA. Additionally, she served as AANA member Continuing Education Committee, Editorial Advisory Committee, Journal Editorial Advisory Board, Practice Committee, educator and Chairperson of the Council on Accreditation of Nurse Anesthesia Educational Programs, & Chairperson, Education Committee.

She served as AANA Director, Region 2, AANA Vice-President, AANA President-Elect, & AANA President. She also served as member, Vice-Chair & Chair of the N.C. Board of Nursing. She served President of Anesthesia Review & Update from 2007 to 2017 and is retired as Program Director & Visiting Assistant Professor of Raleigh School of Nurse Anesthesia/UNCG. Ms. Bruton-Maree was awarded the Helen Lamb Outstanding Educator award by the AANA in 2008, and the Agatha Hodgins Outstanding Accomplishment Award in 2018. Ms. Bruton-Maree is currently a Consulting Associate at the School of Nursing, Duke University.

Ep #5: A Freelance CRNA - What To Know - Part 2

Thu, 13 Dec 2018 08:22:00 -0500

We'll continue our conversation about what it's like to become a 1099 CRNA. We'll cover questions about taxes, should you incorporate, how you'll cover your own healthcare issues and much more.

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For your reference, below is a graphic explaining the differences between SEP-IRAs and Solo 401(k)s:

Ep #4: Randy Moore - Responding To Healthcare's Dynamic Changes

Thu, 13 Dec 2018 05:01:00 -0500

The American Association of Nurse Anesthetists Chief Executive Officer Randy Moore joins the show this week to discuss the latest healthcare developments and how they're impacting CRNAs. He'll also talk to us about how the AANA is responding to those dynamic changes and reveal what keeps him up at night.

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Dr. Randall Moore became the Chief Executive Officer of the American Association of Nurse Anesthetists on September 5, 2017. Prior to that, Randy served as a senior hospital administrator with Passavant Area Hospital/Memorial Health System in Jacksonville, IL. In addition to Randy’s hospital leadership experience, he has served as AANA Treasurer and Region 3 Director. In addition to his service to the AANA, Randy has held various leadership positions within the Illinois Association of Nurse Anesthetists - including region director, government relations chair, and president.

Randy is retired from the Army Reserve after 22 years of military service. He has served in both the Illinois Army National Guard and Army Reserve as an infantryman, combat medic and CRNA. In 2012, Randy deployed with a Forward Surgical Team in Afghanistan providing combat causality care. Randy holds a Doctorate in Nursing Practice from The University of Alabama, a Master’s Degree in Business Administration from Southern Illinois University, a Master’s of Science in Nursing from Bradley University, and a Bachelor’s of Science in Nursing from Northern Illinois University.

Ep #3: A Freelance CRNA - What To Know - Part 1

Thu, 15 Nov 2018 05:00:00 -0500

Jeremy and Sharon will cover the details of what it looks like to become a freelance CRNA. What's it like to make that transition to getting a 1099 every year? Who is a good fit to transition from W2 to 1099? We'll answer those questions and more on part 1 of this conversation.

Ep #2: Jackie Rowles & The AANA Cultural Task Force

Thu, 01 Nov 2018 06:01:00 -0400

We have special guest Dr. Jackie Rowles on the show to cover the results of a AANA cultural task force that she chaired. We will learn what current members, former members, and non-members all think of the AANA, as well as evaluate the health of the organization. Jackie will give us the key takeaways from this special report.

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Dr. Jackie Rowles is a Certified Registered Nurse Anesthetist (CRNA) and Board Certified Adult Nurse Practitioner (ANP-BC) with nationally and internationally recognized leadership and clinical expertise in the specialty of pain management, including medication management, diagnostic and therapeutic injections, and multi-modal approaches in the treatment of pain. She is the Nurse Anesthesia Program Director and an Associate Professor in the Leighton School of Nursing, as well as, a Clinical Instructor for the College of Osteopathic Medicine.

Currently serving in her third term as President of the International Federation of Nurse Anesthetists (IFNA), Dr. Rowles is a past president of the American Association of Nurse Anesthetists (AANA), the Indiana Association of Nurse Anesthetists, served on the American Academy of Pain Management's (AAPM) Board of Directors for eight years with four years as Treasurer, and was a Nursing Organizations Alliance (NOA) Board Member for three years serving one year as Treasurer. Dr. Rowles is a member of the World Health Organization's Global Initiative for Essential and Emergency Surgical Care (WHO GIEESC), and was recently elected to the Board of Directors of the G4 Alliance (a global organization for access to Surgical, Obstetrics, Trauma, and Anesthesia Care). Dr. Rowles is the chair of the American Association of Nurse Anesthetists Task Force on Organizational Culture Assessment and serves as a member of the Ball State University College of Health Advisory Board.

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Ep #1: Why "Beyond The Mask" & Introducing Your Hosts

Thu, 01 Nov 2018 06:00:00 -0400

For the launch of "Beyond The Mask" we'll get to learn about your hosts, Jeremy Stanley and Sharon Pearce. They'll preview some of the future topics the podcast will tackle and some of the great guests that will join the show over the coming months. They'll describe how the podcast will bridge the gap from clinical conversations inside the operating room to organizational, financial, and personal topics important to CRNAs "Beyond The Mask".

Beyond The Mask: What's To Come

Fri, 26 Oct 2018 12:54:35 -0400

Let's take a brief glimpse into what you can expect from our podcast going forward. Be sure to tune in November 1st for its full debut!