Beyond The Mask: Innovation & Opportunities For CRNAs

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. Read more about the show here: https://beyondthemaskpodcast.com/ep-98-why-nurses-make-effective-elected-officials-at-every-level-of-government/2666/ 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.

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?

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.

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. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-95-courage-to-lead-1994-95-aana-president-mary-depaolis-lutzo-crna-phd/2658/ 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

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

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. Read more on this topic: https://beyondthemaskpodcast.com/ep-93-crna-supervision-direction-its-history-and-relevance-today/2624/ 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

Substance use can’t be treated without open communication and discussion and that’s what we want to do on this episode. Jack Stem, Peer Assistance Advisor for Ohio, joins the show to share his own personal battle with addiction and how he’s dedicated much of his life to helping others with the same struggles. Find out what you need to know about substance use, why our profession is more vulnerable, and what you can do if someone you know is dealing with an SUD. Read more on this episode here: https://beyondthemaskpodcast.com/ep-92-substance-use-disorders-in-anesthesia-providers-with-jack-stem/2619/ About our guest: http://www.peerassistance.jackstem.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss: 1:42 – Welcome in Jack Stem 2:03 – Background on Jack and what we’re talking about. 4:43 – Jeremy remembers his first kidney stone. 6:13 – Is this a genetic-based disease? 9:15 – A study that shows why our profession has a higher rate of addiction. 10:41 – Medications 14:10 – Jack shares his overdose story. 15:50 – Behaviors to look for 16:50 – What to do if you suspect a peer has a problem. 19:41 – Ways people hide the substance abuse? 22:14 – Peer assistance resources available to you. 24:15 – What happens when someone gets caught diverting? 27:49 – Advice for people returning to work after substance use. 31:06 – Contact info 32:32 – Final thoughts from Jack

Our leadership series continues with this conversation with the 2018-19 AANA president, Bruce Weiner, DNP, MSNA, CRNA. He looks back on the year that just wrapped up and shares his perspective on the challenges facing the board, why leadership development was prioritized, and how the battle for reimbursement continued on. Read more about this episode: https://beyondthemaskpodcast.com/ep-91-courage-to-lead-2018-19-aana-president-bruce-weiner-dnp-msna-crna/2611/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss: 2:46 – Dr. Bruce Weiner joins us today. Some background on our guest. 5:05 – His experience with the AANA 5:52 – Highlights from his year as president. 10:23 – What millennials want. 14:38 – Leadership development 17:18 – The AANA is member driven 20:45 – Who influenced your leadership style? 24:15 – Dealing with reimbursement issues. 30:03 – What does it mean for each CRNA? 33:09 – Bruce shares a story about what he faced when he first began in the profession. 35:04 – What would you have done differently during your year? 38:48 – The sacrifices that have to be made.

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

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.

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.

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 Read more on the Bylaws here: https://www.aana.com/docs/default-source/exec-unit-my-aana-web-documents-(members-only)/goverance-docs/master-2020-proposed-bylaw-amendments-final-7-10-2020.pdf?sfvrsn=1f5ce5a1_2 Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's show schedule: 2:34 – 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.

As the debate over whether the AANA should make the region director positions an at-large vote or maintain the current structure, we wanted to help present both sides of the debate. On this episode, we’re joined by Sallie Poepsel. MSN, PhD, CRNA, Julie Linton, MSN, CRNA, and Nick Blank, CRNA, MSN, APN, to hear why region directors should represent the area in which they live. The issue will be voted on Saturday, August 15, 2020. Show notes and additional resources: https://beyondthemaskpodcast.com/?p=2578 Read more on the Bylaws here: https://www.aana.com/docs/default-source/exec-unit-my-aana-web-documents-(members-only)/goverance-docs/master-2020-proposed-bylaw-amendments-final-7-10-2020.pdf?sfvrsn=1f5ce5a1_2 Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's show schedule: 2:06 – Background on what we’re talking about. 2:55 – Our guests today. 4:07 – Julie Linton provides background on the issue. 8:44 – Wouldn’t at-large directors provide better qualified candidates? 11:57 – How a change could disenfranchise smaller states. 14:14 – Explaining how at-large voting would work. 18:19 – Nick shares an example from Region 1 21:13 – The perceived problem of regional leadership development. 26:17 – If there are a lot of great leaders out there, why aren’t they running already? 29:59 – If you abolish the current system, how assignments determined? 33:32 – Recommendation for requirements and qualifications to run. 36:49 – The one point of concern for everyone working on this issue. 38:48 – Nick adds to Julie’s point about one region or state having the majority of directors. 41:53 – Why are we going back to undo something that was voted on? 44:41 – Should the AANA function more as a business than it currently does? 47:19 – Making diversity a priority.

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.

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. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-84:-promoting-professional-wellness-with-ncana-president-linda-stone,-dnp,-crna/2560/ 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.

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?

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.

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.

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. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-80-leader-from-the-start-lessons-learned-from-a-state-presidency-with-julie-linton-msn-crna/2527/ 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.

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. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-79-the-path-to-direct-reimbursement-with-dick-sandy-ouellette-crna/2523/ 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.

Our next guest in the Presidential Leadership Series is Deb Geisler, CRNA, who served as AANA President from 2001-02. Not only did she oversee some significant issues during her year in charge, but she’s also been a part of multiple committees through the years whose decisions have shaped direction of the profession. Read more and get additional resources here: https://beyondthemaskpodcast.com/?p=2508 Today's show schedule: 2:37 – We’re still in quarantine and talking to Deb Geisler today. 3:15 – A former AANA president and a UNC graduate. 5:13 – Historical overview of the supervision battle with physicians. 8:53 – Here’s what the problem is with this supervision law. 11:53 – The letters that were being written to the legislature about nurse anesthetists. 12:22 – It’s a reimbursement issue. 15:07 – How the SODC began. 20:43 – The other goal for the SODC and how it was funded. 22:27 – The states were given funds in the form of a loan 25:21 – Helping states that were in position to be attacked. 27:12 – How was the dues increase embraced at the time? 31:51 – Being part of that committee is something she’s eternally grateful for. 34:04 – Some history on how regions were formed. 37:17 – She chaired the committee in 2003 to look at regional re-allocation 38:24 – A statistical analysis was done to see if the structure of the regions had anything to do with electability. 39:05 – The committee devised a study and sent it out to members to determine a course of action. 41:49 – From that study, the committee came up with a five region concept. 44:35 – How did people react to the regional suggestion. 46:16 – Sharon has always been a big fan of Deb. 47:33 – The most valuable leadership lessons that she’s learned through her career.

With 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.

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.

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.

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.

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

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.

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.

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

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…

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

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.

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.

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.

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.

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?

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.

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.

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

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.

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.

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.

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.

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

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?

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.

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. ***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. 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.

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.

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.

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?