Beyond The Mask: Innovation & Opportunities For CRNAs

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

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

(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

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

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

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? 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

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

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

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

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

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

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

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

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 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 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

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

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) 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

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

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

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

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

As more CRNAs continue practicing well into their 60s and 70s, it raises a critical and complex question: how do we balance respect for experience with the need to protect patient safety? As ​healthcare ​evolves, ​so ​does ​the ​understanding ​of ​how ​aging ​affects ​performance ​in ​high ​stakes ​environments ​like ​the ​operating ​room. Today we’re going to have an open and honest conversation with longtime educator and CRNA Judy Thompson about ​cognitive ​health ​testing ​protocols ​and ​the ​path ​forward ​for ​those ​at ​the ​peak ​of ​their ​careers. With over 35 years of leadership in nurse anesthesia education, Judy brings both professional insight and personal experience to the discussion. We’ll tackle everything from mandatory retirement age debates, discrimination concerns, and the value (and pitfalls) of cognitive testing, to what healthcare systems—and CRNAs themselves—can do to navigate this sensitive issue fairly. Here’s some of what we discuss in this episode: 🧠 Cognitive testing in late-career CRNAs: fairness or discrimination? 🏥 Patient safety vs. provider autonomy—how do we find the balance? 📉 Aging impacts everyone differently; there’s no one-size-fits-all solution 🛠️ Simulation and early baselines could be part of a better approach 👩‍⚕️ Aging CRNAs bring wisdom—but also face scrutiny and bias Visit us online: https://beyondthemaskpodcast.com/ Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Today we’re 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

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

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

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

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

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

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

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

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

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

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 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

The world of anesthesia is evolving, and pain management is at the forefront of this transformation. In this episode, we dive into the revolutionary non-opioid analgesic, Suzetrigine, a selective NaV1.8 inhibitor making waves in perioperative and acute pain management. With increasing pressure to reduce opioid dependence while maintaining effective pain control, anesthesia providers must stay ahead of cutting-edge developments. Join us as we break down the pharmacology, safety profile, clinical trial data, and real-world implications of this game-changing drug. Here’s some of what we discuss in this episode: We’ll talk about dosing in extreme detail because, as anesthesia providers, we know that precision matters. The drug interactions is a critical consideration and we’ll run through adjustments that need to be made. We get to the into the physiology and pharmacology implications of Suzetrigine, focusing on what this means for nurse anesthetists. The pharmacological properties of Suzetrigine and how it functions at a molecular level to modulate pain perception. The side effects and contraindications. Scientific trials and comparisons to other analgesics for nurse anesthetists. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

We'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 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Today we’re 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

What does a second Trump term mean for the future of healthcare? In this episode, we sit down with Scott Becker, founder and publisher of Becker’s Healthcare, to break down the potential changes, challenges, and opportunities in the evolving healthcare landscape. With major shifts ahead, understanding how policies may shape healthcare access, quality, and costs is more important than ever. Here’s some of what we discuss in this episode: What significant policy shifts does Scott anticipate during President Trump’s second term? Why Medicare Advantage has become a complete debacle. Are we moving to a two-tiered system and what could that look like? What do all these changes mean for CRNAs? Is he hearing about any possible solutions for the workforce problem? Check out Becker's Hospital Review: https://www.beckershospitalreview.com/ Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

This week, we’re shining a spotlight on Ciprofol, a cutting-edge intravenous anesthetic that has been making headlines in both clinical research and operating rooms worldwide. With its innovative formulation and promising safety profile, Ciprofol is poised to transform the landscape of anesthetic practice. Join us as we explore how this new drug compares to established agents like propofol and what it could mean for the future of procedural sedation and anesthesia. Here’s some of what we discuss in this episode: What is Ciprofol, and why are nurse anesthetists buzzing about it? The reduction in dosage isn’t just about using less drug—it has ripple effects. What about its pharmacokinetics? Does it have the same quick onset and recovery profile that we’ve come to rely on with Propofol? How does Ciprofol stack up when it comes to adverse events? We dissect the study—a randomized, double-blind trial conducted in China. Is Ciprofol the future? Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

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

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

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

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 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

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: [email protected] 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

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

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

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

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

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

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

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

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