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Beyond The Mask: Innovation & Opportunities For CRNAs

Beyond The Mask: Innovation & Opportunities For CRNAs

551 episodes — Page 5 of 12

Ep 350Everything You Need to Do When You Become a 1099 CRNA – NCANA Session 2

More and more CRNAs are making the decision to move from a W-2 employee to a 1099 CRNA. Sharon made this move in recent years and is sharing this experience on the podcast to help educate other CRNAs who are weighing the pros and cons. Once you’ve made the decision to go 1099, how do you make sure you’re doing everything right? Today is part two of a three-part session and we’re answering that question to make sure you’re prepared to be a 1099 CRNA. Join us as we provide a comprehensive roadmap to help you navigate the transition smoothly. Here’s some of what we discuss in this episode: How should you set up your company and who should be helping you. Should you be a sole proprietorship or a PLLC? We’ll give you details on how it impacts taxes. What accounts do you need to open up? Keeping records for tax purposes and why it matters if you plan to work in different states. How you can make your annual meeting a tax deduction for your S corp. Are you a Resident or CRNA looking to transition into independent practice? The AANA and Beyond the Mask are here to help you thrive as your own boss! Introducing the 1099 CRNA Institute – taught by 'Beyond the Mask' hosts Jeremy Stanley and Sharon Pearce. This comprehensive educational series provides detailed guidance on business structure, legal and tax implications, and financial management tailored specifically for 1099 CRNAs. Visit AANA.com/1099 to learn more and take the first step toward your new future. ***Use coupon code BEYOND1999 to get 20% off through November 2024 Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Sep 12, 202453 min

Ep 348Nociception Unveiled: What the NOL Index Means for Anesthesia

In this episode, we’re spotlighting a cutting-edge study on the nociception level (NOL) index and its potential impact on intraoperative opioid management. The NOL index, a tool that uses machine learning to assess nociception during general anesthesia, promises a more precise way to monitor patient responses to pain. However, as we’ll discuss, a recent meta-analysis found that NOL monitoring did not significantly reduce opioid consumption compared to traditional methods, raising questions about its effectiveness in everyday clinical practice. Here’s some of what we discuss in this episode: What is the NOL index and can it help improve patient outcomes? Background on the study and the research involved. What did the meta-analysis reveal about the effectiveness of NOL monitoring in reducing intraoperative opioid use? The reduction in extubation time is a positive finding and suggests that NOL monitoring might help anesthesiologists manage the overall anesthesia experience more effectively. Our thoughts on the study and where we think things could be headed in the future. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Sep 10, 202431 min

Ep 347Deciding with Confidence: An Algorithm For Patients With a History of Cocaine and Methamphetamine Use

In the ever-evolving world of anesthesia, patient safety and clinical outcomes are paramount. This is especially true for patients with a history of substance use, such as cocaine or methamphetamine. Today we’re joined by Laurent Estrada, Omar Silva, and Jake Abel, doctoral students from USC, who have dedicated their research to developing an algorithm designed to manage elective procedures for these patients. Find out how this could impact clinical practice and help standardize care for a growing issue. Here’s some of what we discuss in this episode: Why has methamphetamine and cocaine use become a growing problem for CRNAs and how they’re addressing the lack of guidelines for anesthesia? What signs can you look for to tell if a patient has cocaine or meth toxicity? A detailed walkthrough of their algorithm and background on how they developed it. The challenges they’ve faced as they’ve developed this algorithm. See the algorithm here: https://beyondthemaskpodcast.com/wp-content/uploads/2024/09/Algorithm-.pdf Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Sep 5, 202427 min

Ep 346AANA Executive Update: Latest Developments, Partnerships & the Future with Bill Bruce, CEO

During our trip to the AANA Annual Congress in San Diego, we had the chance to catch up once again with Bill Bruce, AANA CEO, to update you on the latest developments and initiatives that will impact CRNAs and SRNAs across the country. Today’s show will get you up to speed on the Rm8 Innovation Lab, the AANA’s focus on access to educational materials, an insurance partnership, and much more. Here’s some of what we discuss in this episode: An update on the new AANA building in Rosemont, Illinois, and the new technology they’re incorporating. The opportunities and collaborations coming out of the Rm8 Innovation Lab. A new insurance partnership to benefit CRNAs. Bill’s vision for making the AANA the educational home for all CRNAs. The organization hopes to build stronger relationships with the next generation of CRNAs. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 29, 202439 min

Ep 345Pain Perspectives: Cutting-Edge Approaches in Non-Surgical Care

In this episode, we’ll explore the evolving landscape of pain management with a focus on non-surgical approaches. While nurse anesthetists are known for their expertise in managing pain in the operating room, this episode delves into the broader and often complex world of chronic pain management. Today we’re joined by Randy Cornelius, DNP, CRNA, ARNP, a current member of the AANA Board of Directors, and Ben Levinson, CRNA, NSPM-C, a credentialed expert in non-surgical pain management. Together, they discuss the latest strategies, treatments, and innovations in the field. Here’s some of what we discuss in this episode: The other factors besides influencing the manifestations of pain. Neurotransmitters, inflammatory mediators, and pain syndromes and their development. Risk Factors and Theories/Patient related factors slides. The Assessment, diagnosis, and creating a plan of care of a non-surgical pain patient Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 27, 20241h 1m

Ep 344Does It Make Sense for CRNAs to Go 1099? – NCANA Session 1

As healthcare continues to evolve, CRNAs find themselves in a unique position – should they stick to the traditional W-2 employment model or transition to a 1099 independent contractor status? This is a trend that we’ve been monitoring for a few years now, and Jeremy was able to convince Sharon to make the transition to 1099. Now we want to share the experience with you and let you know what Sharon has learned since making the change. This is part one of a three-part session and we’re beginning with the big question in the CRNA industry: Does it make sense to go 1099? Join us as we explain the basics and help you better understand the differences between W-2, PRN, and 1099 work. Here’s some of what we discuss in this episode: Exploring the state of the CRNA industry and why now is a great time to be in the freelance market. The differences between W-2, PRN and 1099 employees. The reasons Sharon finally made the decision to go 1099. Some of the biggest reasons to consider 1099 work like tax savings, more opportunities to save, more control, and other pros. What are you giving up if you decide to go 1099? How Jeremy helps his CRNA clients determine if it’s best to go 1099 or not. Be aware of the cons that come with going 1099. Check out two episodes referenced in this episode: Understanding Malpractice Insurance Options with the AANAs John Fetcho: https://beyondthemaskpodcast.com/understanding-malpractice-insurance-options-with-the-aanas-john-fetcho/1747/ How CRNAs Can Protect Their Great Asset: Yourself - https://beyondthemaskpodcast.com/ep-121-how-crnas-can-protect-their-greatest-asset-yourself/2838/ Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 22, 202444 min

Ep 343How to Retain Your Brain as You Age

As science improves, we’re learning more and more about brain health and how to maintain our youth even as we age. Today we’re joined by Ryan Sullivan, CFP®, CRPC®, RCC™ of Hartford Funds to share the valuable knowledge he’s gained from a partnership with the MIT Age Lab and explore how simple lifestyle changes can significantly impact our brain health and, consequently, our financial future. Ryan is the Vice President and Managing Director of Applied Insights with Hartford Funds. They have a partnership with the MIT Age Lab to better grasp how we make decisions and what motivates us as we age. Understanding these insights and how they tie into our finances can help us improve our long-term outlook. Here’s some of what we discuss in this episode: Some of the factors that keep your brain from aging at the same rate as your body. How can you get a sense of what your brain age is? Our brain creates trash that needs to be removed from our bodies or else it will accumulate with enough sleep. The costs that are associated with cognitive health decline and how we incorporate that into retirement planning. Our diet is connected to our brain health. Check out ‘The Age-Proof Brain’: https://a.co/d/9XV4j46 About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/john-diehl-bio.html Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 15, 202443 min

Ep 342Pain Sensitivity: What Every CRNA Should Know

In the latest episode of Beyond the Mask, Sharon Pearce and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN are joined by Lori Schirle, CRNA, PhD, an assistant professor at Vanderbilt University. We heard her topic at the AANA Annual Congress and wanted to bring her on to discuss the cutting-edge research on pain sensitivity and its implications for CRNAs and advanced practice nurses. Join us as Lori shares her extensive research on pain sensitivity, opioid prescribing practices, and the future of personalized pain management. Here’s some of what we discuss in this episode: What is pain sensitivity and how does it impact CRNA practice? Measuring pain sensitivity through a process called Quantitative Sensory Testing (QST). How can this research be used and what studies might be coming next? The role the AANA Foundation played in her position as one of the few full-time CRNA researchers. Pain sensitivity and its impact on postoperative outcomes. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 ***Use coupon code BEYOND1999 to get 20% off through November 2024 Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 8, 202452 min

Ep 341From RN to CRNA: The Power of Developing a Local Mentorship Network

Today we have the pleasure of hosting Ike Bartel, BSN, RN, CCRN, an aspiring CRNA from Kansas. Ike's journey from being an RN to pursuing a career as a CRNA is a testament to the power of mentorship in the nursing community. Ike has pioneered a mentorship program specifically designed to guide and support RNs on their path to becoming CRNAs. Today we’ll learn all about his journey, the inception of his mentorship program, and the impact it has had on the nursing community. Here’s some of what we discuss in this episode: Why he decided to establish a mentorship network and the vision he has for it. You don’t have to be a CRNA to advocate for CRNAs. Get plugged into the community to identify needs and partner with local leaders to help meet those needs. Why a RN to CRNA pipeline is important. How can registered nurses get involved with the AANA and their state associations? Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Aug 1, 202430 min

Ep 340The Conversation is Different When You Sit with Warriors

CRNAs are self-starters who strive in individual settings, but we’re all much stronger and successful with the support of others. In our latest podcast episode, we had the privilege of sitting down with the Fab Four, a group of extraordinary women who have left an indelible mark on the CRNA community. These trailblazers, innovators, and phenomenal individuals have not only shaped the profession but have also built a powerful support network that has been instrumental in their success. Join us for a heartfelt and inspiring discussion on leadership, mentorship, and the power of friendship. Here’s some of what we discuss in this episode: The memories each of us have about when we first met. How important these relationships and friendships are on a career. Finding a mentor to help you become a better leader in this profession. The advice each woman would give a young CRNA trying to find their path. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Jul 25, 202442 min

Ep 339Nurse Anesthetists in the Eye of the Storm: A Critical Role in Disaster Response

In this episode, we’ll explore nurse anesthetists’ indispensable role in disaster response and mass casualty incidents (MCIs). Drawing from real-life examples, including the harrowing experiences during Hurricane Harvey in 2017, we’ll highlight the resilience, expertise, and dedication required from nurse anesthetists in times of crisis. We’ll also dive into the American Association of Nurse Anesthesiology (AANA) guidelines and the importance of preparedness, coordination, and innovative problem-solving in managing both clinical operations and emergencies. Here’s some of what we discuss in this episode: The role CRNAs play during natural disasters. Communication and coordination is critical during these catastrophic events. The protocols in place at hospitals when hurricanes are coming. Lessons learned from recent disasters. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jul 23, 20241h 15m

Ep 338CRNA Financial Preparation for the Final 8000 Days

Retirement represents a pivotal milestone in a CRNA’s life and it ushers in a new phase that could extend over 20 to 30 years or more. How do you best prepare yourself for that transition after work? Today we’re joined by John Diehl, CFP®, CLU®, ChFC® of Hartford Funds to discuss the four stages of retirement and the impact of longevity on financial planning and quality of life. Join us as we explore the concept of 8000 days developed by the MIT Age Lab. Here’s some of what we discuss in this episode: Why MIT breaks down things down into 8000 day sections of life. What is the Age Lab and what research are they doing? Breaking down the four phases of retirement. All the things you need to be thinking about as you start aging. The psychological adjustment CRNAs need to make for retirement. The most underestimated aspect of working with great advisors is not just the investment component. About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/john-diehl-bio.html Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Jul 18, 202435 min

Ep 337CRNA Advocacy and Campaigning with Kellie Deeter

We’re thrilled to spend time today with a special guest who is not just a nurse anesthetist but also a passionate advocate for healthcare and community issues. Kellie Deeter, CRNA is currently running for a seat in the Ohio House of Representatives with a campaign focused on her extensive experience in the medical field and a commitment to public service. Join us as we hear about her journey, the vision she has for Ohio, and how her CRNA background has prepared her for politics. Here’s some of what we discuss in this episode: Her background as a nurse anesthetist, wife, mother of six, and a small business owner. She was motivated to run because a regulation in Ohio posed a barrier to practice. Details on the seat she’s running for and her district. What’s been the hardest part of campaigning? The advice she would give someone who is thinking about running for office. Donate to Kellie’s campaign: https://secure.winred.com/deeter-for-ohio/donate-today-?sc=winred-directory&money_bomb=false&recurring=false Learn more about Kellie: https://www.facebook.com/kelliedeeterforohio?mibextid=LQQJ4d Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Jul 11, 202437 min

Ep 336From Diploma to Doctoral Entry: The Evolution of Nurse Anesthesia Education (Part 2)

Today we welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to take a detailed look at the evolution of education in the nurse anesthetist profession. In part two of the conversation, we’ll look back through the significant transformations over decades, evolving from diploma programs to doctoral entry. Learn more about the challenges and triumphs that have shaped the profession, from early practice battles to the establishment of standardized education and accreditation. Here’s some of what we discuss in this episode: Why it became necessary for nurse anesthetists to organize around the time of World War I. The role that pioneers like Agatha Hodgins, Gertrude Fife, and Helen Lamb played in certification and accreditation programs. Why the ASA formed regionally and locally to try to eliminate nurse anesthetists. The formation of nurse anesthesia councils and their autonomy. What impact did direct reimbursement have on nurse anesthesia programs? What drove the decision to move nurse anesthesia education to the doctoral level? Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Jul 4, 20241h 6m

Ep 335Ticking Time Bombs: Unveiling Alpha-Gal Syndrome

Today we’re joined by the distinguished Elena Meadows, DNP, CRNA, who is the Associate Director of Didactic Education at Wake Forest University’s nurse anesthesia educational program. In this episode, the trio dives deep into Alpha-Gal Syndrome, an emerging and pressing healthcare concern involving severe allergies to animal proteins, primarily transmitted by the Lone Star tick. Elena shares her extensive background in nursing education and her journey into the study of Alpha-Gal Syndrome. Here’s some of what we discuss in this episode: Background on Alpha-Gal and how the allergy gets started. The precautions you can take if you’re out and about. Why types of symptoms would you exhibit if you have an Alpha-Gal allergy? How to manage anaphylaxis. The anesthesia implications for evaluating patients at risk for Alpha-Gal and how to plan anesthesia care for these folks. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jul 2, 202438 min

Ep 334From Diploma to Doctoral Entry: The Evolution of Nurse Anesthesia Education (Part 1)

Today we welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to take a detailed look at the evolution of education in the nurse anesthetist profession. We’ll cover everything over two episodes and we’ll begin with the challenges faced by nurse anesthetists, the formation of the National Association of Nurse Anesthetists, and the significant contributions of pioneers like Agatha Hodgins, Gertrude Fife, and Helen Lamb. Here’s some of what we discuss in this episode: What led to the formation of the National Association of Nurse Anesthetists (NANA), now known as the AANA. The legal battles and opposition facing nurse anesthetists in the early 20th century. The shift in educational advancements that have shaped the profession. We’ll look back on some of the key figures in nurse anesthesia history and the role they played. The importance of maintaining high educational standards and the role of accreditation in our profession. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Jun 27, 202447 min

Ep 333Improving Patient Outcomes for the Intellectually & Developmentally Disabled

In this week’s episode, we tackle a topic that is sometimes overlooked and deserves more attention: the care of individuals with intellectual and developmental disabilities: the care of individuals with intellectual and developmental disabilities. Ginny Ramsey, DNAP, CRNA, ARNP, CHSE has dedicated her career to improving patient outcomes and raising awareness about the unique challenges facing this underserved community, and today’s show will help all nurse anesthetists provide better care. Here’s some of what we discuss in this episode: Why people with disabilities don’t have the same level of trust with nurses that most people do. Healthcare access and inequality for individuals with disabilities. The differences in care for these patients and the best approach to take for anesthesiologists. Ways that we can improve anesthesia care for these patients. The different complexities like patient advocacy and sensory concerns. Connect with Ginny: [email protected] Learn more about GIDDN: http://www.golisanofoundation.org/Golisano-Foundation/About/About.aspx Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

Jun 20, 202459 min

Ep 332The Clot Thickens: Sepsis-Induced Coagulopathy Revealed

Today we're diving deep into a critical and often deadly complication in septic patients: Sepsis-Induced Coagulopathy or SIC. We'll be discussing the pathophysiology, clinical presentation, diagnosis, and management strategies based on a comprehensive narrative review by Drs. Brittney Williams, Lin Zou, Jean-Francois Pittet, and Wei Chao. Here’s some of what we discuss in this episode: The pathophysiology of SIC is a complex interplay between the immune and coagulation systems. We’ll discuss the diagnostic criteria and tools in detail. Early and accurate diagnosis is essential for initiating appropriate management strategies and improving patient outcomes. Management of SIC involves both supportive care and targeted therapies. Ongoing research is essential to develop more effective diagnostic tools and treatment strategies. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jun 18, 202448 min

Ep 331What is Your CRNA Money Story?

Have you ever stopped to think about how your upbringing and personal experiences shape your financial decisions? Even if you don’t classify yourself as a money person, it still drives many of the decisions we make every day. Today we’re joined by Julie Genjac, Vice President and Managing Director of Applied Insights at Hartford Funds, to discuss the concept of a money story and how understanding it can transform your financial future. Here’s some of what we discuss in this episode: The relationship we have with money impact the decisions we’re making every day. Her money starts with babysitting early in life and then a financial internship at 17. Her partnership with wealth psychology expert Kathleen Burns Kingsbury. The stories people tell themselves about money that just aren’t true. What is a money script and how does it apply to you? How we define our own money story? About our guest: https://www.hartfordfunds.com/practice-management/applied-insights-team/julie-genjac-bio.html Learn more about KBK: https://www.breakingmoneysilence.com/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

Jun 13, 202446 min

Ep 329A TV Sitcom About Anesthesia? It Could Happen

How would you enjoy turning on your favorite streaming platform and finding a sitcom about anesthesia? It could become a reality if a CRNA’s efforts come to fruition. In this episode, we welcome Ben Hartland, CRNA to discuss his creative endeavor in producing a pilot TV episode about dental anesthesia and the challenges that come with producing a show about the world of dental sedation. Find out how this idea even began and what you can do to help support the endeavor. Here’s some of what we discuss in this episode: How the TV pilot idea about dentistry came to fruition. How COVID kicked him out of the hospital and into dentistry. The biggest challenges and lessons learned during the filming process. Finding the time between anesthesia and pursuing this project. Plans for the pilot and the difficulty in getting industry people interested in a project. Want to see more? Visit the Teeth TV website: https://www.teethtvshow.com/ Check out Teeth TV on YouTube: https://www.youtube.com/@Teethtvshow2023/ Watch the pilot: https://www.youtube.com/watch?v=-fYnTnewWmE Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

Jun 6, 202443 min

Ep 330Disparities in Healthcare

Recently our dean asked our faculty to include education about disparities in healthcare in one of our introductory courses in our graduate nursing programs. And it didn't take long doing a simple Google search of disparities in healthcare to come up with some interesting articles addressing a variety of sources of disparity in healthcare that exist in our society and their influence on our country’s overall population health. This is a problem in our society and it influences a lot of our population, which is why we need to tackle the problem and possible solutions. Here’s some of what we discuss in this episode: Disparities in rural areas and possible solutions. The health of minority groups declines over time and subsequent generations. The racial disparities that exist between and within the US states. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jun 4, 202441 min

Ep 328Balancing a Career in Music with Being a CRNA

The CRNA community is filled with multi-talented individuals and today’s guest is a wonderful example of that. In this episode, Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA sit down David Giardinelli-O'Connor, PhD, DNAP, CRNA, who has successfully balanced a demanding career in anesthesia with his lifelong passion for music. We’ll hear about his music and multiple bands, his adventures playing for U.S. troops overseas, and the crossover between music and anesthesia. Here’s some of what we discuss in this episode: Challenges and frustrations of trying to balance a CRNA career with a passion for music. The effort it took to get overseas to perform for the USO. The virtual shows he had success with during COVID. Crossover between anesthesia and music careers, with emphasis on fluid management. The ‘Iowa story’ about nitroglycerin and traveling through the airport. Learn everything about Dave's music: https://www.dave-oconnor.com/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

May 30, 202444 min

Ep 327Courage to Lead: 1998-99 AANA President Linda Williams

We’re excited to add another chapter to our Courage to Lead series with 1998-99 AANA President Linda Williams, JD, CRNA. In this episode, Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA sit down with Linda to reminisce about her experiences, offering listeners a rare glimpse into the heart of a leader who has truly been through the fire. Join us for a candid discussion about the supervision issue, the importance of mentorship, and the vital role of professionalism. Here’s some of what we discuss in this episode: What she remembers most from a tumultuous year as president. The battle she fought over the supervision issue. How and why the mentoring program got started under Linda. Why professionalism was always a huge focus for her. The responsibility of past leaders to respect and support the current leadership. The big lessons she learned and took away from her time as president. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

May 23, 20241h 2m

Ep 326All Things AANA with President Dru Riddle & CEO Bill Bruce

Today ​we're ​delving ​in ​the ​heart ​of ​all ​matters ​concerning ​the ​American ​Association of Nurse Anesthesiology, ​and ​we're ​privileged ​to ​be ​joined ​by ​two ​prominent ​guests. AANA President Dru Riddle, PhD, DNP, CRNA, FAAN and AANA CEO Bill Bruce, CAE join us for a candid and informative discussion about the organization’s priorities. Get a glimpse into the strategic vision propelling the AANA forward and the innovative initiatives designed to cultivate the next generation of CRNAs. Here’s some of what we discuss in this episode: The current state of the workforce and the factors leading to a shortage of CRNAs. What is the AANA doing to help cater to RNs who are showing interest in becoming CRNAs? The AANA membership recently passed a bylaw that allows for a new membership category. The focus on making membership meaningful and useful. An update on reimbursement. The latest on the Rm8 initiative. AANA has launched a new education edge learning management system. About our guest: https://www.aana.com/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

May 16, 202451 min

Ep 325Hear from the Candidates for 2024-25 AANA Board of Directors

It’s another special edition of Beyond the Mask where we let you hear directly from the candidates running for various AANA offices in the upcoming fiscal year. This year we recoded the speeches when they were given in front of a live audience at the Mid-Year Assembly. From advocating for full practice authority to enhancing member engagement, each candidate shares their unique vision for advancing the profession. Don't miss this opportunity to hear directly from those who aspire to shape the future of nurse anesthesiology. Don’t forget that voting for these candidates is now open! Here’s the link to let your voice be heard: https://www.aana.com/membership/elections-and-governance/governance/election-center/candidates/ Here are the candidates we’ll hear from: Director Candidates: Daniel King, DNP, MNA, APRN, CRNA, CPPS, CNE - Illinois Erik Rauch, DNP, MBA, CRNA, NSPM-C - Florida Ann Miller, DNP, CRNA, APRN, FAANA - Florida Sherry Bernardo, DNP, MHA, CRNA - North Carolina Jason Bauer, MSN, RN, CRNA, PHRN, FAANA - Pennsylvania Howie Goodwin, DNAP, MSN, CRNA, CHSE, FAANA - Virginia Dee Bender, DNAP, CRNA, MNNA, ARNP - Washington Lew Bennett, DNP, CRNA - Pennsylvania Erin Foley, DNAP, MSNA, CRNA, FAANA - Maine Susan Hall, DNP, CRNA - Massachusetts Debra Diaz, DNP, CRNA, APRN, FAANA - Florida William Howell, DNP, CRNA - Georgia Treasurer Candidate: Jennifer Banek, MSN, CRNA - Illinois VP Candidate: Tracy Young, MSNA, MBA, CRNA - Louisiana PE Candidate: Jeffrey Molter, MSN, MBA, CRNA - Ohio Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

May 9, 202438 min

Ep 324Charting a Course for Perioperative Hemodynamic Stability

In this episode, hosts Terry and Garry tackle the pressing topic of hemodynamic instability in surgical patients, exploring its implications, challenges, and potential solutions. Drawing from data highlighting the alarming rate of preventable harm among perioperative patients, we’ll underscore the urgency of addressing hemodynamic instability. We’ll discuss the gaps in current recommendations, emphasizing the need for a sustained, coordinated plan involving all stakeholders to reduce patient risk. Here’s some of what we discuss in this episode: There's a gap in specific recommendations guiding clinicians on identifying risk, utilizing essential monitoring, and knowing those crucial thresholds for intervention. What do we already know and where do we go from here? The methods behind tackling perioperative hemodynamic instability. Technology that will define the future of perioperative care. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

May 7, 20241h 10m

Ep 323The Life & Experiences of a Military CRNA with Dr. Debra Diaz

We’re excited for today’s episode as we explore the intersection of anesthesia, leadership, and military service with the incredible Debra Diaz, DNP, CRNA, APRN, FAANA. She’s a CRNA who served in the US Navy and shares her profound experiences from the front lines to the operating room. Discover the unique challenges of military anesthesia, the critical importance of leadership, and the unyielding spirit of service that defines the CRNA profession. Here’s some of what we discuss in this episode: The difference between being a CRNA in the military and working as a civilian. The training the military provides and how the Navy stresses leadership training. The experiences she had on aircraft carriers, including being on a ship that had just two females among a crew of 5500 people. Debra shares stories about treating combat injuries and why she had to carry multiple weapons during some of her assignments. What she gained from her military service that benefits her as a CRNA. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

May 2, 202442 min

Ep 322Dysphoria: Current Understanding & Recommendations to Prevent Post-Op Cognitive Decline

Today we're exploring a topic that goes deeper into the realms of medicine and neuroscience, and it's something that affects us all: cognitive health post-surgery. Adam Flowe, Chief CRNA at Duke University Hospital, brings his 20 years of experience and a personal connection to the table, discussing the intricate relationship between anesthesia, surgical stress, and the brain. With the aging population and the rise in surgeries, the question of how these procedures affect our cognitive function is more pressing than ever. Here’s some of what we discuss in this episode: Post-op cognitive dysfunction is underreported and has greater incidence than expected. CRNAs are critical to prevention and optimization as direct care has major impacts (more so than they probably realize). Post-op cognitive decline might be caused by the surgery and not the anesthesia. The science behind post-op cognitive decline is expanding rapidly. Inflammation is a key factor and the blood-brain barrier is also key. Anesthesia has been awesome in improving safety through equipment and work on HARD OUTCOMES; the future of quality for us is in SOFT OUTCOMES. About our guest: https://anesthesiology.duke.edu/personnel/adam-flowe-crna Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

Apr 25, 202441 min

Ep 321Like Mother, Like Daughter: Discover the Unique Bond of a Mother-Daughter CRNA Team

In this heartfelt episode of Beyond The Mask, a story of unique dynamics when working alongside family in the world of anesthesia comes to life. Jeremy and Sharon sit down with a remarkable mother-daughter duo, Melody Secrest and Emily King, both CRNAs, who share their experiences working in the same hospital department. We uncover the challenges and triumphs that come with balancing professional boundaries and personal relationships in the operating room. Discover how Melody and Emily navigate their careers while supporting each other, and how they've managed to maintain their individual identities as healthcare professionals. Their story is a testament to the strength and resilience of family bonds in the face of demanding careers. This episode is not just a conversation; it’s a celebration of the ties that bind in the world of anesthesia. Join us for an episode that goes beyond the professional mask to reveal the personal connections that enrich the CRNA community. Here’s some of what we discuss in this episode: The journey of transitioning from individual careers to working as a family unit. Strategies for maintaining professionalism while working with relatives. The impact of family dynamics on patient care and team interactions. The importance of forging one's own path and identity within the same profession as a parent. Emily King: https://www.linkedin.com/in/emily-king-a730a320/ Melody Secrest: https://www.linkedin.com/in/melody-secrest-81947b36/ Johnston Health : https://www.johnstonhealth.org/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf 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

Apr 18, 202436 min

Ep 320Ventilating the Future: CRNAs at the Forefront of Lung Protective Strategies

In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care. Focusing on lung protective ventilation strategies, Terry and Garry delve into the intricacies of reducing postoperative pulmonary complications, drawing upon historical practices and cutting-edge research to provide valuable insights for anesthesia providers. With a blend of anecdotal reminiscences and evidence-based discussions, they aim to empower listeners with knowledge to enhance patient outcomes and navigate the complexities of modern anesthesia. Join Terry and Garry as they embark on a captivating exploration of the past, present, and future of anesthesia. Here’s some of what we discuss in this episode: The transformation of anesthesia technology over the years. Understanding atelectasis and its impact on pulmonary physiology. The role of PEEP, tidal volumes, and recruitment maneuvers in lung protection. The significance of limiting driving pressure during mechanical ventilation. The concept of mechanical power and how it relates to potential lung injury. Strategies for optimizing patient outcomes and mitigating postoperative complications. Anesthesia Machine Commercial mentioned in the show: https://www.youtube.com/watch?v=w13QxH9vS1E Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Apr 16, 202441 min

Ep 319Will the Fed Stick the Landing? Or Will They Stick Us?

With Sharon away for work this week, we invited Andrew Opdyke, CFA from First Trust to join us to address a concern that many people have this year: the future of the market. What's ​the ​Fed ​going ​to ​do? ​Where's ​this ​economy ​going? ​How's ​this ​election ​going ​to ​affect ​my ​portfolio ​and ​my ​financial ​future? We tackle all these pressing financial questions and get Andrew’s thoughts on the year ahead. Here’s some of what we discuss in this episode: What will the Fed do with interest rates in 2024? What impact did COVID have with the shutdown and the government spending that followed? What is driving inflation right now? The issue that stems from consumer debt continuing to rise. How will the US service their massive debt and what problems is that causing? The impact AI will have on everything. About our guest: https://www.linkedin.com/in/andrewopdyke Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Apr 11, 202443 min

Ep 317Beyond the Clouds: Anesthesia for Cannabis Enthusiasts

The intersection of cannabis use, vaping and anesthesia is a topic that’s sparking conversations in operating rooms and beyond. With marijuana legalization spreading across the globe and vaping gaining popularity, it's crucial for healthcare providers and patients alike to understand how these factors can impact the surgical experience. In this episode, we’ll explore this topic and share the considerations CRNAs need to make when dealing with cannabis users. Here’s some of what we discuss in this episode: The science behind how cannabis interacts with our bodies. The physiological effects of cannabis use. A breakdown of vaping and what it means for those heading into surgery. How it impacts the postoperative period. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Apr 9, 202452 min

Ep 316The Earliest Nurse Anesthesia Pioneers

Step back in time as we celebrate the trailblazing nurse anesthetists who forged a path for today's CRNAs. In this episode, we’re joined by guests Stacy Yancey, MSNA, CRNA and Megan Conner, PhD, CRNA to pay homage to formidable women like Sophie Winton and Gertrude Gerrard, whose remarkable bravery and dedication earned them medals and a place in history. Hear stories of the first nurse anesthetists, whose contributions to medicine have often been overshadowed by time but are no less significant. Here’s some of what we discuss in this episode: Nurses were not only the first to give anesthesia, but were and continue to be the clear experts in anesthesia with an amazing safety record from the beginning of surgical anesthesia until today. Nurses went to the frontlines to care for soldiers and administer anesthesia, and nurse anesthetists are still the ones on the frontlines. The stories of these early nurse anesthetists need to be told because history often leaves them out. Today’s CRNAs should be educated and proud of our nurse anesthesia history and know our profession would not be where it is today without the commitment of these ladies. It’s exciting to think what the 60,000 plus CRNAs will accomplish in the future going forward for our patients and our profession. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Apr 4, 202454 min

Ep 315A Groundbreaking Product to Improve Airway Management

Most CRNAs have come up with solutions in the operating room for airway management, but today’s guest took it a step further and developed a product to address issues we face as patient body types change. Roxanne McMurray, DNP, CRNA, APRN, FAANA takes us on her journey from recognizing the urgent need for better tools to inventing a groundbreaking device, the McMurray Enhanced Airway. As patient demographics shift and sedation practices evolve, Roxanne shares the challenges anesthesia providers encounter and the creative, patient-centric solutions that are emerging. Our discussion unveils how these innovations not only enhance safety and comfort but also reflect the ingenuity that CRNAs bring to the operating table. Here’s some of what we discuss in this episode: How she came up with the idea and what it took to make it a reality. The process for developing and securing a medical patent. How products are tested to see how long they will last. Roxanne shares stories and outcomes they’ve experienced so far with the product being used. How this compares to CPAP devices. About our guest: https://www.mcmurraymed.com/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Mar 28, 202441 min

Ep 313Stigma Surrounding Substance Use Disorder in Anesthesia Providers: Are We Part of the Problem?

Substance Use Disorder (SUD) impacts all types of people but trying to confront addiction is never easy. Today we’ll try to unravel the stigma surrounding SUD among anesthesia providers with Amy Yerdon, DNP, MNA, CRNA, CNE. Our discussion illuminates the personal and professional challenges that arise when confronting substance abuse within our ranks. We tackle the complexities of recognizing signs of diversion and the imperative actions that follow, while sharing the poignant emotional toll it takes on everyone involved. Here’s some of what we discuss in this episode: Her perceptions about people with SUD and how that’s changed as she’s learned more about the disease. Stories that highlight how much more common this is than many people want to believe. Understanding the pharmacology and physiology of substance use disorder may help decrease our negative perceptions. Understanding the occupational and personal factors making anesthesia providers more likely to fall into SUD may help change negative perc Why anesthesia providers should look out for one another and communicate when they see something. About our guest: https://scholars.uab.edu/6674-amy-yerdon Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Mar 21, 202436 min

Ep 314From Standards to Testimony: The Anatomy of Medical Legal Review

Today we're going to dive into an interesting topic: some medical legal considerations. And we’ll talk a little bit about being an expert witness. We'll cover anesthesia standards created and published by the American Association of Nurse Anesthesiology, and share some of our own experiences acting as expert witnesses in medical legal complaints filed on behalf of patients. Perhaps just as important though, we're going to talk about ways that you can keep yourself out of hot water and keep your patients safe. It's important that as providers we periodically review the standards by which we're expected to practice. Both for the benefit of our patients and to make sure that we're practicing at the highest levels of anesthesia care every single day. Here’s some of what we discuss in this episode: Reviewing the Standards for Nursing Practice from the Professional Practice Manual. The most common problems that I have seen that have resulted in litigation fall into four main categories. Who evaluates whether or not the standard of care has been satisfied? The difference between a deposition and trial testimony and how it impacts you. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Mar 19, 20241h 24m

Ep 312Health and Wellness for CRNAs and SRNAs

CRNAs spend their days providing support for others, but we don’t always give ourselves the attention we need. Today we tackle the health and wellness challenges CRNAs face in the current healthcare climate with Donna Keeney, CRNA and Dr. Cathy Horvath. Both women are on the Health and Wellness Committee at the AANA, and the insights shared in this episode will resonate with anyone in healthcare trying to maintain their passion for the profession amidst burnout. Here’s some of what we discuss in this episode: How to get rid of negative self-talk and why that’s so important. Two strategies that can improve clinician well-being at your place of employment. Two strategies that you can employ today to start taking steps toward better health and wellness. Resources and support for CRNAs and SRNAs to access. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Mar 14, 202439 min

Ep 311Running for Office & CRNA Advocacy with Lee Bias

As the fight for the future of anesthesia continues, having a seat at the table to discuss the issues becomes more and more important. That’s why we’re excited to feature another guest who’s been in the arena. Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA had the opportunity to sit down with Lee Bias, a CRNA with an eye on political office, to talk about the critical role political engagement plays in the anesthesia profession. Discover how Lee's journey into the political arena underscores the importance of advocacy, highlighting the significant influence politics has on our ability to deliver top-notch anesthesia care, particularly in rural communities. Here’s some of what we discuss in this episode: The importance of being proactive as a CRNA and how you can do that close to your home. There are so many more ways to support a campaign beyond giving money. Why Lee believes that everything falls into three categories and that’s how you should determine how to direct your energy. The role PACs play during the campaign process. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Mar 7, 202440 min

Ep 310Automated Bliss: Transforming Anesthesia Care through Artificially Intelligent Drug Delivery

Today's episode explores the revolutionary landscape of automated drug delivery systems in anesthesia. The hosts unravel the intricacies of these technologies, discussing real-world examples and contemplating the integration of adaptive, intelligent computer systems. So, whether you're a seasoned practitioner or simply curious about the convergence of medicine and technology, this podcast episode serves as an insightful gateway to the forefront of precision anesthesia. Join the conversation and stay informed about the transformative potential of automated drug delivery in anesthesia. Here’s some of what we discuss in this episode: An overview of what we mean by automated drug delivery systems. How is AI influencing how we administer anesthesia, and how does it impact patient outcomes? Controlling the delicate balance between nociception and antinociception poses unique challenges. The sophisticated control methods shaping the future of closed-loop systems. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Mar 5, 202458 min

Ep 309IFNA Past, Present & Future: Contributions to Global Anesthesia and Surgical Care

Join us as we celebrate the 34th anniversary of the International Federation of Nurse Anesthetists with past president Sandy Ouellette, CRNA and current president Jackie Rowles, DNP, CRNA, NSPM-C, FAANA. We travel from the federation's humble beginnings in Lucerne, Switzerland, to its growth into a beacon of progress, setting the stage for the future of international collaboration and standards in nurse anesthesia. We think you’ll enjoy this journey through the evolution of a specialty that has revolutionized the way anesthesia and surgical care are delivered across the world. Here’s some of what we discuss in this episode: Steps leading to the foundation of IFNA. How they developed a governing structure for IFNA and how that has evolved through the years. What do we know today about the need for nurse anesthetists on the global stage. The IFNA activities that are focused on advancing quality care. Details on the United Nations Global Surgery Project that Jackie has been appointed to. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Feb 26, 20241h 0m

Ep 308Get Gritty With It: How CRNAs Can Reduce Burnout and Achieve Long-Term Goals

Burnout has always been an issue for nurses and CRNAs but the issue has risen ever since COVID and the added stress that’s put on the healthcare industry. What if there was a way to help individuals guard against it? Today we dissect the concept of grit with Michell Smith, CRNA and explore how passion and perseverance are not just buzzwords but critical tools for CRNAs striving to achieve their long-term goals. Here’s some of what we discuss in this episode: Grit is perseverance and passion to achieve long-term goals and is predictive of success in a variety of domains. The four stages of grit: interest, practice, purpose, and hope. Higher rates of burnout in CRNAS since COVID but higher grit scores are correlated with lower burnout rates. An individual can grow and cultivate grit over time. How to set goals and prioritize them for yourself. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Feb 22, 202433 min

Ep 307The Anesthesia Enigma: Decoding Sedation and Cognitive Aftermath

Today, we will closely examine a phenomenon that’s growing in frequency and importance and getting more and more attention in the anesthesia community: postoperative delirium. As our population ages and more and more elderly people are having surgery for more and more procedures, are concerned about postop with delirium and its complications and long-term implications have become more and more critical. So, hang onto your scrub caps, ladies and gentlemen, as we explore postoperative delirium, its antecedents, consequences, and how to reduce its incidence. Here’s some of what we discuss in this episode: What delirium looks like and what you can anticipate from patients who are experiencing it. The characteristics of patients that increase their risk of experiencing delirium. Some of the precipitating factors that happen around the operating room. The debate over the impact of depth of anesthesia and the duration of surgery on delirium risk. Good habits that can reduce the risk of delirium. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Feb 20, 202454 min

Ep 306How to Own or Direct an Ambulatory Surgery Center as a CRNA

Most CRNAs are so focused on the work they do day-to-day that they don’t stop to think about the other opportunities that might exist in the healthcare industry. Today’s guest, Brett Maxfield, MS, CRNA, is here to show us the path to owning or directing an Ambulatory Surgery Center after doing it on his own over the past eight years. We’ll take you through a remarkable journey that begins with organ failure and then uncover the vast career opportunities for CRNAs, spotlighting the importance of adaptability and embracing the diversity of roles that await passionate individuals. Here’s some of what we discuss in this episode: How an organ failure at age 32 opened this door for him. Why you can be the owner of an independent surgical practice. We’ll share some of the resources that are available to help you get started. The healthcare landscape is changing dramatically, which makes this option even more The pandemic opened opportunities for those who are willing to take risks and get out of their comfort zone. The biggest challenges he’s faced as a director/owner and what he’s learned. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Feb 15, 202456 min

Ep 305Employing an Effective Mentoring Program to Recruit, Retain, & Increase Satisfaction for CRNAs

As CRNAs look for ways to attract and retain good people, mentorship programs might be the key to growing the profession. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, Abby Bisch, DNP, CRNA and Elvira Sayfutdinova, MSN, CRNA join the show to share what they’ve learned about building a successful mentorship program in St. Louis. With personal anecdotes and wisdom, they’ll provide a clear picture of their initiative's success, from easing new hires into a high-pressure setting to fostering enduring professional relationships. Here’s some of what we discuss in this episode: How Abby and Elvira got into the profession and became involved in mentorship. Formal CRNA mentorship programs are underutilized and should be adopted by more anesthesia departments. The many benefits of a formal CRNA mentorship program and how it improves our profession. The goal of the program is to ensure newly-hired CRNAs have all the tools & guidance they need to succeed. The crucial elements you need to include to employ a successful CRNA mentorship program. Learn more about their mentorship program: https://anesthesiology.wustl.edu/patient-care/crna/crna-mentorship-program/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate

Feb 8, 202441 min

Ep 304The Remimazolam Revolution: Changing the Anesthetic Game

Today Garry and Terry will be focusing on the revolutionary benzodiazepine – remimazolam. In this episode, we unravel the intriguing tales from diverse case studies, exploring the unique applications and benefits of remimazolam in different surgical scenarios. From thyroid surgeries to emergency cardiac procedures, remimazolam emerges as a promising ally in ensuring smoother inductions, minimal postoperative complications, and enhanced patient experiences. Here’s some of what we discuss in this episode: Understanding the mechanism of action behind remimazolam. We talk about the context of intravenous benzodiazepines. How remimazolam's versatility makes it a potential candidate for various clinical scenarios, catering to the unique needs of both procedural sedation and general anesthesia. What have the different case studies taught us? How could the landscape evolve as more research is conducted? Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Feb 6, 20241h 42m

Ep 303How Our Heart Your Hands is Supporting Nurse Anesthetists in Africa

The Fab Four is back together for a great cause as we shine the light on the Our Hearts Your Hands organization that is supporting nurse anesthesia growth globally. Today we want to share the story of two amazing and incredibly dedicated nurse anesthetists in Uganda who need financial support to earn a degree that will be transformational for them and their community. Learn all about the work Our Hearts Your Hands is doing across Africa and how you can be a part of this mission to raise $10,000 for two deserving nurses. Here’s some of what we discuss in this episode: The changes we’ve seen this organization help facilitate in these communities. The access to quality care is even more important than access to care at all. The amazing story of two nurse anesthetists who received grants in Uganda to help them continue their education. What are the best ways to support this charity? What this would mean for obstetrical care and women’s health in Africa. About the charity: https://www.ourheartsyourhands.org/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Feb 1, 202441 min

Ep 302Treating PTSD and Considerations for the Healthcare Provider

It’s estimated that more than 31 million Americans have PTSD but we still don’t have a great grasp on how to support and treat those struggling with this. Today we’re going to explore anesthesia’s role in patient care with guest host Angela Mund, DNP, CRNA and Major Randy Cornelius, DNP, MBA, CRNA. They’ll draw on their personal experience to highlight the unique considerations necessary when administering anesthesia to PTSD patients, from personalized anesthetic plans to the vital utilization of drugs like ketamine and dexmedetomidine. With their guidance, we peel back the layers of empathy and precision required to create a safe and supportive perioperative environment for these patients. Here’s some of what we discuss in this episode: How treating someone from the Fort Hood shooting made him aware of PTSD and the difficulty at the time providing medication for it. What to do and what not to do with treating an individual with PTSD. The different medications and treatments have been most effective. Understanding the pathophysiology behind PTSD. The criteria for being diagnosed with PTSD. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jan 25, 202451 min

Ep 301The Importance of Creating an ICU RN/CRNA Shadow Program

Imagine the impact a structured shadowing program can have on ICU nurses thinking about a future as a CRNA. That’s why today’s guest, Caroline Killmon, MS, CRNA has helped create a shadow program at her hospital in North Carolina and will share the experience so far. We’ll look at the positive ripple effects it can have on the nursing community, the success stories emerging from these shadowing experiences, and the impact a well-constructed shadowing opportunity could have on the future of healthcare. Here’s some of what we discuss in this episode: Background on how the program originated and why she saw the need for it. How to get everyone to buy in and how to spread the word. Processes that she would recommend for shadow programs. What do CRNAs stand to gain from doing all the work to run a shadow program? About our guest: https://www.wakehealth.edu/providers/k/caroline-d-killmon Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jan 18, 202446 min

Ep 300Hematoma or Hemostasis: Anticoagulants’ Influence on Anesthetic Outcomes

Today we want to unravel the intricate relationship between anticoagulants and regional anesthesia. Join Garry and Terry as they navigate through the delicate balance of benefits and risks associated with these practices. We’ll dive into the world of anticoagulation reversal agents, discussing FDA-approved options such as Idarucizumab and Andexanet. So join Garry and Terry as they navigate the complexities of anticoagulants and regional anesthesia, emphasizing the critical role guidelines play in ensuring patient safety in the ever-evolving landscape of anesthetic practices. Here’s some of what we discuss in this episode: The evolving perspectives on NSAIDs, COX-2 inhibitors, and aspirin, emphasizing recent data that challenges initial concerns about spinal hematomas. Neuraxial anesthesia, celebrated for positive outcomes, brings its own set of risks, notably bleeding and hematoma formation. Heparin administration, both subcutaneous and intraoperative, prompts nuanced considerations, ensuring safety in the neuraxial procedure. Insights into thrombolytic therapy, urging caution due to limited clinical data. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jan 16, 20241h 20m

Ep 299Engaging the Late Career CRNA with Cindy Farina

Examples of ageism can be found in just about any profession but is this something that CRNAs should be concerned about? This episode, with the help of co-host Jackie Rowles, MBA, CRNA, ANP-BC, FAAN and guest Cindy Farina, DNP, CRNA explores how the cultural fixations on youth can not only undermine job satisfaction but can also nudge experienced CRNAs towards premature retirement. We also want to recognize the relevance of late career CRNAs, their contributions to the nurse anesthesiology profession, and the potential challenges they face. Here’s some of what we discuss in this episode: What made Cindy become more aware of ageism in the workplace. The value of late-career CRNAs and their contributions to the profession. The factors that drive CRNAs to continue working or make the decision to retire. The strategies for keeping CRNAs in the workforce. What can late-career CRNAs do to maintain career satisfaction. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Jan 11, 202456 min