Beyond The Mask: Innovation & Opportunities For CRNAs

Imagine being woken up in the middle of a transatlantic flight by a flight attendant asking for your assistance in a medical emergency. That’s the situation today’s guest, Dr. Erin Foley, found herself in recently. Find out how she navigated the tense situation and what she learned about these types of incidents that happen far more often than we hear about. Here’s some of what we discuss in this episode: The medical emergency that she responded to while flying to Europe for the IFNA Conference. The unexpected discovery she made in the stool sample cup. What she found researching these types of incidents and what she found about altitude sickness. What medical equipment do they keep on the plane? Why you might want to reconsider asking for reimbursement for helping on a flight. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

In this episode, we’re excited to welcome in LTC(ret) Jim Reed, DNP, MSNA, CRNA to shed some light on diversion and substance use disorder. They begin by discussing Jim's current activities and then delve into his background, starting with his early life in the sunny southwest. Jim shares his journey from growing up in Arizona, joining the military, and becoming an enlisted man in the Army. Here’s some of what we discuss in this episode: The decision to pursue anesthesia school. Immersion and stress in military medicine. His experiences as a special operations CRNA. The transition from military to civilian life. The AANA’s role in supporting healthcare providers. Supporting veterans and confronting destructive behaviors. About our guest: https://www.nursing.arizona.edu/jrreed1 Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We’re closing out the year with what’s becoming an annual conversation on the podcast. Today we’ve invited back NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, to update the state of the profession and discuss what’s to come for CRNAs in the year ahead. From business strategy shifts to workforce development to Surprise Billing, we’ll cover some of the top issues impacting anesthesia and CRNAs heading into 2024. Here’s some of what we discuss in this episode: A high-level look at what’s happening in the anesthesia business sector. The status of CRNA supply shortage. What’s going on with private equity-supported firms. The impact of Surprise Billing rule implementation. What’s going on with hospitals today? Resources for this episode: Predictions from 2022: https://beyondthemaskpodcast.com/3928-2/3928/ Predictions from 2020: https://beyondthemaskpodcast.com/ep-77-10-predictions-for-the-next-year-from-aana-ceo-randy-moore-dnp-mba-crna/2516/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Sometimes opportunities arise where you least expect them and that’s the situation Keith Denning, CRNA found himself in last year when he became a member of the Connecticut House of Representatives. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will learn all about his journey from the operating room to an important position in state politics. It might not have been his intention, but Keith is trying to take full advantage of his opportunity to make a positive impact. Here’s some of what we discuss in this episode: Why he made the move to politics after a long career as a CRNA. How to find the information you need about your state when you run. The story of how he didn’t meet pushback until he got to the legislature and introduced a bill. The push for full practice authority in Connecticut. What he’s learned about politics and how to get a bill passed. Which CRNA skills best translate to political positions? About our guest: https://www.housedems.ct.gov/Denning Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Today we’re looking forward to sharing a deep and insightful conversation with Anita Bertrand, a seasoned CRNA, about the challenging topic of nurse anesthesia diversion and recovery. Anita candidly shares her personal journey, emphasizing the importance of early intervention, support, and a compassionate approach to addressing the complex issues that lead to diversion. Here’s some of what we discuss in this episode: What leads a struggling CRNA into diversion? The signs and the indicators that a nurse anesthetist might encounter in the workplace, which could lead them to consider diversion. Resources and organizations you can turn to for support. What are the processes that a state board typically follows and what impact could it have on someone’s career? Her personal journey and the struggles that she has been able to overcome. About our guest: https://www.aorn.org/outpatient-surgery/article/2017-March-editors-page-a-crnas-story-of-addiction-and-recovery Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We’re excited to welcome DNP candidates Morgan Mahle, CRNA and Rachael Ellis, CRNA to present their doctoral project on the show, which proposes the implementation of MMI or other non-cognitive testing tools into the admissions process. Join us to learn more about what the MMI process accomplishes and why non-cognitive testing might be able to help differentiate candidates in a highly competitive pool. Here’s some of what we discuss in this episode: What is the Multiple Mini Interviews (MMI) process? How the stations work during the process. What their review focused on and the results of the literature review. What they found from the needs assessment they performed. How did they identify the non-cognitive attributes to test. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We learned years ago that failing doesn’t mean you are a loser, it means you are a learner. Today’s guest unsuccessfully ran for office but that experience provided plenty of opportunities to learn and grow. Matt McCullough, CRNA shares those lessons learned during his campaign for the Pennsylvania State Senate in 2022 and why he has no regrets about pursuing change in his state. Here’s some of what we discuss in this episode: How a conversation around a table at home made him pursue a spot in the PA State Senate. Why he feels nurses are the perfect candidate to serve in politics. What are the steps you have to take to get a campaign started? Why he wishes he would have started sooner to build relationships and meet more people. Understanding the demographics of your district before you run. The advice he’d give CRNAs that are thinking about running. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Today, we embark on a journey into the heart of some very challenging and critical issues within the anesthesia profession. Our goal is to shed light on the often-overlooked topics of "Second Victim Anesthesia Providers," the clandestine world of "Diversion of Controlled Substances," and the poignant struggle against "Substance Use Disorders." While today's episode may be somber at times, it is a testament to the importance of addressing these issues. We hope that by shedding light on these topics, we can contribute to the understanding and support of our anesthesia providers. Here’s some of what we discuss in this episode: The stress related to critical incidents can overwhelm even the most resilient individuals. Equipping yourself with the tools necessary to handle these unexpected challenges. The different stages of intervention. The briefing-debriefing model and how it’s used. Why it’s important for providers to feel comfortable with disclosure. PTSD and its implications for CRNAs. We explore the signs and behaviors associated with Substance Use Disorder. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Our historical series continues today with a detailed look back on the life and career of Florence ‘Mack’ McQuillen, the first executive director of the AANA and someone who held the position for nearly a quarter century. We’re excited to have Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to tell us about how she helped shape the association and why she was considered by some to be a ‘benevolent dictator. Here’s some of what we discuss in this episode: How she became the first executive director of the AANA. Her notable achievements during her 22 years in the role. A first-hand account of meeting held for mandatory continuing education. Developing a relationship with the ASA. Why she considered a ‘benevolent dictator’ by many people. Her awards and AANA recognitions earned. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

As we celebrate another Thanksgiving, we want to show our appreciation for an organization that does so much for CRNAs. Many people don’t know about the AANA Foundation’s purpose and why it’s important to individual CRNAs working in the OR, but they play a critical role in supporting and growing the profession. Today we’ll spend time with Executive Director Nat Carmichael and Treasurer Mike Anderson, DNP, CRNA to learn more about the best kept secret in our profession. Here’s some of what we discuss in this episode: The purpose of the Foundation and how they support research and education. Why it’s so important to have this research to support CRNAs. The different ways that you can give to the Foundation, from online donations Learn more about the Friends for Life program and why it’s a valuable commitment to the profession. The ways you can leave money to the Foundation as part of your estate plan. The other ways you can contribute to the Foundation besides monetary contributions, including opportunities for students. Learn more about the AANA Foundation: https://www.aana.com/aana-foundation/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

In this episode of Anesthesia Alchemy, Garry and Terry briefly discuss the history, physiology, and pharmacology of using non-depolarizing neuromuscular blocking drugs as anesthesia adjuncts. They focus on the pitfalls of administrating these agents to surgical patients and the problems associated with residual neuromuscular blockade in the post-anesthesia care unit. Here’s some of what we discuss in this episode: What are cyclodextrins and why are they useful? Understanding the essentials of neuromuscular transmission. What some of the newer intermediate-acting neuromuscular drugs do and how they work. How the treatment has changed through the years. Monitoring recovery from neuromuscular blockade. Running through the eight recommendations that were published. Visit us online and get show references here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We pose the question to guests all the time about how to get more CRNAs involved on the advocacy side of the profession, but today’s guest is taking a hands-on approach to instilling that mindset at the educational level. Dr. Kristie Hoch has taken her passion for advocacy and applied it to the nurse anesthesiology program at the University of Arizona. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will hear all about her training process and why she thinks this leadership training will pay off in all aspects of their careers. Here’s some of what we discuss in this episode: Why she thinks we should call our students residents. Where her passion and fire for getting involved began. When she starts incorporating leadership and advocacy into her students’ training? CRNAs are already leaders by making it through school and being a part of this profession. About our guest: https://www.nursing.arizona.edu/kristiehoch Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 The different ways they integrate this training. Who has inspired her the most through her career?

Today we’re joined by Suzie Newell, DNP, CRNA, FAANA once again, but this time we will focus on an area of anesthesia that has become outdated: obstetrics. Behind her passion for this area of anesthesia, Suzie helped create the Society for Obstetric Nurse Anesthesia and Research (SONAR) to fill a void for people that had practical solutions to problems she was seeing in the field. Find out how this organization came to be, what it hopes to accomplish, and how you can get involved. Here’s some of what we discuss in this episode: Why she felt so many places were outdated and out of touch in this area. How this organization was formed in 2020 and who all is involved in leadership roles. What are the long term goals for SONAR? The lofty goals for their first project that Suzie is spearheading. How others who have a passion for obstetrics can get involved. Revisit our past episode with Suzie where we discuss her book: https://beyondthemaskpodcast.com/ep-190-using-neuroscience-for-daily-direction-and-coping-mechanisms/3827/ Learn more about SONAR: https://www.sonar-ob.org/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Terry and Garry dive into the fascinating world of GLP-1 receptor agonists, those tiny molecules that can be both a blessing and a potential risk factor when it comes to anesthesia. In this episode, we're going embark on a journey through the world of diabetes management, how it intersects with the realm of anesthesia and what the implications are for providers in the operating room. And in the perioperative period, we're going to shine a spotlight on these new agents, explore their effects, and we're going to discuss the challenges they present to our CRNA colleagues. Here’s some of what we discuss in this episode: How SGLT2 inhibitors help with diabetes management. The basics of the GLP-1 receptor agonists. Examples of GLP-1 receptor agonists on the market today. Anesthesia considerations that need to be addressed. Unpacking Cyclopentenophenanthrene. Looking at the study: Characteristics and outcomes of patients hospitalized following a pulmonary aspiration. Visit us online and get show resources here: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

How do we make the next generation of CRNAs better than the previous generation? This is the question that led today’s guest, Richard Wilson, DNAP, CRNA, to get involved in education and provide leadership training mentorship for the next group of CRNAs so they have the ability to take the profession to another level. Join us today as we talk about the importance of mentorship, how to be a successful mentor, and what benefits it provides our industry when we have stronger applicants. Here’s some of what we discuss in this episode: The people who mentored Richard and inspired him to do the same for other students. Two instances that have stuck with him and motivated him in his career. How positive experiences are huge right now and can change the trajectory of someone’s life and career. The differences between mentoring and teaching. The keys to being a good mentor and providing a positive mentorship experience. The qualities you need to possess to be a good mentor and to be mentored. How to find a mentor if you’re a student that wants to seek this out? About our guest: https://crnaschoolprepacademy.com/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

We’re excited to get the opportunity to sit down with someone who holds an incredibly unique position in our industry. Jorge Valdés, DNP, CRNA, APRN, FAANA, is the rare trifecta of a male nurse, minority and a CRNA in the dean’s chair at Florida International University. His rise from starting as a CRNA 21 years ago to becoming the head of a nursing school was not the path he anticipated, but Dr. Valdés has fully embraced the opportunity to impact nursing education and be a tremendous advocate for the profession. Join us as we learn more about his journey, his view on the future of healthcare, and the important role educators play in our profession. Here’s some of what we discuss in this episode: What challenges are facing CRNA educators right now? The best place to start if you’re considering education is to be a preceptor. The path from being a CRNA to becoming an active dean. What does he see for the future of the profession? The role he’s played in advocacy in Florida. About our guest: https://cnhs.fiu.edu/about/faculty-staff/profiles/jvalde.html Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

An amniotic fluid embolism (AFE) remains one of the most devastating conditions in obstetric practice. In today’s episode, Sass and Jeremy review the pathophysiology, signs and symptoms, and management of this rare, but lethal condition. Included in the management of an AFE is the administration of a trio of medications known as A-OK (Atropine, Ondansetron, and Ketorolac). If you want to brush up on current management techniques for an AFE, hit play…because it’s go time! Here are some of the things we’ll discuss in this episode: An example of this happening recently where Jeremy works. How the body reacts when an amniotic fluid embolism occurs. Who is most at risk for developing AFE? Signs and symptoms to pay attention to. The treatment and management of a patient suffering from AFE. What is the AOK treatment? About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

You’ll be hard-pressed to find a nurse who’s impacted her state like our guest today has done in North Carolina. Gale Adcock is serving her term in the NC Senate after eight years in the NC House and seven years on her local town council. Those 16 years in office have given her a seat at the table and she’s used it to provide nurses across the state with an advocate to speak on their behalf. Today we’re sharing our conversation with her from the NCANA Meeting, where she was also surprised with two well-deserved honors. Here’s some of what we discuss in this episode: Senator Adcock finds out she has been awarded the Legislator of the Year Award by the NCANA and named an honorary member of the NCANA. Her four-decade background in nursing and how she got into politics. Why she feels nurses have the makeup and the background to be great leaders and elected officials. How to properly communicate with your local representative in a way they’ll pay attention and take notice. The status of the SAVE Act and why it hasn’t passed yet. How can CRNAs become more comfortable in the advocacy arena. What can you do to affect other elections that would be helpful to you as a CRNA? About our guest: https://www.ncleg.gov/Members/Biography/s/436 Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Today we are going to discuss the uncertainties surrounding healthcare restructuring and why it’s critical for anesthesia to play an influential role moving forward. We’re excited to do that with guest host Angela Mund, DNP, CRNA, and Kevin Smith, MBA, CRNA, MSN, APRN of North American Partners in Anesthesia. We’ll have a roundtable discussion about where the anesthesia profession is headed and how CRNAs can create influence at local levels. Here’s some of what we discuss in this episode: Why he feels like there’s no real influencer in the healthcare industry. The role that anesthesia plays in healthcare and what we have to do to take a seat at the table. His fears about healthcare restructuring and where we’re headed. Why it’s important for there to be positive messaging on the ground to offset the negative associated with many CRNAs leaving institutions. What can we do to prepare graduates to work with companies like NAPA to create influence? How social policy plays into current legislation. About our guest: https://napaanesthesia.com/who-we-are/kevin-smith/ Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

This is a super fun episode where we welcome Mark Gabot, DNP, CRNA, FAANA on the show as a cohost. Mark and Jeremy presented at the 2023 AANA Annual Congress in Seattle and recorded this episode at the same time. Jeremy and Mark talk about how we think during a crisis, the unconscious biases that exist and they focus on a cognitive template for crisis management that can help formulate a working diagnosis of the perioperative problem, and then zero in on appropriate management. They also have some fun with some guests in the audience and invite them up on stage to talk more about their areas of expertise. Jeremy and Mark first invite one of the authors of the published Cognitive Template article (Lisa Osborne-Smith, PhD, CRNA, FAANA) up on stage to talk more about the utilization of the template. They next invite the Cormac O’Sullivan, PhD, CRNA, ARBP, FAANA to talk about simulated crises at the AANA Annual Congress. Finally, they invite both Sharon Pearce, DNP, CRNA, FAANA and Jeremy Stanley, EA, CFP®, AIF® up on stage to talk about the origins of the Beyond the Mask Podcast. Here are some of the things we’ll discuss in this episode: How we develop our own mental model of what to follow in terms of treating a patient. The two modes of thinking when we make rapid decisions. The research on cognitive errors and biases. Background on the cognitive template article from Oregon Health & Science University. Simulation training with Dr. Cormac O’Sullivan. Background on the Beyond the Mask Podcast and how it got started. For more on the cognitive template, check out this earlier episode where we go deeper into the topic: https://beyondthemaskpodcast.com/managing-perioperative-crises-with-a-cognitive-template/4242/ About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Today we’re going to turn our attention back to the financial side of our CRNA discussions and focus on the issues that can creep into a marriage when it comes to money. That’s something many couples will argue over so we want to make sure you’re addressing the minefields that might test any marriage. Here’s some of what we discuss in this episode: Why it’s important for you to know how your partner feels about money before you get married. Figuring out whether you should combine finances, keep them completely separate, or do some combination of the two. Determining what your priorities are for life and your career and focusing on how your finances play into that. Being on the same page about debt. Should you consider a prenup before marriage? The steps you need to take with an estate plan after you get married. Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Sacrifice is part of the job when you’re a nurse. We all understand that comes with the territory. But there’s an even greater level of sacrifice for those who try to be advocates and leaders within the profession. Today we’re joined a gain by guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Yana Krmic, MSN, CRNA, APRN to discuss the obstacles we’ve all faced throughout our careers. We explore what it means to be a leader in a challenging profession, the personal experiences that define our career trajectories, and the value of finding purpose in the work we do. Here are some of the things you’ll learn on this show: Her journey from the Soviet Union to the United States in 1997. Yana’s pathway to leadership and the obstacles she faced as she tried advance her career. The five step process in becoming an advocate. Leaders aren’t always rewarded in our profession and it means we make sacrifices. What causes some CRNAs to be unsupportive of others in the profession. The things from the work we did during COVID. Would Yana have done things differently if she could go back? Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We all have the current requirement to take the CPC Assessment for recertification, and many of our colleagues are asking us “How can I prepare?”. In an effort to help get our CRNA nation in the mode of answering questions… Jeremy and Sass are going to start doing occasional question and answer episodes. In this episode they go over respiratory and cardiac physiology questions. This will bring you right back to CRNA school (for better or worse), so have fun! Here are some of the things we’ll discuss in this episode: A review of Hypoxic Pulmonary Vasoconstriction When increased, which factor increases myocardial oxygen consumption to the greatest degree? Which factors cause a leftward shift in the oxyhemoglobin dissociation curve? Which vascular response occurs during hypotension? Which inspiratory muscles are involved with a supplemental inspiratory effect during times of respiratory distress? Which cardiac responses are associated with bradycardia? About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Our guest today has quite the story to tell about advocacy but it’s not the same advocacy we normally discuss on the show. Maureen McCartney Anderson, CRNA has been in-volved with her state association in New Jersey for a number of years and was on the path of advocating for professional rights, but that changed dramatically when her baby was born with handicaps. Now she’s pouring much of her energy into advocating for the special needs children’s population and making a difference in her community with the help of other CRNAs. She realized quickly that some children were being left behind at the playground because they lacked inclusive options for children and adults of all abilities. So she took on the task of advocating for an inclusive playground in her local community of Mansquan, New Jersey. In doing so, they developed a charity called Friends of Manasquan Parks and Recreation to help expand the mission and vision they had for recreation initiatives. Things really took off when the group ‘CRNA Moms’ got involved and the two-year project was officially completed in December 2022. Today we’ll learn more about Maureen’s advocacy efforts and how the CRNA community rallied around a wonderful cause. Here are some of the things you’ll learn on this show: The story of how this mission became a top priority for her after her son were born. How she’s helped educate people on the need for inclusivity. The back-and-forth efforts they went through on design and why they cared so much about making it fun for everyone. The incredible support she received from the CRNA community after reaching out to the CRNA Moms Facebook group. The different fundraising efforts they took on to raise money for this $900,000 project. What’s next for Maureen and the charity? Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Battlefield Acupuncture (BFA) is rapidly gaining recognition for its effectiveness in alleviating acute and chronic pain, as well as anxiety. When we heard Angel Jaap, CRNA speak about this at the AANA Spring Symposium, we wanted to bring her on to learn more about this alternative therapy. You’ll understand why she wants more nurses to learn this protocol after you hear some of the applications and success stories she shares today. For those that aren’t familiar with BFA, patients undergo insertion of five auricular semi-permanent (ASP) needles to the following traditional ear acupuncture points bilaterally: Cingulate Gyrus, Thalamus, Omega 2, Point Zero and Shenmen. Angel learned about this over the past few years and has instituted a Pilot program through Whole Health within VISN 4 which allows RNs to perform BFA for veterans thereby increasing veterans access to this safe, effective pain management therapy. You’ll learn more about that and have a much better understanding of BFA after listening to our conversation during our trip to Hershey, Pennsylvania. Here are some of the things you’ll learn on this show: How therapeutic touch works and why it makes you feel the way it does. How BFA was developed and why the VA began incorporating this into patient care. What does a day at work look like for Angel? Angel shares a wonderful success story about treating a veteran and PTSD. The smaller needles used in BFA have been effective for people scared of needles. Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Caring for surgical patients who have an associated penicillin allergy is relatively common. Should we avoid cefazolin (Ancef) in these patients? In this episode, Jeremy and Sass look at current and past evidence to uncover the truth about the relationship between penicillin and Ancef. This episode will get you thinking about the antibiotics you administer in your anesthesia practice. Here are some of the things you’ll learn on this show: An estimated 8-10% of patients have an allergy to penicillin and where did this projection come from? Why many people might think they have a penicillin allergy but test negative. Why are we concerned that medications might cause allergies? What the information and studies tell us. Three cases where a patient had a documented penicillin allergy and received Ancef. The efficacy of the other antibiotics. What a liability study discovered. Our key takeaways from the evidence we have. About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Have you ever been caught off guard when asked to explain who you are or what’s important to you? That's a conundrum our guest Julie Gauderman, MS, DNAP, APRN, CNRA is here to help you navigate. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we dive into the concept of an elevator speech, how to craft it, and why it’s an effective way to confidently represent your profession and control your narrative. Here are some of the things you’ll learn on this show: Her story about meeting comedian Jim Gaffigan and how it shows the importance of having that elevator speech ready. The role the elevator speech plays for CRNA in professional settings. Having this prepared can give you confidence and allow you to control the narrative. Is there a bad time for an elevator speech? What do you need to include in your elevator speech and do you need different ones for various situations. Times when elevator speeches didn’t go the way we intended. Where to start if you’re uncomfortable putting an elevator speech together. About our guest: https://www.linkedin.com/in/julie-gauderman-b6286182 Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

It has been more than a decade since Paul Santoro, CRNA, MS, served as the president of the AANA, but his impact on the organization can still be seen today. In this installment of our Courage to Lead series, we were finally able to catch up with Paul to talk about a busy year at the AANA, which included the new Affordable Care Act, time spent on the elimination of physician supervision under Part A of Medicare, the 50 state service strategy, and much more. Here are some of the things we’ll discuss in this episode: The time spent on the elimination of physician supervision under Part A of Medicare. His decision to take on a restructuring of the finance department. The idea behind the 50 state service strategy. What he thought the Affordable Care Act would mean on anesthesia and what he thinks looking back now. The Commission on Anesthesia, Economics and Reimbursement Why they worked to improve the health of leadership but also increase the compensation for those that served the AANA. What value did having a CRNA in the D.C. office bring to the organization? About our guest: https://www.linkedin.com/in/paul-santoro-55922531/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Earlier this week, the AANA presented a new initiative called Rm8 to members in a business meeting with Bill Bruce. As you can imagine, there are a lot of questions so we wanted to go to the source and get as many answers as we could for you. Board members Tracy Young, CRNA, MBA and Jeff Molter, MSN, MBA, CRNA sat down with us at the AANA Annual Congress in Seattle to explain the new innovation lab and what they hope it provides CRNAs around the country. Here are some of the things you’ll learn on this show: How this will help diversify the revenue streams for the AANA while also providing financial support for CRNAs. The name is a nod to the formation of the AANA. They break down the different steps of the process to find people and businesses to partner with. How they believe this will help the AANA ramp up advocacy efforts. How does the investment process work and where is the capital coming from? Details on the businesses they’re testing right now. Learn more about Rm8: https://www.rm8lab.com/ About our guest: https://myblockbuddy.com/instructors/jeffrey-molter-crna-msn-mbs/ https://www.linkedin.com/in/tracy-young-158126200/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Have you ever managed an airway with both a video-laryngoscope and a flexible intubating (fiberoptic) scope? Wait…what??? Yep, in this episode Jeremy and Sass talk about an evolving airway management technique that utilizes both devices to help secure difficult airways. They call it VIFI! Here are some of the things you’ll learn on this show: What is VIFI and how does it work? What are the advantages to using this technique? Case reports of airway obstruction and airway closure. A case study of successful airway management using video laryngoscope. How do you perform this process? About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today we welcome in two more guests as part of our doctoral series, and we're looking forward to talking with Annie Brademeyer, CRNA and Amanda Janssen, CRNA about their recent study: “Does inserting peripheral nerve catheters over the needle decrease leaking from its insertion site?” Join us as we review their work and find out what they learned about a surprisingly controversial topic. Here are some of the things you’ll learn on this show: What are some of the problems that are encountered by clinicians who place these peripheral nerve catheters? The different insertion method of over the needle and through it, and what impact that has on leaking. The challenges they faced in doing this study. What they found out about pain scores. Why they need more randomized controls to get more clarity on the topic. The need for these continuous peripheral nerve catheters moving forward. Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The rate of cannabis use has exploded exponentially in the past 10 years and the widespread consumption demands us to be knowledgeable on the topic. Dr. Daniel King, CRNA, has become a dedicated subject matter expert in cannabis implications for anesthesia patients after taking an interest in the issues he was observing in his day-to-day practice. Today he’ll help educate us on the subject, the different risk factors, and what he’s learned about providing anesthesia for these patients. Here are some of the things you’ll learn on this show: The legal status of cannabis today and has it’s evolved rapidly over the last few decades. The lack of education on this subject despite the fact that cannabis use has overtaken tobacco use. The different ways patients are using and consuming cannabis. What we know about THC concentrations and anesthesia requirements. The cardiac, respiratory and other risk factors for patients who use cannabis. Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Awake tracheal intubation is a procedure that many of us rarely perform. In this episode, Jeremy and Sass focus on the indications for awake intubation. They talk about the 2022 ASA Difficult Airway Algorithm portion that focuses on awake intubation, as well as the process and considerations for performing it. Take a listen and help demystify this infrequent (but important) airway management technique. Also, if you are planning to attend the AANA Annual Congress in Seattle on August 20, consider stopping by Jeremy’s lecture on “Topical Thunder: An Awake Intubation Technique That Works” and see him use the technique on stage to intubate himself. Here are some of the things you’ll learn on this show: What is an awake intubation and why would you use this procedure? The overall incidence of awake intubation is actually pretty low. The history of the ASA algorithm and what it says along with the other algorithms out there. What was updated in the 2022 ASA difficult airway algorithm. So when should this procedure actually be considered? The techniques used during an awake intubation. About our hosts: https://kpatprogram.org/about-the-school/faculty.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We’re back with another great interview from our trip to the mid-year assembly in Washington D.C. as Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA got to sit down with Taylor Rehfeldt, CRNA, and Sydney Davis, CRNA. You might remember them from episode 111, and we have been excited to catch back up with these two state representatives to find out what they’ve learned about advocacy and politics by being on the other side of the table. Here are some of the things you’ll learn on this show: How Taylor ended up in this new role as assistant Majority Leader in the House of Representatives. What pushed them to run after they both got exposed to the legislature through involvement with the state association and the leadership there. The big differences they’ve found from being on the other side of the advocacy push, especially as it relates to campaign finances. You can make a difference in someone’s campaign by donating your time or talents. Tips for helping CRNAs get bills passed after they’ve seen how much time and effort goes into getting a bill passed. Both women share a few of the lessons they’ve learned over these past 2+ years in office. Check out their first appearance on the podcast here: https://beyondthemaskpodcast.com/ep-111-finally-two-south-dakota-crnas-elected-to-state-legislatures/2769/ Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken About our guest: https://www.taylorrehfeldt.com/ https://www.votesydneydavis.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The healthcare industry is at a crossroads financially as Americans struggle to cover medical costs and profits soar following the COVID pandemic. The push for change is getting louder every day, and one of the strongest voices is coming from North Carolina State Treasurer Dale Folwell. He describes the issue as ‘the cartelization of healthcare’ and has outlined four significant changes that he wants to see happen. Find out what those are and listen as we highlight some alarming financial statistics. Here are some of the things you’ll learn on this show: Background on why he uses the word cartel to describe healthcare. 2:35 The 3 things that he wants to accomplish as Treasurer. 5:45 Stats that show the significant financial toll healthcare costs takes on Americans. 8:22 Hospital profits during COVID. 11:19 The vast discrepancy in wage increases between frontline workers and executives. 21:28 His support for nurse anesthetists through the years. 23:53 CEOs motivated to put the profits over the patients. 28:23 What would legislative action look like to enact changes in the healthcare industry? 32:15 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken About our guest: https://kristenziman.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.' We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time. Cast your vote here: https://www.podcastawards.com/

Cricothyrotomy is what’s known as a High Acuity Low Occurrence (HALO) procedure. Meaning anesthesia providers do not often perform this procedure, but when the clinical situation calls for a cricothyrotomy…it can be extremely stressful! In this episode, Jeremy reviews the anatomy of the larynx, talks about preparation for the procedure itself, and then goes over a surgical cricothyrotomy technique called the Bougie-Assisted Cricothyrotomy (otherwise known as Scalpel-Finger-Bougie). This is certainly one episode you will not want to miss! Here are some of the things you’ll learn on this show: A last-ditch effort to provide life-saving ventilation. 4:11 Reviewing the anatomy first. 7:25 Identifying the cricothyroid membrane. 12:27 The potential hardest part of the procedure. 14:26 Walking through the surgical cricothyrotomy technique. 15:51 Things to keep in mind if you’re ever doing this procedure. 23:34 About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.' We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time. Cast your vote here: https://www.podcastawards.com/

We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.' We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time. Cast your vote here: https://www.podcastawards.com/ Most of the financial conversations we’ve had on the podcast recently have been geared toward retirees, but today we want to focus on the financial planning process. So whether you’re a new graduate or a CRNA with over 20 years of experience, we want to share some planning things that everyone needs to make sure aren’t left incomplete. Here are some of the things you’ll learn on this show: Why you might have too much cash in the bank. 4:01 Why you should keep 3-6 months of expenses in an emergency fund. 7:48 The reasons you need disability insurance and life insurance. 10:56 Budgeting and tracking your cash flow. 19:33 The technique we use to help people pay off debt. 22:55 Why you need to be planning for higher taxes in the future. 30:40 How to prepare for medical costs that are increasing faster than inflation. 32:46 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken Learn more about CRNA Financial Planning: http://crnafinancialplanning.com Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.' We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time. Cast your vote here: https://www.podcastawards.com/ Today we’re excited to bring on two special guests for a compelling conversation. Sharon convinced her husband, Mike, to be a guest co-host on the show while visiting the mid-year assembly in Washington D.C, and they are joined by former Chief of the Aurora (Illinois) Police Department Kristen Ziman. She wrote a book about her experiences – good and bad – in the law enforcement profession and the leadership lessons she learned. You’ll be surprised by how many parallels there are between her career and the careers of CRNAs and this episode will have some powerful messages to share. Here are some of the things you’ll learn on this show: A little background on her experience in law enforcement that led to her writing a book and becoming a speaker. 4:11 What she feels are the core tenets of leadership. 8:16 Finding your purpose each day to make yourself feel proud. 13:16 How to become a disruptor in your profession to help improve the culture. 16:13 Why it’s important to allow members of your team to be vulnerable. 23:21 The three things that drive human performance. 30:23 The greatest freedom we have is to choose the way we respond to a specific stimulus. 35:20 The importance of surrounding yourself with a ‘personal board of directors.’ 43:33 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken About our guest: https://kristenziman.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Even though awake intubations are rare, this procedure is still relevant. In fact, this is an anesthesia airway management technique that continues to be recommended for known difficult airways in every single difficult airway algorithm. In this episode, Jeremy and Sass talk about a specific technique for anesthetizing the airway they call “TOPICAL THUNDER” in preparation for an awake intubation. This is cutting edge, tip of the spear stuff that you won’t want to miss. Here are some of the things you’ll learn on this show: Reviewing the target nerves that innervate the airway. 3:55 Equipment you’ll need for this. 7:44 Reasons why we don’t like to use nebulized lidocaine. 9:39 Important patient prep to consider. 10:40 The different type of injection nerve blocks. 12:58 What forms of lidocaine will you need? 18:07 The potential for lidocaine toxicity. 25:07 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today we bring you another wonderful conversation from our trip to the mid-year assembly in Washington D.C. Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA were on hand when Kris Rohde, CRNA received the AANA’s Daniel D. Vigness Federal Political Director Award. Afterward, we invited her to join the show to hear her story, talk about the role the FPD plays in each state, and share why the sacrifice has been well worth it. Here are some of the things you’ll learn on this show: The role the Federal Political Director plays. 4:37 How she ended up in the role of FPD in Nebraska. 8:49 The role mentoring played in her career and helped her grow. 11:40 The importance of relationships with lobbyists. 17:25 Her legislative work with people in DC. 27:22 Has the sacrifices she’s had to make been worth it? 29:52 The message she’d share with other FPDs or rising FPDs who want to be successful. 35:27 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken About our guest: https://www.aana.com/news/kris-rohde-receives-aanas-daniel-d-vigness-federal-political-director-award/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

During our trip to the mid-year assembly recently, Sharon and Tracy Castleman, CRNA were having a conversation about declining student membership at the AANA when they met Haley Johnson and Kelby Stanko, who are both students at Saint Vincent College Excela Health School of Nurse Anesthesia. We decided to spend time with both of these bright, young ladies to learn more about their experience attending this AANA event, being part of the mentorship program, and how they plan to help spread that positive message with other students. Here are some of the things you’ll learn in this episode: What they’ve learned at the assembly and what’s been their reaction to what they’ve experienced. 3:19 The students explain how they didn’t get the value of the AANA until attending the assembly. 8:57 How they’ll share what they’ve learned on the trip with their classmates? 12:54 The story behind the mentorship program and Haley’s experience with it so far. 17:11 The students leave us with a final message. 29:59 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In today’s episode Jeremy & Sass talk about the flexible intubation technique and some troubleshooting tips that may help you while placing an ETT in an awake patient using the flexible intubation scope. Previously known as “fiberoptic intubation”, this is an infrequent anesthesia technique that is still pertinent today! Also, if you are attending the AANA annual congress in Seattle in August, you can sign up to practice the flexible intubation technique with Jeremy in the Airway Simulation Lab. Details are on the AANA Annual Congress sign-up page: https://www.aana.com/meetings/aana-annual-congress Here are some of the things you’ll learn on this show: A little history related to fiber optic intubation. 3:55 Why it’s tougher to perform when a patient is under general anesthesia rather than awake. 6:26 Indications and contraindications of an awake intubation procedure. 7:45 Setup process and equipment needed. 10:21 Running through the patient preparation checklist. 14:38 The hand and wrist movements you need to use during the procedure. 18:35 Similarities and differences in oral intubation and nasal intubation. 21:52 Troubleshooting techniques to utilize if needed. 24:49 About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In part two, we'll go on an exploration to uncover the untold chapters of Dagmar’s post trial years and witness how her victory reshaped the landscape of nurse anesthesia, breaking down barriers and paving the way for countless nurse anesthetists who followed in her footsteps. Join us as we delve into part two of our conversation about Dagmar Nelson with show historians Nancy and Sandy. Here are some of the things you’ll learn in this episode: What happened to the profession right after the trial? 1:58 What happened to Dagmar Nelson after the trial? 9:22 Hunt’s murder in 1943 and her death 15 years later. 11:52 What her legacy and that trial means today for anesthesia. 17:35 How anesthesia has changed and what has stayed the same. 20:13 The battle over money and control in the industry. 29:08 Hope for the future of anesthetists. 33:35 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Most people know about Dagmar Nelson in terms of her being involved in the only court trial ever to test the legality of nurses administering anesthesia, but there’s much more to her than just that. We’ll lean on Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to learn more about how amazing she was as a woman and what happened at the trial. Here are some of the things you’ll learn in this episode: Details on her early life and education. 4:38 How she got her anesthesia training. 9:08 What the beginning of her career as an anesthetist was like. 14:02 California physicians were trying to get rid of nurse anesthetists when she moved out there. 23:54 Details of the trial as it got started in 1934. 30:52 The testimony that was given on behalf of the physicians. 41:17 Here’s what the defense argued. 43:52 What the judge said when he handed down the decision. 51:22 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In this episode, Jeremy and Sass review the high points of an article published in the April 2023 AANA Journal by Barry Swerdlow, MD and Lisa Osborne-Smith, PhD, CRNA titled “A Cognitive Template for Management of Perioperative Adverse Events”. This is an episode you won’t want to miss! Here are some of the things you’ll learn on this show: What is metacognition? 2:29 Six step cognitive checklist 7:31 Step 1: Verifying information is correct. 9:21 Step 2: Generic response 9:45 Step 3: Identification of precipitating event 10:36 Step 4: Formulation of broad differential diagnosis 13:13 Step 5: Formation of a narrowed differential diagnosis 15:14 Step 6: Selection of targeted response(s) 17:28 Let’s use this six-step process on a case study. 18:37 Additional Resources: Swerdlow B, Osborne-Smith L. A Cognitive Template for Management of Perioperative Adverse Events. AANA J. 2023 Apr;91(2):137-143. PMID: 36951843. About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The nursing industry is filled with so many bright and talented people and today’s guest is just another example of that. Ayoade (Joy) Ademuyewo, DNP, CRNA is the founder and CEO of Lokum, which helps match vendors directly with anesthesiology providers without having to go through recruiting agencies. Find out why this could be the future of work as an independent contractor and learn more about the person behind it all. Here are some of the things you’ll learn on this show: What is Lokum and how does the Lokum app help CRNAs? 4:36 Where did her entrepreneurship drive come from? 9:05 This is the future of work as an independent contractor. 10:35 How a trip to Europe was the beginning of this idea and how it all came together. 16:37 How being a CRNA and her DNP benefited her develop this company. 24:34 The best way for CRNAs to learn more and why it benefits the profession to get on board. 27:04 Who is her inspiration? 29:16 About our guest: https://lokumapp.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Jeremy and Sharon were up in Hershey for the PANA Spring Symposium and hosted a live taping of the podcast with Brett Fadgen, MSN, CFRN, CRNA. If you haven’t heard Brett’s story, it’s a remarkable one about perseverance and never giving up in the face of life’s challenges. Join us to hear all about his journey and how he became the only one-armed nurse anesthetist. Here are some of the things you’ll learn on this show: Brett’s childhood and growing up with a congenital defect. 3:21 The journey from being a paramedic to RN to anesthesia school. 9:05 The challenges he faced in anesthesia school. 13:47 The contact he has with other people with limitations that are interested in anesthesia. 23:55 What questions do patients ask? 26:15 The final message Brett has for people. 32:00 About our guest: https://www.panaforqualitycare.com/single-post/2019/01/23/crna-inspires-by-defying-stereotypes-exceeding-expectations Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We had a chance to spend some time with the new AANA Deputy Chief Advocacy Officer Ingrida Lusis during our time at the mid-year assembly to learn more about her background in government affairs and how she plans to strengthen advocacy by bringing state and federal affairs all under one umbrella. Join Sharon and guest host Tracy Castleman, CRNA, as we go on the offensive with our newest advocacy leader. Here are some of the things you’ll learn on this show: Ingrida’s background in government affairs and her goals for the new position. 3:03 Why she feels CRNAs need to go on the offensive. 7:46 Her thoughts and views on full practice authority. 9:52 What other ways we can look at to give CRNAs more power besides just running for office? 18:15 Why supporting the ASAPAC is very important. 22:36 The perception of the AANA vs the reality when she arrived. 29:01 What would she say to get people involved that hate politics? 33:24 About our guest: https://www.prnewswire.com/news-releases/aana-appoints-ingrida-lusis-as-deputy-chief-advocacy-officer-301703396.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Cannabis has several medicinal uses and is legal in several states. More and more patients are using cannabis as a medication for anxiety, pain management, and for recreational use. In this episode, Jeremy and Sass discuss the pharmacodynamics of cannabis and focus on the systemic effects of this medication. You won’t want to miss their discussion highlighting the anesthetic considerations of patients who takes cannabis. Here are some of the things you’ll learn on this show: Adapting to cannabis becoming more acceptable recreationally and for care with patients. 2:29 The pharmacokinetics related to cannabis. 4:32 Reviewing an AANA Journal article on cannabis. 7:54 The respiratory effects you might find from cannabis. 9:25 The anesthetic implications for a cannabis user. 11:58 Does cannabis help with pain management? 15:01 Resources: Teitel A, Bozimowski G. A Review of the Pharmacology and Anesthetic Implications of Cannabis. AANA J. 2020 Jun;88(3):237-244. PMID: 32442102. About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Voting started this week for the next round of AANA Board of Directors elections, and we want to help you get to know your candidates a little better. Thanks to our friends at the American Association of Nurse Anesthetists, we will share the opening statements from the Board of Director Candidates’ Forum during the Mid-Year Assembly so you can hear first-hand from each of the talented CRNAs running for office. Remember that you can cast your vote now so visit the AANA Election Center and get all of the information you need. Here’s who you’ll hear from on this show: Candidate for Director: Mike MacKinnon, DNP, FNP-C, CRNA 2:04 Candidate for Director: Jodie Szlachta, PhD, RN, CRNA 4:05 Candidate for Director: Andrea Roberts, DNAP, CRNA, APRN 6:06 Candidate for Director: Howie Goodwin, DNAP, CRNA 8:07 Candidate for Director: Susan Newell, MSN, CRNA 10:10 Candidate for Director: Daniel King, DNP, CRNA, CPPS 12:12 Candidate for Director: Stacy Yancey, CRNA 14:21 Candidate for Treasurer: Eric Rauch, DNP, CRNA 16:21 Candidate for Treasurer: Kristie Hoch, DNP, CRNA 19:33 Candidate for Vice President: Jeffrey Molter, MSN, MBA, CRNA 22:30 Candidate for President-Elect: Janet Setnor, MSN, CRNA, Col (ret) 25:32 Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf