Beyond The Mask: Innovation & Opportunities For CRNAs

Today we bring on our first DNAP candidate, Gerald Murphy, MS, CRNA, APRN, to share his Doctoral Scholarly Project and use this platform as the dissemination piece. He has focused his attention on the transition period for SRNAs moving into the workforce and beginning their career as CRNAs. This new independence can be overwhelming and a bit scary so improving that process and providing guidance for our newest professionals can be very valuable. Here are some of the things you’ll learn on this show: Gerald’s background and why he chose this topic. (6:18) What was his experience when he finished anesthesia school? (8:24) The problem he found when reviewing the literature. (11:05) What questions did he ask during his pilot survey and what did he want to gather from them? (16:11) Are our anesthesia programs doing a good job preparing SRNAs for this transition? (23:40) What can preceptors do to help the SRNAs? (27:51) Advice for SRNAs. (34:10) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

It’s not something people openly talk about but feeling like you’re professionally inadequate happens to a lot of people. This is known as imposter phenomenon (IP) and it’s something that CRNAs deal with much more than you might realize. We’ve invited former CANA president Jeffrey Darna, PhD, DNP, CRNA, ACNP-BC onto the show to explain why high-achieving individuals have this self-perception of intellectual phoniness and what we can do to treat it. Here are some of the things you’ll learn on this show: What imposter phenomenon actually means and how it has evolved over decades. (4:58) What triggers this within someone? (8:00) The attributes that you’ll find in someone who has this. (13:24) The different levels of intensity for imposter phenomenon. (14:46) The ways you can treat IP if you are dealing with it. (20:37) How prevalent is IP in the CRNA profession? (24:35) Hear about our own experiences dealing with IP. (28:56) About our guest: https://canainc.org/about/cana-spotlight/jeffrey-r-darna/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Today Jeremy and Sass talk about the third type of distributive shock, septic shock. They review the need-to-know info for this shock state based on the updated Surviving Sepsis Guidelines released in 2021. They'll walk you through a crisis checklist that will help you identify and manage septic shock. So, buckle up...it's go time! Here are some of the things you’ll learn on this show: Case presentation for today’s patient (3:28) Pathophysiology of Sepsis and septic shock. (7:50) Signs and symptoms to look for. (12:31) Management for septic shock. (15:47) Things to think about if the patient comes to you in the operating room. (21:20) Differential diagnosis in this scenario. (23:41) About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The VA CRNA practice has been a topic of importance for a while because the VA hospital is the largest healthcare system in the country and currently employs more than 1,100 CRNAs. The worry is that if it fails, it will have a huge domino effect across the country. So what direction is the Association of Veterans Affairs Nurse Anesthetists (AVANA) headed? Executive Director Peter Kallio, DNP, CRNA, APNP, FAANA, joins the show today to talk about the state of the VA and what they’re focused on improving for CRNAs. Here are some of the things you’ll learn on this show: The current state of the VA. (5:49) The reason why so many VAs have one-to-one supervision. (7:56) Why are there so many different types of models? (14:46) Why VA CRNAs choose to work in that environment. (18:04) The benefits that working for the government provides CRNAs. (20:57) What can we do to improve the situation? (26:50) About our guest: https://www.vacrna.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict. Here are some of the things you’ll learn on this show: How moral injury was first identified and the impact it has on nurses. (4:47) Second victim vs Moral Injury (12:38) What to do if you start to feel this? (18:45) The effects of COVID on MI (21:50) Can you step away from a situation you aren’t morally comfortable with? (27:40) Resources are available for anyone dealing with MI. (34:39) About our guest: https://pc.fsu.edu/person/gerard-hogan-dnsc-crna Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angela Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year. Here are some of the things you’ll learn on this show: What the AANA means to nurse anesthetists. (5:45) What’s on Angie’s agenda for the next year. (6:56) Angie’s vision for communication with the members. (11:52) What advocacy and wins look like in her mind. (20:52) The work the AANA is doing to increase membership. (23:50) What can members do to help the AANA board? (34:18) Support the veterans: https://www.veteransneedcarenow.org/share-your-story/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

CRNAs and SRNAs/RRNAs have asked us to give them the essential information needed to manage different OR cases. Episodes they can listen to while on their commute, on a run, or just relaxing at home with their headphones. Today we’re going to review the Anesthesia Management for a Pheochromocytoma. This is the second episode in our endocrine surgical procedures series, so get ready for this power-packed episode full of "need to know" info you can use in the OR and stuff you might even find on exams. Here are some of the things you’ll learn on this show: The pathology of a Pheochromocytoma. (3:40) The signs and symptoms you’ll find. (5:16) What if it goes undiagnosed? (6:37) How to differentiate this from other interoperative problem. (7:25) Treating known diagnosed Pheochromocytoma. (10:52) What will you be watching for as you monitor patient? (15:58) Intraoperative hemodynamic goals. (19:29) Let’s work through a PACU scenario. (24:45) About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When Sharon visited the NCANA meeting in Wilmington, she sat through a lecture full of people with children and grandchildren that were panicked listening to the speaker. It was eye-opening and something we wanted to bring awareness to because it can be avoided. The person speaking that day was Emily Funk, DNP, CRNA and we asked her to come on to talk to us about the danger of button batteries and the harm they can cause almost immediately when ingested. Here are some of the things you’ll learn on this show: How she became aware of button battery ingestion and the heartbreaking story of a young girl that passed away. (6:06) What you should do if a kid swallows a battery. (10:54) What do anesthetists need to know about care. (14:02) Warnings and protections that are currently in place. (18:09) How to be more aware of what’s in the home. (20:00) What care is needed after the battery is removed? (26:11) About our guest: https://nursing.duke.edu/directories/emily.funk Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

CRNAs continue to be in high demand so finding a job isn’t always the challenge, but how do you go about identifying and landing the right job? Thomas Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA who learned a lot about leadership during his time in the military and has used that to start ProSynEx Authentic Leadership. Today we’ll dive into the hiring process and share tips for any CRNA exploring new employment so that you have the best chance at landing that perfect job. Here are some of the things you’ll learn on this show: What the Gallup Q12 survey has found about employment needs. (8:35) How to go about creating a list of what you’re looking for. (12:37) Why emotional intelligence becoming more and more important on both sides. (14:54) The dangers of social media for future employment. (23:59) What to put on your cover letter. (29:11) Preparing for the questions you might be asked during an interview. (36:11) Learn more about the Gallup Q12 Engagement Survey: https://www.gallup.com/workplace/356063/gallup-q12-employee-engagement-survey.aspx About our guest: https://prosynex.com/about/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In this episode, we’re going to continue discussing our crisis checklists and the ones that relate to distributive shock specifically. Let’s talk about what happens during neurogenic shock by discussing a case involving a 34-year-old male that came into the ER after a motor vehicle crash. We’ll talk about what you should do if you face this scenario and lay out the checklist to help prioritize care for this patient. Here are some of the things you’ll learn on this show: The details for today’s case study and how to set priorities. (3:00) Pathophysiology of neurogenic shock. (6:28) The signs and symptoms that come along with this. (9:43) Breaking down the treatment needed. (13:45) Things to be worried about. (17:26) Vasopressor support, (21:15) Differential diagnoses we should be considering. (26:50) About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When you look at how critical mistakes happen in the workplace, the normalization of deviance is often the culprit. You can find examples of this in all different areas of life, but CRNAs frequently face the pressure of doing things as fast as we can to meet the demands of production pressure. Today we want to explore this idea of normalization of deviance with Randy Cornelius, DNP, ARNP, CRNA, and discuss how CRNAs can work to overcome this. Here are some of the things you’ll learn on this show: The reason this topic is so important and examples of how this occurs. (10:00) What went wrong during the Challenger space shuttle disaster. (20:18) Production pressure in nurse anesthesia and how it causes normalization of deviance. (24:06) How can we prevent this normalization? (27:37) How this occurs in the OR and some cases we’ve seen. (31:13) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Randy Moore, DNP, MBA, CRNA, left his role as the AANA CEO about a year ago to take over as Chief Anesthetist Officer at NorthStar Anesthesia. It was a little surprising because it seemed like a great long-term position, but the reasons for his departure make sense when you hear him explain his vision moving forward. That’s why we’ve invited our friend and colleague onto the show to catch up on this huge career change. Here are some of the things you’ll learn on this show: What attracted him to this new position at NorthStar. (3:06) What pushed him to move from the OR to a leadership career track. (9:10) The characteristics that high-performing executives possess. (12:51) Some of the reasons behind the decision to leave the AANA. (17:19) How he would structure the AANA CEO position to allow for more balance between work and time spent with the board. (25:18) How he thinks he can impact the profession more positively in this new role. (31:57) About our guest: https://northstaranesthesia.com/our-culture/leadership.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

As we continue our case series on these clinical episodes, we’re going to start out by talking about surgical procedures and pathology related to the endocrine system. Today’s episode will focus on a thyroidectomy, which is the surgical removal of all or part of the thyroid gland. We’ll take you through a case and walk you through the essential points of what you need to know. Here are some of the things you’ll learn on this show: Airway management tools and what should you pay attention to. (2:46) Pre-operative pharmacological management. (6:56) Pre-operative thyroid tests that can be given. (9:48) Hemodynamics during a thyroidectomy. (12:09) What should you look for in terms of thyroid storm. (17:49) Deep vs awake extubation. (20:46) What happens if someone develops a hematoma. (24:52) About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Our profession is filled with incredible individuals who are resourceful and know how to make the most out of whatever comes their way in the operating room and in life. During our time at the AANA Annual Congress in Chicago, we got to hear a handful of those stories and asked each of these four wonderful CRNAs to join the show and share the obstacles they overcame to achieve extraordinary accomplishments. Here are some of the things you’ll learn on this show: Elizabeth’s story of 40+ years in anesthesia and overcoming lack of diversity. (2:37) Jennifer’s story of transitioning from a CRNA to Coroner. (9:00) Brett’s story of becoming the only credentialed and practicing CRNA with the physical disability of having one arm. (13:48) Tim’s story of being a part of the group of CRNAs providing ICU care at the Javits Center in NYC during the COVID outbreak. (25:23) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

There’s been a huge strain put on the anesthesia business in recent years due to the way that hospitals and surgeries have changed, and there’s some uneasiness about what it could mean for the future. Today we’ve invited NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, on to assess the state of the profession and discuss what’s to come for CRNAs as processes evolve. Here are some of the things you’ll learn on this show: How hospitals have changed over the past few years to create this strain on anesthesia. (4:48) The financial truth behind hospital revenues. (11:01) Meeting the future demand for CRNAs and what it means for earnings. (16:13) Why solutions will be market-by-market. (24:41) Where do CRNAs fit into these new business models? (31:02) An explanation of how a lot of the demand is artificial. (36:49) Will the rate of growth continue for CRNAs? (40:26) About our guest: https://northstaranesthesia.com/our-culture/leadership.html Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

As we begin our new clinical episodes of Beyond the Mask, we’re kicking things off with a case management and crisis management series on the different states of shock. This series is going to start out by reviewing differential diagnosis, the rationale for treatment, and the mechanism of action of the medications used to treat the crisis. On this first part of our shock state series, we’re going to focus on anaphylaxis and share a case that we experienced. We’ll take you through the ways to identify the shock, how to treat it, and share how this case unfolded. Here are some of the things you’ll learn on this show: Details on the new podcast and what to expect from these educational shows. (2:15) How do you define shock and what’s happening in these different states. (3:47) Here’s the case we’re faced with on this episode. (5:29) The signs and symptoms that could be associated with an anaphylactic episode. (9:42) What do you in this situation? (15:42) How this case played out. (22:34) Instances of antibiotics causing anaphylaxis. (28:16) About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Every member of the AANA is taking an active approach by paying dues and being a part of the organization, but the success of the AANA relies on participation by each and every CRNA. On this episode, we sat down with a CRNA that took that step to move out of her comfort zone and voice her opinion on issues that affected her and many of her peers. Jenny Andersen, CRNA, was a flight nurse in Alaska for many years, which is as adventurous as it sounds. But she eventually had an illness that kept her from continuing and that eventually led her to become a CRNA. Here are some of the things you’ll learn on this show: How do you engage the member that doesn’t take an active approach? (9:55) What drove her to the microphone to speak for the first time. (13:13) How can the Board of Directors to build trust with members? (22:08) What factors drive some of the mistrust? (27:33) The guidance that Jenny would give to people who are hesitant to speak up. (33:31) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

As we celebrate the release of our 200th episode, it seemed fitting to shine the spotlight on the profession as a whole and the people who devote their lives to helping others. Many CRNAs, and nurses in general, don’t give themselves enough credit for the work they do every day. So today we’re going to take a big picture look at the power of nursing and the innovation we’re doing that could change healthcare with Rebecca Love, RN, MSN, FIEL. Here are some of the things you’ll learn on this show: Looking back on milestones from the first 199 episodes. (2:57) The statistics that provide us a clear look at where nursing is today. (8:01) The balance of men and women in CRNA profession compared to others. (25:22) How do we change the status quo in nursing? (37:57) How do you harness the power of nursing within the healthcare industry? (49:59) What is a Hackathon and what can nurses get out of this? (55:45) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The early years of anesthesia were a time when nurses proved just how valuable they were as this new world was being explored. Olive Berger, CRNA was one of the women that rose to the occasion and helped shape the profession through her work with ‘blue babies’ and with the AANA. Today we look back on her career with show historians Nancy Bruton-Maree, CRNA and Sandy Ouellette, CRNA. Here are some of the things you’ll learn on this episode: Her early career graduating in 1922, the rise to Chief Nurse Anesthetist just nine years later, and some of her accomplishments. (6:38) The story behind the ‘blue baby’ operations and the Blalock-Taussig-Thomas shunt that was developed for patients with cyanotic heart disease. (12:01) Details from a 1948 AANA Journal article where Ms. Berger spoke about the early anesthesia administered. (16:20) The Austin Lamont study that concluded anesthesiology should become a medical specialty. (21:19) The multiple roles she held with the NANA and then AANA. (25:22) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

We’ve been waiting for a little while to let the cat out of the bag but it’s finally time to make an exciting announcement about the future of the podcast. Here are some of the things you’ll learn on this show: What’s coming up for the show. (1:57) Who are the hosts and what will they be discussing? (3:02) The reason they’ve decided to host these clinical episodes. (5:34) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Earlier this year we spoke to Marianne Cosgrove, CRNA, DNAP, APRN, PhD, on the podcast and she emailed us later about a student that would like to come on the podcast to discuss their doctoral project. At that moment, a lightbulb went off and we realized this is a great opportunity for other students to do the same. Today we’ll introduce the committee we’ve put together, explain the application process, and lay out our goals for what’s to come. Here are some of the things you’ll learn on this show: What we’re doing with doctoral students and who will be helping us. (1:57) What was the charge for the committee? (5:30) The opportunities that arise for state associations from this process. (10:34) The details for the application process and what to expect. (12:32) If you plan to apply, here is some of the criteria that we’ll be looking for. (19:26) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

If COVID taught us anything, it’s that it’s just as important for healthcare workers to take care of their own health as it is to take care of others. It’s a shift away from how we’ve always thought about providing care, but it’s necessary for the wellness of CRNAs and all workers. Today we’ll talk with Matthew Zinder, CRNA, who is a co-founder of the upcoming Provider Wellness Symposium, about tips and suggestions for improving yourself and we’ll find out more about what his event will offer. Learn more about the symposium: https://www.providersymposium.com/ Here are some of the things you’ll learn on this show: Background on this anesthesia business and how he began focusing on provider wellness. (3:08) What strategies does he utilize for wellness. (9:19) How to take the time to take care of yourself. (11:05) Details on the Provider Wellness Symposium and AANA’s involvement. (17:02) Ways to change the culture within the industry. (22:04) How they’re helping with student wellness. (28:45) What his parting message is for everyone. (36:36) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Any CRNA who’s gone through the credentialing process knows how inefficient and frustrating it can be. There’s got to be a better way right? Andi Stamper, DNP, CRNA and Kiki Mattress, MSNA, CRNA are working to streamline this process through their company, HealthShield Credentialing. The pair joins the podcast today to tell us more about the work they're doing and how it all works to improve healthcare credentialing. Here are some of the things you’ll learn on this show: Why they been focused on this credentialing challenge. (5:01) The original idea and how this all came together. (7:24) Challenges of building the website and platform. (14:00) Details on how a CRNA can use the website. (15:24) Where they hope to grow and expand. (19:24) What is primary source verification? (22:31) A breakdown on costs and fees and the tax benefits. (25:43) About our guests: https://healthshieldcredentialing.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The AANA introduced its new CEO earlier this summer and Bill Bruce, MBA, CAE has already hit the ground running. So what does a non-CRNA bring to the organization? We got the opportunity to sit down with him to learn more about his background, his leadership style, and how he hopes to engage and build trust with members. Here are some of the things you’ll learn on this show: How he got into the association business and what his past membership looked like. (4:45) What has surprised him through these first couple of months. (9:29) His military experience and how that changed the path he was on. (12:27) What a non-CRNA can bring to the organization. (23:26) The challenges that come with bringing in a new staff each year. (27:12) Building and retaining trust with the members of the AANA. (32:29) What kind of culture does he want to build within the organization? (36:32) What he’s learned about keeping members engaged. (42:28) How he describes his leadership style. (48:18) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Sometimes it’s about being in the right place at the right time, but even more than that, it’s about taking action to help a fellow human when the time calls for it. That’s exactly what Olaf Jacobsen experienced a few years ago when he came across a mother and three children in frigid water coming home from work in Norway. Hear the heartbreaking but incredible story about what was discovered and how they were able to rescue the infant and save its life. Here are some of the things you’ll learn on this show: The start of the story and the scene he came across on his bike ride home. (5:44) What the police found when they arrived. (9:41) The rescue work he did on the infant. (11:13) How anesthetists were out in the field and working on the scene. (12:27) What to do when you’re in a drowning situation. (19:55) What happened when they arrived at the hospital with the child. (23:36) What the investigation concluded. (25:50) How is the child doing now? (27:00) Nurse anesthesia practice in Norway compared to the USA. (30:25) Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Nurses are uniquely qualified for the responsibilities that come with holding a public office, which is why we’re seeing more and more campaigning. But did you ever think about running for sheriff? Caitlin Sepeda is a registered nurse in Massachusetts that’s doing just that and today she joins the show to tell us about her path to this point and why she hopes to make history. Here are some of the things you’ll learn on this show: How does a nurse end up running for Sheriff? (7:09) The difficult decisions that have to be made with the limited budget provided by the state. (12:43) What makes nurses so qualified for public office? (16:50) Details on the election she’s campaigning for. (19:45) How do you overcome the lack of law enforcement experience? (23:49) Why a new outlook and approach can benefit law enforcement. (26:59) The campaign budget she’s working with. (34:04) What it would mean to become the first nurse to hold a Sheriff position? (37:37) Learn more about Sepeda's campaign: https://www.sepedaforsheriff.com/ Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The great thing about being an advocate for nurse anesthetists is that anyone can have an impact no matter where they live. Many federal legislators starts locally so there are opportunities to create relationships early and close to home. Sarah Tweedy, CRNA, got a first-hand look at working with legislators as a student and has carried that interest into her young professional career. Find out what she’s learned about advocacy and how best to build relationships with policy-makers. Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 5:58 – Background on Sarah 10:07 – Importance of getting involved as a student 11:32 – Why this topic is important 13:28 – Federal or state advocacy? 16:20 – How to talk to a legislator 21:22 – Educating them on CRNAs 23:43 – What should you not say? 26:10 – Where to start to get involved 28:46 – Advice she’d give 32:07 – Running for office 33:10 – Final thoughts

You’ve probably already noticed that most of our colleagues in nurse anesthesia look pretty similar. Through innovation and educational pipelines, the industry is working to improve the diversity in our workforce, which will lead to better healthcare outcomes for all. Sonya Moore, DNP, CRNA, joins the show to talk about her experiences as a minority in healthcare and how she’s helping drive change through her LEAP program. Learn more about LEAP: https://case.edu/nursing/programs/dnp/nurse-anesthesia-dnp/leap-certificate-pathway Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 5:25 – Background on Sonja 7:21 – Getting started in anesthesia 14:28 – Systemic barriers 17:29 – Importance of a diverse workforce 22:30 – Finding common ground 30:41 – The LEAP program 38:46 – How the program works 42:47 – Program costs and acceptance rates 48:13 – Final thoughts

Each of us faces our own battles every day, some of which are much more difficult than others. No matter what mental health challenges you’re dealing with, finding ways to manage everything are so important for everyone. Susie Newell, DNP, CRNA, wrote a book recently about creating activities and mindsets to help people cope with mental issues and it’s all focused on neuroscience. She joins us today to share her research and what she’s learned during the publishing process. Get the book: https://www.thepath365.com/ Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 5:00 – Background on Suzie Newell 6:42 – Her book 10:01 – The neuroscience behind addiction 15:23 – How she created a life 18:34 – How COVID impacted project 20:34 – Neuroplasticity 23:33 – Breaking down neuroscience 27:01 – Process of writing the book 34:36 – The extra day 37:13 – Creating a publishing company 38:32 – The title 42:25 – Who should read the book?

On this look back through the history of nurse anesthesia, we’ll tell you the story of Catherine Lawrence. This Civil War nurse became the first to administer anesthesia during the Second Battle of Bull Run but she also accomplished a lot more during her life. Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, will give us all the details and help us learn more about this important figure in nursing. Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 5:51 – Back in the studio with Sandy and Nancy 7:24 – Introducing Catherine Lawrence 10:09 – As a child 13:00 – How she lost faith as a child 14:38 – Began teach at 14 18:11 – Enlisting in the Civil War 23:19 – Her relationship with Dorothea Dix 26:25 – After the Civil War 32:09 – Summarizing her life 35:26 – Her death 36:25 – Final thoughts

The nursing profession has always been the backbone of the healthcare system but it’s time to start thinking bigger. The talent and determination found in nurses can shape the future of healthcare and it begins through innovation and entrepreneurship. Rebecca Love, RN, BS, MSN, FIEL, is leading that charge by creating a program for nurses to pursue innovation and help lead the profession forward. Join us for a wonderful conversation that we believe will motivate and inspire. Learn more about SONSIEL: https://sonsiel.org/ Visit us online: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 5:00 – Welcome in Rebecca 8:31 – Entrepreneur at heart 11:06 – Nurses as innovators 14:46 – Launching the program 19:10 – The curriculum 21:04 – Society of Nurse Scientists Innovators Entrepreneurs &Leaders 22:23 – Giving her Ted Talk 26:36 – The talents of nurses 29:07 – Challenges she’s faced 38:39 – Empowerment 40:18 – Why you should be interested

Jeremy and Sharon took part in a panel discussion on incivility and bullying within the CRNA workplace and educational system. Speaking alongside members of the Nebraska Association of Nurse Anesthetists, they were able to dive into the core issues at the heart of this behavior from the perspective of both the student and the preceptor. Plus, they offered up solutions to help curb incivility and bullying. Read more: http://beyondthemaskpodcast.com To learn more about the Emma Kate fundraiser event: https://halosofthestcroixvalley.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 3:40 – Meet the panel 8:40 – What we’re talking about today 9:45 – What is incivility and bullying? 11:52 – Effects of bullying on SRNAs 13:18 – Perspective from a new CRNA 15:43 – Challenges to changing this behavior 21:35 – Qualities of a good preceptor 24:21 – Improving communication in school 26:46 – Can you identify problem CRNAs? 31:47 – Stress on the preceptor 36:43 – What makes a great preceptor? 40:01 – 1st vs 2nd year students 43:01 – How do we change a bully’s thoughts? 45:50 – What actions can you take in the moment? 49:06 – Have you ever bullied anyone? 54:56 – Final thoughts on this topic

None of us get to where we are without the help and guidance of other people. We rely on mentorship from our peers to lift us up and empower us to accomplish great things. With the input from a few powerful women on this episode, we want to highlight women that have played a key role in helping advance the industry and discuss how we can elevate each other through empowerment. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 2:22 – Highlighting powerful women 8:47 – If someone doesn’t appreciate your unique traits 11:04 – Tough conversations 13:43 – AANA bringing people together 17:12 – Iron sharpens iron 18:27 – Being willing to help out 22:23 – Mentoring 25:45 – Being there in good and bad times 27:59 – Advice 31:39 – Final thoughts 35:07 – Jeremy’s final thoughts

With more and more CRNAs shifting to 1099, it’s time to start thinking about how to best position yourself from a tax standpoint as your finances change. Today, Jeremy Stanley, CFP® will share nine tax strategies that most S corporations can utilize each year to maximize their earnings and minimize what they owe. Read more: http://beyondthemaskpodcast.com Learn more about financial planning: https://www.crnafinancialplanning.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 2:36 – Background on our topic 3:40 – Reasons for not being S corporation 5:40 – Strategy #1: Taking money out as distributions 7:49 – Strategy #2: Deduct health insurance premiums. 9:22 – Strategy #3: Employee your children 12:40 – Strategy #4: Reimbursement of home office expenses 13:36 – Strategy #5: Rent your home to your S corp 15:41 – Strategy #6: Reimburse you for depreciating expenses 17:13 – Strategy #7: Vehicle deductions 20:57 – Strategy #8: Reimbursement of travel expenses 23:49 – Strategy #9: Cell phone expenses 26:23 – Final thoughts

Today we’re continuing the conversation with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, on the history of CRNAs in the workforce. In part two, we’ll look at educational changes since 2010 along with the updated statistics on active professionals and students. We’ll also turn our attention to the future of anesthesia and discuss the trends that might be on the horizon. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 2:14 – No studies in last 13 years 3:19 – Doctoral programs 4:18 – Total number of CRNAs 7:39 – 2019 Merritt Hawkins whitepaper 15:32 – Why do CRNAs leave? 17:44 – 10 trends for the future 29:42 – Where does Nancy and Sandy see things going? 31:07 – Healthcare expenses out of control 35:28 – Wrapping up the conversation

Over the past five decades, quite a bit of attention has been paid to the challenges facing the CRNA workforce, especially when numbers dropped significantly in the 80s and 90s. The lack of manpower pushed Congress, the AANA, and other organizations to study the reasons behind the lack of graduates and determine what solutions might exist. Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, join us today to take us back through the history of these shortages and the studies that followed in part one of this two-part series. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 2:40 – Trends from 70s and 80s 5:40 – The reductions at Wake Forest 9:02 – The major factors that led to this issue 10:52 – Factors in the 80s 13:18 – Study on Program Closures 17:05 – CRNA manpower study in 1990 19:20 – Obstacles to achieving the study’s recommendations 26:39 – Steps the AANA has taken 30:49 – Anesthesiology training in the 90s 37:04 – Supply and Demand study in 2003 40:13 – Economic impact on the profession 42:35 – 2006 study 46:59 – Key points from 2009 study 48:59 – Cromwell study

More than 1,000 CRNAs work with the Veterans Health Administration and they can’t operate with full practice authority like their counterparts serving in every branch of the military. The Association of Veterans Affairs Nurse Anesthetists is working to change that despite significant pushback, and former president Diane Boettger, CRNA, joins the show to talk about her time on the board and the work the organization is doing to push CRNAs forward. About the AVANA: https://www.vacrna.com/ Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 2:17 – Background on this topic 3:18 – Why this is important 4:25 – How AVANA is structured 8:59 – Establishing full practice authority 13:33 – Different standards while serving 16:20 – How veterans have been affected 20:15 – What changed during COVID 22:57 – Why the huge pushback 25:55 – What can CRNAs do to help? 29:41 – Opioid crisis 31:37 – How to help AVANA 31:57 – Closing message

As more and more CRNAs are trying to find their place in the political setting, Jennifer Banek, CRNA found her own path to serving. In 2020, Banek was elected Coroner in Lake County, Illinois, and she’s currently holding that position alongside her job as a nurse anesthetist. She joins the show today to share her unique story and pull back the curtain on the campaign and election process for those aspiring to run for office in the future. About our guest: https://www.lakecountyil.gov/450/Coroners-Office Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 2:27 – Welcome in Jennifer 3:28 – What we’re talking about today 4:45 – Her path to politics 10:26 – Getting signatures 13:35 – The campaigning process 20:25 – How many states did she fundraise from 22:04 – Election and challenges 24:00 – Husband deployed during the election 25:14 – What does Coroner’s Office do? 28:30 – How nurse anesthetist training benefits this position 30:51 – Balancing Coroner and CRNA roles 32:03 – How running for office changed her perspective 35:59 – Her future in politics 37:20 – Final thoughts

If you want an eye-opening perspective on lobbying and what it takes to influence lawmakers, this will be an episode you don’t want to miss. Bob Guyer of The Lobby School gives us a master class on how to be successful in convincing legislators to align with your goals, which is essential for CRNAs as we continue to fight to protect our industry and our paycheck. Get The Lobby School's free resources here: https://lobbyschool.com/free-resources/ Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 3:18 – Introducing our guest 5:35 – His organization 7:37 – Why this topic is important 8:46 – What groups influence legislation 10:53 – Convincing legislators of your goal 13:23 – Motivating special interest groups 15:00 – Legislative staff 19:15 – Agency officials 21:00 – Bobisms 23:46 – Motivating legislators to vote 26:43 – What CRNAs can do to help 28:51 – Simplifying things for lawmakers 31:57 – Hiring consultants 34:07 – Managing and evaluating lobbyists 38:30 – Do campaign donations help? 43:01 – CRNAs running for office 45:47 – Final thoughts

Few people in our profession represent what it means to be a CRNA more than Yana Krmic, MSN, CRNA, APRN. Born in Ukraine and raised in Siberia before moving to the United States 25 years ago, Krmic overcame many challenges to become a CRNA and eventually rise to the position of president of the New York State Association of Nurse Anesthetists. Her story is an inspiration to us all and one we’ll share on the podcast today along with her feelings on what’s happening in her home country. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Today's Key Topics: 4:02 – Introducing our guest 5:24 – Yana’s professional background 6:58 – Growing up in Ukraine 10:22 – Mom moves to New York 12:21 – Yana moves to Siberia 15:43 – Getting into healthcare 17:50 – Green card lottery 19:21 – Determination and assertiveness 20:18 – Her mother’s upbringing 22:08 – Arriving in America 24:56 – Adjusting to a new world 28:08 – Getting a degree and moving into healthcare 35:21 – Experience during COVID 39:53 – Driving more advocacy 46:00 – Her perspective on Ukraine 52:24 – Ukrainian resilience 57:17 – Her identity became clear 1:02:15 – Final thoughts

The healthcare industry has always depended on collaboration to advance medicine and improve care for patients. Much of that collaboration comes in the form of sharing findings from studies and research, which is what the Cochrane Network tries to compile into thorough and systemic reviews. By working with clinicians, policymakers, providers, and even CRNAs like Dru Riddle, PhD, DNP, CRNA, FAAN, Cochrane promotes evidence-based decision making across healthcare, and today we’ll learn more about the US Network and the role it plays for CRNAs. Learn more about Cochrane: https://us.cochrane.org/cochrane-us-network Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:28 – Introducing our guests 4:30 – Introducing our topic 8:05 – Who is involved 10:16 – Financial support 12:19 – Building credibility 13:42 – Reviews in US and UK 15:37 – Why he got involved 18:56 – Reviewing anesthesiologists efficiency 21:33 – Cochrane’s new strategy 23:16 – Why isn’t this research being applied to CRNAs? 25:40 – Generating a topic review 29:52 – How Cochrane worked for Sharon recently 34:42 – Why they need CRNA influence 36:23 – Micro-volunteerism 38:13 – Final thoughts

The fight to give CRNAs full practice authority continues in states across the country but there have been some important victories along the way. All you need to do is look to our military to find a model that many people would like to see across the profession as the U.S. Army, Navy, and Air Force have all removed restrictions on CRNAs. Today we’ll talk with Air Force Colonel Jan Setnor, MSN, CRNA, who was one of the key people involved in helping the Air Force gain that authority and she’ll share the story of how it all happened. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 2:53 – Jan’s background in the Air Force 7:07 – ASA and military CRNAs 9:53 – Battling against restrictions 14:27 – Calling Deb Molina 17:04 – Details from the meeting 20:55 – How they reached an outcome 24:21 – Different rules 27:18 – Advocating 29:23 – VA rules in different states 33:38 – Final thoughts 34:50 – Where she was on 9/11

The AANA Elections to appoint 2022-2023 board and elected committees will open on April 19 and members will have two weeks to cast their votes. We had the opportunity to go to the mid-year assembly in Washington D.C earlier this month and give candidates the chance to speak directly to you about their views and goals to help you make a more informed decision. Today you’ll hear from 13 CRNAs who will be on the ballot this month. Meet the candidates: https://www.aana.com/governance/election-center/aana-election-slate-announced Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Candidates for President 2:52 – Heather Rankin, DNP, MBA, CRNA, FAANA - Alabama 7:13 – Dru Riddle, PhD, DNP, CRNA, FAAN – Texas Candidates for Vice President 11:15 – Kristie Hoch, DNP, MS, CRNA - Arizona 15:18 – Debra Diaz, DNP, CRNA, APRN, CDR - Florida 17:26 – Janet Setnor, MSN, CRNA – Virginia Candidates for Treasurer 18:19 – Jeffrey Molter, MBA, MSN, CRNA - Ohio Candidates for Directors 19:53 – Jill Mason, EdD, DNAP, MSN, CRNA, COI - Indiana 23:03 – Paul Packard, DNAP, CRNA, CPPS - North Carolina 24:33 – Jennifer Banek, MSN, CRNA - Illinois 26:39 – Cathy Harrison, DNAP, MSN, CRNA, CAPT - Virginia 27:47 – Andrea Roberts, DNAP, CRNA - Minnesota 31:12 – Randy Cornelius, DNP, CRNA, ARNP - Iowa 33:49 – Tracy Young, MSNA, MBA, CRNA – Louisiana

As we approach another round of midterm elections, we wanted to introduce you to one of the few nurses around the country that hopes to represent her state in Congress. Renee Ellmers is running again in North Carolina after previously serving three terms and she’s doing so with the goal of improving access to healthcare in our country. We’ll also discuss why it matters to have nurses representing our profession as elected leaders and how it might have made a difference in a recent ruling in Tennessee. How to help Renee's campaign: https://www.reneeellmers.com/ Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 2:18 – Renee’s view of healthcare and why she’s running 5:45 – Why nurses make good elected officials 7:06 – Getting full practice authority 9:08 – Quality of care 11:57 – Restrictions lifted during COVID 13:59 – What can be done? 16:57 – Current nurses in politics 19:03 – Why are nurses elected more? 21:58 – Surprises in Washington 23:24 – Nurse in Tennessee convicted 27:54 – Did the lack of representation impact the ruling? 29:35 – The precedent it set 32:05 – How nurses can help her 35:23 – Advice for nurses 37:09 – Lightning Round

With the rise in methamphetamine use across the country, CRNAs need to be prepared to provide anesthesia to a substance use disorder patient. Jenny Krogh, CRNA, has noticed several misconceptions and conflicting management of patients who have used methamphetamines through her time working and researching. Today she joins us to explain the effects of methamphetamines on the body and clarifies some of the inaccuracies. Read her research: https://www.apsf.org/article/practice-considerations-for-the-anesthesia-professional-for-methamphetamine-substance-use-disorder-patients/ Learn more about financial planning: https://www.crnafinancialplanning.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 2:39 – Introducing our guest 5:28 – Why we are talking about this 7:14 – The use of meth in patients 8:52 – Why words are important 10:21 – Neurochemistry 14:39 – Chasing the high 17:59 – How meth use changes anesthesia 20:44 – Treating hypertension 23:01 – How it affects work in the OB 28:09 – Use of Ketamine 30:20 – Her research 34:04 – Final thoughts 37:21 – Lightning Round

When planning for retirement, many CRNAs end up guessing at some of the most important questions. You’d never enter an operating room unprepared so why risk everyone you’ve worked so hard for throughout your career by not having a plan in place? Today we’ll get answers to these key financial questions so you don’t have to play the guessing game. Read more: http://beyondthemaskpodcast.com Learn more about financial planning: https://www.crnafinancialplanning.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:10 – What we’re talking about today 5:25 – How much monthly income will you need? 7:07 – Trying to determine lifespans 8:22 – Underestimating your needs 10:32 – Monthly average income needs 12:53 – Planning for major purchases 15:16 – Millennials are savers 16:48 – Inflation 18:03 – Interest rates 21:38 – Healthcare costs 26:35 – Final thoughts

In November of 2021, the AANA lost a great man in Patrick Downey. This former president and patriarch of the Diamond Club served as a CRNA for more than 50 years and impacted many lives along the way. It’s fitting that this St. Patrick’s Day episode is a look back at his incredible life and the work he did for nurse anesthesia. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:47 – The loss of Patrick Downey in 2021 4:45 – The AANA Diamond Club 8:01 – Role Patrick played in the club 9:45 – Patrick’s early life 11:50 – Education and marriage 13:56 – Anesthesia highlights 16:35 – Time as AANA president 22:23 – Goals and challenges 29:50 – Outreach away from operating room 32:29 – Viable public relations program 34:15 – The money in anesthesia 42:50 – His message to anesthesia 47:27 – His passing in 2021 52:08 – Patrick Downey Montage

Long hours and high stress is typically a recipe for poor health, which is why it’s always good to get a reminder to put ourselves and our bodies first. That can be difficult for CRNAs, who are trained to prioritize the needs of others. That’s why we wanted to bring on master nutritionist Donnell Carter, MBA, MS, CRNA to give us the information and motivation we need to take steps towards a healthier lifestyle. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:20 – Welcome in Donnell 5:18 – Time in the Navy 7:11 – Event that changed his life 12:18 – Going to anesthesia school 14:25 – How CRNAs can integrate health and wellness 19:04 – Master nutritionist 21:33 – His services 22:40 – Coaching 29:53 – Fighting depression 36:59 – Obesity’s role in the pandemic 43:33 – Final thoughts 45:20 – Lightning round

Forty years have passed since the Tax, Equity and Fiscal Responsibility Act (TEFRA) became law and this piece of federal legislation changed the way payment and reimbursement was tracked. Today we’ll look back on the history of TEFRA with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about the reasons behind it, how the AANA responded, and what revisions have been made through the years. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:00 – What we’re talking about today 5:05 – Why was TEFRA implemented? 8:04 – Quality of care standard 9:33 – What the practice used to look like? 14:27 – Preparing practitioners 15:36 – What the original rules said 20:32 – Medical supervision and direction 26:56 – 7 conditions of payment 28:49 – AANA’s reaction to TEFRA 31:23 – Concerns between 1993 to 1998 34:32 – Proposed revisions 37:45 – What is immediately available 40:44 – Current TEFRA rules 44:20 – Any updated revisions? 47:15 – Physicians starting schools 51:15 – A book recommendation 52:02 – Final thoughts

Today we want to shine the advocacy spotlight on the work being done by CRNAs in Pennsylvania, who have helped drive some significant changes in their state. Laura Wiggins, DNP, CRNA and Jessica Poole, DNAP, CRNA are two of the nurses involved in shaping the legislation and they join us to share the details on what’s happening in the Keystone State and what it means for all of us in the profession. Read more: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss in this episode: 3:05 – Welcome Jessica and Laura 4:32 – Background on Jessica 6:29 – Background on Laura 7:59 – Legislation they’ve been working on 11:11 – The opposition to it 13:03 – Board of Nursing’s position 14:52 – Who makes these designations? 18:38 – Other changes they’ve gotten enacted 22:15 – The physician requirement of Act 60 23:38 – Getting students involved in legislative issues 25:29 – Relationship with lobbyists 27:03 – Developing relationships with legislators 30:07 – Compensating CRNAs to advocate 32:41 – Networking support from other groups 39:06 – CRNA practice during COVID in PA 41:12 – Getting involved in advocacy