Beyond The Mask: Innovation & Opportunities For CRNAs

The issue of reimbursement is one that we’ve covered from many different perspectives on this show but now it’s time to take the problem into our own hands. Rebecca Love, RN, MSN, FIEL is leading a commission along with Sharon Pearce, DNP, CRNA, FAANA for nurse reimbursement to tackle this broken financial model once and for all. Today we’ll tell you all about the commission’s plan and why we think this will transform the healthcare system and help end the terrible nursing crisis our country is facing. Here are some of the things you’ll learn on this show: History of the current financial model and why it’s a problem. 4:00 Why is this perpetuating the nursing shortage? 9:21 Where is the money going right now if it’s not going to nurses? 14:30 This next generation is much more in tune with the financial realities of the world. 19:55 The problem with nurses that are being brought in from overseas. 26:59 Details on the commission, who is involved, and what you can do to help. 32:06 Thoughts on why this is so critical for nursing moving forward. 36:27 About the Commission: https://commissionfornursereimbursement.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

Emergency cricothyrotomy is a rare, but incredibly important procedure that can be lifesaving. A primary step when performing a cricothyrotomy is correct identification of the cricothyroid membrane (CTM). In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM! Here are some of the things you’ll learn on this show: Understanding and identifying the anatomy. 2:21 The two most effective ways to find the cricothyroid membrane. 8:32 A couple of relevant studies that provide good information. 12:45 The ultrasound procedure to help identify it. 17:19 The educational resources that Jeremy recommends. 21:48 The String of Pearls technique. 22:40 Show Notes & Resources: Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055. Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176 Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429. Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758. Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376. Airway Management for Anaesthesiologists. Ultrasound guided marking of the cricothyroid membrane using: Transverse TACA Technique: https://airwaymanagement.dk/ultrasound_needle_cricothyrotomy Longitudinal “String of Pearls” Technique: airwaymanagement.dk/pearls 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

One of the things you find out about CRNAs as they approach retirement is that their bank account might be ready for retirement but they might not be. Many people don’t consider the consequences of walking away from that daily routine of being at the hospital and interacting with colleagues, and not being prepared for that can leave you with a lack of fulfillment in retirement. Today we’ll discuss the importance of not only planning financially for retirement but also preparing emotionally and mentally for this significant life change. Here are some of the things you’ll learn on this show: Most CRNAs fall in one of two camps when they retire. 5:50 Has COVID caused more burnout among CRNAs? 7:41 Why it’s so important to develop a plan for the next stage of life. 11:29 You have to be prepared for a retirement that could last for 40 years. 18:09 What is the sweet spot for retirement? 24:28 The important takeaways from this discussion. 31:35 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 military isn’t a career path for everyone but those that choose that life get an experience and training that can’t be found anywhere else. Today we spend some time with one of those wonderful people to learn more about life in the military as a CRNA and the lessons that were learned along the way. Janet Setnor, MSN, CRNA is a retired Colonel with the US Air Force Reserve Nurse Corps and someone we talked to last year about how she helped bring full practice authority to that branch of the military. Today she joins us to tell us more about her time in the military, how it helped prepare her for civilian life, and what she thinks will happen with the VA issue still being debated. Here are some of the things you’ll learn on this show: What made her decide to serve? 6:45 The advantages and disadvantages to being in the military. 9:00 Why she made the switch from flight nurse to CRNA. 13:57 Jan’s insight on the VA issue and what she’s seen. 18:31 What are the differences in CRNA training in the military vs civilian world. 27:43 Jan details what it was like going to war. 30:00 Is there a threat to independent practice for the military? 40:40 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

Malignant Hyperthermia (MH) is a rare and dreaded complication specific to anesthesia. It’s a systemic hypermetabolic syndrome that can result in severe disability or even death. In this episode Jeremy and Sass review the pathophysiology, preoperative considerations, signs and symptoms, complications, and management of this uncommon, but significant critical event. Here are some of the things you’ll learn on this show: The pathophysiology of Malignant Hyperthermia 3:29 How can you identify patients who might be at risk of MH? 5:54 What’s the best way to test for this and what are the major signs and symptoms? 9:44 How do we manage an MH case when we think we have one? 15:48 The antidote to make this situation stop. 19:10 Details on dosing. 23:06 The potential complications that could occur. 26:43 Resources: Connect with the Malignant Hyperthermia Association of the United States (MHAUS): 1-800-664-9737 https://www.mhaus.org/ 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’re excited to dive into a topic we’ve been very curious about with a guest we’ve had the pleasure of interviewing previously. Tom Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA with a lot of high-level experience in anesthesia, and throughout his CRNA career, he’s really focused on two aspects of the profession: healthcare leadership and patient safety. In doing this, he’s learned so much about emotional intelligence and the role it plays in creating a preferred workplace. He joins us this episode to define emotional intelligence, explain why listening is crucial, and help us better understand how we can improve our own EI. Here are some of the things you’ll learn on this show: What does emotional intelligence look like? 5:11 The role that emotional intelligence plays in the workplace. 8:04 Why listening is at the heart of emotional intelligence. 11:32 Level 3 and Level 4 listening is so important in connecting with people. 17:45 How emotional intelligence can help improve the CRNA shortage. 21:53 What is the ‘drama triangle’? 25:25 Amygdala hijack and the emotional response that happens. 33:24 The behavioral continuum and how it impacts what you think, say and do. 42:41 What’s the best leadership style for the workplace and how can you bring in emotionally intelligent people? 46:46 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

Are you a CRNA who feels lost in the complicated world of retirement planning? With many different accounts and investment options, it’s easy to make mistakes when it comes to your finances. In this episode, Jeremy Stanley, CFP® will cover some of the mistakes CRNAs make with their retirement plan and help you better understand how to best utilize different account types to save for the future. Here are some of the things you’ll learn on this show: The different types of retirement accounts CRNAs commonly have. 3:50 What you should do with those retirement accounts with former employers? 7:52 Are you rebalancing your portfolio enough? 10:12 Why Target Date Funds aren’t as effective as you might believe. 11:26 Do you know what fees and costs you’re paying? 15:35 Investing options for CRNAs who are 1099 and independent contractors 18:12 Final retirement planning thoughts from Jeremy. 29:28 Get retirement planning assistance: 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 all experience acute stress. Sometimes on a daily basis. In this episode Jeremy breaks down acute stress and talks about the anatomy and physiology of stress. He reviews a theory on how highly stressful situations can affect our thinking and performance. He also points out how a certain amount of acute stress is actually helpful. Here are some of the things you’ll learn on this show: The anatomy of stress – what role does each part of the body play? (4:08) A theory of the psychology and physiology of stress. (11:01) The right amount of stress can actually be a motivator and enhance performance. (13:48) The BVM acronym provides strategies for handling stress. (15:45) Resources: David Grossman –On Combat: The Psychology and Physiology of Deadly Conflict in War and in Peace by Lt.-Col. Dave Grossman and Loren W. Christensen, PPCT Research Publications, 2004. A good site to see a representation of Grossmans’ Graph of how stress affects one’s psychological and physiological response: https://www.cdnfirefighter.com/stress-management-5807/ Marcus, Hani, et al. (2013). Practice makes perfect? The role of simulation-based deliberate practice. Neurosurgery 72:A124-A130. Bramson, Rachel, et al. (2011). Comparing the effects of mental imagery rehearsal and physical practice. Annals of Behavioral Science and Medical Education, Vol. 17, No. 2, 3-6. 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

More nurses are leaving the bedside every year and it has created a shortage nationally. If you’re listening to this podcast, you probably already know good and well about this issue. So what can be done to attract and keep more nurses? Former ANA president Ernest Grant, PhD, RN, FAAN joins us to sort through this pressing issue within the profession and share ideas about what can be done at every level to solve the problem. Here are some of the things you’ll learn on this show: Why is this crisis different than past nursing shortages. 4:30 What can be done on the frontend through school and attractive jobs to get more people interested in the profession? 9:25 What he thinks nurses want in their work environment based on what he’s learned. 20:27 Can the government do anything to help with the shortage? 26:55 Why ratios might not be the solution in some locations. 31:34 What does he think will actually happen in the upcoming years. 38:01 Check out Ernest Grant's previous appearance on the podcast: https://beyondthemaskpodcast.com/ep-139-nursing-politics-and-the-future-of-our-country-with-ernest-grant-phd-rn-faan/2960/ About our guest: https://www.nursingworld.org/news/news-releases/2022-news-releases/ana-president-dr.-ernest-grant-named-among-modern-healthcares-top-100-most-influential-people-in-health-care/ 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 CRNA profession continues to be a strong career path that allows you to comfortably save for retirement, but that doesn’t mean you shouldn’t always have a backup plan just in case. As we’ve seen over the last few years, crazy things can happen that shake up our day-to-day routines at a moment's notice. In this episode, we’ll talk with Plan B CRNA Podcast host Bobby Jones, MSN about how anyone can start a side hustle, and maybe more importantly, how and why they should consider it. Here are some of the things you’ll learn on this show: Why he began his podcast in order to help CRNAs with side hustles and wealth building. 5:20 The reason why most small businesses fail. 18:27 What’s he learned about cryptocurrency, being a loan signing agent, merchant processing, and holiday side hustles. 24:14 What pushed him to start the podcast and why did he want to focus on CRNAs. 30:08 Why you need to be prepared financially for the unexpected by having a plan B. 38:30 About our guest: https://www.oncallinvestments.com/ Check out the Plan B CRNA Podcast: https://theplanbcrnapodcast.buzzsprout.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

Many CRNAs are returning to school to earn their Post-Master’s Doctor of Nursing Practice but is it worth it to spend the time and money to earn another degree? You can find plenty of information and discussion about DNP project topics and people that have earned their DNP, but it’s not as easy to find a thorough explanation of how to go through that process and the actual value it provides. Devin Miller, CRNA, DNP joins the show today to get into the details of a DNP and tell us why he feels it can empower nurses after completing the program. Here are some of the things you’ll learn on this show: Background on the topic today and why Devin wanted to share more on getting your DNP. 3:59 Details on Devin’s DNP project. 8:56 What’s the point of going back to get your DNP? 17:23 Do you have to aspire to work in teaching at some point? 26:54 How to find your DNP project. 32:00 Don’t let yourself resist empowerment as a nurse. 48:29 About our guest: https://school.wakehealth.edu/education-and-training/nursing-programs/doctor-of-nursing-practice-program/projects/educational-intervention-to-improve-awareness-and-knowledge 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 in 2023, residual paralysis from neuromuscular blocking agents (NMBA) is still a problem. Recently a task force developed by the ASA released guidelines for the reversal of NMBA. Jeremy and Sass examine these guidelines and talk about what they mean for current anesthesia practice. Here are some of the things you’ll learn on this show: Background on this report and the three primary reasons for these guidelines. (2:30) What to know about the Train of Four ratio (6:34) The first three recommendations the guidelines provide. (10:31) Recommendations four through seven. (17:33) The final recommendation about atracurium and cisatracurium. (26:23) 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

Bill Bruce, MBA, CAE, took over as the CEO of the AANA last summer so we caught up with him to get an update on how the organization has progressed over his first eight months. It’s already been a busy term already with staffing changes and the AANA moving into a new building, but there are many policy issues to be managed and addressed as well. Join us as we find out what’s happening inside the AANA and how the organization is tackling key issues. Here are some of the things you’ll learn on this show: Update on the new AANA building the organization moved into a few months ago. (4:15) The efforts to make the organization more modernized and efficient, and the key staff changes that have occurred (9:49) What is the organization doing about supervision with current guidelines set to expire soon? (18:12) What’s the status of the VA and full practice authority? (23:48) The other big advocacy issues the AANA is paying close attention to. (27:38) How he’s adjusted to the new position as an ‘outsider.’ (29:51) Listen to our first conversation with Bill: https://beyondthemaskpodcast.com/ep-195-meet-the-new-aana-ceo-bill-bruce/3864/ About our guest: https://www.aana.com/about-us/aana-staff-directors 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 focus quite a bit on specific people or issues in nursing, but it’s always great to take a few steps back and take a high-level view of the profession. Today we’re excited to welcome someone who has been incredibly influential and has used that position to give back through service and endowment. Becky Patton, DNP, RN, CNOR, FAAN joins the show to give us a thorough assessment of the state of nursing today and address some of the industry's key questions and challenges. Here are some of the things you’ll learn on this show: The work she’s done in nursing through service, policy, endowment, and working with past Presidents. 2:28 The issues she feels are most important right now. 8:29 Why she feels relationships and shift times are why so many nurses are leaving the profession early in their careers. 12:07 Can we change the current model for nursing? 20:39 Her thoughts on the fraudulent nursing degrees that have been in the news. 27:10 Incorporating policy into the coursework for nursing students. 38:06 Her favorite memory from serving as ANA president. 45:25 Get her book: https://www.amazon.com/Nurses-Making-Policy-Third-Boardroom/dp/0826166458/ About our guest: https://case.edu/nursing/about/fpb-directories/faculty-directory/rebecca-m-patton 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

Hypovolemic shock is the final shock state in this series of episodes that focuses on the identification, management, and differential diagnosis of different shock states. Jeremy and Sass discuss current treatment options for a patient experiencing hypovolemic shock and some of the various problems that can occur during this crisis. Here are some of the things you’ll learn on this show: Which medications should you hold and which ones are okay to continue taking during surgery? (5:10) The different options for differential diagnosis. (9:09) The two variations of hypovolemic shock. (13:08) The mechanism of cardiac compromise at the cellular level. (17:33) What interventions can you take to save the patient if the bleeding begins? (20:16) A few questions relating to this topic to help students prepare. (27:51) 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 year it seems like more and more nurses are taking an active interest in politics, both local and regional, and today’s guest is someone who’s been on the rise as a public official. Sara Rodriguez, a nurse and community leader, won her campaign in Wisconsin to become the state’s next Lieutenant Governor and joins us today to talk about her shift from public health to policymaker. Here are some of the things you’ll learn on this show: Her background in public health and the Peace Corps. 3:13 How COVID triggered her transition into politics. 6:23 Using her background and nurse training to better communicate with the community when campaigning. 9:27 From serving in the legislature to Lt. Governor, what that jump has been like. 12:55 Does she think COVID and the pandemic would have been different if more nurses in politics. 18:14 What would she tell nurses who are considering running for a position? 24:48 The final thoughts she wants to leave for nurses. 32:49 About our guest: https://www.saraforwi.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

Nearly all of us have been in a situation where we’ve noticed something off or not right about someone we work with or someone we know but we didn’t say anything or take action. It’s a problem across the country, but the CRNA profession has a higher rate of substance use disorders than the general public. So how can we do a better job identifying and helping our peers who feel isolated and suffer from a substance use disorder? Today’s guest has spent a lot of her time in recent years trying to help educate people in this area. Leigh Taylor, DNP, MS, CRNA, APRN, presented at the AANA Annual Congress, which is where we first saw her and knew it’s a topic we wanted to spend more time discussing on the podcast. Here are some of the things you’ll learn on this show: Background on Leigh and the topic we’re discussing. 2:36 The substance abuse disorder data within the CRNA community. 6:50 Why does she think this is so prevalent in the community? 8:10 The stats show about 10% of CRNAs have an SUD. 13:46 The signs and symptoms to be on the lookout for 20:46 Where can you go to get help for someone? Here are some of the resources that are available. 26:05 The other drugs that are most common in those with SUDs. 30:18 What can you do if you feel like you’re suffering from this but afraid to speak up. 36:25 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

It’s not uncommon to use push-dose vasopressors for blood pressure management in anesthesia practice. Maybe even more so now than in the past. Jeremy and Sass talk about the various options and situations for blousing vasopressors, and perhaps most importantly which one to use. In fact, recently there was a Journal Course in the AANA Journal talking about the increased (and safe) use of push dose Norepinephrine which they review in this episode. Here are some of the things you’ll learn on this show: Why we’re administering push-dose vasopressors more often now. (2:18) Different vasopressors that we use. (7:09) Here’s our scenario for treatment for this episode. (10:45) What the research tells us. (13:03) Comparing phenylephrine to ephedrine. (18:03) How effective norepinephrine is and what are the concerns? (19:26) The best method for administering norepinephrine. (21:27) 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

Last year, President Biden signed the Inflation Reduction Act into law, and one of the items that received many of the headlines was the $80 billion allocated to the Internal Revenue Service. This will impact every taxpayer but what does it mean specifically for CRNAs and other nurses. Your work earns a nice paycheck every year so tax changes will have an impact on you. Plus, there’s a lot to pay attention to if you’re a business owner or a 1099 worker, which is a group that many CRNAs will fall into. Here are some of the things you’ll learn on this show: Background on why we’re talking about the IRS today. 2:25 How is this money being distributed and what will it be used for? 6:58 The IRS has the fewest auditors than at any time since WWII. Let’s look at some of the current auditing data. 11:48 How can CRNAs that are 1099 plan for this legislation? 16:42 Some final advice for CRNAs from Jeremy. 20:51 Contact CRNA Financial Planning: https://www.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

The 20th century was filled with advancements in nursing and anesthesia with much of the innovation coming in the world of pediatrics. One of the women who had a huge hand in improving the care for children was Betty Lank, who worked as the Chief Nurse Anesthetist at Boston Children’s Hospital for decades. Today we’ll look back and her life and career with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA and try to capture the impact she made on a hospital and a profession. Here are some of the things you’ll learn on this episode: The early life and childhood for Betty growing up in Canada. (3:22) How she became passionate about nursing after World War I. (5:16) What she accomplished during her time as the Chief Nurse Anesthetist in Boston. (8:31) Her role in advancing pediatric anesthesia. (17:50) The early involvement she had in state and national associations. (29:06) Her final resting place and how she’s remembered. (34:43) Nancy and Sandy’s final thoughts on Betty. (37:58) 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

You’re quietly sitting behind the drape and all of a sudden you see significant dysrhythmias on the ECG during an operation. Now what? In this episode Jeremy and Sass review a case of Cardiogenic Shock and go over the crisis checklist for this critical event. They also examine current diagnostic strategies and potential differential diagnoses. Here are some of the things you’ll learn on this show: Thinking about the cardiovascular system in three separate parts (2:18) Here’s the case we’re facing on today’s episode. (3:19) What are the initial thoughts on this overall picture? (4:33) What are the goals for managing this patient? (7:13) What happens if you see ST changes interoperatively? (9:48) Signs, symptoms and diagnostic criteria of cardiogenic shock. (12:13) What is prescribed? (19:50) The primary goal for this type of patient is to get them to the Cath lab. (24:12) Here’s a question to test your knowledge. (25:03) 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 talk all the time about the lack of nurse representation in policy-making positions, but that doesn’t make the data any less surprising. Today we’ll have a great discussion with Darlene Curley, EdD, RN, FAAN, about a study she recently completed on state nurse legislators. She’ll share some of the details with us in this episode and we’ll also have a wide-ranging discussion on how CRNAs and other nurses can continue increasing their involvement. Here are some of the things you’ll learn on this show: How she took an interest in community engagement and volunteering to a policy level. (5:17) Would the pandemic have looked different if more nurses would have been in more leadership positions? (12:21) Background on the study and what she found. (18:08) Why she thinks the trend is going (24:14) How can each of us support the nurses in these leadership positions. 26:09) How does a policy-maker decide about an issue without a background on that issue? (30:36) What are we losing by not having nurses representing us in all 50 states? (45:21) Read the State Nurse Legislature study: https://www.nursingworld.org/~4a6c69/globalassets/practiceandpolicy/advocacy/state/9.12.22-status-report--nurse-state-legislators-2020-22.pdf 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 visit to the NCANA meeting last fall, we had the opportunity to host a live podcast about lobbying for your state association and we had the pleasure of bringing NCANA lobbyists Patrick Ballantine and Tracy Kimbrell onto the panel with us. Both of them have been tremendous assets to our association because of their passion for lobbying. We explored that role to find out what skills it takes, how to utilize a lobbyist, and what you should expect from them. Here are some of the things you’ll learn on this show: Background on our guests today and how they got into lobbying for the NCANA. (2:38) What qualities does a legislator look for in a lobbyist? (7:09) What is the ultimate goal of lobbying? (9:50) How should the lobbyist interact with the organization? (15:49) How do you keep different groups and issues separated? (22:52) The importance of Lobby Days. (39:20) How can you evaluate the work your lobbyist is doing? (45:04) About our guest: https://www.parkerpoe.com/attorneys/tracy-w-kimbrell https://www.ballantinecompany.com/profile.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

The latest update to the ASA Difficult Airway Algorithm has a number of key changes that Jeremy and Sass will take you through in this episode of the podcast. You’ll notice that the Algorithm is much more practical and easier to use in an emergency. Overall there’s been a massive emphasis placed on situational awareness and limiting attempts, and for the first time, there are guidelines for pediatric difficult airways. Here are some of the things you’ll learn on this show: The updates to the algorithm that you should be aware of. (2:21) The most important changes in this fourth iteration. (3:14) Why airway management might not be safer today than it’s been in the past. (6:15) Intubation awake vs after induction. (9:17) Providing oxygen throughout airway management. (12:54) An update on capnography. (15:20) A greater emphasis on the passage of time. (16:09) Combination techniques. (19:01) Follow-up care suggestions. (20:38) Read more about the algorithm: https://pubs.asahq.org/anesthesiology/article/136/1/31/117915/2022-American-Society-of-Anesthesiologists 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

Necessity is the mother of invention and today’s guest is a living example of that. Suzanne Jagger, DNP, CRNA, APRN, was on vacation in Fiji when she got an email that her contract was up. Without work and a family to care for, she quickly decided on the trip to learn Botox and ended up starting her own business soon after returning home. Now Suzanne is helping other CRNAs and NPs learn how to follow her path to start their own aesthetic injectables practice, and she’ll share that experience on this episode. Here are some of the things you’ll learn on this show: The fascinating story of how she got started in this business. (4:54) Why she started training CRNAs and NPs. (6:21) What all does running a business entail and how much different is it from working as (9:58) How long does it take to start your own practice and will you make any money? (18:57) Why are CRNAs in a position to do great in this business? (21:53) She recommends advance practice providers to get the best training. (23:09) Why she calls aesthetics ‘happy medicine’ (35:38) About our guest: https://aurapdx.com/ https://www.appaesthetics.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

When you look back over the history of nurse anesthesia, the most forgotten group of nurses might have been those that served the country during World War II. It took nearly a half-century to tell their story but thanks to Carolyn Nicholson the legacy of that group of incredible nurses is being carried on today. We’ll look back at the war and the role of nurse anesthetists by telling the story of Adeline Simonson, whose experience is very much like all the brave individuals serving on the front lines. Here are some of the things you’ll learn on this show: Why she got interested in this topic and what’s she learned about that time period. (3:45) How she discovered Adeline and what she learned about her going overseas. (5:02) The training they received before leaving. (8:39) What agents were they using at that time? (13:02) How they dealt with anesthesia shortages and improved upon them. (16:49) Details on the horrible conditions that nurses had to endure. (20:34) The boom in anesthesia that happened following the war. (27:15) Carolyn’s experience meeting Adeline’s family. (28:39) Carolyn’s final thoughts on the topic. (34:52) 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

Before a CRNA ever gets to the operating room to perform anesthesia, they need to be thoroughly prepared for what they might face. Having checklists to follow is great, but they’re only effective if the diagnosis is correct. That’s why Jeremy and Sass believe in reviewing the principles related to crisis management so that you can make the correct diagnosis for every scenario you find yourself in. In this episode, we’re going to help you identify different shock states by reviewing differential diagnoses, the rationale for the treatment, and the mechanism of action of medications used for the treatment of the crisis. Then we’ll finish it off by providing a few test questions to better prepare you for upcoming exams. Here are some of the things you’ll learn on this show: How we think of shock. (3:18) The case we’re facing on this episode. (4:35) The issues you’re facing. (7:52) What can you rule out at this point and what shock state does this seem to be? (11:50) Signs and symptoms associated with cardiac tamponade. (13:29) The mechanism of cardiac compressive shock. (17:44) Diagnosing cardiac tamponade. (19:36) What treatment should you use to manage this scenario? (19:36) A few test questions to prepare you. (24:44) 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

CRNAs face stressful situations every day but that doesn’t always prepare them to deal with the obstacles that life can throw your way, especially when those events put a strain on your finances. Oftentimes, your relationship with a financial advisor might feel more like a therapy session during emotional times, and that’s ok. Let’s discuss some scenarios where it’s almost inevitable that a talk with your advisor seems like a counseling session. Here are some of the scenarios we’ll discuss on this show: Going through a divorce. (5:55) When you face career difficulties. (12:20) If you’re facing medical problems. (16:48) When you’re not happy with the financial decisions your kids are making. (21:18) The loss of a spouse (24:45) Learn more about financial planning: https://www.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

As we put the finishing touches on another year, we didn’t want to use this time looking backward. Instead, we want to zoom out and get a better idea of where healthcare is headed. Who better to discuss this than Scott Becker, who is the founder of Becker’s Healthcare and someone who has his finger on the pulse of the industry. We’re loaded with a long list of questions and have plenty we want to discuss, but we’re going to focus most of the conversation on anesthesia and the shortage of providers that will be a big issue heading into the new year and beyond. Having an outsider's perspective of our profession is incredibly valuable and we think you’ll agree after listening to everything he has to say. Here are some of the things you’ll learn on this show: How he started the business and how it’s evolved since the beginning. (4:02) The shortage of anesthesia providers will be one of the big issues in healthcare in 2023. (7:46) The future of CRNA salaries and whether pay increases are sustainable. (20:00) Could a reimbursement model based on acuity be a possibility? (30:24) Can rural hospitals survive in this current environment? (35:55) What will health insurance look like in the future and what are the main challenges? (42:41) What role does private equity play in the future of healthcare? (51:13) What bold move(s) can CRNAs or our associations take now to position ourselves as healthcare leaders? (55:48) About our guest: https://www.beckershospitalreview.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 shifting gears a bit in this episode by focusing on the examination side of anesthesia and hosting our first ever Q&A episode. Since students take a lot of tests in anesthesia school and CRNAs are prepping for the CPC examination, testing is a critical part of the profession. As educators, Jeremy and Sass both write a lot of test questions so they’ll share their experience from that side of the test-taking process. They'll also give you methods to analyze the questions in a way that can help you narrow down to the correct answer. Hey...it's Q&A day, so let us know what you think. Here are some of the things you’ll learn on this show: Which measure is an accurate indicator of preoxygenation? (3:04) Which effect explains the right work shift in the oxyhemoglobin dissociation curve? (6:15) Which factors cause a left work shift in the oxyhemoglobin dissociation curve? (10:14) Hypoxic Pulmonary Vasoconstriction is inhibited by…? (12:58) What is the infrared wavelength measured by pulse oximetry? (17:20) Which inspiratory muscles are involved with supplemental inspiratory effort during times of respiratory distress? (23:09) 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 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