Beyond The Mask: Innovation & Opportunities For CRNAs

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

Time is of the essence in the operating room, and it’s important that you’re able to track down the information you need as quickly as possible. Thanks to technology, this process is becoming much more efficient. Today we’ll introduce you to Matthew Willis, DNP, CRNA, the person who developed, coded and maintains the educational app Master Anesthesia. Find out how this app is changing the way nurse anesthetists are able to track down information and make instant calculations right from their phones. Get the app: https://masteranesthesia.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: 2:35 – What we’re talking about 3:53 – Matthew’s background 5:26 – What the app does 9:25 – Developing the app 12:50 – Why provide all this for free? 19:38 – How long did the coding take 23:45 – Capabilities of the app 25:49 – The calculator 29:22 – The future of the app 31:49 – His costs 33:42 – How can CRNAs get involved

The history of the nurse anesthesia profession is a bit murky as records weren’t kept well through the years as medicine and healthcare progressed, but there are opinions on who the first anesthetist was. Today we’ll examine the most likely candidates with our historians Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, and try to determine who can claim the title of the real first anesthetist. 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 – Background on this topic 6:36 – History books on anesthesia 10:21 – Historical information 15:08 – Humphry Davy 16:16 – Crawford Long 17:51 – Horace Wells 19:27 – William Morton 22:35 – James Simpson 23:06 – John Snow 28:39 – The real first anesthetist according to AANA 33:56 – Who was in the earliest American hospitals? 38:08 – Disputes 40:44 – The role nuns played 42:58 – The evolution of names for anesthetists 46:32 – Sandy’s opinion on first anesthetists 48:21 – Final thoughts Resources mentioned on the show: The Wondrous Story of Anesthesia The Etherist Podcast The Global Voice for Nurse Anesthesia - IFNA (1989-2021)

It’s something outside people might never think about but ambient noise can have a direct impact on the health of CRNAs and the safety of the patients. Many people working in operating rooms don’t realize the effect that elevated noise levels can have and there might be different reasons for that. But we wanted to bring Marianne Cosgrove, CRNA, DNAP, APRN, PhD, onto the show to tell us more about the research she’s done in this area and what she’s found. Read more: http://beyondthemaskpodcast.com About our guest: https://medicine.yale.edu/profile/marianne_cosgrove/ 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: 2:06 – Welcome in our guest today 4:15 – Where did this interest come from? 6:45 – Sharon’s background in this subject 7:56 – Her study 13:27– Sound levels in the OR 15:43 – Return on the surveys 18:35 – Other survey findings 20:00 – Other contributors to the noise 22:42 – CRNAs reaction to this 26:41 – Patient safety 29:54 – How to mitigate the noise 34:44 – Lightning Round

Incivility and bullying can be found in all types of environments in our society and that’s unfortunately true with the academic and clinical settings for SRNAs. This can create an environment that interferes with a student’s ability to learn, ability to cope, relationships, health and well-being. Holly Chandler EdD, CRNA, conducted a study with students to learn more about the issues they're facing and joins us to share her findings and look at the larger problem within the healthcare industry. Read more: https://beyondthemaskpodcast.com/ About our guest: https://www.bryanhealthcollege.edu/bcohs/faculty-staff-directory/nurse-anesthesia-faculty/meet-holly/ 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: 3:39 – Why the topic is important 5:19 – Background on Holly 6:56 – Incivility vs Bullying 8:48 – Has Sharon ever felt bullied? 11:13 – SRNAs put in tough position 13:41 – Student risk 17:28 – Reporting 19:47 – Resources that are available 22:40 – What to do if you have a colleague behaving this way? 25:10 – Encouraging people to speak up 27:23 – Self-policing 29:59 – Is this more of a societal trend? 32:35 – Jeopardizing accreditation 34:21 – Lightning Round

If you’ve ever considered being your own boss and building a business that can supplement or replace your CRNA income, there are paths out there that our peers are paving. One of those people is Mariann Trice, CRNA, ARNP, who transitioned to an independent practice after working more than 30 years in the medical field. Today she’ll tell us about her journey into entrepreneurship, the continuing education process, and why aesthetics and wellness have become a booming business. About our guest: http://luminositeaesthetics.com/ Read more: https://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 – Background on our guest today 6:02 – Move to Seattle 8:26 – A W2/1099 offer she received 10:22 – Launching her new business 12:21 – Additional training required 14:39 – 3 CRNAs that offer training courses 18:40 – Biggest challenges in this journey 21:14 – Starting during a pandemic 23:19 – Market is booming 24:37 – Pandemic’s impact on the industry 26:03 – ‘Brotox’ 30:24 – Income 37:52 – Limitations 41:51 – AANA advocacy 47:56 – Biggest reward 51:36 – Social media marketing 55:43 – Final thoughts

Talking about money isn’t an easy thing for most people to do. That’s why conversations around CRNA contracts can get uncomfortable and eventually lead to deals that don’t provide the value or benefits that you want and deserve. That’s why we’ve invited Jon Appino, founder of Contract Diagnostics, to talk about the negotiation process and how to approach your next contract review. Read more: https://beyondthemaskpodcast.com/ep-163-how-to-negotiate-review-crna-contracts/3151/ About our guest: https://contractdiagnostics.com/about-us/ 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: 2:16 – Background on guest and topic 4:07 – How he got into this business 8:03 – What is negotiable 10:07 – Tactics for negotiating 15:44 – W2 vs 1099 19:03 – Helping people understand their options 21:55 – Understanding your worth 25:57 – Red flags in contracts 27:56 – AANA compensation benefit study 31:19 – Current trends 34:12 – Is it okay to push back? 36:26 – What do these services cost? 40:05 – Re-negotiating 41:29 – Pay for men vs women 43:27 – Lightning round

Being a CRNA means caring for and about people and you won’t find many people that are better examples of that than Linda Moore, CRNA, BS. The former president of the NCANA has been in nursing for nearly 50 years, using much of that time on advocacy and volunteerism. Today she joins us to share that experience and help us understand why it’s so critical to nurse anesthesia. Read more: https://beyondthemaskpodcast.com/ep-162-a-lifetime-of-advocacy-volunteerism-with-linda-moore-crna-bs/3145/ Watch the documentary referenced on the show: https://app.box.com/s/ldy0pye5lpnccccdgmt29b044e563m60 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: 3:01 – Background on Linda 7:08 – Why advocacy & volunteerism is important 9:22 – Nursing Practice Act 12:56 – Lessons she’s learned 13:59 – Mentorship 18:01 – Where she volunteers 23:46 – Political involvement 27:24 – Her role within NC Democratic Party 31:42 – Final thoughts on the topic 33:20 – Lightning Round

As we prepare to turn the page to the new year, it’s time to start thinking about our goals and laying out the resolutions we want to achieve in 2022. Sharon and Jeremy will take you through 22 life and money resolutions that will help you grow as a CRNA and put you on a path to financial freedom. Read more: https://beyondthemaskpodcast.com/ep-161-22-life-money-resolutions-for-2022/3132/(opens in a new tab) Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 2:01 – Looking back on 2021 3:17 – Setting goals and resolutions 4:35 – Resolution #1 – Reduce your debt 7:11 – Resolution #2 – Boosting retirement savings 8:41 – Resolution #3 – Prepare for unexpected 10:57 – Resolution #4 – Don’t overreact to the headlines 12:24 – Resolution #5 – Set a budget 15:13 – Resolution #6 – Meet with financial & tax advisors 16:52 – Resolution #7 – Check beneficiary designations 19:39 – Resolution #8 – Carve out time for tough conversations 21:40 – Resolution #9 – Audit your insurance 22:58 – Resolution #10 – See if refinancing your home makes sense 23:46 – Resolution #11 – Organize your finances 25:35 – Resolution #12 – Check your credit 28:06 – Resolution #13 – Understand and review 1099 options 35:06 – Resolution #14 – Have a retirement income plan 31:34 – Resolution #15 – Look for more donation opportunities 33:00 – Resolution #16 – Ask about Roth conversions 34:30 – Resolution #17 – Update paycheck withholdings 35:21 – Resolution #18 – Rebalance your portfolio 35:51 – Resolution #19 – Plan your transition into retirement 37:30 – Resolution #20 – Consolidate your accounts 38:19 – Resolution #21 – Define your why or revisit it 40:08 – Resolution #22 – Listen to more episodes of the podcast 41:24 – 5 signs for good financial health

Our historical series wouldn’t be complete without an episode dedicated to the life and accomplishments of former AANA president Helen P Vos. What better way to truly understand her impact on the profession than by talking with two of her former students who were later mentored by Ms. Vos. Let’s welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to the show to tell us about this special person. Read more:https://beyondthemaskpodcast.com/ep-160-remembering-helen-vos-the-mother-of-continuing-education/3127/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 3:31 – Introducing today’s subject 4:37 – Early life 8:29 – A spirit for adventure 12:20 – Education 19:15 – Her work in anesthesia 25:00 – Career as a CRNA 28:26 – Story about how direct she could be 33:14 – Service to the AANA 38:29 – Mother of Continuing Education 43:52 – Her passing 50:06 – Final thoughts on Helen

Patients trust that their healthcare providers are sending them to the best surgeon possible when the need arrives, but that’s not always the case. Too often, patients aren’t receiving the best match when surgery is required due to outdated methods but times are changing. Sanjay Prasad, MD, CACS, started the company SurgiQuality to better track surgeon results and better identify quality of care. Today he joins us to talk about this new business and its goal to improve both costs and care for all parties. Read more: https://beyondthemaskpodcast.com/ep-159-tracking-surgeon-quality-to-improve-cost-care-for-patients/3121/ About our guest and his book: https://resettinghealthcare.com/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 2:36 – Background on our Dr. Prasad 5:03 – What’s the issue with surgical referrals right now? 7:52 – How SurgiQuality operates 10:18 – Acquiring data on surgeries 13:51 – COVID’s impact on healthcare 16:56 – Where are we headed? 19:02 – Dealing with difficult patients 21:20 – Working with surgeons for tracking results 24:02 – Dr. Prasad shares a story 26:11 – Who buys into SurgiQuality? 26:11 – How many companies are self-insured? 29:40 – Medicare and Medicaid 30:31 – Cost savings 32:22 – Details on his book 33:22 – Building the SurgiQuality platform 35:30 – Final message from Dr. Prasad

Although you never go into a patient’s room with the expectation that anything will go wrong, sometimes it does. It’s important for nurses to be prepared in the event that a lawsuit is ever filed against you. Today we’ve invited attorney Nick Dowgul to the show to tell us more about the legal process and what can happen to your nursing license after a lawsuit. There’s a lot to learn and we want to make sure you are able to protect yourself and your career. Read more: https://beyondthemaskpodcast.com/ep-158-how-to-protect-your-license-from-litigation/3113/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 3:24 – Background on Nick 5:19 – Malpractice coverage 8:50 – Lawsuits impacting your license 10:46 – How investigations work 12:06 – Pulling cell phone records of nurses 16:07 – Examples of cases he’s seen 21:31 – Where you can find infractions? 22:14 – Failing to adhere to minimum standards case 24:14 – Following a doctor’s order 30:16 – Should you get a lawyer? 32:00 – Insurance side of this 34:14 – How to find someone like Nick 35:53 – Summarizing the conversation

We’ve stressed the importance of having CRNAs in clinical leadership positions as well as local government positions, but it’s equally valuable to have our peers in academic leadership roles as well. That’s why we’re excited to welcome Angela Mund, DNP, CRNA, back onto the show to talk about her new position as a department chair at the Medical University of South Carolina. In the first few months, she’s learned quite a bit about many different divisions and she’ll share some of that with us along with helping young CRNAs that are considering a similar path in academia. Read more: https://beyondthemaskpodcast.com/ep-157-why-having-nurse-anesthesia-academic-leadership-matters/3101/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 4:36 – Welcome in Dr. Mund 5:44 – Her academic background 8:51 – What divisions she oversees 11:30 – Learning curves 13:45 – How did she get this role 15:25 – Advocating for CRNAs 19:29 – Favorite part of this role 21:42 – Biggest challenges 24:31 – How her experience as a CRNA has helped 28:28 – CRNAs that want to go this route 37:40 – Impact of moving to the doctorate 41:51 – Quality and quantity of students increasing 47:44 – Closing message from Angie

Money drives many of the decisions industries have to make and healthcare is no exception. As things become more expensive and less efficient, people are looking for ways to improve the quality and cost of care. Ian Hewer, PhD, CRNA, is an assistant professor at Western Carolina University and has turned much of his focus to healthcare economics and QZ team billing. Today he’ll tell us more about this team approach, how it’s impacting cost, and why it’s a good thing for CRNAs. Read more: https://beyondthemaskpodcast.com/ep-155-how-the-economics-of-healthcare-could-change-anesthesia/3076/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 4:34 – Introducing today’s guest and topic 6:53 – The anesthesia care team model 11:24 – Background on QZ billing 14:15 – Supervision 16:45 – How will affect the future of anesthesia? 22:48 – What does the average anesthetist make? 26:03 – Outcomes vs amount spent 30:57 – Solutions for the future 35:49 – What patients think of their care 37:02 – Problems with employer-based insurance system 38:34 – Two options we face 42:46 – CRNAs in good position 44:10 – Lightning Round

Research is crucial to pushing the CRNA profession forward and that’s something that the AANA Foundation has dedicated its efforts to. To help us understand why so many resources are being poured into research and what we’re learning about anesthesia, AANA Foundation CEO Lorraine Jordan, PhD, CRNA, CAE, FAAN, joins the show. She shares the mission behind the foundation and gives us her perspective on what's ahead for CRNAs. Read more: https://beyondthemaskpodcast.com/ep-155-proving-the-quality-and-cost-efficiency-of-crnas/3087/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0 What we discuss in this episode: 5:12 – Welcome on Lorraine 9:09 – Why we picked this topic 11:37 – Cost of research studies 15:23 – Research results 24:48 – Quality not being a priority 29:10 – CRNAs in rural areas 35:27 – Anesthesiologists and CRNAs working together 39:02 – Lorriane’s forward vision 45:20 – How to donate 50:10 – Final thoughts

You won’t find Anne Penland’s name mentioned very often in the early history books about nursing, but this North Carolina nurse anesthetist served our country in some of the toughest environments. Our historical series continues with a spotlight on Penland and all of the incredible detail she provided on the war and early 20th-century anesthesia thanks to a well-written diary. We’re joined by our resident historians, Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about this incredible person. Read more here: https://beyondthemaskpodcast.com/ep-154-anne-penlands-story-nursing-on-the-frontlines-of-world-war-i-and-early-20th-century-medicine/3069/ 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: 2:57 – Great feedback on the historical series 4:30 – Why is Penland so important? 5:45 – Early life 8:38 – Her time in Europe during WWI 13:35 – Working as a nurse anesthetist during the war 16:10 – Lessons learned from her diary 20:48 – Happy moments from the diary 22:48 – Serving with Agatha Hodgins 26:08 – Recognition for her service 29:42 – After the war 34:26 – Ceremony in 2017 41:54 – From the military to civilian healthcare 44:16 – So much happening in the world at the same time 47:51 – Building on the past 53:01 – Where to get additional information

There’s no doubt that anesthesia is a big business but not every CRNA pays attention to that side of the profession. It might not be something you’re immediately interested in, but it’s important to help you understand your true value as a CRNA. Today we’re going to ask Tracy Young, MSNA, MBA, CRNA, the CEO of YPS Anesthesia, about a number of important topics involving the business side of anesthesia and what the future might hold as the industry evolves. Read more: https://beyondthemaskpodcast.com/ep-153-the-business-side-of-anesthesia/3060/ About our guest: https://ypsanesthesia.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: 2:41 – Excited for our guest today 3:58 – Background on Tracy 6:00 – How much the business has grown 7:42 – Trials and successes 9:56 – CRNAs that want to build a business 12:41 – Other areas he’s interested in beyond anesthesia 18:47 – How COVID has changed hospitals and health facilities 22:57 – Creating a great workplace 28:12 – Flexible models 30:12 – 1099 vs W-2 36:45 – Advice for healthcare insurance 39:17 – Understanding your value 45:14 – Cost-effectiveness of CRNAs 50:46 – Future for CRNAs 54:45 – What scares him the most about the future 56:36 – Lightning round

Technology has been changing the healthcare industry for many years now but we’ve reached a point where computers have gone from outside the body to inside the body. Computerized surgical implants are being utilized in many different capacities to provide better care for patients, and that’s presenting some unique challenges for CRNAs. Today we talk with Adam Flowe, CRNA, who is the Chief Nurse Anesthetist at Duke, to talk about all the advancements in technology and what it means for the profession today and in the future. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-152-the-growth-of-computerized-surgical-implants/3054/ 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: 3:16 – Welcome in Adam 4:23 – Background on Adam 6:51 – Why this topic? 11:42 – Why are we seeing more of these implants? 13:23 – Different types of implants 21:42 – Challenges for anesthesia providers 23:39 – Training SRNAs for this 26:59 – Can we be made smarter? 30:52 – Elon Musk health technology company 41:54 – How long can the body tolerate these things 42:38 – Final thoughts 43:19 – Lightning Round

Long-term relationships, whether they be personal or professional, have been under tremendous stress since the start of the pandemic. The same dynamics that typically produce rewarding relationships can also be turned around and used to negatively affect the parties involved. Keith and Lynn Macksey, CRNA, wrote Miracles in Marriage during COVID to explore the miracles that lie within these special relationships in our lives. Today we hear their story, learn from their experiences, and pick up a few tips and techniques that we can apply to our own relationships. Read more: https://beyondthemaskpodcast.com/ep-151-tips-techniques-for-maintaining-strong-relationships-during-the-pandemic/3049/ Check out their book on Amazon: https://www.amazon.com/Miracles-Marriage-Long-term-Committed-Relationships/dp/B08WV2Z3RM 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: 3:33 – Why this topic? 4:46 – Story behind the book 9:35 – The value of the book 12:12 – Context drives content 15:38 – Story about one of the characters in the book 21:02 – Creating a positive context 24:45 – When you partner drives you nuts 31:04 – The CRNA personality type 37:00 – How we learn about relationships 40:16 – Where breakthroughs come from 47:35 – Taking things personally 56:09 – How age impacts things 1:00:51 – Ultimate veto 1:02:11 – Love is a verb not a noun 1:06:08 – Final thoughts

With the resources and skills that CRNAs possess, they are trained to succeed in crisis situations, which is why more and more of our peers are assisting in disaster response. One of those generous people is Corinne Chausse, a CRNA from North Carolina that has worked on the front lines of Iraq, at the epicenter of the pandemic, and other highly stressful locations. Today she joins the show to talk about this experience, share remarkable stories, and explain the many benefits of serving in these response roles. Read more: https://beyondthemaskpodcast.com/ep-150-expanding-role-of-crnas-in-disaster-response/3042/ 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: 4:09 – Background on Corrine 6:47 – Places she’s traveled to 10:41 – Preparing herself for these violent locations 11:54 – Handling blast injuries 14:55 – Influencing her work at home 16:38 – Dealing with COVID in NYC 21:16 – Positive memories she has 26:54 – The tremendous levels of stress 34:24 – Advice CRNAs with an interest in this work 37:54 – Lightning Round

For the past 50+ years, numerous quality of care studies have been published that evaluated outcomes based on the anesthesia provider. These studies have produced great data but some of the research methods and findings were flawed. That’s been used by the ASA and AANA to promote agendas. We’ve invited Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, back on the show to tell us about the different studies through the years and sort out the difference between fact and fiction. Read more: https://beyondthemaskpodcast.com/ep-149-quality-of-care-studies-in-anesthesia-fact-vs-myth/3034/ AANA Document: Quality of Care in Anesthesia Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf What we discuss on this episode: 4:27 – An overview of the studies and findings 6:58 – Studies from the 1970s and 80s 10:58 – Bechtodt study 14:48 – When Sandy was president elect 17:30 – The Silber Study 24:00 – Flawed results 26:45 – Analysis by Dr. Michael Pine 31:48 – Abenstein and Warmer article in 1996 32:27 – Vila Study in Archives of Study 33:17 – Dulisse & Cromwell study 38:15 – Needleman study in 2008 39:41 – Simonson study in 2007 41:15 – What do we know now in 2021? 43:05 – How to learn more 48:04 – We need to keep producing data 53:21 – The future is quality, cost and access