Beyond The Mask: Innovation & Opportunities For CRNAs

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

The rate of mental health illness has already been on the rise among young adults and these past two years have added even more stress to our lives. We know first-hand how difficult things have been for healthcare workers and students alike. Michael Rieker, CRNA, DNP, FAAN, like many people, has been personally impacted by suicide and now uses that experience to help improve the mental health for people he comes in contact with each day. He joins us on this episode to talk about the challenges facing our industry, how we can personally make a difference in someone’s life, and an upcoming event that will honor the memory of an SRNA. Read more: https://beyondthemaskpodcast.com/ep-148-mental-health-awareness-for-healthcare-workers-and-trainees/3022/ About our guest: https://school.wakehealth.edu/Faculty/R/Michael-Rieker 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: 2:44 – Welcome in Mike Rieker. Why this is important to talk about. 4:53 – Background on Mike 5:32 – What has been driving mental health issues 8:49 – Effect on healthcare workers 13:20 – The quiet stressors 18:48 – Enormous pressure on anesthesia students 22:48 – Lessons he’s learned 27:06 – Empathizing with people 30:22 – Providing support 34:43 – Difficulty in finding balance 39:00 – The annual run 40:59 – Final thoughts 41:29 – Lightning round 45:25 – Details on the run

One positive that’s emerged from the pandemic is the reality that nurses are extremely good at their job and can thrive in an independent setting. The hope is that this will help APRNs and CRNAs move closer to a career where they can practice to the full extent of their training and education without statutory barriers. Today we’ve invited Ronald Castaldo, PhD, MBA, MS, CRNA, APRN, onto the show to discuss the pro-APRN wins in recent years and to help all CNRAs understand the importance of the state boards of nursing. He also provides a detailed background and breakdown of the APRN Consensus Model and the APRN Compact. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-147-aprn-regulation-and-independent-practice-with-ronald-castaldo-ph-d-mba-ms-crna-aprn/3017/ 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: 2:59 – Welcome in Ron 6:37 – State board of nursing 8:35 – Different levels of discipline 12:57 – What gets reported to the national practitioner databank 16:09 – Losing your nursing license 21:12 – What is the APRN Consensus Model 26:29 – CRNAs working independently 32:13 – APRN compact 39:37 – Pandemic silver lining 40:32 – What’s the process to move states? 42:17 – Opponents to this 45:12 – Final thoughts 48:48 – Lightning round

Being a great leader doesn’t require a person to be in a position of power. Every CRNA has the opportunity to make a difference each day by leading up. The dean of Loma Linda University’s School of Nursing, Shawn Collins, PhD, DNP, CRNA, joins the show today to talk with us about this idea of making an impact from whatever role you’re in. Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-146-leading-up-how-crnas-can-lead-without-being-in-charge/3012/ 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: 2:39 – Background on our guest today 5:03 – Why this topic is important 6:11 – Different types of power 9:21 – What is leading up? 12:47 – Takeaways from being on hospital board 14:34 – Tips for leading up 18:20 – Emotional intelligence 22:43 – Leadership is learned 24:48 – Final thoughts from Shawn 26:45 – Lightning Round

You might have noticed a surge in articles and stories about the nurse anesthesia profession in recent days and weeks, and that’s because of the push for regulatory reform. Joe Rodriguez, CRNA, has always been one to push for change and advocate for healthcare policy reform, and that’s the position he’s in once again. He joins us on this episode to discuss the changing landscape in the AANA, why leadership needs to be a priority, and explains what reform can mean for the future. Read more: https://beyondthemaskpodcast.com/ep-145-why-regulatory-reform-strengthens-the-crna-profession/3007/ 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: 4:51 – Welcome in Joe 7:28 – Why we’re discussing this right now 10:55 – Background on Joe and his practice 14:44 – Diving into politics 18:22 – Building relationships 20:57 – How advocacy has impacted business 25:28 – Being scared of losing 30:35 – Corporate responsibility 34:30 – Time and effort it takes 38:36 – Collaboration is key 41:43 – Value in nurse anesthesiologist 44:44 – Biggest challenge facing CRNAs 48:42 – Message to folks that disagree with him 54:09 – Final thoughts 54:43 – Lightning round

The issue of diversity isn’t one that’s limited to certain areas of the country or specific professions. It’s a problem that people everywhere are trying to solve, including the CRNA profession. We want to explore the topic and try to get a better understanding of the barriers and challenges for minorities entering this field so we asked Richard Flowers, CHSE, CRNA, DNP, to join the show to provide us with his insight and experience in this area. Read more: https://beyondthemaskpodcast.com/ep-144-cultural-humility-in-the-nurse-anesthesia-profession/3002/ 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: 4:24 – Excited for our guest today 7:27 – Background on Richie 10:06 – Why is this topic important 13:18 – Where does the problem start? 18:17 – Bringing awareness and context to the problem 20:19 – Barriers to diversity 25:05 – Cultural humility vs Cultural competence 26:58 – Programs at Wake Forest 36:04 – Millennials’ view of race 39:17 – Takeaway for CRNA listeners 44:32 – Why are you teaching this? 53:05 – Lightning round

Back in 2006, the AANA Board of Directors appointed a Doctoral Task Force to explore the future direction in nurse anesthesia education. Sandy Ouellette was chosen to co-chair the task force and help lead those discussions that would shape the future for CRNAs. Today she joins us to provide an inside look at how it was composed, the original purpose and process, and all of the options were on the table. Get the show notes: https://beyondthemaskpodcast.com/ep-143-a-complete-look-into-the-aana-doctoral-task-force-with-sandy-ouellette-crna/2983/ 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: 2:07 – Welcome back Sandy 4:37 – Events that led to the task force 6:59 – Move to university-based graduate programs 9:00 – What happened in 2004 11:56 – Summit meeting in 2005 to create the Task Force 13:27 – Start of the Task Force 16:33 – Who was appointed to the Task Force? 20:06 – Responsibilities given to the task force 21:49 – The options they had to decide on 23:59 – Board adopts a position 25:51 – Thoughts behind the options the discussing 32:17 – Option 2 discussed 35:58 – Option 3 38:30 – Option 4 43:36 – Cautionary tales she would share with other directors 49:39 – Lightning Round

As CRNAs continue to push for more awareness and understanding of the profession, social media has emerged as one of the great tools for accomplishing this goal. Rhianna Ferial, CRNA, and her husband have completely embraced the medium on multiple platforms to educate, mentor, and inspire. Today she joins the show to talk about the reason she devotes so much time to social media and how it ties into her entrepreneurial drive in conjunction with anesthesia. Show notes: https://beyondthemaskpodcast.com/ep-142-promoting-crnas-anesthesia-through-social-media/2978/ Connect with Rhianna: https://www.instagram.com/rhiannaferial/?hl=en 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: 3:32 – Welcome in Rhianna 6:03 – Background on her nursing career 8:07 – Importance and influence of social media 9:50 – Becoming aware of the CRNA profession 10:44 – How she got started in social media and what platforms she uses 13:16 – Pursuits outside of anesthesia 14:42 – Real estate investing 17:40 – Goal to become a millionaire 22:51 – When do you want to retire from anesthesia? 25:52 – Working per diem 27:32 – What’s the ultimate objective 31:05 – Her Financial Freedom business 34:19 – Why the passion for finance? 37:23 – Final thoughts 39:35 – Lightning round

When it comes to saving and investing during your working career, CRNAs can find plenty of help and resources to get them to retirement. Unfortunately, there’s not nearly as much support to help you manage that nest egg and spend down your assets. This period, known as decumulation, is just as important as anything you do with your finances so let’s make sure you know what it takes to retire successfully. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-141-5-things-crnas-must-know-about-decumulation-to-retire-successfully/2972/ 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: 4:00 – The retirement topic we’re covering today 6:24 – Preparing for longevity 9:17 – Finding the right type of support for retirement 12:23 – Fear of spending money is a real thing 15:42 – Risks in retirement 18:43 – Taxes play such an important role. 22:08 – Jeremy shares a client story 24:07 – Replacing your paycheck 27:20 – What age should you start planning? 30:07 – Final thoughts from Jeremy 31:43 – Lightning Round

The beauty of technology is that information is accessible to anyone, anywhere, and the ability to learn is right there at our fingertips. Thanks to FOAM (Free Open Access Meducation), CRNAs are able to pull from all types of resources to continue education and improve their anesthesia skills. To help us understand what is available and how these digital platforms are giving content creators an outlet, we’ve asked Jon Lowrance, MSN, CRNA, the producer at Anesthesia Guidebook, to join us on the show. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-140-free-open-access-meducation-leveraging-social-media-podcasting-for-learning/2967/ 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: 2:49 – Background on Jon 9:06 – The educational role of podcasting 14:50 – Asynchronous learning programs 18:05 – Peer review standards 24:03 – Addressing outdated content 28:52 – Charging for content 37:29 – Teaching about CRNA history 40:29 – Learning by audio 47:40 – Closing thoughts 50:47 – Lightning round

Many issues are facing our country right now and nurses will play a key role in helping communities move forward. As the most trusted profession, nursing should embrace that position and that’s what many leaders are trying to do. ANA President Ernest Grant, PhD, RN, FAAN, joins us on this episode to share his view on what he feels are priorities right now, how nurses can impact the future, and why representation is still crucial for the profession. Read more: https://beyondthemaskpodcast.com/ep-139-nursing-politics-and-the-future-of-our-country-with-ernest-grant-phd-rn-faan/2960/ 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: 3:03 – Excited to talk with Dr. Ernest Grant 3:54 – Bringing more sectors of nursing together 5:45 – Background on our guest 8:25 – How Sharon and Ernest met 11:45 – Why is this so important right now? 17:01 – Nursing is the most trusted profession 21:43 – Vaccinations 28:52 – AANA Newsletter 30:48 – Health and policy 40:22 – Financial situation for nurses 47:38 – Future of nursing report 54:31 – Bringing more people into the profession 1:03:33 – Lightning round

Before we share anything, please note that this is an emotional episode. Not only was the journey to a DNP a long and arduous one for Sharon with plenty of highs and lows that we’ll discuss, but we begin the show with heartbreaking news about Sharon’s granddaughter, Emma Kate. It’s tough to discuss but it’s important for the healing process and we appreciate everyone for the support along the way. Read more: https://beyondthemaskpodcast.com/ep-138-the-highs-lows-of-sharons-journey-to-a-dnp/2951/ Details on the upcoming walk to remember Emma Kate: https://grouprev.com/HALOSWALK2021-jillian-pechacek?fbclid=IwAR0h0VNcATrqUTMrJ7xHQqP4YS2kxgoSo7kmIac_BHxsYeiLW-__iuMoSHQ#.YPRcAR48eeA.facebook 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: 2:25 – Plan for the show today 3:32 – Heartbreaking loss for Sharon’s family 8:39 – Sharon’s journey to get her DNP 13:01 – The why behind her decision 15:28 – Pros and cons of distance learning 18:34 – Why should you go back to get your DNP? 22:54 – Words of wisdom 26:57 – Getting overwhelmed through this journey 32:46 – Looking back on the process 35:45 – Final message to the younger CRNAs

On this episode, we’re going back to a previous conversation with the three women behind the Scrub Caps & Sippy Cups podcast. This trio does great work for mothers in our profession so we wanted to spotlight them once again on the show. Plus, a lot has changed for them since we talked in early 2020. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-137-balancing-motherhood-with-a-crna-career-with-the-smart-mamas-re-release/2946/ About our guests: https://www.facebook.com/heysmartmommas/ 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: 0:50 – Why we’re revisiting this conversation 5:23 – Welcome our guests 6:18 – Background on Laci 7:19 – Background on Ellen 8:23 – Background on Crystal 10:24 – Why this topic is so important 11:52 – Connecting through social media 16:24 – Misconceptions about parenting 18:37 – Breastfeeding 25:58 – Keeping marriage intact 34:56 – What do you do for yourself? 38:18 – Maintaining your own identity 40:45 – How to connect with them 41:25 – Final Thoughts

Testing is never a relaxing experience and that’s why the upcoming CPC Assessment has created some anxiety for CRNAs. Thankfully, the duo behind APEX Live is working hard to help educate and prepare CRNAs through events, podcasting, and teaching. Jeremy Heiner EdD, CRNA and Sass Elisha EdD, CRNA, FAAN join us today to tell us more about the work they’re doing and then take us through some sample questions that might be found on the assessment. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-136-apex-live-anesthesia-helping-crnas-prepare-for-cpc-assessment/2942/ About our guests: https://www.apexlive.com/podcast 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: 3:45 – Introducing our guests today 5:52 – Background on Jeremy and Sass, and the podcast 9:48 – Educational goals for the podcast 14:26 – Instilling confidence in testing 19:38 – Using humor 25:37 – APEX Live events 31:22 – How they develop their questions 33:44 – Sample questions 37:30 – The four domains on the test 38:08 – Test question 42:33 – Crisis checklist 50:28 – Test question 57:42 – Ways to connect with Jeremy and Sass 1:00:00 – Lightning round

No matter how closely you follow standard of care, mistakes can be made in the operating room. CRNAs often get named in claims, even if they did everything right, so it’s important to be aware of how this happens. Marjorie Everson, PhD, CRNA, has been studying closed claims and there are plenty of findings that she hopes can help CRNAs and SRNAs in the future. Read more and get additional resources here: https://beyondthemaskpodcast.com/2936-2/2936/ 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: 3:12 – Introducing Marjorie 6:11 – Why is this so important for CRNAs? 7:39 – Defining closed claims 9:26 – Key Findings 12:31 – Why does it happen to experienced CRNAs? 19:03 – Any follow-ups? 24:25 – Story about turning patient away 28:19 – Unexpected findings 32:23 – Are students taught how to say no? 35:19 – Violations that were found 41:34 – Final thoughts from Marjorie 42:24 – Lightning Round

Home values continue to rise all across the country and it has many people thinking back to the crash of 2008. Are there parallels or is this time different? Josh Mettle of NEO Home Loans joins the show to share his data and insight into the real estate market. Plus, he’ll tell us how he helps CRNAs secure a mortgage with a 1099 income. Read more: https://beyondthemaskpodcast.com/ep-134-the-state-of-the-us-housing-market-crash-or-opportunity/2931/ 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: 2:33 – Introducing our guest Josh 3:48 – His background 6:44 – The book that impacted Jeremy 9:45 – Who are you mentoring? 13:36 – 2008 housing crash 17:04 – How today’s housing market isn’t like 2008 18:53 – Josh’s view of the real estate market 24:12 – Does this take into account census data? 26:42 – Existing homes for sale 28:37 – The demand side of the equation 37:47 – What should you be doing today in real estate? 41:05 – Mortgages for 1099 employees 46:34 – Commercial properties 50:07 – Final thoughts

The rate of suicides among our veteran population continues to rise and the number is probably higher than most people realize. The good news is people are leveraging incredible new data to improve support and care for those that need it most. Kevin Driscoll, DNP, MSN, CRNA, is the only CRNA certified in these geographic information systems (GIS) and he joins us today to share his passion for data, how it’s being used to serve veterans, and the other possibilities that could come from GIS. Read more here: https://beyondthemaskpodcast.com/ep-133-how-geographic-information-systems-are-being-used-to-identify-veteran-suicide-risk/2924/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf The show rundown for this episode: 3:20 – Welcome Kevin! 4:32 – Background on Kevin 9:33 – Who’s at risk for suicide? 12:15 – Geographic Information Systems (GIS) 17:21 – What the data can teach us 23:16 – Who can access this data? 25:32 – Using this to help veterans 29:22 – What else he uses GIS for 37:38 – How CRNAs & SRNAs can use this data 42:51 – Process of plotting 47:11 – Tracking the type of cases CRNAs are working 51:45 – Final thoughts

There’s a relatively new concept in the healthcare industry that many of its professionals are facing and might not even realize it. The ‘Second Victim’ phenomenon hasn’t always been well-known but more and more people are acknowledging this silent epidemic that frontline workers like CRNAs are dealing with every day. Robyn Finney, APRN, CRNA, DNAP has created a peer support program called HELP – Healing Emotional Lives of Peers – that is working diligently to improve the lives of anesthesia providers, and she joins the show today to help us better understand this phenomenon and how it’s affecting our industry. Read more here: https://beyondthemaskpodcast.com/ep-132-the-silent-epidemic-in-healthcare-second-victim-phenomenon/2919/ 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: 3:14 – Background on Robyn 4:10 – Why this topic is important 6:34 – What is the third victim? 8:45 – Symptoms 11:09 – Stigmas 18:11 – Events that cause this 22:36 – Second Victim Peer Support Program 25:36 – Institutional support 29:31 – What kind of support is beneficial? 32:12 – More resources 36:25 – Challenges she faced 41:03 – Training she’s doing 46:17 – How will this play out with COVID 50:58 – Final thoughts

A significant number of people in our country are dealing with the effects of PTSD and it often goes overlooked or ignored. With the amount of added pressure CRNAs and SRNAs have due to the job, it shouldn’t be a surprise that suicides happen too often among our peers. So how do you identify issues and help those you think might be struggling? We’ve asked mental health experts Jerry Hogan, DNSc, CRNA and Chuck Griffis, PhD, CRNA to join the show to help us all learn more about the struggles people are facing and what can be done to prevent suicides in the future. Read more: https://beyondthemaskpodcast.com/2915-2/2915/ 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: 4:31 – Background on Jerry 8:40 – Background on Chuck 13:15 – Why this topic is so important right now 16:19 – How PTSD goes undiagnosed 21:48 – Examples of PTSD in CRNAs 25:54 – The amount of people affected by this 29:26 – CRNAs prone to suicide 34:35 – If you know someone that might be facing this 41:08 – Statistics 42:43 – Resources the AANA offers 50:25 – How do you know if you have PTSD? 56:27 – Improving education 59:53 – Study Griffis is doing

Generational differences can often be the source of disagreements and misunderstandings. It happens in every profession and nurse anesthesia is no different. Erin Martin, CRNA, DNP, is the Program Director at the Mayo Nurse Anesthesia Program and has an incredible grasp on how and why each generation is different. She joins today to provide a thorough examination of these unique communication characteristics and how we can use them to improve education. Read more: https://beyondthemaskpodcast.com/ep-130-generational-challenges-and-opportunities-in-srna-education/2908/ 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: 2:55 – The root of miscommunication 4:34 – Erin’s background 5:38 – The differences in each generation 9:36 – Influences on each generation 19:47 – How this impacts nurse anesthesia 26:14 – Communication preferences 28:45 – Relating to a different generation than your own 32:27 – How do we bridge this gap? 35:44 – Relating to Millenials 37:00 – Inclusion 42:38 – Understand each other’s weaknesses

You won’t find many people on this planet that have a story to tell like Nick Zerwas. Born with congenital heart defect, Zerwas has been given six months to live on six separate occasions but he’s still here living life to the fullest. Who better to get an opinion on healthcare policy changes than someone like Zerwas, who has also served in the Minnesota House of Representatives? Join us as we hear his amazing story of beating the odds and how he’s overcoming his greatest fear of wasting precious time by trying to make a difference. Read more: https://beyondthemaskpodcast.com/ep-129-given-6-months-to-live-healthcare-policy-from-the-patients-perspective/2899/ 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: 3:23 – Introducing our guest today 5:32 – Nick’s health history 10:26 – Surviving the Fontan procedure 13:01 – Being told 6 months left to live multiple times 16:00 – Julie interviewed for anesthesia school 19:57 – How has this shaped Nick 25:44 – His decision to run for public office at 25 28:40 – Health policy 32:34 – CRNA’s role in policy-making 36:48 – Pitting people against each other 40:22 – What is important to all elected officials? 43:15 – How effective are emails? 43:15 – Closing thoughts 50:03 – Lightning round

It’s easy to assume that your employer insurance coverage will protect you during a catastrophic event, but that’s not necessarily the case. To truly cover your greatest asset as a CRNA, which is yourself and your ability to earn a living, a personal disability insurance policy can be a life saver. Today we talk with BrightThink Wealth Strategies insurance specialists Robert and Kyle Smith, who specialize in working with CRNAs, to learn about the why this coverage is so critical. Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-121-how-crnas-can-protect-their-greatest-asset-yourself/2838/ Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Learn more about Disability Insurance: https://beyondthemaskpodcast.com/wp-content/uploads/2021/03/Disability-Flyer-For-Web-maybe-make-a-PDF.docx What we discuss on this episode: 2:01 – Welcome our guests today 3:23 – What we’re talking about today 4:10 – Background on Robert and Kyle 5:03 – The companies that offer disability insurance 7:26 – Do you have adequate coverage through your employer? 11:56 – Have an emergency fund 14:37 – What if anesthesia is the cause of your disability? 17:01 – Understanding your employer policy 19:01 – How does age effect your policy? 24:05 – Financial planning process 25:19 – Plans for 1099 vs W-2 30:04 – Story about someone that didn’t insure 33:21 – Advantages of working with BrightThink Wealth 36:23 – How to get in touch with Robert and Kyle 38:33 – Lightning Round

Most people buy an expensive car or go on an outlandish spending spree when they’re in their late-40s, but Michael Rieker, CRNA, DNP, FAAN, isn’t like most people. Instead of doing any of those other things, he used his talent and skills in nurse anesthesia to join the Army Reserve, which led to him serving in Afghanistan. Today he’ll tell us about that experience and how it’s helped him in his current role at Wake Forest University. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-127-a-crnas-experience-being-deployed-to-afghanistan/2886/ 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: 2:14 – Welcome in our guest 3:58 – Deployment to Afghanistan 8:11 – How busy was he 11:27 – Providing anesthesia to civilians 12:48 – Conditions overseas right now 14:47 – What a typical day looked like 17:06 – Transitioning back to real life 20:20 – Very limited connectivity on deployment 21:02 – School while he was away 22:52 – Top things he learned 25:29 – Benefits of the military 26:41 – Final thoughts

Agatha Hodgins earned notoriety as the founder of the AANA but a person right behind her often gets overlooked. That’s Gertrude Fife, the second president of the AANA, and she’s the next focus of our historical series. We look back on how she helped shape the organization and set the standards of education for CRNAs with the help of Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA. Read more and get additional financial resources here: https://beyondthemaskpodcast.com/ep-123-gertrude-fifes-lasting-impact-on-education-and-the-aana/2880/ 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: 2:10 – Welcome Sandy and Nancy 5:22 – Early part of her life 6:49 – Contributions to clinical anesthesia 13:39 – Contributions to AANA 24:38 – Elected NANA president 27:52 – Real proponent of an accreditation program 34:15 – An organizer and promoter 36:27 – Membership categories 39:02 – What annual dues would be today based on inflation 40:55 – Settings standards for education 45:37 – Woman of many talents 47:46 – Dagmar Nelson Trial 45:37 – Disagreement between Hodgins and Fife 51:59 – First qualifying exam 54:54 – Other awards 56:45 – Her life’s work and its relevance today

Once you decide to step away from your CRNA career, have you thought about how you want to spend retirement? As you get closer to that next chapter, it’s important to think through your lifestyle to help determine what kind of expenses you might incur and how much money you’ll need to cover it. Today we’ll tell you about the most common lifestyles that CRNAs choose and some of the financial considerations that come along with each option. Read more here: https://beyondthemaskpodcast.com/ep-125-what-retirement-lifestyle-will-you-choose/2873/ Learn more about CRNA 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 on this episode: 2:37 – Why we’re discussing lifestyles 3:59 – Thinking about life after work 6:05 – Get serious a few years out 7:35 – Retirement age 10:38 – Two-house lifestyle 17:13 – Front porch lifestyle 19:36 – Moving to a college town 20:58 – Moving to Florida 24:22 – Golf lifestyle 26:03 – Follow your passion

Advocacy is the driving force behind elevating our profession and continuing to push nurse anesthetists and CRNAs forward. One of the key people advocating for us is Lorraine Jordan, PhD, CRNA, CAE, FAAN. As the Chief Advocacy Officer for the AANA and the CEO of the AANA Foundation, Dr. Jordan works tirelessly for her peers and devotes countless hours to research that benefits us all. Today we want to spotlight the work she’s doing and learn more about the goals and purpose of the AANA Foundation as it leads us into the future. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-124-aana-foundation-leading-crnas-into-the-future/2868/ 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: 2:46 – Welcome in Lorraine 3:03 – Everything she does with the AANA 6:09 – What is the Foundation’s purpose? 9:48 – The research 14:44 – How expensive these studies are 16:50 – Spending 18:33 – Other methods for funding 19:53 – 40th Anniversary 21:42 – Friends for Life program 25:22 – Her role as Chief Advocacy Officer 29:21 – State advocacy issues 30:33 – Opportunities for CRNAs to help 33:19 – What drives Lorraine 36:05 – Lightning Round

The AANA and CRNA community suffered a great loss in March with the passing of Steve Mund, DNP, CRNA, CENP, FACHE. To help remember him and his legacy in the profession, Jeremy and Sharon wanted to go back and revisit a conversation they had with him in 2019 on the future of healthcare. See the show notes: https://beyondthemaskpodcast.com/ep-123-remembering-steve-mund-with-a-past-conversation/2859/ Listen to our other episode with Steve: https://beyondthemaskpodcast.com/ep-54-how-crnas-should-prepare-for-depositions-with-steve-mund/2215/ 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: 1:13 – Jeremy and Sharon share their thoughts on the passing of Steve Mund 4:27 – Sharon shares some background on Steve. 2:22 – It’s an interesting time in healthcare and there’s no way to predict how it will change in the years to come. 9:56 – The three payment models healthcare needs to engage in for the future. 12:12 – Accountability on the patient side? 13:17 – The providers get penalized but what about the payer? 15:59 – Let’s talk about mergers. Are their benefits to these large mergers? 19:39 – Where is all the money going? 22:02 – What factors are driving the utilization of healthcare? 24:00 – What does Steve see as the future of healthcare payers? 27:26 – How do you determine value in healthcare these days? 29:39 – How can we help cut down on waste in financial, clinical and personnel areas? 32:37 - Some final thoughts from Steve.

Goldie Brangman, CRNA, might be known best for becoming the AANA’s first African-American president, but there’s so much more to know about her life and career. Today we wanted to celebrate everything she accomplished, including helping save Dr. Martin Luther King, Jr’s life, and we do so with the help of Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA. Read more and see additional shows here: https://beyondthemaskpodcast.com/ep-122-how-goldie-brangman-crna-broke-barriers-throughout-her-life/2854/ 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: 1:21 – Talking about Goldie Brangman 2:12 – Her education and early life 5:52 – The barriers she faced 8:23 – Her days as as student 9:56 – Establishing Harlem Hospital School of Anesthesia 14:00 – Male vs Female 16:27 – Henry Kelly 18:32 – Service to state and national associations 22:02 – Her accomplishments as president 30:36 – Focus on communication 35:01 – How she helped save Martin Luther King Jr’s life 47:25 – How she spent retirement in Hawaii 49:17 – Awards and honors

There’s a growing need for pain management solutions in our country and it could be the next great opportunity for CRNAs. Cheryl Schosky, DNAP, MSN, CRNA, is one of only 89 CRNAs in the country with a non-surgical pain management certification and will share everything she’s learned about the practice and why she believes it needs to become an educational track for future CRNAs. Read more and get additional resources here: https://beyondthemaskpodcast.com/ep-121-begin-your-path-to-a-crna-non-surgical-pain-management-practice/2846/ 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: 2:12 – Welcome our guest today 3:28 – Background on the topic and why it’s important 7:15 – Her career path to this point 12:18 – Challenges to building a pain management practice 15:24 – Transitioning to a 1099 contractor 16:53 – The personal reason for this choice 18:52 – Where she did her fellowship 22:17 – Mentors in this area 24:01 – Traits you need to possess 27:52 – The opportunity for CRNAs 29:54 – Deeper issues beyond chronic pain 35:15 – Final thoughts

It’s like a story right out of a Hollywood blockbuster. One that involves predawn flights, heavy military ammunitions, and a Crown Prince from the United Arab Emirates. Most importantly, it’s a secret mission involving CRNAs. Join us as we get the first-hand account of this 2017 covert operation from Lt. Col Laura Wiggins, CRNA, who was a part of this flight into Yemen. Show notes: https://beyondthemaskpodcast.com/ep-120-the-secret-middle-east-mission-crnas-took-part-in/2826/ 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: 3:14 – Background on our guest 6:23 – How the mission unfolded 9:50 – No time to sleep 14:02 – Flying into Yemen 15:49 – CRNA patch 17:24 – Dealing with Injured patients 19:00 – Media knew the story 20:39 – A walking bloodline 21:36 – Combat take-off 22:51 – The reason for the mission 24:18 – How this affected the peace accord 27:14 – Running for office 29:24 – Final thoughts from Laura

You might know him as Bolt CRNA on social media. This new-age advocate for the profession has built a strong following through YouTube, Facebook, Instagram and now Tik-Tok. Find out how Jason Bolt, CRNA, began this journey as an ‘influencer’ and how he uses his platform to help educate current and aspiring nurse anesthetists. Read more and find out how to connect with Jason here: https://beyondthemaskpodcast.com/ep-119-advocating-for-crnas-using-youtube-and-social-media-with-jason-bolt-crna/2827/ 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: 2:23 – Welcome in Jason 3:26 – Background on Jason 5:47 – Why is this topic important 7:53 – CRNA school 8:54 – Building a following on social media 13:57 – The negative side of social media 15:37 – How he uses it to advocate 19:11 – Who got him interested in being a CRNA 21:29 – How he got started on social media 24:08 – How can other CRNAs use social to advocate? 27:07 – Future plans 30:41 – Words of wisdom 31:49 – Membership 32:41 – Lightning Round