Beyond The Mask: Innovation & Opportunities For CRNAs

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

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

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

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

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

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

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

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

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

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