Beyond The Mask: Innovation & Opportunities For CRNAs

In part two, we'll go on an exploration to uncover the untold chapters of Dagmar’s post trial years and witness how her victory reshaped the landscape of nurse anesthesia, breaking down barriers and paving the way for countless nurse anesthetists who followed in her footsteps. Join us as we delve into part two of our conversation about Dagmar Nelson with show historians Nancy and Sandy.   Here are some of the things you’ll learn in this episode: What happened to the profession right after the trial? 1:58 What happened to Dagmar Nelson after the trial? 9:22 Hunt’s murder in 1943 and her death 15 years later. 11:52 What her legacy and that trial means today for anesthesia. 17:35 How anesthesia has changed and what has stayed the same. 20:13 The battle over money and control in the industry. 29:08 Hope for the future of anesthetists. 33:35   Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken  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

Most people know about Dagmar Nelson in terms of her being involved in the only court trial ever to test the legality of nurses administering anesthesia, but there’s much more to her than just that. We’ll lean on Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to learn more about how amazing she was as a woman and what happened at the trial.   Here are some of the things you’ll learn in this episode: Details on her early life and education. 4:38 How she got her anesthesia training. 9:08 What the beginning of her career as an anesthetist was like. 14:02 California physicians were trying to get rid of nurse anesthetists when she moved out there. 23:54 Details of the trial as it got started in 1934. 30:52 The testimony that was given on behalf of the physicians. 41:17 Here’s what the defense argued. 43:52 What the judge said when he handed down the decision. 51:22 Support Team Emma Kate Brekken: https://grouprev.com/HALOSWALK2023-grant-brekken  Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

In this episode, Jeremy and Sass review the high points of an article published in the April 2023 AANA Journal by Barry Swerdlow, MD and Lisa Osborne-Smith, PhD, CRNA titled “A Cognitive Template for Management of Perioperative Adverse Events”. This is an episode you won’t want to miss!   Here are some of the things you’ll learn on this show: What is metacognition? 2:29 Six step cognitive checklist 7:31 Step 1: Verifying information is correct. 9:21 Step 2: Generic response 9:45 Step 3: Identification of precipitating event  10:36 Step 4: Formulation of broad differential diagnosis 13:13 Step 5: Formation of a narrowed differential diagnosis 15:14 Step 6: Selection of targeted response(s) 17:28 Let’s use this six-step process on a case study. 18:37   Additional Resources:  Swerdlow B, Osborne-Smith L. A Cognitive Template for Management of Perioperative Adverse Events. AANA J. 2023 Apr;91(2):137-143. PMID: 36951843.   About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf  

The nursing industry is filled with so many bright and talented people and today’s guest is just another example of that. Ayoade (Joy) Ademuyewo, DNP, CRNA is the founder and CEO of Lokum, which helps match vendors directly with anesthesiology providers without having to go through recruiting agencies. Find out why this could be the future of work as an independent contractor and learn more about the person behind it all.   Here are some of the things you’ll learn on this show: What is Lokum and how does the Lokum app help CRNAs? 4:36 Where did her entrepreneurship drive come from? 9:05 This is the future of work as an independent contractor. 10:35 How a trip to Europe was the beginning of this idea and how it all came together. 16:37 How being a CRNA and her DNP benefited her develop this company. 24:34 The best way for CRNAs to learn more and why it benefits the profession to get on board. 27:04 Who is her inspiration? 29:16   About our guest: https://lokumapp.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

Jeremy and Sharon were up in Hershey for the PANA Spring Symposium and hosted a live taping of the podcast with Brett Fadgen, MSN, CFRN, CRNA. If you haven’t heard Brett’s story, it’s a remarkable one about perseverance and never giving up in the face of life’s challenges. Join us to hear all about his journey and how he became the only one-armed nurse anesthetist.     Here are some of the things you’ll learn on this show: Brett’s childhood and growing up with a congenital defect. 3:21 The journey from being a paramedic to RN to anesthesia school.  9:05 The challenges he faced in anesthesia school. 13:47 The contact he has with other people with limitations that are interested in anesthesia. 23:55 What questions do patients ask? 26:15 The final message Brett has for people. 32:00   About our guest: https://www.panaforqualitycare.com/single-post/2019/01/23/crna-inspires-by-defying-stereotypes-exceeding-expectations 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 had a chance to spend some time with the new AANA Deputy Chief Advocacy Officer Ingrida Lusis during our time at the mid-year assembly to learn more about her background in government affairs and how she plans to strengthen advocacy by bringing state and federal affairs all under one umbrella. Join Sharon and guest host Tracy Castleman, CRNA, as we go on the offensive with our newest advocacy leader.   Here are some of the things you’ll learn on this show: Ingrida’s background in government affairs and her goals for the new position. 3:03 Why she feels CRNAs need to go on the offensive. 7:46 Her thoughts and views on full practice authority. 9:52 What other ways we can look at to give CRNAs more power besides just running for office? 18:15 Why supporting the ASAPAC is very important. 22:36 The perception of the AANA vs the reality when she arrived. 29:01 What would she say to get people involved that hate politics? 33:24   About our guest: https://www.prnewswire.com/news-releases/aana-appoints-ingrida-lusis-as-deputy-chief-advocacy-officer-301703396.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  

Cannabis has several medicinal uses and is legal in several states. More and more patients are using cannabis as a medication for anxiety, pain management, and for recreational use. In this episode, Jeremy and Sass discuss the pharmacodynamics of cannabis and focus on the systemic effects of this medication. You won’t want to miss their discussion highlighting the anesthetic considerations of patients who takes cannabis.   Here are some of the things you’ll learn on this show: Adapting to cannabis becoming more acceptable recreationally and for care with patients. 2:29 The pharmacokinetics related to cannabis. 4:32 Reviewing an AANA Journal article on cannabis. 7:54 The respiratory effects you might find from cannabis.  9:25 The anesthetic implications for a cannabis user. 11:58 Does cannabis help with pain management? 15:01   Resources: Teitel A, Bozimowski G. A Review of the Pharmacology and Anesthetic Implications of Cannabis. AANA J. 2020 Jun;88(3):237-244. PMID: 32442102.   About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Voting started this week for the next round of AANA Board of Directors elections, and we want to help you get to know your candidates a little better. Thanks to our friends at the American Association of Nurse Anesthetists, we will share the opening statements from the Board of Director Candidates’ Forum during the Mid-Year Assembly so you can hear first-hand from each of the talented CRNAs running for office.   Remember that you can cast your vote now so visit the AANA Election Center and get all of the information you need.   Here’s who you’ll hear from on this show: Candidate for Director: Mike MacKinnon, DNP, FNP-C, CRNA 2:04 Candidate for Director: Jodie Szlachta, PhD, RN, CRNA 4:05 Candidate for Director: Andrea Roberts, DNAP, CRNA, APRN 6:06 Candidate for Director: Howie Goodwin, DNAP, CRNA 8:07 Candidate for Director: Susan Newell, MSN, CRNA 10:10 Candidate for Director: Daniel King, DNP, CRNA, CPPS 12:12 Candidate for Director: Stacy Yancey, CRNA 14:21 Candidate for Treasurer: Eric Rauch, DNP, CRNA 16:21 Candidate for Treasurer: Kristie Hoch, DNP, CRNA 19:33 Candidate for Vice President: Jeffrey Molter, MSN, MBA, CRNA 22:30 Candidate for President-Elect: Janet Setnor, MSN, CRNA, Col (ret) 25:32   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 issue of reimbursement is one that we’ve covered from many different perspectives on this show but now it’s time to take the problem into our own hands. Rebecca Love, RN, MSN, FIEL is leading a commission along with Sharon Pearce, DNP, CRNA, FAANA for nurse reimbursement to tackle this broken financial model once and for all. Today we’ll tell you all about the commission’s plan and why we think this will transform the healthcare system and help end the terrible nursing crisis our country is facing.   Here are some of the things you’ll learn on this show: History of the current financial model and why it’s a problem. 4:00 Why is this perpetuating the nursing shortage? 9:21 Where is the money going right now if it’s not going to nurses? 14:30 This next generation is much more in tune with the financial realities of the world.  19:55 The problem with nurses that are being brought in from overseas. 26:59 Details on the commission, who is involved, and what you can do to help. 32:06 Thoughts on why this is so critical for nursing moving forward. 36:27   About the Commission: https://commissionfornursereimbursement.com/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Emergency cricothyrotomy is a rare, but incredibly important procedure that can be lifesaving. A primary step when performing a cricothyrotomy is correct identification of the cricothyroid membrane (CTM).  In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!   Here are some of the things you’ll learn on this show: Understanding and identifying the anatomy. 2:21 The two most effective ways to find the cricothyroid membrane. 8:32 A couple of relevant studies that provide good information. 12:45 The ultrasound procedure to help identify it. 17:19 The educational resources that Jeremy recommends. 21:48 The String of Pearls technique. 22:40   Show Notes & Resources: Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055. Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176 Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429. Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758. Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376. Airway Management for Anaesthesiologists. Ultrasound guided marking of the cricothyroid membrane using: Transverse TACA Technique: https://airwaymanagement.dk/ultrasound_needle_cricothyrotomy Longitudinal “String of Pearls” Technique: airwaymanagement.dk/pearls     About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf