Beyond The Mask: Innovation & Opportunities For CRNAs

Today Jeremy and Sass talk about the third type of distributive shock, septic shock. They review the need-to-know info for this shock state based on the updated Surviving Sepsis Guidelines released in 2021. They'll walk you through a crisis checklist that will help you identify and manage septic shock. So, buckle up...it's go time!    Here are some of the things you’ll learn on this show: Case presentation for today’s patient (3:28) Pathophysiology of Sepsis and septic shock. (7:50) Signs and symptoms to look for. (12:31) Management for septic shock. (15:47) Things to think about if the patient comes to you in the operating room. (21:20) Differential diagnosis in this scenario. (23:41)   About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

The VA CRNA practice has been a topic of importance for a while because the VA hospital is the largest healthcare system in the country and currently employs more than 1,100 CRNAs. The worry is that if it fails, it will have a huge domino effect across the country. So what direction is the Association of Veterans Affairs Nurse Anesthetists (AVANA) headed? Executive Director Peter Kallio, DNP, CRNA, APNP, FAANA, joins the show today to talk about the state of the VA and what they’re focused on improving for CRNAs.   Here are some of the things you’ll learn on this show: The current state of the VA. (5:49) The reason why so many VAs have one-to-one supervision. (7:56) Why are there so many different types of models? (14:46) Why VA CRNAs choose to work in that environment. (18:04) The benefits that working for the government provides CRNAs. (20:57) What can we do to improve the situation? (26:50)   About our guest: https://www.vacrna.com/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf  

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.   Here are some of the things you’ll learn on this show: How moral injury was first identified and the impact it has on nurses. (4:47) Second victim vs Moral Injury (12:38) What to do if you start to feel this? (18:45) The effects of COVID on MI (21:50) Can you step away from a situation you aren’t morally comfortable with? (27:40) Resources are available for anyone dealing with MI. (34:39)   About our guest: https://pc.fsu.edu/person/gerard-hogan-dnsc-crna   Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angela Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.   Here are some of the things you’ll learn on this show: What the AANA means to nurse anesthetists. (5:45) What’s on Angie’s agenda for the next year. (6:56) Angie’s vision for communication with the members. (11:52) What advocacy and wins look like in her mind. (20:52) The work the AANA is doing to increase membership. (23:50) What can members do to help the AANA board? (34:18)   Support the veterans: https://www.veteransneedcarenow.org/share-your-story/    Visit us online: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

CRNAs and SRNAs/RRNAs have asked us to give them the essential information needed to manage different OR cases. Episodes they can listen to while on their commute, on a run, or just relaxing at home with their headphones. Today we’re going to review the Anesthesia Management for a Pheochromocytoma. This is the second episode in our endocrine surgical procedures series, so get ready for this power-packed episode full of "need to know" info you can use in the OR and stuff you might even find on exams.    Here are some of the things you’ll learn on this show: The pathology of a Pheochromocytoma. (3:40) The signs and symptoms you’ll find. (5:16) What if it goes undiagnosed? (6:37) How to differentiate this from other interoperative problem. (7:25) Treating known diagnosed Pheochromocytoma. (10:52) What will you be watching for as you monitor patient? (15:58) Intraoperative hemodynamic goals. (19:29) Let’s work through a PACU scenario. (24:45)   About our hosts: https://www.kpsan.org/school/people/   Visit us online: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When Sharon visited the NCANA meeting in Wilmington, she sat through a lecture full of people with children and grandchildren that were panicked listening to the speaker. It was eye-opening and something we wanted to bring awareness to because it can be avoided.  The person speaking that day was Emily Funk, DNP, CRNA and we asked her to come on to talk to us about the danger of button batteries and the harm they can cause almost immediately when ingested.   Here are some of the things you’ll learn on this show: How she became aware of button battery ingestion and the heartbreaking story of a young girl that passed away. (6:06) What you should do if a kid swallows a battery. (10:54) What do anesthetists need to know about care. (14:02) Warnings and protections that are currently in place. (18:09) How to be more aware of what’s in the home. (20:00) What care is needed after the battery is removed? (26:11)   About our guest: https://nursing.duke.edu/directories/emily.funk   Visit us online: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf  

CRNAs continue to be in high demand so finding a job isn’t always the challenge, but how do you go about identifying and landing the right job? Thomas Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA who learned a lot about leadership during his time in the military and has used that to start ProSynEx Authentic Leadership. Today we’ll dive into the hiring process and share tips for any CRNA exploring new employment so that you have the best chance at landing that perfect job.   Here are some of the things you’ll learn on this show: What the Gallup Q12 survey has found about employment needs. (8:35) How to go about creating a list of what you’re looking for. (12:37) Why emotional intelligence becoming more and more important on both sides. (14:54) The dangers of social media for future employment. (23:59) What to put on your cover letter. (29:11) Preparing for the questions you might be asked during an interview. (36:11)   Learn more about the Gallup Q12 Engagement Survey: https://www.gallup.com/workplace/356063/gallup-q12-employee-engagement-survey.aspx  About our guest: https://prosynex.com/about/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf  

In this episode, we’re going to continue discussing our crisis checklists and the ones that relate to distributive shock specifically. Let’s talk about what happens during neurogenic shock by discussing a case involving a 34-year-old male that came into the ER after a motor vehicle crash. We’ll talk about what you should do if you face this scenario and lay out the checklist to help prioritize care for this patient.   Here are some of the things you’ll learn on this show: The details for today’s case study and how to set priorities. (3:00) Pathophysiology of neurogenic shock. (6:28) The signs and symptoms that come along with this. (9:43) Breaking down the treatment needed. (13:45) Things to be worried about. (17:26) Vasopressor support, (21:15) Differential diagnoses we should be considering. (26:50)   About our hosts: https://www.kpsan.org/school/people/ Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

When you look at how critical mistakes happen in the workplace, the normalization of deviance is often the culprit. You can find examples of this in all different areas of life, but CRNAs frequently face the pressure of doing things as fast as we can to meet the demands of production pressure. Today we want to explore this idea of normalization of deviance with Randy Cornelius, DNP, ARNP, CRNA, and discuss how CRNAs can work to overcome this.   Here are some of the things you’ll learn on this show: The reason this topic is so important and examples of how this occurs. (10:00) What went wrong during the Challenger space shuttle disaster. (20:18) Production pressure in nurse anesthesia and how it causes normalization of deviance. (24:06) How can we prevent this normalization? (27:37) How this occurs in the OR and some cases we’ve seen. (31:13)   Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf  

Randy Moore, DNP, MBA, CRNA, left his role as the AANA CEO about a year ago to take over as Chief Anesthetist Officer at NorthStar Anesthesia. It was a little surprising because it seemed like a great long-term position, but the reasons for his departure make sense when you hear him explain his vision moving forward. That’s why we’ve invited our friend and colleague onto the show to catch up on this huge career change.   Here are some of the things you’ll learn on this show: What attracted him to this new position at NorthStar. (3:06) What pushed him to move from the OR to a leadership career track. (9:10) The characteristics that high-performing executives possess. (12:51) Some of the reasons behind the decision to leave the AANA. (17:19) How he would structure the AANA CEO position to allow for more balance between work and time spent with the board. (25:18) How he thinks he can impact the profession more positively in this new role. (31:57)   About our guest: https://northstaranesthesia.com/our-culture/leadership.html Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf