Beyond The Mask: Innovation & Opportunities For CRNAs

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