Beyond The Mask: Innovation & Opportunities For CRNAs

Today, ​we're ​focusing ​on ​the ​next ​generation ​of ​CRNAs ​and ​the ​importance ​of ​early ​engagement ​with ​the ​American ​Association ​of ​Nurse ​Anesthesiology ​and ​the ​AANA ​Foundation. ​As ​new ​grads ​step ​into ​their ​careers, ​they ​have ​a ​unique ​opportunity ​to ​connect, ​contribute ​and ​grow ​within ​the ​profession. ​Recent grad Jake Bonnema, DNP, APRN-CRNA joins us to ​discuss ​why ​it’s so important to engage and how ​CRNAs ​can ​play ​a ​pivotal ​role ​in ​shaping ​the ​future ​of ​nurse ​anesthesia. Here’s some of what we discuss in this episode: 🗳️ What CRNA PACs actually do—and why they matter 🤝 How mentorship sparked Jake’s path into advocacy 💬 Making the ask: peer-to-peer power in growing PAC support 🎓 Why new grads should attend Mid-Year Assembly (and leave inspired)   Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists! Join Sharon this November 14–16, 2025, at the Hilton Hotel in Walt Disney World Village, Florida, for the Frank Moya Continuing Education Program’s annual conference. She’ll be delivering four insightful talks as part of the guest faculty lineup. Don’t miss this chance to learn, connect, and recharge—with some Disney magic on the side!  Click here for more details and to register   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Have you ever wondered about the potential impact of surgery and anesthesia on cognitive function? Today’s show will discuss the complexities of Perioperative Neurocognitive Disorders (PND), a term encompassing conditions like postoperative delirium (POD), postoperative cognitive decline (POCD), and delayed neurocognitive recovery (DNR). Through insightful discussions rooted in the latest research, we aim to shed light on: The prevalence and impact of PND, drawing from studies highlighting its occurrence after various surgical procedures. Potential risk factors that may make individuals more susceptible to developing PND. Innovative approaches for prevention and management, including the investigation of medications like dexmedetomidine and anesthetic techniques such as total intravenous anesthesia (TIVA) with propofol, which some studies suggest may have neuroprotective properties. The intricate underlying mechanisms of PND, exploring the roles of neuroinflammation, oxidative stress, and even insulin signaling in the central nervous system. The use of monitoring techniques like electroencephalography (EEG) to better understand and potentially mitigate neurocognitive complications. The importance of early identification and comprehensive care for individuals experiencing PND. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Happy Earth Day! In this special episode of Grade 1 View, Kevin and Olivia explore how anesthesia providers can make a real impact on the environment, one case at a time. As healthcare professionals, CRNAs play a significant role in the healthcare sector, which is responsible for nearly 10% of greenhouse gas emissions. This episode emphasizes the importance of being environmentally conscious in our practices, especially when it comes to anesthesia. Here’s some of what we discuss in this episode: 🌎 How volatile anesthetics contribute to climate change 💉 Three green anesthesia techniques you can implement today 🔬 Real data comparing low flow, TIVA, and regional approaches 🧪 The truth about compound A, oxygen consumption, and CO₂ absorbers 📉 How education and clinical tools can drive sustainable practice   Visit us online: https://beyondthemaskpodcast.com/grade-1-view/ Visit the AANA Resident Hub: https://www.aana.com/resident-hub/  Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

How can a quick bedside ultrasound transform patient safety in anesthesia? Today, Sharon and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN explore the growing role of gastric point-of-care ultrasound (PoCUS), a tool helping anesthesia providers assess stomach contents in real time. Joined by Rachel Edgerton, DNAP, MSNA, CRNA, APRN, CHSE and three doctoral students from St. Mary’s University - Molly O’Neill, BSN, RN, Hannah Peine, BSN, RN, CCRN, CMC, Alyssa Klein, BSN, RN - the episode dives into their groundbreaking DNP project educating CRNAs on this skill. Here’s some of what we discuss in this episode: 🩻 How gastric PoCUS helps assess aspiration risk 💉 GLP-1 medications and their impact on NPO status 📈 DNP students’ national education project and outcomes ⚠️ Why current NPO guidelines are no longer enough 💬 Real-world barriers and solutions to implementing PoCUS in practice   Visit us online: https://beyondthemaskpodcast.com/ Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

In this episode of Grade 1 View, we sat down with two incredibly brave and inspiring guests, Louisa Martin, PhD, CRNA and Rigo Garcia, MSN, MBA, CRNA, who opened up about their personal battles with substance use disorder. They didn’t hold anything back. From near rock bottom to recovery, from fear and shame to leadership and advocacy, their stories are raw, real, and deeply relevant to our lives as students and future CRNAs. Here’s some of what we discuss in this episode: 🧠 Why high achievers and CRNAs are especially at risk for substance use 📖 Personal stories of addiction, recovery, and redemption from Louisa and Rigo 📞 What to know about AANA's 24/7 confidential helpline 🚫 Breaking the stigma: why it’s okay not to be okay ❤️ How to help a classmate or colleague in crisis   If you or someone you know need support, please utilize these resources: https://parkdalecenter.com 24 Hour Hotline: 888-895-2471 Partnership with AANA: https://parkdalecenter.com/about-us/aana-partnership/ Wellness Resources from AANA: https://www.aana.com/membership/here-for-you/health-and-wellness/   Visit us online: https://beyondthemaskpodcast.com/grade-1-view/ Visit the AANA Resident Hub: https://www.aana.com/resident-hub/  Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

As more CRNAs continue practicing well into their 60s and 70s, it raises a critical and complex question: how do we balance respect for experience with the need to protect patient safety? As ​healthcare ​evolves, ​so ​does ​the ​understanding ​of ​how ​aging ​affects ​performance ​in ​high ​stakes ​environments ​like ​the ​operating ​room. Today we’re going to have an open and honest conversation with longtime educator and CRNA Judy Thompson about ​cognitive ​health ​testing ​protocols ​and ​the ​path ​forward ​for ​those ​at ​the ​peak ​of ​their ​careers. With over 35 years of leadership in nurse anesthesia education, Judy brings both professional insight and personal experience to the discussion. We’ll tackle everything from mandatory retirement age debates, discrimination concerns, and the value (and pitfalls) of cognitive testing, to what healthcare systems—and CRNAs themselves—can do to navigate this sensitive issue fairly. Here’s some of what we discuss in this episode: 🧠 Cognitive testing in late-career CRNAs: fairness or discrimination? 🏥 Patient safety vs. provider autonomy—how do we find the balance? 📉 Aging impacts everyone differently; there’s no one-size-fits-all solution 🛠️ Simulation and early baselines could be part of a better approach 👩‍⚕️ Aging CRNAs bring wisdom—but also face scrutiny and bias   Visit us online: https://beyondthemaskpodcast.com/ Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Today we’re going to break down three life-threatening syndromes that every CRNA, anesthesia provider, and healthcare professional should know: Serotonin Syndrome, Neuroleptic Malignant Syndrome (NMS), and Malignant Hyperthermia (MH). Though these conditions are rare, their symptoms often overlap—making quick, accurate diagnosis and intervention critical. Garry and Terry take a deep dive into the causes, symptoms, physiology, and treatment protocols for each condition, while also sprinkling in their signature humor and real-world insights. Here’s some of what we discuss in this episode: 🧠 Understanding the overlap and differences between serotonin syndrome, NMS, and MH 💊 Medication triggers to watch out for—from SSRIs to succinylcholine 🚨 Emergency symptoms that demand immediate action 🧬 The role of genetics and pharmacology in MH 👨‍⚕️ Real-world prevention and treatment strategies for anesthesia providers   Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

Postoperative cognitive disorders (POCD) are often misunderstood, underdiagnosed, and underestimated, but they can dramatically affect a patient’s recovery and long-term quality of life. We’ve invited Dr. Christine Detwiler to join us so we can better understand the science behind POCD, the risk factors, and the strategies anesthesia providers are using to protect brain health. Along with guest co-host Dana Pederson, CRNA, we dive into this topic with Christine while it’s still very fresh on her mind. She shares the insights she uncovered during her doctoral research, including risk factors, early signs to watch for, and why anesthesia providers play a bigger role in brain health than they might think. Here’s some of what we discuss in this episode: 🧠 POCD affects more patients than we realize—especially older adults 🔍 Post-op delirium and cognitive dysfunction are different but often overlap 📉 Less is more: lighter sedation may reduce cognitive complications 🩺 Preoperative assessment is key, even with limited time 🗣️ Familiarity, reorientation, and empathy matter in recovery   About our guest: Dr. Detwiler holds great passion for her profession and practice as a CRNA. She has worked with a variety of patient populations as well as served on multiple international medical missions. Dr. Detwiler earned her DNP after ten years as a CRNA and now enjoys supporting current DNP students in their academic journeys. She strives to care for her patients with compassion and the highest standard of care. Dr. Detwiler is a strong advocate for the CRNA profession by her example and drive for growth. Outside of anesthesia, Dr. Detwiler spends as much time with her middle-school-aged daughter as she will allow, gets outside in the sun with her boyfriend to train for the next race, and takes clarinet lessons to keep her brain stimulated with new challenges.   Visit us online: https://beyondthemaskpodcast.com/ Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate  Support Team Emma Kate: https://grouprev.com/haloswalk2024-shannon-shannon-brekken

All four hosts are back together to welcome an inspirational guest to the show. We’re excited to spend time with David Warren, a nurse practitioner turned CRNA and well-known content creator in the nurse anesthesia community. David opens up about his unconventional journey—going from emergency medicine to nurse anesthesia—and the lessons he’s learned along the way. Here’s some of what we discuss in this episode: 📚 David’s unique journey from NP to CRNA ❄️ Life lessons from working locums in Alaska 💡 Tips for board prep and using APEX effectively 💼 Navigating job offers, mentorship, and independence 🧠 Why both NP and CRNA training make for a powerful combo   Check out David’s YouTube channel: https://www.youtube.com/c/DavidWarrenNP   Visit us online: https://beyondthemaskpodcast.com/grade-1-view/ Visit the AANA Resident Hub: https://www.aana.com/resident-hub/  Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

CRNAs take pride in the precision and care that goes into every procedure, but what happens when things don’t go as planned? In the high-stakes world of healthcare, when something goes wrong, the patient isn’t the only one affected. Today we’re going to shine a light on Second Victim Syndrome—the emotional trauma healthcare professionals experience following adverse patient events. Joined by Maria van Pelt, PhD, CRNA, CNE, CPPS, FAAN, FAANA and Luci New, DNP, CRNA, FAANA we’ll share personal stories and professional insight on this overlooked phenomenon. Here’s some of what we discuss in this episode: 🧠 Trauma after adverse events can be emotional, physical, and professional 🤝 Peer support programs play a vital role in recovery 💬 Simple check-ins can make a big difference in someone’s healing 🏥 Culture change is needed—support should be standard, not optional   Learn more about Maria: https://bouve.northeastern.edu/directory/maria-van-pelt/ Learn more about Luci: https://school.wakehealth.edu/faculty/n/luci-l-new Catch Sharon Live at the 53rd Annual Refresher Course for Nurse Anesthetists: https://www.currentreviews.com/continuing+education+seminars/53rd+annual+refresher+course+for+nurse+anesthetists/ Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246