In this episode, hosts Terry and Garry take listeners on a journey through the evolution of anesthesia, reflecting on the remarkable changes witnessed since their early days in the field. From manual adjustments of OR beds to sophisticated ventilator technologies, they explore the transformative advancements that have revolutionized patient care. Focusing on lung protective ventilation strategies, Terry and Garry delve into the intricacies of reducing postoperative pulmonary complications, drawing upon historical practices and cutting-edge research to provide valuable insights for anesthesia providers. With a blend of anecdotal reminiscences and evidence-based discussions, they aim to empower listeners with knowledge to enhance patient outcomes and navigate the complexities of modern anesthesia. Join Terry and Garry as they embark on a captivating exploration of the past, present, and future of anesthesia.   Here’s some of what we discuss in this episode: The transformation of anesthesia technology over the years. Understanding atelectasis and its impact on pulmonary physiology. The role of PEEP, tidal volumes, and recruitment maneuvers in lung protection. The significance of limiting driving pressure during mechanical ventilation. The concept of mechanical power and how it relates to potential lung injury. Strategies for optimizing patient outcomes and mitigating postoperative complications. Anesthesia Machine Commercial mentioned in the show: https://www.youtube.com/watch?v=w13QxH9vS1E   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

With Sharon away for work this week, we invited Andrew Opdyke, CFA from First Trust to join us to address a concern that many people have this year: the future of the market. What's ​the ​Fed ​going ​to ​do? ​Where's ​this ​economy ​going? ​How's ​this ​election ​going ​to ​affect ​my ​portfolio ​and ​my ​financial ​future? We tackle all these pressing financial questions and get Andrew’s thoughts on the year ahead.   Here’s some of what we discuss in this episode: What will the Fed do with interest rates in 2024? What impact did COVID have with the shutdown and the government spending that followed? What is driving inflation right now? The issue that stems from consumer debt continuing to rise. How will the US service their massive debt and what problems is that causing? The impact AI will have on everything.   About our guest: https://www.linkedin.com/in/andrewopdyke    Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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     

The intersection of cannabis use, vaping and anesthesia is a topic that’s sparking conversations in operating rooms and beyond. With marijuana legalization spreading across the globe and vaping gaining popularity, it's crucial for healthcare providers and patients alike to understand how these factors can impact the surgical experience. In this episode, we’ll explore this topic and share the considerations CRNAs need to make when dealing with cannabis users.   Here’s some of what we discuss in this episode: The science behind how cannabis interacts with our bodies. The physiological effects of cannabis use. A breakdown of vaping and what it means for those heading into surgery. How it impacts the postoperative period.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Step back in time as we celebrate the trailblazing nurse anesthetists who forged a path for today's CRNAs. In this episode, we’re joined by guests Stacy Yancey, MSNA, CRNA and Megan Conner, PhD, CRNA to pay homage to formidable women like Sophie Winton and Gertrude Gerrard, whose remarkable bravery and dedication earned them medals and a place in history. Hear stories of the first nurse anesthetists, whose contributions to medicine have often been overshadowed by time but are no less significant.   Here’s some of what we discuss in this episode: Nurses were not only the first to give anesthesia, but were and continue to be the clear experts in anesthesia with an amazing safety record from the beginning of surgical anesthesia until today. Nurses went to the frontlines to care for soldiers and administer anesthesia, and nurse anesthetists are still the ones on the frontlines. The stories of these early nurse anesthetists need to be told because history often leaves them out. Today’s CRNAs should be educated and proud of our nurse anesthesia history and know our profession would not be where it is today without the commitment of these ladies. It’s exciting to think what the 60,000 plus CRNAs will accomplish in the future going forward for our patients and our profession.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Most CRNAs have come up with solutions in the operating room for airway management, but today’s guest took it a step further and developed a product to address issues we face as patient body types change. Roxanne McMurray, DNP, CRNA, APRN, FAANA takes us on her journey from recognizing the urgent need for better tools to inventing a groundbreaking device, the McMurray Enhanced Airway. As patient demographics shift and sedation practices evolve, Roxanne shares the challenges anesthesia providers encounter and the creative, patient-centric solutions that are emerging. Our discussion unveils how these innovations not only enhance safety and comfort but also reflect the ingenuity that CRNAs bring to the operating table.   Here’s some of what we discuss in this episode: How she came up with the idea and what it took to make it a reality. The process for developing and securing a medical patent. How products are tested to see how long they will last. Roxanne shares stories and outcomes they’ve experienced so far with the product being used. How this compares to CPAP devices.   About our guest: https://www.mcmurraymed.com/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Substance Use Disorder (SUD) impacts all types of people but trying to confront addiction is never easy. Today we’ll try to unravel the stigma surrounding SUD among anesthesia providers with Amy Yerdon, DNP, MNA, CRNA, CNE. Our discussion illuminates the personal and professional challenges that arise when confronting substance abuse within our ranks. We tackle the complexities of recognizing signs of diversion and the imperative actions that follow, while sharing the poignant emotional toll it takes on everyone involved.   Here’s some of what we discuss in this episode: Her perceptions about people with SUD and how that’s changed as she’s learned more about the disease. Stories that highlight how much more common this is than many people want to believe. Understanding the pharmacology and physiology of substance use disorder may help decrease our negative perceptions. Understanding the occupational and personal factors making anesthesia providers more likely to fall into SUD may help change negative perc Why anesthesia providers should look out for one another and communicate when they see something.   About our guest: https://scholars.uab.edu/6674-amy-yerdon   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Today we're going to dive into an interesting topic: some medical legal considerations. And we’ll talk a little bit about being an expert witness. We'll cover anesthesia standards created and published by the American Association of Nurse Anesthesiology, and share some of our own experiences acting as expert witnesses in medical legal complaints filed on behalf of patients. Perhaps just as important though, we're going to talk about ways that you can keep yourself out of hot water and keep your patients safe. It's important that as providers we periodically review the standards by which we're expected to practice. Both for the benefit of our patients and to make sure that we're practicing at the highest levels of anesthesia care every single day.   Here’s some of what we discuss in this episode: Reviewing the Standards for Nursing Practice from the Professional Practice Manual. The most common problems that I have seen that have resulted in litigation fall into four main categories. Who evaluates whether or not the standard of care has been satisfied?        The difference between a deposition and trial testimony and how it impacts you.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

CRNAs spend their days providing support for others, but we don’t always give ourselves the attention we need. Today we tackle the health and wellness challenges CRNAs face in the current healthcare climate with Donna Keeney, CRNA and Dr. Cathy Horvath. Both women are on the Health and Wellness Committee at the AANA, and the insights shared in this episode will resonate with anyone in healthcare trying to maintain their passion for the profession amidst burnout.   Here’s some of what we discuss in this episode: How to get rid of negative self-talk and why that’s so important. Two strategies that can improve clinician well-being at your place of employment. Two strategies that you can employ today to start taking steps toward better health and wellness. Resources and support for CRNAs and SRNAs to access.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

As the fight for the future of anesthesia continues, having a seat at the table to discuss the issues becomes more and more important. That’s why we’re excited to feature another guest who’s been in the arena. Sharon and guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA had the opportunity to sit down with Lee Bias, a CRNA with an eye on political office, to talk about the critical role political engagement plays in the anesthesia profession. Discover how Lee's journey into the political arena underscores the importance of advocacy, highlighting the significant influence politics has on our ability to deliver top-notch anesthesia care, particularly in rural communities.   Here’s some of what we discuss in this episode: The importance of being proactive as a CRNA and how you can do that close to your home. There are so many more ways to support a campaign beyond giving money. Why Lee believes that everything falls into three categories and that’s how you should determine how to direct your energy. The role PACs play during the campaign process.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Today's episode explores the revolutionary landscape of automated drug delivery systems in anesthesia. The hosts unravel the intricacies of these technologies, discussing real-world examples and contemplating the integration of adaptive, intelligent computer systems. So, whether you're a seasoned practitioner or simply curious about the convergence of medicine and technology, this podcast episode serves as an insightful gateway to the forefront of precision anesthesia. Join the conversation and stay informed about the transformative potential of automated drug delivery in anesthesia.   Here’s some of what we discuss in this episode: An overview of what we mean by automated drug delivery systems. How is AI influencing how we administer anesthesia, and how does it impact patient outcomes? Controlling the delicate balance between nociception and antinociception poses unique challenges. The sophisticated control methods shaping the future of closed-loop systems.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Join us as we celebrate the 34th anniversary of the International Federation of Nurse Anesthetists with past president Sandy Ouellette, CRNA and current president Jackie Rowles, DNP, CRNA, NSPM-C, FAANA.   We travel from the federation's humble beginnings in Lucerne, Switzerland, to its growth into a beacon of progress, setting the stage for the future of international collaboration and standards in nurse anesthesia. We think you’ll enjoy this journey through the evolution of a specialty that has revolutionized the way anesthesia and surgical care are delivered across the world.   Here’s some of what we discuss in this episode: Steps leading to the foundation of IFNA. How they developed a governing structure for IFNA and how that has evolved through the years. What do we know today about the need for nurse anesthetists on the global stage.         The IFNA activities that are focused on advancing quality care. Details on the United Nations Global Surgery Project that Jackie has been appointed to.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Burnout has always been an issue for nurses and CRNAs but the issue has risen ever since COVID and the added stress that’s put on the healthcare industry. What if there was a way to help individuals guard against it? Today we dissect the concept of grit with Michell Smith, CRNA and explore how passion and perseverance are not just buzzwords but critical tools for CRNAs striving to achieve their long-term goals.   Here’s some of what we discuss in this episode: Grit is perseverance and passion to achieve long-term goals and is predictive of success in a variety of domains. The four stages of grit: interest, practice, purpose, and hope. Higher rates of burnout in CRNAS since COVID but higher grit scores are correlated with lower burnout rates. An individual can grow and cultivate grit over time. How to set goals and prioritize them for yourself.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Today, we will closely examine a phenomenon that’s growing in frequency and importance and getting more and more attention in the anesthesia community: postoperative delirium. As our population ages and more and more elderly people are having surgery for more and more procedures, are concerned about postop with delirium and its complications and long-term implications have become more and more critical. So, hang onto your scrub caps, ladies and gentlemen, as we explore postoperative delirium, its antecedents, consequences, and how to reduce its incidence.   Here’s some of what we discuss in this episode: What delirium looks like and what you can anticipate from patients who are experiencing it. The characteristics of patients that increase their risk of experiencing delirium. Some of the precipitating factors that happen around the operating room. The debate over the impact of depth of anesthesia and the duration of surgery on delirium risk. Good habits that can reduce the risk of delirium.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Most CRNAs are so focused on the work they do day-to-day that they don’t stop to think about the other opportunities that might exist in the healthcare industry. Today’s guest, Brett Maxfield, MS, CRNA, is here to show us the path to owning or directing an Ambulatory Surgery Center after doing it on his own over the past eight years. We’ll take you through a remarkable journey that begins with organ failure and then uncover the vast career opportunities for CRNAs, spotlighting the importance of adaptability and embracing the diversity of roles that await passionate individuals.   Here’s some of what we discuss in this episode: How an organ failure at age 32 opened this door for him.  Why you can be the owner of an independent surgical practice. We’ll share some of the resources that are available to help you get started. The healthcare landscape is changing dramatically, which makes this option even more The pandemic opened opportunities for those who are willing to take risks and get out of their comfort zone. The biggest challenges he’s faced as a director/owner and what he’s learned.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

As CRNAs look for ways to attract and retain good people, mentorship programs might be the key to growing the profession. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, Abby Bisch, DNP, CRNA and Elvira Sayfutdinova, MSN, CRNA join the show to share what they’ve learned about building a successful mentorship program in St. Louis. With personal anecdotes and wisdom, they’ll provide a clear picture of their initiative's success, from easing new hires into a high-pressure setting to fostering enduring professional relationships.   Here’s some of what we discuss in this episode: How Abby and Elvira got into the profession and became involved in mentorship. Formal CRNA mentorship programs are underutilized and should be adopted by more anesthesia departments. The many benefits of a formal CRNA mentorship program and how it improves our profession. The goal of the program is to ensure newly-hired CRNAs have all the tools & guidance they need to succeed. The crucial elements you need to include to employ a successful CRNA mentorship program.   Learn more about their mentorship program: https://anesthesiology.wustl.edu/patient-care/crna/crna-mentorship-program/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 

Today Garry and Terry will be focusing on the revolutionary benzodiazepine – remimazolam. In this episode, we unravel the intriguing tales from diverse case studies, exploring the unique applications and benefits of remimazolam in different surgical scenarios. From thyroid surgeries to emergency cardiac procedures, remimazolam emerges as a promising ally in ensuring smoother inductions, minimal postoperative complications, and enhanced patient experiences.   Here’s some of what we discuss in this episode: Understanding the mechanism of action behind remimazolam. We talk about the context of intravenous benzodiazepines. How remimazolam's versatility makes it a potential candidate for various clinical scenarios, catering to the unique needs of both procedural sedation and general anesthesia. What have the different case studies taught us? How could the landscape evolve as more research is conducted?   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

The Fab Four is back together for a great cause as we shine the light on the Our Hearts Your Hands organization that is supporting nurse anesthesia growth globally. Today we want to share the story of two amazing and incredibly dedicated nurse anesthetists in Uganda who need financial support to earn a degree that will be transformational for them and their community. Learn all about the work Our Hearts Your Hands is doing across Africa and how you can be a part of this mission to raise $10,000 for two deserving nurses.   Here’s some of what we discuss in this episode: The changes we’ve seen this organization help facilitate in these communities. The access to quality care is even more important than access to care at all. The amazing story of two nurse anesthetists who received grants in Uganda to help them continue their education. What are the best ways to support this charity? What this would mean for obstetrical care and women’s health in Africa.   About the charity: https://www.ourheartsyourhands.org/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

It’s estimated that more than 31 million Americans have PTSD but we still don’t have a great grasp on how to support and treat those struggling with this. Today we’re going to explore anesthesia’s role in patient care with guest host Angela Mund, DNP, CRNA and Major Randy Cornelius, DNP, MBA, CRNA. They’ll draw on their personal experience to highlight the unique considerations necessary when administering anesthesia to PTSD patients, from personalized anesthetic plans to the vital utilization of drugs like ketamine and dexmedetomidine. With their guidance, we peel back the layers of empathy and precision required to create a safe and supportive perioperative environment for these patients.   Here’s some of what we discuss in this episode: How treating someone from the Fort Hood shooting made him aware of PTSD and the difficulty at the time providing medication for it. What to do and what not to do with treating an individual with PTSD. The different medications and treatments have been most effective. Understanding the pathophysiology behind PTSD. The criteria for being diagnosed with PTSD.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Imagine the impact a structured shadowing program can have on ICU nurses thinking about a future as a CRNA. That’s why today’s guest, Caroline Killmon, MS, CRNA has helped create a shadow program at her hospital in North Carolina and will share the experience so far. We’ll look at the positive ripple effects it can have on the nursing community, the success stories emerging from these shadowing experiences, and the impact a well-constructed shadowing opportunity could have on the future of healthcare.   Here’s some of what we discuss in this episode: Background on how the program originated and why she saw the need for it. How to get everyone to buy in and how to spread the word. Processes that she would recommend for shadow programs. What do CRNAs stand to gain from doing all the work to run a shadow program?   About our guest: https://www.wakehealth.edu/providers/k/caroline-d-killmon   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Today we want to unravel the intricate relationship between anticoagulants and regional anesthesia. Join Garry and Terry as they navigate through the delicate balance of benefits and risks associated with these practices. We’ll dive into the world of anticoagulation reversal agents, discussing FDA-approved options such as Idarucizumab and Andexanet. So join Garry and Terry as they navigate the complexities of anticoagulants and regional anesthesia, emphasizing the critical role guidelines play in ensuring patient safety in the ever-evolving landscape of anesthetic practices.   Here’s some of what we discuss in this episode: The evolving perspectives on NSAIDs, COX-2 inhibitors, and aspirin, emphasizing recent data that challenges initial concerns about spinal hematomas. Neuraxial anesthesia, celebrated for positive outcomes, brings its own set of risks, notably bleeding and hematoma formation. Heparin administration, both subcutaneous and intraoperative, prompts nuanced considerations, ensuring safety in the neuraxial procedure. Insights into thrombolytic therapy, urging caution due to limited clinical data.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Examples of ageism can be found in just about any profession but is this something that CRNAs should be concerned about? This episode, with the help of co-host Jackie Rowles, MBA, CRNA, ANP-BC, FAAN and guest Cindy Farina, DNP, CRNA explores how the cultural fixations on youth can not only undermine job satisfaction but can also nudge experienced CRNAs towards premature retirement. We also want to recognize the relevance of late career CRNAs, their contributions to the nurse anesthesiology profession, and the potential challenges they face.   Here’s some of what we discuss in this episode: What made Cindy become more aware of ageism in the workplace. The value of late-career CRNAs and their contributions to the profession. The factors that drive CRNAs to continue working or make the decision to retire. The strategies for keeping CRNAs in the workforce. What can late-career CRNAs do to maintain career satisfaction.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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    

Imagine being woken up in the middle of a transatlantic flight by a flight attendant asking for your assistance in a medical emergency. That’s the situation today’s guest, Dr. Erin Foley, found herself in recently. Find out how she navigated the tense situation and what she learned about these types of incidents that happen far more often than we hear about.   Here’s some of what we discuss in this episode: The medical emergency that she responded to while flying to Europe for the IFNA Conference. The unexpected discovery she made in the stool sample cup. What she found researching these types of incidents and what she found about altitude sickness. What medical equipment do they keep on the plane? Why you might want to reconsider asking for reimbursement for helping on a flight.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

In this episode, we’re excited to welcome in LTC(ret) Jim Reed, DNP, MSNA, CRNA to shed some light on diversion and substance use disorder. They begin by discussing Jim's current activities and then delve into his background, starting with his early life in the sunny southwest. Jim shares his journey from growing up in Arizona, joining the military, and becoming an enlisted man in the Army.   Here’s some of what we discuss in this episode: The decision to pursue anesthesia school. Immersion and stress in military medicine. His experiences as a special operations CRNA. The transition from military to civilian life. The AANA’s role in supporting healthcare providers. Supporting veterans and confronting destructive behaviors.   About our guest: https://www.nursing.arizona.edu/jrreed1   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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  

We’re closing out the year with what’s becoming an annual conversation on the podcast. Today we’ve invited back NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, to update the state of the profession and discuss what’s to come for CRNAs in the year ahead. From business strategy shifts to workforce development to Surprise Billing, we’ll cover some of the top issues impacting anesthesia and CRNAs heading into 2024.   Here’s some of what we discuss in this episode: A high-level look at what’s happening in the anesthesia business sector. The status of CRNA supply shortage. What’s going on with private equity-supported firms. The impact of Surprise Billing rule implementation. What’s going on with hospitals today?   Resources for this episode: Predictions from 2022: https://beyondthemaskpodcast.com/3928-2/3928/ Predictions from 2020: https://beyondthemaskpodcast.com/ep-77-10-predictions-for-the-next-year-from-aana-ceo-randy-moore-dnp-mba-crna/2516/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Sometimes opportunities arise where you least expect them and that’s the situation Keith Denning, CRNA found himself in last year when he became a member of the Connecticut House of Representatives. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will learn all about his journey from the operating room to an important position in state politics. It might not have been his intention, but Keith is trying to take full advantage of his opportunity to make a positive impact.   Here’s some of what we discuss in this episode: Why he made the move to politics after a long career as a CRNA. How to find the information you need about your state when you run. The story of how he didn’t meet pushback until he got to the legislature and introduced a bill. The push for full practice authority in Connecticut. What he’s learned about politics and how to get a bill passed. Which CRNA skills best translate to political positions?   About our guest: https://www.housedems.ct.gov/Denning     Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Today we’re looking forward to sharing a deep and insightful conversation with Anita Bertrand, a seasoned CRNA, about the challenging topic of nurse anesthesia diversion and recovery. Anita candidly shares her personal journey, emphasizing the importance of early intervention, support, and a compassionate approach to addressing the complex issues that lead to diversion.   Here’s some of what we discuss in this episode: What leads a struggling CRNA into diversion? The signs and the indicators that a nurse anesthetist might encounter in the workplace, which could lead them to consider diversion. Resources and organizations you can turn to for support. What are the processes that a state board typically follows and what impact could it have on someone’s career? Her personal journey and the struggles that she has been able to overcome.   About our guest: https://www.aorn.org/outpatient-surgery/article/2017-March-editors-page-a-crnas-story-of-addiction-and-recovery   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

We’re excited to welcome DNP candidates Morgan Mahle, CRNA and Rachael Ellis, CRNA to present their doctoral project on the show, which proposes the implementation of MMI or other non-cognitive testing tools into the admissions process. Join us to learn more about what the MMI process accomplishes and why non-cognitive testing might be able to help differentiate candidates in a highly competitive pool.   Here’s some of what we discuss in this episode: What is the Multiple Mini Interviews (MMI) process? How the stations work during the process. What their review focused on and the results of the literature review. What they found from the needs assessment they performed. How did they identify the non-cognitive attributes to test.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

We learned years ago that failing doesn’t mean you are a loser, it means you are a learner. Today’s guest unsuccessfully ran for office but that experience provided plenty of opportunities to learn and grow. Matt McCullough, CRNA shares those lessons learned during his campaign for the Pennsylvania State Senate in 2022 and why he has no regrets about pursuing change in his state.    Here’s some of what we discuss in this episode: How a conversation around a table at home made him pursue a spot in the PA State Senate. Why he feels nurses are the perfect candidate to serve in politics. What are the steps you have to take to get a campaign started? Why he wishes he would have started sooner to build relationships and meet more people. Understanding the demographics of your district before you run. The advice he’d give CRNAs that are thinking about running.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Today, we embark on a journey into the heart of some very challenging and critical issues within the anesthesia profession. Our goal is to shed light on the often-overlooked topics of "Second Victim Anesthesia Providers," the clandestine world of "Diversion of Controlled Substances," and the poignant struggle against "Substance Use Disorders." While today's episode may be somber at times, it is a testament to the importance of addressing these issues. We hope that by shedding light on these topics, we can contribute to the understanding and support of our anesthesia providers.   Here’s some of what we discuss in this episode: The stress related to critical incidents can overwhelm even the most resilient individuals. Equipping yourself with the tools necessary to handle these unexpected challenges. The different stages of intervention. The briefing-debriefing model and how it’s used. Why it’s important for providers to feel comfortable with disclosure. PTSD and its implications for CRNAs. We explore the signs and behaviors associated with Substance Use Disorder.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Our historical series continues today with a detailed look back on the life and career of Florence ‘Mack’ McQuillen, the first executive director of the AANA and someone who held the position for nearly a quarter century. We’re excited to have Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to tell us about how she helped shape the association and why she was considered by some to be a ‘benevolent dictator.   Here’s some of what we discuss in this episode: How she became the first executive director of the AANA. Her notable achievements during her 22 years in the role. A first-hand account of meeting held for mandatory continuing education. Developing a relationship with the ASA. Why she considered a ‘benevolent dictator’ by many people. Her awards and AANA recognitions earned.   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

As we celebrate another Thanksgiving, we want to show our appreciation for an organization that does so much for CRNAs. Many people don’t know about the AANA Foundation’s purpose and why it’s important to individual CRNAs working in the OR, but they play a critical role in supporting and growing the profession. Today we’ll spend time with Executive Director Nat Carmichael and Treasurer Mike Anderson, DNP, CRNA to learn more about the best kept secret in our profession.   Here’s some of what we discuss in this episode: The purpose of the Foundation and how they support research and education. Why it’s so important to have this research to support CRNAs. The different ways that you can give to the Foundation, from online donations Learn more about the Friends for Life program and why it’s a valuable commitment to the profession. The ways you can leave money to the Foundation as part of your estate plan. The other ways you can contribute to the Foundation besides monetary contributions, including opportunities for students.   Learn more about the AANA Foundation: https://www.aana.com/aana-foundation/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

In this episode of Anesthesia Alchemy, Garry and Terry briefly discuss the history, physiology, and pharmacology of using non-depolarizing neuromuscular blocking drugs as anesthesia adjuncts. They focus on the pitfalls of administrating these agents to surgical patients and the problems associated with residual neuromuscular blockade in the post-anesthesia care unit.   Here’s some of what we discuss in this episode: What are cyclodextrins and why are they useful? Understanding the essentials of neuromuscular transmission. What some of the newer intermediate-acting neuromuscular drugs do and how they work. How the treatment has changed through the years. Monitoring recovery from neuromuscular blockade. Running through the eight recommendations that were published.   Visit us online and get show references here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

We pose the question to guests all the time about how to get more CRNAs involved on the advocacy side of the profession, but today’s guest is taking a hands-on approach to instilling that mindset at the educational level. Dr. Kristie Hoch has taken her passion for advocacy and applied it to the nurse anesthesiology program at the University of Arizona. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will hear all about her training process and why she thinks this leadership training will pay off in all aspects of their careers.   Here’s some of what we discuss in this episode: Why she thinks we should call our students residents. Where her passion and fire for getting involved began. When she starts incorporating leadership and advocacy into her students’ training? CRNAs are already leaders by making it through school and being a part of this profession.   About our guest: https://www.nursing.arizona.edu/kristiehoch   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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 The different ways they integrate this training. Who has inspired her the most through her career?

Today we’re joined by Suzie Newell, DNP, CRNA, FAANA once again, but this time we will focus on an area of anesthesia that has become outdated: obstetrics. Behind her passion for this area of anesthesia, Suzie helped create the Society for Obstetric Nurse Anesthesia and Research (SONAR) to fill a void for people that had practical solutions to problems she was seeing in the field. Find out how this organization came to be, what it hopes to accomplish, and how you can get involved.   Here’s some of what we discuss in this episode: Why she felt so many places were outdated and out of touch in this area. How this organization was formed in 2020 and who all is involved in leadership roles. What are the long term goals for SONAR? The lofty goals for their first project that Suzie is spearheading. How others who have a passion for obstetrics can get involved.   Revisit our past episode with Suzie where we discuss her book: https://beyondthemaskpodcast.com/ep-190-using-neuroscience-for-daily-direction-and-coping-mechanisms/3827/   Learn more about SONAR: https://www.sonar-ob.org/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Terry and Garry dive into the fascinating world of GLP-1 receptor agonists, those tiny molecules that can be both a blessing and a potential risk factor when it comes to anesthesia. In this episode, we're going embark on a journey through the world of diabetes management, how it intersects with the realm of anesthesia and what the implications are for providers in the operating room. And in the perioperative period, we're going to shine a spotlight on these new agents, explore their effects, and we're going to discuss the challenges they present to our CRNA colleagues.   Here’s some of what we discuss in this episode: How SGLT2 inhibitors help with diabetes management. The basics of the GLP-1 receptor agonists. Examples of GLP-1 receptor agonists on the market today. Anesthesia considerations that need to be addressed. Unpacking Cyclopentenophenanthrene. Looking at the study: Characteristics and outcomes of patients hospitalized following a pulmonary aspiration.   Visit us online and get show resources here: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

How do we make the next generation of CRNAs better than the previous generation? This is the question that led today’s guest, Richard Wilson, DNAP, CRNA, to get involved in education and provide leadership training mentorship for the next group of CRNAs so they have the ability to take the profession to another level. Join us today as we talk about the importance of mentorship, how to be a successful mentor, and what benefits it provides our industry when we have stronger applicants.   Here’s some of what we discuss in this episode: The people who mentored Richard and inspired him to do the same for other students. Two instances that have stuck with him and motivated him in his career. How positive experiences are huge right now and can change the trajectory of someone’s life and career. The differences between mentoring and teaching. The keys to being a good mentor and providing a positive mentorship experience. The qualities you need to possess to be a good mentor and to be mentored. How to find a mentor if you’re a student that wants to seek this out?   About our guest: https://crnaschoolprepacademy.com/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

We’re excited to get the opportunity to sit down with someone who holds an incredibly unique position in our industry. Jorge Valdés, DNP, CRNA, APRN, FAANA, is the rare trifecta of a male nurse, minority and a CRNA in the dean’s chair at Florida International University. His rise from starting as a CRNA 21 years ago to becoming the head of a nursing school was not the path he anticipated, but Dr. Valdés has fully embraced the opportunity to impact nursing education and be a tremendous advocate for the profession. Join us as we learn more about his journey, his view on the future of healthcare, and the important role educators play in our profession.   Here’s some of what we discuss in this episode: What challenges are facing CRNA educators right now? The best place to start if you’re considering education is to be a preceptor. The path from being a CRNA to becoming an active dean. What does he see for the future of the profession? The role he’s played in advocacy in Florida.   About our guest: https://cnhs.fiu.edu/about/faculty-staff/profiles/jvalde.html   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

An amniotic fluid embolism (AFE) remains one of the most devastating conditions in obstetric practice. In today’s episode, Sass and Jeremy review the pathophysiology, signs and symptoms, and management of this rare, but lethal condition. Included in the management of an AFE is the administration of a trio of medications known as A-OK (Atropine, Ondansetron, and Ketorolac). If you want to brush up on current management techniques for an AFE, hit play…because it’s go time!   Here are some of the things we’ll discuss in this episode: An example of this happening recently where Jeremy works. How the body reacts when an amniotic fluid embolism occurs. Who is most at risk for developing AFE? Signs and symptoms to pay attention to. The treatment and management of a patient suffering from AFE. What is the AOK treatment?   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   Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

You’ll be hard-pressed to find a nurse who’s impacted her state like our guest today has done in North Carolina. Gale Adcock is serving her term in the NC Senate after eight years in the NC House and seven years on her local town council. Those 16 years in office have given her a seat at the table and she’s used it to provide nurses across the state with an advocate to speak on their behalf. Today we’re sharing our conversation with her from the NCANA Meeting, where she was also surprised with two well-deserved honors.      Here’s some of what we discuss in this episode: Senator Adcock finds out she has been awarded the Legislator of the Year Award by the NCANA and named an honorary member of the NCANA. Her four-decade background in nursing and how she got into politics. Why she feels nurses have the makeup and the background to be great leaders and elected officials. How to properly communicate with your local representative in a way they’ll pay attention and take notice. The status of the SAVE Act and why it hasn’t passed yet. How can CRNAs become more comfortable in the advocacy arena. What can you do to affect other elections that would be helpful to you as a CRNA?   About our guest: https://www.ncleg.gov/Members/Biography/s/436   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

Today we are going to discuss the uncertainties surrounding healthcare restructuring and why it’s critical for anesthesia to play an influential role moving forward. We’re excited to do that with guest host Angela Mund, DNP, CRNA, and Kevin Smith, MBA, CRNA, MSN, APRN of North American Partners in Anesthesia. We’ll have a roundtable discussion about where the anesthesia profession is headed and how CRNAs can create influence at local levels.    Here’s some of what we discuss in this episode: Why he feels like there’s no real influencer in the healthcare industry. The role that anesthesia plays in healthcare and what we have to do to take a seat at the table. His fears about healthcare restructuring and where we’re headed. Why it’s important for there to be positive messaging on the ground to offset the negative associated with many CRNAs leaving institutions. What can we do to prepare graduates to work with companies like NAPA to create influence? How social policy plays into current legislation.   About our guest: https://napaanesthesia.com/who-we-are/kevin-smith/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: 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

This is a super fun episode where we welcome Mark Gabot, DNP, CRNA, FAANA on the show as a cohost. Mark and Jeremy presented at the 2023 AANA Annual Congress in Seattle and recorded this episode at the same time. Jeremy and Mark talk about how we think during a crisis, the unconscious biases that exist and they focus on a cognitive template for crisis management that can help formulate a working diagnosis of the perioperative problem, and then zero in on appropriate management. They also have some fun with some guests in the audience and invite them up on stage to talk more about their areas of expertise. Jeremy and Mark first invite one of the authors of the published Cognitive Template article (Lisa Osborne-Smith, PhD, CRNA, FAANA) up on stage to talk more about the utilization of the template. They next invite the Cormac O’Sullivan, PhD, CRNA, ARBP, FAANA to talk about simulated crises at the AANA Annual Congress. Finally, they invite both Sharon Pearce, DNP, CRNA, FAANA and Jeremy Stanley, EA, CFP®, AIF® up on stage to talk about the origins of the Beyond the Mask Podcast.   Here are some of the things we’ll discuss in this episode: How we develop our own mental model of what to follow in terms of treating a patient. The two modes of thinking when we make rapid decisions. The research on cognitive errors and biases. Background on the cognitive template article from Oregon Health & Science University. Simulation training with Dr. Cormac O’Sullivan. Background on the Beyond the Mask Podcast and how it got started.   For more on the cognitive template, check out this earlier episode where we go deeper into the topic: https://beyondthemaskpodcast.com/managing-perioperative-crises-with-a-cognitive-template/4242/   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 Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246

Today we’re going to turn our attention back to the financial side of our CRNA discussions and focus on the issues that can creep into a marriage when it comes to money. That’s something many couples will argue over so we want to make sure you’re addressing the minefields that might test any marriage.   Here’s some of what we discuss in this episode: Why it’s important for you to know how your partner feels about money before you get married. Figuring out whether you should combine finances, keep them completely separate, or do some combination of the two.   Determining what your priorities are for life and your career and focusing on how your finances play into that. Being on the same page about debt. Should you consider a prenup before marriage? The steps you need to take with an estate plan after you get married.   Visit us online: https://beyondthemaskpodcast.com/ Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf

Sacrifice is part of the job when you’re a nurse. We all understand that comes with the territory. But there’s an even greater level of sacrifice for those who try to be advocates and leaders within the profession. Today we’re joined a gain by guest host Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Yana Krmic, MSN, CRNA, APRN to discuss the obstacles we’ve all faced throughout our careers. We explore what it means to be a leader in a challenging profession, the personal experiences that define our career trajectories, and the value of finding purpose in the work we do.   Here are some of the things you’ll learn on this show: Her journey from the Soviet Union to the United States in 1997. Yana’s pathway to leadership and the obstacles she faced as she tried advance her career. The five step process in becoming an advocate. Leaders aren’t always rewarded in our profession and it means we make sacrifices. What causes some CRNAs to be unsupportive of others in the profession. The things from the work we did during COVID. Would Yana have done things differently if she could go back?   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 all have the current requirement to take the CPC Assessment for recertification, and many of our colleagues are asking us “How can I prepare?”. In an effort to help get our CRNA nation in the mode of answering questions… Jeremy and Sass are going to start doing occasional question and answer episodes. In this episode they go over respiratory and cardiac physiology questions. This will bring you right back to CRNA school (for better or worse), so have fun!   Here are some of the things we’ll discuss in this episode: A review of Hypoxic Pulmonary Vasoconstriction When increased, which factor increases myocardial oxygen consumption to the greatest degree? Which factors cause a leftward shift in the oxyhemoglobin dissociation curve? Which vascular response occurs during hypotension? Which inspiratory muscles are involved with a supplemental inspiratory effect during times of respiratory distress? Which cardiac responses are associated with bradycardia?     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

Our guest today has quite the story to tell about advocacy but it’s not the same advocacy we normally discuss on the show. Maureen McCartney Anderson, CRNA has been in-volved with her state association in New Jersey for a number of years and was on the path of advocating for professional rights, but that changed dramatically when her baby was born with handicaps. Now she’s pouring much of her energy into advocating for the special needs children’s population and making a difference in her community with the help of other CRNAs. She realized quickly that some children were being left behind at the playground because they lacked inclusive options for children and adults of all abilities. So she took on the task of advocating for an inclusive playground in her local community of Mansquan, New Jersey. In doing so, they developed a charity called Friends of Manasquan Parks and Recreation to help expand the mission and vision they had for recreation initiatives.  Things really took off when the group ‘CRNA Moms’ got involved and the two-year project was officially completed in December 2022. Today we’ll learn more about Maureen’s advocacy efforts and how the CRNA community rallied around a wonderful cause.   Here are some of the things you’ll learn on this show: The story of how this mission became a top priority for her after her son were born. How she’s helped educate people on the need for inclusivity. The back-and-forth efforts they went through on design and why they cared so much about making it fun for everyone. The incredible support she received from the CRNA community after reaching out to the CRNA Moms Facebook group. The different fundraising efforts they took on to raise money for this $900,000 project. What’s next for Maureen and the charity?   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

Battlefield Acupuncture (BFA) is rapidly gaining recognition for its effectiveness in alleviating acute and chronic pain, as well as anxiety. When we heard Angel Jaap, CRNA speak about this at the AANA Spring Symposium, we wanted to bring her on to learn more about this alternative therapy. You’ll understand why she wants more nurses to learn this protocol after you hear some of the applications and success stories she shares today.   For those that aren’t familiar with BFA, patients undergo insertion of five auricular semi-permanent (ASP) needles to the following traditional ear acupuncture points bilaterally: Cingulate Gyrus, Thalamus, Omega 2, Point Zero and Shenmen. Angel learned about this over the past few years and has instituted a Pilot program through Whole Health within VISN 4 which allows RNs to perform BFA for veterans thereby increasing veterans access to this safe, effective pain management therapy.   You’ll learn more about that and have a much better understanding of BFA after listening to our conversation during our trip to Hershey, Pennsylvania.   Here are some of the things you’ll learn on this show: How therapeutic touch works and why it makes you feel the way it does. How BFA was developed and why the VA began incorporating this into patient care. What does a day at work look like for Angel? Angel shares a wonderful success story about treating a veteran and PTSD. The smaller needles used in BFA have been effective for people scared of needles.   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

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