Beyond The Mask: Innovation & Opportunities For CRNAs

Few people in our profession represent what it means to be a CRNA more than Yana Krmic, MSN, CRNA, APRN. Born in Ukraine and raised in Siberia before moving to the United States 25 years ago, Krmic overcame many challenges to become a CRNA and eventually rise to the position of president of the New York State Association of Nurse Anesthetists. Her story is an inspiration to us all and one we’ll share on the podcast today along with her feelings on what’s happening in her home country.   Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Today's Key Topics:  4:02 – Introducing our guest 5:24 – Yana’s professional background 6:58 – Growing up in Ukraine 10:22 – Mom moves to New York 12:21 – Yana moves to Siberia 15:43 – Getting into healthcare 17:50 – Green card lottery  19:21 – Determination and assertiveness 20:18 – Her mother’s upbringing 22:08 – Arriving in America  24:56 – Adjusting to a new world 28:08 – Getting a degree and moving into healthcare 35:21 – Experience during COVID 39:53 – Driving more advocacy 46:00 – Her perspective on Ukraine 52:24 – Ukrainian resilience 57:17 – Her identity became clear 1:02:15 – Final thoughts

The healthcare industry has always depended on collaboration to advance medicine and improve care for patients. Much of that collaboration comes in the form of sharing findings from studies and research, which is what the Cochrane Network tries to compile into thorough and systemic reviews. By working with clinicians, policymakers, providers, and even CRNAs like Dru Riddle, PhD, DNP, CRNA, FAAN, Cochrane promotes evidence-based decision making across healthcare, and today we’ll learn more about the US Network and the role it plays for CRNAs.   Learn more about Cochrane: https://us.cochrane.org/cochrane-us-network   Read more: http://beyondthemaskpodcast.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:  3:28 – Introducing our guests 4:30 – Introducing our topic 8:05 – Who is involved 10:16 – Financial support 12:19 – Building credibility 13:42 – Reviews in US and UK  15:37 – Why he got involved  18:56 – Reviewing anesthesiologists efficiency 21:33 – Cochrane’s new strategy   23:16 – Why isn’t this research being applied to CRNAs? 25:40 – Generating a topic review 29:52 – How Cochrane worked for Sharon recently  34:42 – Why they need CRNA influence 36:23 – Micro-volunteerism  38:13 – Final thoughts

The fight to give CRNAs full practice authority continues in states across the country but there have been some important victories along the way. All you need to do is look to our military to find a model that many people would like to see across the profession as the U.S. Army, Navy, and Air Force have all removed restrictions on CRNAs. Today we’ll talk with Air Force Colonel Jan Setnor, MSN, CRNA, who was one of the key people involved in helping the Air Force gain that authority and she’ll share the story of how it all happened.       Read more: http://beyondthemaskpodcast.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:  2:53 – Jan’s background in the Air Force 7:07 – ASA and military CRNAs 9:53 – Battling against restrictions 14:27 – Calling Deb Molina 17:04 – Details from the meeting 20:55 – How they reached an outcome 24:21 – Different rules 27:18 – Advocating 29:23 – VA rules in different states 33:38 – Final thoughts 34:50 – Where she was on 9/11

The AANA Elections to appoint 2022-2023 board and elected committees will open on April 19 and members will have two weeks to cast their votes. We had the opportunity to go to the mid-year assembly in Washington D.C earlier this month and give candidates the chance to speak directly to you about their views and goals to help you make a more informed decision. Today you’ll hear from 13 CRNAs who will be on the ballot this month.   Meet the candidates: https://www.aana.com/governance/election-center/aana-election-slate-announced    Read more: http://beyondthemaskpodcast.com    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Candidates for President 2:52 – Heather Rankin, DNP, MBA, CRNA, FAANA - Alabama 7:13 – Dru Riddle, PhD, DNP, CRNA, FAAN – Texas   Candidates for Vice President 11:15 – Kristie Hoch, DNP, MS, CRNA - Arizona 15:18 – Debra Diaz, DNP, CRNA, APRN, CDR - Florida 17:26 – Janet Setnor, MSN, CRNA – Virginia   Candidates for Treasurer 18:19 – Jeffrey Molter, MBA, MSN, CRNA - Ohio   Candidates for Directors 19:53 – Jill Mason, EdD, DNAP, MSN, CRNA, COI - Indiana 23:03 – Paul Packard, DNAP, CRNA, CPPS - North Carolina 24:33 – Jennifer Banek, MSN, CRNA - Illinois 26:39 – Cathy Harrison, DNAP, MSN, CRNA, CAPT - Virginia 27:47 – Andrea Roberts, DNAP, CRNA - Minnesota 31:12 – Randy Cornelius, DNP, CRNA, ARNP - Iowa 33:49 – Tracy Young, MSNA, MBA, CRNA – Louisiana

As we approach another round of midterm elections, we wanted to introduce you to one of the few nurses around the country that hopes to represent her state in Congress. Renee Ellmers is running again in North Carolina after previously serving three terms and she’s doing so with the goal of improving access to healthcare in our country. We’ll also discuss why it matters to have nurses representing our profession as elected leaders and how it might have made a difference in a recent ruling in Tennessee.    How to help Renee's campaign: https://www.reneeellmers.com/    Read more: http://beyondthemaskpodcast.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:  2:18 – Renee’s view of healthcare and why she’s running   5:45 – Why nurses make good elected officials 7:06 – Getting full practice authority 9:08 – Quality of care 11:57 – Restrictions lifted during COVID 13:59 – What can be done?   16:57 – Current nurses in politics 19:03 – Why are nurses elected more? 21:58 – Surprises in Washington 23:24 – Nurse in Tennessee convicted 27:54 – Did the lack of representation impact the ruling? 29:35 – The precedent it set 32:05 – How nurses can help her 35:23 – Advice for nurses 37:09 – Lightning Round  

With the rise in methamphetamine use across the country, CRNAs need to be prepared to provide anesthesia to a substance use disorder patient. Jenny Krogh, CRNA, has noticed several misconceptions and conflicting management of patients who have used methamphetamines through her time working and researching. Today she joins us to explain the effects of methamphetamines on the body and clarifies some of the inaccuracies.    Read her research: https://www.apsf.org/article/practice-considerations-for-the-anesthesia-professional-for-methamphetamine-substance-use-disorder-patients/    Learn more about financial planning: https://www.crnafinancialplanning.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:  2:39 – Introducing our guest 5:28 – Why we are talking about this 7:14 – The use of meth in patients 8:52 –  Why words are important 10:21 – Neurochemistry 14:39 – Chasing the high 17:59 – How meth use changes anesthesia 20:44 – Treating hypertension  23:01 – How it affects work in the OB 28:09 – Use of Ketamine 30:20 – Her research 34:04 – Final thoughts 37:21 – Lightning Round 

When planning for retirement, many CRNAs end up guessing at some of the most important questions. You’d never enter an operating room unprepared so why risk everyone you’ve worked so hard for throughout your career by not having a plan in place? Today we’ll get answers to these key financial questions so you don’t have to play the guessing game.   Read more: http://beyondthemaskpodcast.com    Learn more about financial planning: https://www.crnafinancialplanning.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:  3:10 – What we’re talking about today 5:25 – How much monthly income will you need? 7:07 – Trying to determine lifespans 8:22 – Underestimating your needs  10:32 – Monthly average income needs  12:53 – Planning for major purchases  15:16 – Millennials are savers 16:48 – Inflation  18:03 – Interest rates 21:38 – Healthcare costs 26:35 – Final thoughts

In November of 2021, the AANA lost a great man in Patrick Downey. This former president and patriarch of the Diamond Club served as a CRNA for more than 50 years and impacted many lives along the way. It’s fitting that this St. Patrick’s Day episode is a look back at his incredible life and the work he did for nurse anesthesia.    Read more: http://beyondthemaskpodcast.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:  3:47 – The loss of Patrick Downey in 2021 4:45 – The AANA Diamond Club 8:01 – Role Patrick played in the club  9:45 – Patrick’s early life 11:50 – Education and marriage 13:56 – Anesthesia highlights  16:35 – Time as AANA president  22:23 – Goals and challenges 29:50 – Outreach away from operating room 32:29 – Viable public relations program 34:15 – The money in anesthesia 42:50 – His message to anesthesia 47:27 – His passing in 2021 52:08 – Patrick Downey Montage

Long hours and high stress is typically a recipe for poor health, which is why it’s always good to get a reminder to put ourselves and our bodies first. That can be difficult for CRNAs, who are trained to prioritize the needs of others. That’s why we wanted to bring on master nutritionist Donnell Carter, MBA, MS, CRNA to give us the information and motivation we need to take steps towards a healthier lifestyle.   Read more: http://beyondthemaskpodcast.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:  3:20 – Welcome in Donnell 5:18 – Time in the Navy  7:11 – Event that changed his life 12:18 – Going to anesthesia school 14:25 – How CRNAs can integrate health and wellness  19:04 – Master nutritionist  21:33 – His services  22:40 – Coaching  29:53 – Fighting depression 36:59 – Obesity’s role in the pandemic  43:33 – Final thoughts 45:20 – Lightning round

Forty years have passed since the Tax, Equity and Fiscal Responsibility Act (TEFRA) became law and this piece of federal legislation changed the way payment and reimbursement was tracked. Today we’ll look back on the history of TEFRA with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about the reasons behind it, how the AANA responded, and what revisions have been made through the years.   Read more: http://beyondthemaskpodcast.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:  3:00 – What we’re talking about today 5:05 – Why was TEFRA implemented? 8:04 – Quality of care standard 9:33 – What the practice used to look like? 14:27 – Preparing practitioners 15:36 – What the original rules said 20:32 – Medical supervision and direction 26:56 – 7 conditions of payment 28:49 – AANA’s reaction to TEFRA 31:23 – Concerns between 1993 to 1998 34:32 – Proposed revisions 37:45 – What is immediately available 40:44 – Current TEFRA rules 44:20 – Any updated revisions? 47:15 – Physicians starting schools 51:15 – A book recommendation 52:02 – Final thoughts