Beyond The Mask: Innovation & Opportunities For CRNAs

Today we want to shine the advocacy spotlight on the work being done by CRNAs in Pennsylvania, who have helped drive some significant changes in their state. Laura Wiggins, DNP, CRNA and Jessica Poole, DNAP, CRNA are two of the nurses involved in shaping the legislation and they join us to share the details on what’s happening in the Keystone State and what it means for all of us in the profession.   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:  3:05 – Welcome Jessica and Laura   4:32 – Background on Jessica 6:29 – Background on Laura 7:59 – Legislation they’ve been working on 11:11 – The opposition to it 13:03 – Board of Nursing’s position  14:52 – Who makes these designations?  18:38 – Other changes they’ve gotten enacted 22:15 – The physician requirement of Act 60 23:38 – Getting students involved in legislative issues 25:29 – Relationship with lobbyists   27:03 – Developing relationships with legislators 30:07 – Compensating CRNAs to advocate 32:41 – Networking support from other groups 39:06 – CRNA practice during COVID in PA 41:12 – Getting involved in advocacy

Time is of the essence in the operating room, and it’s important that you’re able to track down the information you need as quickly as possible. Thanks to technology, this process is becoming much more efficient. Today we’ll introduce you to Matthew Willis, DNP, CRNA, the person who developed, coded and maintains the educational app Master Anesthesia. Find out how this app is changing the way nurse anesthetists are able to track down information and make instant calculations right from their phones.     Get the app: https://masteranesthesia.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:  2:35 – What we’re talking about 3:53 – Matthew’s background   5:26 – What the app does   9:25 – Developing the app 12:50 – Why provide all this for free? 19:38 – How long did the coding take 23:45 – Capabilities of the app 25:49 – The calculator   29:22 – The future of the app 31:49 – His costs 33:42 – How can CRNAs get involved

The history of the nurse anesthesia profession is a bit murky as records weren’t kept well through the years as medicine and healthcare progressed, but there are opinions on who the first anesthetist was. Today we’ll examine the most likely candidates with our historians Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, and try to determine who can claim the title of the real first anesthetist.   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 – Background on this topic 6:36 – History books on anesthesia 10:21 – Historical information 15:08 – Humphry Davy 16:16 – Crawford Long   17:51 – Horace Wells   19:27 – William Morton 22:35 – James Simpson 23:06 – John Snow 28:39 – The real first anesthetist according to AANA 33:56 – Who was in the earliest American hospitals?   38:08 – Disputes   40:44 – The role nuns played 42:58 – The evolution of names for anesthetists 46:32 – Sandy’s opinion on first anesthetists 48:21 – Final thoughts   Resources mentioned on the show:  The Wondrous Story of Anesthesia The Etherist Podcast The Global Voice for Nurse Anesthesia - IFNA (1989-2021)  

It’s something outside people might never think about but ambient noise can have a direct impact on the health of CRNAs and the safety of the patients. Many people working in operating rooms don’t realize the effect that elevated noise levels can have and there might be different reasons for that. But we wanted to bring Marianne Cosgrove, CRNA, DNAP, APRN, PhD, onto the show to tell us more about the research she’s done in this area and what she’s found.   Read more: http://beyondthemaskpodcast.com    About our guest: https://medicine.yale.edu/profile/marianne_cosgrove/    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: 2:06 – Welcome in our guest today 4:15 – Where did this interest come from?  6:45 – Sharon’s background in this subject  7:56 – Her study 13:27– Sound levels in the OR 15:43 – Return on the surveys 18:35 – Other survey findings 20:00 – Other contributors to the noise  22:42 – CRNAs reaction to this 26:41 – Patient safety 29:54 – How to mitigate the noise  34:44 – Lightning Round  

Incivility and bullying can be found in all types of environments in our society and that’s unfortunately true with the academic and clinical settings for SRNAs. This can create an environment that interferes with a student’s ability to learn, ability to cope, relationships, health and well-being. Holly Chandler EdD, CRNA, conducted a study with students to learn more about the issues they're facing and joins us to share her findings and look at the larger problem within the healthcare industry.     Read more: https://beyondthemaskpodcast.com/   About our guest: https://www.bryanhealthcollege.edu/bcohs/faculty-staff-directory/nurse-anesthesia-faculty/meet-holly/    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: 3:39 – Why the topic is important 5:19 – Background on Holly 6:56 – Incivility vs Bullying 8:48 – Has Sharon ever felt bullied? 11:13 – SRNAs put in tough position 13:41 – Student risk 17:28 – Reporting 19:47 – Resources that are available 22:40 – What to do if you have a colleague behaving this way? 25:10 – Encouraging people to speak up 27:23 – Self-policing 29:59 – Is this more of a societal trend? 32:35 – Jeopardizing accreditation 34:21 – Lightning Round

If you’ve ever considered being your own boss and building a business that can supplement or replace your CRNA income, there are paths out there that our peers are paving. One of those people is Mariann Trice, CRNA, ARNP, who transitioned to an independent practice after working more than 30 years in the medical field. Today she’ll tell us about her journey into entrepreneurship, the continuing education process, and why aesthetics and wellness have become a booming business.   About our guest: http://luminositeaesthetics.com/   Read more: https://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 – Background on our guest today 6:02 – Move to Seattle 8:26 – A W2/1099 offer she received 10:22 – Launching her new business 12:21 – Additional training required 14:39 – 3 CRNAs that offer training courses 18:40 – Biggest challenges in this journey 21:14 – Starting during a pandemic 23:19 – Market is booming 24:37 – Pandemic’s impact on the industry 26:03 – ‘Brotox’ 30:24 – Income 37:52 – Limitations 41:51 – AANA advocacy 47:56 – Biggest reward 51:36 – Social media marketing 55:43 – Final thoughts

Talking about money isn’t an easy thing for most people to do. That’s why conversations around CRNA contracts can get uncomfortable and eventually lead to deals that don’t provide the value or benefits that you want and deserve. That’s why we’ve invited Jon Appino, founder of Contract Diagnostics, to talk about the negotiation process and how to approach your next contract review.   Read more: https://beyondthemaskpodcast.com/ep-163-how-to-negotiate-review-crna-contracts/3151/   About our guest: https://contractdiagnostics.com/about-us/    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:  2:16 – Background on guest and topic 4:07 – How he got into this business 8:03 – What is negotiable 10:07 – Tactics for negotiating 15:44 – W2 vs 1099 19:03 – Helping people understand their options 21:55 – Understanding your worth 25:57 – Red flags in contracts 27:56 – AANA compensation benefit study 31:19 – Current trends 34:12 – Is it okay to push back? 36:26 – What do these services cost? 40:05 – Re-negotiating 41:29 – Pay for men vs women 43:27 – Lightning round

Being a CRNA means caring for and about people and you won’t find many people that are better examples of that than Linda Moore, CRNA, BS. The former president of the NCANA has been in nursing for nearly 50 years, using much of that time on advocacy and volunteerism. Today she joins us to share that experience and help us understand why it’s so critical to nurse anesthesia.   Read more: https://beyondthemaskpodcast.com/ep-162-a-lifetime-of-advocacy-volunteerism-with-linda-moore-crna-bs/3145/    Watch the documentary referenced on the show: https://app.box.com/s/ldy0pye5lpnccccdgmt29b044e563m60    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:  3:01 – Background on Linda 7:08 – Why advocacy & volunteerism is important  9:22 – Nursing Practice Act 12:56 – Lessons she’s learned  13:59 – Mentorship 18:01 – Where she volunteers 23:46 – Political involvement 27:24 – Her role within NC Democratic Party 31:42 – Final thoughts on the topic 33:20 – Lightning Round

As we prepare to turn the page to the new year, it’s time to start thinking about our goals and laying out the resolutions we want to achieve in 2022. Sharon and Jeremy will take you through 22 life and money resolutions that will help you grow as a CRNA and put you on a path to financial freedom.   Read more: https://beyondthemaskpodcast.com/ep-161-22-life-money-resolutions-for-2022/3132/(opens in a new tab)    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0   What we discuss in this episode:  2:01 – Looking back on 2021 3:17 – Setting goals and resolutions 4:35 – Resolution #1 – Reduce your debt 7:11 – Resolution #2 – Boosting retirement savings 8:41 – Resolution #3 – Prepare for unexpected 10:57 – Resolution #4 – Don’t overreact to the headlines 12:24 – Resolution #5 – Set a budget 15:13 – Resolution #6 – Meet with financial & tax advisors 16:52 – Resolution #7 – Check beneficiary designations 19:39 – Resolution #8 – Carve out time for tough conversations 21:40 – Resolution #9 – Audit your insurance 22:58 – Resolution #10 – See if refinancing your home makes sense 23:46 – Resolution #11 – Organize your finances 25:35 – Resolution #12 – Check your credit 28:06 – Resolution #13 – Understand and review 1099 options 35:06 – Resolution #14 – Have a retirement income plan 31:34 – Resolution #15 – Look for more donation opportunities 33:00 – Resolution #16 – Ask about Roth conversions 34:30 – Resolution #17 – Update paycheck withholdings 35:21 – Resolution #18 – Rebalance your portfolio 35:51 – Resolution #19 – Plan your transition into retirement 37:30 – Resolution #20 – Consolidate your accounts 38:19 – Resolution #21 – Define your why or revisit it 40:08 – Resolution #22 – Listen to more episodes of the podcast 41:24 – 5 signs for good financial health

Our historical series wouldn’t be complete without an episode dedicated to the life and accomplishments of former AANA president Helen P Vos. What better way to truly understand her impact on the profession than by talking with two of her former students who were later mentored by Ms. Vos. Let’s welcome back Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA to the show to tell us about this special person.   Read more:https://beyondthemaskpodcast.com/ep-160-remembering-helen-vos-the-mother-of-continuing-education/3127/   Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Make a Memorial or Tribute Gift to the AANA: https://www.aana.com/docs/default-source/foundation-aana-com-web-documents-(all)/memorial-and-tribute-gift-summary.pdf?sfvrsn=de8545b1_0    What we discuss in this episode:  3:31 – Introducing today’s subject 4:37 – Early life 8:29 – A spirit for adventure 12:20 – Education 19:15 – Her work in anesthesia 25:00 – Career as a CRNA 28:26 – Story about how direct she could be 33:14 – Service to the AANA 38:29 – Mother of Continuing Education 43:52 – Her passing 50:06 – Final thoughts on Helen