Beyond The Mask: Innovation & Opportunities For CRNAs

A podcast for the CRNA industry. Discussing the important issues that happen both in, and beyond, the operating room. With Sharon Pearce MSN, CRNA and Jeremy Stanley CFP, AIF.

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5 days ago

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:   About our guest:    Get the CE certificate here:   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

Thursday Jan 06, 2022

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:    Get the CE certificate here:   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

Thursday Dec 30, 2021

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: in a new tab)    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:   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

Tuesday Dec 21, 2021

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:   Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    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

Thursday Dec 16, 2021

Patients trust that their healthcare providers are sending them to the best surgeon possible when the need arrives, but that’s not always the case. Too often, patients aren’t receiving the best match when surgery is required due to outdated methods but times are changing. Sanjay Prasad, MD, CACS, started the company SurgiQuality to better track surgeon results and better identify quality of care. Today he joins us to talk about this new business and its goal to improve both costs and care for all parties.   Read more:    About our guest and his book:    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    What we discuss in this episode:  2:36 – Background on our Dr. Prasad 5:03 – What’s the issue with surgical referrals right now? 7:52 – How SurgiQuality operates 10:18 – Acquiring data on surgeries 13:51 – COVID’s impact on healthcare 16:56 – Where are we headed? 19:02 – Dealing with difficult patients 21:20 – Working with surgeons for tracking results 24:02 – Dr. Prasad shares a story 26:11 – Who buys into SurgiQuality? 26:11 – How many companies are self-insured? 29:40 – Medicare and Medicaid 30:31 – Cost savings 32:22 – Details on his book 33:22 – Building the SurgiQuality platform 35:30 – Final message from Dr. Prasad  

Thursday Dec 09, 2021

Although you never go into a patient’s room with the expectation that anything will go wrong, sometimes it does. It’s important for nurses to be prepared in the event that a lawsuit is ever filed against you. Today we’ve invited attorney Nick Dowgul to the show to tell us more about the legal process and what can happen to your nursing license after a lawsuit. There’s a lot to learn and we want to make sure you are able to protect yourself and your career.   Read more:    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    What we discuss in this episode:  3:24 – Background on Nick 5:19 – Malpractice coverage 8:50 – Lawsuits impacting your license 10:46 – How investigations work 12:06 – Pulling cell phone records of nurses 16:07 – Examples of cases he’s seen 21:31 – Where you can find infractions? 22:14 – Failing to adhere to minimum standards case 24:14 – Following a doctor’s order 30:16 – Should you get a lawyer?   32:00 – Insurance side of this 34:14 – How to find someone like Nick 35:53 – Summarizing the conversation  

Thursday Dec 02, 2021

We’ve stressed the importance of having CRNAs in clinical leadership positions as well as local government positions, but it’s equally valuable to have our peers in academic leadership roles as well. That’s why we’re excited to welcome Angela Mund, DNP, CRNA, back onto the show to talk about her new position as a department chair at the Medical University of South Carolina. In the first few months, she’s learned quite a bit about many different divisions and she’ll share some of that with us along with helping young CRNAs that are considering a similar path in academia.   Read more:    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    What we discuss in this episode:  4:36 – Welcome in Dr. Mund 5:44 – Her academic background 8:51 – What divisions she oversees 11:30 – Learning curves 13:45 – How did she get this role 15:25 – Advocating for CRNAs   19:29 – Favorite part of this role   21:42 – Biggest challenges 24:31 – How her experience as a CRNA has helped   28:28 – CRNAs that want to go this route 37:40 – Impact of moving to the doctorate 41:51 – Quality and quantity of students increasing 47:44 – Closing message from Angie  

Tuesday Nov 23, 2021

Money drives many of the decisions industries have to make and healthcare is no exception. As things become more expensive and less efficient, people are looking for ways to improve the quality and cost of care. Ian Hewer, PhD, CRNA, is an assistant professor at Western Carolina University and has turned much of his focus to healthcare economics and QZ team billing. Today he’ll tell us more about this team approach, how it’s impacting cost, and why it’s a good thing for CRNAs.       Read more:    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    What we discuss in this episode:  4:34 – Introducing today’s guest and topic 6:53 – The anesthesia care team model 11:24 – Background on QZ billing 14:15 – Supervision 16:45 – How will affect the future of anesthesia? 22:48 – What does the average anesthetist make? 26:03 – Outcomes vs amount spent 30:57 – Solutions for the future 35:49 – What patients think of their care 37:02 – Problems with employer-based insurance system 38:34 – Two options we face 42:46 – CRNAs in good position 44:10 – Lightning Round

Thursday Nov 18, 2021

Research is crucial to pushing the CRNA profession forward and that’s something that the AANA Foundation has dedicated its efforts to. To help us understand why so many resources are being poured into research and what we’re learning about anesthesia, AANA Foundation CEO Lorraine Jordan, PhD, CRNA, CAE, FAAN, joins the show. She shares the mission behind the foundation and gives us her perspective on what's ahead for CRNAs.   Read more:    Get the CE certificate here:   Make a Memorial or Tribute Gift to the AANA:    What we discuss in this episode:  5:12 – Welcome on Lorraine 9:09 – Why we picked this topic 11:37 – Cost of research studies 15:23 – Research results 24:48 – Quality not being a priority 29:10 – CRNAs in rural areas 35:27 – Anesthesiologists and CRNAs working together 39:02 – Lorriane’s forward vision 45:20 – How to donate 50:10 – Final thoughts

Thursday Nov 11, 2021

You won’t find Anne Penland’s name mentioned very often in the early history books about nursing, but this North Carolina nurse anesthetist served our country in some of the toughest environments. Our historical series continues with a spotlight on Penland and all of the incredible detail she provided on the war and early 20th-century anesthesia thanks to a well-written diary. We’re joined by our resident historians, Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, to learn more about this incredible person.   Read more here:    Get the CE certificate here:   What we discuss in this episode: 2:57 – Great feedback on the historical series 4:30 – Why is Penland so important? 5:45 – Early life 8:38 – Her time in Europe during WWI 13:35 – Working as a nurse anesthetist during the war 16:10 – Lessons learned from her diary 20:48 – Happy moments from the diary 22:48 – Serving with Agatha Hodgins 26:08 – Recognition for her service 29:42 – After the war 34:26 – Ceremony in 2017 41:54 – From the military to civilian healthcare 44:16 – So much happening in the world at the same time 47:51 – Building on the past 53:01 – Where to get additional information

Thursday Nov 04, 2021

There’s no doubt that anesthesia is a big business but not every CRNA pays attention to that side of the profession. It might not be something you’re immediately interested in, but it’s important to help you understand your true value as a CRNA. Today we’re going to ask Tracy Young, MSNA, MBA, CRNA, the CEO of YPS Anesthesia, about a number of important topics involving the business side of anesthesia and what the future might hold as the industry evolves.     Read more:    About our guest:     Get the CE certificate here:   What we discuss in this episode:  2:41 – Excited for our guest today 3:58 – Background on Tracy 6:00 – How much the business has grown 7:42 – Trials and successes 9:56 – CRNAs that want to build a business 12:41 – Other areas he’s interested in beyond anesthesia 18:47 – How COVID has changed hospitals and health facilities 22:57 – Creating a great workplace 28:12 – Flexible models 30:12 – 1099 vs W-2 36:45 – Advice for healthcare insurance 39:17 – Understanding your value 45:14 – Cost-effectiveness of CRNAs 50:46 – Future for CRNAs 54:45 – What scares him the most about the future 56:36 – Lightning round

Thursday Oct 28, 2021

Technology has been changing the healthcare industry for many years now but we’ve reached a point where computers have gone from outside the body to inside the body. Computerized surgical implants are being utilized in many different capacities to provide better care for patients, and that’s presenting some unique challenges for CRNAs. Today we talk with Adam Flowe, CRNA, who is the Chief Nurse Anesthetist at Duke, to talk about all the advancements in technology and what it means for the profession today and in the future.   Read more and get additional resources here:    Get the CE certificate here:   What we discuss in this episode:  3:16 – Welcome in Adam 4:23 – Background on Adam 6:51 – Why this topic? 11:42 – Why are we seeing more of these implants? 13:23 – Different types of implants 21:42 – Challenges for anesthesia providers 23:39 – Training SRNAs for this 26:59 – Can we be made smarter? 30:52 – Elon Musk health technology company 41:54 – How long can the body tolerate these things 42:38 – Final thoughts 43:19 – Lightning Round  

Thursday Oct 21, 2021

Long-term relationships, whether they be personal or professional, have been under tremendous stress since the start of the pandemic. The same dynamics that typically produce rewarding relationships can also be turned around and used to negatively affect the parties involved. Keith and Lynn Macksey, CRNA, wrote Miracles in Marriage during COVID to explore the miracles that lie within these special relationships in our lives. Today we hear their story, learn from their experiences, and pick up a few tips and techniques that we can apply to our own relationships.   Read more:    Check out their book on Amazon:    Get the CE certificate here:   What we discuss in this episode:  3:33 – Why this topic? 4:46 – Story behind the book 9:35 – The value of the book 12:12 – Context drives content 15:38 – Story about one of the characters in the book 21:02 – Creating a positive context 24:45 – When you partner drives you nuts 31:04 – The CRNA personality type 37:00 – How we learn about relationships 40:16 – Where breakthroughs come from 47:35 – Taking things personally 56:09 – How age impacts things 1:00:51 – Ultimate veto 1:02:11 – Love is a verb not a noun 1:06:08 – Final thoughts  

Thursday Oct 14, 2021

With the resources and skills that CRNAs possess, they are trained to succeed in crisis situations, which is why more and more of our peers are assisting in disaster response. One of those generous people is Corinne Chausse, a CRNA from North Carolina that has worked on the front lines of Iraq, at the epicenter of the pandemic, and other highly stressful locations. Today she joins the show to talk about this experience, share remarkable stories, and explain the many benefits of serving in these response roles.    Read more:    Get the CE certificate here:   What we discuss in this episode:  4:09 – Background on Corrine 6:47 – Places she’s traveled to   10:41 – Preparing herself for these violent locations   11:54 – Handling blast injuries 14:55 – Influencing her work at home 16:38 – Dealing with COVID in NYC   21:16 – Positive memories she has   26:54 – The tremendous levels of stress   34:24 – Advice CRNAs with an interest in this work   37:54 – Lightning Round  

Thursday Oct 07, 2021

For the past 50+ years, numerous quality of care studies have been published that evaluated outcomes based on the anesthesia provider. These studies have produced great data but some of the research methods and findings were flawed. That’s been used by the ASA and AANA to promote agendas. We’ve invited Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA, back on the show to tell us about the different studies through the years and sort out the difference between fact and fiction.   Read more:    AANA Document: Quality of Care in Anesthesia   Get the CE certificate here:   What we discuss on this episode: 4:27 – An overview of the studies and findings 6:58 – Studies from the 1970s and 80s 10:58 – Bechtodt study 14:48 – When Sandy was president elect   17:30 – The Silber Study 24:00 – Flawed results 26:45 – Analysis by Dr. Michael Pine 31:48 – Abenstein and Warmer article in 1996 32:27 – Vila Study in Archives of Study 33:17 – Dulisse & Cromwell study 38:15 – Needleman study in 2008 39:41 – Simonson study in 2007 41:15 – What do we know now in 2021? 43:05 – How to learn more 48:04 – We need to keep producing data 53:21 – The future is quality, cost and access

Thursday Sep 30, 2021

The rate of mental health illness has already been on the rise among young adults and these past two years have added even more stress to our lives. We know first-hand how difficult things have been for healthcare workers and students alike. Michael Rieker, CRNA, DNP, FAAN, like many people, has been personally impacted by suicide and now uses that experience to help improve the mental health for people he comes in contact with each day. He joins us on this episode to talk about the challenges facing our industry, how we can personally make a difference in someone’s life, and an upcoming event that will honor the memory of an SRNA.   Read more:    About our guest:    Get the CE certificate here:   What we discuss on this episode:  2:44 – Welcome in Mike Rieker. Why this is important to talk about. 4:53 – Background on Mike 5:32 – What has been driving mental health issues 8:49 – Effect on healthcare workers 13:20 – The quiet stressors 18:48 – Enormous pressure on anesthesia students 22:48 – Lessons he’s learned   27:06 – Empathizing with people 30:22 – Providing support   34:43 – Difficulty in finding balance 39:00 – The annual run 40:59 – Final thoughts 41:29 – Lightning round 45:25 – Details on the run

Thursday Sep 23, 2021

One positive that’s emerged from the pandemic is the reality that nurses are extremely good at their job and can thrive in an independent setting. The hope is that this will help APRNs and CRNAs move closer to a career where they can practice to the full extent of their training and education without statutory barriers. Today we’ve invited Ronald Castaldo, PhD, MBA, MS, CRNA, APRN, onto the show to discuss the pro-APRN wins in recent years and to help all CNRAs understand the importance of the state boards of nursing. He also provides a detailed background and breakdown of the APRN Consensus Model and the APRN Compact.   Read more and get additional resources here:    Get the CE certificate here:   What we discuss on this episode:  2:59 – Welcome in Ron 6:37 – State board of nursing 8:35 – Different levels of discipline 12:57 – What gets reported to the national practitioner databank 16:09 – Losing your nursing license 21:12 – What is the APRN Consensus Model 26:29 – CRNAs working independently 32:13 – APRN compact 39:37 – Pandemic silver lining 40:32 – What’s the process to move states? 42:17 – Opponents to this 45:12 – Final thoughts 48:48 – Lightning round

Thursday Sep 16, 2021

Being a great leader doesn’t require a person to be in a position of power. Every CRNA has the opportunity to make a difference each day by leading up. The dean of Loma Linda University’s School of Nursing, Shawn Collins, PhD, DNP, CRNA, joins the show today to talk with us about this idea of making an impact from whatever role you’re in.   Read more and get additional financial resources here:    Get the CE certificate here:   What we discuss on this episode:  2:39 – Background on our guest today 5:03 – Why this topic is important   6:11 – Different types of power   9:21 – What is leading up?   12:47 – Takeaways from being on hospital board 14:34 – Tips for leading up 18:20 – Emotional intelligence 22:43 – Leadership is learned 24:48 – Final thoughts from Shawn 26:45 – Lightning Round

Thursday Sep 09, 2021

You might have noticed a surge in articles and stories about the nurse anesthesia profession in recent days and weeks, and that’s because of the push for regulatory reform. Joe Rodriguez, CRNA, has always been one to push for change and advocate for healthcare policy reform, and that’s the position he’s in once again. He joins us on this episode to discuss the changing landscape in the AANA, why leadership needs to be a priority, and explains what reform can mean for the future.   Read more:    Get the CE certificate here:   What we discuss on this episode:  4:51 – Welcome in Joe 7:28 – Why we’re discussing this right now 10:55 – Background on Joe and his practice   14:44 – Diving into politics   18:22 – Building relationships   20:57 – How advocacy has impacted business 25:28 – Being scared of losing 30:35 – Corporate responsibility 34:30 – Time and effort it takes 38:36 – Collaboration is key 41:43 – Value in nurse anesthesiologist   44:44 – Biggest challenge facing CRNAs   48:42 – Message to folks that disagree with him 54:09 – Final thoughts 54:43 – Lightning round

Thursday Sep 02, 2021

The issue of diversity isn’t one that’s limited to certain areas of the country or specific professions. It’s a problem that people everywhere are trying to solve, including the CRNA profession. We want to explore the topic and try to get a better understanding of the barriers and challenges for minorities entering this field so we asked Richard Flowers, CHSE, CRNA, DNP, to join the show to provide us with his insight and experience in this area.   Read more:    Get the CE certificate here:   What we discuss on this episode: 4:24 – Excited for our guest today 7:27 – Background on Richie 10:06 – Why is this topic important 13:18 – Where does the problem start? 18:17 – Bringing awareness and context to the problem 20:19 – Barriers to diversity 25:05 – Cultural humility vs Cultural competence 26:58 – Programs at Wake Forest 36:04 – Millennials’ view of race 39:17 – Takeaway for CRNA listeners 44:32 – Why are you teaching this? 53:05 – Lightning round

Copyright Jeremy Stanley 2020

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