Beyond The Mask: Innovation & Opportunities For CRNAs

Ep 243: A Crisis of Malignant Proportions

Malignant Hyperthermia (MH) is a rare and dreaded complication specific to anesthesia. It’s a systemic hypermetabolic syndrome that can result in severe disability or even death. In this episode Jeremy and Sass review the pathophysiology, preoperative considerations, signs and symptoms, complications, and management of this uncommon, but significant critical event.
Here are some of the things you’ll learn on this show:
The pathophysiology of Malignant Hyperthermia 3:29
How can you identify patients who might be at risk of MH? 5:54
What’s the best way to test for this and what are the major signs and symptoms? 9:44
How do we manage an MH case when we think we have one? 15:48
The antidote to make this situation stop. 19:10
Details on dosing. 23:06
The potential complications that could occur. 26:43
 
Resources:
Connect with the Malignant Hyperthermia Association of the United States (MHAUS): 1-800-664-9737 https://www.mhaus.org/
 
About our hosts: https://www.kpsan.org/school/people/
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

Ep 242: The Role of Emotional Intelligence in Creating a Preferred Workplace for CRNAs

Today we’re excited to dive into a topic we’ve been very curious about with a guest we’ve had the pleasure of interviewing previously. Tom Davis, DNAP, MAE, CRNA is an Air Force-trained CRNA with a lot of high-level experience in anesthesia, and throughout his CRNA career, he’s really focused on two aspects of the profession: healthcare leadership and patient safety. In doing this, he’s learned so much about emotional intelligence and the role it plays in creating a preferred workplace. He joins us this episode to define emotional intelligence, explain why listening is crucial, and help us better understand how we can improve our own EI.
 
Here are some of the things you’ll learn on this show:
What does emotional intelligence look like? 5:11
The role that emotional intelligence plays in the workplace. 8:04
Why listening is at the heart of emotional intelligence. 11:32
Level 3 and Level 4 listening is so important in connecting with people. 17:45
How emotional intelligence can help improve the CRNA shortage. 21:53
What is the ‘drama triangle’? 25:25
Amygdala hijack and the emotional response that happens. 33:24
The behavioral continuum and how it impacts what you think, say and do. 42:41
What’s the best leadership style for the workplace and how can you bring in emotionally intelligent people? 46:46
 
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

Ep 241: Top Retirement Planning Mistakes CRNAs Need to Avoid

Are you a CRNA who feels lost in the complicated world of retirement planning? With many different accounts and investment options, it’s easy to make mistakes when it comes to your finances. In this episode, Jeremy Stanley, CFP® will cover some of the mistakes CRNAs make with their retirement plan and help you better understand how to best utilize different account types to save for the future.
 
Here are some of the things you’ll learn on this show:
The different types of retirement accounts CRNAs commonly have. 3:50
What you should do with those retirement accounts with former employers? 7:52
Are you rebalancing your portfolio enough? 10:12
Why Target Date Funds aren’t as effective as you might believe. 11:26
Do you know what fees and costs you’re paying? 15:35
Investing options for CRNAs who are 1099 and independent contractors 18:12
Final retirement planning thoughts from Jeremy. 29:28
 
Get retirement planning assistance: http://crnafinancialplanning.com
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

Ep 240: The Anatomy of Acute Stress & Strategies to Manage It

We all experience acute stress. Sometimes on a daily basis. In this episode Jeremy breaks down acute stress and talks about the anatomy and physiology of stress. He reviews a theory on how highly stressful situations can affect our thinking and performance. He also points out how a certain amount of acute stress is actually helpful.
 
Here are some of the things you’ll learn on this show:
The anatomy of stress – what role does each part of the body play? (4:08)
A theory of the psychology and physiology of stress. (11:01)
The right amount of stress can actually be a motivator and enhance performance. (13:48)
The BVM acronym provides strategies for handling stress. (15:45)
 
Resources:
David Grossman –On Combat: The Psychology and Physiology of Deadly Conflict in War and in Peace by Lt.-Col. Dave Grossman and Loren W. Christensen, PPCT Research Publications, 2004.
A good site to see a representation of Grossmans’ Graph of how stress affects one’s psychological and physiological response: https://www.cdnfirefighter.com/stress-management-5807/
Marcus, Hani, et al. (2013). Practice makes perfect? The role of simulation-based deliberate practice. Neurosurgery 72:A124-A130.
Bramson, Rachel, et al. (2011). Comparing the effects of mental imagery rehearsal and physical practice. Annals of Behavioral Science and Medical Education, Vol. 17, No. 2, 3-6.
 
About our hosts: https://www.kpsan.org/school/people/
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
 

Ep 239: What Can Be Done to Solve the Nursing Shortage?

More nurses are leaving the bedside every year and it has created a shortage nationally. If you’re listening to this podcast, you probably already know good and well about this issue. So what can be done to attract and keep more nurses? Former ANA president Ernest Grant, PhD, RN, FAAN joins us to sort through this pressing issue within the profession and share ideas about what can be done at every level to solve the problem.
 
Here are some of the things you’ll learn on this show:
Why is this crisis different than past nursing shortages. 4:30
What can be done on the frontend through school and attractive jobs to get more people interested in the profession? 9:25
What he thinks nurses want in their work environment based on what he’s learned. 20:27
Can the government do anything to help with the shortage? 26:55
Why ratios might not be the solution in some locations. 31:34
What does he think will actually happen in the upcoming years. 38:01
 
Check out Ernest Grant's previous appearance on the podcast: https://beyondthemaskpodcast.com/ep-139-nursing-politics-and-the-future-of-our-country-with-ernest-grant-phd-rn-faan/2960/ 
About our guest: https://www.nursingworld.org/news/news-releases/2022-news-releases/ana-president-dr.-ernest-grant-named-among-modern-healthcares-top-100-most-influential-people-in-health-care/
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
 

Ep 238: Having a Plan B – Why CRNAs Should Consider a Side Hustle

The CRNA profession continues to be a strong career path that allows you to comfortably save for retirement, but that doesn’t mean you shouldn’t always have a backup plan just in case. As we’ve seen over the last few years, crazy things can happen that shake up our day-to-day routines at a moment's notice. In this episode, we’ll talk with Plan B CRNA Podcast host Bobby Jones, MSN about how anyone can start a side hustle, and maybe more importantly, how and why they should consider it.
 
Here are some of the things you’ll learn on this show:
Why he began his podcast in order to help CRNAs with side hustles and wealth building. 5:20
The reason why most small businesses fail. 18:27
What’s he learned about cryptocurrency, being a loan signing agent, merchant processing, and holiday side hustles. 24:14
What pushed him to start the podcast and why did he want to focus on CRNAs. 30:08
Why you need to be prepared financially for the unexpected by having a plan B. 38:30
 
About our guest: https://www.oncallinvestments.com/
Check out the Plan B CRNA Podcast: https://theplanbcrnapodcast.buzzsprout.com/
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

Ep 237: To DNP or Not To DNP

Many CRNAs are returning to school to earn their Post-Master’s Doctor of Nursing Practice but is it worth it to spend the time and money to earn another degree? You can find plenty of information and discussion about DNP project topics and people that have earned their DNP, but it’s not as easy to find a thorough explanation of how to go through that process and the actual value it provides. Devin Miller, CRNA, DNP joins the show today to get into the details of a DNP and tell us why he feels it can empower nurses after completing the program.
 
Here are some of the things you’ll learn on this show:
Background on the topic today and why Devin wanted to share more on getting your DNP. 3:59
Details on Devin’s DNP project. 8:56
What’s the point of going back to get your DNP? 17:23
Do you have to aspire to work in teaching at some point? 26:54
How to find your DNP project. 32:00
Don’t let yourself resist empowerment as a nurse. 48:29
 
About our guest: https://school.wakehealth.edu/education-and-training/nursing-programs/doctor-of-nursing-practice-program/projects/educational-intervention-to-improve-awareness-and-knowledge
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

Ep 236: 3 Updated Guidelines for Neuromuscular Blocking Agents

Even in 2023, residual paralysis from neuromuscular blocking agents (NMBA) is still a problem. Recently a task force developed by the ASA released guidelines for the reversal of NMBA. Jeremy and Sass examine these guidelines and talk about what they mean for current anesthesia practice.
 
Here are some of the things you’ll learn on this show:
Background on this report and the three primary reasons for these guidelines. (2:30)
What to know about the Train of Four ratio (6:34)
The first three recommendations the guidelines provide. (10:31)
Recommendations four through seven. (17:33)
The final recommendation about atracurium and cisatracurium. (26:23)
 
About our hosts: https://www.kpsan.org/school/people/
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