Beyond The Mask: Innovation & Opportunities For CRNAs

Ep 235: 2023 AANA Update with CEO, Bill Bruce

Bill Bruce, MBA, CAE, took over as the CEO of the AANA last summer so we caught up with him to get an update on how the organization has progressed over his first eight months. It’s already been a busy term already with staffing changes and the AANA moving into a new building, but there are many policy issues to be managed and addressed as well. Join us as we find out what’s happening inside the AANA and how the organization is tackling key issues.
 
Here are some of the things you’ll learn on this show:
Update on the new AANA building the organization moved into a few months ago. (4:15)
The efforts to make the organization more modernized and efficient, and the key staff changes that have occurred (9:49)
What is the organization doing about supervision with current guidelines set to expire soon? (18:12)
What’s the status of the VA and full practice authority? (23:48)
The other big advocacy issues the AANA is paying close attention to. (27:38)
How he’s adjusted to the new position as an ‘outsider.’ (29:51)
 
Listen to our first conversation with Bill:
https://beyondthemaskpodcast.com/ep-195-meet-the-new-aana-ceo-bill-bruce/3864/ 
About our guest: https://www.aana.com/about-us/aana-staff-directors  
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 234: The State of Nursing Today with Becky Patton

We focus quite a bit on specific people or issues in nursing, but it’s always great to take a few steps back and take a high-level view of the profession. Today we’re excited to welcome someone who has been incredibly influential and has used that position to give back through service and endowment. Becky Patton, DNP, RN, CNOR, FAAN joins the show to give us a thorough assessment of the state of nursing today and address some of the industry's key questions and challenges. 
 
Here are some of the things you’ll learn on this show:
The work she’s done in nursing through service, policy, endowment, and working with past Presidents. 2:28
The issues she feels are most important right now. 8:29
Why she feels relationships and shift times are why so many nurses are leaving the profession early in their careers. 12:07
Can we change the current model for nursing? 20:39
Her thoughts on the fraudulent nursing degrees that have been in the news. 27:10
Incorporating policy into the coursework for nursing students. 38:06
Her favorite memory from serving as ANA president.  45:25
 
Get her book: https://www.amazon.com/Nurses-Making-Policy-Third-Boardroom/dp/0826166458/ 
About our guest: https://case.edu/nursing/about/fpb-directories/faculty-directory/rebecca-m-patton 
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 233: The Treatment for Hypovolemic Shock

Hypovolemic shock is the final shock state in this series of episodes that focuses on the identification, management, and differential diagnosis of different shock states. Jeremy and Sass discuss current treatment options for a patient experiencing hypovolemic shock and some of the various problems that can occur during this crisis.
 
Here are some of the things you’ll learn on this show:
Which medications should you hold and which ones are okay to continue taking during surgery? (5:10)
The different options for differential diagnosis. (9:09)
The two variations of hypovolemic shock. (13:08)
The mechanism of cardiac compromise at the cellular level. (17:33)
What interventions can you take to save the patient if the bleeding begins? (20:16)
A few questions relating to this topic to help students prepare. (27:51)
 
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 232: If You’re Not At The Table, You’re On The Menu with Wisconsin Lt. Governor Sara Rodriguez

Every year it seems like more and more nurses are taking an active interest in politics, both local and regional, and today’s guest is someone who’s been on the rise as a public official.  Sara Rodriguez, a nurse and community leader, won her campaign in Wisconsin to become the state’s next Lieutenant Governor and joins us today to talk about her shift from public health to policymaker.
 
Here are some of the things you’ll learn on this show:
Her background in public health and the Peace Corps. 3:13
How COVID triggered her transition into politics. 6:23
Using her background and nurse training to better communicate with the community when campaigning.   9:27
From serving in the legislature to Lt. Governor, what that jump has been like. 12:55
Does she think COVID and the pandemic would have been different if more nurses in politics. 18:14
What would she tell nurses who are considering running for a position? 24:48
The final thoughts she wants to leave for nurses. 32:49
 
About our guest:  https://www.saraforwi.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 231: How to Care for People with a Substance Use Disorder

Nearly all of us have been in a situation where we’ve noticed something off or not right about someone we work with or someone we know but we didn’t say anything or take action. It’s a problem across the country, but the CRNA profession has a higher rate of substance use disorders than the general public.  
So how can we do a better job identifying and helping our peers who feel isolated and suffer from a substance use disorder? Today’s guest has spent a lot of her time in recent years trying to help educate people in this area. Leigh Taylor, DNP, MS, CRNA, APRN, presented at the AANA Annual Congress, which is where we first saw her and knew it’s a topic we wanted to spend more time discussing on the podcast.
Here are some of the things you’ll learn on this show:
Background on Leigh and the topic we’re discussing. 2:36
The substance abuse disorder data within the CRNA community. 6:50
Why does she think this is so prevalent in the community? 8:10
The stats show about 10% of CRNAs have an SUD. 13:46
The signs and symptoms to be on the lookout for 20:46
Where can you go to get help for someone? Here are some of the resources that are available. 26:05
The other drugs that are most common in those with SUDs. 30:18
What can you do if you feel like you’re suffering from this but afraid to speak up. 36:25
 
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 230: The Best Options for Push-Dose Vasopressors

It’s not uncommon to use push-dose vasopressors for blood pressure management in anesthesia practice. Maybe even more so now than in the past.
Jeremy and Sass talk about the various options and situations for blousing vasopressors, and perhaps most importantly which one to use. In fact, recently there was a Journal Course in the AANA Journal talking about the increased (and safe) use of push dose Norepinephrine which they review in this episode.
Here are some of the things you’ll learn on this show:
Why we’re administering push-dose vasopressors more often now. (2:18)
Different vasopressors that we use. (7:09)
Here’s our scenario for treatment for this episode. (10:45)
What the research tells us. (13:03)
Comparing phenylephrine to ephedrine. (18:03)
How effective norepinephrine is and what are the concerns? (19:26)
The best method for administering norepinephrine. (21:27)
 
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 229: $80 Billion Going to the IRS: What Does it Mean for CRNAs?

Last year, President Biden signed the Inflation Reduction Act into law, and one of the items that received many of the headlines was the $80 billion allocated to the Internal Revenue Service.
This will impact every taxpayer but what does it mean specifically for CRNAs and other nurses. Your work earns a nice paycheck every year so tax changes will have an impact on you. Plus, there’s a lot to pay attention to if you’re a business owner or a 1099 worker, which is a group that many CRNAs will fall into.
 
Here are some of the things you’ll learn on this show:
Background on why we’re talking about the IRS today. 2:25
How is this money being distributed and what will it be used for? 6:58
The IRS has the fewest auditors than at any time since WWII. Let’s look at some of the current auditing data. 11:48
How can CRNAs that are 1099 plan for this legislation? 16:42
Some final advice for CRNAs from Jeremy. 20:51
 
Contact CRNA Financial Planning: https://www.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 228: Betty Lank’s Role in Boston Children’s Hospital

The 20th century was filled with advancements in nursing and anesthesia with much of the innovation coming in the world of pediatrics. One of the women who had a huge hand in improving the care for children was Betty Lank, who worked as the Chief Nurse Anesthetist at Boston Children’s Hospital for decades.
 
Today we’ll look back and her life and career with Nancy Bruton-Maree, CRNA, and Sandy Ouellette, CRNA and try to capture the impact she made on a hospital and a profession.
 
Here are some of the things you’ll learn on this episode:
The early life and childhood for Betty growing up in Canada. (3:22)
How she became passionate about nursing after World War I. (5:16)
What she accomplished during her time as the Chief Nurse Anesthetist in Boston. (8:31)
Her role in advancing pediatric anesthesia. (17:50)
The early involvement she had in state and national associations. (29:06)
Her final resting place and how she’s remembered. (34:43)
Nancy and Sandy’s final thoughts on Betty. (37:58)
 
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