Beyond The Mask: Innovation & Opportunities For CRNAs

Ep 208: Crisis Checklist for Neurogenic Shock

In this episode, we’re going to continue discussing our crisis checklists and the ones that relate to distributive shock specifically. Let’s talk about what happens during neurogenic shock by discussing a case involving a 34-year-old male that came into the ER after a motor vehicle crash. We’ll talk about what you should do if you face this scenario and lay out the checklist to help prioritize care for this patient.
 
Here are some of the things you’ll learn on this show:
The details for today’s case study and how to set priorities. (3:00)
Pathophysiology of neurogenic shock. (6:28)
The signs and symptoms that come along with this. (9:43)
Breaking down the treatment needed. (13:45)
Things to be worried about. (17:26)
Vasopressor support, (21:15)
Differential diagnoses we should be considering. (26:50)
 
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 207: Normalization of Deviance and Production Pressure for CRNAs

When you look at how critical mistakes happen in the workplace, the normalization of deviance is often the culprit. You can find examples of this in all different areas of life, but CRNAs frequently face the pressure of doing things as fast as we can to meet the demands of production pressure. Today we want to explore this idea of normalization of deviance with Randy Cornelius, DNP, ARNP, CRNA, and discuss how CRNAs can work to overcome this.
 
Here are some of the things you’ll learn on this show:
The reason this topic is so important and examples of how this occurs. (10:00)
What went wrong during the Challenger space shuttle disaster. (20:18)
Production pressure in nurse anesthesia and how it causes normalization of deviance. (24:06)
How can we prevent this normalization? (27:37)
How this occurs in the OR and some cases we’ve seen. (31:13)
 
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 206: From the OR to the C-Suite with Randy Moore

Randy Moore, DNP, MBA, CRNA, left his role as the AANA CEO about a year ago to take over as Chief Anesthetist Officer at NorthStar Anesthesia. It was a little surprising because it seemed like a great long-term position, but the reasons for his departure make sense when you hear him explain his vision moving forward. That’s why we’ve invited our friend and colleague onto the show to catch up on this huge career change.
 
Here are some of the things you’ll learn on this show:
What attracted him to this new position at NorthStar. (3:06)
What pushed him to move from the OR to a leadership career track. (9:10)
The characteristics that high-performing executives possess. (12:51)
Some of the reasons behind the decision to leave the AANA. (17:19)
How he would structure the AANA CEO position to allow for more balance between work and time spent with the board. (25:18)
How he thinks he can impact the profession more positively in this new role. (31:57)
 
About our guest: https://northstaranesthesia.com/our-culture/leadership.html
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 205: Case Management for Thyroidectomy

As we continue our case series on these clinical episodes, we’re going to start out by talking about surgical procedures and pathology related to the endocrine system. Today’s episode will focus on a thyroidectomy, which is the surgical removal of all or part of the thyroid gland. We’ll take you through a case and walk you through the essential points of what you need to know.
 
Here are some of the things you’ll learn on this show:
Airway management tools and what should you pay attention to. (2:46)
Pre-operative pharmacological management. (6:56)
Pre-operative thyroid tests that can be given. (9:48)
Hemodynamics during a thyroidectomy. (12:09)
What should you look for in terms of thyroid storm. (17:49)
Deep vs awake extubation. (20:46)
What happens if someone develops a hematoma. (24:52)
 
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 204: CRNA Strong – Inspirational Stories from Four CRNAs

Our profession is filled with incredible individuals who are resourceful and know how to make the most out of whatever comes their way in the operating room and in life. During our time at the AANA Annual Congress in Chicago, we got to hear a handful of those stories and asked each of these four wonderful CRNAs to join the show and share the obstacles they overcame to achieve extraordinary accomplishments.
Here are some of the things you’ll learn on this show:
Elizabeth’s story of 40+ years in anesthesia and overcoming lack of diversity. (2:37)
Jennifer’s story of transitioning from a CRNA to Coroner. (9:00)
Brett’s story of becoming the only credentialed and practicing CRNA with the physical disability of having one arm. (13:48)
Tim’s story of being a part of the group of CRNAs providing ICU care at the Javits Center in NYC during the COVID outbreak. (25:23)
 
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 203: The Future of Anesthesia with NorthStar CEO & CAO

There’s been a huge strain put on the anesthesia business in recent years due to the way that hospitals and surgeries have changed, and there’s some uneasiness about what it could mean for the future.
Today we’ve invited NorthStar Anesthesia CEO Adam Spiegel and Chief Anesthetist Officer Randy Moore, DNP, MBA, CRNA, on to assess the state of the profession and discuss what’s to come for CRNAs as processes evolve.  
Here are some of the things you’ll learn on this show:
How hospitals have changed over the past few years to create this strain on anesthesia. (4:48)
The financial truth behind hospital revenues. (11:01)
Meeting the future demand for CRNAs and what it means for earnings. (16:13)
Why solutions will be market-by-market. (24:41)
Where do CRNAs fit into these new business models? (31:02)
An explanation of how a lot of the demand is artificial. (36:49)
Will the rate of growth continue for CRNAs? (40:26)
 
About our guest: https://northstaranesthesia.com/our-culture/leadership.html
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 202: Case Management and Crisis Management – Anaphylactic Shock State (Part 1)

As we begin our new clinical episodes of Beyond the Mask, we’re kicking things off with a case management and crisis management series on the different states of shock. This series is going to start out by reviewing differential diagnosis, the rationale for treatment, and the mechanism of action of the medications used to treat the crisis.  
On this first part of our shock state series, we’re going to focus on anaphylaxis and share a case that we experienced. We’ll take you through the ways to identify the shock, how to treat it, and share how this case unfolded.
Here are some of the things you’ll learn on this show:
Details on the new podcast and what to expect from these educational shows. (2:15)
How do you define shock and what’s happening in these different states. (3:47)
Here’s the case we’re faced with on this episode. (5:29)
The signs and symptoms that could be associated with an anaphylactic episode. (9:42)
What do you in this situation? (15:42)
How this case played out. (22:34)
Instances of antibiotics causing anaphylaxis. (28:16)
 
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 201: Why Member Engagement from Everyday CRNAs Is Vital to the Health of the AANA

Every member of the AANA is taking an active approach by paying dues and being a part of the organization, but the success of the AANA relies on participation by each and every CRNA.
On this episode, we sat down with a CRNA that took that step to move out of her comfort zone and voice her opinion on issues that affected her and many of her peers. Jenny Andersen, CRNA, was a flight nurse in Alaska for many years, which is as adventurous as it sounds. But she eventually had an illness that kept her from continuing and that eventually led her to become a CRNA.
Here are some of the things you’ll learn on this show:
How do you engage the member that doesn’t take an active approach? (9:55)
What drove her to the microphone to speak for the first time. (13:13)
How can the Board of Directors to build trust with members? (22:08)
What factors drive some of the mistrust? (27:33)
The guidance that Jenny would give to people who are hesitant to speak up. (33:31)
 
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