Beyond The Mask: Innovation & Opportunities For CRNAs

Ep 227: Crisis Checklist for Cardiogenic Shock

You’re quietly sitting behind the drape and all of a sudden you see significant dysrhythmias on the ECG during an operation. Now what?
In this episode Jeremy and Sass review a case of Cardiogenic Shock and go over the crisis checklist for this critical event. They also examine current diagnostic strategies and potential differential diagnoses.
Here are some of the things you’ll learn on this show:
Thinking about the cardiovascular system in three separate parts (2:18)
Here’s the case we’re facing on today’s episode. (3:19)
What are the initial thoughts on this overall picture? (4:33)
What are the goals for managing this patient? (7:13)
What happens if you see ST changes interoperatively? (9:48)
Signs, symptoms and diagnostic criteria of cardiogenic shock. (12:13)
What is prescribed? (19:50)
The primary goal for this type of patient is to get them to the Cath lab. (24:12)
Here’s a question to test your knowledge. (25:03)
 
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 226: The Need for More State Nurse Legislators

We talk all the time about the lack of nurse representation in policy-making positions, but that doesn’t make the data any less surprising. Today we’ll have a great discussion with Darlene Curley, EdD, RN, FAAN, about a study she recently completed on state nurse legislators. She’ll share some of the details with us in this episode and we’ll also have a wide-ranging discussion on how CRNAs and other nurses can continue increasing their involvement.  
 
Here are some of the things you’ll learn on this show:
How she took an interest in community engagement and volunteering to a policy level.  (5:17)
Would the pandemic have looked different if more nurses would have been in more leadership positions? (12:21)
Background on the study and what she found. (18:08)
Why she thinks the trend is going  (24:14)
How can each of us support the nurses in these leadership positions. 26:09)
How does a policy-maker decide about an issue without a background on that issue? (30:36)
What are we losing by not having nurses representing us in all 50 states? (45:21)
 
Read the State Nurse Legislature study: https://www.nursingworld.org/~4a6c69/globalassets/practiceandpolicy/advocacy/state/9.12.22-status-report--nurse-state-legislators-2020-22.pdf 
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 225: An Inside Look at Lobbying for Your State Association

During our visit to the NCANA meeting last fall, we had the opportunity to host a live podcast about lobbying for your state association and we had the pleasure of bringing NCANA lobbyists Patrick Ballantine and Tracy Kimbrell onto the panel with us.
Both of them have been tremendous assets to our association because of their passion for lobbying. We explored that role to find out what skills it takes, how to utilize a lobbyist, and what you should expect from them.  
Here are some of the things you’ll learn on this show:
Background on our guests today and how they got into lobbying for the NCANA. (2:38)
What qualities does a legislator look for in a lobbyist? (7:09)
What is the ultimate goal of lobbying? (9:50)
How should the lobbyist interact with the organization? (15:49)
How do you keep different groups and issues separated? (22:52)
The importance of Lobby Days. (39:20)
How can you evaluate the work your lobbyist is doing? (45:04)
 
About our guest:  
https://www.parkerpoe.com/attorneys/tracy-w-kimbrell
https://www.ballantinecompany.com/profile.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 224: ASA 2022 Difficult Airway Algorithm Update

The latest update to the ASA Difficult Airway Algorithm has a number of key changes that Jeremy and Sass will take you through in this episode of the podcast. You’ll notice that the Algorithm is much more practical and easier to use in an emergency. Overall there’s been a massive emphasis placed on situational awareness and limiting attempts, and for the first time, there are guidelines for pediatric difficult airways.
 
Here are some of the things you’ll learn on this show:
The updates to the algorithm that you should be aware of. (2:21)
The most important changes in this fourth iteration. (3:14)
Why airway management might not be safer today than it’s been in the past. (6:15)
Intubation awake vs after induction. (9:17)
Providing oxygen throughout airway management. (12:54)
An update on capnography. (15:20)
A greater emphasis on the passage of time. (16:09)
Combination techniques. (19:01)
Follow-up care suggestions. (20:38)
 
Read more about the algorithm: https://pubs.asahq.org/anesthesiology/article/136/1/31/117915/2022-American-Society-of-Anesthesiologists
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 223: Starting Your Own Aesthetic Injectables Practice

Necessity is the mother of invention and today’s guest is a living example of that. Suzanne Jagger, DNP, CRNA, APRN, was on vacation in Fiji when she got an email that her contract was up. Without work and a family to care for, she quickly decided on the trip to learn Botox and ended up starting her own business soon after returning home.
Now Suzanne is helping other CRNAs and NPs learn how to follow her path to start their own aesthetic injectables practice, and she’ll share that experience on this episode.
Here are some of the things you’ll learn on this show:
The fascinating story of how she got started in this business. (4:54)
Why she started training CRNAs and NPs. (6:21)
What all does running a business entail and how much different is it from working as (9:58)
How long does it take to start your own practice and will you make any money? (18:57)
Why are CRNAs in a position to do great in this business? (21:53)
She recommends advance practice providers to get the best training. (23:09)
Why she calls aesthetics ‘happy medicine’ (35:38)
 
About our guest:  
https://aurapdx.com/ 
https://www.appaesthetics.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 222: The Experience of a WWII Nurse Anesthetist & the Lessons Learned

When you look back over the history of nurse anesthesia, the most forgotten group of nurses might have been those that served the country during World War II. It took nearly a half-century to tell their story but thanks to Carolyn Nicholson the legacy of that group of incredible nurses is being carried on today. We’ll look back at the war and the role of nurse anesthetists by telling the story of Adeline Simonson, whose experience is very much like all the brave individuals serving on the front lines. 
 
Here are some of the things you’ll learn on this show:
Why she got interested in this topic and what’s she learned about that time period. (3:45)
How she discovered Adeline and what she learned about her going overseas. (5:02)
The training they received before leaving. (8:39)
What agents were they using at that time? (13:02)
How they dealt with anesthesia shortages and improved upon them. (16:49)
Details on the horrible conditions that nurses had to endure. (20:34)
The boom in anesthesia that happened following the war. (27:15)
Carolyn’s experience meeting Adeline’s family. (28:39)
Carolyn’s final thoughts on the topic. (34:52)
 
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 221: Name That Shock State

Before a CRNA ever gets to the operating room to perform anesthesia, they need to be thoroughly prepared for what they might face. Having checklists to follow is great, but they’re only effective if the diagnosis is correct.
That’s why Jeremy and Sass believe in reviewing the principles related to crisis management so that you can make the correct diagnosis for every scenario you find yourself in. In this episode, we’re going to help you identify different shock states by reviewing differential diagnoses, the rationale for the treatment, and the mechanism of action of medications used for the treatment of the crisis. Then we’ll finish it off by providing a few test questions to better prepare you for upcoming exams.
 
Here are some of the things you’ll learn on this show:
How we think of shock. (3:18)
The case we’re facing on this episode. (4:35)
The issues you’re facing. (7:52)
What can you rule out at this point and what shock state does this seem to be? (11:50)
Signs and symptoms associated with cardiac tamponade. (13:29)
The mechanism of cardiac compressive shock. (17:44)
Diagnosing cardiac tamponade. (19:36)
What treatment should you use to manage this scenario? (19:36)
A few test questions to prepare you. (24:44)
 
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 220: Financial Therapy for CRNAs

CRNAs face stressful situations every day but that doesn’t always prepare them to deal with the obstacles that life can throw your way, especially when those events put a strain on your finances. Oftentimes, your relationship with a financial advisor might feel more like a therapy session during emotional times, and that’s ok. Let’s discuss some scenarios where it’s almost inevitable that a talk with your advisor seems like a counseling session.
 
Here are some of the scenarios we’ll discuss on this show:
Going through a divorce. (5:55)
When you face career difficulties. (12:20)
If you’re facing medical problems. (16:48)
When you’re not happy with the financial decisions your kids are making. (21:18)
The loss of a spouse (24:45)
 
Learn more about 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