AANA | Substance Use Disorder – Peer Support: An Empathetic Information Resource
“I know how to manage pain medication […] addiction was the absolute last thing that would happen to me”. This podcast helps tackle the difficult subject of Substance Use Disorder in healthcare practitioners. How do we, from a caring and helpful perspective, address this issue either within ourselves or others? This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ The Peer Assistance section of the AANA’s website is here: http://peerassistance.aana.com/directory.asp?State=All The phone number we share in the podcast is: (800) 654-5167 Furthermore there is an interesting article about Parkdale here: https://www.aana.com/docs/default-source/wellness-aana.com-web-documents-(all)/aana-parkdale-partnership-jan-2019.pdf?sfvrsn=bd8f51b1_2 Presented by Desiree Chappell and Monty Mythen with their guests, Linda Stone, DNP, CRNA Assistant Program Director at Raleigh School of Nurse Anesthesia and Rodrigo Garcia, CEO Parkdale; APN, MSN, CRNA, MBA.
AANA | Innovators in anesthesia: Anesthesia electronic medical records
“Data is destiny”; this piece looks at way we can unlock it for Anesthetists. The Open-Source Anesthesia Electronic Medical Record (OSAEMR) was developed specifically for Nurse Anesthetists. Its focus is on solo or small-practice nurse anesthetists operating in environments with limited or no network and computing resources other than an iPad. One patient, one nurse anesthetist, and one iPad. It can now be scaled to larger multi-provider practices outside of CRNAs. Hear how this innovation came about. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ The Open-Source Anesthesia Electronic Medical Record (OSAEMR) website is here: https://www.osaemr.com/ Presented by Monty Mythen and Desiree Chappell with John T. “Jack” Hitchens, CRNA, BA, ARNP, partner in a CRNA owned and operated Anesthesia Practice, Watchful Care and Dan Simonson, CRNA, MHPA retired as Chief CRNA and managing partner of the Spokane Eye Surgery Center, adjunct faculty at the Washington State University College of Nursing’s Department of Health Policy and Administration.
AANA | Protecting Your Healthcare Practice – Compliance and Enforcement
What are some of the major issues regarding billing? What are the most common mistakes when it comes to documentation? How do we keep the focus on great healthcare, as well as good book keeping? How does “the false claims act” impact on billing? If you find a mistake or an issue in your note keeping the advice here is clear; deal with it the moment it is discovered. Also, under recording is an obvious issue, can the same be said of ‘excessive documentation’? The bottom line is that practitioners must remain educated, stay aware of what is going on and rely on the fact that patient care is crucial and has to remain at the heart of any healthcare practice. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ If you would like to contact our guest he has allowed us to post his email here: msilberman@beneschlaw.com Presented by Desiree Chappell and Monty Mythen with Sol Aronson, a tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology and their guest, Mark Silberman, Partner, Benesch Law Chair, White Collar, Government Investigations, & Regulatory Compliance Vice-Chair, Health Care.
AANA | Emotional Intelligence and Occupational Stress
Emotional intelligence is the ability to perceive, integrate, understand and utilize emotions in an effective and meaningful way in order to cope and adapt to the situation. It’s a hot topic at the moment, here we speak with the first CRNA to be certified in emotional intelligence. Stress and burn out is a common problem in the CRNA community, handling that could have a real impact on performance and outcomes. Our guest mentions the Mayer-Salovey-Caruso Emotional Intelligence Test™ which can be found here: https://www.mhs.com/ She also advocates “The Student EQ Edge: Emotional Intelligence and Your Academic and Personal Success: Student Workbook” which can be found on Amazon here: https://www.amazon.co.uk/Student-EQ-Edge-Emotional-Intelligence/dp/1118094603 Our guest kindly allowed us to share her email with you: andrea.bittinger@beaumont.org Presented by Desiree Chappell and Monty Mythen with their guest, Andrea Bittinger, CRNA at William Beaumont Hospital.
AANA | Simulation in Education
Learn how and why the benefits of real-life health care simulation situations are used by institutions such as Northern Kentucky University. Interviewing a patient, reading an X-ray, or administering an injection, in a convincing virutal environment. The St. Elizabeth Healthcare Simulation Center features seven simulation rooms including an operating room and intensive care unit. What are the future applications we can look forward to? Furthermore how is the AANA developing the way in which simulation is used to train anesthesia providers? Checkout the Simulation Centre here: https://nku.edu/ihi/health-innovation-center-2/simulation-center.html Our guest kindly shares their email: Kendonb1@nku.edu This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ Presented by Desiree Chappell with Monty Mythen and their guest Brett Kendon, DNP, CRNA, CHSE, Assistant Clinical Professor, Assistant Program Director, Nurse Anesthesia Program, Northern Kentucky University.
AANA 2020 | Suicide Prevention in Anesthesia: CRNAs and SRNAs
“Our job is to tell them; there is another solution … there’s another way to solve this problem and I can help you” This piece takes a bold and honest look at suicide in anesthesia, although it has a US set of contributors the issues here are to do with everyone in healthcare. TopMedTalk is keen to promote the fact help is available, please seek it out if you are concerned you might be affected by these issues. AANA Peer Assistance Helpline: 1 800 654 5167 National Suicide Hotline: 1-800-273-talk (8255) How does the tactic of Question Persuade Refer (QPR) work? Should we directly discuss suicide with colleagues? What are the basic causes of this complicated problem? Can we simplify our approach by being more direct and honest? What does the evidence tell us is the best way to deal with the situation? Presented by Desiree Chappell with her guests Catherine Horvath DNP, CRNA, Assistant Professor and Program Director of the Doctor of Nursing Practice Nurse Anesthesiology Track at Johns Hopkins School Of Nursing, Baltimore MD, Chuck Griffiths, PhD, CRNA, USC, Assistant Clinical Professor at the UCLA School of Nursing, Faculty, USC Doctor of Nurse Anesthesia Practice Program and Fara Lekhnych, MSN, CRNA, The Johns Hopkins Hospital, Baltimore.
AANA | Enhanced Recovery with Lynn Reede
“Thank you for taking this meeting beyond these walls” – this piece was the final part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. We begin with the global audience in mind and break down what it is to be a Nurse Anesthetist. It’s a role which is expanding in scope, our guest walks us through how and why that’s the case. This wide ranging conversation then moves to the future of enhanced recovery and the AANA’s future development. For more on the Drink Eat Mobilise topic go here: https://www.topmedtalk.com/periop-coach-2-02-eras-whats-the-secret-sauce/ Check out the AANA here: https://www.aana.com/ Presented by Desiree Chappell and Monty Mythen with their guest Lynn Reede, Associate Clinical Professor, Northeastern University Nurse Anesthesia Program.
AANA | A Novel Use of the Erector Spinae Block in the Austere Environment
In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver “damage control surgery”. They help people who have been injured, relieve the pain, stop the bleeding, ‘patch the holes’ and move them to a safer environment. It’s from this background that our two contributors come, learn how they have been forced to innovate and what insights they can give to practitioners working in more familliar and well resourced contexts. Hear how a 25 year-old male presented with penetrating chest trauma and an Erector Spinae Block was utilized in an incredibly dramatic context. This inteview works well in tandem with this link to the paper discussed in the piece: https://www.ncbi.nlm.nih.gov/pubmed/31247096 This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ Presented by Desiree Chappell and Monty Mythen with their guests Robert Fabich, Doctor of Nursing Practice, CRNA, Veteran and Sharrod R. Greene, CRNA, Sentara Anesthesiology Specialists.
AANA | Innovators in Anesthesia
This piece tells the story of two different innovators in the field of an anesthesia. The first is, The Pediatric Device for Induction of Anesthesia (PeDIA), a mask-free anesthesia delivery system designed for kids. The second is the Error Recovery and Mitigation Aide (ERMA), a reworking of the traditional needle box whereby a clear reservoir is inserted between the re-entry proof top and opaque terminal disposal portion, allowing practitioners to have visualization of all the syringes and vials used during the course of a procedure. At the end of a single procedure, a trap door in the bottom of the reservoir is released to allow those sequestered vials and syringes to drop into the bottom of the needle box for terminal disposal. This allows providers to recognise, check and confirm possible errors in a timely fashion. Also during this piece there is a wide ranging and fascinating discussion about patents and patenting. How does the process work, how can you patent your ideas and how does the advent of block chain technology potentially change this forever? Google Patents is here: https://patents.google.com/ Check out the PeDIA website here: https://www.pediallc.com/ For more information about ERMA go here: https://ii4change.com/how-we-innovate/products/error-recovery-and-mitigation-aide/ The Facebook Group “CRNA Inventors and Innovators” mentioned in this piece is here: https://www.facebook.com/groups/2150893568464906/ This piece was part of our coverage of The American Association Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ Presented by Desiree Chappell and Monty Mythen with their guests Diane Miller, Pediatric Devices for Induction of Anesthesia | Product Development | PeDIA, LLC and Jean Snyder, CRNA Inc. Co-owner Goodwin and Snyder Anesthesia Associates, PLLC.
AANA | Diversity and Inclusion
Mentorship, diversity and inclusion are key parts of any socially responsible institution’s practice. This piece speaks to how we make medicine more diverse and inclusive overall, there is much work to be done but an active focus coupled with mentorship programes is shown here to be an effective way forward. This piece was part of our coverage of The American Association of Nurse Anesthetists (AANA) 2019 Annual Congress in Chicago, Illinois. Check out the AANA here: https://www.aana.com/ Check out the AANA’s page on diversity here: https://www.aana.com/about-us/aana-diversity-and-inclusion Presented by Desiree Chappell and Monty Mythen with their guests Debra Diaz, DNP, CRNA, APRN, CDR, AANA Board of Directors, Lena Gould, CRNA, Founder, Diversity in Nurse Anesthesia Mentorship Program, John Bing, Owner, JBing and Assoc Anesthesia Services, AANA Board of Directors.