Before we get started with today's show, we want to take a moment to dedicate this episode to someone very special. Emma, Sharon's granddaughter and the daughter of today's guest co-host Michelle, was born prematurely and spent her short life in the NICU. She passed away just three days after she was born. Today's episode is released on Emma's birthday and we're honored to share it in her memory. Our guest today is a mother and f...
Jul 03, 2025•48 min•Ep. 422
The nursing profession has always been a cornerstone of the healthcare system, but in recent years, the pressure, burnout and emotional toll have reached crisis levels. That’s why we wanted to spend time with functional health expert Vince Pitstick, founder & CEO of Vidal Coaching, to help bring awareness to the hidden epidemic facing America’s nursing workforce. Vince draws on decades of experience as a coach and advocate for holistic wellness to reveal how chronic ...
Jun 26, 2025•55 min•Ep. 421
From a 72-hour labor in rural India to the operating room as a nurse anesthesia resident, Taranjeet Rathore’s journey is nothing short of extraordinary. Along with Olivia and Kevin, Taranjeet, a nurse anesthesia resident at National University, opens up about the moment that inspired his career in healthcare, the cultural barriers he’s worked to overcome, and his mission to represent underserved voices in nurse anesthesiology. Here’s some of what we discuss in this episode: 🇮🇳 Taranjeet’s jour...
Jun 24, 2025•37 min•Ep. 420
It’s bold. It’s fast. And it’s the first of its kind in nurse anesthesiology. Sharon and guest co-host AANA President Jan Setnor welcome back nurse innovator Rebecca Love, RN, MSN, FIEL to introduce a groundbreaking addition to the AANA Annual Congress: the first-ever Nurse Anesthesia Hackathon. Rebecca has always challenged the status quo and this year she's bringing that energy straight to the AANA with something bold and exciting. From patient safety to AI to perioperat...
Jun 19, 2025•22 min•Ep. 418
(If you're hearing an episode on Dexmedatomidine and using Apple Podcasts, please delete the file and re-download it so you can hear the proper episode about Implanted Cardiac Devices) ... Today, we're diving into a critical topic in modern healthcare: the perioperative management of patients with implanted electronic devices undergoing noncardiac surgery. With significant advancements in cardiology and cardiothoracic surgery, cardiac implantable electronic devices (CIEDs), including pacemakers,...
Jun 17, 2025•1 hr 16 min•Ep. 419
The Tax Cuts and Jobs Act (TCJA), enacted in 2017, introduced sweeping changes to both individual and business tax provisions—many of which have significantly benefited Certified Registered Nurse Anesthetists (CRNAs). But with key components set to expire at the end of 2025, now is the time to understand what’s at stake and how it might affect your financial picture. Here’s some of what you’ll hear in this episode: 📜 What the TCJA did — and what’s at risk if it expires 💸 How 1099 CRNAs could l...
Jun 12, 2025•31 min•Ep. 416
What if that voice in your head saying “you don’t belong here” isn’t telling the truth? So many professionals suffer from imposter syndrome and that’s no different for CRNAs. We’ve had multiple people talk about this subject with us so we wanted to invited on Jeffrey R. Darna, CRNA, ACNP-BC, DNP, program director at USC and one of the nation’s leading voices on imposter phenomenon in nurse anesthesiology. Along with Olivia and Larry, Dr. Darna shares his own story of self-doubt, explains how imp...
Jun 10, 2025•50 min•Ep. 417
In 2017, a fatal medication error shocked the medical world, and its aftermath has left the nursing community forever changed. In this gripping episode, Jeremy and Sharon sit down with RaDonda Vaught, the nurse who was found guilty of two felony charges in 2022. She shares the story of how a routine shift, a medication override, and a system-wide communication failure led to a tragedy — and eventually, criminal prosecution. This is more than a case study in medical error. It’s a conversation abo...
Jun 05, 2025•1 hr 1 min•Ep. 415
Dexmedetomidine — or “Dex” — has become one of the most intriguing and versatile drugs in the anesthesia world. In this episode of Anesthesia Alchemy with hosts Lynn Macksey, MSN, CRNA and Garry Brydges, PhD, DNP, MBA, CRNA, ACNP-BC, FAAN dive deep into the pharmacology, clinical application, and emerging research surrounding this alpha-2 agonist. Here’s some of what we discuss in this episode: 🧠 CNS receptor action and sedative pathways 💉 IV, buccal, spinal, and local delivery methods 🫁 Orga...
Jun 03, 2025•1 hr 7 min•Ep. 414
In this special crossover episode of Beyond the Mask, we sit down with two hosts from the Grade 1 View, a new podcast hosted by nurse anesthesia residents for nurse anesthesia residents. Kevin Chem and Charity Garno join Sharon and Tracy Castleman, DNP, CRNA, APN-A, FAANA to reflect on mentorship, the student experience, and the future of the CRNA profession. Here’s some of what you’ll hear in this episode: 🎓 The student experience and navigating clinicals with confidence 🧑🏫 Why mentorship a...
May 29, 2025•43 min•Ep. 413
What if studying for boards could actually be fun and sustainable? In this episode of Grade 1 View, Kevin Chem sits down with Dr. Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Olivate app, to talk about the realities of CRNA education, board exam burnout, and what it means to walk alongside students instead of just lecturing from the front of the room. From the emotional toll of imposter syndrome to the power of spaced repetition, Dr. Olson offers both empathy and innovation, shar...
May 27, 2025•38 min•Ep. 412
What does leadership look like in a profession that never stands still? In this episode, we’re excited to welcome back Bill Bruce, CEO of the American Association of Nurse Anesthesiology, to talk about the challenges and opportunities for CRNAs in 2025. Since stepping into his role, Bill has brought a fresh perspective and a deep commitment to advancing the role of CRNAs across the healthcare landscape. Here’s some of what you’ll hear in this episode: 🧑⚕️ What Bill Bruce...
May 22, 2025•53 min•Ep. 411
It’s election season for the AANA, and that means it’s time to hear directly from the candidates. In this special edition of Beyond the Mask, we continue the annual tradition of giving CRNAs across the country an opportunity to listen to the voices, values, and visions of those running for national office. You’ll hear from all 10 candidates for Director, both Treasurer candidates, and the individuals running for Vice President and President-Elect. Each message has been lightly edited for clarity...
May 15, 2025•31 min•Ep. 410
What happens when SRNAs take their training to the global stage? Today, Charity welcomes Natalie, Cailtyn, and Mamawa to discuss their recent life-changing medical service trips to Mauritania and Honduras. These future CRNAs share their experiences providing anesthesia in resource-limited settings, highlighting the unique challenges and rewarding moments they encountered along the way. Thanks to these three for sharing their experience! Natalie Janes, 3rd year SRNA, Wayne State University – Serv...
May 13, 2025•51 min•Ep. 409
Placenta accreta is one of the most dangerous and rapidly growing challenges in obstetrics, and CRNAs are often on the front lines when things go wrong. This week we’re joined by OB anesthesia specialists Kira Bruck, CRNA and Kelsey Getzloff, DNP, CRNA to share the latest research, discuss the reasons behind the increase in cases, and outline essential anesthesia strategies for managing high-risk deliveries. Coordination, communication, and preparation saves lives and this episode will help info...
May 08, 2025•39 min•Ep. 408
Today, we’re excited to bring back Emily Funk, DNP, CRNA to talk about tranexamic acid, or TXA—a drug making waves for its ability to control bleeding and improve surgical outcomes. Originally developed decades ago, TXA has gained new momentum due to its remarkable ability to control bleeding and improve surgical outcomes. Join us as we explore the fascinating story behind TXA’s discovery, its evolving applications, and the impact it’s having on patient safety and recovery. Here’s some of what w...
May 01, 2025•25 min•Ep. 407
What does it really mean to advocate for your profession, and why does it matter before you even graduate? In this episode of Grade 1 View, hosts Kevin and Larry sit down with AANA lead lobbyists Matt Thackston and Kristina Weger to provide a look into the world of CRNA advocacy. From behind-the-scenes insights on Capitol Hill to tips for making your voice count at Mid-Year Assembly, they share eye-opening stories, practical advice, and real talk about how change happens in healthcare policy. He...
Apr 29, 2025•30 min•Ep. 406
Today, we're focusing on the next generation of CRNAs and the importance of early engagement with the American Association of Nurse Anesthesiology and the AANA Foundation. As new grads step into their careers, they have a unique opportunity to connect, contribute and grow within the profession. Recent grad Jake Bonnema, DNP, APRN-CRNA joins us to discuss why it’s so important to engage and how CRNAs can play a pivotal role in shaping the ...
Apr 24, 2025•34 min•Ep. 405
Have you ever wondered about the potential impact of surgery and anesthesia on cognitive function? Today’s show will discuss the complexities of Perioperative Neurocognitive Disorders (PND), a term encompassing conditions like postoperative delirium (POD), postoperative cognitive decline (POCD), and delayed neurocognitive recovery (DNR). Through insightful discussions rooted in the latest research, we aim to shed light on: The prevalence and impact of PND, drawing from studies highlighting its o...
Apr 23, 2025•49 min•Ep. 404
Happy Earth Day! In this special episode of Grade 1 View, Kevin and Olivia explore how anesthesia providers can make a real impact on the environment, one case at a time. As healthcare professionals, CRNAs play a significant role in the healthcare sector, which is responsible for nearly 10% of greenhouse gas emissions. This episode emphasizes the importance of being environmentally conscious in our practices, especially when it comes to anesthesia. Here’s some of what we discuss in this episode:...
Apr 22, 2025•44 min•Ep. 403
How can a quick bedside ultrasound transform patient safety in anesthesia? Today, Sharon and guest co-host Carole Doyscher, CRNA, BSN, MS, APRN explore the growing role of gastric point-of-care ultrasound (PoCUS), a tool helping anesthesia providers assess stomach contents in real time. Joined by Rachel Edgerton, DNAP, MSNA, CRNA, APRN, CHSE and three doctoral students from St. Mary’s University - Molly O’Neill, BSN, RN, Hannah Peine, BSN, RN, CCRN, CMC, Alyssa Klein, BSN, RN - the episode dives...
Apr 17, 2025•49 min•Ep. 402
In this episode of Grade 1 View, we sat down with two incredibly brave and inspiring guests, Louisa Martin, PhD, CRNA and Rigo Garcia, MSN, MBA, CRNA, who opened up about their personal battles with substance use disorder. They didn’t hold anything back. From near rock bottom to recovery, from fear and shame to leadership and advocacy, their stories are raw, real, and deeply relevant to our lives as students and future CRNAs. Here’s some of what we discuss in this episode: 🧠 Why high achievers ...
Apr 15, 2025•57 min•Ep. 401
As more CRNAs continue practicing well into their 60s and 70s, it raises a critical and complex question: how do we balance respect for experience with the need to protect patient safety? As healthcare evolves, so does the understanding of how aging affects performance in high stakes environments like the operating room. Today we’re going to have an open and honest conversation with longtime educator and CRNA Judy Thompson about cognitive health testing protocols and the...
Apr 10, 2025•34 min•Ep. 399
Today we’re going to break down three life-threatening syndromes that every CRNA, anesthesia provider, and healthcare professional should know: Serotonin Syndrome, Neuroleptic Malignant Syndrome (NMS), and Malignant Hyperthermia (MH). Though these conditions are rare, their symptoms often overlap—making quick, accurate diagnosis and intervention critical. Garry and Terry take a deep dive into the causes, symptoms, physiology, and treatment protocols for each condition, while also sprinkling in t...
Apr 08, 2025•1 hr 3 min•Ep. 400
Postoperative cognitive disorders (POCD) are often misunderstood, underdiagnosed, and underestimated, but they can dramatically affect a patient’s recovery and long-term quality of life. We’ve invited Dr. Christine Detwiler to join us so we can better understand the science behind POCD, the risk factors, and the strategies anesthesia providers are using to protect brain health. Along with guest co-host Dana Pederson, CRNA, we dive into this topic with Christine while it’s still very fresh on her...
Apr 03, 2025•36 min•Ep. 398
All four hosts are back together to welcome an inspirational guest to the show. We’re excited to spend time with David Warren, a nurse practitioner turned CRNA and well-known content creator in the nurse anesthesia community. David opens up about his unconventional journey—going from emergency medicine to nurse anesthesia—and the lessons he’s learned along the way. Here’s some of what we discuss in this episode: 📚 David’s unique journey from NP to CRNA ❄️ Life lessons from working locums in Ala...
Apr 01, 2025•42 min•Ep. 397
CRNAs take pride in the precision and care that goes into every procedure, but what happens when things don’t go as planned? In the high-stakes world of healthcare, when something goes wrong, the patient isn’t the only one affected. Today we’re going to shine a light on Second Victim Syndrome—the emotional trauma healthcare professionals experience following adverse patient events. Joined by Maria van Pelt, PhD, CRNA, CNE, CPPS, FAAN, FAANA and Luci New, DNP, CRNA, FAANA we’ll share personal sto...
Mar 27, 2025•46 min•Ep. 396
What’s next for CRNAs and the future of nurse anesthesia? Today we’re bringing you an exclusive update from the leadership at the American Association of Nurse Anesthesiology about the strategic vision for the future of the profession. AANA President Jan Setnor, MSN, CRNA, Col. (Ret), USAFR, NC and President-Elect Jeff Molter, MBA, MSN, CRNA join us to share key updates, insights, and advocacy efforts shaping nurse anesthesia. Here are some of the key topics we discuss: 🏛️ CRNA Advocacy Efforts...
Mar 20, 2025•37 min•Ep. 395
Why is incivility still a major issue in the healthcare field, and how does it impact students, nurses, and CRNAs? In this episode of Grade 1 View, Kevin and Larry had the privilege of speaking with Dr. Louisa Martin, a distinguished nurse anesthetist and educator about the widespread issue of workplace incivility in nurse anesthesia training and beyond. Dr. Martin was selected to present at the AANA Annual Congress this year for the Jan Stewart Memorial Wellness Lecture about this topic, so we’...
Mar 18, 2025•42 min•Ep. 394
Does the type of anesthesia used during surgery impact cancer outcomes? Today we’re going to explore the relationship between cancer and anesthesia with Adam Flowe, Chief CRNA at Duke University Hospital. This topic goes beyond the operating room to cover patient outcomes, recovery and even reoccurrence. Join us to learn more about the growing field of Onco-Anesthesia and its critical role in cancer treatment and patient survival. Here are some of the key topics we discuss: 🫀 Onco-Anesthesia Ex...
Mar 13, 2025•31 min•Ep. 393
