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Six days before a federal rule was set to take effect, the courts stepped in. The Department of Education tried to redefine who counts as a professional, a move that would have capped student loans for nurse anesthetists and the advanced-practice clinicians training behind them. The courts said the challenge is likely to succeed and hit pause. This week I sat down with Tracy Young, twenty-six years in the field, and Randy Moore, who runs anesthesia at enterprise scale, to work through what the ruling actually means and what it does not. It is a win in a battle, not the war. We get into the argument a federal regulator made that landed harder than we wanted to admit, why a rule written to require supervision is now being used against us, and where the line sits between what government should decide and what the people doing the work should. Plus the student-loan fight both parties get half-right, and why credentials stopped predicting who can lead. Good information first. Then the honest conversation about where anesthesia goes next. TAKEAWAYS The court blocked the rule on a preliminary injunction, not the merits. It buys time. It does not end the fight. The professional designation fight has real money behind it. Redefining the term caps federal loans for CRNAs, PAs, and nurse practitioners. The strongest argument against us was ours to fix. A federal statute still references supervision, and that language is being used to question our standing. Both sides of the student-loan debate are right. Treat the subsidy as a return question, and CRNAs are a good bet. We pass boards 95 percent of the time. Regulators are the wrong body to design clinical practice. The people closest to the work adapt faster than any rule can. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Tracy Young: Incoming President of the American Association of Nurse Anesthesiology To Learn More about Human Content Visit: http://www.human-content.com To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Beyond the Mask, former AANA presidents Sandy Ouellette, CRNA and Dick Ouellette, CRNA join Sharon and Jeremy explore the only three amicus briefs ever filed by the AANA (and its predecessor, NANA). From the 1934 Dagmar Nelson case to the antitrust battles of the 1980s, they explain how these legal efforts defended CRNA practice, challenged misinformation, and laid the foundation for the profession's continued autonomy. It's an essential history lesson for every nurse anesthetist and a reminder that today's opportunities were earned through decades of advocacy. Here's some of what you'll hear in this episode: ⚖️ Three Historic Briefs – The only amicus briefs ever filed by the AANA
Item analysis can sound intimidating, especially for educators who were trained as clinicians first and teachers second. But when used well, it can become one of the most valuable tools for improving assessments, clarifying instruction, and supporting student success. In this episode of Airway Exchange, hosts Erin and Louisa welcome in Valerie Diaz, DNP, CRNA, PMHNP-BC, APRN, CNE, CHSE, FAANA, CAPT (Ret), USN and Pedro Hernandez, DNP, CRNA, APRN to break down the importance of item analysis, a topic they presented at AANA's EDGE event earlier this year. Just as CRNAs constantly refine their clinical practice, educators should continually evaluate, reflect, and improve the tools they use to assess learning. Better assessments lead to better education. Better education ultimately leads to better patient care. Here's some of what you'll hear in this episode:
Retirement for CRNAs is much more than just reaching a savings goal. It's about deciding what kind of life you want to live, and that often means asking difficult questions about your home, your possessions, your finances, and even your identity. While popular retirement advice often focuses on what to sell before you retire, the better question is whether those things still support the life you're trying to build. In this episode of Beyond the Mask, Sharon turns the microphone around and interviews Jeremy, a Certified Financial Planner®, about a viral retirement video that has generated millions of views. Together, they explore whether the financial advice in this video makes sense in real life. Through stories from CRNAs they've worked with over the years, we'll provide some practical guidance for creating a retirement that's intentional, fulfilling, and uniquely your own. Here's some of what you'll hear in this episode:
Joe Rodriguez (co-founder, Guide Anesthesia) sits down with Randy Moore (EVP and National Chief CRNA, NorthStar Anesthesia) and Gary Keeling (VP of Anesthesia Services, Coronis RCM). Three seats, three vantage points on the same business. Let the spicy takes flow. First docket: the Arizona reimbursement fight. Gary calls the QZ cut a pure money grab. Randy steelmans the insurer's lobbyist before dismantling him, and explains why the hospitals least prepared to absorb the hit will be the ones paying it. Joe walks through why reimbursement parity doesn't raise costs when subsidies fill the gap, and tells the story of the insurer that paid patients directly for eight years. Second docket: the Texas non-compete case. Gary argues exits should hurt but not kill. Randy says hospitals deserve the right to fire bad vendors, but a $30 million buyout is anti-competitive. Joe draws the line between covenants that trap clinicians and the non-solicit rule that just says don't be shady. Plus: why the resume from Hawaii is a red flag, and what the law of inertia does to anesthesia groups that confuse stability with health. Takeaways: The QZ cut is not a savings. It's a transfer. Hospitals backstop anesthesia economics, so a 15% commercial reimbursement cut flows through subsidies to hospitals and ultimately taxpayers, while insurers book the difference. Reimbursement parity does not raise costs in anesthesia. Compensation sits above reimbursement and subsidies fill the gap, so cutting one payer's rate changes who pays, not how much is paid. The facilities that use QZ most are the ones least able to absorb the cut. Rural and underserved programs run closest to the margin, which makes this bad policy independent of the scope debate. CRNAs can lose non-compete fights. In the Texas case, the new employer contractually agreed to cover legal costs and damages, and the court sided with the original group anyway. A buyout promise is not a shield. The covenant you signed is enforceable as written, and "I read online it's unenforceable" is not a legal strategy. The line is solicitation, not competition. A non-solicit protects the group that gave you access to its surgeons and referrals without trapping you in place. Competing down the street is fair game. Taking the business with you is shady. Switching costs are a strategy. A $30 million buyout stops being protection and becomes a hostage situation. Hospitals should be able to fire bad vendors at a price that hurts but doesn't kill. Sign contracts like you plan airways. Have a plan A, B, and C for your exit before the honeymoon period ends, because the group that looks great at signing may not look great in year three. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Gary Keeling (VP of Anesthesia Services, Coronis RCM) To Learn More about Human Content Visit: http://www.human-content.com To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
Healthcare innovation is often associated with software developers, startup founders, and technology companies. But what if some of the most important solutions to healthcare's biggest challenges are sitting inside operating rooms, classrooms, and clinical settings every day? CRNAs and nurses see problems firsthand, yet they are rarely invited into the rooms where solutions are created. In this episode, Sharon and Jeremy welcome nurse entrepreneur Rebecca Love, RN, MSN, FIEL and AANA Senior Innovation Specialist Cherissa Jackson to discuss the upcoming AANA Hackathon at the AANA Annual Congress. This event creates a space for clinicians, educators, students, and innovators to collaborate and develop solutions for the daily challenges CRNAs see firsthand. Here's some of what you'll hear in this episode:
Today we're tackling something that every single SRNA needs to understand before signing their very first employment contract, and that's protecting our livelihood once we graduate. In this episode of Grade 1 View, hosts Mackenzie and Nicholas sit down with Bryan Doyle, ME, RPLU, Acting Vice President of AANA Insurance Services and Lisa Kiska, RPLU+, Supervisor, Underwriting & Customer Service at AANA Insurance Services to break down the essentials of malpractice insurance to better prepare every SRNA for the realities of the workplace. Here's some of what we discuss in this episode:
Along life's winding roads we've each worked tirelessly to hone our skills and ultimately become the excellent clinicians we are today. But what happens when being great in the OR isn't enough? Each week on About the Rest, Joe Rodriguez, DNAP, CRNA, gets into the weeds on the definitive podcast for fellow CRNAs and MDs who want to understand how our profession actually works behind the scenes… warts and all. The spiritual sibling of the award-winning podcast Anesthesia Deconstructed, About the Rest takes a commentary-driven approach to facing the infrastructural obstacles that keep holding us back. Because the hard truth is… although our clinical skills are essential, the business of healthcare far too often treats them as commodities. Unapologetically inside baseball, join the podcast where together we become leaders, gain influence, and hone the skills nobody taught in our programs to take control of our careers. To Learn More Visit: ww.abouttherest.com Got a Question? hello@abouttherest.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why COPD is more than a lung problem — how alveolar destruction, V/Q mismatch, and cor pulmonale connect at the bedsideHow to ventilate a COPD patient intraoperatively: I:E ratios, PEEP strategy, and avoiding auto-PEEPThe pharmacology of bronchodilators — LABAs, LAMAs, and inhaled corticosteroids — and which ones to continue on the day of surgeryAnesthetic agent selection for reactive airways: why volatile agents help, why nitrous oxide doesn't, and when to consider TIVAPostoperative priorities: extubation to NIV, oxygen titration in CO2 retainers, and preventing reintubation
June is Pride Month, and on this episode of Grade 1 View, Levi and Kelsey sit down with John Gianitsis, MSNA, CRNA and Carlota Izaguirre, DNP, CRNA and from the Nurse Anesthesiology Pride Foundation (NAPF) to discuss representation, belonging, mental health, and community within the nurse anesthesia profession. We'll also explore the organization's evolution from GALA to NAPF and the important role it plays in supporting LGBTQ+ CRNAs, students, and allies. Here's some of what we discuss in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Why desflurane needs its own specialized Tec 6 vaporizer (and what its 22.8°C boiling point means for safe delivery)The four inhalational agents you need to know cold — sevoflurane, isoflurane, desflurane, nitrous oxide — with MAC values, blood:gas coefficients, and clinical trade-offsHow coronary steal actually works with isoflurane, and when it matters at the bedsideThe second gas effect explained at the alveolar level: concentrating effect + augmented inflowCompound A, carbon monoxide, methionine synthase inhibition — the metabolic pitfalls each agent brings to a caseTailoring agent choice for pediatric, geriatric, pregnant, neuro, and cardiac patients
Welcome to the Atomic Anesthesia podcast hosted by CRNA educators Rhea Temmermand and Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Introduction to our new partners, Jake & John, from the IncomologistsLessons from John's experience as a flight paramedic that we can all apply to crisis management for anesthesia practice
What really happens after CRNA school ends? In this episode of Grade 1 View, former host Kevin Chem, DNP, CRNA returns to the show nearly a year into practice to talk honestly about the transition from SRNA to CRNA, from the stress of boards and credentialing to the emotional reality of walking into the OR independently for the first time. Here's some of what we discuss in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform: http://atomicanesthesia.comIn this episode:Atomic Anesthesia platform 2.0 updates, including faster performance and new study features.Highlights from the World Congress of Nurse Anesthetists in BrisbaneOverview of International Federation of Nurse Anesthetists and global nurse anesthesia standards at IFNA.orgReflections on global anesthesia practice, patient safety, and international collaboration.
CRNAs provide the majority of obstetric care across much of the country, especially in rural and underserved areas, the data hasn't always reflected that reality. That disconnect is exactly what sparked the creation of the Society of Obstetric Nurse Anesthesiology and Research (SONAR), a growing movement focused on advancing nurse-led research and elevating the role of CRNAs in obstetrics. In this episode, the team behind SONAR shares how the organization started, the challenges they're working to solve, and why their research could reshape the future of OB anesthesia. Here's some of what you'll hear in this episode:
What really matters when you move from being a student to stepping into your role as a CRNA? In this special crossover episode recorded at the AANA Mid-Year Assembly in Washington, D.C., Levi Davis interviews Airway Exchange hosts Nickie Damico, PhD, CRNA, CHSE, FAANA and Greg Collins, DNP, CRNA about advocacy, their role as educators, and the transition from resident to practicing CRNA. Mid-Year Assembly brings together CRNAs, residents, and nursing students to discuss important topics in the field of nurse anesthesia. It serves as a platform for networking, advocacy, and education, creating an atmosphere unlike any other. Here's some of what we discuss in this episode:
In this episode, we sit down with mentorship program participants Jon Casto, SRNA and Abigail Poss, SRNA, to find out what surprised them, what inspired them, and what they wish every future CRNA knew before attending AANA Mid-Year Assembly Stepping into a national conference for the first time can feel overwhelming but it can also be the moment everything clicks. You'll hear real experiences from residents navigating their first major professional event, how mentorship accelerates growth, and why getting involved sooner rather than later can open doors you didn't even know existed. Here's some of what you'll hear in this episode:
Most SRNAs are focused on boards, clinicals, and landing their first job, but there's another side of the profession that can shape your salary, autonomy, and long-term career more than you realize. In this episode of Grade 1 View, AANA President Jeff Molter, MSN, MBA, CRNA, breaks down why advocacy is essential for everyone anesthesia professional. From student loan caps and full practice authority to Medicare reimbursement and access to care, Jeff helps us connect the dots between policy decisions and your future as a CRNA. You'll also get a behind-the-scenes look at Mid-Year Assembly, what actually happens on Capitol Hill, and how students can start getting involved earlier than ever before. Here's some of what we discuss in this episode:
In Part Two of our financial deep dive with Vinny Cagungun, we tackle four of the most-requested topics from our listeners: debt payoff strategy, the real financial differences between W2 and 1099, tax planning for high-income CRNAs, and how to find the right advisors for your team. Vinny, Cole, and Tanner share their personal journeys — including what they'd do differently in hindsight — and break down practical frameworks like the three-bucket tax system, the 1.3x rule for comparing W2 to 1099 offers, and often-overlooked strategies like QBI deductions and self-directed 401(k)s. Whether you're a new grad staring down six figures of student loans or an experienced CRNA looking to level up your financial game, this episode delivers actionable insight at every stage. As Vinny says, clarity comes from doing — so take it one step at a time and enjoy the journey.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
Aesthetic treatments like Botox and dermal fillers are more common than ever, but they may be creating hidden risks in the operating room. While these procedures are often viewed as routine cosmetic enhancements, they can alter facial anatomy, mask muscle responses, and complicate airway management in ways many providers don't expect. Krystin Jones, a third-year student in Duke University's Anesthesia Program, joins the show today to discuss how these growing trends are impacting anesthesia care and what CRNAs need to watch for. Awareness, better questioning, and preparation are critical to keeping patients safe when aesthetics meet anesthesia, and today's conversation will better equip CRNAs for this new challenge. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Xenotransplantation is becoming clinically real, using genetic engineering to allow pig organs to function in humansRecent cases, including 271 days of pig kidney support, show potential as a bridge to human transplantKey challenges include chronic rejection, coagulation mismatch, and evolving immunosuppressionFor anesthesia, these patients bring unstable physiology, unpredictable hemodynamics, and increasing clinical relevance
There's no shortage of financial advice available today, and much of it sounds confident, compelling, and even logical. But one of the biggest mistakes CRNAs can make is assuming that widely shared advice automatically applies to your situation. The truth is, personal finance is exactly that: personal. In this episode, Jeremy and Sharon dive into some of the most popular financial advice circulating today, from Robert Kiyosaki's investment strategies to Dave Ramsey's retirement withdrawals. They break down the risks, the myths, and the assumptions that these pundits often overlook and discuss what really works for most people. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.Want more content like this? Become a member of our learning platform.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Why overthinking mistakes in CRNA school keeps you stuck instead of actually improvingThe difference between self-deprecation, reflection, and real growth (and why most students get this wrong)How small moments in sim and clinical turn into mental spirals and how to stop that cycleThree practical mindset shifts to stop replaying mistakes and actually move onReal clinical and classroom examples of mistakes and how to handle them without losing confidence
GLP-1 medications like Ozempic and Wegovy have exploded in popularity for diabetes treatment and weight loss, but their rapid rise is creating new considerations for anesthesia providers. As more patients arrive for procedures while taking these medications, CRNAs and anesthesia teams must navigate evolving guidelines, potential aspiration risks, and uncertainty about perioperative management. In this episode, Amy Reed, Ph.D, CRNA returns to discuss the latest research and recommendations surrounding GLP-1 receptor agonists in anesthesia practice. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:How the larynx functions as a dynamic valve balancing ventilation, airway protection, and phonationFunctional airway anatomy of the supraglottic, glottic, and subglottic regions and why it matters during laryngoscopy and intubationHow laryngeal cartilages and joints (especially the cricoid and arytenoids) drive vocal cord movement and airway patencyClinical patterns of nerve injury (SLN vs RLN) and how they present as hoarseness, aspiration risk, or airway obstructionMechanisms, triggers, and stepwise management of laryngospasm in the perioperative setting
Healthcare is evolving rapidly, and nowhere is that more evident than in the anesthesia workforce. In this episode, Sharon and Jeremy sit down with Scott Becker, founder of Becker's Healthcare, to explore the current state of staffing, education, and economic pressures shaping the industry. Here's some of what you'll hear in this episode:
The nurse anesthesia profession is navigating a period of rapid change. From reimbursement cuts and workforce shortages to evolving practice models and federal policy battles, the decisions being made today will shape the future of CRNAs for decades to come. In this special live taping recorded at the West Virginia Association of Nurse Anesthesiology meeting, Sharon sits down with AANA President Jeff Molter to discuss the biggest challenges facing the profession and how CRNAs can stay engaged in protecting their future. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Featuring SRNA Julie (“Grad School Jules”) discussing the emotional realities of CRNA school that students rarely talk aboutThe psychological phases of the CRNA journey from application anxiety to early-semester overwhelmWhy imposter syndrome is so common among SRNAs and how it affects high-achieving studentsUnrealistic expectations students bring into anesthesia school and what the learning curve actually looks likePractical mindset shifts to navigate stress, build resilience, and succeed during the CRNA training journey
In this episode of Airway Exchange, Jiale (Gary) Hu, PhD, RN, FAAN joins the conversation to explore how AI is reshaping the way we teach, learn, and prepare future CRNAs. He's currently the Director of Research and Global Outreach in the Department of Nurse Anesthesia, and his scholarship focuses on enhancing knowledge translation in healthcare environments, with a lot of his current projects encompassing AI integration in healthcare education. We'll go beyond theory and into practical implementation of AI, like integrating AI literacy into the curriculum and building custom GPT tools for student handbooks. We also want to address the concerns many educators share: ethical use, institutional support, academic integrity, prompt engineering, and how to keep humans “in the loop.” Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:How opioids produce analgesia by decreasing synaptic transmission in central pain pathways rather than blocking nerve conduction μ, κ, and δ opioid receptor pharmacology and how Gi-coupled GPCR signaling alters calcium, potassium, and cAMP How opioids reduce pain by suppressing ascending nociceptive signaling and enhancing descending inhibitory pathways The physiologic basis of common opioid effects including respiratory depression, sedation, bradycardia, and GI effects
Cole and Tanner walk through the origin story and growth of their platform—from two anesthesia students recording study conversations during commutes to help themselves retain material, to realizing listeners nationwide were benefiting too. They share how a low-budget podcast (cheap mics, DIY editing, and a $5 logo) evolved into a paid subscription model, then into a full-featured app built to make anesthesia education and CEUs more accessible and mobile-friendly. Along the way, they reflect candidly on the trial-and-error of building a business without formal experience: pricing decisions, clunky early tech, the realities of “passive income,” customer support growing pains, and how their partnership helped them push through burnout. The episode ends with how their reach expanded to students and practicing CRNAs worldwide, why they eventually partnered with Archer Review to scale with more resources, and what they've learned about finding a real need, starting messy, and improving as you go.Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Featuring Dr. Jerrol Wallace, DNP, CRNA, FAANA, FAAN, sharing firsthand insight into military nurse anesthesia training and deployment experienceMilitary CRNA training pathway and selection standardsOperational readiness and austere anesthesia environmentsTrauma intensity, deployment medicine, and prolonged field careAutonomy, leadership development, and high-stakes decision-making
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
CRNAs are in demand. Salaries are strong. Jobs are plentiful. So why is Dr. Randy Moore sounding the alarm? In this episode, Randy joins Sharon and guest host Kevin Chem, DNP, CRNA to unpack his viral Substack article, “No One Is Coming to Save Us.” The core message is uncomfortable but clear: while anesthesia organizations remain divided over turf and titles, payers are quietly reshaping reimbursement policy in ways that could have long-term consequences for both CRNAs and anesthesiologists. Here's some of what you'll hear in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Advocacy can feel intimidating, especially as a student. But what if your future scope of practice, reimbursement, autonomy, and even student loan access are being shaped right now? Mackenzie and Levi recently attended Lobby Day in Florida and Nicolas went to Capitol Day in Arizona. Kelsey asks them about their experiences and advice for other SRNAs. You'll learn more about what advocacy events actually look like, how they prepared, what surprised them most, and the powerful realization that legislators often know very little about what CRNAs truly do. Showing up to advocate isn't just crucial for policy, it's also important for every SRNA's professional journey. Here's some of what we discuss in this episode:
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:One-week launch countdown plus a behind-the-scenes tour of the new Atomic Anesthesia platform.Overview of current features: 150+ lessons, quiz builder with 2,000+ questions, and gamified learning with avatars, gems, and leaderboards.Breakdown of seven core pharmacology concepts to make drug questions predictable instead of pure memorization.Clinical-style thinking tips: using receptor logic, dose–response, onset, redistribution, protein binding, and context-sensitive half-time to anticipate drug behavior.
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:Focus on studying smarter, not longer, for better results in anesthesia school.Learn eight proven study techniques that actually improve retention.Apply each strategy with real-life examples tailored to SRNAs.Organize and condense notes for more efficient learning.
Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:The 9 core physiology principles that explain most intraoperative instabilityWhy oxygen delivery matters more than a normal pulse ox readingV/Q mismatch, shunt vs. dead space, and managing real OR hypoxiaPreload, afterload, contractility, and what MAP actually meansAcid–base balance, CO₂ management, drug redistribution, and autonomic shifts in anesthesia
In this special episode, the conversation goes beyond anesthesia, leadership, and practice models and into something just as essential: friendship, health, and wellness. In a profession that is demanding, high‑stakes, and often isolating, the relationships CRNAs build with one another can be a powerful source of strength. Sharon is joined by longtime friends Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, Tracy Castleman, DNP, CRNA, APN-A, FAANA, and Carole Doyscher, CRNA, BSN, MS, APRN—four CRNAs whose bond, known affectionately as the Fab Four, was forged through shared experiences, mutual respect, and plenty of laughter along the way. Together, they reflect on how authentic connection within the CRNA community supports resilience, personal well‑being, and professional longevity. Here's some of what you'll hear in this episode:
Incivility doesn't always announce itself loudly—it often creeps in quietly, becoming normalized in high-stress clinical environments. In this episode, Lynn and Garry are joined by leadership veteran Meri Gilman-Mays, CRNA, DNP to continue a candid conversation on addressing incivility in nurse anesthesia. Part two of this conversation shifts from recognizing incivility to actively addressing it through leadership. We'll challenge the notion that leadership requires a title, highlighting how CRNAs lead daily at the bedside, in the operating room, and through committee work. Listeners are invited to consider the impact of silence versus intervention and how modeling professionalism under pressure influences team culture. After listening to this episode, participants will be able to: Identify leadership behaviors that CRNAs can demonstrate regardless of formal title or position. Apply real-time de-escalation strategies to address incivility while maintaining professionalism and authority. Utilize a structured framework for conducting difficult follow-up conversations and ensuring accountability. Describe strategies for fostering a culture of respect and psychological safety within anesthesia and perioperative teams. Visit us online: https://beyondthemaskpodcast.com/ The 1099 CRNA Institute: https://aana.com/1099 Get the CE Certificate here (and directly submit to the NBCRNA): https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246 Now you can watch the show on YouTube! Check it out here: https://www.youtube.com/channel/UCknrmkRxiwtYk7LUjSV6wmw?sub_confirmation=1
Artificial Intelligence has become much more than a buzzword. It's transforming industries as it rapidly evolves, and the big question for CRNAs is what does this mean for anesthesia providers? Sharon and guest co-host Larry Sears, CRNA sit down with CRNA educator and technology thought leader Richard Wilson, DNPA, CRNA, FAANA to explore how AI is quietly reshaping perioperative care, education, and decision-making in the operating room. Here's some of what you'll hear in this episode:
Workplace culture in anesthesia doesn't just live in policies or mission statements, it shows up in hallways, handoffs, and yes, even the lounge. In Part I of this conversation, Lynn and Garry welcome guest Meri Gilman-Mays, CRNA, DNP, for an honest, thoughtful conversation about incivility in the perioperative environment and how it quietly shapes the daily experiences of nurse anesthetists. Part I focuses on awareness as the first step toward change. By helping CRNAs recognize incivility in its many forms and understand its ripple effects on wellness, teamwork, and patient care, this conversation invites reflection rather than blame. It's an educational yet relatable dialogue designed to validate lived experiences and encourage healthier, more respectful professional environments one interaction at a time. Here's some of what we'll discuss: ⚠️ What incivility actually looks like in anesthesia practice
Thinking about locums but unsure where to start? Tanner sits down with Gavin and Chase, CRNAs and co-founders of Krewe Anesthesia, to break down what locums really looks like—myths, red flags, lifestyle flexibility, credentialing, and how to find assignments that actually fit your goals. Whether you're a new grad, a seasoned CRNA, or just locums-curious, this episode gives you a grounded look at what it takes to make the jump with confidence.Visit kreweanesthesia.com to learn more and follow them at @krewe_anesthesia!Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
More CRNAs are stepping beyond the operating room and building something entirely new, and this episode dives into what that transition truly looks like. Today, we're sitting down with Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Ollivate app, a gamified learning platform designed to help CRNAs earn CEs and residents prepare for boards in a calmer, more effective way. Want to know what it's like to transition to entrepreneurship, the challenges of non-clinical business, and what it takes to succeed? Join us for this candid conversation with a fellow CRNA who's taken the bold leap. Here's some of what you'll hear in this episode:
Season two of Grade 1 View begins with a transition featuring new voices, new perspectives, and the same commitment to honesty, community, and growth. As we hand off the torch to a new group of future CRNAs, founding host Olivia Conn, RN, DNP introduces the new host team: Nicolas Alexander, BSN, SCRN, CCRN; Levi Davis, BSN, RN, CCRN; Mackenzie Lane, BSN, RN, CCRN; and Kelsey Muir, BSN, RN, CCCRN. Through candid introductions and rapid-fire questions, you get to know the people behind the microphones, not just where they are in CRNA school, but the winding paths that brought them here. From non-linear career journeys and long-distance relationships to favorite comfort shows, coffee orders, and unexpected habits picked up during anesthesia training, we'll keep things light as we kick off the new year. Here's some of what we discuss in this episode: