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TxANA Newsletter | Summer Issue 2016 | www.txana.org 1
Volume 69, No. 2 | Summer Issue 2016 | www.txana.org
MID-YEAR ASSEMBLY
TxANA NewsLetterOfficial Publication of the Texas Association of Nurse Anesthetists
TxANA Newsletter | Summer Issue 2016 | www.txana.org2
IN THIS ISSUEPresident’s Message ................ 3
Key Contact Program ............... 4
Acupuncture: The Future of Anesthesia Practice ................. 5
Taking on Washington ............. 7
Mid-Year Experience ................ 8
International Medical Missions 9
TxANA MYA Column .............. 10
Department of Labor Requires Financial Advisors to Act in Client’s Best Interest .............. 11
In Memoriam ....................... 14
TxANA Board of Directors Candidates for 2016 – 2017 ... 15
TxANA 2016/2017 Calendar of Events ................................... 21
IN THIS ISSUEPresident
Robert Laird, CRNATel: 325-668-3783
President-ElectJoseph Wenszell, CRNA, MHS
Tel: [email protected]
Vice PresidentCynthia Kirbie Golden, CRNA
Tel: [email protected]
Secretary/TreasurerDana Brooks Roberson, CRNA, DNP, MSN, MHS
Tel: [email protected]
DirectorsTim Jones, CRNA, DNP
Tel: 940-210-0208 [email protected]
Dru Riddle, CRNA, DNPTel: 817-448-8787
Mark Talon, CRNA, DNPTel: 281-534-4967
Matthew MitchellTel: 325-829-6300
Wendy Odell, CRNA, MS, DNPTel: 903-335-0642
Holly Pham, CRNA, MSNTel: 316-204-1360
Committee ChairsBylaws & Resolutions
Mark Talon, CRNA, DNP Tel: 409-682-6187
CommunicationsAbigail Caswell, CRNA
Tell: [email protected]
Education & ProgramsCynthia Kirbie Golden, CRNA
Tel: [email protected]
FinanceDana Brooks Roberson, CRNA, DNP, MSN, MHS
Tel: [email protected]
Government AffairsJoseph Wenszell, CRNA, MHS
Tel: [email protected]
Nominating CommitteeMichael Sadler, CRNA, DNP
Tel: [email protected]
Pain Management Ad HocTim Jones, CRNA, DNP
Practice CommitteeMasson Farmer, CRNA, DNP
Tel: [email protected]
2015/2016 TxANA Leadership
TxANA Mission Statement
Advancing patient safety and the profession of nurse anesthesia.
Texas Association of Nurse Anesthetists
888 Banister LaneAustin, TX 78704
Tel: (512) 495-9004Fax: (512) 495-9339
Executive DirectorSam Carlson, BA
EditorJennifer A. Garza, CRNA, MSN
NewsLetter Guidelines:The TxANA NewsLetter is published quarterly by the Texas Association of Nurse Anesthetists, Inc. The Texas Association of Nurse Anesthetists assumes no responsibility for statements made or expressed in this publication. The Texas Association of Nurse Anesthetists shall not be liable on any person for any loss or damage incurred or suffered as a result of their accepting an invitation contained in any advertisement published in the TxANA NewsLetter. Readers are encouraged to make appropriate inquires and take appropriate advice before sending any money, incurring any expense or entering into any binding commitment with any advertiser.
Advertising Policies: Advertising rates are based on 4-color camera ready art. Additional service charges will apply for ads not camera-ready.
Advertising Rates:Full Page ........8.5”w x 11”h ........$500.00Half Page .......8”w x 5” h ............$250.00Qtr. Page ........3.75”w x 5.25”h ...$125.00Eighth Page ...3.75”w x 2”h ..........$75.00
Classified advertisement is available for $0.50 word, $25.00 minimum charge. All classified advertisements must be submitted in writing with payment accompanying the ad.
Discounts are available for multiple insertions. Please contact TxANA Headquarters for more information.
Deadlines:Feb. 1 | May 1 | Aug. 1 | Nov. 1
Membership dues to TxANA are not deductible as charitable contributions but may be deductible as a business expense for Federal Income tax purposes. 25% of the membership dues are spent on lobbying.
TxANA Newsletter | Summer Issue 2016 | www.txana.org 3
In Texas, if you don't like the weather, just wait a few minutes, it will change. The same can be said for Texas politics. With several contested local and legislative races in the state, and some congressional seats that are up for grabs, anything can happen. In Austin, your association is carefully watching the races and making plans for the aftermath. We are likely to lose some friends and make some new ones. With the exemplary TxANA lobby team and executive staff, we will work constantly to protect our patients and promote CRNAs.
As you know, the AA licensure bill was once again defeated in the last session (2015). Your association remains committed to ensuring that CRNAs are not negatively impacted by AA practice in Texas. Stay tuned for more info as we approach the new session next year. Speaking of AAs, there have been rumors flying that several hospitals and groups are eliminating them from their practices. If you have any solid evidence of this, let me or Sam Carlson, Executive Director at the TxANA office, know. We want to track any changes in practice patterns.
Also, we are closely monitoring the Texas Sunset Advisory Commission process. The Board of Nursing (BON) is undergoing review during its 2016-2017 review cycle for the 85th Legislative Session. The Texas Board of Nursing Self-Evaluation Report was completed in September 2015 and is publicly available on the Texas Sunset Advisory Commission website. Your board and lobby team are closely monitoring this process.
Lastly, there have been a number of calls and emails concerning the Board of Nursing (BON) requirements for continued licensure as an RN/CRNA in Texas. First and foremost, please check the BON website for the latest information. We also try our best to keep the official TxANA website up-to-date on practice information
and education requirements. It has been brought to our attention by our members that there are some commercial groups marketing their classes to meet the BON requirements. There seems to be a good amount of confusion, because there are websites and advertising materials that resemble TxANA information. Please be advised that TxANA has no association with any of these groups and cannot make a quality judgement about their product. For questions, contact the BON or the commercial group for specific information. We feel it is important to reiterate that TxANA has nothing to do with any of these groups.
As always, please use TxANA as a resource. We hope to see you at the upcoming TxANA annual convention – any updates and information are on our website. If you want to get involved, have questions about your practice or the legislative process and how it impacts your practice, please contact Ms. Sam Carlson at the TxANA office headquarters. Our staff is here to help you!
President’s MessageRobert Laird, CRNAPresident
"With the exemplary TxANA lobby team and executive staff, we will work constantly to protect our patients and promote CRNAs."
TxANA Newsletter | Summer Issue 2016 | www.txana.org4
The 85th Texas Legislative Session starts in less than nine months away, as it begins on January 10, 2017. Are you ready to help make this another successful succession for your profession? Your Government Relations committee is gearing up and will reintroduce the Key Contact Program which we are aiming to be in place by August’s TxANA Annual Business Meeting.
The Key Contact Program allows for one or two TxANA individuals in each Texas House and Senate District to be central contacts for these prospective legislative offices. The Key Contact person will reach out to other CRNAs in these district to contact their State Representative or State Senator, and promote activities such as a phone call, email or social media trees. This leader will generally be contacted by Ms. Sam Carlson, Executive Director, regarding time-sensitive action issues.
Over the next couple of months, each Texas CRNA will be contacted and asked to participate in the Key Contact Program. There are three ways you can participate: First, you can volunteer to be the Key Contact person in you district! The Key Contact person will be responsible for reaching out to the CRNAs in your district to let them know what course of action should be taken with
their legislator. If you want to get involved but aren’t interested in being a Key Leader, you can agree to be an advocate. You may be tasked by your leader to go by your legislator’s local office as a constituent and voice your concerns or approval on a particular bill. This is a great way to be an advocate for your profession!
If you’re concerned about allocating time, have no fear! TxANA staff stand ready to provide all the preparation and materials you will need in being the best advocate for your profession. Key Contacts are expected to dedicate a mere 2-3 hours a month. This number may increase slightly in legislative years, but it is certainly not unattainable. If you are an advocate, you could expect to dedicate about an hour per month (if that). That is not a lot of time for protecting your profession!
Lastly, if you are unable to participate as either a key contact or advocate, then please join the TxCRNA PAC. It takes time and money to protect your profession. Please give it some thought on how you can help your profession. If you have any questions, please contact Sam Carlson at TxANA. We all are looking forward to seeing you at the Galleria in Houston in August for the TxANA Annual Convention and Trade Show!
Key Contact ProgramJoseph (Joe) Wenszell, CRNA, MHSPresident-Elect
TxANA Newsletter | Summer Issue 2016 | www.txana.org 5
The August 2015 AANA Journal offered a Journal Course for continuing education: “Reviewing Complementary and Alternative Medicine (CAM)”. Oriental Medicine (OM) is a CAM which has been a part of Asian culture for thousand of years. The National Center for Complementary and Integrative Health (NCCAM) acknowledges OM teachings are difficult to reconcile with modern-day anatomy and neurophysiology but concedes the National Institutes of Health (NIH) evidenced-based research supports the use and practice of acupuncture.
When administered preoperatively, acupuncture and acupressure exhibits anxiolytic properties contributing to a decrease in intraoperative bispectral index (BIS) values. Results demonstrate a 50% reduction in BIS values and preoperative anxiety. A U.S. study revealed 42% of patients would utilize acupuncture to decrease preoperative anxiety if it were offered.
Intraoperative acupuncture demonstrates a decrease in anesthesia requirements, in PS I or II patients, by utilizing 25%-35% less sevoflurane leading to faster emergence and decreased postoperative nausea and vomiting (PONV). A decrease in PONV, along with a reduction in the need for a rescue antiemetic is reported at a statistically significant level. Wearing an acupressure band reduced the incidence of PONV from 30% to 12%.
Postoperative acupuncture may lead to decreased opioid requirements and improved relaxations. Opioid-sparing effects such as a decrease in PONV, dizziness, sedation, and urinary retention were clinically meaningful in patients in the acupuncture groups. Intraoperative acupuncture has shown to decrease postoperative agitation and pain requirements by up to 57% in children after BMTT.
The U.S. military has been a driving force of acupuncture for acute and chronic pain management. Forms of auriculotherapy, using points on the ear, anatomically correspond to areas of the body. This battlefield acupuncture offers a quick and simple form and is easily accessed. Acupuncture is currently used to treat conditions such as pain, obesity, smoking, skin disorders, dystonia, and vertigo. Acupuncture has also shown to provide a cost-effective and successful treatment of chronic low back and neck pain, shoulder pain, and headaches.
Before one exhibits bias toward alternative medicine, evidence-based practice supports the role of acupuncture and acupressure in anesthesia management. For additional information, visit the National Certification Commission for Acupuncture and Oriental Medicine website.
Acupuncture: The Future of Anesthesia PracticeTim Jones, CRNA, DNPBoard Director, TxANA
TxANA Newsletter | Summer Issue 2016 | www.txana.org6
As a reminder, we are going paperless!
TxANA partnered with Survey & Ballot Systems (SBS) to administer the 2016/ 2017 TxANA election. To assure your election specific broadcast email arrives safely in your inbox on or around May 31st, 2016, simply add the following email address as an approved sender:[email protected].
Please let us know if you have any questions or concerns. Thank you.
Sincerely, TxANA Nominations Committee
P innacle Partners In Medicine joined U.S. AnesthesiaPartners, one of the leading practices, in January of
2014. For over 17 years, our growth has created excitingopportunities for qualified physicians and CRNAs in awide diversity of practice and geographic locations.
Our commitment to building strong relationships withour physicians, CRNAs, hospital partners and surgeonpartners has placed us at the forefront of the industry.
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CRNAsIdeal candidates are committed to the pursuit of excellence, building strongrelationships and having the requisite skills to pass our fair but demandingcredentialing and screening process.
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EOE
For more information about Pinnacle, visit: www.PinnaclePartnersMed.com or call 972-663-8529. You may also email your resume to: [email protected].
© 2016 US Anesthesia Partners, Inc. All Rights Reserved.
TxANA Newsletter | Summer Issue 2016 | www.txana.org 7
On April 2 through April 6, Dr. Gabaldon, a Professor at Texas Wesleyan University, led our group of RRNA students to Washington, DC for the AANA Mid-Year Assembly. The Mid-Year Assembly is intended to bring nurse anesthetists from all across the country together on Capitol Hill to foster professional networks, protect our current CRNA reimbursement structure, and advance our CRNA practice in a meaningful way. Before my experience at the Mid-Year Assembly, I rarely thought about American politics, let alone the policy agendas affecting CRNA healthcare delivery. But having had the experience on Capitol Hill earlier this month, I now know how critical it is to continue to advocate our public policy platform in the face of an uncertain healthcare environment.
The conference began with two days of presentations designed to train attendees on how to effectively lobby congressional staff on Capitol Hill. The training presentations allow for real opportunity within its process to develop the abilities required to be a successful advocate. And as Larry Hornsby, President of Anesthesia Professionals, Inc., pointed out, history repeats itself. Understanding past challenges, the AANA have encountered works to manifest and promote future progress for CRNA independent practice. Taken together, the presentations taught us to engage in problem solving, communicate a position, and promote CRNA’s cause against opposition.
On the third and fourth days of the trip, our team visited several congressional offices with the goal of strengthening opposition to supervision advocacy in our practice. Many congressional offices were supportive of our interests in CRNA full practice, while other offices were less responsive. Yet despite opposition to our agenda, it was clear that the inspired message communicated by TxANA leadership, Jay Hopper and Steven Leach, did not fall on deaf ears. Together, we facilitated balanced, rigorous, and open debate with congressional staff and educated healthcare policy advisers of the importance of our practice and potential devastating impact adverse legislative might cause. I am grateful for Jay Hopper and Steven Leach for having taught me what it means to think with honesty and precision and for their continued effort
to protect our practice and position within the healthcare community. Lobbying on Capitol Hill opened my eyes to this reality, and I enthusiastically encourage every CRNA and RRNA to share a similar sentiment.
I returned to Texas Wesleyan on Wednesday morning full of stories and hopefully a little bit wiser. I am eager to enlighten some of my classmates of the importance of healthcare policy at the federal level and encourage them to embrace open discourse concerning our practice. At the 2016 Governance Summit in Austin, a speaker said that SRNAs are more likely to become involved and stay involved in their state association if they are personally guided by an experienced CRNA. I am an example of how influential, impassioned CRNAs like Dr. Gabaldon can be on nurse anesthesia’s future. In Washington DC, I saw firsthand the benefits of advocating on behalf of CRNAs in policy negotiations. It is important for all of us to play an important role in decisions that will ultimately affect CRNAs and to provide a collective voice for nurse anesthetists. Lobbying in DC is one of the vehicles to make a difference and armed with the knowledge and information from association leadership, I know that we can all make a positive change. So thank you, Dr. Gabaldon and TxANA for this amazing opportunity and helping protect all of us who plan to practice in the great State of Texas.
Taking on WashingtonMeagan Rose, RN, BSN, CCRNAANA TxANA Scholarship Recipient
TxANA Newsletter | Summer Issue 2016 | www.txana.org8
Attending the 2016 AANA Mid-Year Assembly (MYA) was truly a life-changing experience. The level of enthusiasm and passion for nurse anesthesia was infectious, and everyone shared a common goal to protect and advocate for the nurse anesthesia profession. The educational sessions and lectures were very informative regarding the current political healthcare issues nurse anesthetists are facing. As a student registered nurse anesthetist submerged in the classroom and clinical setting, it is easy to overlook or completely ignore the current real world problems that I will be facing one day. That is one reason why the AANA MYA was so pivotal for me. During the conference, I learned about current issues in detail as well as strategies to address those issues. I learned how to effectively communicate with members of Congress to educate them about the nurse anesthesia profession and the importance of their support regarding current and future legislation.
Attending the AANA MYA has given me the confidence to support the CRNA profession by educating the public about our role in healthcare, seeking out opportunities to meet with legislators, and reminding CRNAs to continue their AANA membership and donate to the CRNA-PAC. It was a very eye opening experience to see what goes on in the AANA behind the scenes, and I realized the importance of active involvement at the state and national level. Many current CRNAs still are not aware or do not understand what the AANA membership does to benefit them, but I have seen firsthand just how important the professional organization is to all nurse anesthetists. I will continue to share the knowledge I have gained at AANA MYA regarding current issues we are facing, the benefits of AANA membership and the critical importance of donating to the CRNA-PAC. I will continue to be an active member in the AANA, and I am currently looking at joining a state level committee to stay involved. I hope to return to the AANA MYA next year and many years to come.
Mid-Year ExperienceKatie Sims RN, BSN, RRNAAANA TxANA Scholarship Recipient
TxANA Newsletter | Summer Issue 2016 | www.txana.org 9
Every year, thousands of medical professionals from the U.S. travel to provide medical care in destinations across the globe. For the last 2 years, I’ve been fortunate to be a part of teams traveling to Africa with KenyaRelief. This organization was founded by Steve James, a CRNA from Birmingham, Alabama. KenyaRelief sends surgical teams to Migori, Kenya every month to provide much-needed care to patients who otherwise, would have no access to life-saving surgical procedures. I chose KenyaRelief primarily because CRNAs provide the majority of anesthesia services without supervision and also play important roles in leadership in the organization
Each KenyaRelief team has a specific focus. The teams I was a part of performed primarily ENT procedures. Thyroid goiters are endemic in this part of Kenya, presenting many airway challenges. Because access to care is so limited, many of the patients we saw had huge goiters, much larger than what we are accustomed to seeing here in the U.S. Potentially difficult airways were waiting for us every morning!
Conditions can be quite challenging. At the KenyaRelief facility in Migori, everything is in limited supply; equipment, supplies, space and even oxygen. Because I trained before pulse oximetry and gas analysis were widely available, it wasn’t too hard to adjust to more austere conditions. There are two OR tables in each room, occasionally sharing monitors. Many of the patients don’t speak English. They are often on unfamiliar medications, and there’s no internet available to consult the Epocrates app! Pre-surgical works ups consisted of a brief physical exam, with no labs or x-rays. Drug shortages are the norm in this region.
The rewards are many. A sense of teamwork exists that I’ve never experienced in the United States. Egos were checked at the door; everyone from surgeons to OR techs and translators were focused only on providing safe care to as many patients as possible. Many of the frustrations of our daily practice don’t exist there – excessive documentation, meaningless regulatory concerns, billing issues. You can really focus on the work at hand without those distractions. The patients willingly endure incredible hardships and are extremely grateful for the care they receive.
International mission work is one of the most rewarding things I’ve ever experienced. Approach it with an open mind and open heart and prepare for both to be filled.
International Medical MissionsSusan Willis, CRNAContributor
TxANA Newsletter | Summer Issue 2016 | www.txana.org10
I arrived in Washington, D.C. for the American Association of Nurse Anesthetist’s Mid-Year Assembly (AANA MYA) shortly after midnight, early Saturday morning. I was awestruck by the nighttime drive through our nation’s capital to my hotel. I was even more impressed with what I experienced throughout the five day assembly.
Over 1,000 people packed the opening session to create a standing room only meeting. Although I was the only student from my school in attendance, I never felt alone. I found my fellow Student Registered Nurse Anesthetists (SRNAs) and the Texas Association of Nurse Anesthetists (TxANA) board of directors incredibly warm and approachable.
Frequent social and wellness events elevated the MYA from a conference to an experience. This year’s meeting coincided with the breathtaking, annual Cherry Blossom Festival. Beautiful, blossoming cherry trees added a colorful backdrop to iconic monuments throughout the city. One evening I joined a handful of meeting attendees on a wellness run through the national mall, past monuments lined with blooming cherry trees.
The MYA speakers outlined the political landscape starting with information on current political events in general, and then policies impacting nurse anesthesia practice in particular. Throughout the conference speakers taught and demonstrated effective communication strategies. The conference culminated with visits to our national representatives’ offices on Capitol Hill. For me, it was the end of a longer road I started in January when I attended TxANA’s annual governance summit.
If you are interested in being more involved in the legislative process I strongly recommend attending the governance summit and the MYA in the same year. Both conferences bring attendees up to date on health care policies, prepare attendees to effectively interact with legislatures, and end with visits to your legislature’s office. The advantage of attending both conferences lies in the opportunity to put learning into action and to build valuable skills. Try it out next year. I hope to see you there!
TxANA MYA ColumnStephen Carrio, SRNAStudent Contributor
TxANA Newsletter | Summer Issue 2016 | www.txana.org 11
One of the differences I noticed when transitioning from a CRNA to a CFP™ professional was the lack of standardization in the financial services industry. We all know the requirements to become and maintain certification as a CRNA, but in the financial services industry, I was surprised at the variation in requirements to become a “financial advisor”. Some who used the term financial advisor had no certification and very little, if any, training. Others such as the CERTIFIED FINANCIAL PLANNER® professional (the CFP® Board of Standards requires all caps when I write CERTIFIED FINANCIAL PLANNER®), must have a bachelor’s degree, complete an approved course of study, submit a financial plan, have it approved, pass a two day-six hours each day exam and have three years of experience!
To further complicate matters, there are two standards in the financial services industry, the “suitability standard” and the “fiduciary standard”. The suitability standard applies to representatives of brokerage firms and most would agree is a lower standard than the fiduciary standard. The suitability standard only states that an investment must be “suitable” for the client, but “suitable” investments are very poorly defined. The
fiduciary standard applies to independent advisors – those not employed by a brokerage firm. The fiduciary standard states that the financial advisor must act in the best interest of the client. Like me, many CRNAs and other healthcare professionals assume that if someone is a “financial advisor”, he or she must have gone through the same education, training and certification process to become a financial advisor since this is almost universally true in the healthcare industry. But this is definitely NOT true in the financial services industry.
Because of this lack of standardization in the financial services industry, the Department of Labor recently released a ruling requiring ALL financial advisors to adhere to the fiduciary standard when giving advice on 401(k) plans and IRAs. The most common response I hear from those in the healthcare industry is, “Duh”! Just as CRNAs are required to act in the best interests of their patients, it is about time that financial advisors be required to act in the best interest of their clients. The Department of Labor has given financial services firms one year to implement the fiduciary standard and there is talk that this ruling may be challenged in the courts by brokerage firms. But I think it will eventually make a difference in how financial advisors treat their clients.
There are several important points for CRNAs to consider in light of this new ruling. First, there may be changes for your financial advisor. If your advisor is not already a fiduciary advisor, he or she may ask you to sign new forms stating that you know and agree to the lower suitability standard. However, if you your advisor is not a fiduciary advisor, perhaps you should consider choosing one who is. Secondly, be sure and check out your financial advisor before you invest. A good source of information is the Financial Industry Regulatory Authority (FINRA) website, www.finra.org. Using their BrokerCheck tool, you can look up information on any advisor.
Department of Labor Requires Financial Advisors to Act in Client’s Best InterestDavid Stull, CRNAContributor
TxANA Newsletter | Summer Issue 2016 | www.txana.org12
Finally, here are some questions to ask a potential advisor:
1. Are you held to a fiduciary standard?2. What is your education and training?3. How much experience do you have?4. How are you paid?5. Do you have any conflicts of interest?6. Can you provide me with references from your
current or former clients?
Although the new Department of Labor ruling will help to standardize investment advice in the financial services industry, it is still important that CRNAs take the time to investigate their financial advisor before committing their hard-earned money.
David L. Stull, CRNA, CFP® is a CERTIFIED FINANCIAL PLANNER™ professional with Storehouse Financial LLC. Information in this article is general in nature and not necessarily applicable to each individual. Please consult your investment advisor and/or tax professional prior to making financial decisions. Please direct comments or questions regarding this article to [email protected].
As a reminder, the advertisements in this publication do not necessarily reflect the policy or views of the Texas Association of Nurse Anesthetists (TxANA). An ad's inclusion in this material does not imply that TxANA endorses, supports, or verifies its contents or expressed opinions. Factual errors are the responsibility of the listed publication.
www.TexasCRNA.com
TxANA Newsletter | Summer Issue 2016 | www.txana.org 13
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TxANA Newsletter | Summer Issue 2016 | www.txana.org14
Kenneth Ray Crane , 65, of Longview passed away November 7,2015 after a short illness. He was born to Aubrey Crane Sr. and Emma Lee Haney Crane in Kirbyville, Texas on April 6, 1950.
Kenneth graduated from Kirbyville High School. He attended Mary Hardin Baylor School of Nursing and graduated with his Bachelor of Science in Nursing. He worked at Scott and White Hospital in Temple, Texas. In 1981 he left to attend Nurse Anesthesia School and received his CRNA license. In 1990 he accepted a position at Longview Regional Hospital where he just started his 26th year of employment on October 8th. Kenneth had been a member of the Anesthesia Department for all 26 years.
One of his favorite hobbies was his music. He enjoyed getting together with friends and playing “Rock Star” band of oldies. Kenneth’s latest favorite activity was spending time with his grandson who was the light of his life.
Kenneth is survived by his wife of 41 years, Jo Lynn Crane of Longview. They would have celebrated their 42nd wedding anniversary on November 21st. His is also survived by his daughter Susan Crane Jackson and husband Chad Jackson and grandson Preston Jackson of Longview. Other surviving family are brother Aubrey Crane Jr. and his wife Linda of Kirbyville, sister Pamela Loper and husband Wesley of Kirbyville. A sister-in-law Nancy Watters of Longview. Kenneth is also survived by numerous nieces, nephews, cousins, aunts and uncles. His two fur babies Beau and Ben will greatly miss their snuggle buddy.
In lieu of flowers donations can be made to the Humane Society in Longview, Texas or Mary Hardin Baylor Nursing Scholarship in Belton, Texas.
Louise Rodrigue Hammer, 93 of Bay St. Louis, MS passed away Saturday, October 10, 2015 in Friendswood, TX.
Louise was of the Catholic faith, a member of VFW Post 3253 and the American Legion 139.
She is preceded in death by her husband, George Hammer, parents, Rene Rodrigue and Natalie Becnel, two brothers, Roland Rodrigue and Alfred Rodrigue.
She is survived by her son, George (Barbara) Hammer of Sumrall, MS; two daughters, Susan Hammer (David) Burden of Friendswood, TX and Vivian Hammer (Lek) Phongam of Petal, MS: six grandchildren, Amanda Jane Burden, David Michael Burden, Rena Louise Hammer, Trent Gregory Hammer, Natalie René Phongam and Matthew Lake Phongam; two great-grandchildren, Jack Rodrigue Burden and Reid Michael Burden.
Visitation was held on Saturday, October 17, 2015 at Our Lady of the Gulf Catholic Church in Bay St. Louis, MS, followed by a noon mass of Christian Burial. Internment followed at Garden of Memory Cemetery in Bay St. Louis, MS. Edmond Fahey Funeral Home was in charge of the arrangements.
In Memoriam Kenneth Crane
In Memoriam Louise Hammer
TxANA Newsletter | Summer Issue 2016 | www.txana.org 15
TXANA OFFICES HELD: • 2013 – 2014 Director• 2014 – present Director
TXANA COMMITTEE CHAIR POSITIONS HELD: • 2015 – present Ad Hoc Committee, Nonsurgical Pain
Management
TXANA COMMITTEE POSITIONS HELD: • 2009 – 2010 Education and Programs Committee• 2011 – 2014 Government Relations Committee• 2013 – 2014 National Board of Certification and Recertification
of Nurse Anesthetists (NBCRNA), Nonsurgical Pain Management, Clinical Simulation Item Writing Committee
• AANA Committee Positions Held:• 2013 – 2014 Pain Management Work Team• 2014 – 2015 Coalition of Nurses in Advanced Practice, Chair Elect
PLACE OF EMPLOYMENT:• Mandragora Anesthesia Services, P.C.; Dalham-Hartley Counties
Hospital District, Dalhart, TX
EDUCATION:• Texas Christian University, Ft. Worth, TX, Doctor of Nursing
Practice, May 2010• Georgetown University, Washington, DC, Master Science,
Scholae Studiorum Superiorum, March 2000• Hardin-Simmons University, Abilene, TX, Bachelor Science
Nursing, Magna Cum Laude, May 1992
OTHER:• Speaker, Texas Association of Nurse Anesthetist (TxANA):• 2015 “The Quandary of Rural Anesthesia”• 2013 “Acute Pain Management, Opioid vs Non-Opioid”• 2013 “Perioperative Analgesia for Total Knee Arthroplasty”• 2010 “Fluoroscopy and Radiological Safety”
PUBLICATIONS:• “A Fluoroscopy and Radiological Safety Protocol for
Interventional Pain Management,” Doctoral Project, TCU; Jack Neary Pain Management AANA Seminar, 2010 – present.
• Jones, T. et. al. “An Evaluation of the Histological Effects of Intra-Articular Methadone in the Canine Model,” AANA Journal, February 2003.
• U. S. Navy, LCDR, NC (Ret) 2005
PLATFORM STATEMENT:It has been an honor to serve the membership of the Texas Association of Nurse Anesthetists. Serving Texas CRNAs has been a humbling experience as I have learned firsthand the contributions our membership and board members offer our organization. I seek an opportunity to continue my contribution and serve you as President-Elect during this upcoming legislative session. I firmly believe the future is bright for nurse anesthetists and this legislative session will prove vital to our organization and profession as we curtail the efforts of AAs to obtain licensure and broaden APRNs pursuit of full practice authority. Victories preventing AA licensure is an example of our organizational strength and value.
Healthcare is undergoing major transformations and it is vital we continue the forward momentum CRNAs are experiencing while patients, surgeons, hospital administrators and legislators see CRNAs as the exemplary profession we are. Our reputation as a critical influence to the safe practice of anesthesia is well known and more CRNAs are stepping to the plate to play key roles to guide government leadership on healthcare policies. Hospital administrators seek safe, affordable anesthesia services and are advocating CRNAs meet the increased need in anesthesia services during a time of shrinking healthcare dollars. Our organization will elevate the high standards of our membership as we continue to keep the public and legislators acutely aware of our services. Please support me, in my bid as your President-Elect, as I seek to promote the practice and future of nurse anesthesia.
Tim Jones, CRNA, DNP
TXANA BOARD OF DIRECTORS CANDIDATES FOR 2016 – 2017†
President-Elect
TxANA Newsletter | Summer Issue 2016 | www.txana.org16
TXANA OFFICES HELD: • 1999 – 2001 Director
TXANA COMMITTEE CHAIR POSITIONS HELD: • 2014 – 2015 Education Committee
PLACE OF EMPLOYMENT:• University of Texas Health Science Center at Houston
AWARDS & HONORS:• 2016 – Distinguished Fellowship in the National Academies of Practice (NAP)
and the Nursing Academy as a Distinguished Scholar & Fellow• Nominated 2014 Distinguished Alumni Award• 2013 – UTHSC McGovern Teaching Award Nominee• 2012 – UTHSC McGovern Teaching Award Nominee• 2011 – UTHSC McGovern Teaching Award Nominee• 2010 – UTHSC McGovern Teaching Award Nominee• 2009 – Mary Hanna Memorial Journalism Award• 2007 – Harris County Medical Society Auxiliary Clinical Excellence Award• 2007 – UTHSC – SON, Doctoral Student Writing Award• 2005 – Sigma Theta Tau International, Zeta Pi Chapter, Doctoral Award• 2004 – American Association of Critical-Care Nurses Mentorship Grant • 2003 – 2004 – John S. Dunn Endowed Scholarship UTHSC-SON• 2001 – Fellow, AANA Journal Invitational Writing Development Workshop• 1996 – Agatha Hodgins Award, The University of Texas-Houston Health Science Center• 1996 – Harris County Medical Society Auxiliary Clinical Excellence Award• 1995 – Cameron Foundation Scholarship• 1992 – American Association of Nurse Anesthesia Scholarship• 1992 – Texas Student Nurses Association Scholarship• 1992 – American Legion Auxiliary Unit 560 Scholarship• 1991 – Hermann Hospital Scholarship• 1982 – LSUMC Scholastic Award• 1981 – Linde Home Care National Scholarship
EDUCATION:The University of Texas Health Science at Houston, School of Nursing• 2007 – PhD, Nursing (Focus: Respiratory Physiology)• 1996 – MSN, Nurse Anesthesia, Summa cum Laude• 1992 – BSN, Summa cum Laude
Louisiana State University Medical Center• 1982 – BS, Cardiopulmonary Science, Summa cum Laude
OTHER:2010 – Present – AANA Liaison to American Midwifery Certification Board
Respiratory Care Manuscript and Abstract Reviewer:• 2009 – present – review journal submissions• Review abstracts submitted to AARC 2014 Open Forum at the 60th International
Respiratory Convention & Exhibition (Topics: Airway Care #14; Education #18)• Review abstracts submitted to AARC 2013 Open Forum at the International
Respiratory Convention & Exhibition (Topic: Aerosol/Drugs #30)
Brazos Valley Anesthesia Continuing Education:• Program Coordinator, AANA Course #1029242, April 2014 – March 2015• Program Coordinator, AANA Course #1027690, April 2013 – March 2014• Program Coordinator, AANA Course #123456, November 2013
Anesthesia Abstracts, Contributing Editor (2009 – 2013)
Elsevier Reviewer:• Chapter Review for the Manual of Critical Care Nursing 2013 (Nutrition, Pain)
National Board of Certification and Recertification for Nurse Anesthetists:• Continued Professional Certification Examination Subcommittee Validation
Workgroup 2013• National Certification Exam and Self-Evaluation Exam Application Review
Workgroup 2013
Member of Board 2007 – 2011 (term limited)
Council on Certification of Nurse Anesthetists • 2008 – 2011 Certification Exam Editor• 2005 – 2007 Practitioner Member• 2007 – 2008 Chairman—Certification Exam Committee• 2008 – 2010 Certification Examination Committee
AANA Journal Reviewer (2010 – 2011)
Brazos Anesthesiology Associates• M&M/Case Conference Committee 2008 – 2010• Quality Improvement/Policy & Procedures Committee 2008 – 2010
PLATFORM STATEMENT:During the last legislative session, an AA licensure bill was voted out of committee and went onto the floor where it was narrowly defeated. We now have over 3,500 CRNAs in Texas; there are about 150 AAs who practice under delegate authority and purportedly under the direct supervision of an MDA. If every CRNA call and writes their respective state senator and representative to vote down AA licensure, the likelihood of a defeat is pretty good. If each and every CRNA asks their parents, siblings, colleagues, and neighbors to do the same, the likelihood of defeat is high although not assured.
In this era of rising health care costs, the MD-AA model is neither financially prudent nor sustainable. The use of 150 AAs in lieu of 150 CRNAs costs the hospitals of Texas the salaries of 37.5 MDAs in just one year (over $13 million/year with the currently mandated CMS 4:1 ration for billing medical direction). AAs as a class provider have already been removed from several hospitals in the Houston area. Hospitals do not make these decisions lightly – one must assume that egregious events took place to precipitate this.
When I last served the BOD, we focused on fighting for the practice rights of Texas’ independent CRNAs. Now the tables have turned and it is our ACT CRNAs who need help and job protection – why? Because CRNAs ARE ALL INDEPENDENT PROVIDERS and the MDA push for AAs is a political response to this fact. We need all 3,500 CRNAs to take an active part in protecting our practice rights.
Penelope Z. Strauss CRNA, PhD, MSN, BS, RRT, FNAP
Vice President
TxANA Newsletter | Summer Issue 2016 | www.txana.org 17
TXANA OFFICES HELD: • 2013 – 2015 Board of Directors
TXANA COMMITTEE CHAIR POSITIONS HELD: • 2015 Co-Chair, Education Committee
TXANA COMMITTEE POSITIONS HELD: • 2015 Finance Committee• 2013 – 2015 Education Committee• 2007 – 2009 Practice Committee
PLACE OF EMPLOYMENT:• Texas Christian University School of Nurse Anesthesia• NorthStar Anesthesia, PA
EDUCATION:• PhD Medical University of South Carolina (Nursing & Genomics)• DNP Texas Christian University• MSN Old Dominion University• BSN Virginia Commonwealth University
PLATFORM STATEMENT:This is an exciting time for nurse anesthetists. Our practice continues to evolve and change, our profession is growing, and our importance as a valued member of the healthcare team has never been more vital. As an association, TxANA works tirelessly to support and promote our practice. I have had the honor to serve as a Director for the past two years during which time I have gained a more in-depth understanding of the interworking of our association. As a Board, we feel that we have accomplished much in the past two years and I am very proud to have been a small part of these accomplishments. It is with this insight and commitment to our profession that I seek the office of Vice President of TxANA. I hope to continue to represent each of our members in a meaningful way working alongside the other dedicated CRNAs that have also given of their time to serve you: Texas CRNAs. I humbly ask for your vote and thank you for your continued support of our association and profession.
PLACE OF EMPLOYMENT:• American Anesthesiology-Brazos
EDUCATION:• Texas A&M University • UTMB • UT Health Science Center-Houston
OTHER: • Chair, Brazos Valley Anesthesia Continuing Education
PLATFORM STATEMENT:Serving on the Board of Directors, I will bring representation for anesthesia providers in suburban and rural anesthesia settings. I am aware of the challenges CRNAs face, but I believe the CRNAs is bright. The time is now to promote CRNAs and increase public awareness of what we do. I have worked in all CRNA models, and I will work to continue to improve CRNA practice in Texas.
Julie Boytim, RN, MSN, CRNA
Directors
Dru Riddle, CRNA, PhD, DNP
Vice President
Tessa R. Guevara, CRNA, MSNA
TXANA COMMITTEE POSITIONS HELD: • 2015 – 2016 TxANA Nominating Committee • 2015 – 2016 AANA Resolutions Committee • 2014 – 2015 TxANA Finance Committee • 2014 – 2015 TxANA Education Committee
PLACE OF EMPLOYMENT:• NorthStar Anesthesia
EDUCATION:• Texas Wesleyan University – MSNA• Texas Christian University – BSN• Texas A&M University – BS
PLATFORM STATEMENT:I am in my 10th year of my anesthesia career and there is not better feeling than to be able to provide anesthesia to the full scope of our practice. As a TxANA Director, I intend to not only protect our practice rights, but to evaluate and support new ideas or strategies to advance our role. I hope that you will allow me the privilege serve you, I am eager and truly appreciate your vote.
TxANA Newsletter | Summer Issue 2016 | www.txana.org18
Kenton Dubose, CRNA, DNPAbigail L. Caswell, CRNA, DNP
Directors
TXANA COMMITTEE CHAIR POSITIONS HELD: • 2015 – 2016 Communications Committee
TXANA COMMITTEE POSITIONS HELD: • 2010 – 2011 Bylaws and Resolutions• 2010 – 2011 Education Programs• 2012 – 2013 Governmental Relations• 2012 – 2013 Education Programs• 2015 – 2016 Communications Committee
PLACE OF EMPLOYMENT:• Baylor College of Medicine (Faculty; Instructor of Anesthesiology)
AWARDS & HONORS:• 2005 Sigma Theta Tau • 2005 Summa cum Laude • 2009 Honors graduate • 2015 Highest Honors Graduate • 2015 John F. Garde Distinguished Student Award
EDUCATION:• 1995 Licensed Vocational Nurse (San Jacinto College)• 2001 Associate Degree in Nursing (Alvin Community College)• 2005 Bachelor of Science in Nursing (UTMB)• 2009 Master of Science-Nurse Anesthesia (Baylor College of
Medicine)• 2015 Doctor of Nursing Practice (Baylor College of Medicine)
PLATFORM STATEMENT:One of my most significant contributions to the CRNA profession is through my role as educator. My position affords me the unique opportunity to mold and shape the thoughts and actions of future generations of nurse anesthetists. I can use those same talents to educate the general public about the nurse anesthesia profession and the critical role nurse anesthetists play in today’s era of managed care. I envision a society where the term CRNA does not invite blank stares but engenders a sense of confidence and reassurance that the highest quality and most cost-effective care is being provided to our communities.
PLACE OF EMPLOYMENT:• JPS Hospital – Fort Worth• Harris Southwest – Fort Worth
AWARDS & HONORS:• 2014 TCU Academic Achievement for 4.0
EDUCATION:• 2009 Texas Tech – BSN • 2014 TCU – CRNA, DNP
PLATFORM STATEMENT:“Many nurse anesthetists do not possess a Master’s degree as this was not required until 1998 and some do not possess a bachelor degree. Nurse Anesthetist programs do not require involvement of a medical school or academic physician faculty.”1 This is how our opposition assesses our rigorous training in both urban and rural facilities as Certified Registered Nurse Anesthetists.
Texas Senate Bill 1794 is a key obstacle facing our practice in Texas and will once again be deliberated in the next legislative session. Grassroots lobbying will be necessary by Directors in the TxANA. Through these efforts, I have confidence in curtailing Anesthesiology Assistant practice and shielding the future of our profession.
1. FAQs. American Academy of Anesthesiology Assistants 2013. Available at: http://www.anesthetist.org/faqs#nasandaas. Accessed February 17, 2016.
TxANA Newsletter | Summer Issue 2016 | www.txana.org 19
Dion A. Gabaldon, CRNA, DHA
Directors
PLACE OF EMPLOYMENT:• Texas Wesleyan University – Associate Director of the Doctorate
of Nurse Anesthesia Practice Program
AWARDS & HONORS:• 2013 – AANA Foundation – Award. “State of the Science”
Research Findings: The Nurse Anesthesia Doctoral Faculty Shortage: Is There Hope?
• 2015 – Texas Wesleyan University - GEM Award. Developing and launching a new Bachelor of Science in Health Science (BSHS) degree program. Committee Recognition
EDUCATION:• 2015 – Masters of Business Administration (MBA)-in Progress• 2013 – Doctorate Health Administration (DHA)• 1998 – Masters of Science (MS)• 1995 – Bachelors of Science Nursing (BSN)
OTHER:Recent Publications:• Heather W. Suescun, CRNA, DNAP; Dion A. Gabaldon, CRNA,
DHA; Paul N. Austin, CRNA, PhD. Nonpharmacological Neuraxial Interventions for Prophylaxis of Postdural Puncture Headache in the Obstetrics patient. AANA Journal, 2016;84(1):15-22.
• Lee Summerlin-Grady, CRNA, DNAP; Dion A. Gabaldon, CRNA, DHA; Paul N. Austin, CRNA, PhD. Safe Driving After Propofol Sedation" Journal of PeriAnesthesia Nursing, 2016-In Press.
PLATFORM STATEMENT:I believe the primary role of the Board of Director of any organization is to enhance and sustain membership value. This is accomplished by 1) Establishing and reviewing the strategies and goals of the organization, 2) Overseeing the business affairs of the organization in light of emerging threats and opportunities and 3) Mentoring a succession plan for future organization leaders.
Therefore, I believe my clinical, business, hospital administration, and academia experiences may benefit TXANA leadership. The future of CRNA opportunities is very exciting and I look forward to promoting Texas CRNAs. I seek your vote and look forward to helping TXANA leadership develop solutions to Texas CRNA challenges.
TXANA COMMITTEE POSITIONS HELD: • Education Practice
PLACE OF EMPLOYMENT:• John Peter Smith Hospital – Fort Worth, TX
EDUCATION:• 2015 Texas Wesleyan University (Doctorate of Nurse Anesthesia
Practice)• 1999 Texas Wesleyan University (Masters of Health Science)• 1995 Columbia College (Bachelors of Arts with emphasis Biology
and Chemistry)• 1992 Columbia College (Associate Degree in Nursing)• 1990 Franklin Technical School (Licensed Vocational Nurse)
PLATFORM STATEMENT:As a practicing CRNA for 17 years, I’ve witnessed our practice constantly changing and evolving into a profession that delivers high quality care to patients in a wide variety of anesthesia settings. Standing up for our profession and protecting our rights to practice anesthesia in the State of Texas is my highest priority. Educating and promoting the profession to future generations of anesthetists, the public, and elected legislators is also critically important if we want our association well represented in today’s political environment. If we all stand together in defense of our profession, I believe, our voices will be heard.
Bill Johnson, CRNA, DNP
† All material is provided in format of submitted forms.
TxANA Newsletter | Summer Issue 2016 | www.txana.org20
Texas Certified Registered Nurse Anesthetists Political Action Committee TxCRNA PAC
TxCRNA PAC CONTRIBUTION FORM
Platinum Level $1,000.00 or 83.34 for 12 months - Contributors will receive a State of Texas Lapel Pin
Gold Level $750.00 or 62.50 for 12 months Silver Level $500.00 or $41.67 for 12 months
Bronze Level $360.00 or $30.00 for 12 months Other: Amount: $______________________
PLEASE PRINT OR TYPE: Name: AANA ID #:
Occupation: CRNA Other:___________________________________________________
Employer:_____________________________________________________________________
Mailing Address:____________________________________________________________________________
City:______________________________________________ State: _____ Zip Code:____________________
Phone: Email:
My personal check is enclosed – Please make payable to “TxCRNA PAC”
Or bill my personal credit card: American Express Discover Master Card VISA
One Time Payment Please charge my credit card $____________ for 12 months.
Please charge my credit card $____________ until cancelled.
Name on Card:
Acct. Number:
Exp. Date: _____________ CVV:
Mailing Address for Credit Card Statement: (if different from above)
_________________________________________________________________
City: State:
Zip Code:
Signature:
Date:
Political contributions are not tax deductible. Voluntary contributions by individuals to the TxCRNA PAC should be noted on personal checks or made using personal credit cards. Texas law requires us to use our best efforts to collect and report the full name and address, principal occupation or job title, and full name of employer of individuals whose contributions equal or exceed $500 in a reporting period. Under Texas law, contributions from individuals, PACs, partnerships, and limited liability companies not owned in whole or in party by a corporation are permissible, while contributions from corporations and foreign nationals are prohibited. RETURN TO: TxCRNA PAC 888 Banister Ln. Austin, TX 78704 Tel: 512-495-9004 Fax: 512-495-9339
TxANA Newsletter | Summer Issue 2016 | www.txana.org 21
TxANA 2016/2017 CALENDAR OF EVENTS
AUGUST 4, 2016TXANA BOARD OF DIRECTORS MEETING
Westin Hotel GalleriaHouston, TX
AUGUST 4-7, 2016TXANA ANNUAL BUSINESS MEETING
Westin Hotel GalleriaHouston, TX
(Extra Day of CE’s Included)
AUGUST 7, 2016NEW BOARD OF DIRECTORS MEETING
Westin Hotel GalleriaHouston, TX
SEPTEMBER 9-13, 2016AANA ANNUAL CONGRESS
Washington Marriott Wardman ParkWashington, D.C.
OCTOBER 28-30, 2016TXANA LEADERSHIP RETREAT
TxANA HeadquartersAustin, TX
NOVEMBER 11-13, 2016AANA FALL LEADERSHIP ACADEMY
Westin O’HareRosemont, IL
DECEMBER 3, 2016TXANA BOARD OF DIRECTORS MEETING
TxANA HeadquartersAustin, TX
JANUARY 22-23, 2017TXANA GOVERNANCE SUMMIT AND CRNA
LEGISLATIVE DAY AT THE CAPITOLHotel: Westin Downtown
Austin, TX
FEBRUARY 23-25, 2017 AANA ASSEMBLY OF SCHOOL FACULTY
The Westin Beach ResortFort Lauderdale, FL
APRIL 8-12, 2017AANA MID-YEAR ASSEMBLY
Washington, D.C.
APRIL 22, 2017TXANA BOARD OF DIRECTORS MEETING
TxANA HeadquartersAustin, TX
AUGUST 3, 2017TXANA BOARD OF DIRECTORS MEETING
Westin Hotel RiverwalkSan Antonio, TX
AUGUST 3-6, 2017TXANA ANNUAL BUSINESS MEETING
Westin Hotel RiverwalkSan Antonio, TX
SEPTEMBER 8-12, 2017AANA ANNUAL CONGRESS
Washington State Convention CenterSeattle, WA
OCTOBER 13-15, 2017TXANA LEADERSHIP RETREAT
TxANA HeadquartersAustin, TX
