National CRNA Week - Alabama Association of Nurse Anesthetists

ALANA
NewsBulletin
advancing quality anesthesia care, serving our members, promoting the nurse anesthesia profession
Each year, Certified Registered Nurse Anesthetists
monitoring their vital signs and adjusting their anesthetics to ensure
(CRNAs) provide more than 34 million anesthetics and related
the safest, most comfortable anesthesia experience possible.
services for patients during surgery and other procedures, labor
With a nurse anesthetist by your side, you are in the care of a
and delivery, acute and chronic pain management, and trauma
healthcare professional who is committed to watching over you
care. CRNAs stay with their patients throughout their procedure,
from the time you go to sleep until the time you wake up.
Celebrate
National CRNA Week
January 25-31, 2015
www.future-of-anesthesia-care-today.com
©2015 American Association of Nurse Anesthetists
ALANA NewsBulletin
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Winter 2014
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www.alabamacrna.org
President’s Message . . .
David Gay, CRNA, MSN, MNA
It is with great privilege and humility that I give my first
President’s Message to the membership of the Alabama
Association of Nurse Anesthetists. It is an honor to serve
you and promote the profession of nurse anesthesia as the
President of the ALANA. I would like to begin by thanking
Past-President Jennifer Overton. She has done a fantastic
job leading the ALANA this past year through
challenging obstacles, the implementation of the
Affordable Healthcare Act, Alabama Blue Cross Blue
Shield reimbursement, and guiding us through a very
detailed state organizational health assessment. She has
proven to be a remarkable leader that has served selflessly
and has left a legacy of leadership that will not soon be
forgotten. This year, I hope to build upon the momentum
and success of this past year, to challenge our association
to reach even greater goals, and develop a vision that will
continue to gain us recognition as leaders in anesthesia care.
In keeping with building momentum, this year’s Fall
Meeting provided new opportunities for our association.
The meeting was held at the Renaissance Birmingham Ross
Bridge Golf Resort and Spa. This first class facility
provided a quiet getaway from the bustle of the city allowing
attendees to relax, golf, learn, and socialize all while being
surrounded by the beautiful environment of the resort. The
program committee, Patrick Hubbard, Larry Vinson with
Group Management Services, and countless others worked
tirelessly to put together a fantastic educational experience
at an incredible resort. Attendees were able to participate
in an Adult and Pediatric Cardiovascular Symposium that
included testing for ACLS and PALS certifications.
Saturday opened with former AANA President Terry Hicks
and our newly elected AANA Region 7 Director, Dr. Garry
Brydges who provided the AANA update. The weekend
included The Funderburg Lectureship Series, sponsored by
the Samford University Nurse Anesthesia Program and its
alumni, featuring Dr. Dru Riddle. The day concluded with
the ALANA State of the State Address by President
Jennifer Overton and the business meeting. This year’s
Fall Meeting offered a hands-on ultrasound-guided
regional workshop by Patrick Moss, MS, CRNA, APN.
At the conclusion of the business meeting on Saturday, all
attendees were invited out to the pool for a reception as
2 ALANA NewsBulletin •
Winter 2014
•
we welcomed the latest class of
CRNA students from the
Samford and the UAB
programs.
Thank
you to the members of
the
for giving
such a talented Board of Direc ALANA
October
16 & me
17, 2015
tors.
You
have
chosen
a
dedicated
team that has already
ALANA Fall Meeting
begun
great
work
seeking
to
serve
the
membership of the
Ross
state.
The
new
Board
of
Directors
for
2015
met officially on
Bridge Resort
October 12, 2014. The new board met at the conclusion of
ALANA
April
2015
the
Fall24-26,
Meeting.
I was impressed and challenged
Spring
Meeting
asALANA
I listened
to each
board member describe their work and
Destin,
life
experiences and their plans to apply those experiences
FL
to this year’s goals and vision planning. I left our first
meeting
confident
that2016
the 2015 board was going to
April 22-24,
accomplish
great Meeting
things. The new board met again in
ALANA Spring
Birmingham
on
October
25 and 26 for its Annual ALANA
Destin,
Board
Retreat.
This
intense
weekend of planning,
FL
orientation, and strategy implementation should never be
construed as a retreat. The weekend consisted of the board
pouring long hours into the plans for the upcoming year.
The emphasis of this weekend was around using the
information received from the state organizational health
assessment to implement tactical initiatives, develop tasks,
and set short and long term goals with budget implications
for the upcoming years. The board left Birmingham that
weekend exhausted, yet full of ideas and plans to further
our association and profession.
Shortly after our planning retreat, members of the board
traveled to Chicago during the second week in November
to attend the AANA’s Fall Leadership Academy.
President-elect Michael Humber, GRC Chair Jay Kendrick,
GRC Co-chair and PAC Chair Lisa McKinley, Federal
Political Director Dr. Amy Neimkin, and State
Reimbursement Specialist Brad Hooks attended and met
with current and future healthcare leaders and participated
in personalized leadership tracks that broaden their
perspective and reinforce leadership skills. These members
gained critical insight into state government affairs,
influencing key decision makers, how to best protect and
advance CRNA reimbursement, and how to develop a
www.alabamacrna.org
Calendar of Events
April 24-26, 2015
ALANA Spring Meeting
Destin, FL
October 16 & 17, 2015
ALANA Fall Meeting
Ross Bridge Resort
April 22-24, 2016
ALANA Spring Meeting
Destin, FL
high-performing state association. This investment into the future
leadership of the Board ensures that leaders are being given the tools and
training necessary to meet the needs and demands of the membership.
We are approximately two months into our new Board year, and I have to
say that the operational tempo of your 2015 Board is impressive. To quote
one senior board member, “this board is on fire.” We have set into motion
waypoints to measure our progress towards accomplishing the goals that
we set for ourselves. We have enthusiasm, we have a purpose, we have
goals, we have a plan, and we have people willing to accomplish great
things.
I, and your Board, need your help to reach these goals and accomplish the
vision that will continue to gain us recognition as leaders in anesthesia
care. We are moving forward. We will accomplish great things. Come be a
part of this board and the great work that we are accomplishing. Your
active participation is much needed. You can become involved by
joining a committee, attending state meetings, having a presence during
the legislative session, or with a financial contribution. Help shape the
future of your profession. Please contact me or any of the board if you can
serve somehow. If you cannot give of your time, give of your treasure. If
you can’t give of your treasure, please give of your time. You have chosen
a worthy profession. Please see that it is protected through your active
participation.
In closing, be proud of your profession. Promote your profession. Protect
your profession. It’s a great day to be a CRNA.
If you have any interest in becoming more involved, to join alongside your
ALANA Board of Directors, and to move our profession towards further
recognition as leaders in anesthesia care, please contact me. As always, I
am here to serve the membership.
Respectfully,
David Gay, CRNA, MSN, MNA
ALANA
NewsBulletin
Volume 32, Number 4
Winter 2014
Publisher
Alabama Association of Nurse Anesthetists
Post Office Box 240757 • Montgomery, Alabama 36124
334.260.7970
Board of Directors
David Gay, CRNA, MSN, MNA
President-Elect
6615 Lubarrett Way
Mobile, AL 36695
251.895.2880 (cell)
[email protected]
Michael W. Humber, CRNA, DNP,
MNA
President-Elect
1816 Hardwood View Drive
Birmingham, AL. 35242
205.981.0557 (home)
205.934.5977 (office)
205.999.7544 (cell)
[email protected]
Heather Fields, CRNA, MBA, MSN
Vice-President/Secretary
2330 Ridge Road
Opelika, Alabama 36804
334.749.3031 (home)
334.728.3030 (cell)
[email protected]
Matt Hemrick, CRNA, MSN
Treasurer
709 Braddock Ave
Birmingham, AL 35213
205.246.0183 (cell)
[email protected]
Todd Hicks, CRNA, MNA
Senior Director
8600 Lenox Way
Montgomery, AL 36116
334.559.9333 (cell)
[email protected]
Jay Kendrick, CRNA, MSN
Senior Director
2529 Simpson Point Road
Grant, AL 35747
256.728.7308 (home)
770.547.5793(cell)
[email protected]
Lisa Vallely, CRNA, MSNA
Senior Director
4314 Boulder Lake Circle
Vestavia Hills, AL 35242
205.977.9931 (home)
205.504.1090 (cell)
[email protected]
Trey S. Burg, CRNA, MNA
Director
202 Pebble Creek Ln
Enterprise, Al. 36330
334.308.1012 (home)
334.494.2178 (cell)
[email protected]
Lisa M. McKinley CRNA, MS
Director
9900 Turtle Creek Lane South
Mobile, AL 36695
251.259.2020 (cell)
[email protected]
David Sloan, CRNA, MSN
Director
125 Easy Street
Anniston, AL 36207
256.741.1606 (home)
256.310.5855 (mobile)
[email protected]
Bryan A. Wilbanks, CRNA, DNP
Director
105 Shady Spring Drive
Harvest, AL 35749
256.721.8531 (home)
256.503.4360 (mobile)
[email protected]
Salima P. Mulji, CRNA, MNA
Nominating Committee Chair
1503 Scout Ridge Dr,
Birmingham, AL 35244
205.835.5234 (cell)
[email protected]
Christina Smyth, SRNA
UAB Student Representative
633 12th Street NW
Alabaster, AL 35007)
334.558.2052 (cell)
[email protected]
Brittney Kilgore, SRNA
Samford Student Representative
802 Woodland Village
Birmingham, AL 35216
256.504.3349 (cell)
[email protected]
Brad A. Hooks, CRNA, MSNA
Reimbursement Chair
9411 Dunleith
Montgomery, AL 36117
(334) 414-3435 (cell)
(334) 356-9970 (office)
(334) 269-8783 (fax)
[email protected]
Amy P. Neimkin, CRNA, DNP, MBA
Federal Political Director
368 Woodward Ct.
Birmingham, AL 35242
205.991.9405 (home)
205.243.8382 (cell)
[email protected]
Susan Hansen
Government Relations Specialist
4120 Wall Street
Montgomery, AL 36106
334.244.2187 (office)
334.320.7539 (cell)
[email protected]
Joe Knight, CRNA, JD
ALANA General Counsel
Kress Building, Suite 500
301 19th Street North
Birmingham, Alabama 35203
205.655.4501 (home)
205.458.1200 (office)
205.531.5157 (cell)
[email protected]
Larry Vinson, CAE, MPA
ALANA Executive Director
Post Office Box 240757
Montgomery, AL 36124
334.395.4663 (home)
334.260.7970 (office)
334.462.8035 (cell)
334.272.7128 (fax)
[email protected]
ALANA NewsBulletin Copyright 2014 • Alabama Association of Nurse
Anesthetists, Inc. • All Rights Reserved.
The ALANA NewsBulletin (USPS 019-869) is published quarterly by the
Alabama Association of Nurse Anesthetists, Inc, Post Office Box 240757,
Montgomery, Alabama 36124.
Winter 2014
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www.alabamacrna.org
•
ALANA NewsBulletin 3
Introduce Yourself Campaign
Jared Box, CRNA
What has been your most rewarding experience as a CRNA?
Being able to bring brief moments
of levity to patients who are nervous
and about to have surgery…then
keeping them versed and laughing
with them some more.
How long have you been an ALANA member?
I have been a member of the ALANA since graduating
Samford’s Nurse Anesthesia school
in 2012.
What sparked your interest for a
career in nurse
anesthesia?
I honestly had no idea what the
scope of a CRNA was. For
someone who was set on
being an Emergency Room NP, it
was as simple as a cousin convincing me to come shadow her for a
day. I was hooked and the rest is
history.
What is your favorite aspect of
being a CRNA?
Instant gratification. I love being
able to alleviate anxiety, manipulate a patients
hemodynamics or mitigate a
patients level of pain.
How do you introduce
yourself to your patients?
“Hello, my name is Jared Box.
I am going to be your Nurse
Anesthetist” (insert blank look
from patient). “I work with Dr.
Jones to provide your
anesthesia. I’ll be taking you
to the Operating Room, putting
you to sleep and waking you
up. I’ll be with you the whole
time.”
What was your most challenging
experience?
Doing vascular and cardiothoracic
anesthesia. Patients are more critical
and there is a smaller margin for
error.
Would you recommend this
profession to others?
Absolutely! Such a rewarding
career. At least two that I have
Jared Box is a CRNA at St. Vincent’s in
Birmingham. He woke up one morning to encouraged to do this are in Nurse
find one of his daughter’s “beginning-of-the- Anesthesia
school-year” projects for 5th grade. What a school right now.
great “Wake Up’ gift.
What advice would you give to
others who are interested in our
profession?
It’s not impossible. Get in CRNA
school, study hard and be patient,
it is worth it.
What do feel the ALANA does
best?
The ALANA really does a great
job of keeping the CRNA
community informed on the pulse
of the anesthesia community.
Are you passionate about the nurse anesthesia profession? Are you interested in how new
healthcare legislation will affect you as a CRNA? Do you have ideas about how the ALANA
can be more effective in promoting and advancing our profession?
If so, then I’d like to encourage you to get involved in your professional organization. To be
effective, the ALANA must have CRNAs who are willing to contribute their time, talents,
knowledge and expertise. Serving your fellow nurse anesthetists as an ALANA Board
Member is one of the most rewarding aspects of a career as a CRNA.
The ALANA is looking for motivated CRNAs to serve on the Board of Directors. In 2015 we will elect a
President-Elect, Vice President/Secretary, three Board of Director positions and a Nominating Committee Chair. If you
or someone you know are interested in applying, please contact me or any member of the ALANA Board of Directors.
The ballot will be approved at the Spring Meeting, with the election to follow in the fall.
Please consider this incredible opportunity to give back to the profession that has given us all so much. We look
forward to hearing from you soon!
Salima Mulji, CRNA, MNA
ALANA Nominating Committee Chair
[email protected]
Medical Business
Management
“CRNA Billing Specialist”
Contact: Joe Gribbin
1025 Montgomery Highway, Suite 100
Birmingham, AL 35216
205-979-5882
[email protected]
www.MBMPS.com
What are your hobbies outside of anesthesia?
I enjoy doing Crossfit, playing
guitar and beating my children
in card games…most of the
time.
4 ALANA NewsBulletin •
Call
for Nominations
Salima Mulji, CRNA, MNA, Nominating Committee Chair
Winter 2014
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www.alabamacrna.org
Winter 2014
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www.alabamacrna.org
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ALANA NewsBulletin 5
Anesthesia Abstracts
Neuraxial anesthesia decreases postoperative systemic infection risk compared with general anesthesia in knee
arthroplasty
Anesth Analg 2013;117,1010-15
Liu J, Ma C, Elkassabany N, Fleisher L, Neuman M
Abstract
The purpose of this study was to test the theory that neuraxial anesthesia decreases postoperative infections and related
complications compared to those who had general anesthesia for knee arthroplasty surgery.
Background In the USA, total knee arthroplasty is one of the most frequently performed surgical procedures,
estimated at >500,000 annually. The typical demographic profile of knee arthroplasty recipients includes numerous
comorbidities. Depending on the health history and other considerations, neuraxial and/or general anesthesia is most
frequently used. Neuraxial anesthesia is thought to improve surgical outcomes by reducing the physiologic surgical
stress response. It blocks noxious afferent inputs and minimizes metabolic disturbances. Surgical trauma combined with
general anesthesia, on the other hand, is linked to a range of metabolic and endocrine disturbances and is a source of immune suppression. Very little evidence-based data exists supporting the association of anesthesia type and postoperative
infectious complications. This study aimed to determine whether or not neuraxial anesthesia decreased postoperative
infectious complications post total knee arthroplasty compared to general anesthesia.
Methodology This study was carried out as a retrospective analysis of an existing database. Data was acquired from
the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database covering 20052010. The NSQIP database houses a plethora of information including, but not limited to, surgical outcomes from
hundreds of hospitals across the USA, patient-specific demographics, preoperative risk factors, intraoperative variables,
and postoperative events for 30 days. Data in the NSQIP database used for analysis included:
1.
CPT code for either partial or total knee replacement as the principle procedure
2.
Primary anesthetic technique of general anesthesia, epidural anesthesia, or spinal anesthesia
Exclusion Criteria included:
1.
bilateral knee replacement
2.
anesthesia other than general, spinal, or epidural
3.
preexisting infections
a.
infectious conditions as documented in the data base i.e., pneumonia, SIRS, sepsis, septic shock,
contaminated wounds
1.
ventilator dependency
The primary outcomes variables assessed included the following post-surgery infectious complications within
30 days postoperatively:
•
superficial wound infection
•
deep incisional wound infections
•
organ space surgical site infections
•
surgical wound disruption
•
pneumonia
•
urinary tract infection
•
sepsis
•
septic shock
•
any systemic infectious complication
The researchers compared outcomes for 30 days postoperatively for those who had knee arthroplasty with neuraxial
anesthesia and those who had knee arthroplasty with general anesthesia. Appropriate statistical analysis was performed
to validate the findings.
6 ALANA NewsBulletin •
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www.alabamacrna.org
Abstract, continued from previous page
Results A total of 16,555 medical records in the database met the inclusion criteria for analysis. Of those, 9,167 patients received general anesthesia, 6,875 received spinal anesthesia, and 513 received epidural anesthesia for the primary
procedure. All told, n = 7,388 patients received either spinal or epidural anesthesia. Several significant differences were
found between groups in demographics and in the prevalence of comorbidities.
1.
The neuraxial group:
a.
was Older
b.
had lower BMIs
c.
was partially dependent or completely dependent in regards activities of daily living
d.
was more frequently diagnosed with hypertension requiring pharmacologic management
1.
The general anesthesia group had more:
a.
preoperative renal disease
b.coagulopathies
c.
prior surgeries within 30 days
There was no difference in overall mortality between the two groups. The neuraxial group had a statistically significantly lower incidences of post-surgical pneumonia (odds ratio = 0.51, P = 0.035) and composite systemic infections (odds
ratio = 0.77, P = 0.006). Using logistic regression analysis with risk adjustment techniques considering comorbidities,
the neuraxial group was associated with a lower odds of pneumonia and any systemic infection compared to the general
anesthesia group.
Conclusion
Information analyzed from the NSQIP database demonstrated that those who had neuraxial anesthesia
for total knee arthroplasty had a 49% reduction in pneumonia risk and a 23% reduction in the risk of systemic infectious
complications compared to those who had general anesthesia. The reduction in pneumonia risk could be related to the
fact that there were less systemic immune disturbances in the neuraxial group as well as the absence of airway instrumentation, which can lead to increased risk of airway trauma and atelectasis formation.
Comment
According to the American College of Surgeons NSQIP website, each year that a hospital uses information from their
quality improvement program, it has the opportunity to massively improve patient care outcomes. The statistics are
astounding; preventing 250-500 surgery/anesthesia related complications, the ability to save 12-36 lives, and an overall
reduction in healthcare costs exceeding millions of dollars is almost hard to imagine. What was happening before we
had this data? Irrespective of the answer, the good news is related to the explosion in healthcare informatics and the
utilization of this type data. Both the contribution of and resulting analysis of quality improvement programs is beyond
beneficial to the recipients of our care, the institutions, and us as CRNAs. Becoming intimately involved in the quality
and outcomes improvement processes is critical. We have such a key role within the surgical team; our ability to consistently use techniques that are considered best practice is truly non-negotiable. This study was a fine example of using
an existing database with an overall aim to discover which type of anesthetic, in certain patient specific scenarios, had
the potential to prevent postoperative complications. It was not highly complex or extremely technical. However, it is
grounded in rigor. I encourage all anesthetists to find out how you can contribute in meaningful Quality Improvement
endeavors.
Mary Golinski, PhD, CRNA
National Surgical Quality Improvement Program (NSQIP) database http://site.acsnsqip.org
Anesthesia Abstracts is A Publication of Lifelong Learning, LLC © Copyright 2014
ISSN Number: 1938-7172
Provided as a service to the ALANA by Anesthesia Abstracts (www.AnesthesiaAbstracts.com)
Michael A. Fiedler, PhD, CRNA, Editor
Winter 2014
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ALANA NewsBulletin 7
Reimbursement Threat Looming
Brad A. Hooks, MSNA, CRNA
AANA State Reimbursement Specialist
to Alabama
Fatigue has taken hold of many patients, providers and
policy makers with respect to the Medicare Sustainable
Growth Rate (SGR) cuts to Part B reimbursement. We
are entering a time for increased vigilance and necessary
action from CRNAs to ensure Congress exercises
common sense correction to the SGR during their Fall
2014 “lame duck” session or the following 114th United
States Congress.
The flawed SGR provision continues to threaten 21.2%
cuts beginning on April 1, 2015 if Congress does not act
to either repeal or delay the draconian cuts. If Congress
throws another Band-Aid on the problem by simply
delaying the cuts, it will be the 18th “doc fix” in the past
eleven years. The previous seventeen congressional
delays have cost $169.5 billion and have exceeded the
cost of a permanent fix. The Congressional Budget
Office (CBO) estimated $131 billion ten-year cost to fix
payments through 2024. Two 2014 bills, S.2110 “SGR
Repeal and Medicare Beneficiary Access Improvement
Act” and S.2157 “Commonsense Medicare SGR Repeal
and Beneficiary Improvement Act of 2014”, faced political and financial failure despite wide bipartisan support
and significant lobbying efforts of Part B providers,
including the AANA.
Medicare covers 49 million seniors and over 10 million
military members and their families with TRICARE
health insurance coverage in the United States. There
are over 900,000 Medicare beneficiaries in the State of
Alabama that will be adversely impacted by SGR cuts.
These cuts will threaten access for Alabama Medicare
beneficiaries, threaten providers financial stability, and
threaten the Medicare program itself. It is a growing
trend for providers across the country to refuse Medicare
patients; these cuts will only increase that trend and
8 ALANA NewsBulletin •
Winter 2014
•
further limit seniors access to
healthcare. The vast majority
of anesthesia practices have
very little, if any, control over
their volume of Medicare patients. Medicare beneficiaries make up 18% of the total Alabama population, but
are the greatest consumers of healthcare in our state.
What impact would a 21.2% reduction of Medicare
reimbursement have on your practice, your patients, and
your family?
When the call comes, you are encouraged to take a few
moments out of your busy day to write, e-mail, and call
your elected officials and send Congress a strong message that the SGR must be repealed. http://fixmedicarenow.org is an informative website from the American
Medical Association with interactive portals and Congressional action links. Please contact me if you have
any questions about SGR cuts to Medicare reimbursement or any other CRNA reimbursement concerns.
References
Centers for Medicare & Medicaid Services. Fact sheets:
Policy and payment changes to the Medicare Physician
Fee Schedule for 2015. 10/31/2014.
http://www.cms.gov/newsroom/mediareleasedatabase/
fact-sheets/2014-Fact-sheets-items/2014-10-31-7.html,
retreived 12/1/2014.
American Medical Association. http://fixmedicarenow.
org, accessed 12/1/2014.
2015 Board of Directors & Staff
David Gay
President
Heather Fields
Vice-President
Michael Humber
President-Elect
Matt Hemrick
Treasurer
Todd Hicks
Senior Director
Jay Kendrick
Senior Director
Lisa Vallely
Senior Director
Trey Burg
Director
Lisa McKinley
Director
David Sloan
Director
Bryan Wilbanks
Director
Salima Mulji
Nominating Committee Chair
Christina Smyth
UAB Student Rep
Brittaney Kilgore
Samford Student Rep
Brad Hooks
Reimbursement Chair
Amy Neimkin
Federal Political Director
Joe Knight
General Counsel
Larry Vinson
Executive Director
The Henry J. Kaiser Family Foundation. http://kff.org
www.alabamacrna.org
Susan Hansen
Government Realtions
Winter 2014
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ALANA NewsBulletin 9
Fall Meeting Highlights
Fall Meeting Highlights
President David Gay presents outgoing ALANA President
Jennifer Overton with gift.
ALANA program Chair Patrick Hubbard (Center) poses with speakers
Chad Miller and Patrick Moss.
New Director David Sloan, Treasurer Matt Hemrick and Past
President Jeff Brown pose between sessions.
Matt Hemrick (Center) visits with speakers David Sanford and
Laura Durchsprung between sessions.
Jennifer Overton, Patrick Hubbard, Matt Hemrick and Donna Dryden
socialize at the Membership Reception.
ALANA Program Director Patrick Hubbard visits with speaker
Terry Wicks.
Jennifer Overton presents Shannon Scatturo with the ALANA
Distinguished Service Award.
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Funderburg Lecturer Dru Riddle poses with Samford’s Nina McLain,
Lisa Allison and Kerry Gossett.
Joe Watkins wins a cooler of cold beverages at the PAC Raffle.
ALANA President Jennifer Overton presents AANA Regional Director
Garry Brydges with a set of Alabama Cuff Links.
Winter 2014
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ALANA NewsBulletin 11
Vietnam Women’s Memorial,
Washington, DC
Copyright 1993, Vietnam Women’s
Memorial Foundation, Inc.
Glenna Goodacre, Sculptor
From the front lines to the
VA hospitals, Certified
Registered Nurse
Anesthetists (CRNAs)
have proudly and
courageously
provided
anesthesia
care to
enlisted men and women, officers, and
veterans in all branches of the military, from World War I to the present.
Certified Registered Nurse Anesthetists:
Honoring a tradition of caring for those who
protect our nation.
celebrate national crna Week
January 25-31, 2015
847-692-7050 |
www.future-of-anesthesia-care-today.com
©2015 American Association of Nurse Anesthetists
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