ALANA ALANA Legislative Day

Transcription

ALANA
NewsBulletin
advancing quality anesthesia care, serving our members, promoting the nurse anesthesia profession
ALANA Legislative Day
By Cyndi Bass, ALANA GRC Chair
ALANA Legislative Day once again proved to be a great success! Scheduled in conjunction with Nurse’s Day in Montgomery, the ALANA was a strong presence in the crowd and halls
of the Capitol building representing CRNAs of Alabama. We
began the day with our annual Welcome Breakfast with the students and CRNAs in our state. Senator Gerald Dial was awarded
the ALANA Healthcare Leadership Award for his role in supporting CRNAs in Alabama. As a Senator with a rural district,
he is vastly aware of the role CRNAs play in providing quality,
safe and accessible anesthesia to the people of his district. Senator Dial also serves as a member of the Health Care Committee which provides direction to our legislators and determines
healthcare policies in our state.
Several leaders addressed the ALANA
crowd including our professional lobbyist Susan Hansen, who provided an
overview of the legislative process and
the importance of CRNAs involvement.
Jefferson County Commissioner Joe Knight gave an impassioned
plea of what CRNAs can accomplish if
they work together. Joe Knight is our
ALANA general counsel and served as
our Executive Director for years. Joe’s
statement of the importance of those
remaining committed to our profession
and professional organization was a reminder of the many battles
fought by those who came before us to make CRNAs a respected
profession in our state. Amy Neimkin provided an overview of
the activities of our Federal Political Director’s responsibilities
and current projects.
Over 80 CRNAs and SRNAs from around the state participated in
the nursing rally on the steps of our state capitol. Alabama nursing leaders, including our ALANA President, David Hambright,
spoke to over 1,000 nurses in attendance for the rally. Governor
Bentley was present along with several Senators and Representatives to address the crowd about the importance of nurses to
the healthcare of the citizens of Alabama. As the day progressed,
the ALANA Board members took to the hallways of our Capitol
to meet with Representatives and Senators to introduce them to CRNAs. Reminding our legislators about CRNAs
and the important role we play in the
delivery of anesthesia to the citizens of
Alabama provides them with accurate
information of the quality, safe and cost
effective care CRNAs make available to
the citizens of Alabama. Plan to join us
next year for CRNAs at the Capitol!
Look for photos from CRNA Day on
page 16.
Governor Bentley addresses the
CRNA Rally.
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President’s Message . . .
David Hambright
I hope the New Year has been special for each of our members and their families. As you contemplate the personal
or professional resolutions you may have committed to, I
hope you will also take the time to seriously consider how
you may make a difference to your profession in 2012.
The ALANA Board of Directors spent the first few weeks of
2012 focused on communicating your value and quality to
our customers and colleagues in a variety of ways. As we
celebrated the 13th National Nurse Anesthetists Week during January 22-28, 2012, efforts led by the Public Relations
Committee provided public service announcements on radio stations across the state and an editorial piece for print
media that highlighted the unique value of nurse anesthetists. I was also honored to meet with Governor Robert
Bentley and receive a proclamation recognizing this important week on behalf of our membership.
As a part of the celebration, the PR Committee announced
a campaign to develop a trademark phrase that identifies
our organization in the state of Alabama. There are many
groups that have trademark phrases that quickly bring to
mind their quality and value. The ALANA membership offers both value and quality to their respective patients, employers, and communities on a daily basis. The desire of the
ALANA Board of Directors is to have this trademark phrase
that encapsulates these qualities and reminds our customers
of them when it is seen or heard. The winner will be chosen
by the PR Committee and the Board of Directors and will be
announced at the Business Meeting of the ALANA Spring
Meeting in Sandestin, Florida. The winner will receive an
Apple iPad 2. Deadline for entry is April 6, 2012. CRNAs
and student anesthetists are asked to submit their ideas to
[email protected], fax to (334) 272-7128, or mail to:
ALANA
Post Office Box 240757
Montgomery, AL 36124
On February 15, 2012, the annual ALANA Legislative Day
program was held in Montgomery. The program was origi-
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nally developed to introduce
student anesthetists to the legislative process as part of their
professional
development.
The event has grown to include CRNA attendees as well.
Susan Hansen, Joe Knight and I shared the value of advocacy on behalf of our profession, the importance of our
PAC and Legislation 101. The event also allowed us to recognize Senator Gerald Dial with the ALANA 2012 Health
Care Leadership Award. After the program concluded, the
attendees joined the 2012 Nurse’s Day at the Capitol event
which unites nursing colleagues from all over the state with
diverse practice and educational backgrounds. Speakers
included Governor Bentley, Alabama legislators and nursing leaders from across the state. I was fortunate to have
the opportunity to speak on behalf of our membership at
this event! The day concluded for your Board of Directors
with visits to legislators to lobby on behalf of our profession. Thank you to the Government Relations Committee,
Susan Hansen, Joe Knight and all those who made the day
such a success. I also want to thank the CRNAs and SRNAs
who attended the events of the day!
ALANA President David Hambright (Right)
presents Senator Gerald Dial with the 2012
Health Care Leadership Award.
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Calendar of Events
April 15 - 18, 2012
April 27 - 29, 2012
May 21, 2012
August 4 - 8, 2012
October 19 - 21, 2012
November 6, 2012
AANA Mid-Year Assembly
Spring Meeting 2012
Alabama Legislature Closes
AANA Annual Meeting
ALANA Fall Meeting General Election
Washington, DC
Hilton Sandestin, Destin, FL
Montgomery, AL
San Francisco, CA
Birmingham, AL
ALANA
NewsBulletin
Volume 30, Number 1
Alabama Association of Nurse Anesthetists
Post Office Box 240757 • Montgomery, Alabama 36124
334.260.7970
Board of Directors
President’s Message continued ...
The AANA Midyear Assembly will be held in Washington, DC on April
15-18, 2012. This event is a unique opportunity for CRNAs to obtain information on relevant legislative and regulatory issues at the national level that
may affect our profession. In addition to these opportunities, the ALANA
representatives attending will be meeting with each of the United States
Representatives and Senators representing Alabama on behalf of our profession. I encourage you to add this meeting to your professional “bucket list”.
I also want to encourage you to attend the ALANA Spring Meeting on April
27-29, 2012, at the Sandestin Hilton in Sandestin, Florida. The Program
Committee has invested many hours in developing a terrific agenda that
includes 21 CEs with 4.25 pharmacology credits. There are few programs
that offer CRNAs this quality of content and continuing education credits
for the value of an ALANA member’s registration fee. Beyond the value of
the educational credits, it is a great opportunity to spend some quality time
with colleagues from around the state at a first class resort. Please make
plans to join us!
As always, do not hesitate to contact me or your Board of Directors at any
time. Thank you for what you do on a daily basis to make our profession so
special. You, the ALANA membership, are the reason that we have such a
compelling message to share!
President
David Hambright
Gulf Shores, AL 36547
334.819.0499 (cell)
[email protected]
Director
David Gay
6615 Lubarrett Way
Mobile, AL 36695
251.895.2880
[email protected]
President-Elect
Phillip Kendrick
632 White Stone Way
Hoover, AL 35226
251.554.2820 (cell)
[email protected]
Director
Patrick A. Hubbard
2196 Ross Ave
Hoover, AL 35226
205.531.8206
[email protected]
Vice-President/Secretary
Heather Fields
2330 Ridge Road
Opelika, AL 36804
334.728.3030 (cell)
[email protected]
Director
Brian Koonce
203 Morningwalk Lane
Huntsville, AL 35824
256.529.3292
[email protected]
Treasurer
Jennifer Overton
4545 Crowne Point Lane
Mt. Olive, AL 35117
205.531.4469 (cell)
[email protected]
Ex-Officio
Members
Senior Director
Cyndi Bass
118 Ashford Circle
Birmingham, AL 35242
205.381.0668 (cell)
[email protected]
Senior Director
Michael Humber
1705 University Blvd, SHPB 489
205.999.7544 (cell)
[email protected]
Senior Director
Blair Perkins
430 Ronny Lane
Springville, AL 35146
205.563.4334 (cell)
[email protected]
In This Issue
Senior Director
Kyle Vanderford
293 High Ridge Drive
Pelham, AL 35124
205.266.8912 (cell)
[email protected]
President’s Address
David Hambright,
CRNA
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Anesthesia Abstract
ALANA Raises
Awareness Across
the State
AANA Region 7
Update
2
AANA and ALANA
Hard at Work for
YOU
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CRNA Day
16
22
CRNA Spring
Meeting
March 2012
Publisher
Nominating Committee Chair
Pennie Nichols
2708 Lakeland Trail
205.746.4448
[email protected]
UAB Student Representative
Sarah Ellison
626 Beacon Crest Circle
205.470.4930 (cell)
[email protected]
Samford Student Representative
Justin Carroll
661 Merrimont Circle
205.542.4587
[email protected]
Federal Political Director
Amy Neimkin
368 Woodward Court
205.243.8382 (cell)
[email protected]
Executive Staff
Executive Director
Larry A. Vinson
Group Management Services
334.260.7970 (office)
[email protected]
General Counsel
T. Joe Knight
Kress Building, Suite 500
301 19th Street N
205.531.5157 (cell)
[email protected]
Government Relations Specialist
Susan Hansen
Franklin Resources Group
4120 Wall Street
334.244.2187 (office)
334.320.7539 (cell)
[email protected]
ALANA NewsBulletin Copyright 2012 • 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.
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ALANA NewsBulletin 3
Anesthesia
Abstracts
The impact of anesthesia on glycine absorption in operative hysteroscopy: a randomized controlled trial
Anesth Analg 2011;113:723-728
Bergeron ME, Ouellet P, Bujold E, Cote M, Rhéaume C, Lapointe D, Beaudet C, Lemyre M, Laberge P
Abstract
Purpose The purpose of this study was to compare the amount of glycine absorbed during operative hysteroscopy between women
who receive general anesthesia vs. local anesthesia with sedation.
Background Operative hysteroscopy is a common procedure for diagnosis and treatment of abnormal uterine bleeding that is unresponsive to medical management. Glycine 1.5%, is an electrolyte-free, hypotonic solution commonly used as a distention medium
because it provides good optical and conductive properties. However, because it is hypotonic it can result in fluid overload and
water intoxication that can lead to hyponatremia, hypoosmolarity, cerebral and pulmonary edema, visual disturbances, and death
in severe cases. The most common complication of operative hysteroscopy is excessive glycine absorption, with a reported incidence
of 6%.
The type of anesthesia administered has been hypothesized to affect the amount of glycine absorbed. Previous research suggests that
epidural anesthesia is associated with increased glycine absorption when compared to general anesthesia. In contrast, a previous
study by the investigators’ in this study found general anesthesia administration was associated with higher glycine absorption when
compared to local anesthesia with sedation.
Methodology This was a randomized controlled trial of 95 ASA I and II women scheduled for operative hysteroscopy. Patients who
were > ASA III, had a history of diabetes, history of previous endometrial resection, or required a specific type of anesthesia were
excluded. Patients were randomized to receive either general anesthesia or local anesthesia with sedation. Randomization was stratified based on premenopausal status and use of gonadotropin-releasing hormone analogs for endometrial thinning. All patients had
serum sodium levels drawn prior to induction of anesthesia or administration of sedation and again upon arrival in the recovery
room.
Operative hysteroscopies were performed by one of three gynecologists. Glycine 1.5% was used for irrigation at a flow rate of 300
mL/min under a continuous pressure of 100 mm Hg. The pressure was electronically controlled. The amount of glycine absorbed
was calculated as the amount that entered the uterine cavity minus the volume collected in the vacuum chamber. Irrigation fluid
that collected on the drapes or on the floor was counted as well. The surgeon was notified of glycine absorption once the amount
absorbed exceeded 500 mL.
The primary outcome was the median amount of glycine absorbed. Secondary outcomes included:
• percent of patients with < 500 mL, 500-1,000 mL, and > 1,000 mL of glycine absorbed
• decrease in serum sodium of < 5 mEq/L, 5-10 mEq/L, and > 10 mEq/L
• incidence of severe hyponatremia (< 125 mEq/L)
• discontinuation of surgery due to excessive glycine absorption.
Power and statistical analysis were appropriate. An intention-to-treat analysis was completed. A P < 0.05 was significant.
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Abstract, continued from previous page
Result No significant differences were found between groups in baseline demographics or operative times. Two patients in the local
anesthesia group required general anesthesia for excessive anxiety.
Glycine absorption was almost two times greater in the general anesthesia group than the local anesthesia group (P = 0.005; Table 1
and Figure 1). In the general anesthesia group median glycine absorption was 480 mL (range 76-1,300) compared to 253 mL (range
70-728) in the local anesthesia group. In the general anesthesia group, 20% of patients had more than 1,000 mL of glycine absorbed
compared to only 4% in the local anesthesia group (Figure 1). Similarly, the decrease in serum sodium was greater in the general
anesthesia group (-2 mEq vs. -0.5 mEq, P = 0.0001; Figure 2). In the general anesthesia group four patients (8%) had their surgery discontinued because of excessive glycine absorption compared to two patients (4%) in the local anesthesia group (P = NS). One patient
in the general anesthesia group required admission to the intensive care unit for severe hyponatremia (serum sodium 115 mEq/L).
Figure 1. Glycine Absorption
Figure 2. Decrease in Serum Sodium
(continued on next page)
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Anesthesia Abstract, continued from page 5
Conclusion Glycine absorption was much greater with general anesthesia compared to local anesthesia with sedation in women
undergoing operative hysteroscopy. Anesthesia providers should consider local anesthesia with sedation for women undergoing
hysteroscopy when glycine is used as the distending medium.
Comment
This is an important study because it reminds us of the potential complications associated with the use of hypotonic irrigating solutions such as glycine. The complications reported in this study remind me of TURP syndrome. The measures taken to minimize the
complication include minimizing operative time and infusion pressure, and monitoring the total amount of glycine absorbed. The
American College of Gynecologists recommends discontinuing surgery when the glycine absorption exceeds 1,000 to 1,500 mL.
With TURP syndrome spinal anesthesia was commonly administered because it allowed one to monitor the patient’s level of consciousness and detect the onset severe of hyponatremia. However, the investigators reported that in previous research, investigators
found higher glycine absorption with epidural anesthesia rather than general anesthesia. In this study, the investigators found general anesthesia was associated with an almost two-fold greater amount of glycine absorption when compared to local anesthesia with
sedation. It is hypothesized that general anesthetics lead to pelvic vasodilation, which makes it easier for glycine to be systemically
absorbed. Similarly, the sympathectomy associated with neuraxial anesthesia may increase glycine absorption.
After reading this study I might consider offering patients undergoing a hysteroscopy local anesthesia with sedation if glycine will
be used for uterine distension. If deep sedation is avoided, then it is easier to monitor for early neurological changes associated with
hyponatremia. The problem is that you need a cooperative patient, who can tolerate having her legs in stirrups and being in a head
down position. You also would need a gentle surgeon, who is comfortable performing the procedure under a paracervical block with
sedation. Anesthesia providers should weigh the risks and benefits of both techniques and ensure they maintain close communication with the surgeon and nurse. The anesthesia provider should keep a close eye on the total glycine absorbed and consider drawing
a serum sodium if there is any concern.
Dennis Spence, PhD, CRNA
The views expressed in this article are those of the author and do not reflect official policy or position of the Department of the Navy, the
Department of Defense, the Uniformed Services University of the Health Sciences or the United States Government.
ANESTHESIA ABSTRACTS IS A PUBLICATION OF LIFELONG LEARNING, LLC © Copyright 2011
Provided as a service to the ALANA by Anesthesia Abstracts (www.AnesthesiaAbstracts.com)
Michael A. Fiedler, PhD, CRNA, Editor
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MBM
Medical Business Management
“CRNA Billing Specialist”
Contact: Joe Gribbin
1025 Montgomery Highway, Suite 100
205-979-5882
[email protected]
www.MBMPS.com
VOTE Steve Alves, CRNA, PhD
for AANA President-Elect
email: [email protected]
stevealvescrna.com
Dedicated & Proven Leader!
AANA EXPERIENCE
AANA Vice President
AANA Region 1 Director
AANA Foundation Trustee
State Organizational
Development Committee
CRNA PAC
Resolutions Committee Chair
Nominating Committee
AWARDS & HONORS
U.S. Army Surgeon General’s
Excalibur Award
University of RI Outstanding
Contributions to Nursing
AANA Foundation Discoveries
of Distinction
RI College Alumni Award
AANA Foundation Research
Scholar Award
AANA Journal Reviewer
Education Committee
COA Reviewer
Council on Recertification
Nominated by the following
States Associations: MA, RI, NY,
NC, SC, TN, IL, IA, OR, and AL.
Continuing Education Chair
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Introduce Yourself . . .
Take Pride in Your Profession . . .
Karen Bryant, CRNA, BSN
Tell us a little about your career history. Where are
you from, where did you attend school (undergraduate and beyond), how long have you practiced as a
CRNA? Where do you currently live and work? (Feel
free to include any other information about yourself
as well!)
I graduated from Samford University with my A.D.
in Nursing in 1979 and with my B.S. in Nursing in
1981. Before anesthesia school I worked in the Regional Newborn Intensive Care Unit at Brookwood
Medical Center. I graduated from Samford University’s Nurse Anesthesia program in 1985. I am employed by Anesthesia Services of Birmingham, and
I have worked for 26 years as a full time CRNA at
Brookwood Medical Center.
How did you become interested in a career as a
CRNA?
When I was in high school, my next-door neighbor
was a cardiovascular CRNA at UAB. She encouraged
me to consider nurse anesthesia as a career.
What was your biggest surprise when you started
working as a CRNA?
My biggest surprise when I very first started working
as a CRNA was that I really could administer a successful anesthetic by myself!
How do you introduce yourself to your patients?
I introduce myself to my patients by saying, “My
name is Karen Bryant, and I will be the nurse anesthetist caring for you today.”
Do you have certain types of cases you enjoy most? If
so, what are they and why?
Of all the services, I have probably done more ENT
cases in my career. I enjoy the airway challenges
sometimes faced at induction and emergence. We
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have a great group of ENT surgeons. There are also surgeons and teams in other specialties that I enjoy working
with. I believe a little variety is good and keeps things interesting.
What is the most rewarding aspect of your career as a CRNA?
Most frustrating? Most challenging?
The most rewarding aspect of my career as a CRNA is the
actual care of my patients. At the end of each day, I am satisfied if I have given 100% to each patient and if I have taken
the time to treat each patient as an individual and not as a
number or a procedure.
The most frustrating aspect of my career is having to deal
with hospital politics.
The most challenging aspect of my career is having 15-minute turnover times while still providing patient care with a
personal touch.
Do you recommend this career to others?
I would recommend this career to anyone who finds anesthesia fascinating and who enjoys more autonomy in pa-
www.alabamacrna.org
be active members?
I have always been a member of the
ALANA. I believe in doing my small
part to financially support those that
work hard to keep our profession
recognized, alive and well for today’s
CRNAs as well as for future CRNAs.
tient care. My daughter is currently
in Samford University’s Nursing program and hopes to go into nurse anesthesia.
Do you have a most memorable CRNA
moment?
I have had numerous memorable moments as a CRNA. Some have been
sad. Some have been happy. Some
have been bizarre. I have prayed,
cried, and laughed with patients. I
know that my life has been enriched
by my patient contacts over the past 26 years.
Who was/is your role model/mentor in
the profession?
During my training, I had the honor
and privilege of working with Dr.
Lonnie Funderburg. At times, his
teaching methods were unconventional. I remember him
dismantling my oxygen supply and taking the key to my
oxygen tank. His methods were meant to make us think.
He was always a student advocate. I remember many
times him standing up for us students when patients did
not want a student caring for them or when a surgeon unjustly yelled at us.
What do you hope to accomplish that you have not yet accomplished?
Career wise, there are several things that I have not accomplished and never will. These include: the perfect anesthetic and outcome every time, knowing all the answers
to all the questions, being an expert on all technical skills
related to anesthesia and obtaining my Master’s or Doctorate in Anesthesia. However, I do hope to continue learning and improving my skills until the day I retire.
What advice would you give those contemplating a career
as a CRNA?
I would advise them to choose this career for the right reasons. We have had one or two students pass through our
institution who seemed to be more interested in the salary
of the CRNA instead of the role of the CRNA.
When not practicing anesthesia, what do you enjoy the
most?
I enjoy spending time with my two children. My daughter
is 20 and my son is 17. They grew up in what seems to be a
blink of an eye. At their ages, they have their own lives so
I cherish any time that we can spend together.
We are very thankful that you choose to be a CRNA, but if
you had to choose a different career, what might you pursue?
If I had to choose a different career, I would have liked to
be a kindergarten teacher. I have never met a kindergartener who didn’t think his/her teacher was the greatest.
If you are a member of the ALANA, first we thank you very
much!!! Also, will you please tell us why you are an active
member? Do you feel it is important for Alabama CRNAs to
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ALANA Raises Awareness of CRNA’s
Across the State
By Heather Rankin, CRNA, MSN, ALANA Public Relations Chair
The ALANA Board of Directors and the Public Relations Committee hopes everyone had a great
Nurse Anesthesia Week January 22 - 28! This week highlights the opportunity for CRNAs to educate
our patients about who we are and what we do. The ALANA would like to thank you for all you do
for our patients throughout the state of Alabama. Here’s a glimpse at what the ALANA did to help get
our message out during the week.
The ALANA ran an editorial piece to help educate the public about our profession. This editorial was published in the Troy Messenger.
Also, an ad educating about CRNAs was run in the Andalusia Star during the week.
President David Hambright met with Governor Robert Bentley and accepted
a proclamation declaring January 22-28 Alabama Certified Registered Nurse
Anesthetists Week.
To help further awareness of CRNAs, the ALANA aired public service announcements on several Alabama radio stations. The ads also ran on the web
site streams for these stations. These stations deliver a huge reach from Tuscaloosa, to Huntsville, east of Anniston and south of Clanton. If you were in
these areas, we hope you heard the ads.
Governor Bentley and ALANA President
David Hambright
A number of hospitals posted notice of CRNA Week on their reader boards
for all to see. In Huntsville, a quiz was established asking questions regarding
CRNAs at the hospital and distributed around the hospital. The person who
answered the most questions correctly won a prize! What a great and fun
idea! Please share with the Board what you or your department did for Nurse
Anesthesia Week.
The ALANA leadership encourages all CRNAs to keep doing your part to help spread the word on Nurse Anesthesia and again thanks
you for your hard work and dedication to the profession!
The ALANA Public Relations Committee would like to kick off our first campaign to develop a trademark phrase that identifies our organization in the state of Alabama.
The winner will be chosen by the PR Committee and the Board of Directors and will be announced at
the ALANA Business Meeting, part of the ALANA Spring Meeting at the Sandestin Hilton on April
28th. The winner will receive an Apple iPad 2. Deadline for entry is April 6, 2012.
We ask that CRNAs and students submit their ideas to [email protected], fax to (334) 272-7128,
or mail to: ALANA, P.O. Box 240757 Montgomery, AL 36124
Come on CRNAs - Be Creative - Send In Your Suggestions Today
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AANA Region 7 Update
By John McFadden, CRNA, PhD
Spring is the natural time for us to awaken our senses from
the cocooning days of winter. The world becomes more
colorful, scents become more robust, and the quiet of winter gives way to nature’s joyful noises. Spring also presents
an opportunity for us to become more aware of life around
us – whether it is celebrating a spring holiday with family
or heightening our eco-consciousness on Earth Day. And
so it is: spring is synonymous with renewal and new beginnings.
This past year has brought forth several professional challenges for all of us. Just when some of us thought our profession and association was a step away from a precarious
threshold, the winter provided a much-needed cooling period. This brief interlude helped us freeze for a moment.
The overwhelming majority of us realize we are all in this
together. We can debate, disagree, become frustrated, and
even argue. But in the end, we are in the same family – not
each others’ enemy. We accomplish much more when we
capitalize on our commonalities and mutual goals.
And so, I see the season we are entering as a time for us
to renew our commitment to each other and the patients
we serve. If you spent the winter in hibernation, it is time
to wake up and notice the good things that have emerged
with the “AANA Spring.”
• Your AANA’s new website continues to evolve. In the
“Feature News” section, our first on-line social community
has been launced: “Hot Topics in Anesthesia: Clinical Discussion Group for Nurse Anesthetists” (button #1). We are
hoping robust clinical discussions are generated there by
interested members.
• Thanks to the hard work of Dr. Maureen Shekleton,
Chris Bettin, and Cathy Hudson, a page entitled Promo-
tional and Advocacy
Resources for AANA
Members has been
added to the Professional Resources section (under AANA
Business) of the member’s side of the website. The page
pulls together a variety of materials that you can use for
promotional, advocacy and educational purposes. Links to
up-to-date fact sheets, landmark research data, and strategy-building tools and information are included. By placing these resources into one page with convenient links,
we hope to help members save time and effort when preparing materials for promotional, advocacy, or educational
use. Please check it out at: http://www.aana.com/myaana/
AANABusiness/professionalresources/Pages/Information-Resources.aspx (requires log in).
• The AANA Facebook page is now open for direct posting. Nearly 4,000 people (members and nonmembers)
“like” our page.
• Your AANA Program Committee and Washington,
DC office have worked hard to develop a “nuts and bolts”
Business of Anesthesia Workshop to be presented the day
before the Mid-Year Assembly commences. For details,
visit the AANA website at http://www.aana.com/meetings/
aanaworkshops/Pages/Business-of-Anesthesia.aspx.
• For those of you who are enrolled or thinking of enrolling in additional education, the 2012 Student Scholarship
Application Form and Doctoral Fellowship Application
Forms are now on the AANA Foundation website.
• The NBCRNA has communicated to us that they continue to refine their Continued Professional Certification
program, considering the comments and questions received from the CRNA community. Additionally, the program start date has been postponed to provide additional
time to work out operational details.
• The Council on Accreditation of Nurse Anesthesia Edu(continued on page 14)
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AANA and ALANA Hard at Work
for YOU in DC and At Home
By Amy Neimkin, CRNA, DNP, ALANA Federal Political Director
Rep. Martha Roby Visits Eufaula
Hospital
Promoting CRNA practice and
workforce development helps
advance a healthcare system that
is safe, accessible to patients, and
affordable. Representative Martha Roby(AL 02) visited Medical Center Barbour in Eufaula,
on Thursday, February 23rd, to
see CRNA practice in action!
Of great interest to her was that
CRNAs are the sole providers of
anesthesia services in seven of the sixteen counties in the
2nd Congressional District of Alabama, including Barbour County (2008 White Paper). Medical Center Barbour
is a 74 bed, not for profit hospital that has been serving
Eufaula and the surrounding communities for over 50
years through emergency, surgical and acute care services. The surgery department of Medical Center Barbour is
equipped with two state-of-the-art surgical suites, one endoscopy room, four pre-op rooms, eight holding rooms,
four post-op bays, and one isolation room.
CRNA William “Bill” Bray is on call 24/7 to meet the anesthesia needs of this busy rural hospital. He is part of a
great team providing surgical services, which also includes
Wanda Marner, RN, Director of OR Services and CEO
Ralph Clark.
The visit began with a tour of the facility and a description
of a typical day in the practice of anesthesia. The Congresswoman was able to view firsthand the pre-op area, where
Bill sees his patients before surgery; the surgical suite and
anesthesia equipment, and the PACU, where Bill writes orders for the post-operative care of his patients.
As a solo practitioner, Bill is involved in almost 100 cases
per month, about 50% of which are general anesthesia.
Rep. Roby was very impressed and supportive of the role
CRNAs play in her District and expressed concern over
Spring 2012
•
whether Bill gets enough
sleep!
CRNAs provide the majority of anesthesia care to rural
and medically underserved
America, and to the U.S.
Armed Forces at home, at sea, and abroad. Nurse anesthesia care is not only very safe, it is the most cost-effective
method of anesthesia services delivery, a critical consideration as Congress and policymakers seek to bring healthcare costs under control.
Medicare Cuts Averted
On February 17th, large bipartisan coalitions in both the
House and Senate passed a $143 billion economic package that includes a year-long extension of the payroll tax
holiday and provides for 10 months’ relief from 26.2 percent Medicare cuts that were going to hit March 1. What’s
next? A postelection lame-duck session of Congress will
be needed late 2012 to fix even larger cuts that will take
effect on Jan. 1, 2013. Over 5,000 CRNA messages were
sent to Congress thanks to AANA and ALANA members.
Please continue to respond when you see Advocacy Alerts
in you inbox!
President Obama Issues 2013 Budget: What’s In It for
CRNAs?
A president’s annual budget request to Congress is always
the first step in the complex process of funding the federal government. This year, however, as President Obama
and congressional Republicans prepare to face voters in
November, the debate over the spending blueprint will be
more about contrasting their dueling visions of government and less about actually passing a budget. President
Obama released his FY 2013 budget, proposing relief from
huge Medicare payment cuts plus $251 million for Title 8
Nursing Workforce Development programs, a $20 million
increase over what Congress provided in FY 2012.
www.alabamacrna.org
“Never doubt that a small group of committed citizens can change the world…
indeed, it is the only thing that ever has” - Margaret Mead.
Within the Title 8 program boost, the $20 million increase
is allocated to Advanced Education Nursing, which received $64 million from Congress in FY 2012 and receives
$84 million in the President’s proposed budget. Part of Title
8 Advanced Education Nursing is where CRNAs access federal dollars to develop and expand educational programs
and provide SRNAs with traineeship stipends to help offset
their education.
US Senate Addresses Chronic Pain in First Hearing
The US Senate confronted the growing epidemic of chronic
pain in a landmark hearing held in Washington, DC, on
February 14th. According to the Institute of Medicine, pain
is affecting 116 million Americans, at an annual cost of
$635 billion.
The hearing, called by the Committee on Health, Education, Labor and Pensions, explored disparities in research,
education, and patient care. This is the same committee
that backed the recent Institute of Medicine report showing that the country has a long way to go to relieve this
health problem.
According to a statement issued by the AANA on the report’s release and for the hearing Tuesday, “Ensuring patient access to safe, cost-effective anesthesia care and pain
management has long been the mission of the AANA,
whose members are advanced practice registered nurses
specializing in these areas.”
Book Your Mid-Year and Business of Anesthesia
Meetings
Now’s the time to book your seat at the AANA Business of
Anesthesia conference Apr. 14, and the AANA Mid-Year
Assembly Apr. 15-17, both in your Nation’s Capital!
Monday featuring leaders running for national office in the
organization, and then hear from leaders from Congress
and the Administration before bringing CRNA issues directly to your members of the House and Senate Tuesday
afternoon and Wednesday.
If you plan on attending Mid-Year, please let me know, so I
can schedule you into the House and Senate visits!
Answer the Call to Care to be Counted
To continue strengthening CRNAs’ voice in Washington
during this major election year, the CRNA-PAC has kicked
off its Care to be Counted 2012 campaign with the release
of a new video that underscores the importance of every
AANA members’ contribution.
To contribute to the CRNA-PAC, click www.caretobecounted.org and enter your AANA member login and
password.
Federal Government Affairs Committee
If anyone is interested in politics or health policy, or knows
one of the members of the Alabama Delegation, and would
like to serve on the FGA Committee, please email me at:
[email protected]. Thank you for your interest in
serving the ALANA!
Please follow me on Facebook and Twitter for the
latest advocacy updates!!!
Twitter@ALANAFPD
www.facebook.com/AlabamaCRNA
The AANA’s first-ever Washington-based Business of Anesthesia conference provides AANA members practical,
fundamental education on developing an anesthesia practice, and looking into the economic and policy crystal ball
shaping CRNA reimbursement.
AANA’s Mid-Year Assembly is the association’s premier
conference for federal policy issues education and advocacy. Learn the issues shaping CRNA practice and how to
effectively advocate for them on Capitol Hill on Sunday,
participate in AANA professional association business
Spring 2012
•
Congresswoman Martha Roby, FPD Director Amy
Neimkin and CRNA Bill Bray pose between visits.
www.alabamacrna.org
•
Region 7 Update, continued from page 11
cational Programs continues with the process of revising program standards. The first draft of proposed revisions, including revisions to case count numbers, were distributed prior to the Assembly of School Faculty. The first hearing on the
proposed revisions was held at the Assembly. A call for comments from the community of interest – including all practicing CRNAs - follows. If you would like to provide feedback, simply send an email to the COA at [email protected]
and request the opportunity. Your input is essential!
• Have you ever dreamed of hugging a California Redwood, jogging the Golden Gate Bridge, sampling the wines of Napa
or savoring the best sourdough bread around? Then it is not too early to begin making plans to convene with friends and
colleagues in San Francisco for the 2012 Annual Meeting. And if you are someone who plans even further ahead, start
thinking about joining us in 2013 at the Mirage in Las Vegas!
No matter how long winter is, spring is sure to follow. I hope you all are enjoying a refreshing spring – one that carries you
well into the lazy dog-days of summer.
AANA Foundation Update
The AANA Foundation has a strong tradition of supporting the research and education of nurse anesthetists. In 2011,
the AANA Foundation awarded 64 scholarships worth $129,000 to students in nurse anesthesia programs around the
country. The 2012 deadline for submission of scholarship applications is April 1. Visit the AANA Foundation website
for more information and to download the application. http://www.aana.com/aanaaffiliates/aanafoundation/Pages/
Applications-and-Program-Information.aspx.
Join us on Facebook at
www.facebook.com/AlabamaCRNA
Spring 2012
•
www.alabamacrna.org
The GRC is Starting a New
Campaign!
By Cyndi Bass, CRNA, MSN, ALANA GRC Chair
GRC is YOUR Government Relations Committee and we’re rolling out a Grass Roots Campaign at the Spring meeting.
The role of the GRC is to keep you informed of pertinent public policy issues and upcoming
legislation that affects nurse anesthetists in Alabama. We consistently monitor legislation and
several regulatory websites as well as visit our legislators in Montgomery.
Now we need YOU to join us in getting to know YOUR legislator. Why should I do this you
may be asking? The answer is simple. It’s a convenient way to contribute to your profession without a great time commitment. The more our legislators know who we are and what we do, the greater understanding they
have when considering legislation that may impact our profession. This is a quick and easy way to get involved without a
big time commitment. You don’t have to wait until the Spring Meeting, go ahead and send a note today!
How can I get started? Go to the Alabama State Legislature website to find your legislators name and contact information
(www.legislature.state.al.us)
What am I supposed to say? Just a short “Thank You” note to tell them you appreciate their service to our state. Offer
your assistance if they have any questions you can answer related to anesthesia. They are people just like you and me. Don’t
forget to sign your name as a CRNA.
Two examples to get you started:
Senator Jones,
I am a Nurse Anesthetist serving your district. As an advanced practice nurse, I am ready and eager to provide high
quality, safe and efficient anesthesia care. Thank you for serving the people of Alabama. If I can ever provide information on
my role as a nurse anesthetist, please don’t hesitate to contact me.
Respectfully,
Cyndi Bass, CRNA
Representative Smith,
Thank you to you and your family for serving the people of Alabama. I appreciate your commitment to improving
the healthcare of the people of our state. As a Nurse Anesthetist, providing quality, safe and cost effective care to the people of
Alabama is important to me. Please feel free to call on me if I can ever answer any questions regarding the role and functions
of the Nurse Anesthetist.
Respectfully,
Cyndi Bass, CRNA
I have questions, who can I contact? Your GRC Committee is available to assist you in any way. Please feel free to contact
us at anytime.
Cyndi Bass, GRC, Chair, [email protected] or David Gay, GRC, Co-Chair, [email protected]
Spring 2012
•
www.alabamacrna.org
•
CRNA Day 2012...
ALANA Directors Brian Koonce and David Gay visit with
Rep. Mike Ball (Center)
Amy Neimkin, Cyndi Bass, Pat Smith, Senator Priscilla
Dunn and Lisa Reich visit in the Senate hallway
ALANA President David Hambright and ALANA
Federal Political Director Amy Neimkin talk advocacy
with Deborah Andrews, Chair of the Alabama Coalition of Nursing
Organizations (Center)
Spring 2012
•
ALANA General Counsel and Jefferson County
Commissioner Joe Knight and ALANA GRC Chair Cyndi Bass
visit with Senator Gerald Dial (Right) at the ALANA
Legislative Breakfast
www.alabamacrna.org
A Success!
Senator Tom Whatley addresses the rally,
vowing support for the nursing profession
Pat Smith, Michael Humber, Rep. Jack Williams, Phillip Kendrick, Lisa Reich and
Amy Neimkin visit between Committee meetings.
ALANA leadership, faculty and students pose before taking the message to the Hill
Spring 2012
•
www.alabamacrna.org
•
Nurse Anesthesia Program News
By Laura Wright, PhD, MNA, CRNA
Interim Program Director
The UAB Nurse Anesthesia Program would like to
congratulate the Class of 2011 who graduated December 17th. We wish them the best as they begin their
new careers as nurse anesthetists. I was so pleased to
graduate in December as well with a PhD from the
UAB School of Nursing. I was also honored to have
my dissertation, “Imaging the Addicted Brain” published in the December edition of the Journal of Addictions Nursing. The article is the CE offering for the
month. Dr. Chad Epps and I also have authored a
chapter titled “The Genetic Basis of Addiction” in the
book Perioperative Addiction edited by Bryson and
Frost (Springer, 2011).
Michael Humber is striving for a Fall 2012 graduation
with a Doctor of Nursing Practice Degree.
Dr. Epps was recently appointed to Council for Accreditation of Healthcare Simulation Programs. He
continues to develop the simulation program for the
nurse anesthesia students. The faculty and the class of
2012 enjoyed some intensive simulation days in early
January.
Update on Transition to School of Nursing
As the Interim Program Director, I want to share
with you the news of our upcoming transition to the
School of Nursing (SON). This transition is important and a good thing for the program. The School
of Health Professions has been very good to us, and
it is with the support and encouragement from our
administration that we make this transition.
Over the past five years we have developed a very collaborative relationship with the School of Nursing
and are excited about the opportunities that will be
afforded to the program and our students with the
move. Some of these benefits include:
• An established infrastructure for transition to a
DNP
• Enhanced recruitment of faculty
• Increased opportunities for student scholarships
The class of 2013 is happy to have their 1st semester of
their education completed and are diligently embracing their 2nd semester.
The SON administration supports the education of
nurse anesthesia students and we are working closely
with the SON to make this transition as seamless as
possible for our students. Pending COA approval, the
transition will take place August 1, 2012. Our curriculum and faculty will not change.
The UAB Alumni CE offering at the Ross Bridge Resort was a great success earlier this mont. Contact
Michael Humber for details of the next offering and
other UAB events ([email protected]).
The Nurse Anesthesia faculty look forward to working in the SON. If you have any questions or concerns, please do not hesitate to contact me at [email protected].
Spring 2012
•
www.alabamacrna.org
UAB Recognizes Outstanding
Clinical Preceptors
The ALANA, in conjunction with the University of
Alabama at Birmingham Nurse Anesthesia Program,
would like to thank all of the clinical preceptors that
work with students throughout this state and the
southeast. Through nominations and review of student clinical preceptor evaluations, we would like to
recognize five outstanding clinical preceptors:
• Manolito Martinez- VA Medical Center
Birmingham
• Roz Spiker- UAB Highlands
• Eddie Murphree- UAB Hospital
• David Knight- Children’s Hospital of Alabama
• Natalie Wozniak- Southeast Alabama Medical
Center, Dothan
The following are some comments made on student
evaluations and nominations:
improve my technique or complimenting my technique.
I am very thankful I got to work with Roz. She really
really helped boost my self-confidence in managing a
patient in the OR! Thank you !!!”
Natalie Wozniak
“She is an amazing preceptor. She encourages questions
and quizzes you to enhance your educational experience. She demands that you be prepared and is more
than willing to go the extra mile in helping you grow as
a student. She takes the extra effort to monitor where
you are at clinically and puts you in cases to make sure
that you are continually growing as a student. She is
truly an asset to have as a student preceptor.”
Once again, thank you Alabama CRNAs for providing an atmosphere that is conducive to learning.
David Knight
“I would like to nominate David Knight from Children’s Hospital for the clinical preceptor award. He is
awesome. He is pleasant to work with, and most importantly, he seems to love to teach, and is good at it. I
feel like I learned a lot from him.”
Roz Spiker
“What is there not to say about Roz? I had heard she
was a great teacher and one of the CRNAs you really
wanted to work with, and they were absolutely correct!
Roz is great at sitting back, letting me manage a patient,
and then
giving
instant
feedback
on ways
I could
Manolito Martinez, with the VA Medical
Center in Birmingham, accepts his Clinical
Preceptor Award.
At left, Roz Spiker
accepts her award.
Spring 2012
•
www.alabamacrna.org
•
Nurse Anesthesia Program News
By Mary Karlet, PhD, Professor and Chair, Department of Nurse Anesthesia
Ida V. Moffett School of Nursing
The Samford Nurse Anesthesia Program welcomed 24
students into the class of 2014 in January 2012. This outstanding group of students is distinguished by their intellect, experience, and enthusiastic spirit. They come from
all areas of the country including Florida, Mississippi,
Georgia, Ohio, and Tennessee. Class of 2014, welcome to
Birmingham, to Samford, and to our great profession.
On September 16,
2011, the Samford
University Ida V.
Moffett
School
of Nursing recognized
distinguished alumni of
the Birmingham
Baptist Hospital
and Ida V. Moffett
Cyndi Bass, CRNA and Dean Nena Sanders
School of
Nursing. The “Courage to Care” awards honor alumni
who have made a difference through their professional
practice. This year, two distinguished CRNAs and Samford graduates were honored. Cyndi Bass, CRNA and
William F. Reid, CRNA were recognized for their distinguished careers.
We can never say it enough . . . our program appreciates
the dedication of our clinical sites and our CRNA preceptors. Samford students are indebted to all of our clinical
preceptors. This year, six exceptional CRNAs were voted
as Outstanding Preceptors in the Samford program:
• Helen Sparks – UAB Highlands, Birmingham
• Karen Bryant – Brookwood, Birmingham
• David Sanford – St. Vincents, Birmingham
• Robert Dorroh – Druid City Hospital, Tuscaloosa
• Blair Perkins – St. Vincents East, Birmingham
• Jeff Wooden – Baptist South, Montgomery
Congratulations Outstanding Preceptors and thank you.
You are truly making a difference in a future CRNA’s life!
Spring 2012
•
Jamey Roberts, CRNA, Samford class of 2010, was awarded the Ira D. Pruitt Division of Nursing Emerging Leader
Award from the University of West Alabama.
Alana Smith, Samford class of
2013, was awarded the 2012 PostBaccalaureate Nursing Scholarship by the Alabama Board of
Nursing.
Jennifer
Jenkins,
Alana Smith, RN, SRNA
SRNA,
Samford class of 2012 had her article entitled “Cardiovascular Diabetic
Autonomic Neuropathy” accepted
for publication in the December Jennifer Jenkins, RN,
2011 issue of the International Stu-
SRNA
dent Journal of Nurse Anesthesia.
Congratulations to David Sanford, CRNA, MSN, Samford
class 2006, for publication of his article “Management of
a Pulmonary Artery Embolectomy and Recurrent Embolus” in the February 2012 AANA Journal.
Samford nurse anesthesia students attended the ALANA
Fall Meeting
held in October
at the Wynfrey
Hotel in Birmingham. Saturday morning
featured
the
Funderburg
Lectureship
sponsored by
the
Samford
www.alabamacrna.org
Kim Hurst, John Morris, Mark Welliver
(Funderburg lecturer), and Kerry Gossett
Samford Recognizes Outstanding
Clinical Preceptors
University Nurse Anesthesia Program and its distinguished
alumni. This year’s Funderburg lecturer was Mark D. Welliver,
CRNA, DNP. Dr. Welliver is a professor at Texas Christian University School of Nurse Anesthesia, in Fort Worth. On Sunday
morning, David Fort, CRNA, DNP lectured on “Oxygen Delivery during Anesthesia: Can CRNA Practice Preferences be
Predicted?”.
Please mark your calendars! The Samford Nurse Anesthesia
Program will be hosting an Alumni Reception in Destin, Florida, at the ALANA state meeting on Friday April 27, 2012.
Alumni, students and clinical faculty please plan to attend!
Karen Bryant – Brookwood, Birmingham
Helen Sparks – UAB Highlands, Birmingham
Robert Dorroh – Druid City Hospital,
Tuscaloosa
David Sanford – St. Vincents, Birmingham
Blair Perkins – St. Vincents East,
Birmingham
Spring 2012
•
Jeff Wooden – Baptist South, Montgomery
www.alabamacrna.org
•
CRNA Spring Meeting 2012
Mark your calendars now and register for the ALANA Spring
Meeting 2012, to be held in beautiful Destin, Florida, at the Hilton
Sandestin Beach Resort & Spa, Friday, April 27 - Sunday, April 29.
What better way to celebrate spring than to join your peers on the
gulf coast for three days of learning, networking and talking nurse
anesthesia. This meeting continues to thrive due in large measure
to the outstanding faculty assembled to present state-of-the-art
anesthesia continuing education. The Hilton Sandestin offers
fabulous accommodations and amenities available at only the finest resorts. Register today to save your spot at the annual Spring
Meeting of the ALANA! You will be glad you did.
Faculty
This year’s meeting offers an outstanding group of speakers, each
selected for their expertise and reputation in providing the absolute best in nurse anesthesia continuing education. The faculty
includes Debra Malina, CRNA, MBA, DNSc, AANA President;
John McFadden, CRNA, PhD, AANA Region 7 Director; Mark
Talon, CRNA, DNP; Steve Alves, CRNA, PhD; Suzanne Wright,
CRNA, PhD; Senator Greg Reed; Representative Jim McClendon
and Terri Cahoon, CRNA, DNP. This “All-Star” faculty has been
carefully selected to offer you the latest in nurse anesthesia continuing education.
CRNAs from 19 States Attended this Meeting
Last Year
The ALANA Program Committee and Program Directors know
what it takes to provide you, our members and guests, with the
very best in nurse anesthesia continuing education. It is the
attention to detail that separates us from other providers. We
offer table seating, CDs, syllabus, breakfast buffets, coffee and
drinks, lunch buffets, and a state-of-the-art exhibit hall ~ all just
an elevator ride from your deluxe guest suite. This year we are
offering two opportunities for CRNAs to get outside and soak up
the Florida sunshine, the Beach Party and the Wellness Walk &
Learns.
Why do we offer so much? Because this is YOUR meeting and
you deserve it. The ALANA recognizes and appreciates the work
that CRNAs do each day to take excellent care of patients and to
further the nurse anesthesia profession. This is our opportunity to
show our appreciation!
Friday, April 27th –– 8 CEUs, 1.75 Pharm
07:00 – 08:00
Management of Acute Burn Patients**
Mark Talon, CRNA, DNP
08:00 – 09:00
Traumatic Pediatric Airways and Pediatric Burns,* Mark Talon, CRNA, DNP
09:00 – 09:15
Refreshment Break
Spring 2012
•
09:15 – 10:15
Changes in Hemodynamic Monitoring and Volume Management, Mark Talon, CRNA, DNP
10:15 – 11:15 Current Trends in Anesthesia Reimbursement
Steve Alves, CRNA, PhD
11:15 – 12:15
Conflict Management Among Anesthesia
Providers, Steve Alves, CRNA, PhD
12:15 – 12:45
Lunch Break
12:45 – 13:45
Hypoxemia During One-Lung Ventilation
Suzanne Wright, CRNA, PhD
13:45 – 14:45
Pulmonary Hypertension**
14:45 – 16:00
Wellness Walk & Learn** ALANA
Saturday, April 28th –– 7 CEUs, .5 Pharm
06:00 – 07:00
Early Bird Wellness Elective (Session 1)ALANA
07:00 – 08:00
Healthcare Update from the Alabama Legislature
Senator Greg Reed & Rep. Jim McClendon
08:00 – 09:00
ALANA Legislative Interaction Panel
Senator Greg Reed, Rep. Jim McClendon, Cyndi Bass, Susan Hansen
09:00 – 09:20
Refreshment Break in Exhibit Hall
09:20 – 10:20
Surgical Patient Safety Outcomes: We Are
Getting Better....Aren’t We?
Debra Melina, CRNA, MBA, DNSc
10:20 – 11:20 AANA Update, Debra Melina, CRNA, MBA, DNSc
11:20 – 11:45
Lunch Buffet
11:45 – 12:45
Panel Discussion on Healthcare Reform
Debra Melina, CRNA, MBA, DNSc, John McFad-
den, CRNA, PhD & David Hambright, CRNA
12:45 – 13:45
ALANA Business Meeting
David Hambright, CRNA
13:45 – 15:00
Wellness Walk & Learn** ALANA
15:30
ALANA Beach Party
Sunday, April 29th –– 6 CEUs, 1.75 Pharm
06:00 – 07:00
Early Bird Wellness Elective (Session 2) ALANA
07:00 – 08:00
Crisis Management: Unstable SVT*
08:00 – 09:00
Orbital Regional Anesthesia**
09:00 – 10:00
Wellness and the Anesthesia Provider
John McFadden, CRNA, PhD
10:00 – 10:30
Refreshment Break in Exhibit Hall
10:30 – 11:30 Total Intravenous Anesthesia - An Evidence
Based Update,*** Terri Cahoon, CRNA, DNP
11:30 – 12:30 Human Performance Limitations - Anesthetic Implications, Terri Cahoon, CRNA, DNP
12:30
Adjournment
www.alabamacrna.org
CRNA Spring Meeting 2012
*
.25 Pharm Credits
** .50 Pharm Credits
*** 1 Pharm Credits
Registration
The Hilton Sandestin Beach Resort
This is Northwest Florida’s premier luxury Gulf-front hotel. Located on Florida’s Emerald Coast, the hotel boasts a heated indoor
pool, two outdoor pools, two whirlpools, private beach, a fullservice spa, salon and fitness center, and the finest dining options,
from elegant to casual. Resort amenities include fourteen tennis
courts and four championship golf courses. Children’s recreational
programs and beach equipment rentals are also available. Six hundred luxurious and spacious guest suites feature private balconies
overlooking the beach.
Room reservations should be made directly with
the Hilton
Sandestin by calling 1.850.267.9500 or by visiting them online at
www.hiltonsandestinbeach.com. Use our ALANA Group Code of
ANS to secure the special rate. Rooms blocked for the ALANA
are at a discounted group rate of $229 per night, excluding tax
and fees. The deadline for receiving rooms at this special pricing
is March 27th. Reserve your room early, as the hotel always sells
out! Check in time is 4PM and checkout is 11AM.
Wellness Walk & Learns
Here’s your chance to enjoy some of sunny Florida during the
meeting - studying case scenarios at 4 different stations outside
(weather permitting) with a brief walk in between each station.
Meeting Fees
AANA Members:Before April 14
Full Registration:
$400.00
After April 14
$450.00
Non-Members: Before April 14
Full Registration:$500.00
After April 14
$550.00
Name: _____________________________________
Address: ___________________________________
City/State/Zip: ______________________________
Place of Employment: ________________________
E-mail Address: _____________________________
Home Phone: _______________________________
AANA Member:  Yes  No
AANA Number: _____________________________
Full Meeting – Wellness Sessions Included
AANA Member $400/ Non-member $500
Friday only
Saturday only
Sunday only
Student
In-State $25/ Out-of-State $100
I want to Sponsor-A-Student ($25 Minimum)
Optional ALA-CRNA PAC contribution
My check to ALANA is enclosed
Charge to my credit card:  MC  VISA  AE
Card Number: _______________________________
Expiration Date/Billing Zip Code: _______________
Name as appears on card: ______________________
Send completed registration form and method of payment to:
ALANA Office
Fax 334.272.7128 or Register & Pay online at AlabamaCRNA.org
Also, for more information and updates, visit our facebook page at
Alabama Association of Nurse Anesthetists
Questions? Call 334.260.7970
In-State School Students – $25
Out-of-State School Students – $100
For those with special needs or questions about the meeting, contact the
ALANA Office at 334.260.7970. Refunds on tuition will be honored
upon receipt of a written request prior to April 14th, subject to a
$50.00 cancellation fee. Refunds will not be honored after April 14th.
Spring 2012
•
www.alabamacrna.org
•
ALANA
ALANA
Spring Meeting
Hilton Sandestin Beach Resort & Spa
April 27 - 29, 2012
ALANA NewsBulletin
•
Spring 2012
•
www.alabamacrna.org

ALANA ALANA Legislative Day

Transcription

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