ANETIC Volume 55, Number 1 January 2006 President’s Message Sherry H. Owens, CRNA, MSN Our state association con tinued its tradition of event benchmarks and trendset ting through its endeavor with the Virginia Associa tion of Nurse Anesthetists, by planning and executing a joint state meeting, held recently in Williamsburg, VA. Reviews from meeting participants were resound ingly positive—kudos to the NC Program Committee Co-Chairs, Sharon Pearce and Deb Merritt. Julie Low ery and Sheila Crumb have already begun planning our next state meeting, which will be held at the Myrtle Beach Marriott Resort at Grand Dunes on September 22-24, 2006. Your Board of Directors held a successful postconvention meeting in Wil liamsburg, where they ap proved the budget for FY 2005-2006. Close scrutiny was given to all NCANA processes, and in the com ing months, you will see a few changes that will streamline our activities and provide a stronger financial outlook. We have entered in to an agreement with Blue Hand Design, who has been charged with redesign ing our website, making it more user-friendly and in formative. Two other areas that the Board evaluated are our voting procedures and dis trict meetings. We are in the process of establishing a means for the membership to vote via electronic bal lot— at a considerable cost savings to the association. Additionally, our District Education meetings will be combined this year. This change is in accordance with an approved by-law amendment at the Business Meeting in Williamsburg. Districts I and II will hold their meeting on January 28, 2006 at the Embassy Suites in Greensboro. The meet ing for Districts III and IV is set for March 4, 2006 at the Charlotte Hilton. The BOD enjoyed a pro ductive weekend retreat in Asheville on November 4th and 5 th. We charted a course for the coming year, with clear goals, and sound measurements of goal achievement. I am very proud to work with a group of innovative, imaginative, and responsible individuals. You can rest assured that they have the best interests of the NCANA in the fore front of their minds. Finally, I would be remiss if I didn’t mention HB-503. As many of you know, the bill was heard in the House Health Committee and un precedented 5 times. While it did receive a favor able report, it was never reported out of the com mittee by the end of the legislative session. It will Inside this issue: Special Report by AANA 3 President-Elect Terry Wicks, CRNA, MHS NCANA President Sherry H. Owens, CRNA, MSN undoubtedly resurface next year, so while we are ex tremely pleased about our efforts, we cannot rest on our laurels in the interim. Joanne Stevens (your lobby ist) and Jimmy Hicks (Government Relations Chair) are in continued contact, and have planned our strategy for the coming session. You can help right now by making a donation to the NCANA-PAC. A strong PAC is the mega phone through which our voices will be heard. Our collective voice is barely a whisper without it. We have a busy year ahead of us, and I am ex cited and honored to serve as your President! A 2005 Legislative Summary 4 Anesthesia School Reports 10 – 13 2006 Calendar of Events 14 NCANA Annual Meeting September 22— 24, 2006 Myrtle Beach Resort at Grande Dunes Myrtle Beach, SC Page 2 North Carolina Association of Nurse Anesthetists 2005—2006 Board of Directors PRESIDENT Sherry Owens, CRNA, MSN 502 North Hiddenbrooke Dr. Advance, NC 27006 (H) 336/940 -3571 (W) 336/716-1415 Fax: 336/716-1412 E -mail: [email protected] PRESIDENT-ELECT Julie Lowery, CRNA, MS 198 Norwood Rd. Chapel Hill, NC 27516-8602 (H) 919/967-7909 (W) 919/966-5136 Pager: 919/216-0216 (Digital) Cell: 919/548-5459 E -mail: [email protected] VICE-PRESIDENT Sheila Crumb, CRNA, MSN 3900 Bridal Crossing Ct. Winston -Salem, NC 27106 (H) 336/922-7310 (W) 336/238-4530 Cell: 336/416-7167 E -mail: [email protected] TREASURER Jerry Coy, CRNA, Ph.D. 130 Devonshire Lane Wilmington, NC 28409 (H) 910/392-6902 (W) 910/343-7029 Pager: 919/341-5415 Cell: 919/548-5459 E -mail: [email protected] SECRETARY Shirley Sopko, CRNA, MSN 2606 Creek Ridge Lane Chapel Hill, NC 27514 (H) 919/932 -1265 (W) 919/966-5136 Cell: 919/414-7270 NCANA Central Office c/o Management Concepts, Inc. 605 Poole Drive Garner, NC 27529 919/779 -7881 919/779 -5642 Fax [email protected] DISTRICT I DIRECTOR Robin Schaefer, CRNA, MSNA 300 Meridian Ct. New Bern, NC 28562 (H) 252/637-4774 (W) 252/633-8531 Cell: 252/671-0703 Pager: 252/464-4816 E -mail: [email protected] DISTRICT II DIRECTOR Linda Sangiuliano, CRNA 1739 Underpass Road Advance, NC 27006-9549 (H) 336/940-5044 (W) 336/716-6701 Fax: 336/716-6535 Cell: 336/414-6509 E -mail: [email protected] DISTRICT III DIRECTOR Sherry Bernardo, CRNA, MSN 15904 Woodcote Drive Huntersville, NC 28078 (H) 704/992-6150 (W) 704/355-2374 Fax: 704/992-6150 Cell: 704/614-2032 DISTRICT IV DIRECTOR Mary Leonidas, CRNA, MSN 11 Normandy Road Asheville, NC 28803 (H) 828/278-0098 (Pager) 828/207-3643 Cell: 828/712-9310 E -mail: [email protected] STUDENT REPRESENTATIVE Karla Spitzer, SRNA 2710 Stantonsburg Rd., Apt. 3A Greenville, NC 27834 (cell) (252) 412 -8444 School: E -mail: [email protected] EXECUTIVE DIRECTOR Charlene Barbour [email protected] OPERATIONS DIRECTOR Debora Steenson [email protected] Photo not Available Terry Wicks, CRNA, MHS—AANA President-Elect Page 3 “There is no statutory requirement for physician supervision of nurse anesthetists in North Carolina law…” This was the response of the legislative staff to Representative Wainwright during the last Heath Committee hearing on H503/SB 394 in answer to his insistent and repeated requests that the specific provisions of North Carolina law requiring physician supervision of nurse anesthetists be identified. It was worth the drive to Raleigh from Rutherford College (including the missed day of work and the $12.00 parking ticket) to hear those words spoken. While it was gratifying to hear those words, and it was a very clear moral victory to see the 2005 legislative session end without this bill going to the Senate for consideration, I would issue these words of admonition, “It isn’t over!” In the December 2005 issue of the ASA Newsletter1 is a summary of state legislative activities important to ASA members across the nation. “North Carolina-H.B. 503/S.B. 394 would solidify physi cian supervision requirements found in other sources of law. Nurse anesthetists would administer anes thesia under the supervision of a licensed physician. Carried over.” Further, the summary explains that “H.B 503/S.B. 394 would allow AAs to administer anesthesia and develop and implement an anesthesia care plan under the supervision of an anesthesiologist…Carried over” (emphasis added). North Caro lina is among the handful of states that allow bills under consideration to be carried over to the next leg islative session. The next North Carolina General Assembly session begins in May and to quote NCANA PAC Chair Richard Ouellette, “Our opponents are working hard, hoping to assure that their goal will be met” in the next session. What will it take to prevent the legislation of unnecessary and onerous restrictions on CRNA practice, and the introduction of an unneeded new anesthesia provider into practice in North Carolina? Really, it will take two fundamental things. First, it will take your renewed involvement in the political process in the form of continued and reasoned dialogue with your legislative representative. Second it will take your continued support of your profession through contributions to the NCANA PAC. Your PAC contributions are crucial and are an essential ingredient for getting North Carolina’s CRNAs “to the table” when issues effecting CRNA practice are under consideration in the legislature. It is absolutely true that in Raleigh, as in Washington, D.C. that “if you do not have a seat at the table, you are probably on the menu2 .” On my desk is a copy of the November addition of the NCANA PAC newsletter, and the list of PAC contributors is impressive. Last year was our most successful year for raising NCANA PAC contri butions. Unfortunately, over half of the current members of the NCANA are absent from the rolls of NCANA PAC contributors. I would challenge every member of the NCANA to express your commit ment to your profession by making a contribution to NCANA PAC this year, and I would challenge last year’s contributors to join me, and over 100 of your colleagues, at the Platinum Level of giving. Together we can ensure that our patients have unfettered access to the safe and cost effective anesthesia care that North Carolina’s CRNAs provide. Terry C. Wicks, CRNA, MHS President Elect, American Association of Nurse Anesthetists ASA Newsletter. Percy L, J.D. Summary of 2005 State Activities. American Society of Anesthesiologists, Park Ridge, IL. 69:11 December 2005. Pp. 26 -27. ASA Newsletter. Becker, JL. ASAPAC: The Political Voice and Legacy of All ASA Members. 69:11 December 2005. American Society of Anesthesiologists, Park Ridge, IL. Pp. 7 -8. Page 4 A 2005 Legislative Summary and the Veterans Administration; Now, therefore, …….” If you would like to read more, go to www.ncga.state.nc.us and pull house bill 503 up. The bill was heard five (5 ) times in the House Health Care Committee, once in a public hear ing format, and four additional times with testi mony from both sides. Normally bills are only heard one time, or maybe twice, and then they are moved on. The bill was heard in the offices and halls as well with individuals. Joanne Schoen Stevens, MSN, RN State Government Relations Office: 919-413-2242 This Legislative summary begins with the thought that there is no way to clearly re view the activities of the 2005 General As sembly session as it relates to nurse anes thetists. There is no way to review the potential impact to the profession or to describe the lack of access House bill 503 would bring to rural North Carolina. The session began at the end of January and continued until September 2, 2005, with the introduction of House bill 503 and Senate bill 394. The bill began with a title that ap peared to speak to patient safety and quality as well as increase the number of providers. In the long title, the bill is called “ The Patient Safety and Access Act”, implying that the care provided should be tightened up and “SUPERVISION” needed to be “reiterated,” due to recent litigation. The bill also calls for the legislation of a third provider, a provider with less experience to provide safe care. (See the wording below and the short and long titles of the bill.) Short Title: Authorize Licensure/ Anesthesiologist Assts . Long Title: An act to establish the "North Carolina anesthesia patient safety and access act" to confirm and reiterate the statutory requirement of physician SUPERVISION of nurse anesthetists and to authorize the licensure and regulation of anesthesiologist assistants. Whereas, recent litigation has sought to undermine the longstanding legal require ment that a physician supervise a nurse anesthetist providing anesthesia care in North Carolina; and Whereas, the General Assembly seeks to reiterate that North Carolina law re quires physician supervision of nurse anesthetists; and Whereas, there is a documented short age of anesthesia providers in North Carolina; and Whereas, anesthesiologist assistants are licensed by many states to provide anes thesia services under the supervision of an anesthesiologist; and Whereas, licensure of anesthesiologist assistants in North Carolina would help alleviate the existing shortage of anesthe sia providers in this State; and Whereas, anesthesiologist assistants have excellent clinical safety records, are highly trained, and are authorized to provide anesthesia services under such federal programs as Medicare, Medicaid, TriCare, Many hours were put into the communication with the legislators as well as membership of NCANA, below is a brief example. HOUSE BILL 503 – FACT & FIC TION Proponents of HB 503 have said… 1. “Supervision” of CRNAs is already the law in North Carolina. FACT: Under the Administrative rule adopted by the Nursing Board and agreed to by the Medical Board in 1994, supervi sion is required for “making a medical diagnosis or prescribing a medical treat ment.” CRNAs do neither. The physician makes the diagnosis; the treatment is the surgery. Anesthesia facilitates the cure, but should not be confused with the cure itself. Under this same administrative rule, anesthesia services are required to be provided “in collaboration with” a licensed physician. In many cases, this is the surgeon not an anesthesiologist. Proponents of HB 503 have said… 2. HB 503 will not change anesthesia prac tice. FACT: In many rural hospitals, out-patient clinics and other non-hospital settings, there is often no anesthesiologist available. CRNAs have been safely providing anes thesia care in these settings for years. HB 503’s supervision requirement will change the responsibility of the general surgeon. It would require a physician who has no training in anesthesia to “supervise” an anesthetic. Proponents of HB 503 have said… 3. There is no financial benefit. FACT: Any time the law is “clarified”, it equals financial impact and liability. The passage of HB 503 will decrease access to care in many rural healthcare settings, will cause shifting of emergency patients, and will result in no access for many others, often the elderly and new mothers during delivery. There will be financial impact. Proponents of HB 503 have said… 4. There is a shortage of anesthesia provid ers, so we need to create a new provider, called anesthesia assistant, who will be licensed by the Medical Board. FACT: There is no shortage. There are 1200 operating rooms in North Carolina, and there are 2600 CRNAs – a 2 to 1 ratio. When you consider all anesthesia providers (nurse anesthetists and physician anesthetists, the ratio is 2.6 to 1. On August 1, 2005, after the bill was heard for the last time in committee the following memo with out to the membership “We wanted to bring you up to date on the status of this bill. On Tuesday, July 26 2005, the House Health Committee gave a favorable report to HB 503. Several amendments were offered in committee; two amendments were adopted. One amendment added a definition of “supervision” for anesthesiologist assis tants (defined as on-site, personal super vision by a licensed anesthesiologist pre sent in the office, surgical or obstetrical suite where the procedure is being per formed and in all instances immediately available to provide assistance and direc tion). The other amendment deleted the wording, which would have allowed MDAs to delegate anesthesia activities to a physician assistant. Please understand that all of your hard work in calling, visiting and e- mailing legis lators has made a difference. This bill was introduced in the first week of March, and the word in the legislative halls was that it was going to pass quickly. Thanks to your efforts, the bill did not move for more than 5 months and only after a public hearing and committee debate at 5 different Health Committee meetings. This is almost unheard of in the normal legislative process.” On the last day of the 2005 session on September 2, The Following memo went out to the membership. “The 2005 Session of the General Assembly adjourned today. We are pleased to report that HB 503, which would have authorized anesthesiologist assistants as a new provider and required medi cal supervision of all CRNAs in North Carolina, did not pass . After five hearings in committee, the bill did receive a favorable report from the House Health Committee, but it was not re ported out of committee before adjournment. Thank you for all of your hard work in calling, visiting and emailing legislators. It made a difference. The General Assem bly will reconvene on May 9, 2006. House Bill 503 will be eligible for consideration in the 2006 Session. This fight is not over, and we will keep in touch with you before next Session to discuss our strat egy.” There is no way that one can communicate the many hours that went into this bill in 2005. We leave you with only a few thoughts. and questions. Thought and question Number 1: NC does not have “Supervision” writ ten into the law; it is not a statutory re quirement. Most states allow the Board of nursing to regulate nursing and the Medical Board regulates physicians. Question, “Who should regulate nurses”? Thought and question number 2: Is there truly a documented shortage of Anesthesia providers, with 2,400 CRNAs in the state and about 600 Anesthesiologists? Page 5 A 2005 Legislative Summary Continued Question: “Where is the “shortage?” Thought and question number 3: If there is a shortage, will licensing Anesthesiologist Assistant alleviate that shortage, taking into account they cannot work in rural areas and are not used in the military? Question: “Which provider numbers should the state increase”? Thought and question number 4: AA’s are not licensed in “many” states and are AAs as safe as CRNAs considering the amount of clinical bedside hours AAs lack before they enter AA school. Question: How will AA increase the safety? In conclusion, most states do not have Anesthesia Assistants. We have five very good Nurse Anethetists schools in the state of North Carolina. The care that these graduates provide is of high quality and service to the citizens of this state, hospitals, and physicians of North Carolina. The Anesthesia care in our state is excellent. This bill in no way ensures safety or increased access. The bill will be back in the 2006 Session that begins on May 9, 2006. Stay tuned! President-Elect’s Report Julie Ann Lowery, CRNA, MS A new year for the NCANA is beginning. This past year offered many challenges, sur prises, and yet victories for our profession. However, the issues are not settled with the battles to begin again. Legislation attempting to mandate the super vision of CRNAs and introduce anesthesia assistants (AAs) into our state will be resub merge when the 2006 general assembly reconvines. Have no doubt about that! Therefore, all CRNAs must enter into that arena. All of us must take those actions, do those deeds which will preserve our ability to practice and provide quality anesthesia as we know in the present time. I urge all of you to take heed and do this. If not you, then who? It is time for all CRNAs to stand up, be counted, and be heard. Is your profes sion not worth it? The credit belongs to the man who is actu ally in the arena… who does actually strive to the deeds. Theodore Roosevelt NCANA District I & District II Combined Meeting January 28, 2006 Embassy Suites Greensboro, NC NCANA District III & District IV Combined Meeting March 4, 2006 Hilton Charlotte Center City Charlotte, NC Page 6 NCANA Student Rep Report My vision as the NCANA Student Representa tive is to increase student in volvement in the NCANA. Student involvement benefits both the NCANA and nurse anesthesia students as a whole. While SRNAs are busy learning the clinical and didac tic aspects of nurse anesthe sia, student involvement in the NCANA will increase aware ness of the professional and political aspects of the career field. Although the life of an anesthesia student can be hectic, involvement is the best way to familiarize students with the broad array of issues the profession faces. Addition ally, it can be extremely re warding to meet CRNAs and other SRNAs outside of the clinical arena. These relation ships can improve morale and offer new perspectives on anesthesia. Also, it is easier to become involved now and stay involved than it is to become active later in the professional career. As we students are currently in “learning mode” for the didactic and clinical as pects of anesthesia, this is the ideal time in our lives to also learn about the professional aspects. By students providing input and taking action in the NCANA, we help promote our own job security in the future. We must be proactive in fulfill ing the mission of the NCANA to prevent the long hours and hard work we devote to our anesthesia studies from ulti mately being futile. Just as we strive to give our patients the best holistic care, we must strive to expose ourselves to the multi-dimensional nature of nurse anesthesia. The NCANA also benefits from student par- ticipation. Although there is unity in numbers, and more student involvement would increase the number of active participants in the NCANA, this is not the main contribution of students. More importantly, input from SRNAs provides a fresh perspective on the cur rent issues. Although students are relatively new and inexperi enced members compared to elder members of the NCANA, students can offer a new out look on current issues. The NCANA can better address the unique needs of the students if students actively voice their needs, which strengthens the entire mission of the NCANA. Since SRNAs comprise the future of the NCANA, student awareness, encouragement, and involvement are vital to the continued success of CRNAs and the NCANA. District I & District II Combined Meetings The District II meeting this year wll be a combined meeting with District 1 and will be held at the Embassy Suites in Greensboro on January 28th. Please make every effort to attend this meeting. I want to encourage anyone who is interested in running for District II Dir ector to please contact me and I will be more than happy to talk to you about what being District director means and what obligations you have during your two year term. I personally have enjoyed my time as District Director and have learned a great deal about our state organization and the role that all of us play in making our organization one to be envied by other states. In closing, I want to let each CRNA know that it is not just the board but each and every CRNA’s obligation to promote his or her practice. The board may be out in front but we rely on those of you behind the scenes to make it all happen. Linda M Sangiuliano CRNA District II Director NCANA PAC This past year has been extremely busy and we have made significant strides in the legislative arena in Raleigh opposing the bil l introduced in the house that would allow Anesthesia Assistants to practice and more restrictive supervision for CRNAs. Our major PAC solicitation in February and August surpassed all previous NCANA PAC campaigns. Thank you to all who contributed this year to assure our future. For 2006 we are placing a special emphasis on reinvigorating the NCANA PAC. It is one of the best resources for playing an activ e role in the 2006 elections. If the pass legislative cycle taught us anything, it was that we need to be involved in the political process from the beginning to the end. With your voluntary support and contributions we will continue to work harder and better to achieve our legislative advocacy goals. Richard G. Ouellette, CRNA, M.Ed. NCANA PAC Chairman Contributors to the PAC PLATINUM>$366.00 Armistead, Lacey Barnes, Melinda Bernardo, Sherry Black, Cindy Blackburn, Flavia Bonnette, John Bramlett, Jimmy Branch, Jr., William Brewer, Suzi Briggs, Cathy Bruton Maree, Nancy Bryant, Faye Burton, Jeff Butlak, David Calderbank, Sandra Cartledge, Ken Castrovinci, Karla Cates, Verna Chalfa, Rebecca Chandler, Loraine Clark, Donna Collins, Egbert Conover, Dan Cross, Hazel Cruciani, Karen Crumb, Sheila Curll, Nancy Darnell, Jones Davis, Dale DeAtley, Ron Decker, James Detchenmendy, Jean Doyle, Rose Edge, Melydia Edwards, Debora Ellsaesser, Rick Ferdinandsen, C.J. Garcia, Chuck Garrison, Julia Gates, Roger Golden, Leslie Graves, Patty Gray, Joanne Griffiths, Terry Hicks, James Hunter, Scott Joyce, Joseph Kauffman, Scott Kohnert, Hans Leonard, Mildred Lindsey, Philip Linka, Maggie Lopp, Judy Lowery, Julie Lowry, Cherie Lucisano, Karen Lyemance, Robyn Mailman, Barbara Mastic, Christine Marcinko, Deborah Moore, Linda Moore, Rod Morris, Sandy Murry, Timothy Nitz, James Ouellette, Richard Ouellette, Sanda Owens, Sherry Patch, John Pearce, Sharon Petree, Betty Pope, Karen Poston Jr., Robert Plummer, Linda Rappuzzi Jr. Donald Ray, Judith Ray, Nicole Reardon, Diana Rexford, Marsha Reynolds, James Ridgley, Phillip Ricker, Karen Rouse, Crystal Samples, Sharon Sangiuliano, Linda Self, Sylvia Shedlick, Nancy Shedlick, Ray Simmons, Virginia Simpson, Grace Simpson, Nancy Smith, Shelley Snipes, Missy Sopko, Shirley Stevens, John Stevens, Ellen Stone. Linda Stowell, James Thomas, Nikki Thomason, Kandace Tocci, Petere Tolin, Ken Tuck, Winnie VanSoestbergen, Gus Vurnakes, William Wadell, Heather Wall, Konette Walters, Mary Jane Westbrook, Robin Wicks, Terry Wing, Jessica Wofford, Pam Yates, Teresa Yearty, Sharon GOLD >$251.00-$365.00 Albanese, Christine Anderson, Spencer Angel, Lorraine Coxwell, B. Alan Coy, Jerry Crane, Steve Davis, Leesa Eldridge, Pamela Evans, Janet Gaillard, Sandy Grubbs, Debra Hazel, Lisa Holshouser, Bill Jarrett, Beckie Jarrett, Jennifer Jordan, Jay Lemanski, Jerri Maltais, Catherine Maltais, Kevin Mayfield, LouAnn Mayfield, Joe McAuliffe, Maura McDonald, Gene Mchaffey, Eileen Morrison, Crystal Neel, Susan Owens, Carol Pena, Sandra Prevatt, Cynthia Skinner, Linda Sluder, Todd Smith, Anne Watson, Jane Williford, Peggy Dee Zuzul, Marcia Silver $101.00 - $250.00 Adami, Richard Allen, Sandra Arrowood, Randy Ashe, Nancy Austin, Amanda Bax, James Beamon, Carolyn Beamon, Terry Berseh, Mark Bisti, Rosemary Bombardier, Brian Branch, Peggy Brooks, Pat Browder, Robyn Bryant, Dawn Burke, B.J. Caine, Michael Callaway, Robin Causey, Michelle Carter, Eleanor Caughlan, Joe Chaves, Robin Childers, Janet Cline Terry Collins, Wendy Cooper, Linda Cormier, Neenee Courts, Karen Cresto, Susie Crysel, Kathy Dairan, Laura Davis, Kelly Davis, Tim Dean, Amy Doyle, Elizabeth Dyson, Karen Eisel, Barbara Emerson, Pam Filotei, Marla Flaherty, Deborah Feltz, Jaye Gaffney, Bea Garrett, Karen Gilbert, Clyde Gordon, Theresa Gough, Merrie Graham, Gary Granger, Donna Griner, Joyce Ham, Susan Hamelin, Thomas Harrison, Charlotte Hale, Lisa Harden, Kathleen Hawks, Leroy Hawkins, Paula Hensley, David Hensley, Karen Hill, Allen Hilliard, Shelley Hines, Kelly Hodges, Jane Hornberger, Carol Hoornstra, Edward Hoornstra, Tracy Hutcherson, Jack Hussa, Ann Idacavage, Robert Im, Kathy Jackson, Andrew Jarvis, Jay Jenkins, Adijo Johnson, Nancy Johnson, Rob Joyner-Rikard, Sue Kayser, Dan Keegan, Kathleen Kidder, Margaret King, Cynthia Kirschke, Richard Kokoszka, Adam Kokoszka, Edward Koroll, Marie Kudrik-Gosnell, Lauri Landofi, Michael Lane, John Lawrence, Bruce Leonidas, Mary Lewis, Lynn Lolli, Gerald Lomax, Janice Long, Daniel Long, Mary Lowe, Travis Maholtz, Paul Mahoney, Rebecca Main, Hollie Martschink, Linda Mason, Stephanie Matthews, CJ McCarthy, Kerry McLaughlin, Bonny McNeilly, Catherine Meechan, Ellen Michal, Kern Milhaupt, Jeff Mills, Jeffrey Moehring, Barbara Moorefield, Jane Moraska, Tammy Morris, Janet Neill, Robert New, Luci Norcom, Patricia Nordness, Frances O’Brien, James Owens, Carol Owen, Laura Pournaras, Lynn Phillips, Heather Rassette, Karen Ray, Gary Reyher, Randall Reynolds, Sherry Rickelton, Angela Riley, Jr., James Ristaino, Ruth Rogers, Bonita Rose, Paul Schoen, Lorraine Seale, Albert Shafer, Susan Shields, Colleen Simon, Rose Smith, Michael Sniff, Donald Sposato, Deborah Stater, Shanna Stubblefield, Glenn Soots, Martha Spitzer, Loren Stein, John Strand, Karen Symythe, Theodore Tharp, Patricia Theimann, Lisa Thomas, James Todd, Michael Touron, Frances Tucker, Jesse Trus, Pamela Ubalde, Jose Vashon, James Weaver, Michele Wellman, Terry Welty, Paul Wilkerson, Valerie Wilboughby, Amy Zoldos, Ilona Political Action Committee Contribution Card Contributors to the PAC Zurlick, Philip Zurlick, Christine Zwerling, Art Bronze $1.00 - $100.00 Ali, Mazhar Allushuski, Patricia Anderson, Allan Andrews, Mark Antoszyk, Mark Arbeene, Robert Baker, Wendy Barker, Michelle Bnesky, Kasey Benson, Dorothy Bergman, Larry Bloem, Gloria Brault, Pauline Brown, Jessica Burger, Linda Burnett, Elizabeth Butler, Eric Caldwell,Nell Carter, April Carather, Kristin Charles, Cindy Chewning, Carol Ciraulo, Stephen Clark, Delores Clark, Robert Clark, Ronald Clark, Yetta Collin, Maggie Colon, Cesar Cozart, Dawn Crawley, Elizabeth Crowder, Scottie Dancy, Carol Davis, Steven Diettrich, Claude Dunn, Johnathan Earheart, Janet Ferguson, Laurie Fesel, Fred Flores, Robert Forbes, Anne Garris, Virginia Gennosa, Karen Gilmore, Robinson Gonzales, Clifford Goodson, Carol Gorman, Amy Gray, Cynthia Gregorino, Jane Guine, Marcia Hagler, Carey Harrington, Anne Hartwell, Edie Haynes, Linda Hazen, Christopher Herndon, Carolyn Herrin, Cindy Hill, Gayle Hirsch, Kathleen Holland, Jack Houghtelin, Nancy Howell, James Hoyle, Billie Hubbard, Stephen Hufford, Jo Carol Jenkins, Tana Jenkins, Tom Johnson, Carolyn Johnson, Shawnee Jones, Christine Jones, Diana Julian, Laura Karlet, Mary Karpinski, Henry Kearns, Susie Kelly, Myra King, Zola Kinsey, Donna Kirkpatrick, Cheryl Konst, Joseph Kokoszka, Adam Lachman, Abraham Lassiter, Amanda Lindsey, Rebecca Lockhart, Laura Lockwood, Maria LeGrand, Heath Lucisano, Tony Lupin, Judith Maddox, Janice Madigan, Jeanne Martin, LaDonna Martin, Renee Matthews, Robert May, Bonnie May, Michael McKnight, Rodney McLester, Suzanne McMillen, Michael McNeill, Cathie McQueen, Laura McVay, Sheri McVickers, Joseph Means, Timothy Mendez, Teresita Merritt, Debra Metcalf, Lisa Mills, Sandra Morgan, Linda Murphy, Linda Mynatt, Cindy Nelson, Stephen Nelson, Steve Neilson, Clifford Nicollerant, Kenneth New, Kathy O’Brien, Flora O’Connor, Kathleen Ortiz, Rachel Owen Steidlitz, Beth Parsons, Kathleen Pendergrast, Donna Pendergrast, Walter Pearson, Donna Pearson, Regina Reid, Elizabeth Reichert, Delyse Reiker, Michael Rickabaugh, Natalie Roberson, Linda Roberts, Michael Robinson, Tricia Royal, Anita Ruppee, Charles Sanders, Amy Schneider, Jane Secrest, Melody Shearer, Walter Shely, Laura Shreve, Lee Shulse, John Sigman, Kena Sikvers II, Robert Sladek, Barbara Smith, Arrie Smith, Dan Soto, Sandi Spitzer, Karla Spivey, Johnathan Spivey, Donna Stinson, Cynthia Stinson, Dan Stuart, Thomas Swade, Karen Taylor, Suzette Thompson, Sheila Tran, Ericka Trenery, Wendy Toole, Sanford Van D’amme, Brett Van Culin, Patricia Varadin, Donna Vicks, DesiRae Wadford, Pamela Weller, Cynthia Whalen, John Whitaker, Luanne Wielar, Amy Wiegand, Jean Wilde, Pamela Williams, Darlene Williams, James Williams, Jackie Wooten, Judith Wright, Dean Yantz, Valerie If there is an error in the level of contribution, mispelled names, please contact Suzi. Her email address is listed in the next column. I hereby authorize NCANA -PAC to charge/debit my credit card/ This is aaccount good place to briefly, effecchecking under the following but terms: ____ $10 per month ____ month or sertively, summarize $20 the per products ____ $30 per month ____ $50Sales per month vices that you offer. copy is typi____ $100 per month ____ $_________ per month cally not included here. Credit card information: Amex _____ Visa _____ MC_____ Lorem ipsum dolor sit amet, consecCard Number ______________________________________ Expiration Date _____________________________________ tetuer adipiscing elit, sed diem nonummy Billing Address _____________________________________ nibh euismod tincidunt ut lacreet dolore My checking account number (attach voided check): Bank name _______________________________________ magna aliguam erat volutpat. Ut wisis Bank address _____________________________________ Account enim ad#_________________________________________ minim veniam, quis nostrud One time contribution of ______________________________ (cash check made out to NCANA-PAC) exerciortution ullamcorper suscipit loborI understand I can cancel my automatic contribution at any time by tis.contacting NCANA -PAC in writing at the address below. Signature__________________________________________ (Please Print) Name_____________________________________________ Address____________________________________________ City_______________________________________________ State_____________ Zip Code ___________ Work Phone (___)___________________________________ Home Phone (___)__________________________________ E-mail Address_____________________________________ Return to: NCANA PAC c/o Suzi Brewer 201 Eva Lane Greensboro, NC 27455 Note from Suzi Brewer, CRNA, MSN NCANA PAC Treasurer: Any problems with credit card debits or bank drafts, please call or e-mail me. If you change credit cards or wish to change amount of contribution, please call me as well. Only Visa and Mastercard may be used. Suzi Brewer, CRNA, MSN Telephone: (336) 288-6566 e-mail: [email protected] Anesthesia Schools Page 10 Wake Forest University Baptist Medical Center The Wake Forest University Baptist Medical Center program started its academic year with 20 new students and a new director. Michael Rieker, DNP, CRNA officially succeeded Sandra Maree Ouellette as Program Director in July. Bringing a broad base of experi ence as a locum tenens CRNA and a clinical doctorate focused on busi ness and leadership in health care, Rieker looks forward to the oppor tunity to usher the program into its next era. This era will be character ized by program expansion, greater use of technological tools, and greater emphasis on professional socialization of students. This empha sis on social responsibility will be heralded by the motto, “Creating Excellence in Nurse Anesthesia.” That vision is to measure success not solely in numbers or pass rates, but in the collective spirit of graduates. The program will strive to produce graduates who are not only expert clinicians, but also ambassadors who will demonstrate principles of professionalism, commitment, accountability, and stewardship for the profession. This is the essence of the excellence we strive to create, and that which we believe will assure the success of the school and our graduates for years to come. Dr. Rieker is thankful for a highly compe tent and professional administrative team including Assistant Director, Sherry Owens, CRNA, MSN, and program secretary, Mashelle Odom. A number of clinical faculty will also lend their expertise to assist with classroom lectures this year. Guest lecturers include CRNAs, Sandy Ouellette, Richard Ouellette, Kasey Bensky, Sheila Crumb, Mark An toszyk, Angela Baldwin, Nancy Curll, Kristy Tyndall, Pam Emerson, Theresa Gordon, Kathleen O’Connor, Mark Kossick, Luci New, Chris Burton, and April Cable. A number of students and CRNAs attended the NCANA meeting in Williamsburg, VA. This meeting held special significance for us as Assistant Director Sherry Owens, CRNA, MSN received the gavel as incoming President. She delivered an excellent speech on imperatives for North Carolina CRNAs in the coming year. Sherry continues the tradition of our graduates serving in leadership positions in our profes sion. We are extremely proud of Sherry’s accomplishment as the first African-American NCANA President, and we look forward to the com ing year under her leadership. Shane Harrison, SRNA (along with David Phillips from the Duke University program) delivered a very profes sional lecture on thoracic trauma at the NCANA meeting. Other stu dents who took an active role in the meeting were Cliff Gonzalez, Alex Johnson, Karen Hall, and Brandy Morgan, who participated in the stu dent college bowl competition as “The Volatile Agents”. The WFUBMC program welcomes the class of 2007. Twenty students have been enrolled and represent broad and diverse back grounds. This is a strong group with an average of 4.6 years of ICU experience, and we are glad they have chosen our program. The class of 2007 consists of: Greg Aaron, Lewisville, NC, Johanna Fencl, Raleigh, NC, Page Foreman, Winston-Salem, NC, Shira Friend, Kernersville, NC, Kimberly Gordon, Greensboro, NC, Elissa Grimm, High Point, NC, Tashina Hartley (class representative) Winston -Salem, NC, Cary Hodshon, Winston-Slem, NC, Amy Inman, King, NC, Laura Johnson, Greensboro, NC, Melissa Jones, High Point, NC, Rochunda Lewis, Chi cago, IL, Stephanie Lindsey, Reidsville, NC, Holly McGee Cary, NC, Myong (Sun) Owens, Thomasville, GA, Terri Qualls, Burlington, NC, Trisha Ritz Winston-Salem, NC, Danielle Rose Clemmons, NC, Renea Shore, Hamptonville, NC, and Courtney Vick, Winston -Salem, NC. As this group was entering, twenty graduates left our nest on August 14. Sandra Ouellette delivered an inspiring graduation address, while Randy Callicott, M.D., Tim Blocker, CRNA, Bruce Monks, CRNA and John Thomas, M.D. were honored with outstanding instructor Students busy at work awards. Graduate Andy Wright was awarded the Chal Maree award for excellence, and Chris Connell received the Agatha Hodgins award. Dr. Randy Calicott was also recognized at the AANA National Meeting and given the Clinical Instructor of the Year award. Randy has been a great supporter of education in our institution and has been instrumental in teaching students fiberoptic intubation and other infrequently -used techniques. Thirty-six alumni and soon-to-be alumni gathered in Washing ton D.C. for a luncheon during the AANA annual meeting. The Office of Development and Alumni affairs sponsored the event, which was enjoyed by all participants. The event provided a great opportunity to rekindle old friendships, make new ones, and to revel in happy memo ries of days gone by at NCBH. Luncheon participants included David and Cindy Adeloye, Amanda Auston, April Carter, Chris Connell, An drea Sain, Marcia and Annie Guine, Mark and Barbara Haffey, Andra Haverly, Chris Hazen, Rebecca Lindsey, Rebecca Mahony, Nancy and Ben Maree, Brandi Morgan, Tonia Norris, Kathleen O’Connor, Sandy and Dick Ouellette, Sherry Owens, Rene Payne, Sharon Pearce, Betty Petree, Pam Phillips, Kristin Ratcliff, Julie Reynolds, Michael Rieker, Mark Schontz, Cheryl Straub, Terri Wallace, and Judy Shephard. Special guests included Jimmy Hicks, President of the NCANA, and Joe Avel lino, National Medical Sales Manager for GE. In other happenings at the national meeting, recent graduate, Mark Schontz led his team to an impressive victory in the college bowl competition. Mark’s team defeated all the other student teams in the competition and even gave the CRNA challenge team a run for their money. The event was lots of fun, and we are proud of Mark for repre senting us so well in that national forum. Other students in the spot light recently include five recent graduates who have had articles pub lished in the Student Journal of Nurse Anesthesia. The latest volume contained articles by Rebecca Lindsey on transphenoidal hypophysec tomy, Tim Barlow on pulmonary embolism, Eric Butler on fat embolus Page 11 Anesthesia Schools Wake Forest University Baptist Medical Center Continued syndrome, Cheryl Straub on intraoperative myocardial infarction, and Christopher Hazen on Pierre-Robin syndrome. A number of additional articles have been submitted, and the students are anxiously waiting to hear whether theirs will be published. A number of technological advancements have been implemented this year to help keep the clinical and didactic components of our program wellintegrated. Clinical faculty now receive regular email updates to keep them informed of the topics covered in the classroom. Students’ electronic case records are also transmitted to certain clinical sites to help clinical coordinators make better-informed assignments. Students have also been exchanging class information via the Blackboard learning platform. Using this web -based platform, students can submit assignments, review lecture notes and figures, and receive test scores at their convenience from any internet portal. Students have also used the computer-based testing fea ture of Blackboard as a pre-test from home and as an in -class assessment using laptop computers via our wireless network. More computerized testing is anticipated to help better prepare students for the administration format of the certification exam. North Carolina Baptist Hospital continues to grow and expand, and the nurse anesthesia program is keeping in step with that progress. To make room for future construction, the program is planning a move to a larger, more contemporary location. Project plans include a 60-seat classroom with a variety of electronic educational support tools, a library, and a skills laboratory. Appreciating the need for an increased number of CRNAs in the future, we are also in the planning phase to consider increasing student enrollment in our program. Finally, the school would like to thank all the generous alumni and supporters who help us financially during the year. Donation s to the program are used directly to provide enriching student experiences which our budget does not support. Please keep us in mind during the Office of Development’s fall campaign, and know that each and every gift is much appreciated. Likewise, donations of retired anesthesia equipment would be appreciated as we outfit our new skills lab. Anesthesia Schools Page 12 Carolinas HealthCare System Nurse Anesthesia Program/UNCC This year has been a busy and exciting one for the Carolinas HealthCare System Nurse Anesthesia Program/ UNCC. This Fall we welcomed 10 new students: Tara Kennerly, Kent Hoggard, Hannah Moore, Nicola Raschella, Paige Cole, David Proffer, Sun-I Jones, Angela Studer, Jamie Turner and Robert Wilkins. We welcome all of them and wish them luck as they begin their Nurse Anesthesia journey. In August, students and faculty watched with pride as our Assistant Director of Didactic Education, Tim Murry, CRNA, MSN delivered a lecture “Peripheral Opiod Receptor Antagonists and Management of Post-Operative Ileus”at the AANA National Meeting in Washington, DC. Our Assistant Director of Clinical Education Leslie Golden, CRNA, MSN and Clinical Didactic Instructor Specialist Dianne Earnhardt, CRNA, MSN have written a chapter on the respiratory system for an award winning critical care nursing textbook. Leslie is also serving on the NCANA Program Committee and NCANA Education Committee. Rick Ellsaesser, CRNA, MSN Clinical Didactic Instructor Specialist, continues to serve the Council on Accreditation as a Site Reviewer. We are proud of all of their contributions to our profession. The NCANA/VANA joint meeting in Williamsburg was well attended by the students and faculty of the CHSNAP/UNCC. Our Anesthesia Bowl team, “The Saturated Receptors” put in an amazing performance and made all of us extremely proud. They placed 2nd in North Carolina, losing in the final moments to Duke by a very slim margin. Duke went on to win the competition overall. We congratulate Duke, and remind them that we will be back next year as tough as ever! Our fabulous team members included Tom Stuart, Chris Herring, Paula Williams, Kelly Garmon and Laurie Faulkner. We also commend Tim Murry, CRNA, MSN who lent his humor and expertise to the post of Master of Ceremonies for the Anesthesia Bowl. During October, the program hosted several “Open Houses” to attract qualified candidates from critical care units in the Charlotte area. The open houses were well attended, and included faculty and students as hosts. Prospec tive candidates were given information of all aspects of the Nurse Anesthesia Program, from didactic to clinical. In other exciting news, our new human patient simulator has arrived, and plans are underway for training classes and demonstrations. On December 6th, an Open House was held for the students, faculty and staff of Carolinas College of Health Sciences and Carolinas Medical Center. This was a fun and informative gathering, with students and faculty working through clinical scenarios on the simulator as visi tors observed. Last but certainly not least, on December 15 th the class of Fall 2005 received their certificates of completion and cele brated their graduation day. The graduates are Hope Bishop, Karen Crosby, Laurie Faulkner, Winter Gregg, Ned Swarts, Chris Herring, Kristin Skinner, Katie Stubbs, Audra Headley, Paul Lawless and Paula Williams. Graduates of the class of Fall 2005 chose John Graham, CRNA, MSN as the Outstanding Main OR CRNA. Ingrid Ruppault, CRNA, MSN was chose as Outstanding ODS CRNA. Dr. Joe Coyle was chosen as the Outstanding Anesthesiologist. Paul Lawless was chosen by the clinical staff at Carolinas Medical Center as “Outstanding Senior.” Chip Dempsey, CRNA at CMC One Day Surgery Unit was chosen to be the guest speaker. Carolinas HealthCare System will welcome six of the graduates back for full-time employment. Best wishes and congratulations to you all! Anesthesia Schools Page 13 East Carolina University Nurse Anesthesia Program What an exciting six months we have had! First, we all extend our CONGRATULATIONS to all in the first graduat ing class for their 100% pass rate on the National Certification Examination – all CRNAs!! This September, we again attended the NCANA annual state meeting – but this year it was held in Williamsburg VA as a joint conference with the VANA. It was an excellent educa tional program. Several from the class of 2007, and all from the class of 2006 attended. Our class of 2006 participated in the quiz bowl and did a great job – lots of pirate pride! It was a good break from the clinical area and they were even able to take in some of the local recreational activities. Class 2007 at NCANA 2005 state meeting held Williamsburg VA We had a social with the class of 2006 and 2007. The class of 2007 begins clinical practicums in January and no doubt are dreaming of machine checks and preop care plans! Speaking of the class of 2007, Karla Spitzer was selected to be student representative to the NCANA. In this role she attends the board of directors meet ings and keeps all nurse anesthesia students apprised of current events through a newsletter she sends out. Way to go Karla !! Cris Erickson and Racheal Page at a social at Dr McAuliffe’s house It’s a girl! Simbaby has joined us in the simulation lab – and we are really looking forward to giving her a proper home. In summer of 2006 we will be moving into the new School of Nursing building here on west campus, and will have a real simulation center com plete with a computer room behind one way mirrors to create and direct realistic patient care scenarios. Stay tuned! Star Godwin, Alicia Chapman, and Rachael Page enjoying a little time off. Simbabt is a girl – already has lots of pirate pride Dr McAuliffe was given the prestigious national Dannemiller Award in November in San Antonio, Texas in recognition of her contributions to the nurse anesthesia profession. Dr McAuliffe received the 2005 Dannemiller Award We are extremely happy to announce that Greg Gambrell CRNA has joined our faculty. Greg has been clinical faculty at PCMH teaching students both in the classroom and in the clinical area. We are indeed fortunate to have such a won derful addition to our program – students and faculty alike extend warm wel come aboard to Greg. Page 14 2006 Calendar of Events JAN 28 FEB 23-25 MARCH 4 NCANA DISTRICT I & II COMBINED MTG, EMBASSY SUITES, GREENSBORO, NC AANA ASSEMBLY OF SCHOOL FACULTY, MARRIOTT HOTEL, NEWPORT BEACH, CA NCANA DISTRICT III & IV COMBINED MTG, HILTON CHARLOTTE CENTER CITY, CHARLOTTE, NC MAR 18 MAR 18 NCANA FINANCE COMM MTG, 9-11, GREENSBORO AIRPORT MARRIOTT, GREENSBORO, NC NCANA BOD MTG, 11am-3pm, GREENSBORO AIRPORT MARRIOTT, GREENSBORO, NC APRIL 23-26 AANA MID-YEAR ASSEMBLY, CAPITAL HILTON HOTEL, WASHINGTON, DC JULY 21 PM BUDGET PLANNING MTG, GREENSBORO AIRPORT MARRIOTT, GREENSBORO, NC JULY 22 JULY 22 JULY TBA NCANA FINANCE COMM MTG, 9AM-11AM, GREENSBORO AIRPORT MARRIOTT, GREENS BORO, NC NCANA BOD MTG, 11AM-3PM, GREENSBORO AIRPORT MARRIOTT, GREENSBORO, NC PROPOSED BYLAW CHANGES MAILED AUG 5-9 AUG TBA AUG 25 SEPT 22-24 CLEVELAND CONVENTION CTR, CLEVELAND, OH BALLOTS COUNTED YEAR END BOARD AND COMMITTEE REPORTS DUE TO NCANA CO NCANA ANNUAL MTG, MARRIOTT HOTEL, MYRTLE BEACH, SC OCT TBA NOV 10-12 NOV 30 NCANA BOARD RETREAT AANA FALL ASSEMBLY OF STATES, GRAND AMERICA HOTEL, SALT LAKE CITY, UT ANETIC NEWS ARTICLES DUE Sharon P. Pearce, CRNA named to North Carolina Diabetes Advisory Council Sharon P. Pearce, CRNA, and mother of diabetic daughter is named to North Carolina Diabetes Advisory Council. Governor Mike Easley has appointed Sharon P. Pearce, Certified Registered Nurse Anesthetist, of Lexington, North Carolina, to serve on the North Carolina Diabetes Advisory Council. A nurse anesthetist as well as the mother of a daughter with diabetes, Pearce knows personally and professionally that diabetes and pre- diabetes afflicts approximately one million North Carolinians and costs the residents of the state an estimated $3.1 billion for health care each year. Mrs. Pearce holds a Master of Science in Nursing from UNC, Greensboro and a Certificate in Nurse Anesthesia from the Wake Forest University Bap tist Medical Center Nurse Anesthesia Program. She is currently employed by Caro lina Anesthesia Associates in Hickory and serves as Adjunct Faculty for the Nurse Anes thesia Program at Wake For- est University Baptist Medical Center. Mrs. Pearce is a past President of the North Carolina Association of Nurse Anesthetists and continues to be an active force within the Association. Established in 1994, the North Carolina Diabetes Advisory Council advises the Diabetes Prevention and Control Pro gram of the NC Division of Public Health by developing, reviewing and endorsing plans, provides leadership, advocacy for programs, provides technical assistance and influences policy around health system changes. Through communication and coordination with key stakeholders such as Sharon Pearce, the Advisory Council has been instrumental in the development and publication of a state plan to combat Dia betes.
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