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
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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
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Hill, Gayle
Hirsch, Kathleen
Holland, Jack
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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
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Kinsey, Donna
Kirkpatrick, Cheryl
Konst, Joseph
Kokoszka, Adam
Lachman, Abraham
Lassiter, Amanda
Lindsey, Rebecca
Lockhart, Laura
Lockwood, Maria
LeGrand, Heath
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Lupin, Judith
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Nelson, Steve
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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
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Stinson, Cynthia
Stinson, Dan
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Tran, Ericka
Trenery, Wendy
Toole, Sanford
Van D’amme, Brett
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Wadford, Pamela
Weller, Cynthia
Whalen, John
Whitaker, Luanne
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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
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$50Sales
per month
vices that you offer.
copy is typi____
$100 per month
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$_________ per month
cally not included here.
Credit card information:
Amex _____ Visa _____ MC_____
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Date _____________________________________
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name
_______________________________________
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Bank address _____________________________________
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enim ad#_________________________________________
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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__________________________________________
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Return to:
NCANA PAC
c/o Suzi Brewer
201 Eva Lane
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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.