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Hi success NP today we are 
joined by our two fabulous 

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guests as well as Jackie, our Co
host. 

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We're having Anna Joe on the 
podcast. 

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She's a new graduate CRNA 
working in NYC and prior to re 

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anesthesia training, she worked 
as a travel COVID ICU nurse and 

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a CVICU nurse from coast to 
coast. 

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She's the Co founder of the 
Confidence Care Academy and 

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online educational resource for 
critical care nurses as well as 

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aspiring Crnas. 
And we also are joined by 

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Chrissy Massaro, who has been a 
CRNA since 2017 and she 

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currently specializes in cardiac
and obstetric anesthesia and she

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practices in the big apples as 
well. 

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She is the Co founder of the 
Confident Care Academy as well, 

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which is as I stood at online 
resource for acute care NP. 

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Welcome ladies to the podcast. 
Thanks so much for having us. 

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All right, so can you guys just 
go ahead and jump down, just 

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step down the the deep dive here
on both of you. 

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Either one of you can take it 
kind of your path to becoming a 

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CRNA because you both are CRNA 
once more new, but kind of talk 

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about your paths and how you got
to the spot where you are today.

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Do you want to go for Santa 
since it's a little more recent 

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for you and I? 
Think we have pretty different 

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paths to kind of end up. 
Where we are. 

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I'll start with my story. 
I knew 1st that I wanted to be a

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nurse and my grandfather lived 
with me when I was 13 to 14 

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years old on Mother's Day. 
When I turned 14, he got heart 

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transplant. 
So I was really involved in 

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caregiving and seeing acute 
heart failure from a really 

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young age. 
And my first impression of those

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nurses were that they were 
dealing with all of these 

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flashing lights and then they 
gave me the part pillow to write

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on. 
And then I saw my grandfather go

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from Gray to pink. 
And I was like, this is the 

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coolest thing ever. 
I want to be a heart transplant 

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ICU nurse. 
And so I went to college nursing

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school, traveled around a lot, 
and then that was able to start 

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off in the CVCQ at Johns 
Hopkins. 

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Throughout nursing school, I 
became kind of acquainted with 

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the anesthesia world because I 
had to work full time through 

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school for many reasons. 
So while I was working as ACNA 

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during my OB retention, there 
was this mom who had a bit of 

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like an unplanned C-section. 
Baby was having some 

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deceleration to their heart 
rate. 

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Man ended up getting a blood 
transfusion. 

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There was a lot that was 
happening that I didn't really 

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understand as a nursing student,
but I saw this CRNA just lock in

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with this mom and with their 
partner and caught like the 

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innocence as mom was throwing up
was explaining everything while 

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I need blood products. 
And really just like in lock 

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step with this mom and her 
partners for what could have 

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been like a very traumatic 
birth. 

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And I knew I was like, this is 
exactly what I want to do. 

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So I knew from the time I was 
like 19 or 20 that I was 

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interested in the nurse 
anesthesia path. 

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And then COVID kind of threw a 
curveball and all of it. 

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I was not planning on being a 
travel nurse. 

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I ended up doing COVID crisis 
travel nursing for about 2 1/2 

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years and I started documenting 
that experience online. 

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TikTok was something that was 
totally foreign and new to me, 

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but like so many people, I was 
missing community and wanted to 

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connect with nurses who were 
going through a similar 

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traumatic thing that I was and 
started just making educational 

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concerts, documenting my COVID 
ICU experience. 

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And that was when I started to 
cross paths with Chrissy, who 

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was already a CRNA. 
And I will give it over to her 

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from here because it's kind of 
where our paths come across. 

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That was a great like synopsis 
of and I thought that was really

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nice, Anna. 
Good little segue. 

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So my path, like Anna said, was 
extremely different. 

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I had a suspicion in high school
that I might want to go into the

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medical field because I loved 
science. 

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I was a total nerd for it. 
I'm a nerd for a lot of 

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different subjects, honestly, 
but I had kind of had a lot of 

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mixed advice going into college,
a lot of people trying to steer 

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me away from going into the 
Health Sciences and so, but I 

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still wanted to help people, 
quote UN quote, right? 

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I still wanted to be in a 
helping profession. 

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I grew up with a sister with 
Turner syndrome and autism, and 

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she had a heart condition as 
well associated with her Turner 

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syndrome. 
There was a lot of exposure to 

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behavioral health in my 
household and my mom working in 

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the special education system. 
So my first major in college was

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actually social work. 
So kind of like far away from 

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the medical field. 
That's kind of where I really 

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enjoyed learning about the 
humanities and social sciences. 

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But as I continued in my social 
work education, I really was 

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missing that nerdy piece of me 
that fell in love with the like 

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more traditional STEM sciences 
in the 1st place. 

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So out of curiosity, I just kind
of signed up for general 

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chemistry and biology just in 
case. 

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And then I ended up getting a 
study abroad opportunity where I

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was able to study abroad in 
Mexico to complete my Spanish 

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minor and I got to shadow 
physicians in Mexico. 

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So when I was down in Mexico in 
the public hospitals, 

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specifically the Women's 
Hospital in Puebla, I ended up 

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having this really unique 
experience where I had a lot of 

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my paperwork kind of fall 
through and I wasn't able to 

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continue on with my rotations. 
So I kind of got like stuck 

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there. 
The anesthesiologist in the 

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Women's Hospital felt bad for 
me. 

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She like knew I was essentially 
homeless. 

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Little nobody wanted to take me 
under their their wing. 

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So she adopted me for the rest 
of the semester and I spent the 

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rest of my semester in 
anesthesia. 

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And then she would also like 
farm me out to some of her 

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friends in different 
specialties. 

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But here I was like a social 
work major now in an operating 

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room with an anesthesiologist 
for the rest of my time in 

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Mexico. 
And it was amazing. 

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It was a completely 
transformative study abroad 

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experience. 
I learned so much. 

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I was like, OK, when I go back 
to the USI guess I have to like,

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rework my plans as I've been in 
my EMT certification and I 

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became a nurse's aide and just 
kind of tried to figure out like

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what field of healthcare was 
right for me. 

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Switch my major to psychology so
I could kind of salvage my 

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credits. 
I finished out my biology minor 

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and then I ended up going for a 
second degree in nursing once. 

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Yeah. 
It was like kind of this crazy 

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zigzag that I was like getting 
my nurses aide experience and 

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working towards getting my 
second degree in nursing. 

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That's when I discovered what a 
CRNA was. 

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I never heard of this job 
before, but the anesthesiologist

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at the surgery center who's like
you should think about being a 

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CRNA and he put me in the ORS 
with the CRNA's who were the 

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ones who were in the cases he 
would be in like a pre op and 

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PACU area. 
The CRNA's there took the time 

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to mentor me and explained to me
what their job was. 

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So that's kind of where I first 
discovered it. 

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Really a total mistake. 
And then once I was at ICU 

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nurse, I was more excited to go 
back to become a CRNA because I 

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really realized that being a 
CRNA was everything I loved 

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about the ICU, but none of the 
things I didn't like. 

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I didn't like being pulled in 
multiple directions. 

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I really liked one-on-one 
patient care and I knew that 

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being a CRNA would be exactly 
that, which it definitely is. 

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People think it's leaving the 
bedside. 

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I like to tell them I'm closer 
to the bedside than ever before.

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And then, yeah, I finished 
Serenade. 

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Really. 
Since I've had the pleasure of 

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getting to go to Serenade School
in 2015. 

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I graduated in 2017 and here we 
are. 

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It's amazing. 
I love that. 

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I love both of those stories. 
It's like it's meant to be. 

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You guys were kind of new early 
on for Anna and then Chrissy. 

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It was just kind of meant to be 
for you as well. 

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You know it's. 
Cool like the the truck for one 

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was very like convoluted and 
just kind of like yeah and then 

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I finished Spanish and I was in 
Mexico and then this one's just 

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like very like no, I know how it
yeah right. 

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You know what? 
And that's so cool about 

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nursing. 
That's why we say like enjoy the

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journey. 
Like you just kind of don't know

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how you're going to get there 
and whenever you end up and now 

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you guys have created some other
venue of this creative 

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00:09:02,160 --> 00:09:07,680
educational space that you've 
spun off of your other, What I'd

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like to say is like you have an 
education, but now you've kind 

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of created something that's 
yours from your education. 

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So could you tell our listeners 
like kind of what you guys have 

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collaborated on and now create 
it? 

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I'll get this to you, Chrisley 
to Stone. 

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OK. 
Yeah. 

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So I think this is kind of where
like our stories pick back up, 

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which is this was a really nice 
segue once again. 

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00:09:27,600 --> 00:09:31,840
So when I was an ICU nurse, 
again, this was 2017, things 

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were a little bit different back
then, but I felt like I really 

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didn't have access to any 
resources that I needed to truly

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understand my job at a deeper 
level. 

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The senior nurses are expected 
to perform at a really high 

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level. 
We're responsible for a lot of 

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00:09:44,960 --> 00:09:47,160
things, especially on night 
shift when there's not enough 

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00:09:47,160 --> 00:09:49,280
help around. 
We used to just have one second 

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00:09:49,320 --> 00:09:52,520
year surgical resident and a 
moonlighting attending for 32 

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00:09:52,520 --> 00:09:55,200
beds where we constantly had 
emergencies going on. 

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00:09:55,400 --> 00:09:57,800
The amount of nights I had to 
just figure things out on my 

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00:09:57,800 --> 00:10:01,560
own, I can't even count. 
After scouring the Internet, 

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00:10:01,560 --> 00:10:04,840
there was nothing on YouTube, 
there were no textbooks that 

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00:10:04,840 --> 00:10:07,400
really went deep enough. 
Most information online was 

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00:10:07,400 --> 00:10:11,000
really designed for prescribing 
guidelines or it's very patient 

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00:10:11,120 --> 00:10:13,960
facing and it's too superficial.
There really was nothing that 

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00:10:13,960 --> 00:10:16,440
answered the why behind We're 
Doing What We're Doing that was 

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00:10:16,440 --> 00:10:20,400
appropriate for nurses. 
So once I got into CRNA school, 

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00:10:20,480 --> 00:10:24,840
I felt like a light bulb moment 
happened every single time I was

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in my Physiology class. 
I was always like, wow, had I 

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00:10:28,360 --> 00:10:32,520
known this, you know, six months
prior, a year prior, I would 

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00:10:32,520 --> 00:10:34,600
have done such a better job. 
I would have been so much more 

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00:10:34,600 --> 00:10:36,080
confident. 
I would have been so much less 

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00:10:36,160 --> 00:10:37,800
anxious. 
I would have understood 

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00:10:37,800 --> 00:10:41,680
everything so much better. 
And it felt really unfair that 

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00:10:41,680 --> 00:10:45,960
nurses didn't have access to 
this type of information. 

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00:10:46,240 --> 00:10:49,240
So that's really where the idea 
for Confident Care Academy was 

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00:10:49,240 --> 00:10:51,560
born. 
It wasn't until I started also 

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00:10:51,560 --> 00:10:55,160
building a TikTok platform that 
I really felt like, hey, maybe 

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00:10:55,160 --> 00:10:58,240
this can be the vehicle for it. 
It really just started out with 

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me messing around on my phone in
2019, like having fun. 

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00:11:02,360 --> 00:11:05,080
And then it turned into me 
answering questions and 

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00:11:05,080 --> 00:11:07,640
realizing, hey, there's a real 
opportunity to provide 

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00:11:08,040 --> 00:11:11,800
meaningful education here. 
So that's How I Met Anna, I 

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00:11:11,800 --> 00:11:14,800
think around like 2020 when she 
was making her COVID content. 

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00:11:14,800 --> 00:11:17,920
I was like, she reminds me so 
much of myself as a young ICU 

228
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nurse. 
Like I can only imagine, like it

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was so hard during normal times.
Like this would be so much 

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harder in a pandemic. 
And it really just like tugs on 

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my heartstrings seeing her and 
so many other new nurses going 

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through this period. 
Like I knew how hard it was even

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for myself and Philadelphia as a
serenade managing the crisis. 

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Like I just couldn't imagine 
being a new grad nurse. 

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So that's when we connected and 
I really liked her education 

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style. 
Well, it's very similar to mine.

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And I asked her to join me and 
build this venture where we 

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could educate ICU nurses 
together. 

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That's. 
Awesome. 

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Now this flat forward five years
from the time that we met on 

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TikTok, not 2025. 
We just got back from NTI, the 

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technical careers in conference 
in New Orleans and we now have 

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it's a community of over almost 
1100 ICU nurses, nurse 

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anesthesia residents and just 
registered nurses. 

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There's over 60 different CE 
approved lectures. 

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You have built out an entire 
pharmacology library. 

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We have pediatric lecture, we 
have chemistry lectures. 

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We are diving into the 
anesthesia content. 

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It's really turned into this 
place that has a resource and a 

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community for all of these 
nurses who we like. 

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We wish that we had had that and
now we've really created the 

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product and created the 
community that we wish. 

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Yeah, that's too. 
We also do a podcast as well. 

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I just finished the RNA 
training, so we're about to kick

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00:12:37,840 --> 00:12:40,880
that back up about August. 
But it's been so fun to see 

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something that went from like a 
friendship and then meeting 

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someone on the Internet. 
You know, we met online and now 

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it's run into like not only an 
online community, but in real 

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life community are people who 
want to know like the why and 

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understand like at the at the 
cellular level what's happening 

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for all of our patients. 
That's been really fun to see. 

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We have lots of fun pockets that
we do that we're excited about. 

263
00:13:02,920 --> 00:13:05,520
That's great. 
I was going to say it, Jackie, I

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00:13:05,520 --> 00:13:07,840
don't know if you want to take 
this one, but I thought next a 

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00:13:07,840 --> 00:13:11,160
good question would be kind of 
along the veins of like changing

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your mission, right? 
So you go from working for these

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big institutions as a CRNA and 
now you're kind of shifting to 

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creating something that's more 
mission driven for you 

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00:13:23,560 --> 00:13:26,920
personally, right? 
And I think that's a really neat

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moment in a nurse's career when 
kind of like what Jackie and I 

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experienced with our success in 
P business as well. 

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00:13:34,040 --> 00:13:37,400
Like we went from being nurses, 
nurse nurses to nurse 

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00:13:37,400 --> 00:13:40,680
practitioners to now being like,
no, this is something that we're

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00:13:40,680 --> 00:13:43,160
passionate about because we want
to help. 

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00:13:43,360 --> 00:13:46,480
Kind of looking back and 
reflecting back on helping those

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00:13:46,480 --> 00:13:48,800
that are behind you. 
I think that's a really neat 

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00:13:48,800 --> 00:13:53,400
place and your career and your 
kind of spot for where you guys 

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00:13:53,400 --> 00:13:55,520
are building. 
Can you tell a little bit about 

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00:13:55,640 --> 00:13:59,240
kind of what that process has 
been like for you guys to create

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00:13:59,400 --> 00:14:02,000
and with the the nurse in mind? 
Right. 

281
00:14:02,000 --> 00:14:04,600
So I'm no longer thinking about 
just building myself up, but now

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00:14:04,600 --> 00:14:06,040
I'm thinking about building up 
others. 

283
00:14:06,040 --> 00:14:10,160
Think for me, this has been a 
very long journey because it 

284
00:14:10,160 --> 00:14:12,720
takes a lot of years to really 
build your expertise, right? 

285
00:14:12,720 --> 00:14:15,040
Earlier I misspoke. 
I said 2017 was when I was 

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00:14:15,040 --> 00:14:17,640
nurse, it was 2013. 
So you know, think about like 

287
00:14:17,640 --> 00:14:21,440
how many years has really gone 
by since then and how it it goes

288
00:14:21,440 --> 00:14:24,840
from you personally struggling 
just to get through your day 

289
00:14:25,040 --> 00:14:28,960
where you're just so afraid of 
messing up to then suddenly like

290
00:14:28,960 --> 00:14:31,880
you're precepting for the first 
time, like a year or two in and 

291
00:14:31,920 --> 00:14:34,640
you're like, who am I to be 
teaching anyone anything, right?

292
00:14:34,720 --> 00:14:37,080
And then you go to like the next
level where your challenge in 

293
00:14:37,080 --> 00:14:39,160
school and you're like, Oh my 
gosh, I don't know anything 

294
00:14:39,160 --> 00:14:42,640
again, right And then. 
Exactly, exactly right. 

295
00:14:42,840 --> 00:14:45,600
You take on new challenges 
continually as you go in your 

296
00:14:45,600 --> 00:14:48,600
career, taking on your 
specialties, cardiac anesthesia,

297
00:14:48,640 --> 00:14:50,840
OB anesthesia, all these things 
are like these little learning 

298
00:14:50,840 --> 00:14:53,320
curves. 
Eventually you get to a point 

299
00:14:53,320 --> 00:14:57,360
where you're like, OK, I, I'm 
comfortable in my career. 

300
00:14:57,360 --> 00:15:00,640
I know what I'm doing. 
It is so rewarding to preset 

301
00:15:00,640 --> 00:15:05,080
people one-on-one, but you can 
create such a bigger impact when

302
00:15:05,080 --> 00:15:08,120
you are able to teach to a 
larger group of people and when 

303
00:15:08,240 --> 00:15:10,240
you know that they really get 
it. 

304
00:15:10,440 --> 00:15:13,880
And then they get to disseminate
that same education to their 

305
00:15:13,880 --> 00:15:15,440
kids, right? 
Their adult kids. 

306
00:15:15,800 --> 00:15:18,240
You get to impact so many more 
people at once. 

307
00:15:18,240 --> 00:15:21,320
So as much as I love being a 
good clinician and taking 

308
00:15:21,440 --> 00:15:24,120
excellent care of one patient at
a time, right, like I said, I 

309
00:15:24,120 --> 00:15:26,880
hate being torn in multiple 
direction at the same time. 

310
00:15:26,880 --> 00:15:29,600
I feel like I still have that 
social work brain in the back of

311
00:15:29,600 --> 00:15:32,080
my head where I'm always looking
at the macro, right? 

312
00:15:32,080 --> 00:15:35,280
Like it's so nice to help one 
person at a time, but when 

313
00:15:35,280 --> 00:15:38,560
you're an educator, you get to 
help influence the entire 

314
00:15:38,560 --> 00:15:42,360
ecosystem and potentially like 
thousands of patients, right? 

315
00:15:42,360 --> 00:15:44,280
Instead of just one at a time in
your career. 

316
00:15:44,480 --> 00:15:46,720
I think things are probably 
really interesting for Anna 

317
00:15:46,720 --> 00:15:49,160
because she's been kind of 
straddling 2 roles recently. 

318
00:15:49,160 --> 00:15:51,200
So I'm going to hand this to 
you, Anna, because like you've 

319
00:15:51,200 --> 00:15:53,640
been in this really interesting 
position where you've been a 

320
00:15:53,640 --> 00:15:57,440
learner recently in CRNA school,
but still educating and 

321
00:15:57,440 --> 00:16:00,000
influencing people who are 
behind you. 

322
00:16:00,000 --> 00:16:02,760
So this has been like a really 
interesting process to watch. 

323
00:16:03,440 --> 00:16:04,840
Do you want to like, spin on it 
a little? 

324
00:16:04,840 --> 00:16:09,240
Yeah, well, not to be sappy, but
when you go way back to nursing 

325
00:16:09,240 --> 00:16:12,560
school, whether it's your 
undergrad or Baptist of science 

326
00:16:12,560 --> 00:16:14,880
in your ADN, we all learn some 
nursing theory. 

327
00:16:14,880 --> 00:16:18,560
We learn about like the novice 
to expert circle. 

328
00:16:18,720 --> 00:16:22,040
And it's been very interesting 
to kind of straddle both 

329
00:16:22,040 --> 00:16:26,560
positions of being a nursing 
educator and then also being 

330
00:16:26,560 --> 00:16:28,960
with a new preceptor every 
single day in an operating room 

331
00:16:29,000 --> 00:16:32,080
because often in CRNA training, 
you go to a new hospital every 

332
00:16:32,080 --> 00:16:34,240
month. 
I'm very excited moving forward 

333
00:16:34,400 --> 00:16:38,160
to have a little bit more like 
clear of a clear path in terms 

334
00:16:38,160 --> 00:16:40,960
of every single thing. 
I am the one taking care of my 

335
00:16:40,960 --> 00:16:43,320
patient and then also educating 
people who come behind me. 

336
00:16:43,320 --> 00:16:45,920
And we just finished this book, 
Christy and I at the Gap on the 

337
00:16:45,920 --> 00:16:48,160
Gate. 
We love reading books together 

338
00:16:48,600 --> 00:16:51,360
and I think it's really helpful 
to look at every single 

339
00:16:51,360 --> 00:16:54,160
experience as like, what can I 
learn from this and what can I 

340
00:16:54,440 --> 00:16:56,680
take away from this positively? 
There have been some 

341
00:16:56,680 --> 00:16:59,200
interactions with some people 
who are not great preceptors. 

342
00:16:59,280 --> 00:17:01,880
Some people are incredible 
clinicians and are not great 

343
00:17:01,880 --> 00:17:03,240
teachers. 
Not everybody who's a good 

344
00:17:03,240 --> 00:17:06,000
clinician is a good teacher. 
And then I can take even though 

345
00:17:06,000 --> 00:17:09,000
somewhat negative experiences 
and then moving forward have 

346
00:17:09,480 --> 00:17:11,760
better interactions with all of 
my learners who are going to 

347
00:17:11,760 --> 00:17:13,839
confidence. 
I love teaching and I'm really 

348
00:17:13,839 --> 00:17:16,480
excited to have my own 
individual learners, one-on-one 

349
00:17:16,480 --> 00:17:18,040
in the OR. 
And then, like Chrissy said, 

350
00:17:18,040 --> 00:17:21,160
like we get I get so much of 
hearing the story and stuff. 

351
00:17:21,520 --> 00:17:23,640
I finally understand what Miller
known does. 

352
00:17:23,640 --> 00:17:26,480
I understand what a fast Friday 
asteroid inhibitor is and I 

353
00:17:26,480 --> 00:17:28,520
understand how that's going to 
be an IO dilator. 

354
00:17:28,720 --> 00:17:31,520
And now I preset my orientee and
we take better care of our 

355
00:17:31,520 --> 00:17:32,800
patients. 
We understand that I have the 

356
00:17:32,800 --> 00:17:34,880
sick. 
So you need to understand that 

357
00:17:34,880 --> 00:17:36,400
it's going to like remain in the
system for. 

358
00:17:37,680 --> 00:17:39,880
So in terms of to get back to 
your real question, because 

359
00:17:39,880 --> 00:17:41,240
we're all yappers here. 
Like. 

360
00:17:41,440 --> 00:17:43,640
How do you design everything 
with a nurse in mind? 

361
00:17:43,640 --> 00:17:47,680
I think just as Profit Care 
Academy is designed for nurses 

362
00:17:47,840 --> 00:17:50,280
and then everything that we do 
kind of has sources in mind. 

363
00:17:50,360 --> 00:17:53,720
Honestly, I love living a life 
where I connect with other 

364
00:17:53,760 --> 00:17:57,160
largely women in an audience. 
I love living a life where I get

365
00:17:57,160 --> 00:18:00,480
to help nurses in the online 
education space. 

366
00:18:00,600 --> 00:18:03,440
I love teaching nurses in the 
clinical space, and I love 

367
00:18:03,440 --> 00:18:05,960
making personal content online. 
That's also going to resonate 

368
00:18:06,040 --> 00:18:07,960
people. 
So kind of most things in my 

369
00:18:07,960 --> 00:18:10,640
life I see are like, are 
designed for like the nurse in 

370
00:18:10,640 --> 00:18:12,880
mind who was somebody who just 
like, has a lot of shared 

371
00:18:12,880 --> 00:18:16,040
experiences. 
So yeah, I love it too. 

372
00:18:16,240 --> 00:18:18,840
It's great. 
I just am very happy that we all

373
00:18:19,000 --> 00:18:22,640
get to experience like this 
moment because the culture 

374
00:18:22,640 --> 00:18:25,160
shifting like whereas when we 
are nursing school is very like 

375
00:18:25,160 --> 00:18:27,800
nurses eat, they're young, you 
had to survive. 

376
00:18:27,800 --> 00:18:30,240
And you know, we all had good 
and bad experiences with nurses 

377
00:18:30,240 --> 00:18:33,080
and like if we have had this 
experience when we were younger.

378
00:18:33,080 --> 00:18:35,520
Where we could look to. 
Christian and or you know, 

379
00:18:35,520 --> 00:18:38,120
success and P for those 
resources versus I mean that 

380
00:18:38,120 --> 00:18:41,120
would have been a game changer. 
So I think we all experienced 

381
00:18:41,200 --> 00:18:44,440
that high or that satisfaction 
that, you know, was talking 

382
00:18:44,440 --> 00:18:47,560
about when someone could say, 
yeah, or I totally get it, or 

383
00:18:47,560 --> 00:18:50,320
you inspired me to go into 
Women's Health after precepting 

384
00:18:50,320 --> 00:18:55,200
with you or something like that.
Basically, the mindset of nurses

385
00:18:55,200 --> 00:18:59,960
has to change in order for us to
adapt and grow our profession. 

386
00:18:59,960 --> 00:19:02,360
To a certain extent in the 
medical model, they're very 

387
00:19:02,360 --> 00:19:05,280
supportive of one another. 
And kind of, and, and put, I 

388
00:19:05,280 --> 00:19:07,320
think partially because it's 
mostly male dominated. 

389
00:19:07,320 --> 00:19:10,320
Like they tend to kind of work 
in this way of like we're 

390
00:19:10,320 --> 00:19:12,760
supporting one another, whereas 
nurses are female dominated. 

391
00:19:12,760 --> 00:19:14,800
And I think to a certain extent 
we tend to hold one another 

392
00:19:14,800 --> 00:19:16,240
down. 
And I think that's beginning to 

393
00:19:16,240 --> 00:19:17,520
change. 
Like I think we're just 

394
00:19:17,520 --> 00:19:19,880
realizing like we can't survive 
that way. 

395
00:19:19,880 --> 00:19:23,920
Like we need to in order to grow
to support one another. 

396
00:19:23,920 --> 00:19:27,080
And I think I'm seeing that more
and more as I look online. 

397
00:19:27,080 --> 00:19:28,920
It's just like people are like, 
no, we're fighting that. 

398
00:19:28,920 --> 00:19:32,040
Like we're bucking that system 
of nurses eating their job, Like

399
00:19:32,040 --> 00:19:33,640
we can't. 
We're not going to survive if we

400
00:19:33,640 --> 00:19:35,240
do that. 
We thought we needed to climb on

401
00:19:35,240 --> 00:19:38,040
top of each other to get ahead. 
And I think now we're realizing,

402
00:19:38,120 --> 00:19:41,200
no, we need to stand with one 
another side by side. 

403
00:19:41,240 --> 00:19:44,120
That's how we move the needle. 
That's how we get ahead. 

404
00:19:44,400 --> 00:19:46,200
Yeah. 
It's a bigger sense of community

405
00:19:46,200 --> 00:19:50,280
to with having all of these 
resources to look up to experts 

406
00:19:50,280 --> 00:19:53,800
and anesthesia and whatnot. 
It can be a little isolating 

407
00:19:53,800 --> 00:19:56,360
thing going from a nurse to a 
nurse practitioner or CRNA, 

408
00:19:56,360 --> 00:19:59,160
where you have more autonomy, 
yes, but you kind of don't have 

409
00:19:59,160 --> 00:20:01,760
anybody else to kind of lean on 
so much, depending on where 

410
00:20:01,760 --> 00:20:04,760
you're practicing. 
Yeah, that's perfectly said. 

411
00:20:04,760 --> 00:20:07,320
Communities what we need. 
I think we're trying to fight 

412
00:20:07,320 --> 00:20:09,240
that because we just feel too 
isolated. 

413
00:20:09,320 --> 00:20:13,400
I will say back to what Chrissy 
said earlier about nursing and 

414
00:20:13,680 --> 00:20:16,280
anaesthesia and advanced 
practice rules and leaving the 

415
00:20:16,280 --> 00:20:18,480
bedside versus not leaving the 
bedside. 

416
00:20:18,720 --> 00:20:22,440
People will often ask like, do 
you regret choosing CRNA? 

417
00:20:22,440 --> 00:20:25,880
Do you regret or do you miss 
anything about being an IC 

418
00:20:25,880 --> 00:20:28,440
nurse? 
And I'll say that I feel closer 

419
00:20:28,440 --> 00:20:30,520
to the bedside than ever doing 
anesthesia for people, 

420
00:20:30,520 --> 00:20:33,760
especially like OD anesthesia. 
Like that's such a nursy thing 

421
00:20:33,760 --> 00:20:36,360
to just be like sitting beside 
somebody playing your favorite 

422
00:20:36,360 --> 00:20:38,280
music, like while they're having
their birth experience. 

423
00:20:38,560 --> 00:20:42,000
I will say that I miss just like
giggling with the Gurlians on 

424
00:20:42,000 --> 00:20:44,840
night shift, like with like a 
whole group of like 10-15 

425
00:20:44,840 --> 00:20:46,400
people. 
That's maybe the only thing that

426
00:20:46,400 --> 00:20:48,080
I really miss. 
And I think that's something 

427
00:20:48,080 --> 00:20:50,960
that nursing community does 
really well, is that just like 

428
00:20:50,960 --> 00:20:53,440
shared experience of like taking
care of all your patients 

429
00:20:53,440 --> 00:20:55,520
together side by side. 
But I agree with you. 

430
00:20:55,520 --> 00:20:58,600
I think that we are slowly 
changing the culture and also 

431
00:20:58,600 --> 00:21:00,040
making it a more welcoming 
place. 

432
00:21:00,040 --> 00:21:02,880
I want to talk a little bit 
about changing the culture and 

433
00:21:02,880 --> 00:21:06,400
how important it is for us to go
out of our way to find 

434
00:21:06,400 --> 00:21:08,720
incentives to do this at the 
institutional level. 

435
00:21:08,720 --> 00:21:11,480
Sandra, you brought up just a 
moment ago how the medical model

436
00:21:11,480 --> 00:21:13,000
does a really good job at this. 
I. 

437
00:21:13,000 --> 00:21:16,320
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454
00:22:15,440 --> 00:22:19,280
from working in academic Centers
for a very long time now is that

455
00:22:19,280 --> 00:22:23,120
this is actually designed 
intentionally in their own 

456
00:22:23,120 --> 00:22:26,480
system and pay structures. 
So in order for a residency 

457
00:22:26,480 --> 00:22:30,760
program to exist to get federal 
money for reimbursement so that 

458
00:22:30,760 --> 00:22:33,720
the hospital can keep running 
off of Labor that is essentially

459
00:22:33,960 --> 00:22:36,920
free and paid for by the federal
government and the Medical 

460
00:22:36,920 --> 00:22:40,240
College, in order to appoint the
physicians, in order to give 

461
00:22:40,240 --> 00:22:42,720
them their promotions to 
assistant professorship, to 

462
00:22:42,720 --> 00:22:46,680
professorship, to tenure ship, 
they have to either do research 

463
00:22:46,800 --> 00:22:48,520
or teach. 
So about half of the physicians 

464
00:22:48,520 --> 00:22:50,120
in the hospital system will 
teach. 

465
00:22:50,320 --> 00:22:53,960
And in order to teach, they need
to be evaluated by their 

466
00:22:53,960 --> 00:22:56,120
learners, their medical students
and their residents. 

467
00:22:56,160 --> 00:22:58,520
Evaluate how effective they are 
at teachers. 

468
00:22:58,520 --> 00:23:02,720
And if you are a mean preceptor,
if you are a mean man, you are 

469
00:23:02,720 --> 00:23:05,320
not going to get your promotion,
you're not going to get your pay

470
00:23:05,320 --> 00:23:08,840
raise, right. 
So this is actually designed all

471
00:23:08,840 --> 00:23:11,280
the way at the top from the 
Center for Medicare, Medicare 

472
00:23:11,280 --> 00:23:13,680
reimbursement CMS, all the way 
down to the bottom. 

473
00:23:13,680 --> 00:23:17,560
Like this is very intentionally 
structured and we don't have the

474
00:23:17,560 --> 00:23:20,640
same type of pay structure 
incentives in nursing. 

475
00:23:20,920 --> 00:23:23,440
There is no reward for being a 
nice teacher. 

476
00:23:23,440 --> 00:23:26,920
Often times this is just one 
more thing added to someone's 

477
00:23:26,920 --> 00:23:29,800
plate. 
We don't take the time in school

478
00:23:29,800 --> 00:23:32,360
to teach people how to precept, 
to teach people how to teach. 

479
00:23:32,360 --> 00:23:35,640
And education in itself is its 
own degree, right? 

480
00:23:35,640 --> 00:23:38,600
You can get a doctorate degree 
in just learning how to be an 

481
00:23:38,680 --> 00:23:41,520
educator in EDD. 
Like it is not something that 

482
00:23:41,520 --> 00:23:45,080
comes natural to most people and
we don't really incentivize it 

483
00:23:45,080 --> 00:23:47,480
for nursing. 
So, you know, you also touched 

484
00:23:47,480 --> 00:23:50,720
on the community piece, how this
can be very isolating, becoming 

485
00:23:50,720 --> 00:23:55,040
an NP, becoming a CRNA. 
So we don't have our homies to 

486
00:23:55,040 --> 00:23:57,880
Kiki with on night shift, right?
We don't have our red, we don't 

487
00:23:57,880 --> 00:23:59,520
have our bed. 
Well said, Well said, Christy. 

488
00:23:59,720 --> 00:24:02,480
Everything is incentivized to 
take you under their wing, 

489
00:24:02,480 --> 00:24:04,200
right? 
We're given the tools or 

490
00:24:04,200 --> 00:24:07,600
structures to do so, whereas in 
the medical community there is 

491
00:24:07,600 --> 00:24:10,280
like, again, the tools in place 
to do so. 

492
00:24:10,280 --> 00:24:12,360
So, you know, how do we create 
that? 

493
00:24:12,360 --> 00:24:14,800
Well, on the back end, of 
course, it's really nice at at 

494
00:24:14,880 --> 00:24:17,080
in programs like Success in PA 
and Confident Care Academy. 

495
00:24:17,080 --> 00:24:18,400
We're creating our own 
communities. 

496
00:24:18,400 --> 00:24:20,680
That's great. 
We really are a Band-Aid 

497
00:24:20,680 --> 00:24:23,520
solution to a systemic problem 
though, And I really think that 

498
00:24:23,520 --> 00:24:27,040
in our own institutions, we do 
need to be creating formal 

499
00:24:27,040 --> 00:24:31,000
preceptor programs and formal 
reward structures for teaching 

500
00:24:31,000 --> 00:24:32,640
people and nurturing people in 
the field. 

501
00:24:32,640 --> 00:24:35,640
And institutions that do this 
find a lot of success. 

502
00:24:35,640 --> 00:24:37,640
I'm glad that my current 
institution does do this. 

503
00:24:37,640 --> 00:24:40,560
For our new CR and ES, we have 
formal mentorship programs. 

504
00:24:40,560 --> 00:24:43,320
We have formal preceptor classes
where we're actually taught like

505
00:24:43,320 --> 00:24:45,040
a structure that we're supposed 
to precept. 

506
00:24:45,040 --> 00:24:48,320
And I do think it helps, but 
this is definitely not the norm 

507
00:24:48,400 --> 00:24:50,840
in the nursing world at all. 
And I definitely hope that that 

508
00:24:50,840 --> 00:24:51,960
changes. 
Absolutely. 

509
00:24:52,120 --> 00:24:56,720
I'll add it as someone who just 
completed training just to agree

510
00:24:56,720 --> 00:25:01,200
with you Chrissy on the medical 
model being tied off into one 

511
00:25:01,200 --> 00:25:04,880
specific academic institution 
and then just levels of buy in 

512
00:25:04,880 --> 00:25:08,040
from said institution in 
relation to nursing higher 

513
00:25:08,040 --> 00:25:11,160
education. 
So I have not completed acute 

514
00:25:11,160 --> 00:25:15,160
care MP program or like some 
people like others have. 

515
00:25:15,400 --> 00:25:18,920
However, there's often you go to
many different hospitals and 

516
00:25:18,920 --> 00:25:22,400
there's no facility level buying
into your education. 

517
00:25:22,760 --> 00:25:25,440
It's so often they're less. 
Like Chrissy said, there's less 

518
00:25:25,440 --> 00:25:29,120
sort of incentive to invest 
heavily in the education of the 

519
00:25:29,160 --> 00:25:33,200
APRN learners as we have now. 
We're looking at budget cuts to 

520
00:25:33,360 --> 00:25:36,400
Medicaid, Medicare, and then 
also the Grad Plus funding, 

521
00:25:36,400 --> 00:25:40,040
which is what enables graduate 
learners to go to medical nurse 

522
00:25:40,040 --> 00:25:42,640
practitioner in CRNA school. 
I'm interested to see what 

523
00:25:42,640 --> 00:25:45,280
changes happen in the future and
I hope that we get institution 

524
00:25:45,280 --> 00:25:47,440
level buy in to APR and 
education. 

525
00:25:47,560 --> 00:25:51,240
So for example, for CRNA school,
it tuitions $200,000 and I'm 

526
00:25:51,240 --> 00:25:54,280
only eligible for 60. 
I'm not going to be able to go 

527
00:25:54,280 --> 00:25:57,160
unless I get my tuition 
essentially bought by a 

528
00:25:57,280 --> 00:25:59,240
hospital. 
And then if I train all this 

529
00:25:59,240 --> 00:26:02,840
exclusively at that hospital, 
there would be incentive bin for

530
00:26:02,840 --> 00:26:05,040
my education at the institution 
level buy in. 

531
00:26:05,360 --> 00:26:08,240
So I think a return to the 
primary site model would be 

532
00:26:08,240 --> 00:26:10,480
really beneficial for us as 
learners. 

533
00:26:10,640 --> 00:26:14,320
And then like Christy saying 
systemic level buy in so that 

534
00:26:14,320 --> 00:26:17,160
there's rewards for positive 
behavior outside of just 

535
00:26:17,160 --> 00:26:20,480
recruitment for staff. 
I have no other programs for APR

536
00:26:20,480 --> 00:26:22,400
and education. 
They don't even guarantee you 

537
00:26:22,880 --> 00:26:25,240
clinical site often. 
Like sometimes you have to go 

538
00:26:25,240 --> 00:26:28,400
out and find those yourselves, 
which is, that's not wording 

539
00:26:28,480 --> 00:26:31,040
buying, you know? 
No, no. 

540
00:26:32,320 --> 00:26:34,800
All good points for sure. 
I think a lot of the questions 

541
00:26:34,800 --> 00:26:38,320
that people have are kind of 
like going from an ICU nurse to 

542
00:26:38,320 --> 00:26:39,720
CRNA. 
What's the difference? 

543
00:26:39,720 --> 00:26:42,360
What's your day-to-day pros, 
cons maybe. 

544
00:26:42,360 --> 00:26:45,000
I know that's like a lot to ask,
but maybe summarize. 

545
00:26:45,200 --> 00:26:48,120
Do you want to take this one? 
And I think this is a great one.

546
00:26:48,120 --> 00:26:50,160
Yeah, sure. 
Preparing contrast since it's so

547
00:26:50,200 --> 00:26:51,400
recent for you. 
Yeah. 

548
00:26:51,560 --> 00:26:54,320
So it's really fresh for me. 
What's different in your day in 

549
00:26:54,320 --> 00:26:57,560
and day out between being an ICU
nurse and being a nurse and 

550
00:26:57,600 --> 00:27:01,840
atheist or in the same trainee? 
So I was a ICU nurse and like 

551
00:27:01,840 --> 00:27:04,080
all of the different IC news 
uploaded to every ICU. 

552
00:27:04,120 --> 00:27:06,640
When you go in to be an ICU 
nurse, you get your one to three

553
00:27:06,640 --> 00:27:09,760
patient assignment and then you 
are participating in their plate

554
00:27:09,760 --> 00:27:10,920
of care for the course of the 
day. 

555
00:27:11,320 --> 00:27:14,120
When you are a nurse anesthetist
or a nurse anesthesia trainee, 

556
00:27:14,320 --> 00:27:19,440
you could be doing anywhere from
one case to 17 cases in a day. 

557
00:27:19,480 --> 00:27:22,440
If you're doing GII love that 
every day is different. 

558
00:27:22,520 --> 00:27:26,400
So one day you'll be doing OB, 
you'll be doing epidurals and 

559
00:27:26,400 --> 00:27:30,160
spinals or C sections, even pre 
op consents, and then going 

560
00:27:30,200 --> 00:27:32,160
through your B on OB all day 
long. 

561
00:27:32,600 --> 00:27:36,400
The next day you might be doing 
robotic appendectomies, like a 

562
00:27:36,480 --> 00:27:39,120
bunch of robotic surgeries. 
The day after that, you might be

563
00:27:39,120 --> 00:27:41,240
doing hip replacements and knee 
replacements. 

564
00:27:41,400 --> 00:27:44,040
I love the variety. 
So one thing that keeps 

565
00:27:44,040 --> 00:27:46,800
everything fresh and I feel that
anyone who is a travel nurse 

566
00:27:46,800 --> 00:27:49,360
before choosing their ATR injury
will agree. 

567
00:27:49,640 --> 00:27:51,560
I love the variety. 
I like changing it up. 

568
00:27:51,760 --> 00:27:54,960
So people will often say who are
not nurse anesthetists, they'll 

569
00:27:54,960 --> 00:27:57,760
say anesthesia is boring. 
I disagree really strongly. 

570
00:27:57,800 --> 00:27:59,600
I think that it is not boring at
all. 

571
00:28:00,000 --> 00:28:02,360
You are going to have such 
different days and there's so 

572
00:28:02,360 --> 00:28:05,400
much variety in anesthesia. 
I think eventually, if you've 

573
00:28:05,400 --> 00:28:07,920
been at CNA for 10 years, like 
Chrissy, you will find things 

574
00:28:07,920 --> 00:28:10,680
routine, but I don't find 
anything boring. 

575
00:28:10,680 --> 00:28:12,000
So your day's going to vary a 
lot. 

576
00:28:12,000 --> 00:28:14,280
Instead of caring for one to 
three patients as a nice new 

577
00:28:14,280 --> 00:28:18,640
nurse, you're caring for 
anywhere from 1 to 17 patients 

578
00:28:18,760 --> 00:28:20,600
in a shift. 
And I'll hit her up to Prithee 

579
00:28:20,600 --> 00:28:22,040
because there's a lot of 
questions layered in that 

580
00:28:22,040 --> 00:28:24,760
question like, yeah, in the 
transition. 

581
00:28:25,240 --> 00:28:28,600
I guess one of the biggest 
differences is also, and I 

582
00:28:28,600 --> 00:28:30,960
mentioned sometimes you have 
just one patient for the entire 

583
00:28:30,960 --> 00:28:34,080
day, like if you have a really 
big cardiac surgery case, a 

584
00:28:34,080 --> 00:28:37,440
really long spine surgery, 
difficult to access brain tumor,

585
00:28:37,440 --> 00:28:39,720
right? 
And sometimes you do have a ton 

586
00:28:39,720 --> 00:28:42,800
of really quick cases for 
patients that are relatively 

587
00:28:42,800 --> 00:28:45,440
simple. 
So as an ICU nurse, I felt like 

588
00:28:45,600 --> 00:28:48,920
you have so much involvement 
with the patient and their 

589
00:28:48,920 --> 00:28:51,600
family and you're with them for 
12 hours straight and sometimes 

590
00:28:51,600 --> 00:28:53,640
you have them three days in a 
row and sometimes they're on 

591
00:28:53,640 --> 00:28:55,200
your unit for three months, 
right? 

592
00:28:55,200 --> 00:28:59,120
You get to know patients really 
well as a serenade. 

593
00:28:59,120 --> 00:29:02,640
I often have only 15 minutes to 
get to know my patient. 

594
00:29:02,680 --> 00:29:06,360
I read about them, I meet them, 
we chit chat, we catch up and 

595
00:29:06,360 --> 00:29:07,760
then I'm putting them to sleep 
right. 

596
00:29:07,760 --> 00:29:11,400
Like it is very interesting how 
you have to be super, ultra, 

597
00:29:11,400 --> 00:29:15,040
ultra, ultra thorough and at the
same time you have a very 

598
00:29:15,040 --> 00:29:16,240
limited time to get to know 
them. 

599
00:29:16,240 --> 00:29:18,640
And then you're responsible for 
everything, like everything 

600
00:29:18,640 --> 00:29:20,560
about them, like you can't miss 
anything at all. 

601
00:29:20,680 --> 00:29:23,640
So the stakes are definitely 
really high in that way. 

602
00:29:23,720 --> 00:29:27,280
I know like as a new grad ICU 
nurse, one of the hard is 

603
00:29:27,280 --> 00:29:30,000
learning time management and 
you're trying to manage like 

604
00:29:30,200 --> 00:29:33,080
looking at the labs and the 
orders and reading the HMP and 

605
00:29:33,080 --> 00:29:35,080
understanding the plan of care. 
And now it's time for morning 

606
00:29:35,080 --> 00:29:36,120
routes. 
And like it's a lot of 

607
00:29:36,120 --> 00:29:39,360
responsibility in the first like
3 hours of your shift, you get 

608
00:29:39,360 --> 00:29:41,760
to document everything as a 
Serena, you have to know like 

609
00:29:42,000 --> 00:29:44,640
every single thing right off the
bat within the 1st 5 minutes of 

610
00:29:44,640 --> 00:29:46,440
meeting them. 
So it's like definitely a little

611
00:29:46,440 --> 00:29:49,480
bit of a mindset shift, but 
you'll get really good at it. 

612
00:29:49,480 --> 00:29:51,560
You can get really good at 
anything that you do every 

613
00:29:51,560 --> 00:29:53,800
single day. 
So just as a challenge or just 

614
00:29:53,800 --> 00:29:56,080
cuz it's new doesn't mean that 
you're not capable. 

615
00:29:56,080 --> 00:29:57,560
It just means you haven't done 
it yet, so. 

616
00:29:57,760 --> 00:29:59,280
Don't think I love that. 
That's good. 

617
00:29:59,280 --> 00:30:00,800
I love that. 
I might steal that, Chrissy. 

618
00:30:03,880 --> 00:30:07,240
It's all ripped. 
I just was asking because I was 

619
00:30:07,240 --> 00:30:11,360
like I always hear people say if
I would have done it again, I 

620
00:30:11,360 --> 00:30:13,600
would have been a C RNA. 
I always hear people say that 

621
00:30:13,760 --> 00:30:16,280
and I always have kind of in the
back of my personal mind. 

622
00:30:16,280 --> 00:30:17,480
I don't know if it's asked this 
question. 

623
00:30:17,480 --> 00:30:19,440
I'll have to check Instagram to 
see if anybody asked any 

624
00:30:19,440 --> 00:30:22,160
questions. 
But can an NP become AC RNA? 

625
00:30:22,160 --> 00:30:25,280
What's the path? 
So if I were to like, hey, I 

626
00:30:25,280 --> 00:30:28,120
have a doctorate and you know, 
in nursing and now I decide I 

627
00:30:28,120 --> 00:30:31,760
want to be AC RNA or even I'm 
just from the nursing spot, kind

628
00:30:31,760 --> 00:30:34,600
of walk us through the steps 
just briefly for someone that's 

629
00:30:34,600 --> 00:30:36,600
like, OK, I'm thinking about it.
What? 

630
00:30:36,600 --> 00:30:39,440
What can I do to get there? 
People do it, it's going to be 

631
00:30:39,440 --> 00:30:41,760
easier for some people than 
others depending on what type of

632
00:30:41,760 --> 00:30:44,840
nursing experience you had 
before you were an NP and also 

633
00:30:44,840 --> 00:30:46,120
what type of NP you are right 
now. 

634
00:30:46,120 --> 00:30:49,880
But at the end of the day, all C
RNA schools require you to be an

635
00:30:49,880 --> 00:30:51,920
ICU nurse at the time of 
application. 

636
00:30:51,920 --> 00:30:55,600
So if you are a family nurse 
practitioner working in primary 

637
00:30:55,600 --> 00:30:59,080
care, you're going to have to go
back to the bedside in the ICU 

638
00:30:59,080 --> 00:31:01,920
and get your ICU experience. 
And most places will still want 

639
00:31:01,920 --> 00:31:03,480
you to have two years of ICU 
experience. 

640
00:31:03,800 --> 00:31:07,880
That being said, I do know some 
acute care M PS that are working

641
00:31:07,880 --> 00:31:11,720
inpatient in an ICU and Serenade
schools have accepted that and 

642
00:31:11,720 --> 00:31:14,360
said, OK, that counts like 
you're actively managing 

643
00:31:14,360 --> 00:31:17,240
critically I'll patients in an 
ICU like, you know, close enough

644
00:31:17,280 --> 00:31:20,680
other people have had like, oh, 
they were an ICU nurse, they 

645
00:31:20,680 --> 00:31:22,600
went to NP school, they became 
an MP. 

646
00:31:22,760 --> 00:31:25,760
They were away from the like, 
from that role for a little bit 

647
00:31:25,760 --> 00:31:29,080
and then, you know, they, they 
go back to the ICU and then they

648
00:31:29,080 --> 00:31:31,200
apply right away. 
I've seen that happen a few 

649
00:31:31,200 --> 00:31:33,440
times as well. 
But you will have to get into 

650
00:31:33,440 --> 00:31:37,520
the ICU one way or another and, 
and be an ICU nurse when you're 

651
00:31:37,520 --> 00:31:39,840
applying for sure. 
So that's the only like, 

652
00:31:39,840 --> 00:31:41,560
downside. 
It can kind of feel like a step 

653
00:31:41,560 --> 00:31:44,160
backwards for some people. 
But yeah, if it's something 

654
00:31:44,160 --> 00:31:46,800
you're really truly interested 
in, I encourage you to network 

655
00:31:46,800 --> 00:31:49,200
and shadow and see what it's 
like in the operating room. 

656
00:31:49,520 --> 00:31:52,760
Spend time with CRNA, see what 
it's really like one-on-one in 

657
00:31:52,760 --> 00:31:54,640
person. 
It is a very rewarding career 

658
00:31:55,080 --> 00:31:57,600
and it's a career you can do for
a very long time. 

659
00:31:57,600 --> 00:32:00,200
I don't know of any bedside 
nurses who are in their 80s that

660
00:32:00,200 --> 00:32:03,800
are still working in an ICUI. 
Do know a lot of Syrian aides 

661
00:32:03,800 --> 00:32:07,120
that are still picking up for 
the in their 70s, in their 80s, 

662
00:32:07,120 --> 00:32:11,280
like they're doing it for their 
cruise ship money, like it, you 

663
00:32:11,280 --> 00:32:14,720
know it's good for them, right? 
You're going to have until 

664
00:32:14,720 --> 00:32:15,960
you're 80. 
I love that. 

665
00:32:16,280 --> 00:32:18,880
I don't know it's it could be 
worth just going back for that 

666
00:32:18,880 --> 00:32:21,360
one or two years. 
I see all sacrifice in the grand

667
00:32:21,360 --> 00:32:24,760
scheme of things, for sure. 
I was just going to add to the 

668
00:32:24,760 --> 00:32:27,560
path. 
Some CRA programs may accept a 

669
00:32:27,600 --> 00:32:30,480
handful of your nurse 
practitioner credits. 

670
00:32:30,480 --> 00:32:33,840
Many places will not accept more
than like one or two classes. 

671
00:32:33,960 --> 00:32:37,520
I see it's in the round of often
like a help assessment class or 

672
00:32:37,520 --> 00:32:42,160
a doctoral research level class,
or like their microbiology or 

673
00:32:42,160 --> 00:32:44,120
their Biostatistics. 
You're going to have to go 

674
00:32:44,120 --> 00:32:47,080
through the entirety of a CRNA 
curriculum, which is all three 

675
00:32:47,080 --> 00:32:49,560
years, but you may have one or 
two semesters that are a little 

676
00:32:49,560 --> 00:32:53,280
bit lighter because they accept 
your Biostatistics or your 

677
00:32:53,280 --> 00:32:55,080
HealthEquity class or something 
like that. 

678
00:32:55,160 --> 00:32:59,640
Versus for CRNA who go into 
acute care practitioner, often 

679
00:32:59,640 --> 00:33:02,760
it's a postmaster certificate 
completion program which can be 

680
00:33:02,760 --> 00:33:04,240
completed in a shorter level of 
time. 

681
00:33:04,280 --> 00:33:06,960
However, it's very doable. 
I know of a couple of people 

682
00:33:06,960 --> 00:33:09,440
even right now who just finished
their CRNA training who are 

683
00:33:09,440 --> 00:33:11,320
former years practitioners who 
are former. 

684
00:33:11,560 --> 00:33:14,480
If you tenders practitioners, 
it's very, it's very doable, but

685
00:33:14,600 --> 00:33:17,040
it's a three-year process. 
Going back to the application 

686
00:33:17,040 --> 00:33:20,840
process, so we had a question 
about how to make your resume 

687
00:33:20,880 --> 00:33:23,640
stand out when you apply to CRNA
school given that like a lot of 

688
00:33:23,640 --> 00:33:26,520
the requirements are the same 
for every ICU nurse. 

689
00:33:26,520 --> 00:33:28,880
What, what would be the way to 
make you stand out? 

690
00:33:28,880 --> 00:33:30,880
I guess I would say I think 
that. 

691
00:33:31,080 --> 00:33:33,880
Here in ethical application is 
one of the most stressful part 

692
00:33:34,720 --> 00:33:38,480
crna yeah, because it is like 
here's everything that I've ever

693
00:33:38,480 --> 00:33:40,800
done and here's all my work on a
piece of paper. 

694
00:33:41,000 --> 00:33:43,960
Please tell me I'm good enough. 
And then somebody just looks 

695
00:33:43,960 --> 00:33:46,920
like piece of paper and rejects 
you or accepts you. 

696
00:33:46,920 --> 00:33:50,480
It's so hard to feel that your 
entire self worth is just listed

697
00:33:50,480 --> 00:33:52,440
on a word to two page piece of 
paper. 

698
00:33:52,440 --> 00:33:53,800
And we all have the same on 
paper, right? 

699
00:33:53,800 --> 00:33:56,400
We all have a couple of advice. 
You experience good grades, 

700
00:33:56,400 --> 00:33:59,920
community involvement, 
volunteering, maybe just it's 

701
00:33:59,920 --> 00:34:03,320
hard to say, but except that you
look for same as everyone else 

702
00:34:03,320 --> 00:34:05,520
on paper. 
One thing that we do recommend 

703
00:34:05,520 --> 00:34:08,639
is shadowing extensively. 
You want to know that this is 

704
00:34:08,639 --> 00:34:11,719
something that's worth taking 
out 200 three $100,000 for want 

705
00:34:11,719 --> 00:34:13,080
to know actually what the world 
is. 

706
00:34:13,199 --> 00:34:16,159
And then we also say to go to 
your state level and if you can 

707
00:34:16,159 --> 00:34:19,159
afford it and it's really your 
realm of like financial reason, 

708
00:34:19,440 --> 00:34:23,840
go to the annual A, A and a 
conference 3 going to network 

709
00:34:23,840 --> 00:34:25,480
with people who are yours and 
SSS. 

710
00:34:25,480 --> 00:34:27,960
You're going to get to know the 
political landscape in the 

711
00:34:28,080 --> 00:34:29,400
places where you want to go to 
school. 

712
00:34:29,600 --> 00:34:33,199
It's really good for networking.
Also, if you are not close to an

713
00:34:33,320 --> 00:34:36,480
A and a conference, we say to 
get involved in your nursing 

714
00:34:36,520 --> 00:34:39,560
critical care conferences. 
So go to things like NTI, get 

715
00:34:39,560 --> 00:34:41,880
involved in critical care 
nursing conferences. 

716
00:34:41,880 --> 00:34:43,840
This is going to show that you 
are an engaged member of the 

717
00:34:43,840 --> 00:34:46,719
profession now, which will 
foreshadow that you're going to 

718
00:34:46,719 --> 00:34:49,639
be an engaged member of the 
profession when you graduate CRN

719
00:34:49,639 --> 00:34:50,679
school. 
And those are the people that 

720
00:34:50,719 --> 00:34:52,679
you're looking to bring into the
profession, people who are not 

721
00:34:52,800 --> 00:34:55,159
kind of just go clock in, clock 
out, make their money and go 

722
00:34:55,159 --> 00:34:56,679
home. 
We want to get people who are 

723
00:34:56,679 --> 00:34:58,520
going to be involved are going 
to help get the profession 

724
00:34:58,520 --> 00:35:01,240
forward proceeding. 
What do you have to add in terms

725
00:35:01,280 --> 00:35:03,440
of like resume, let's. 
Say one thing that I. 

726
00:35:03,520 --> 00:35:05,640
Very. 
Rarely see on people's resumes 

727
00:35:05,640 --> 00:35:07,840
or applications. 
That I think really does help 

728
00:35:07,840 --> 00:35:10,200
you stand out is research 
experience. 

729
00:35:10,520 --> 00:35:13,480
This is something that a lot of 
nurses don't have at all in 

730
00:35:13,480 --> 00:35:16,520
their repertoire, and a lot of 
people just simply don't want to

731
00:35:16,520 --> 00:35:17,800
put the time into. 
They would. 

732
00:35:17,920 --> 00:35:21,120
It's very common for people to 
accumulate a million micro 

733
00:35:21,120 --> 00:35:26,000
credentials like CCRNCMCCSC, 
like, just, you know, name, name

734
00:35:26,000 --> 00:35:28,000
that micro credential. 
They've added that letter to 

735
00:35:28,000 --> 00:35:29,040
their name. 
Yeah, yeah, yeah. 

736
00:35:29,040 --> 00:35:31,960
And they just keep taking tests.
But believe it or not, that's 

737
00:35:31,960 --> 00:35:34,800
not what most program directors 
truly value. 

738
00:35:34,800 --> 00:35:38,200
Like, yes, your CCRN is often a 
requirement for those who are 

739
00:35:38,200 --> 00:35:39,480
listening. 
That's your critical care 

740
00:35:39,480 --> 00:35:41,880
registered nurse exam. 
Yes, if there's another 

741
00:35:41,880 --> 00:35:45,040
certification that's truly 
representative of who you care 

742
00:35:45,040 --> 00:35:46,800
for in your unit, great, go for 
it. 

743
00:35:46,800 --> 00:35:49,440
But it is much more important to
show professional engagement. 

744
00:35:49,440 --> 00:35:51,480
So like Anna said, the 
conferences is a great way to 

745
00:35:51,480 --> 00:35:53,040
show that. 
Shadowing a lot, showing you're 

746
00:35:53,040 --> 00:35:54,400
really serious is a great way to
show that. 

747
00:35:55,000 --> 00:35:58,360
Research is a way to show that 
you are serious about making 

748
00:35:58,560 --> 00:36:02,240
your current profession better, 
even where you are right now. 

749
00:36:02,600 --> 00:36:04,360
It's a great way to get 
involved, and it's a great way 

750
00:36:04,360 --> 00:36:06,640
to prepare yourself for the 
doctoral work that you'll be 

751
00:36:06,640 --> 00:36:09,800
doing in CRNA school. 
All of the programs are DNP 

752
00:36:09,800 --> 00:36:12,280
programs right now. 
So this is something that's a 

753
00:36:12,280 --> 00:36:15,440
very unique way to stand out 
that most people don't do. 

754
00:36:15,440 --> 00:36:18,400
But if you really want a little 
extra boost that's going to help

755
00:36:18,400 --> 00:36:20,640
pull you out of the paper pile, 
I think that's a great hack. 

756
00:36:21,840 --> 00:36:23,440
That is good advice. 
I was thinking while you were 

757
00:36:23,440 --> 00:36:25,240
talking if they were all 
doctoral program. 

758
00:36:25,240 --> 00:36:29,040
So you answered that question 
And then if and I heard this, is

759
00:36:29,040 --> 00:36:32,520
it true that if you are AC RNA 
you can work as a nurse 

760
00:36:32,520 --> 00:36:35,240
practitioner as well? 
I've heard that said. 

761
00:36:35,480 --> 00:36:38,240
I didn't know if it was true and
somebody told me that I was 

762
00:36:38,240 --> 00:36:39,680
like, I don't know if that's 
true or not. 

763
00:36:39,760 --> 00:36:43,040
If if you work as AC RNA, you 
cannot go be a primary care 

764
00:36:43,040 --> 00:36:46,600
nurse practitioner or can you 
definitely not just work as 

765
00:36:46,640 --> 00:36:48,480
ACRNA? 
And is that state specific or is

766
00:36:48,480 --> 00:36:51,960
that just across the board? 
That is across the board because

767
00:36:51,960 --> 00:36:56,160
we are not credentialed or board
certified trained nurse 

768
00:36:56,160 --> 00:36:58,480
positioners, right? 
And we're not trained in either.

769
00:36:58,480 --> 00:37:01,560
Exactly. 
There are a few states that do 

770
00:37:01,560 --> 00:37:05,520
give us prescriptive authority 
outside of the operating room. 

771
00:37:05,520 --> 00:37:07,720
So that might be what that 
person was referring to. 

772
00:37:07,720 --> 00:37:10,880
I believe two of them that come 
to mind are in New Hampshire and

773
00:37:10,880 --> 00:37:13,400
Idaho. 
So for example, if I wanted to 

774
00:37:13,400 --> 00:37:16,040
work in like an acute pain 
clinic and do something that's 

775
00:37:16,480 --> 00:37:20,080
relevant to my scope and 
prescribe like pain medication 

776
00:37:20,280 --> 00:37:23,760
outside of the operating room, 
that would be acceptable, but it

777
00:37:23,760 --> 00:37:26,520
would be inappropriate for me to
see patients. 

778
00:37:26,520 --> 00:37:28,560
I'd like a primary care 
provider, for example. 

779
00:37:28,560 --> 00:37:30,000
Yeah. 
Yeah, I thought this. 

780
00:37:30,320 --> 00:37:33,640
States where I trained in New 
Mexico, that was the case as 

781
00:37:33,640 --> 00:37:35,240
well. 
We had prescriptive authority 

782
00:37:35,240 --> 00:37:38,240
outside of the operating room. 
So like Chris has said, it was 

783
00:37:38,240 --> 00:37:40,800
relevant to the practice of 
anesthesia. 

784
00:37:40,800 --> 00:37:43,440
But you could open ketamine 
clinics, you can open pain 

785
00:37:43,440 --> 00:37:46,320
clinics. 
You will occasionally see CRNAS 

786
00:37:46,320 --> 00:37:49,720
with prescriptive authority also
dabbling in the prescribed in 

787
00:37:49,720 --> 00:37:52,880
Botox world. 
That's not particularly relevant

788
00:37:52,880 --> 00:37:55,840
to the practice of anesthesia. 
And it's not something I think 

789
00:37:55,840 --> 00:37:58,840
that there's an entire decades 
of training that goes into 

790
00:37:58,840 --> 00:38:00,640
injecting the face. 
So I'm going to leave that to 

791
00:38:00,680 --> 00:38:03,200
people who have done decades of 
training in injecting the face. 

792
00:38:03,680 --> 00:38:06,560
But yes, as you, you can, if you
have prescriptive before be in 

793
00:38:06,560 --> 00:38:07,680
the state that you're practicing
in. 

794
00:38:07,920 --> 00:38:11,240
You can open a pain clinic, you 
can open a Keton clinic, you can

795
00:38:11,240 --> 00:38:12,760
work with me to pain things like
that. 

796
00:38:13,000 --> 00:38:13,760
Yeah. 
Perfect. 

797
00:38:14,840 --> 00:38:16,960
OK. 
So how do you see the roles of 

798
00:38:17,080 --> 00:38:19,960
Crnas evolving in the next 5 to 
10 years? 

799
00:38:19,960 --> 00:38:21,720
That's a good question. 
Well, we just got sort of 

800
00:38:21,720 --> 00:38:25,280
curveball with this House bill 
that just passed for it, CMS, 

801
00:38:25,440 --> 00:38:28,160
Medicare, Medicaid cuts. 
So the answer depends on whether

802
00:38:28,160 --> 00:38:29,800
this bill gets passed in the 
Senate or not. 

803
00:38:30,160 --> 00:38:34,560
But I think as reimbursement 
will likely get cut for 

804
00:38:34,560 --> 00:38:38,240
hospitals and facilities, I 
think we're going to see a very 

805
00:38:38,240 --> 00:38:40,960
big financial strain on every 
single department. 

806
00:38:40,960 --> 00:38:44,040
And that includes anesthesia, 
the medical direction model, 

807
00:38:44,040 --> 00:38:47,040
where in a lot of larger 
institutions we have one 

808
00:38:47,040 --> 00:38:50,280
anesthesiologist working with 
two cyranes at a time or three 

809
00:38:50,280 --> 00:38:53,840
cyranes at a time is extremely 
burdensome from a cost 

810
00:38:53,840 --> 00:38:55,920
perspective. 
It's extremely expensive. 

811
00:38:56,120 --> 00:38:59,440
So I do think we're going to see
more relaxed supervision ratios 

812
00:38:59,440 --> 00:39:03,040
where institutions that were 
quite spoiled and keeping us in 

813
00:39:03,040 --> 00:39:06,120
a one to two ratio will now be 
moving to 1 to 4. 

814
00:39:06,240 --> 00:39:08,560
Institutions that were in one to
four ratio might move to a 

815
00:39:08,560 --> 00:39:11,400
medical supervision model, have 
up to 8 rooms at once that 

816
00:39:11,400 --> 00:39:14,800
anesthesiologist is supervising.
We might see more collaborative 

817
00:39:14,800 --> 00:39:17,520
anesthesia teams where rather 
than an anesthesiologist 

818
00:39:17,520 --> 00:39:20,680
supervising CRNA's, each 
provider is just providing their

819
00:39:20,680 --> 00:39:24,360
own care in the room 1 to 1 and 
there's just one or two people 

820
00:39:24,360 --> 00:39:26,080
out in case of emergencies for 
health. 

821
00:39:26,320 --> 00:39:29,120
And they were going to see a lot
more of that in the future for 

822
00:39:29,120 --> 00:39:32,000
the progression for sure. 
I'll add for people who are 

823
00:39:32,000 --> 00:39:34,520
maybe listening for the first 
time about anesthesia politics 

824
00:39:34,520 --> 00:39:37,520
specifically, that the average 
age of an anesthesia provider, 

825
00:39:37,520 --> 00:39:39,960
whether there's KRNA or 
physician anesthesiologist, is 

826
00:39:39,960 --> 00:39:42,520
over the age of 50. 
The need for surgical care in 

827
00:39:42,520 --> 00:39:45,920
the United States is rising as 
we have an aging US population. 

828
00:39:46,080 --> 00:39:48,600
And then like Chrissy said, 
we're facing potential massive 

829
00:39:48,600 --> 00:39:51,720
Medicare and Medicaid cuts to 
reimbursement for hospitals 

830
00:39:51,720 --> 00:39:54,040
nationwide. 
So I completely agree. 

831
00:39:54,120 --> 00:39:55,280
I'll just echo what Chrissy 
said. 

832
00:39:55,280 --> 00:39:58,200
I do not believe that we have 
the finance first. 

833
00:39:58,200 --> 00:40:00,480
First of all, there's not a need
to. 

834
00:40:01,120 --> 00:40:03,280
Continue in a medical direction 
model from a patient safety 

835
00:40:03,280 --> 00:40:05,760
perspective, we have the data 
that we have indicates that 

836
00:40:05,880 --> 00:40:09,600
Crnas provide very safe care. 
So as Bundy becomes tight and 

837
00:40:09,600 --> 00:40:12,280
then we have fewer providers who
are available to provide this 

838
00:40:12,280 --> 00:40:15,320
care, I believe that the role of
Crnas is only going to continue 

839
00:40:15,320 --> 00:40:19,480
to expand in the future. 
I had the opportunity to train 

840
00:40:19,480 --> 00:40:21,920
in a collaborative anesthesia 
team model for the majority of 

841
00:40:21,920 --> 00:40:25,280
my training in New Mexico, which
is where both Crnas and 

842
00:40:25,280 --> 00:40:27,920
physician anesthesiologists are 
direct providing anesthesia. 

843
00:40:27,920 --> 00:40:31,000
And then there's one physician 
anesthesiologist who hangs out 

844
00:40:31,000 --> 00:40:33,440
of the numbers. 
It will give breaks to everyone,

845
00:40:33,480 --> 00:40:36,000
and they can help with difficult
airwinds or concussion or 

846
00:40:36,000 --> 00:40:39,360
blockchain providers. 
That model is efficient, it's 

847
00:40:39,360 --> 00:40:41,720
safe, and I think we're going to
see a lot more of that in the 

848
00:40:41,720 --> 00:40:44,800
future. 
Yeah, I'll say, I'll say that I 

849
00:40:44,800 --> 00:40:47,960
think it'll be the same for NPS 
just working in the different 

850
00:40:47,960 --> 00:40:49,680
areas as well like you're 
describing. 

851
00:40:49,680 --> 00:40:52,840
We're going to have to step up 
because I get the population of 

852
00:40:52,840 --> 00:40:56,080
physicians and primary care is 
just not lucrative and they're 

853
00:40:56,080 --> 00:40:58,600
just not going into these areas 
to work anymore. 

854
00:40:58,600 --> 00:41:01,640
And so nurse practitioners are 
going to be the ones kind of 

855
00:41:01,640 --> 00:41:04,120
filling those holes in those 
gaps in care. 

856
00:41:04,280 --> 00:41:07,280
And again, we have shown to to 
provide very good care. 

857
00:41:07,480 --> 00:41:09,800
And I think kind of going back 
and echoing what you're saying 

858
00:41:09,800 --> 00:41:12,200
about kind of being in a more 
collaborative space with 

859
00:41:12,200 --> 00:41:14,840
physicians and collaborating 
with one another as nurse 

860
00:41:14,840 --> 00:41:18,520
practitioners and having more 
nurse educators to help fill 

861
00:41:18,520 --> 00:41:22,160
those gaps in those gaps in 
education that we may kind of 

862
00:41:22,160 --> 00:41:24,840
step into the workplace and just
feel like, whoa, I don't feel 

863
00:41:24,840 --> 00:41:27,000
prepared for this. 
I think it's only going to 

864
00:41:27,000 --> 00:41:30,040
increase the demand for other 
nurses to educate in the special

865
00:41:30,040 --> 00:41:31,920
ways that they do. 
So I think it's just going to 

866
00:41:31,920 --> 00:41:35,080
demand an increase in all these 
these these specialties in these

867
00:41:35,080 --> 00:41:39,480
different areas of potential 
creation for MP's and other 

868
00:41:39,480 --> 00:41:40,880
nurse creators. 
I think it's going to be really 

869
00:41:40,880 --> 00:41:42,480
cool. 
I just wanted to say that I have

870
00:41:42,480 --> 00:41:44,760
family, family members that have
taken your course and they just 

871
00:41:44,760 --> 00:41:47,280
wanted to echo the sentiment 
that it helped them tremendously

872
00:41:47,280 --> 00:41:48,920
and so they wanted to say thank 
you. 

873
00:41:50,440 --> 00:41:53,720
Yes, the Conflict Care Academy 
crew, it's so many bright and 

874
00:41:53,720 --> 00:41:56,920
brilliant nurses and yeah. 
That's. 

875
00:41:57,440 --> 00:41:59,640
So cool. 
All right, so for the last part 

876
00:41:59,640 --> 00:42:01,480
of our episode, we do rapid 
fire. 

877
00:42:01,480 --> 00:42:03,120
Are you ladies ready for rapid 
fire? 

878
00:42:03,880 --> 00:42:07,120
All right, so, OK, What is your 
favorite type of food? 

879
00:42:07,360 --> 00:42:09,120
Either one, Chrissy. 
It's rapid. 

880
00:42:09,280 --> 00:42:10,120
It's just got to come. 
Down. 

881
00:42:11,120 --> 00:42:13,400
Everything Asian food. 
If it's Asian, I like it. 

882
00:42:13,560 --> 00:42:15,480
All the continent of Asia, all 
of it. 

883
00:42:18,280 --> 00:42:20,600
Mexican food. 
Mexican, Mexican. 

884
00:42:20,680 --> 00:42:23,240
All right. 
And then what was your first job

885
00:42:23,360 --> 00:42:25,400
ever? 
So like you're like a Batty 

886
00:42:25,400 --> 00:42:27,160
crna. 
This is the pinnacle. 

887
00:42:27,160 --> 00:42:30,160
This is the top nurse creator. 
What was What were your humble 

888
00:42:30,160 --> 00:42:32,240
beginnings? 
Cashier in a grocery store. 

889
00:42:32,240 --> 00:42:34,040
Wall bounds. 
They're out of business now, 

890
00:42:34,920 --> 00:42:36,160
believe. 
Seven years. 

891
00:42:36,680 --> 00:42:37,760
That's a lie. 
Four years. 

892
00:42:40,080 --> 00:42:43,760
Felt like 7-4, not like 7. 
And dog ears, yeah. 

893
00:42:46,120 --> 00:42:50,120
And then if you could go back 
and not have to learn a subject 

894
00:42:50,160 --> 00:42:53,160
in school, what would it be? 
Would it be like, you're like 

895
00:42:53,160 --> 00:42:56,560
this one I was just glad to 
graduate from and put it to bed.

896
00:42:56,640 --> 00:43:01,200
Like which was it, Chrissy? 
Yeah, go back. 

897
00:43:01,200 --> 00:43:04,640
To the nerd. 
Yeah, the nerd. 

898
00:43:05,400 --> 00:43:07,280
Chemistry. 
I did not enjoy chemistry. 

899
00:43:07,480 --> 00:43:09,960
Just finish it, put it to bed. 
Chemistry. 

900
00:43:10,080 --> 00:43:12,160
Well ladies, this has been so 
much fun. 

901
00:43:12,280 --> 00:43:13,960
Thank you for coming on the 
podcast. 

902
00:43:13,960 --> 00:43:16,280
Thank you. 
For those that want to find you,

903
00:43:16,760 --> 00:43:19,640
where can they find each of you?
You can find us both at the 

904
00:43:19,760 --> 00:43:22,840
Competent Care Academy website, 
competentcareacademy.com. 

905
00:43:22,840 --> 00:43:25,480
You could join our platform, 
join our membership, and then of

906
00:43:25,480 --> 00:43:28,240
course, we also have an 
Instagram and a podcast, 

907
00:43:28,240 --> 00:43:30,560
Confident Care Academy. 
You can find us on YouTube, 

908
00:43:30,560 --> 00:43:34,320
Spotify, Apple Podcast. 
You could find myself at Chrissy

909
00:43:34,320 --> 00:43:37,360
Crna on all platforms. 
And Anna, I'll let you give your

910
00:43:37,360 --> 00:43:39,160
handles. 
Yeah, you can find me on all 

911
00:43:39,160 --> 00:43:42,400
platforms at Anna JRRNA. 
By the time this is published, 

912
00:43:42,400 --> 00:43:45,120
will probably be Anna JCRNA. 
How about? 

913
00:43:45,640 --> 00:43:48,800
And then essentially Copicare 
Academy on all platforms, come 

914
00:43:48,800 --> 00:43:51,960
hang out with us, yeah. 
Awesome. 

915
00:43:51,960 --> 00:43:54,640
Well, guys, thanks for hanging 
out with us on the podcast 

916
00:43:54,640 --> 00:43:55,960
today. 
Thank you so much. 

917
00:43:55,960 --> 00:43:59,440
We really had a great kind of. 
Yeah, and as always, we have a 

918
00:43:59,440 --> 00:44:02,920
success MP quote of the day. 
Nothing in the world can take 

919
00:44:02,920 --> 00:44:06,080
the place of persistence by 
Charles Schwab. 

920
00:44:06,160 --> 00:44:09,520
And so guys, to stay persistent,
the journey from whatever you're

921
00:44:09,520 --> 00:44:14,080
going from, from nursing all the
way to CRNA to NP, just stay, 

922
00:44:14,320 --> 00:44:15,960
stay on it. 
Don't give up. 

923
00:44:16,000 --> 00:44:18,640
And yeah, thanks for hanging out
with us on this episode. 

924
00:44:18,640 --> 00:44:20,720
And subscribe and check you 
later. 

925
00:44:20,840 --> 00:44:23,520
Thank you SO. 
Thanks for tuning into another 

926
00:44:23,520 --> 00:44:26,520
episode of Success and P. 
We hope today's discussion has 

927
00:44:26,520 --> 00:44:30,160
shed some light on the diverse 
career options or taught you how

928
00:44:30,160 --> 00:44:32,120
to improve your clinical 
practice as a nurse 

929
00:44:32,120 --> 00:44:34,120
practitioner. 
Remember, whether you're 

930
00:44:34,120 --> 00:44:36,640
considering a specialization, 
pursuing advanced 

931
00:44:36,640 --> 00:44:40,200
certifications, or exploring non
traditional roles, there's a 

932
00:44:40,200 --> 00:44:42,360
wealth of opportunities out 
there waiting for you. 

933
00:44:42,760 --> 00:44:45,840
Be sure to subscribe to the show
so you don't miss an episode and

934
00:44:45,840 --> 00:44:48,440
leave us a five star review. 
It helps the podcast grow. 

935
00:44:49,040 --> 00:44:52,400
The Success and Peace Podcast is
on the World Wide Web, YouTube, 

936
00:44:52,600 --> 00:44:56,240
Instagram, Facebook, and X, so 
subscribe to our newsletter for 

937
00:44:56,240 --> 00:44:59,120
updates on new podcast episodes 
and other information to help 

938
00:44:59,120 --> 00:45:02,040
you on your own NP journey. 
You can always message us at 

939
00:45:02,040 --> 00:45:06,480
success.npspodcast@gmail.com 
with any NP podcast episodes or 

940
00:45:06,480 --> 00:45:10,080
topics you'd like us to discuss.
Until next time, take care, stay

941
00:45:10,080 --> 00:45:13,200
curious, and keep advancing your
careers as a nurse practitioner.

942
00:45:13,400 --> 00:45:16,200
And just a friendly reminder, 
the information on this podcast 

943
00:45:16,200 --> 00:45:17,840
is for educational purposes 
only. 

944
00:45:18,120 --> 00:45:20,560
The information should not be 
used and substitute for 

945
00:45:20,560 --> 00:45:22,360
professional care by a medical 
provider. 

946
00:45:22,680 --> 00:45:25,280
The information on this podcast 
does not represent medical or 

947
00:45:25,280 --> 00:45:27,880
professional advice or services.
Bye for now.