Nurse Anesthetists “One Bad Apple Doesn’t Spoil The Whole .

Transcription

A Publication of the Georgia Association of Nurse Anesthetists Volume 66 Spring 2011Certified RegisteredNurse AnesthetistsCRNAs Represent nearly150 years of qualityanesthesia Safely administerapproximately 32 millionanesthetics in the USevery year Represented by 44,000CRNAs nationwide andover 1100 here in Georgia Are the sole anesthesiaproviders in nearly100% of rural hospitalsthroughout the country. Practice in every type ofclinical setting.Mission StatementThe Georgia Association ofNurse Anesthetists is a nonprofit organization committedto advancing patient safetyby supporting and furtheringthe practice of nurseanesthesia in Georgia.www.gana.orgReport from the President“One Bad Apple Doesn’tSpoil the Whole Bunch”by Rose M. Synsmir, CRNA, MSN, MSAs early as 1916, patient advocacy has beenat the core of Georgia’s nurse anesthetistsresponsibilities, and it is incumbent to never takethat responsibility lightly. On April 11, 2011,after a bench trial, a former CRNA in Georgiawas found guilty of 34 charges including sexualassault of a person in custody, aggravated sodomy,aggravated child molestation and unlawfulsurveillance of patients. He faces a possible lifesentence and up to 1.8 million in fines. Hispatients and their families’ lives continue to beprofoundly affected in negative ways. As a result,our profession is faced with having to make surethe world understands that this CRNA’s actionswere in no way representative of over 42,000CRNAs who safely care for more than 32 millionpatients in the United States each year.Patients are never more vulnerable than whenthey are under anesthesia, and as CRNAs it isour duty to be their voice if there appears tobe even the slightest threat to their well being.We serve as our patients’ protectors while theyare under our care, safeguarding their passagethrough the various stages of anesthesia. Theyput their absolute trust in us; likewise, theirfamilies entrust their loved ones to our care. Thisis an enormous responsibility, and respectingit is vital to being successful in our calling asanesthesia professionals.Ensuring the Confidence of thePatients We ServeOne of the most rewarding aspects of workingas a nurse anesthetist is when patients wake upafter surgery and say with surprise, “Is it done?”To them, it seems like the procedure only took afew seconds. Little do they realize that while theyslept and the surgeon worked, a nurse anesthetistwas watching over them like a “guardian angel,”monitoring their every heartbeat and breath,and ensuring a successful operation.As advanced practice registered nursesspecializing in the art and science of anesthesia,CRNAs are patient advocates. The care weprovide allows patients to endure surgery andother procedures that a little more than a centuryago would not have been possible. At the sametime, anesthesia renders our patients incapableof advocating for themselves. That’s why it iscrucial for us to be vigilant on their behalf. YourGANA Board recognizes the significance of theevents that lead to this individual’s conviction.Although very unfortunate, this isolated incidentdoes not define the entire profession. At the riskof sounding cliché, it bears repeating that “Onebad apple doesn’t spoil the whole bunch.” nGANABoard of Directors MeetingSaturday, May 14, 2011at the Spring Meetingin Atlanta(Meeting is OPEN to all GANA members)

To & FroGANA Officers 2010-2011Rose Synsmir, President11840 Devon Downs TrailAlpharetta, GA 30005Work Phone: 917-723-8409Home Phone: 770-232-4715Email: rsynsmir@aol.comBarry Cranfill, ImmediatePast President4246 N. Mountain Road, N.E.Marietta, GA 30066Work Phone: 770-251-2060Work Fax: 770-251-8567Home Phone: 770-356-2165Email: bcranfill@sentryanesthesia.comRichard DouberlyRichard Douberly, Director922 S. Lake DriveDublin, GA 31027Home Phone: 912-704-0414Email: r.douberly@hotmail.comCarmen Simmons625 Aunt Lucy Lane, Suite 56Smyrna, GA 30082Home Phone: 678-570-6328Email: simmons carmen@hotmail.comJames Masiongale369 Sugar Creek DriveGrovetown, GA 30813Work Phone: 706-721-8215Work Fax: 706-721-8206Home Phone: 706-869-0797Email: jmasiong@mcg.eduDaniel Dell142 Tanglewood DriveMoultrie, GA 31768Work Phone: 229-456-0450Home Phone: 229-890-2238Email: ddellcrna@gmail.comTo & FroFrom the Executive Directorby Christy A. Dunkelberger, Esq.AANA ElectionsRepresentatives for GANASteve Smith, Federal PoliticalDirector1132 White Cloud RidgeSnellville, GA 30078Work Phone: 404-429-8553Home Phone: 770-972-6225Email: slldt@comcast.netChristy A. Dunkelberger, Esq.Executive Director/LegalCounsel1832 Highway 54 WestFayetteville, Georgia 30214O: 770-487-3900F: 770-632-1625ganaoffice@bellsouth.netBrent DuBois, President Elect1177 Moore RoadDanville, GA 31017Home Phone: 478-962-0814Work Phone: 478-230-9708Work Fax: 478-962-0201Home Phone: 478-962-0814Email: topgunanesthesia@aol.com Monty Veazey, Lobbyist610 North Ridge AvenueSteve Smith, Vice President P.O. Box 1572Tifton, Georgia 317931132 White Cloud RidgeP: 229-386-8660Snellville, GA 30078F: 229-386-8662Work Phone: 404-429-8553mveazey@gach.orgHome Phone: 770-972-6225Home Fax: 770-972-6225Paul Santoro, AANA PresidentEmail: slldt@comcast.net222 South Prospect AvenueMelanie Marshall, Secretary Park Ridge, IL 60068Phone: 847-655-1106527 St. Barbara’s LaneEmail: psantoro@aanabod.comMarietta, GA 30064Phone: 404-271-4884Janice Izlar, AANA ViceEmail: melgator@yahoo.comPresident6 Huntingwood RetreatBill Agudelo, TreasurerSavannah, GA 31411403 Lakeview PlaceWork Phone: 912-547-7201Macon, GA 31211Home Phone: 912-598-1027Work Phone 478-787-9153Home Fax: 912-598-9436Home Phone: 478-742-0695Email: bkagudelo@yahoo.com Email: jjizlar@aol.comGANA Directors 2010-2011Report from the Executive DirectorSharon Pearce, AANARegion 2 Director1366 Becks Nursery RoadLexington, NC 27292Phone: 336-250-6008Email: spearce@aanabod.comWhitney Huffman, MCGStudent Representative802 Hickman RoadAugusta, GA 30904Home Phone: 706-799-0537Email: whuffman@students.mcg.eduBrooke Kesler, MCCGStudent Representative171 Strickland CircleColbert, GAHome Phone: 706-224-1610Email: abkesler@charter.netCommunicationwww.gana.orgHelp put Georgia on the map! Two Georgia CRNAs will be on the AANA ballot in2011. Janice Izlar, Georgia CRNA and current AANA Vice President, is running forAANA President-elect. GANA is extremely proud to support Janice in her endeavorto lead the AANA in the coming years. Janice has served Georgia in many capacitiesas a CRNA, including serving as our President in 2000. Her many years of dedicationto CRNA practice and her proven leadership make her an excellent candidate to serveas AANA President-elect and succeed on to become President. Please join GANA andshow your support for Janice Izlar.Steve Smith, GANA Vice President, FPD and Communications Chair is running forthe AANA Resolutions Committee. Steve has been diligently serving and activelyinvolved in GANA for many years. He joined the GANA Board in 2006 and has beenworking nonstop for CRNAs ever since. He became President in 2009 and remainsactive and committed to being an advocate for CRNAs. Please join GANA and showyour support for Steve Smith.2011 Legislative SessionThe gavel sounded on Georgia’s 2011 legislative session which adjourned sine die onApril 14th. Some Bills of interest are as follows:HB 47 was introduced by Rep. Matt Ramsey (R-Peachtree City) to allow individualaccident and sickness insurance policies approved for issuance in another state tobe sold in Georgia. These plans would not have to comply with Georgia insuranceplan requirements. Therefore, certain services may not be covered to the extent thatGeorgia residents are accustomed. HB 47 passed the House and the Senate and nowawaits the Governor’s signature to become law.HB 303 was introduced by Rep. Sharon Cooper (R-Cobb County) to revise protocollanguage of the medical practice act related to delegation of authority to physicianassistants and advanced practice registered nurses. Medical delegation was expandedto include the authority to request, receive, and sign for professional samples topatients. Further it grants the authority to sign, certify and endorse all documentsrelating to health care provided to a patient within one’s scope of practice, such as,physical examination forms of all state agencies, and verification and evaluation formsof the Department of Community Health and the Department of Corrections. Theauthority to sign death certificates or assign disability ratings, however, was specificallyrestricted. HB 303 passed the House and the Senate and awaits the Governor’ssignature.SB 100 was introduced by Mitch Seabaugh (R-Sharpsburg) adds a new type ofnursing education program that the Board of Nursing may approve. The new typeof program includes a nonprofit postsecondary institution of higher education that isfour years, but that is not accredited by an accrediting agency recognized by the U.S.Department of Education. The curriculum has to meet criteria not less stringentthat that of other Board approved programs. The Board is given the discretion todecide of the curriculum meets the standards. This Bill became the vehicle for othermeasures that did not pass on their own. For example, language was added from SB67 that prohibits the use of the title “nurse” unless the individual is a R.N. or L.P.N.(continued on page 4)2www.gana.org

2011 GANA Calendar of EventsNominationsfor the 2011Rosalie McDonaldAwardNow Being AcceptedGANA Board Meetings(Begin at 10:00 a.m. unless otherwise noted)May 14, 2011at the GANA Spring Meeting in Atlantaat 12:15 p.m.August 27, 2011MCG in AugustaGANA EventsGANA Spring MeetingMay 14-15, 2011 in AtlantaWaverly Renaissance at Cobb GalleriaGeorgia Public Broadcasting – TV TelethonSpring of 2011 – TBAGANA Annual Fall MeetingSeptember 30-October 2, 2011 in AtlantaCrowne Plaza Ravinia at Perimeter MallAANA EventsAANA Annual MeetingAugust 6-10, 2011 in Boston, MAGANA is seeking nominations for a CRNA to receive the 2011Rosalie McDonald Award. Please nominate a worthy CRNA forthis prestigious award. All nominations must be submitted byAugust 1st to the GANA office. Nominations can be submitted bymail, fax or email toGANA, 1832 Highway 54 W. Fayetteville, GA 30214; facsimile:770.632.1625; or ganaoffice@bellsouth.net.Rosalie McDonald spearheaded the GANA in 1938. She wasthe first GANA President and the 6th AANA President. Be proudof your profession. Honor a fellow CRNA by nominating him orher for their contribution to our profession. The honoree will bepresented with the award at the GANA Annual Meeting this yearin Atlanta at the Crowne Plaza Hotel Atlanta Perimeter at Raviniaon October 1.Keep Georgia On Your Mind When You VoteGeorgia Association of Nurse Anesthetists proudly supports its proven leaders for AANA 2011 ballotJanice J. Izlar, CRNA, DNAPfor President-electStephen D. Smith, CRNA, MAfor Resolutions CommitteeThis paid advertisement does not signify or imply AANA endorsement of the candidates.Passionate Visionary Dedicated Experiencedwww.gana.org3To & Fro

2011 Rural Health DayReport from the Executive Director(continued from page 2)Also clinical experience requirements were added from SB 187 forgraduates of non-traditional nursing education programs. SB 100passed both chambers and awaits the Governor’s signature.The legislature will reconvene in August for a special session for thepurpose of addressing redistricting.GANA-PACThe purpose of the GANA-PAC is to oversee the funds ourmembers contribute and make disbursements to state candidatesand legislators who have demonstrated an interest and willingnessto support legislation and policies favorable to CRNAs’ scope ofpractice. Our PAC intake is minimal with approximately threepercent (3%) of our membership making contribution. GANAPAC is smaller in comparison to other membership associationsin the State. The Board of Directors and the PAC committee hasbeen discussing a new strategy to increase and improve the PAC. Amodel utilized by the State of New Mexico is under review as anoption for Georgia. This model is an opt-out model that allocatesa small percentage of the annual member dues to the GANA-PAC.Each GANA member would be asked to authorize a designatedamount of his or her membership dues that GANA receives fromAANA to be allocated to the GANA- PAC. As an opt-out program,anyone wishing to not contribute to the PAC in this manner wouldbe asked to notify GANA. Implementation of this model is stillunder review and you will hear more about it in the future. TheGANA-PAC is vital in allowing GANA to be active in the legislativearena and in its work of promoting CRNA practice and protectingCRNA interests. Please make your contribution today.During Rural Health Day on Feburary 16, 2011, students and a group from theGANA met with Governor Nathan Deal for the GANA Proclamation signing.Part of GANA’s EvolutionSeveral times each year, I meet with the members of the GANAArchive Committee. A few weeks ago, Mary Flister, CRNA, and Iwere in one such meeting looking at pictures and documents fromthe Charter members of GANA. All the pictures were in blackand white and all of the documents were hand written. TodayGANA is preserving volumes of color photographs in digital formatas well as neatly typed documents in Word format that are storedin computer databases and on a variety of discs. Back in earlierdays, individuals worked on GANA business without the use ofour modern day technology and electronic gadgets that we takefor granted today. Mary and I also discussed the endless hours theCRNAs have contributed to the GANA since its inception. Manyyears ago, and up to fairly recent years, all GANA activities werecarried out by the voluntary efforts of dedicated caring CRNAs.Today a good portion of the GANA work has been delegated topaid professionals. GANA now enjoys dedicated office space, andan executive director, a lobbyist, a printer and editor of the To& Fro, a financial planner, a web hosting company; and more. Iwould like thank all of our past volunteers who actually performedthe work of GANA with their own time, energy, sweat, and insome cases their own funds. They laid the groundwork for thesuccessful membership organization that exists today. We still relyon volunteers to carry out the activities of the GANA board andcommittees; however, the work of our predecessors has made for asmooth operation today. nBrittany Schmitt, Whitney Huffman, Jim Masiongale, Brent DuBois,House Appropriations Chair Terry England, Kellie Tinley, Lacy Staten, PierceCannington and Amy Masiongale meeting during Rural Health DayAANA Mid-Year AssemblySteve Smith, Jim Masiongale, Brittany Schmitt, Congressman Rob Woodall,Rose Synsmir, Tanya Ifill, Maggie Williams and Amy MasiongaleTo & Fro4www.gana.org

andPresents:The GANA Spring Meeting in AtlantaThe Business, Economic and Legal Aspects of CRNAPracticeMay 14-15, 2011at theWaverly Renaissance Atlanta2450 Galleria ParkwayAtlanta, GA 30339(770) 953-4500!"# "%&'()* ",-.,#/'%/0'1% 23.4'5)&6)"*'This is one of the most important CE programs on Business and Economics that we have everoffered. An outstanding faculty consisting of CRNA’s, business persons, and attorneys includingAANA President Paul Santoro, CRNA, MS; Amsol Executive Vice President Larry Hornsby,CRNA, BS; Sleepy Anesthesia President Juan Quintana, DNP, CRNA; GANA President BarryCranfill, CRNA, MHS, MBA; Mr. Pat Everett, ProStat Anesthesia Advisors; and David Kuzava, JD,Attorney at Law.These well qualified faculty members will share with you their experiences in building andmanaging anesthesia practices and their vast knowledge of what you as a practicing CRNA needto know about the value that you bring to the economic table. Core didactic lectures will focus onpractice management, legal and liability issues, malpractice concerns, cost-effective practicemodels, contract law, negotiation skills, billing and collections, and a myriad of other topicsdesigned to enlighten you, the CRNA practitioner, and make you more aware of your worth.5#")'0).%,3*'#/'.2,.,#/' #*.*'%/0'78' ")0,.*'9,33'6)'%:%,3%63)'*##/'';#.)3' / #"&%.,#/'Room Rates for GANA Registrants and Guests: 109.00* (run of the house single or double)* Plus Taxes and Fees!www.gana.orgFor reservations please call 1-888-391-87245To & Fro

GANA Capitol DayReport from the AANA Vice PresidentExercise Your Right –VOTEby Janice J. Izlar, CRNA, DNAPIt is that time of year again, the AANA election. As we enter thisexciting time, I wanted to briefly update you on the important votingprocess.You should have already received notice from the AANA asking ifyou prefer an electronic or paper ballot. If you did not respond to theemail from the AANA, then the default method for your ballot will beelectronic. However, if the AANA does not have a valid email addressfor you, you will automatically be mailed a paper ballot. Depending onyour preference selection, ballot information will be sent via email orUnited States Postal Service on May 13, 2011. If you have selected apaper ballot but prefer to vote on-line, that is no problem. Informationwill be included in your mailed ballot. The cut-off deadline forvoting is noon, June 21, 2011. All ballots must be received by thedeadline regardless of whether you vote on-line or by mail. Therefore,remember if you are voting by mail, please ensure appropriate time forthe election company to receive your completed ballot.During a membership survey last fall, the number one reason membersdid not vote was because, “they did not know the candidates.”Fortunately, that is not an excuse for any GANA member this year.You have two candidates on the AANA Ballot. Steve Smith for AANAResolutions Committee and myself, Janice Izlar, for AANA Presidentelect. The same survey also asked members the reason they voted.The top two reasons members selected were: first, “it is my right andresponsibility” and second, “belief that their vote matters.” I canassure you your vote does matter. Many races are decided by only afew votes, so every vote is very important. It is absolutely your rightand responsibility as an AANA member; however, I view it also as yourprivilege. Many professional organizations do not allow every memberto express an opinion and vote, but the AANA values a system thatallows every member an equal voice. Please take advantage of yourprivilege of membership and vote.In order for members to make informed decisions, the AANAcontinuously seeks to improve the available candidate information.Please look at the AANA’s website (www.aana.com) for candidate bios,position statements and photos. In addition, you can view videos of thecandidates for the Board of Directors’ Mid-Year Assembly speeches.Also, this is the third year in which we have had the on-line candidateforum, which is an opportunity for members to ask questions of thecandidates. Please take a look at the candidate forum in the members’section of the AANA website. By reading the candidates’ respectiveviewpoints about various key issues facing the AANA, you will beable to learn more about the candidates and assess their thoughts onaddressing your concerns.(continued on page 8)To & Fro6GANA VP Steve Smith, GANA President Rose Synsmir, ChristyDunkelberger ED/Legal Counsel, GANA Lobbyist Monty Veazeyand GRC Chair Jim Masiongale at GANA Legislative Agendameeting in January, 2011January 28, 2011 – CRNAs and SRNAs at GANA Capitol DayGANA President Rose Synsmir, GHSU Program DirectorJim Masiongale and GHSU Student Tanya Ifillwww.gana.org

Report from the TreasurerTough Times and New Challenges Call for aReturn to the Basics and Innovative Ideasby Bill Agudelo, CRNAAs practicing CRNAs we are facing tremendous challenges onseveral fronts as result of the financial state of the economy and theconstant threat to our scope of practice. Failure to act in a concertedeffort may make our current lifestyle a thing of the past.We are still in the shadows of the “The Crash of 2008-2009”, theworst f

Paul Santoro, AANA President 222 South Prospect Avenue Park Ridge, IL 60068 Phone: 847-655-1106 Email: psantoro@aanabod.com Janice Izlar, AANA Vice President 6 Huntingwood Retreat Savannah, GA 31411 Work Phone: 912-547-7201 Home Phone: 912-598-1027 Home Fax: 912-598-9436 Email: jjizlar@aol.com Sharon Pearc