Chief CRNA

Effective Listening

by admin on September 27, 2016 · 0 comments

Keys to Effective Leadership: Listening By Thomas Davis, CRNA Nurse Managers and other frontline healthcare leaders want to be known as the boss that everybody wants to work for.   It is only natural to want to set goals that build your personal reputation and the success of your workgroup.   Being a good listener is foundational […]

Building Common Purpose

by admin on August 28, 2016 · 0 comments

Building Common Purpose By Thomas Davis, CRNA Follow @procrnatom This is the third in a series of blog articles applying political quotes to frontline leadership. Previous articles have applied the words of Hillary Clinton and Mike Pence to frontline healthcare management. There is no intention of supporting or disparaging any candidate or party but rather […]

When a Barrier Falls

by admin on August 18, 2016 · 0 comments

When a Barrier Falls By Thomas Davis, CRNA Follow @procrnatom This is the second in a series of blog articles applying political quotes to frontline leadership. There is no intention of supporting or disparaging any candidate or party but rather learning from their words of wisdom. We will have to wait and see whether or […]

Leading Frontline Change

by admin on August 4, 2016 · 1 comment

Leading Frontline Change: Today’s leadership investment yields tomorrow’s team dividends By Thomas Davis, CRNA Follow @procrnatom Effectiveness as a leader is not based on popularity but rather on the ability to manage change “The only constant is change.”    Modifications to best practice protocols are initiated internally and are meant to improve both workflow and patient […]

Advice from Mom

by admin on July 26, 2016 · 0 comments

Follow @procrnatom By Thomas Davis, CRNA This is the first of a series of blog articles applying political quotes to frontline leadership. There is no intention of supporting or disparaging any candidate or party but rather learning from their words of inspiration. Only time will tell whether or not action follows the words. “I watched […]

The Value of Vision

by admin on June 13, 2016 · 2 comments

Follow @procrnatom By Thomas Davis, CRNA “You’ve got to be very careful if you don’t know where you are going because you might not get there” – Yogi Berra On May 25th, 1961 John F. Kennedy had a vision and shared it with the American public. “By the end of the decade we will send […]

Effective Leadership

by admin on May 21, 2016 · 0 comments

Follow @procrnatom By Thomas Davis, CRNA For centuries, leaders in both the Military and civilian world have attempted to identify and define the perfect leadership style. As far back as 500BC Lao-Tzu wrote in the Tao Te Ching, “The highest type of ruler is one of whose existence the people are barely aware….when the task […]

Getting the Right Match

by admin on February 24, 2016 · 1 comment

Follow @procrnatom By Thomas Davis, CRNA “What counts in making a happy marriage is not so much how compatible you are but how you deal with incompatibility.”  ― Leo Tolstoy Neil Clark Warren is a name that you may not know, however, when you see his face and hear his voice you will say, “Oh yeah, […]

Chief CRNAs are Team Builders

by admin on February 14, 2016 · 0 comments

Follow @procrnatom Chief CRNAs are Team Builders By Thomas Davis, CRNA “Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.”  ― Margaret Mead As CRNAs we live and work in a rapidly changing healthcare environment.   The mandate to provide more care for […]

As healthcare workers, CRNAs have an interest in the future of healthcare.  In an era where the healthcare industry is tasked with producing better patient outcomes at a lower cost, it is becoming more apparent that the status quo is not working.   In the October 2013 issue of the Harvard Business Review, Authors Michael Porter […]

Chief CRNA: Building a Safe OR Environment

May 30, 2013

The model for Healthcare delivery in the United States has evolved from a paternalistic, volume based approach through an era of shared responsibility and now into a consumer driven value based model.  To remain competitive in today’s healthcare market, hospitals and providers must strive for patient safety and satisfaction in the delivery of patient care.  […]

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Chief CRNA: Supervision and Billing Fraud

May 19, 2013

CRNAs work in many practice settings.  Those working in an office, clinic or small hospital often work as independent providers and work in collaboration with their surgeon.   CRNAs working in larger hospitals often work in an anesthesia team model and charges are made based on “supervision” by an anesthesiologist who is “immediately available”.   The definition […]

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Chief CRNA: Disabled Alarms Cost Lives

May 5, 2013

Do you ever get tired of listening to monitor alarms?   Many anesthesia providers who are confident in their vigilance and their ability to “know when something is wrong” mute the alarms when they feel that they are needlessly alarming.  Unfortunately, patients are injured or killed every years in anesthesia related mishaps which could have been […]

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Chief CRNA: Collecting Compensation Information

April 29, 2013

A Chief CRNA is seeking help from others across the country.  Specifically, the Chief is gathering information related to how CRNAs are compensated when taking call.  Please use the reply area on this web site or contact the Chief CRNA directly at the email address listed below. Please provide the following information: Are CRNAs at […]

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Chief CRNA: Are Smartphones safe in the Operating Room?

April 15, 2013

We live in the age of instant access to information literally in the palm of your hand.  As more and more information becomes available on smartphones, notebooks and pads, their ligitimate use by healthcare workers has increased.   However, the device that delivers information can also create distractions. Lawyers know that distracted healthcare workers are more […]

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Chief CRNA: Should You Use Social Media?

February 24, 2013

We live in a turned-on, linked-in world where instant access to information is the norm.  Long gone are the days of reference books and extensive library searches.  The generation who grew up using web based technology is now entering the workplace and bringing their mobile devices with them.  As Chief CRNAs, it is to our […]

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Chief CRNA: How to Motivate your Staff

February 21, 2013

Being an effective Chief CRNA involves multitasking to meet the needs of the patient, the institution, the regulatory agencies and the needs of your staff.  Staff engagement is a buzz word in corporate America.  According to Wikipedia, An “engaged employee” is one who is fully involved in, and enthusiastic about their work, and thus will […]

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Chief CRNA: Patient Safety and the Aging CRNA

February 8, 2013

We have all heard the stories of the super star who played one season too many leaving the sport at the bottom of his game rather than at the top.  The physical effects of aging are well documented in the literature and we are reminded of those changes every time we pre-op a geriatric patient.  As […]

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Chief CRNA: New HIPAA rules released

January 20, 2013

On January 17th, HHS Office for Civil Rights Director Leon Rodriguez issued a press release announcing the new HIPAA rules being published by the HHS Office of Civil Rights.  The 563 page document strengthen the requirements placed on providers and institutions to protect the privacy and health care information of the patient.  According to Rodriguez […]

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Chief CRNA: “Never Events” in Anesthesia

January 18, 2013

Never events are inexcusable actions in a health care setting, the things we talk about in the lounge and just can’t believe actually happened.   We wonder how somebody could have possibly made such a terrible mistake.  The National Quality Forum has formulated a list of 28 never events in the hospital setting.   In the Operating room, never […]

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Chief CRNA: The anesthesia team of the future

January 11, 2013

In the era of Healthcare reform, the practice of anesthesia is being redefined by both the advancement of technology and the impact of regulations.  As the scope of anesthesia care emerges from the head of the table to include care across the entire perioperative course, the anesthesia team must evolve to meet the new demands. […]

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Chief CRNA: Billing audits, Are You At Risk?

October 28, 2012

Every year the Department of Health and Human Services Office of the Inspector General conducts audits and on-site inspections of Health Care Facilities to ensure that billing and payment policies are being followed.   Recovery audit contractors are utilized to make the inspections and are reimbursed by collecting a percentage of the money saved due to […]

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Chief CRNA: Are your Electronic Records Secure?

September 16, 2012

Patient privacy and the security of protected health information is a hot issue throughout healthcare from the primary physician’s office through diagnostic testing and including  records of hospitalization.  The Federal Government is urging health care workers to move to total electronic records and have initiated bonus money to encourage compliance.  However, the move to electronic […]

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Chief CRNA: “Sterile Cockpit” and distracted workers.

September 11, 2012

Despite what the name suggests, a sterile cockpit is not an excessively clean area of an airplane. Rather it is a distraction-free cockpit–a time when the captain and crew engage only in flight-related conversation. “The Sterile Cockpit Rule is an FAA regulation requiring pilots to refrain from non-essential activities during critical phases of flight, normally […]

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Chief CRNA: 360 Degree Evaluations

August 20, 2012

As the regulatory requirements continue to increase, the need for 360 degree evaluations has emerged as a part of JCAHO certification.  The concept is that those who do evaluations of their staff should also be evaluated by their staff.  In the case of CRNAs it means that the anesthetist should be evaluating the supervising Anesthesiologist.  […]

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