Important Message to PANA Members

March 25, 2020

Dear PANA Members:

Earlier today, the Pennsylvania Association of Nurse Anesthetists sent a letter to Gov. Tom Wolf and state Health Secretary Dr. Rachel Levine, urging them to formally recognize certified registered nurse anesthetists and to act swiftly to give our professionals the ability to practice to the full extent of our education and training to help Pennsylvania respond to the COVID-19 health-care crisis.

You can read the entire letter here: https://bit.ly/3akUMb0.

As frontline health-care professionals, we play a crucial role in the state’s response to this pandemic. Unfortunately, the full contribution of CRNAs is being limited.

First, in Pennsylvania, education and training for CRNAs is extensive. Yet, there are limits placed on our practice, even though those limits are not based on any data or research, and CRNAs can safely practice beyond these limits. New York, West Virginia, Maine and Arizona already have acted to remove barriers on CRNAs to better utilize all available providers to respond to this health-care crisis without risking patient safety. Pennsylvania should do the same.

Second, Pennsylvania remains one of only two states (New York is the other) that fails to recognize CRNA professional designation in some form, meaning we are recognized only as registered nurses. In times of need, CRNAs are in demand to help with crisis response. But Pennsylvania-based CRNAs cannot be part of response teams in other states that are asking for help --- and so many are --- simply because we lack the formal credentials that nearly every other state recognizes. That needs to change.

Now, we need you to take action, too.

First, send a personal message to Gov. Wolf and urge him to act on the health-care proposals PANA included in its letter. Fill out the form here: https://www.governor.pa.gov/contact/#OnlineForm.

This is all you need to say (there is a 1,000-character limit):

Gov. Wolf: As a certified registered nurse anesthetist (CRNA) in Pennsylvania, I stand ready to help our commonwealth address the health-care crisis caused by the COVID-19 pandemic. Recently, PANA, our statewide association, sent you a letter (which you can access here: https://bit.ly/3akUMb0), urging you to formally recognize CRNAs and allow us to practice to the full extent of our education and training to help Pennsylvania respond in this time of need. Other states already have acted to remove barriers on CRNAs to better utilize all available providers to respond to this health-care crisis without risking patient safety. Pennsylvania should do the same. As frontline health-care professionals, we play a crucial role in the state’s response to this pandemic. Please make these changes so we can help even more. Thank you.

Next, contact your local legislators. Ask them to please contact the governor and secretary and urge them to take fast action on the proposals made by PANA to address this health-care crisis. You can find your lawmakers here: https://www.legis.state.pa.us/cfdocs/legis/home/findyourlegislator.

This is all you need to say:

As your constituent, I wanted to be sure you knew that PANA, our statewide association, sent a letter (which you can access here: https://bit.ly/3akUMb0) to Gov. Tom Wolf and state Health Secretary Dr. Rachel Levine, urging them to formally recognize CRNAs and allow us to practice to the full extent of our education and training to help Pennsylvania respond to the COVID-19 health-care crisis. As a certified registered nurse anesthetist (CRNA), we play a crucial role in the state’s response to this pandemic, along with other frontline health-care professionals. Unfortunately, too many barriers are blocking our work. There are limits placed on our practice, even though those limits are not based on any data or research, and the state’s lack of credentialing limits emergency response. Please read our letter and urge the governor and his administration to act swiftly. Other states are acting. It is time for Pennsylvania to do the same. Thank you.

Like the rest of the country, we are watching with deep concern as the COVID-19 pandemic continues to affect a world already brought to a standstill. PANA continues to monitor the situation. But our culture is built on helping people. I hope we can count on you to do your part to advocate for our profession so we can get these changes made and fulfill our mission of keeping residents healthy and safe.

Nurse Anesthetists in Pa. Ensure Patient Safety, Help to Control Rising Health-care Costs

Pennsylvania Association of Nurse Anesthetists

CONTACT: Kurt Knaus; P: 717-724-2866; E: kurt@ceislermedia.com

Nurse Anesthetists in Pa. Ensure Patient Safety,

Help to Control Rising Health-care Costs

HARRISBURG (Jan. 20, 2020) --- Pennsylvania ranks among the top draws nationally for certified registered nurse anesthetists (CRNAs) and students, with 13 highly rated nurse anesthetist programs serving every corner of the commonwealth and helping to sustain one of the largest contingencies of professionals in the country.

This week marks CRNA Week in Pennsylvania, when patients, hospital administrators, health-care professionals, policy-makers, and others learn more about CRNAs and the work they do to keep patients safe and help reduce the cost of health care. The week-long celebration runs in conjunction with the 21st annual National CRNA Week from Jan. 19 to Jan. 25.

“Surgery and anesthesia can be intimidating,” said Angelarosa G. DiDonato, DNP, CRNA, president of the Pennsylvania Association of Nurse Anesthetists (PANA). “That’s why it’s so important for people to understand the vital role CRNAs play as a patient advocate. We stay with our patients for every heartbeat and every breath, administering their anesthetics and watching over their vital signs. We never leave their side.”

Pennsylvania is recognized as a leader in anesthesia education and training, with 13 programs spread throughout Allegheny, Columbia, Erie, Lackawanna, Lehigh, Montgomery, Philadelphia, Westmoreland and York counties. (For a full list of programs, visit www.PANAforQualityCare.com and click “Resources.”)

CRNAs are the hands-on providers of anesthesia care, operating safely in every setting where anesthesia is administered, including hospital operating and delivery rooms; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, and plastic surgeons; pain management centers and more.

The nation’s 54,000 CRNAs and student registered nurse anesthetists safely and cost-effectively provide more than 49 million anesthetics each year. PANA itself represents more than 3,700 CRNAs and students across the state --- one of the largest contingencies in the country.

The role CRNAs play in Pennsylvania’s and the nation’s health-care system is expansive.

CRNAs are the main providers of anesthesia care in rural communities and medically underserved areas, delivering essential health care and preventing gaps in services. CRNAs also are battle-tested, serving on the front lines since World War I as the main providers of anesthesia care to U.S. military personnel in austere combat theaters.

With advanced degrees and a high level of education and clinical experience, CRNAs are able to deliver the same safe, high-quality anesthesia care as other anesthesia professionals but at a lower cost, helping to control the nation’s rising health-care costs.

Because of their training and experience, numerous medical studies show there is no statistical difference in patient outcomes when a nurse anesthetist provides treatment. In fact, these studies by nationally recognized health-care policy and research organizations prove that CRNAs provide high-quality care, even for rare and difficult procedures.

That’s because CRNAs are with the patient throughout the entire procedure. Anesthesiologists, on the other hand, may have several cases to attend to simultaneously, or they may be somewhere else handling another response.

CRNAs provide routine anesthesia care but also quickly respond to patient changes and emergencies during surgical and medical procedures, ensuring patient health and safety.

For more information about certified registered nurse anesthetists in Pennsylvania, visit www.PANAforQualityCare.com or follow along on social media via Twitter at @PANACRNA or on Facebook at www.facebook.com/PANACRNA.

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Derek Reckard Named New PANA President

Derek Reckard, MSN, PHRN, CRNA, was named the new president of the Pennsylvania Association of Nurse Anesthetists on Oct. 20 at PANA’s fall symposium at Omni Bedford Springs Resort in Bedford, Pa.

Reckard has a long history of serving PANA and its members. He has been an active board member for five years.

Before being named PANA president-elect last year preceding his elevation to the top post this weekend, Reckard served as a board Trustee and was the association’s Federal Political Director. He also served on PANA’s Governance Committee, which included state government affairs, and was chairman of the committee for the last two years.

With that background, Reckard brings a firsthand knowledge of the importance of interactions between lawmakers and their constituents --- namely, the CRNAs who live in policy-makers’ home districts.

He helped to spearhead several drop-in days for CRNAs in both Harrisburg and Washington, D.C., where nurse anesthetists walked the halls of the state and federal Capitol buildings and talked directly to state legislators and congressmen.

Expect that tradition to continue during his one-year term in 2018-19.

Reckard said he is focused on increasing member engagement, as the coming year is the best time to launch the initiative. Both the state General Assembly and Pennsylvania’s congressional delegation expect record turnover.

That means there are plenty of opportunities for CRNAs to introduce themselves and the profession to these new elected leaders --- and to start building the bridges that are needed to enact policies that benefit CRNAs and the individuals they care for.

Reckard’s initiative, “Be a KEY Contact,” which stands for the “Keystone Engagement Year,” involves recruiting volunteers who will serve as leaders who then recruit other CRNAs into advocacy work.

Actions include visiting a new legislator’s district office, with PANA and government affairs support; hosting an event with other CRNAs in the area to talk about important issues; serving as the hospital spokesperson who talks with other CRNAs in the break room or who will simply share information around the watercooler about issues PANA is managing; and much more.

Information being shared could be about planned legislative votes, upcoming PANA elections, PAC fund-raisers, regional meetings or anything else of interest.

Reckard also knows the strength of PANA is its membership. Each year, more and more people are showing up at Capitol Days and getting engaged with legislative activities. If you have ideas about how to grow the “Be a KEY Contact” campaign, let him know.

It remains as important as ever for CRNAs to remain engaged. Not only will record numbers of new lawmakers be in office, but some of the most critical issues will still be pending when the new two-year legislative sessions kick off in January 2019.

PANA successfully defeated attempts in the legislative session that just ended to push through a “scope of practice” bill that would have mandated physician supervision of nurse anesthetists in Pennsylvania. It was a major victory. Expect the anesthesiologists to make another push at the bill in the new session.

Reckard also will continue the fight for professional designation, which would formally recognize certified registered nurse anesthetists as “CRNAs” under state statute. Pennsylvania is one of just two states without designation. New York is the other.

A designation bill did advance fully through the Senate, only to get caught up in the House, but the passage provided momentum to build on when the process restarts with a new General Assembly. And the committee chairman in the House who blocked the bill has retired. It creates opportunities.

Regardless of the legislative issue, or association business, Reckard is committed to making sure PANA does all it can for its members … and that its members do all they can to help the association advance the policies that will strengthen and enhance the profession for the benefit of CRNAs and patients alike.

Reckard replaces Jodie Szlachta, Ph.D., MSN, CRNA, who will remain on the board as immediate past president and continue to support the association’s legislative, policy, outreach and advocacy work.

Look for more information about Reckard and a personal presidential message on www.PANAforQualityCare.com after his installation.