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MANASummer 2012 Volume 49, Number 3

Scholarship Committee ................ 2

Program Committee ................ 3

Spring Conference Highlights ..............4-5

Wellness Committee ................ 6

Public Relations Committee ................ 7

Bylaws Committee ... 8

MANAS Update ....... 9

Perspectives from the Field ........................ 10

Mid-year Assembly Highlights ..........14-15

Campus News ...18-20

MANA Members Making a Difference..........22-23

ISSUEHIGHLIGHTS

President’s Message By Michael MacMillan, CRNA, BS

CONNECTORA PUBLICATION OF THE MICHIGAN ASSOCIATION OF NURSE ANESTHETISTS

I had anxiously been antici-pating the Michigan Hospital Association Board of Trustees meeting in June. Their initia-tive to remove supervision for

CRNAs in Michigan was on their agenda.

From the Michigan Health and Hospital Associa-tion July 9th Monday Report,

“The board had a lengthy discussion regarding the expansion of scope of practice for certified registered nurse anesthetists (CRNAs), which has created significant access issues in rural communities and some other market areas. It then directed the association to, unless agreement with appropriate medical orga-nizations can be achieved prior to the Sept. 12 MHA Board meeting, support changes to state law to enable a CRNA to opt-out from direct physician supervision.”

How did we get here? CRNAs have consis-tently demonstrated high quality, safe anesthesia care. Recently this has been confirmed in sev-eral studies. Nationally recognized organizations have called for allowing full scope of practice for advanced practice nurses. CRNAs practice in and enable access to surgical services in a large majority of Michigan’s Small/Rural and Critical Ac-cess hospitals. CRNAs continue to be the most cost effective providers in all settings.

What does this mean for Michigan CRNAs? I do not believe there will be a major change in actual practice for most CRNAs. CRNAs practic-ing in facilities with an anesthesia care team

model most likely will remain the same. This model often is dictated by Medical Staff Bylaws and appropriate for

the acuity of the patient population. In practices where the surgeon supervises, CRNAs will continue to collaborate with the surgeon to pro-vide the best patient care possible. Eliminating supervision for CRNAs will remove the perceived liability of surgeons. This will also allow facilities to explore the most cost effective method of delivering anesthesia care. There may be some uncharted territory. Not requiring supervision could allow CRNAs to work with dentists and podiatrists.

What happens next? MANA leadership will be working with the Michigan Hospital Association on the best method to accomplish this goal. We will continue to consult the AANA. We will con-tinue to meet with legislators and educate them about CRNAs.

What can you do? Please pay attention to emails from MANA. We will keep you updated on what is happening. Take time to visit with your legislator while they’re home for the sum-mer. Educate them on what CRNAs do every day. We will be glad to provide infor-mation for you to share with them.

This is the most exciting and important thing for CRNAs in Michigan that I have seen in my many years of being a CRNA. Let’s work together and make it happen.

2 MANA Connector

Editor’s CornerBy Greg Bozimowski, CRNA, MS – Huron Valley-Sinai Hospital and University of Detroit Mercy

Things are hot all over!

There’s a lot going on even though we don’t always notice. On the legislative and profes-

sional practice front the summer has been full of advocacy activity on the part of MANA leaders as well as members interested in getting involved. There will likely be plenty of opportunities for you to act to educate legislators and the public about the value of nurse anesthesia. At the very least, plan on attending “Impact Day” in Lansing on September 12th. Make your schedule request now. In the past, the students have been in greatest attendance at this annual event. This year it is essential that you, a practicing, certified registered nurse anesthetist show up and represent your profession.

The Connector is available at www.miana.org on the tab, “members only- MANA info”. Hover over “Connector” to see “Connect Now”, for the latest

print issue or other updates. Also, look up past is-sues here. The next logical step for the Connector is to become available on Kindle and/or I-pad/tablet formats. That is our next project. Let me know your thoughts on that at [email protected].

Have you noticed the tab on the left of MANA’s home page, miana.org labeled “Members Serving Mankind”? It’s there to highlight efforts by CRNAs, both home and abroad, to make this a better world for others who could use a hand. Be sure to check it out and share your mission work with me as well.

The MANA Fall Conference will be here before you know it. It’s the 75th Anniversary Celebration at the JW Marriott in Grand Rapids, so be sure to make plans for October 5th-7th. That weekend is also Art Prize weekend; an exciting competition between all sorts of artists from around the world. If you haven’t seen it trust me, it’s worth the trip! Things will book up fast- book now!

Hello from the Program Committee,

Having just attended the MANA Board Meeting, I am happy to say that the Spring Conference at The Henry was a huge suc-

cess! First of all, without going into a lot of detail, I would like to say that the meeting was very prof-itable for MANA. Income from registration fees far exceeded what we had projected as we had a record attendance at the meeting! Thank you to everyone who attended the meeting and supported MANA.

As I have done in the past, I would like to share some of the comments from the evaluations about the spring meeting.

Location of the meeting:

• Very comfortable; convenient location• Overpriced, poor service, rude workers• Excellent – they haven’t missed a beat in the

change over from the Ritz• Need more parking• Excellent food service

Quality of food and beverage:

• Good selection and amount of food present; I really thought the food was excellent

• More morning coffee• Great job with menu• Could have had better breakfastThoughts on returning to this location in the future:

• Would love to return!• Never• Please keep this in the rotation; would attend

every year• Seating is tight and water would be nice on the

tables

General feedback regarding this particular meeting:

• I thought this was one of the best conference offerings in a long time; I attend many of the MANA meetings and really enjoyed this one

• One of the best MANA has ever put together!!• PLEASE bring paper evaluations back that we

can do during the meeting• If no handouts, then presentations need to be

large enough to read on the screen. Overall very good experience.

• Well planned and kept to schedule almost 100%. Thanks for all the hard work and getting some re-ally great speakers. I am amazed at the diversity we had this time.

Additionally, thank you for all of your speaker and session topic suggestions. Several of the sug-gestions have already been incorporated into the program for the fall meeting.

I hope that you have made plans to attend the MANA’s Fall Conference/75th Anniversary at the Amway Grand Plaza Hotel in Grand Rapids, MI October 5-7, 2012. Many past MANA Presidents will be in attendance and will present educational sessions. It will be a great program and a great celebration of 75 years! See you there!

Program Committee Update

By Sheryl May, CRNA, MS- Program

Committee Chair

SAVE THE DATE:Celebrating MANAs 75th Anniversary GALA EVENT Fall 2012!See you in Grand Rapids, October 6, 2012!

Summer 2012 3

2012 MANA Fall Conference AgendaMichigan Association of Nurse Anesthetists Friday, October 5 – Sunday, October 7Amway Grand Plaza/DeVos Place — Grand Rapids, Michigan

Friday, October 5 (3 CE Credits)

5:00 – 6:00 pm ....... Registration & Light Snacks with our Exhibitors Sponsored by: MetLife

6:00 – 7:00 pm ....... In Harms Way? Risk from Aerosols in Anesthesia (1 CE) James Maguire, PhD, FCCP — Senior

Scientist/Lecturer, Ball Life Sciences 7:00 – 8:00pm ........ The New Hot Topic in Anesthesia Fire Safety in(concurrent) the OR (1 CE) Margaret Ohryn, CRNA, MS, MBA —

Freelance Nurse Anesthetist and Adjunct Professor at Oakland Community College, West Bloomfield, MI

Autoimmune Muscle Diseases and Other Inherited Syndromes: Pharmacologic Management and Implications for Anesthesia Practice (1 CE)

Mary Golinski, CRNA, PhD — Assistant Professor, Wayne State University, College of Pharmacy and Health Sciences and CRNA, Detroit Receiving Hospital

8:00 – 9:00 pm ....... Team Dysfunction and the Downside of(concurrent) Personal Agency (1 CE) Craig Huard, CRNA, MBA — Clinical Provider

and Clinical Instructor, Port Huron Hospital, Port Huron, MI

Anesthesia for Combined Cesarean Section and Bowel Obstruction (1 CE)

Michelle St. John, SRNA and Michael Silvestri, SRNA — University of Detroit Mercy Nurse

Anesthesia Class of 20129:00 – 10:30 pm ..... Welcome Reception with our Exhibitors Sponsored by: Anesthesia Staffing Consultants

Saturday, October 6 (7.5 CE Credits)

6:30 – 7:30 am ........ Deluxe Continental Breakfast with our Exhibitors

Sponsored by: Paragon Services7:30 – 8:30 am ........ Anesthesia Economics 102: Earning Our Keep (1 CE) Paul Santoro, CRNA — President Anesthesia

Staffing Consultants, Bingham Farms, MI An Historical Perspective of MANA from 1970-

1971 Past President Marilyn Schumacher, CRNA, Emeritus

8:30 – 9:30 am ........ Surviving the Perfect Storm (1 CE) Frank Gerbasi, CRNA, PhD — Executive Director of the Council on Accreditation of

Nurse Anesthesia Educational Programs, Chicago, IL

9:30 – 10:15 am ..... Refreshment Break with the Exhibitors Sponsored by: LiSACO10:15 – 11:15 am ... AANA Federal Affairs Update (1 CE)

Christine Zambricki, CRNA, MS, FAAN —AANA Deputy Executive Director, Federal Government Affairs, Washington D.C.

11:15 – 12:15 pm .. Adapting to the Changes in the Changing World of Anesthesia (1 CE) Jamison Gould, CRNA, MS, CCRN, Major, USAR, and self-proclaimed “World’s Fastest Quick-Change Artist!”, St. Marys, Saginaw, MI

12:15 – 1:30pm ...... Lunch/Legislative Update (1 CE) Michael MacMillan, CRNA, Presiding MANA

President Sponsored by: Morgan Stanley Smith Barney

& the HFP Group1:30 – 2:30pm ........ Past, Present and Future of Pulse Oximetry…

We Can “Make It Zero” (1 CE) Betty Wadland, CRNA — MANA Emertius Chair, Retired CRNA, Lansing, MI

2:30 – 3:30 pm ....... Climbing the Political Influence Pyramid (1 CE) Christine Zambricki, CRNA — AANA Deputy Executive Director, Federal Government Affairs, Washington D.C.

3:30 – 4:00 pm ....... MANA Presidents Then and Now: 1975 and(concurrent) 2010 (.5 CE) Karen Crawforth, CRNA, PhD — Anesthesia Manager, Crittenton Hospital, Rochester, MI and Nancy Wittstock, CRNA — Staff Anesthetist, Crittenton Hospital, Rochester, MI Why Are They Like That? Generational

Differences Among CRNAs (.5 CE) John Rzyhak, CRNA, MS — Chief CRNA/ Manager of Anesthesia & CVRR Services at Covenant Healthcare, Saginaw, MI

4:30 pm .................... Wellness Committee Fun Run and Walk7:00 pm .................... MANA 75th Anniversary Celebration

Sunday, October 7 (3.5 CE Credits)

6:30 – 7:30 am .........Deluxe Continental Breakfast7:30 – 8:30 am .........Food as Medicine (1 CE) Dr. Joel Kahn — Medical Director of Wellness Programs, Preventive Cardiology

and Cardiac Rehabilitation for DMC Cardiovascular Institute, Detroit, MI

8:30 – 9:30 am ......... Current Legal Aspects of Practice and Reim-(concurrent) bursement for CRNAs in Michigan Billing (1 CE) Robin Zerka, CRNA and Andy Biegner, CRNA

— Staff Anesthetists, Anesthesia Staffing Consultants, Bingham Farms, MI

Infection Control, Do We Really Care? (1 CE) Lawrence Stump, CRNA, MEd — Chief CRNA – University of Michigan Hospital, Ann

Arbor, MI9:30 – 10:-30 am ..... Volume vs. Pressure Ventilation (1 CE) Michael Dosch, CRNA, PhD — Associate Professor and Chair, Nurse Anesthesia,

University of Detroit Mercy, Detroit, MI10:30 – 11:00 am .... Honoring CRNAs Who Safely and with(concurrent) High Quality Managed Office Anesthesia

Practices and other Small Hospital Anesthesia Practices (.5 CE) Jeanne Learman, CRNA — Mercy Memorial Hospital, Monroe, MI

Bob’s Top Ten List: How to Get the Most out of Your Membership in MANA (.5 CE) Robert Barba — Retired MANA Association Manager, Pinckney, MI

142812_MANA FALL REGISTRATION.indd 3 8/17/2012 2:00:10 PM

4 MANA Connector

Hard to believe summer is almost over and fall is just around the corner. Hope every-one found time to relax, rejuvenate and

enjoy our fabulous Michigan summer weather!

Speaking of fall, Wednesday, September 12th, marks the date for our annual CRNA Impact Day in Lansing. We are fortunate to have a strong show-ing of senior SRNAs each year, but we would like to substantially increase the number of CRNAs that attend this event. CRNAs need to lead the way and set an example for all the students so they realize lobbying for our profession is vital to our practice. Actions speak louder than words! It is more important this year than ever to have experienced, knowledgeable clinicians there who can represent and relay the importance of our profession. MANA will provide you with the talking points and familiarize you with the current issues and opportunities imminently before us.

Please take time out of your schedule to protect and promote your practice. Legislators need to hear from you personally. They are the people making the decisions that will decide our future.

For more information, see the miana.org website. Hope to see you there!

Government Relations

Committee Update

By Becky Clifford, CRNA, MSN –

Government Relations Committee Chair

Federal Political DirectorUpdate

By Andrea Teitel, CRNA, MS – Federal

Political Director

The AANA has been very aggressive in the last several weeks in updating Federal Political Directors (FPDs) on Medicare

reimbursement for CRNA delivered pain manage-ment. As such, FPDs have been preparing for the Medicare public comment period, when CRNAs, patients, and other stakeholders (including our opposition) can contact CMS on funding for CRNA delivered pain therapy.

As I stated in the last Connector, most Michigan CRNAs do not directly provide this service, how-ever, challenges to scope of practice or reimburse-ment affect all of us. For over a decade, Medicare directly reimbursed CRNAs who provided pain management. In 2011, two Medicare Administra-tor Contractors, Noridian and WPS, unexpectedly stopped reimbursing CRNAs for this service, significantly impacting patients with chronic pain in rural and medically underserved areas, including here in Michigan.

Now we are urging Medicare to resume direct reimbursement for pain and to eliminate discrimi-natory language that attempts to limit our scope of practice. If Medicare chisels away at reimburse-ment for CRNA-provided pain services, there is question as to whether other services that we provide will not be reimbursed in the future.

The Secretary of Health and Human Services published a “proposed rule in preview” that estab-lishes a “consistent national policy” on patient access to CRNA pain care. This means that they are entertaining comments on their “proposed rule in preview”, so that they can make their final deter-mination. The proposed rule by CMS is as follows:

After assessing the information available to us, we have concluded that chronic pain manage-ment is an evolving field, and we recognize that certain States have determined that the scope of practice for a CRNA should include chronic pain management in order to meet health care needs of their residents and ensure their health

and safety. Therefore, we propose to revise our regulations at §410.69(b) to define the statu-tory description of CRNA services. Specifically, we propose to add the following language: “Anesthesia and related care includes medical and surgical services that are related to anes-thesia and that a CRNA is legally authorized to perform by the State in which the services are furnished.” This proposed definition would set a Medicare standard for the services that can be furnished and billed by CRNAs while allowing appropriate flexibility to meet the unique needs of each State. The proposal also dovetails with the language in section 1861(bb)(1) of the Act requiring the State’s legal authorization to per-form CRNA services as a key component of the CRNA benefit category. Finally, the proposed definition is also consistent with our policy to recognize State scope of practice as one param-eter defining the services that can be furnished and billed by other NPPs.

As you rightly assumed, the ASA and the Ameri-can Society of Interventional Pain Physicians have distributed letters in opposition to Capitol Hill and HHS/CMS to our interests and will be aggres-sively working to limit the reimbursable services as delineated above.

Now is our time to act! There is now a 60-day agency comment period so that the public (that’s us!) can send our opinions on this topic through September 4th, 2012. After the comment period is over, the agency will have a 60-day consider-ation period, then the publication of a final effec-tive January 1, 2013.

Please act NOW! Go to www.protectmypaincare.com. The website will facilitate the submission of comments on the proposed rule as well as a host of other relevant information.

NEED CAPTION & HEAD

Kathleen McNelis’ request I’m sending you the at-tached picture of Senator Stabenow with Kathleen taken on August 18 2012. Scott Reilly

Summer 2012 5

Congratulations to our MANA members and students as we celebrate our 75th Anniver-sary. A Gala Event is planned during our

Fall Conference in Grand Rapids, Saturday, October 7, at the elegant JW Marriott Hotel. The planning committee has been busy preparing a fun-filled evening, with dinner, dancing and recognition of our past and present leaders. Margie Ohryn has been doing a terrific job collecting photos of MANA members and most of them can be seen on Facebook. In addition to our 75th Celebration, the conference is at the historic Amway Grand Plaza Hotel during the popular ArtPrize of Grand Rapids.

Other Public Relation activities have been:April 24 & 25, 2012, Michigan Hospital Associa-tion (MHA)/Patient Safety and Quality Symposium, in Ann Arbor Marriott, Ypsilanti at Eagle Crest. We were a program sponsor and MANA was recognized on every page of the program. Diann attended along with CRNA leaders from Beaumont Hospital Royal Oak; Carol Schmidt, Eva Bowden, Ruth Uhlig, Trish Tuttle, and Kara Vos.

Saturday, May 26, 2012, Race for the Cure, Comerica Park, Detroit. Our Crystal sponsorship

provided a booth on race day and an estimated 30,000 attended. Jennifer Dickie, our associa-tion manager, was our team captain. She had the help of Detroit Receiving Hospital/Wayne State anesthesia students, Irene Sun and Karen Beatty, as well as Jennifer’s daughter, Samantha, to staff the booth and hand out MANA shopping bags and pencils. There are photos on Facebook.

June 2012, Coalition of Michigan Organizations of Nursing (COMON) Meeting, Lansing. Kathleen McNelis, past MANA PR Co-chair and Director,

attended as our representa-tive.

Saturday, June 9, 2012, Relay for Life, Royal Oak. Kara Vos, CRNA, from Beaumont, Royal Oak, was actively fund raising and participated in this 24 hour American Cancer Society Signature event to raise funds and awareness for all types of cancer. MANA helped as one of the T-shirt sponsors.

Saturday, June 23, 2012, Al Jarvis Memorial Golf Outing, organized by Anes-

thesia Staffing Consultants (ASC). The proceeds of the outing benefit the AANA Foundation for Anesthesia student scholarships. Students from Oakland University/Beaumont Anesthesia Program were the winners.

June 27-29, 2012, MHA Annual Meeting on Mackinac Island. MANA sponsored the Golf Carts for their outing.

September 21, 2012, Midwest Healthcare Execu-tives Group and Associates (MHEGA) Meeting and Golf Outing, The Inn at St. John’s, Plymouth, MI. We are planning sponsorship again. Margie Ohryn, MANA Bylaws Chair, attended last year.

Thank you to everyone that has participated in MANA sponsored events or represented us at others. Hope to see you at our fall conference and 75th Gala Celebration. Please contact me if you have any questions or other suggestions.

Public RelationsCommittee Report

By Diann Sweet Gorguze, CRNA, MS Public Relations Chair

Official Publication of the Michigan Association of Nurse AnesthetistsAddress: 1390 Eisenhower Place • Ann Arbor, MI 48108Telephone: 1-800-437-6577 • Fax: 734-677-2407 • Web site: www.miana.orgEditor: Greg Bozimowski, CRNA, MS (e-mail: [email protected])Managing Editor: Jennifer Dickie, CMP (e-mail: [email protected])

Rudy Hobb Fundraiser

Rep. Rudy Hobbs (D) 35th district Fundraiser was hosted by CRNA Diedre Goldsmith and her husband, Dwayne on July 12, 2012. Among the attendees were Dr Mary Canfield CRNA DNAP and CRNA Kathleen McNelis.

Pictured left to right: Diedre Goldsmith CRNA, Rep. Rudy Hobbs (D) 35th district, Dr Mary Canfield CRNA, with daughter Chloe, and Kathleen McNelis CRNA

Kara Vos, CRNA from Beau-mont Royal Oak at the Relay for Life in Royal Oak.

6 MANA Connector

A ll year long, the MANA scholarship fund committee works to raise money so MANA can give a $2000 scholarship

to each Michigan anesthesia program. We are pleased to announce this year’s recipients. They are; Megan Allington-Pfromm (Wayne State Uni-versity), Keri Salas (University of Detroit-Mercy, Al Jarvis Memorial Scholarship), Meejin Shim (Michi-gan State University), Lyndsey Smith (University of Michigan-Flint), and Brandy Strouse (Oakland University). Congratulations to all the recipients!

During the spring and summer is when the scholarship committee does most of their fund raising. The Al Jarvis Memorial Golf Outing was a huge success with over 65 golfers attending. Erin Dawkins and the staff at ASC did an excellent job planning, promoting and staffing this event. Thanks to Paul Santoro, Erin and the staff at ASC for their dedicated commitment to the Al Jarvis Memorial Golf Outing. The Third Annual Garage Sale made over $2500. Thanks to all the mem-bers that donated garage sale items. I couldn’t have pulled it off without the help of my sister Sara. We are now known as two girls, a van with a dolly pick up service. Many thanks to Bill Long, Sally Woodward-Volz, Sara Lange, Mary Ann Kashubosky and the Elmblad family (Ray, Amy, Lara and Anders) for their many hours of work and dedication setting up, running and cleaning up after the garage sale.

None of these activities could occur if it wasn’t for the hard work and support of the MANA

office. Jennifer Dickie and Jessica Hardacre go above and beyond for the scholarship commit-tee. Jessica worked all week helping me set up and run the sale. We had some Thomas Kinkaid Christmas ornaments donated. They are in the original boxes with certificates. Jessica is work-ing to sell them on eBay, so we can make top dollar for the scholarship fund. The MANA staff is instrumental in organizing the raffles, promoting events and assisting with all fund raising proj-ects. Without the work of all the individuals listed above, the scholarship fund wouldn’t be able to offer $10,000 in scholarships each year.

As a MANA member, how about helping out the scholarship committee with fund raising? We are always looking for new ideas and volunteers. If you can’t help out in person, how about financial-ly? We still need each and every MANA mem-ber to make their one-time tax deductible $200 donation. There is a link on the MANA website, so please make that donation today.

As many of you know, I am a student in the DrAP program at the University of Michigan-Flint, and I need your help. Coming soon, Ray Elmblad and I will each be sending out a survey to all MANA CRNAs. The research that we are involved in will examine the workings conditions of CRNAs. Please look for these emails that we will be sending you in the near future. Your participation would be greatly appreciated and instrumental to our research.

Scholarship Committee

Update

By Donna Carnahan, CRNA, MS –

Scholarship Committee Chair

THANK YOU“Great things are not done by impulse, but by a series of small things brought together”

— V. Van Gogh.

Donna Carnahan is a gleaner of small things and Chair of the MANA Scholarship Committee. She begins planning for the annual garage sale starting in January with a call for donations and retrieval or delivery, to her organized, empty and spotless garage space of: Pennies, nickels, dimes and dollars in the form of a mountain of toys, CDs, DVDs; the fabric, wood , leather and lace of days, weeks and years gone by. By the spring MANA meeting the disorderly mountain, detritus of life’s stories: Jeans (2 sizes old,) clean and gently used evidence that: Babies are toddling, toddlers are transitioning to elementary education in fashion and college grads are expanding their horizon beyond the need for dorm décor. The disheveled mountain of donations contains remnants of holi-days, adventures, weddings and funerals come and gone. With the help of a few volunteers, the mountain is organized, priced and spills out of the garage to the end of the drive. Once OPEN, the mountain noticeably shrinks back into the garage and is miraculously transformed into multiple anesthesia scholarships and repurposed into

the hands of the local homeless shelter - Great Things. It is no small task to return the garage to empty order. Thank You Donors, gatherers, sort-ers, sales people; MANA friends and family. Thank You Donna for your dedication: Sharing your time, money, home and family on behalf of the students and the MANA. Plan ahead to get involved with the MANA Scholarship Committee by: Donating your one time investment in the future of nurse anesthesia; playing golf or supporting the Al Jarvis Golf Outing OR participating in other Scholarship Committee events at the Spring and Fall MANA Meetings. Small things: Time, money

Summer 2012 7

BylawsCommittee Update

By Margaret Ohryn, CRNA, MS, MBA- Bylaws Committee Chair

G reetings to all MANA members. This fall we not only have the opportunity to celebrate with our colleagues the 75th

anniversary of our Association but we will have the chance to vote on three important changes to the MANA Bylaws. These proposed amendment changes support the professional development of our colleagues as well as the structure of our orga-nization in relation to the budget process and Board meetings. The first proposed amendment was illustrated in the Winter 2012 Connector, volume 49, number 1. The three amendment changes are presented below for your review prior to the vote.

Proposed amendment

ARTICLE VI-BOARD OF DIRECTORSSection 2. Meetings: The Board shall meet prior to and subsequent to the annual membership meeting, in conjunction with other member-ship meetings, and at other times necessary to conduct the business of MANA. Meetings may be called by the President or upon written request of four members of the Board filed with a member of the Executive Committee, and must be held within fourteen days of the request. Five officers, including either the President or President-elect, shall constitute a quorum at any meeting.

Revision

Section 2. Meetings: The Board shall meet prior to all membership meetings, and at other times nec-essary to conduct the business of MANA. Meet-ings may be called by the President or upon written request of four members of the Board filed with a member of the Executive Committee, and must be held within fourteen days of the request. Five officers, including either the President or President-elect, shall constitute a quorum at any meeting.

Proposed amendment

ARTICLE III- MEMBERSHIPSection 4. Dues and Assessments: AANA due amounts, payment procedures, default, exemp-tion, and reinstatement shall be as stipulated in the current Bylaws of AANA. Assessments may be levied with the recommendation of a three-fourths vote of the Board, and, with thirty days previous notice, the subsequent approval by a three-fourths vote of the membership. The fiscal year of MANA shall be November 1 to October 31.

Revision

Section 4. Dues and Assessments: AANA due amounts, payment procedures, default, exemp-tion, and reinstatement shall be as stipulated in the current Bylaws of AANA. Assessments may be levied with the recommendation of a three-fourths vote of the Board, and, with thirty days previous notice, the subsequent approval by a three-fourths vote of the membership. The fiscal year of MANA shall be September 1 to August 31.

Proposed amendmentARTICLE IV-OFFICERSSection 3. Nomination and Election:

A. A Nominating Committee of three active mem-bers shall nominate one or more candidates for each office to be filled; two members of this com-mittee, with written consent, shall be nominated from the floor and elected by a plurality vote by bal-lot at the annual meeting, and the remaining mem-ber and chair shall be the Immediate Past President if available, or the Board shall select a Previous Past President if the Immediate Past President is unable to serve as chair. Each member of the Nominating Committee shall serve for a term of one year, or until a successor is elected or appointed;

B. The Nominating Committee shall report first to the Board and then to the membership at the regular meeting preceding the annual meeting, at which time, with written consent of the nominees, additional nominations of active members may be made from the floor before nominations are closed.

C. The Nominating Committee shall provide for the mailing of the ballot to each active member no less than 45 days before the annual meeting, and election procedures shall follow these Bylaws, the MANA Administrative Manual, and the parliamen-tary authority adopted by MANA.

Revision

A. The Leadership and Board Identification Com-mittee of three active members shall nominate one or more candidates for each office to be filled; two members of this committee, with written consent, shall be nominated from the floor and elected by a plurality vote by ballot at the annual meeting, and the remaining member and chair shall be the Immediate Past President if available, or the Board shall select a Previous Past President if the Immediate Past President is unable to serve as chair. Each member of the Nominating Com-mittee shall serve for a term of one year, or until a successor is elected or appointed;

B. The Leadership and Board Identification Com-mittee shall report first to the Board and then to the membership at the regular meeting preceding the annual meeting, at which time, with written consent of the nominees, additional nominations of active members may be made from the floor before nominations are closed.

C. The Leadership and Board Identification Com-mittee shall provide for the mailing of the ballot to each active member no less than 45 days before the annual meeting, and election procedures shall follow these Bylaws, the MANA Administrative Manual, and the parliamentary authority adopted by MANA.

I hope to see you at the Annual Fall Conference this year.

8 MANA Connector

An ad hoc committee to explore the formation of an entity within MANA was approved by the Board of Directors at their July 14, 2012 meeting. The group will be known as CRNA Emeritus with mem-bership aimed at CRNAs who are retired or plan to retire within five years.

The ad hoc committee will work at directing the group’s formation, structure and goals that will ful-fill the mission: Remembering the past; supporting the present; promoting the future of nurse anes-thesia. Some of the possible ways the Emeritus group may fulfill its mission are:

1. Support and Promote MiANA in the mission of education, protection and enchancement of the profession of Certified Registered Nurst Anes-thetist.

2. Leverage the resource of time and experience of experienced professionals.

3. Provide a forum for continued and valued involvement in a profession that has been both challenging and rewarding.

4. Connect with the newest members of the profession and create a circle of renewal and sharing and support.

5. Sponsor a speaker at state meetings that ad-dresses issues related to the many challenges of practice that are nonclinical but effect the work atmosphere. This speaker would provide a frame work for break-out sessions and give an opportu-nity for meeting participants to share ideas and solutions.

6. Explore ways in which CRNAs no longer ad-ministering anesthesia in the OR can be an instisutional resource and advocate in enhancing perioperative managemen.

Being a CRNA for nearly 40 years has been a honor and a privilege. It is time to give back in a new and exciting way. If you wish to remain on the playing field of our wonderful profession and participate in the formation of a group that will be a valuable asset, contact Jennifer Dickie or Betty Wadland at [email protected]. The first organizational meeting is still to be determined.

I hope you will be one of the contacts and can gather the names and emails of interested per-sons. I would like to differentiate between those who wish to be members and those who wish to participate in formation and direction.

CRNA Emeritus HeadlineBy Betty Wadland, CRNA

WellnessCommittee Update

By Greg Bozimowski, CRNA, MS – Wellness

Committee Chair

The AANA defines health and wellness as; “a positive state of the mind, body and spirit reflecting a balance of effective

adaptation, resilience and coping mechanism in personal and professional environments that enhance quality of life”. (www.aana.com/resourc-es2/health-wellness ) Note that nowhere in that definition does it say a well person is free from stress or other maladies but rather the emphasis is on coping mechanisms and positivity. The first step in solving a problem is recognizing it. Take time out of your busy life to ask yourself if this definition describes your current state of mind, body and spirit and if the answer is yes, ask what you’re doing to maintain it. Because wellness is a journey and you must sustain it. If the answer is no, dig deeper. What is preventing you from reaching wellness and what are you doing to get on track?

Students: You’re very busy learning anesthesia. But don’t forget to learn how to take care of your-self. You may have been good at it before school but have you made any adjustments since then? By the way, visit www.aana.com/resources2/health-wellness/pages/student-stress.apx to find resources related to student stress.

Events: If you’re heading to the MANA Fall Con-ference watch for details about a wellness fun run/walk. Hope you can join us. Also, be sure to check out the Team MANA page at miana.org for the scheduled upcoming events.

Have an idea for a speaker or wellness event for a MANA meeting? Contact me at [email protected]

Summer 2012 11

1) Only professional advertisements will be accepted. This includes products and services used by CRNAs in the course of their professional duties. The Publications Com-mittee reserves the right to accept or reject any adver-tisement (under the general guidance and supervision of the Board).

2) No personal or classified ads will be accepted for publication.

3) A calendar of upcoming events granting CE credits (or otherwise of general interest to the membership i.e. AANA Assemblies) may be published in each issue. Sub-missions will be accepted without charge.

4) 2012 Deadlines - October 15 (Print and Mail dates follow each by 30 days).

5) The MANA Board of Directors does not endorse adver-tisements or advertisers that appear in the Connector.

6) For general inquiries and rates, contact: Jennifer Dickie, Michigan Association of Nurse Anesthetists, 1390 Eisenhower Place, Ann Arbor, Michigan 48108, Phone: 800-437-6577, Fax: 734-677-2407, E-mail: [email protected]

Electronic Ad Specifications:

When submitting advertisements, please submit your artwork as an electronic PDF file. E-mailed artwork to: [email protected]. It is the advertisers responsibility to provide a “hard-copy” proof of the ad by fax or mail to insure proper printing and conversion.

Rates for Press-Ready Black and White Copy only:

Full (7.5” x 10”) $360

Quarter Page (3.625” x 4.5”) $95

Half Page (7.5” x 5”) $210

Business Card (3.625 x 2.25”) $50

Please contact us! We appreciate your support and are happy to provide your business these opportunities to contact our members!

MANA Connector Advertising Policies

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MANA Logo WearMANA now has logo wear. You can purchase MANA shirts, shorts, umbrel-las, lunchbags and much more when you visit www.miana.org. The products will be cre-ated and shipped directly to you.

ADVOCACY DAYMark Your Calendar!

MANA Advocacy DaySeptember 12, 2012Lansing, MI

This is your opportunity to visit with legislators and share our message.Registration is available at www.miana.org

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Changing Jobs or Retiring?

A Morgan Stanley Company

Terrence F. Falahee First Vice President Financial Advisor 48009 Birmingham, MI 48009 248-258-1760 [email protected]

Summer 2012 13 13 MANA Connector

2012 Leadership Directory

PRESIDENTMichael MacMillan, CRNA, BS

(231) 620-2205 [email protected]

PRESIDENT-ELECTRobin Zerka, CRNA, MS

Home: (810) 659-0956, Cell: (810) 240-7262 [email protected]

SECRETARY / TREASURERShelley Zielinski, CRNA, MS

Home: (248) 336-2814 Cell: (248) 217-2723 [email protected]

DIRECTOR, District 1Michael Dosch, PhD, CRNA

(313)-993-2454 [email protected]

DIRECTOR, District 2Valdor Haglund, CRNA, MS


DIRECTOR, District 3John Rzyhak, CRNA, MS


DIRECTOR, District 4Tom Kolinsky, CRNA

Home: (906) 420-6379 Work: (906) 786-3311, X-5360 Work Fax: (906) 786-2800 [email protected]

DIRECTOR, District 5Andrew Biegner, CRNA, MSNA, FAAPM


DIRECTOR AT LARGEKristine Faust, MS, MBA, DNAP, CRNA


ASSOCIATION MANAGERJennifer Dickie, CMP

1390 Eisenhower Place Ann Arbor, MI 48108 Telephone: (734) 477-0328 Toll Free: (800) 437-6577 Fax: (734) 677-2407 [email protected]

COMMITTEE CHAIRS

BYLAWS – Margaret Ohryn, CRNA, MS, MBA


FEDERAL POLITICAL DIRECTOR –Andrea Teitel, CRNA, MS


FINANCE - Michael Linc, CRNA


GOVERNMENT RELATIONS –Beckie Clifford, CRNA, MSN


MANA-PAC –Jennifer Quicci, CRNA, MS


NOMINATIONS – Craig Huard, CRNA, MSN, MBA

Home: (810) 794-4299 (and FAX) Work: (586) 292-1832 [email protected]

PROGRAM -Sheryl May, CRNA, MS

Home: (248) 340-1448 [email protected]

PUBLICATIONS - Greg Bozimowski, CRNA, MS

Work: (313) 993-2446, [email protected]

PUBLIC RELATIONS –Diann Sweet Gorguze, CRNA, MS


SCHOLARSHIP –Donna Carnahan, CRNA, MS

Home: (734) 495-0628 [email protected]

MANAS – Keri Salas, SRNA

[email protected]

WELLNESS – Greg Bozimowski, CRNA, MS

Work: (313) 993-2446, [email protected]

MANA OFFICE 1390 Eisenhower Place, Ann Arbor, MI 48108 Telephone: (734) 477-0328 Toll Free: (800) 437-6577 Fax: (734) 677-2407 www.miana.org, [email protected]

Keweenaw

Houghton

Ontonagon

Gogebic

Baraga

Marquette

DickinsonDelta

Alger Schoolcraft

LuceChippewa

Mackinac

Menominee

Iron

Presque Isle

AlpenaOtsego Montmorency

Charlevoix

Emmet

LeeLanau

Benzie

Manistee

Mason Lake Osceola Clare GladwinArenac

BayOceana

Muskegon

Ottawa

Allegan

Van Buren Kalamazoo Calhoun Jackson Washtenaw

MonroeLenaweeHillsdaleBranchSt. JosephCassBerrien

Barry Eaton Ingham Livingston OaklandMacomb

Kent

Montcalm Gratiot Saginaw

Tuscola

Huron

Sanilac

Lapeer St. ClairGeneseeShiawasseeClintonIonia

Mecosta Isabella MidlandNewaygo

Wexford Missaukee Roscommon Ogemaw Iosco

Kalkaska Crawford Oscoda AlconaGrandTraverse

Antrim

Cheboygan

WayneWayneWayneWayne

MANA DISTRICTS BY COUNTY

District 1

District 2

District 3

District 4

District 5

14 MANA Connector

CAMPUSNEWSBy Andrea C. Bittinger

CRNA, MSN – Program Admissions Coordinator

New Clinical Coordinators SelectedWe are pleased to announce that Linda McDonald, CRNA, MSN and Laura Rodgers, CRNA, MSN have agreed to join the Oakland University-Beaumont Graduate Program of Nurse Anesthesia (OUBGP-NA) faculty as new Clinical Coordinators. Linda Mc Donald began working for the program on June 21, 2012 and Laura Rodgers began on June 25, 2012.

Linda and Laura’s leadership, experience and knowledge have been sculpted from their years of dedicated service to the profession of nurse anes-thesia, to the education of the OUBGPNA students and to the department of anesthesia at Beaumont. It is certain that they will bring a great deal of tal-ent, expertise and added value to the Program.

Al Jarvis Golf Outing Student WinnersFor the second year in a row, students from the Oakland University – Beaumont program won the Al Jarvis golf outing. Jason McLott, Amanda Winkley, Erin Locke and Joe Ponik were on the team that came in first place for this great event. In addition, Amanda Winkley won the longest drive contest.

Congratulations to all the students and also to ev-eryone who was able to participate in the outing.

Research in ActionThe program would like to acknowledge two student research groups that have been awarded special honors for their terminal projects.

Chand, S., Rapoport, M., Robinson, C. Weight Estimation: A Comparison of the Leffler Formula and the Advanced Pediatric Life Support Formula.

• Oakland University Annual Research Day- Sec-ond place winner: Sigma Theta Tau International Honor Society of Nursing

• Beaumont Hospital Annual Nurses Week Re-search Symposium and Poster Presentation-Win-ner Professional Practice Award

Hemphill, L., Jurecic, J., McLott, J. Development of an Amygdalocentric Neurocircuitry-Reactive Ag-gression Theoretical Model Through an Integrative Literature Review

• AANA State of the Science Oral and Poster Presentations at the AANA National Meeting San Francisco, August 2012

Oakland University – BeaumontGraduate Program of Nurse Anesthesia

By Michael Dosch PhD CRNA –

Program Director Hello all! I hope you are enjoying your summer. It has been a great year at UDM, with a super group of students. These folks are working hard, not only in the classroom and OR, but in all areas of their future development as professionals.

The student professional association (MANAS) con-tinues to thrive under the leadership of Keri Salas. It is very encouraging to see students at MANA board and business meetings, striving (as we all are) to understand complex practice, reimburse-ment, and legal issues. It is these young SRNAs who will carry us forward in the battles to come. UDM is well represented in next year’s MANAS leadership team, by Dana Pitcock- President, Amanda Gregory- Secretary, Leon Zech- Treasurer and Jillian Fisher, class representative.

UDM students have also been very active in serv-ing their world community. In 2011, more than half the graduating seniors gave volunteer anesthesia care overseas, in places as diverse as east Africa, India, the Caribbean, central America, and the Phil-ippines. Nicole Cardenas and Tanya Realy took the first trip for the UDM Class of 2012, with Michigan Helps Medical, to Guatemala. Classmates will be

serving in Honduras and likely the Philippines again as well. We are extremely fortunate to have good relationships with Dr Jack Wagoner and Kristi Faust CRNA, who have been very welcoming to our SRNAs. Thank you!

Once again we will sponsor a Senior Seminar on Saturday November 17 at Motor City Casino Hotel. We have a great, clinically focused program. Dr Sinha, a dynamic speaker from U Penn, will come to speak to us on Morbid Obesity and bariatric Surgery. Dr Karen Crawforth CRNA will do a “CSI Detroit” on evidence based decision making. Darin Tharp RNAS will speak on anesthetizing chronic pain patients, and finally Melissa Konopka RNAS and Isioma Orihu RNAS will present on attack-ing the problems of anaphylaxis. It will be a great seminar, not only because we are once again fielding great speakers this year, but because of the setting. If you haven’t been there, I think you will be pleasantly surprised. Free, secure parking, great restaurant and nightclubs, and a great casino for those who like to gamble. Make a weekend of it with us! I hope to see you there!

University of Detroit Mercy News

Summer 2012 15

PEER ASSISTANCEThe American Association of Nurse Anesthetists (AANA) recognizes that anesthesia providers, because of their exposure and the nature of their work, appear to be at a high risk for substance abuse. To address these concerns within the profession, the AANA established the Peer Assistance Advisors as an Ad Hoc Committee on Chemical Dependency in 1983 to serve as a resource and support for nurse anesthesia practitioners and students.

The functions of the AANA Peer Assistance Advisors include:• Assessingthenatureandimpactofthe

disease of addiction on nurse anesthesia practice.

• Educatingnurseanesthetists,students,employers and the public about addiction.

• Investigatingtheavailabilityandeffectiveness of treatment modalities.

• Advocatingresearchintotheeducation,prevention, intervention, treatment and recovery of addiction.

• Assistingindividualsororganizations,when requested, in the formulation of guidelines regarding intervention, treatment, aftercare and re-entry into the workplace of addicted nurse anesthetists.

Your Michigan State Peer Assistance Advisors are . . .• NANCYBECKMAN,CRNA–313.565.3417–

[email protected]

• PETECOCKRAM,CRNA–616.296.0015–[email protected]

• MARIEDEMPSEY,CRNA–248.842.0258–[email protected]

• KIMBERLYHARRIS,CRNA–734.673.9833–[email protected]

Calendar Update 2012

October 5-7 ............................................ MANA Fall Conference - DeVos Place/Amway Grand Plaza Hotel, Grand Rapids, MI November 16-18 ...................................AANA Fall Leadership Academy, Colorado Springs, CO

2013April 14-17, 2013 ...................................AANA Mid-year Assembly, Washington, D.C.April 26 – 27, 2013 ...............................MANA Spring Conference Motor City Casino, Detroit, MIAugust 10-13, 2013 ..............................AANA Annual Meeting, Las Vegas, NV

September 27 – 29, 2013 ....................MANA Fall Conference Boyne Resort, Boyne Falls, MI

2014April 16-19, 2014 ...................................AANA Mid-year Assembly, Washington, D.C.September 26 – 28, 2014 ....................MANA Fall Conference Grand Traverse Resort and Spa, Acme, MI

16 MANA Connector

Summer 2012 17

Port Huron Benefit Golf Outing, July 10. The entire department donated to be a Bronze Sponsor. Craig Huard, Leighann Wood and Tim VanHowe of the CRNA group there.

MANAS UpdateThis past year as President of MANAS has been a wonderful experience. I have had the opportu-nity to meet many exceptional people and I have learned a great deal about the profession and MANA. I look forward to continuing my involve-ment throughout my career.

We would like to welcome the new MANAS Board of Directors:President – Dana Pitcock

Secretary – Amanda Gregory

Treasurer – Leon Zech

We would also like to welcome the new MANAS class representatives:Oakland University - Renee Vicari

Michigan State University - Alan Meinke

University of Michigan – Flint - Erica Hadley

University of Detroit Mercy - Jillian Fisher

Wayne State University - Devon Locust

Congratulations and best of luck to all of the 2012 graduates!!

By Keri Salas, SRNA – President of

MANAS

MANA MEMBERS SUPPORTING THE COMMUNITY

Michael Okkerse, Julius Sawyer, Henry

Talley and Paul Santoro at the Sparrow

Foundation Outing.

Valdor Haglund and Greg Bozimowski at the DMC Guild Golf Outing.

18 MANA Connector

Just because you move from one nursing specialty to another doesn’t mean you’re less valuable. In fact, we think it broadens your skills with new experiences and knowledge that can make you even more valuable. That’s why in the U.S. Air Force, you’ll have the opportunity to practice in a variety of clinical and nonclinical nursing areas without sacrificing your pay level or officer rank.

Never go back to square oNe. eveN wheN you learN New specialties.

©2009 Paid for by the U.S. Air Force. All rights reserved.

Contact: Technical Sergeant Jill Cardoza(248)[email protected]

UNIVERSITY OF DETROIT MERCY

34th Annual Senior SeminarPlease join us on November 17, 2012 at the Motor City Casino for a great program of continuing education. Look

for the brochure in your mail in September. The speakers and topics this year are:

• Morbid Obesity & Ultra Obesity: A growing problem in anesthesia. Ashish C Sinha MD, Ph.D., DABA, Pro-fessor & Vice Chairman of Anesthesia, Drexel University

• Sensorium through a looking glass: The chronic pain patient. Darin Tharp, RNAS University of Detroit Mercy

• CSI Detroit: Discovering & analyzing anesthesia evidence to determine best practice. Karen L. Crawforth, CRNA, Ph.D., Crittenton Hospital and Medical Center

• Anaphylaxis alert! Managing life-threatening perioperative complications.Isioma Orinhu, RNAS University of Detroit Mercy and Melissa Konopka, RNAS University of Detroit Mercy.

The brochure will be posted soon at http://healthprofessions.udmercy.edu/programs/crna/seminar/index.htm

© 2011 Morgan Stanley Smith Barney LLC. Member SIPC. NY CS 6929992 FP001 10/11 394610

Plan for Your Future.Make It Happen.

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives.

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Contact a Morgan Stanley Smith Barney Financial Advisor today to get started.

Terrence F. Falahee First Vice President Financial Advisor 220 Park Ave, Suite 220, Birmingham, MI 48009 248-258-1760 [email protected]

Michigan Association of Nurse Anesthetists1390EisenhowerPlaceAnnArbor,MI48108

Scan this QR code with your mobile device to learn more about the conference!

DATES TO REMEMBEROctober 5-7, 2012(Friday-Sunday)

MANAFallConferenceDeVosPlace/AmwayGrandPlazaHotel–GrandRapids,Michigan

April 26-27, 2013 (Friday-Saturday)MANASpringConferenceMotorCityCasino-Detroit,Michigan

Mark Your Calendar!

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