February Focus: CRNA Excellence, Case Review, and Spotlight on Jenny Finnell
- Advocate Maggie MSN RN
- Feb 15
- 11 min read
Welcome to February! WOW!!! It is 2025! I am so happy you are back and I made this one a little longer as I want to highlight a special nurse this month and I am thrilled to not only bring you an exclusive critical case review but also shine the spotlight on Jenny Finnell, founder of CRNA School Prep Academy! Jenny has been an extraordinary advocate and resource for CRNAs, helping aspiring and current professionals elevate their careers. She’s a nursepreneur as well and I have had the honor of spending time with her. She is an amazing nurse and mentor!
This month, as it features CRNA week, I decided since I was on a podcast with Jenny to focus on Nurse Anesthetist this month. We are so wide and vast there are all types of nurses and I define this in the case review be sure to review it and have a listen to the podcast and we’ll explore lessons learned from a NURSE ANESTHETIST and dive into actionable strategies to prevent similar situations in your practice—all inspired by Jenny’s passion for empowering CRNAs to excel.
Upcoming Events & Exciting News
✨ I’ll be at VIVE in Nashville under Nurse.org! February 16 - 19, 2025. If you're attending, let’s connect! I’m excited to meet nurses from across the country and share insights. Don't miss it!
💡 Health & Wellness Virtual Summit (Noon - 5 PM) with Dr. Lendra—This summit is all about nurturing your body, mind, and spirit. If you’re looking to recharge and reset, this is the perfect event for you.
📚 First Weekend in March—I’ll be hosting a Book Club with Celia and Ru. We’ll be diving into insightful reads that challenge and empower us as nurses. Don’t miss this chance to discuss important topics and connect with like-minded nurses!
Jenny Finnell: A True CRNA Advocate
This month, I’m proud to celebrate Jenny’s contributions to the CRNA community. Her dedication to preparing future CRNAs for success has set a standard of excellence and advocacy that inspires us all.
Be sure to explore her resources and connect with her at CRNA School Prep Academy to take your practice to the next level. Jenny Finnell, Founder & CEO, CRNA School Prep Academy
“Cultivate the habit of being grateful for every good thing that comes to you, and to give thanks continuously. And because all things have contributed to your advancement, you should include all things in your gratitude.”—Ralph Waldo Emerson
Contact Information:
Website: www.crnaschoolprepacademy.com
Celebrate February with Nurse Love Tough Love!
To mark this month of growth and learning, I’m offering a free resource:
The Critical Documentation Checklist for CRNAs—a step-by-step guide to error-proof your charting and enhance patient safety.
A CRNA's Guide to Preventing Medication Errors
This month’s case highlights a critical error in anesthesia administration—the incorrect use of a paralytic medication. While the outcome was avoided, it serves as a stark reminder of the potential consequences of even small mistakes. Let’s break down the critical learning points:
Double-Check Medications: Even experienced CRNAs are not immune to errors. Paralytic medications are among the highest-risk drugs administered in anesthesia. Double-checking medications is a must, especially when it comes to these high-stakes situations. In this case, a lack of proper verification could have led to severe patient harm. Tip: Use a standard checklist for medication preparation and ensure that any high-risk medication undergoes multiple verifications—don’t hesitate to ask for a second opinion when it comes to life-critical medications.
Collaborative Teamwork: No One Works Alone! While CRNAs are independent practitioners, collaboration with the entire surgical team remains critical for patient safety. In this case, having a second set of eyes could have helped prevent the error. Collaborative teamwork is not just a luxury; it’s a vital safeguard in high-stakes environments like the operating room. Always communicate effectively with your team and ensure everyone is on the same page.
Tip: Team huddles before the procedure to go over critical steps, medications, and safety protocols can help ensure everyone is aligned and can catch potential issues early.
Adhering to Patient Safety Protocols: Patient safety protocols are non-negotiable. Adhering to practices like two-person medication verification is one of the most effective ways to reduce the risk of medication errors. This case could have been prevented if standard safety protocols had been followed to the letter.
Tip: Always practice two-person verification when administering high-risk medications. Trust but verify—a second set of hands can be the difference between life and death.
What Can You Learn From This?
This case emphasizes the importance of systematic checks and teamwork in every procedure. As CRNAs, we are responsible for administering life-saving medications, but we are never alone in that responsibility. Collaboration, open communication, and adherence to safety protocols are key to ensuring the best patient outcomes. By embracing these practices, you can reduce the likelihood of errors and ensure that you’re always delivering the highest standard of care.
Want to Level Up Your Case Review Skills?
If this case has left you thinking about ways to improve your own practices, consider working with me directly. My mentoring sessions provide hands-on guidance, including how to manage high-risk scenarios and how to improve your communication and documentation to ensure patient safety. Plus, my Charting Course can help you with documentation practices that will safeguard you if things don’t go as planned. Let’s work together to make sure you’re always ready for any challenge that comes your way!
What Exactly is a CRNA?
Definition: Advanced practice nurses trained in anesthesia care for surgical, labor/delivery, and critical care settings.
Key Responsibilities:
Administer anesthesia and manage patient safety throughout procedures.
Monitor vital signs and respond to critical situations in real-time.
Collaborate with anesthesiologists, surgeons, and other healthcare professionals.
Education Requirements:
CRNA Education:
Historically, CRNAs earned a Master of Science in Nursing (MSN) degree.
Starting in 2025: All new CRNAs are required to hold a doctoral degree.
Common Doctoral Degrees for CRNAs:
Doctor of Nursing Practice (DNP)
Doctor of Nurse Anesthesia Practice (DNAP)
PhD (Doctor of Philosophy):Focuses on research and advanced scholarship.
Typically prepares individuals for careers in academia, research, or advanced clinical roles with a strong research component.
Key Differences:
Focus: DNP programs emphasize clinical practice and improving healthcare outcomes, while PhD programs emphasize research and generating new knowledge.
Career Paths: DNPs are designed for advanced practice roles, while PhDs are often pursued by those interested in research, teaching, or academic careers.
Master’s or doctoral degree in nurse anesthesia.
Pass national certification exams.
Engage in lifelong learning to stay updated on best practices and advancements.
Licensing & Practice in Texas
Collaborative Framework: CRNAs in Texas operate under the supervision of an anesthesiologist or physician, while maintaining a degree of autonomy.
Key Message: Effective communication and teamwork are non-negotiable for ensuring patient safety and compliance with state regulations.
Requirements:
Maintain licensure through continuing education.
Stay updated on best practices in anesthesia care and regulatory requirements.
Action Steps for CRNAs
Watch the Vlog: Gain insights into how teamwork and communication prevent errors.
Engage with Content: Subscribe to the channel for interactive videos and Q&A sessions.
Stay Informed: Regularly review state-specific regulations and trends.
Advocate for Safety: Address unsafe workplace practices and promote strong protocols.
Protect Yourself: Carry liability insurance, document meticulously, and stay legally informed
Legal Implications of Medication Errors
Focus: The legal risks CRNAs face due to medication errors and how to mitigate them.
Key Message: Liability insurance is crucial, but CRNAs must also stay updated on legal trends and frameworks.
Real-Life Example:
Errors with medications like paralytics or vasoactive agents, such as Levophed, can have devastating outcomes for both the patient and the provider.
High-stakes mistakes can lead to legal action, termination, and potential license loss.
Actionable Tips:
Secure professional liability insurance that includes coverage for high-risk specialties.
Keep accurate and detailed documentation of patient care and decision-making.
Stay informed about new legal cases or changes to regulations around anesthesia care.
Watch this month’s vlog for strategies on reducing legal exposure and protecting your career.
How Can You Advocate for Your Patients and Yourself?
This month’s case is a powerful reminder of just how essential advocacy is—both for your patients and for yourself. As APNs and CRNAs, you face high-pressure situations where patient safety is top priority, but don’t forget: your own career and practice are just as crucial to protect. Here’s how you can advocate for yourself while safeguarding your patients:
Nurse Advocacy Tip #1: Trust Your Instincts—Speak Up When Something Doesn’t Feel Right
If you're feeling unsure in these situations, consider documenting your concerns and actions. Clear communication is key to preventing errors, and strong documentation not only protects your patients but also protects you.
Nurse Advocacy Tip #2: Document Everything—Your Career May Depend on It
Don't just record the facts—document your reasoning behind decisions and actions. This can be especially important when there’s a chance of legal scrutiny. By keeping your documentation clear and comprehensive, you’re not just protecting the patient; you’re safeguarding yourself.
The Bottom Line: Advocate for Your Practice and Your Patients
Remember, speaking up and documenting everything are two of the most critical ways you can protect your patients and yourself. Trust your instincts, speak up, and always be prepared.
Let’s make advocacy a habit, not just a reaction.
Why Advocacy Matters for CRNAs and APNs
In high-stress environments like the operating room, surgery centers, rural areas, and offices, advocacy isn’t just a soft skill—it’s an absolute necessity. Whether you're managing a medication error, handling a procedural complication, or navigating a challenging team dynamic, advocating for yourself and your colleagues ensures not only patient safety but also the quality of care provided. And when working in settings like surgery centers or rural areas, where resources may be limited and support teams smaller, your role in advocating becomes even more critical. You may often find yourself in situations where you're required to act quickly, sometimes without the immediate backup or structure that larger hospitals provide.
In this month's case, a CRNA's intervention saved a life. The quick, confident action taken wasn’t just about speaking up—it was about advocating for patient safety and professional integrity in a high-pressure moment. This story serves as a powerful reminder that both teamwork and self-advocacy are crucial for success, particularly in settings like surgery centers or rural practices, where you might be the only anesthesia provider and the stakes are even higher.
But how can you develop these advocacy skills to ensure you're ready when it matters most?
Get involved and find mentors in your specialty who have walked the path you're on. Learning from those with experience can provide invaluable insights and help you navigate complex situations more confidently. Surrounding yourself with a network of mentors who share your challenges and understand the unique demands of surgery centers or rural areas can also provide the guidance and support needed to grow your advocacy skills and be prepared to speak up when the moment arises.
I’m here to help you build confidence in your advocacy abilities. My mentoring sessions are specifically designed to guide you through real-world situations, teach you effective communication techniques, and help you stay protected in those high-pressure moments. Whether it’s learning how to speak up in the operating room, advocating in surgery centers with a smaller team, or navigating challenging situations in rural areas, we’ll work together to ensure you have the skills you need to protect both your patients and your career.
Advocacy isn’t optional—it’s essential. Let’s make sure you’re prepared to lead with confidence, especially when resources are limited and every decision counts. And remember, the right mentorship can make all the difference in developing these critical skills!
Staffing Issues: A Constant Struggle
Staffing continues to be one of the top challenges in nursing. It’s affecting the quality of care and leading to burnout, and it’s not just a passing issue—it’s a widespread reality. On platforms like TikTok, I’ve been breaking down how to unpack and cope with these staffing issues. You’re not alone in this struggle. If you feel overwhelmed, reach out to me for mentoring. I've helped countless nurses regain their confidence and navigate tough situations, and I’m here for you too. Don't let burnout or staffing shortages define your practice. There are tools and strategies to cope, and together, we can find solutions.
"My life has changed! I’m so glad we chatted. I feel so much more confident in Interventional Radiology giving sedation."
This is just one of the many comments I receive from nurses who have gone through mentoring with me. Whether you’re giving sedation or managing any high-risk task, there’s a shared responsibility that comes with it. Always remember: Knowledge is Power. Every nurse deserves the education and support to feel confident in their role. If you’re facing a challenge, let's discuss it and find a solution together!
AI in Healthcare: What Are Your Thoughts?
AI is making waves in healthcare, and we’re starting to see it pop up more and more in clinical settings. From diagnostic tools to administrative assistance, the integration of AI is reshaping how we work and care for patients.
But what does this mean for nurses? Is AI going to replace us, or is it an opportunity to elevate our practice? It’s important to stay ahead of the curve and understand how to leverage these advancements to improve patient care and our work-life balance. Let me know your thoughts—are you ready to embrace AI in your practice, or do you have concerns? We need to have this conversation, as this is only going to grow.
Protecting Yourself: How to Protect Your License & Career
When things don’t go as planned, protecting yourself becomes just as important as ensuring patient safety. Here’s how you can safeguard your career:
Document Everything: Keep comprehensive and accurate records—this can be the deciding factor if a situation is questioned later on.
Get Liability Insurance: Liability insurance is more than a recommendation—it’s essential for your peace of mind and protection.
Keep Learning: Medicine and nursing are constantly evolving. Ongoing education is critical to staying on top of best practices. If you’re looking for more resources, check out my mentoring sessions and courses to stay ahead of the game.
Conclusion: A Call for Vigilance and Advocacy
As we move through February, it’s a powerful reminder that teamwork, vigilance, and continuous education are the cornerstones of patient safety—particularly in high-risk areas like anesthesia. Mistakes, no matter how small, can occur, but the key is catching them early to minimize the potential damage. By staying sharp, keeping up with ongoing education, and ensuring open collaboration within your team, you can significantly reduce errors and better advocate for your patients—and your career. Remember: Nurse Love, Tough Love. I’m here to advocate for you as you advocate for your patients. Keep learning, stay strong, and always protect your practice.
Advocate Maggie MSN RN
The Nurse’s Advocate
Looking For More Resources?
Remember my fellow nurses and healthcare providers that Advocates For Nurses is your one-stop shop for empowering your nursing journey:
Online Charting Courses: Join this comprehensive charting course to stay on top of current best practices in documentation, designed to help you avoid common charting pitfalls. Gain insights into accurate and effective charting techniques and earn a CE credit to keep your skills and knowledge up-to-date.
"Guide To The Courtroom For Nurses" E-book: Equip yourself with the confidence to navigate legal proceedings with this essential e-book. Designed with nurses in mind, this guide covers crucial steps for understanding the legal process, so you’re prepared for any situation. A must-have for every nurse looking to build their legal awareness and protect their practice.
Schedule a Meeting With Maggie: Get personalized support tailored to your unique situation with a one-on-one consultation. Gain clarity, actionable advice, and industry expertise to help you achieve your goals and strengthen you or your company's impact in healthcare.
Podcast: Stay informed and empowered with the Advocates For Nurses podcast, where we break down essential topics for today’s nurses, from navigating board inquiries to safeguarding your license. Tune in for practical advice, real-life stories, and expert insights to keep your practice safe and informed. A must-listen for any nurse looking to stay prepared and knowledgeable.
Introduction to Legal Nursing Course: Thinking about transitioning to legal nursing? This affordable, comprehensive course teaches you the fundamentals, helping you apply your education, training, and knowledge in a legal setting. Whether you’re interested in working independently, subcontracting, or joining a law firm, this course provides the insights and essential skills you need to get started confidently without overspending.
Free Resources for Nurses and Legal Nurse Consultants
Tools for Legal Nurse Consultants (LNCs): Access resources tailored to help LNCs enhance their work, including practical guides and insights into case evaluation, report writing, and expert testimony.
Tips for Charting and Documentation: Learn best practices in charting and documentation to protect your practice. These tips help you document with accuracy, minimize risks, and reflect your expertise.
Understanding Nursing Board Investigations: Empower yourself with a foundational understanding of the nursing board investigation process. This guide covers what to expect and how to prepare, helping you stay informed and proactive.
These resources are designed to support you in every aspect of your practice—whether you’re seeking crisis intervention tools or ongoing guidance to protect your career and mental health.
Disclaimer:
This case review is for educational purposes only and does not substitute for professional legal advice. Consult a legal professional in specific matters requiring legal counsel.
This is not legal advice and is intended for educational purposes only.
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