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By Laura Wiggins, DNP, CRNA


🔹🔹🔹National CRNA Week debuted as an annual commemoration in 2000 as a way to celebrate our nation’s Certified Registered Nurse Anesthetists and nurse anesthesia students. But the history of our profession stretches back generations.

Nurse anesthesiology traces its origins to 1863, when nurses eased the suffering of wounded soldiers in the Civil War. Since then, nurse anesthetists have been the main providers of anesthesia care to U.S. military personnel on the front lines and remain the primary anesthesia providers in austere combat theaters.


Today, there are nearly 66,000 CRNAs and nurse anesthesia students nationwide, including more than 3,700 in Pennsylvania.


🔹In times of transition and strife, people look to nurses—and, more specifically, highly trained CRNAs—to bridge the gaps of care, offer compassion to those who need help, and ensure the safety of patients during their most vulnerable times. You bring the art and science to the practice of anesthesia, and the work you do to serve our profession so honorably and your patients so faithfully ultimately enhances the patient’s experience.


🚧 In today’s environment, with health-care overhauls, organizational mergers and changes, redesigned care systems, and fluctuating payment models and costs, patients can rely on CRNAs who demonstrate as the foundation of their practice these core values—integrity, accountability, trustworthiness, and community service. You should be proud of what you do.

As we transition through a global economic crunch and continue to emerge from the global pandemic, enhancing our personal emotional intelligence and well-being is becoming an increasingly essential component of our practice. Having self-awareness, self-regulation, empathy, motivation, and empowerment skills, combined with these other core values, will only strengthen our ability to care more compassionately for our patients.

I am confident in the direction of our association and profession. CRNAs are leaders. We have been there from the beginning, as military necessities on the front lines of our nation’s wars, and we continue to build the teams necessary to serve, because we have the backbone, drive, and fortitude to fight, protect, and defend our patients, our communities, and our nation.

🩺 Looking back at the last 160 years, CRNA history is nursing history. It’s women’s history. It’s our nation’s history. So, let’s celebrate our rich past, but let’s not overlook our promising future. With your passion and commitment to our profession, America’s original anesthesia experts will continue to build trust, show compassion, provide stability, and create hope in the health-care system adjusting, adapting, and overcoming with finesse and grace.

😷 Thank you for all you do—and happy CRNA Week, Pa.! PANA would love to join in YOUR celebration of our profession, so if you're on social media, you can tag @panacrna on Instagram, Facebook and Twitter.


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Nurse anesthetists have been the main providers of anesthesia care to U.S. military personnel on the front lines since World War I, and these professionals remain the primary anesthesia providers in austere combat theaters.


In fact, certified registered nurse anesthetists (CRNAs) most commonly are the only anesthesia providers in the military’s forward surgical teams. We truly are battle-tested providers, administering safe, high-quality care even in the most stressful and emergent situations, as in any active-duty military circumstance.


Although we pause—and rightfully so—every Veterans Day to celebrate and remember the brave anesthesia providers who have been tending to wounded soldiers since the Civil War, supporting the work of active military personnel and veteran CRNAs is a year-round commitment for the Pennsylvania Association of Nurse Anesthetists (PANA).


For years, PANA has been one of the strongest supporters of the Association of Veterans Affairs Nurse Anesthetists (AVANA), the only professional organization that represents more than 1,100 CRNAs employed within the U.S. Department of Veterans Affairs (VA) health-care system.


AVANA is committed to the care of veterans through engagement with every VA medical center in a concerted effort to improve services and promote clinical excellence through advocacy and continuing education.


Over the years, support for AVANA has grown, and now 13 state associations are helping them fulfill their mission, along with dozens of individual contributors. Our hope is that even more come to appreciate AVANA and the special work they do in serving the brave men and women who have dedicated their lives to serving and protecting our freedoms.


PANA could not be prouder to partner with such an outstanding and mission-oriented organization like AVANA.


Learn more about AVANA and the work they do: www.vacrna.com.



 

❤️🤍💙 Happy Veterans Day!

Thank you to all the brave men and women who have dedicated their lives to serving and protecting our freedoms. We thank you for your service and also recognize our #militaryCRNAs #CRNAinPAvets and #SRNA veterans. How many of PANA's CRNAs & SRNAs are veterans? Check out the PANA members who shared their stories with us this year!









CPT BRYAN S. BOYER, CRNA


I finally got the chance to join the Army reserves after eleven years as a CRNA. I joined approximately two years ago. I am joined to APMC and attached to the 865th Combat Support Hospital.












CAPTAIN DARYL de LIMA

Captain Daryl de Lima is currently serving in the Army Reserve with the 624th Forward Resuscitative Surgical Detachment. He was born in the Philippines and grew up in Hawaii. He earned his BSN and commissioned onto Active Duty via ROTC at the University of San Francisco.


Following his Active-Duty obligation, he attended the University of Pittsburgh and earned his DNP in Nurse Anesthesia.


Captain de Lima has multiple mobilizations/deployments stateside and overseas; including combat deployments in support of Operation Enduring Freedom and Operation Inherent Resolve.


He enjoys his continued service as an Army CRNA where he can practice independently to his full scope of practice.





More photos of Army CRNA Daryl de Lima:


LT COL CHUCK GIORDANO MSN, CRNA, DNP (USAF)

(USAF 1999-present)


Lt Col Charles D Giordano, USAF ICU Nurse 1999-2004, USAF CRNA 2006-present. Deployed with 1st Group Special Forces Joint Special Operations Task Force Philippines, Forward Surgical Team in support of OPERATION ENDURING FREEDOM in 2010. Currently Critical Care Air Transport Team 911th AW, Pittsburgh PA.

DEPLOYMENTS:

2010 Operation Enduring Freedom

Forward Surgical Team, Jolo Philippines

Joint Special Operations Task Force Philippines

Solo anesthesia provider


2021 Operation Freedoms Sentinel/Operation Allies Refuge

Doha Qatar

Flight Commander En-Route Patient Staging Flight


2020 Operation Steele Dragon (Operation Gotham)

COVID 19 Response - NYC,

NY Element leader Elmhurst Hospital Proning Team

LT MELISSA HUGGINS, SRNA

A SRNA mentee with the two best CRNA mentors one could ever ask for!
Pictured (Left to Right): LCDR John Navarro, CRNA (Corporal Michael J. Crescent VA Medical Center); LT Melissa Huggins, SRNA (Drexel University ‘24); LCDR Thomas Gaffney, CRNA (University of Pennsylvania Hospital)
Pictured (Left to Right): LCDR John Navarro, CRNA (Corporal Michael J. Crescent VA Medical Center); LT Melissa Huggins, SRNA (Drexel University ‘24); LCDR Thomas Gaffney, CRNA (University of Pennsylvania Hospital)

Go Navy!!

Submitted by Melissa Huggins, US Navy Reserves

MAJOR JON HUMBERT


For the past 15+ years, my experiences in the military have shaped me into the provider and person I am today. I began my career in the WV Air National Guard as an aeromedical evacuation technician then furthering my education to transition to a flight nurse. I then returned to school to become a CRNA graduating in 2020. I now look to continue my military career transitioning into a role as a Critical Care Air Transport Team (CCATT) member. Thinking back to the undecided college freshman I was in 2006, it's hard to summarize all the people, experiences, and places all over the globe that have pointed me toward and pushed me to pursue the most rewarding civilian career that I now have as a CRNA. I'm very thankful.

Submitted by Jon Humbert, Major, WV Air National Guard/Staff CRNA UPMC West Shore Hospital

CPT RALPH PADILLA

My Name is Ralph Padilla. I was a CRNA with the Army. I was deployed to Tikrit, Itaq in 2008.


I became attached to a FST (Forward Surgical Team) out of Utica, New York. I was honorably discharged from military in 2012 with a rank of Captain. Here are some photos from my tour in Iraq 2008, back when I was a First Lieutenant. I'm an Army Captain now.



Working in a FST (Forward Surgical Team), setting the OR table up with an anesthesia draw over circuit. In this photo, I’m working to get the portable anesthesia vaporizer and ventilator set up and ready for quick use.

MAJ GREGORY RENDELMAN


1980th FST 101st Airborne Division Afghanistan 2002 Combat Anesthetist Major Gregory Rendelman CRNA


Submitted by Bryan S. Boyer


LT. COL. LAURA WIGGINS, DNP, CRNA

USAF/USAFR (1990-2018) 25 years of service (3 year break in service) Deployed as a CRNA/Critical Care Air Transport Team in support of OPERATION FREEDOM’s SENTINEL, OPERATION RESOLUTE SUPPORT, OPERATION ENDURING FREEDOM, and OPERATION INHERENT RESOLVE (2006-2008) (2017) Retired from Chief Nurse Executive position at 911th Aeromedical Staging Squadron April 2018.

MAJ (P) JAMEY WILMOTH DNP, CRNA, MS


I am a practicing CRNA, currently on my 5th combat deployment in the Middle East. I’m spending another Veteran’s Day downrange and have a few photos from our trip so far. I am leading an FRST which is happily free of MDAs.

PHOTO GALLERY/ARCHIVES:




 

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