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Anesthesia LandMarksAnesthesia Program Welcomes New Faculty MemberDr. Melissa MachanThe administration and faculty are pleased to welcome MelissaMachan, DNP, CRNA, as adjunct faculty in the DNP with a Specialization in Anesthesiology Program at Barry University. Dr.Machan will be teaching the Role of the DNP course in the fall2012 semester and will also be lecturing on a variety of clinicaltopics, including obstetrics andresearch, in the MS in Anesthesiology Program. Dr. Machan joinsthe faculty with a solid background in clinical practice andscholarly work.Dr. Machan earned a BSN atthe University of North Floridain 2000 and an MSN at FloridaInternational University in 2003.In 2004, she received the Outstanding Scholastic Achievement Award from the FloridaInternational University Collegeof Health and Urban Affairs forpublication of her thesis, Presence of visible and occult blood on anesthesia airway equipment.Presently, Dr. Machan is a full-time nurse anesthetist at Plantation General Hospital, where her practice focuses primarily onobstetric anesthesia care. She developed her interest in teaching nurse anesthesiology through her experience as a nurse anesthesiology preceptor in the Labor and Delivery unit at Plantation General Hospital.When asked how earning a DNP degree has impacted her roleas a CRNA, Dr. Machan described that earning a practice-focused doctoral degree has changed the way she approachesher practice. Now, she understands that her role in delivering safe, quality anesthesia care extends beyond the operatingroom, and that as a doctorally-prepared practitioner, she hasbecome a leader in effecting change in order to improve patientcare. As she will be teaching the Role of the DNP course duringthe Fall 2012 semester, Dr. Machan is looking forward to sharing her experience and perspective in this regard with the DNPin Anesthesiology students.When asked why she chose to join the DNP in Anesthesiologyfaculty at Barry, Dr. Machan explained that she is impressedby the curriculum that is focused specifically on anesthesiology,and that the Barry program is among the small number of DNPprograms that are accredited by the Council on Accreditationof Nurse Anesthesia Education Programs. Dr. Machan is alsoIn 2011, Dr. Machan earned a Doctorate in Nursing Practice interested in the program’s design using distance-learning techfrom the University of North Florida, and the AANA Journal has nology.since accepted for publication two scholarly articles based uponher DNP dissertation, Emerging evidence in infection control Please join us in welcoming our new faculty member!effecting change.Dr. Malina Meets First Lady Michelle Obama andSecond Lady Dr. Jill BidenRepresentingthe AmericanAssociation ofNurse Anesthetists (AANA),Debra Malina,CRNA, DNSc,MBA,BarryUniversity faculty and AANAPresident,joined numerous other nursing schools and organizations at aninitiative of First Lady Michelle Obama and Dr. Jill Biden at theUniversity of Pennsylvania School of Nursing in May.4 Anesthesia CIRCUITIn a broad, coordinated effort, the AANA and more than 150other state and national nursing organizations including over500 nursing schools have committed to further educate our nation’s 3 million nurses so they are prepared to meet the uniquehealth needs of service members, veterans, and their families.“CRNAs can make a dramatic and positive impact on the longterm health of hundreds of thousands of veterans for years tocome. And it is an important part of our education to understand the needs of those who have served, to recognize thewarning signs of post-traumatic stress disorder, depression, orsuicide, and to know where to send them for help,” said Dr.Malina.

Alumni SpotlightA Life Changed Forever:An Army NurseAnesthetist’s Experiencein AfghanistanCary Carter, MS, ARNP, CRNA(Class of 2009)Captain, United States ArmySeventy-two hours after leaving the comforts of my home, Ifound myself wearing a Kevlar helmet, body armor and carrying a loaded 9mm pistol. The U.S. Air Force had me strappedto the interior of a C-130 cargo plane during a “combat landing,” which incorporated a continuously turning and unforgivingly steep final approach to a Forward Operating Base (FOB)in Eastern Afghanistan. Instead of the “butterflies” being in mystomach, they were in my throat and very likely to fly out ofmy mouth. I heard what sounded like a buzz saw coming fromthe rear of the plane and realized it was the automatic missiledefense system. “Damn, does the insurgency possess surfaceto-air missiles?” I wondered: “What had I been thinking whenI volunteered to come to a war zone?” This was real and sowas the enemy who hated me with every fiber of his being,even though we had never met. I suddenly wished I was athome with my expectant wife enjoying a morning espresso andpastry.Later that night, we received our first incoming, warned in advance by the Big Voice. “Steamboat, Steamboat, Liberty Red,20 minutes”. The loudspeaker informed us a “medevac” helicopter would soon bring 3 wounded, all likely requiring somelevel of surgical intervention. The butterflies were back andthey were in my throat again but I didn’t have the plane rideto blame this time. It was just my nerves. I had trained for thepast 4 years and it was time to step up to the plate. The thoughtof failure terrified me. What if I missed an intubation - or evenworse - become possessed by indecision that could cost one ofour soldiers his or her life?I stood at the head of the bed with a medic on each side andthe trauma surgeon at the foot watching the doors burst open.“Gunshot wound times three to the right upper chest, two largebore IVs, blood pressure 100/ 62, heart rate 140s,” shoutedthe medic. Our movements were choreographed to quicklyassess the injured to increase the patients’ chance of survival.Rapid sequence intubation and simultaneous primary assessment with the placement a chest tube was performed. MajorWilson, our trauma surgeon, witnessed 600mL of blood rapidlyfill the chest tube reservoir and said to the team, “Let’s get himto the OR now.”During my tour,the scene repeated about threehundredtimeswith varying levels of acuity. I wastouched by the appreciation and respect displayed bythe young soldiersto the healthcareproviders.Everytime I heard “thankyou,” I replied,“It is me and myfamily who wantto thank you forstandingwatchoutside that wire[fence] so we mayrest peacefully athome”. Like thoseyoung soldiers, mylife has been forever altered by thoseevents in Afghanistan.Motivated by the professional and personal experiences I hadduring my tour in Afghanistan I decided to pursue a life as anArmy CRNA on a full-time basis. Upon my return to the UnitedStates, I went to the Army Healthcare Recruiting station andrequested an active duty position. A little less than year later,I received my orders effectively discharging me from the ArmyReserve and placing me on active duty in the Regular Army. Iam currently in the process of reporting to Martin Army Community Hospital at Ft. Benning, Georgia. I am looking forwardto a rich and rewarding career of caring for the world’s greatestwarriors.Anesthesia CIRCUIT 5

Fifty-one students graduated on May 5th.We wish them all the best in their careers asnurse anesthetists!Class of 2012 Graduation Party6 Anesthesia CIRCUITPicturedenMcFad.rD:hille2Picturka BoxinaTtulatescongrae It!”e MadW“:re4res hePicturet shadraCees in thNataliomentmtsegreatm!Progra1: SteveCDean P larke, Dr. Dick,egge BellPicture2: Cheers!Picture3: Balloon Drop!Picture4: DWTS (DaThe Sta ncing Withrs)

Class of 2012 Graduation Partyngathe Coods’ete 1: L line.Picturese.’y ‘cheaS:4es 2-3PicturPicture 1: Havinga greattime!Picture 2: How low can yougo?Picture 4: Dr. UmadhayrelaxedAnesthesia CIRCUIT 7

Anesthesia LandMarksBarry Faculty,Drs. McFadden andMalina, AttendInternationalFederation of NurseAnesthetists (IFNA)Meeting in Ljubljana,Slovenia, May 2012Sheila Austria, left (2007), Drs. McFadden and Malina (3rd and 4th fromthe left) with guests in SloveniaDr. McFadden presented “Using Evidence in Practice: Traditional Scienceand Alternative Paradigmatic Inquiry” toan international nurse anesthesia community of approximately 800 attendeesfrom 37 countries. As the 2011-2012AANA President, Dr. Malina representedthe US and 44,000 AANA members.IFNA is an international organization representing nurse anesthetists, serving thepublic and its members. The mission ofthe federation is dedicated to the preceptthat its members are committed to theadvancement of educational standardsand practices which will advance the artand science of anesthesiology and thereby support and enhance quality anesthesia care worldwide. The IFNA establishesand maintains effective cooperation withall institutions that have a professional interest in nurse anesthesia.Dr. MalinaDiscusses CRNAIssues at WhiteHouse MEetingAANA President Dr. Debra Malina andPresident-elect Dr. Janice Izlar represented the specialty of nurse anesthesia at aWhite House discussion on ImprovingCare Quality and Patient Health in Washington on June 13, 2012.Meeting with senior Administration andagency officials, and joining leadersfrom nursing organizations from aroundthe country, Drs. Malina and Izlar urgedcontinued progress on implementing theInstitute of Medicine “Future of Nursing”report intended to advance patient access to care, promote patient safety, andcontrol healthcare costs.“CRNAs ensure accessible, affordablehealthcare,” said Pres. Malina. “We’veseen progress at the federal level promot-AANA Pres-elect Izlar (left) and Pres.Malina at the White Houseing access to CRNA care. The new Medicare hospital conditions of participationpromoting APRNs to be on medical staffsrepresent a positive development. Butthere is much more work to do to eliminate unnecessary federal barriers to theuse of CRNA anesthesia and pain care,in the interests of the patients for whomwe provide care.”TriviaHow many current Barry facultymembers were Presidents ofthe Florida Association of NurseAnesthetists (FANA)?(Answers are at the end of the newsletter.)Don’t Be the Last to Know.The host country for the 2014 IFNAWorld Congress will be Tunisia.Follow us on Facebook: BarryCRNA8 Anesthesia CIRCUIT

Anesthesia RecordBarry Anesthesiology ProgramAnnounces Two New ClinicalAffiliates!Dr. McFaddenAppointed InterimDean of Barry’sCollege of HealthSciencesOur very own Dr. John McFadden,CRNA has been appointed to the position of Interim Dean of the College ofHealth Sciences effective July 1, 2012.Dr. McFadden has been a CRNA since1996. He earned a PhD in nursing fromBarry University in 2008, a Master of Science in Health Care Administration anda Master of Science in Nurse Anesthesiafrom St. Joseph’s University, and a Master of Science in Nursing from the University of Tennessee.Bayfront Medical Center, St. Petersburg, FLWe are pleased to announce that Barryanesthesiology students are now receiving clinical practicum education with ournew clinical affiliates at Bayfront MedicalCenter in St. Petersburg, Florida. Bayfront Medical Center is a Level II Adultand Pediatric Trauma Center and a LevelIII regional perinatal intensive care center (RPICC). Bayfront Medical Centeralso offers both inpatient and outpatientsurgery options in almost every surgicalspecialty, including: general surgery, cardiovascular, neurosurgery, orthopedics,urology, gastroenterology, otolaryngology and gynecology. Thus Barry studentshave the opportunity to gain excellentexperience giving anesthesia in a broadrange of cases. We are grateful to thephysician and CRNA clinical instructorsat Bayfront for their willingness to sharetheir knowledge and expertise in educating future CRNAs!Mercy Hospital, Miami, FLIn May 2012, students from the class of2014 and two students from the class of2013 started clinical practicum rotationsat Mercy Hospital, Miami (a Campusof Plantation General Hospital). MercyHospital has been serving the healthcareneeds of South Florida for 60 years. Asa comprehensive healthcare facility, thisinstitution offers a full range of services tothe residents of Miami-Dade county andsurrounding communities. A 473-bedacute care facility, Mercy Hospital hasmaintained its reputation for excellencein medical care while remaining true toits mission of caring for the physical andspiritual needs of all the people it serves.We wish to thank Dr. Salomon Imiak,Mercy Hospital Chief of Anesthesiology,and Jaidee Saavedra, MS, CRNA, (2008)Clinical Coordinator, for their willingnessto support nurse anesthesia education atBarry University. In addition to Barry students, Mercy Hospital also welcomes Anesthesiology students from the Universityof Miami and Florida International University, thus creating a dynamic synergyfor learning that benefits all.Dr. McFadden was the President of theFlorida Association of Nurse Anesthetistsfrom 2007 to 2008. He is also the currentRegion 7 Director of the American Association of Nurse Anesthetists. A memberof the Barry community since 1998, hewas the director of the Barry UniversityMaster of Science Program in Anesthesiology from 2005 to 2008. Dr. McFaddenhas served as the Associate Dean of theCollege of Health Sciences since 2008.Outstanding Performanceon CertificationExamination for Class of2011 GraduatesThe Council on Accreditation of NurseAnesthesia Educational Programs’ mandatory threshold pass rate for first timetakers, as defined in its Certification Examination policy, is 80% of a composite ofthe previous five (5) years’ national Council on Certification of Nurse Anesthetists(CCNA) pass rate for first time takers. In2011, the mandatory threshold was 71%.Barry’s Anesthesia Program’s 2011pass rate for first time takers was 98%,considerably exceeding the threshold.This outstanding performance is consistent with Barry graduates’ passing ratefor the last eight years. See our outcomespage on our website for more details. Theperformance of Barry’s 2011 graduateswas reported by the COA in a June 15,2012, letter to Dr. Umadhay.Anesthesia CIRCUIT 9

DNP UpdateUpdate on the DNP with a Specialization inAnesthesiologyOne of only a handful of COA accredited DNP Programs inAnesthesiology across the United States, Barry’s DNP Program will enroll its inaugural class this fall. This program is designed for CRNAs and taught by CRNAs. It prepares CRNAsto acquire the clinical, organizational, financial, and leadershipknowledge to design and implement programs of care deliverythat significantly impact health care outcomes. The curriculumbuilds upon the scientific, management, and leadership knowledge and skills gained during your master’s degree in nurseanesthesia education as well as from professional practice experience that you gained as a CRNA.The program is a sequential, locked-step curriculum consistingof 36 to 37 credits delivered over a two-year, part-time courseof study. Coursework is completed via a blended platform ofon-campus and off-campus sessions. On-campus sessionsare conducted three days each year during the fall semesterat Barry’s location in Hollywood, Florida. Off-campus sessions are conducted via online classes, using distance-learningtechnology as well as synchronous web conferences. In addition, completion of an individually-designed clinical practicumis required, which can be completed in your state of residencyor employment. During the last semester, students must successfully complete and present a Capstone Project that demonstrates the synthesis of concepts and skills learned while enrolled in the program.Barry offers a 20% discount on tuition for all registered nursesenrolled in a DNP Program, thus making your doctoral education affordable. For additional information, including admission requirements, please visit www.barry.edu/ane and click on‘Doctor of Nursing Practice’ or contact Barry’s Health SciencesAdmissions Office at [email protected] or by calling 305-899-3379.FANA Spring MeetingFANA Meeting in Fort Lauderdale AttractsSeveral Barry Faculty and StudentsTop Far Left: Class of 2013 students ShellyaAhmad, Annette Foss, Delbert Fugler, and StaceyTaylor join Mr. Clarke.Top Center: Barry Anesthesiology Faculty inAttendanceFar Bottom Left: Current Barry SRNAsBottom Center: Elizabeth Patton and MelindaFewless (Class of 2014).Forty-six students from the Class of 2013 and 2014 joined Barry faculty members McFadden, Umadhay,Malina, Spiegel, Clarke, Galt-McBean, Hodge, Slone, and Machan at the FANA Spring meeting in Fort Lauderdale on June 8-10. Drs. McFadden and Malina gave an update on the AANA, while Dr. Umadhay gavea compelling talk on Preventing Medication Errors in Anesthesia. Barry University also set up a table in theexhibit area to promote the DNP with a Specialization in Anesthesiology Program which begins in August.10 Anesthesia CIRCUITAbove: Jocelyn Goulet and Rosann Spiegel atthe FANA exhibit table.

Noteworthy NewsStudents to Join Faculty at the AugustAANA Annual Meeting in San FranciscoDr. Tony Umadhay encouraged students to travel to the annualAANA Conference in San Francisco in August. “This year wehave a record-breaking number of almost 40 students attending the AANA Meeting. The annual convention is an excellentconvention designed to promote student professional involvement and advocacy. The students will also learn about newbest practices and acquire value-added skills relevant to nurseanesthesia”, stated Umadhay.This summer, Drs. Malina andMcFadden will finish their respective terms as AANA President andRegion 7 Director. We thank themwarmly for their dedication to theAANA and their powerful insightsduring their appointments. We areBarry proud of you!The students are looking forward to this event, with a studentfrom the Class of 2013, Amanda Waters, representing BarryUniversity in the AANA College Bowl competitions. Facultywill also take part in the Assembly of School Faculty meeting onSaturday, August 4th.Right: Class of 2013 studentAmanda Waters to compete at theAANA College Bowl.Anesthesiology Program CallsHollywood, Florida, Its New HomeSister Linda Bevilacqua, Hollywood Mayor Peter Bober with Drs.McFadden and Umadhay surrounded by other Barry Universityand City of Hollywood dignitaries at the ribbon cutting ceremony.Anesthesia CircuitAlumni Newsletter of theAnesthesiology Program at Barry UniversityThe Anesthesia Circuit newsletter is published semi-annually bythe Anesthesiology Program at Barry University.Barry University 421 North 21st Avenue Hollywood, FL 33020Telephone: 305-899-3230E-mail: [email protected] www.barry.edu/aneFriday the 13th of January was all good news for Barry University’s Anesthesiology Program when Barry University President, Sister Linda Bevilacqua, and Hollywood City Mayor,Peter Bober, helped dedicate a new health science campus indowntown Hollywood. The new campus, at 421 N. 21st Avenue, houses the anesthesiology and biomedical science graduate programs. The 10,000-square-foot building, formerly a cityfire station, contains classrooms, faculty and staff offices, a digital lab and a simulation center, where anesthesiology studentscan receive hands on training. “I’m thrilled,” Sister Bevilacquasaid. “This is a dream that we’ve had because we needed to expand our programs. We are fortunate that the city of Hollywoodextended an open hand so that we could achieve our mutualgoals.” City officials are hoping the new facility will help boostthe downtown area, with Anesthesiology students, faculty andstaff frequenting local businesses.Answers to Trivia:Three:Steve Clarke (Mr. Clarke served as FANA president forfour terms: 1986-1987, 1990-1991, 1991-1992, 19971998)Dr. John McFadden (FANA president 2007-2008)Dr. Tony Umadhay (FANA president 2008-2009)Anesthesia CIRCUIT 11

421 North 21st AvenueHollywood, FL 33020Send your check donations to:Anesthesiology FundBarry University421 North 21st AvenueHollywood, FL 33020Call Mercedes Diaz-Rodriguez at305-899-3230 for any questions.Are You Attending the AANAAnnual Meeting in San Francisco?Join us for the 8th Annual Barry University Student &Alumni Reception on Monday, August 6thfrom 8 - 10 pm at the Foothill F Salon of theMarriott Marquis (55 Fourth Street, San Francisco, CA).Please RSVP to Mercedes Diaz-Rodriguez via [email protected] no later than August 1, 2012.

Machan, DNP, CRNA, as adjunct faculty in the DNP with a Spe-cialization in Anesthesiology Program at Barry University. Dr. Machan will be teaching the Role of the DNP course in the fall 2012 semester and will also be lecturing on a variety of clinical topics, including obstetrics and research, in the MS in A