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RNegade

RNegade

Nurses Who Don't Just Do What They're Told

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IMPACTOVATION: When your profession’s pool won’t accommodate your splash, dig an ocean that will.

OVERVIEW/COURSE DESCRIPTION:  Do you have imposter syndrome? You know, when you think you don’t belong and you’re faking it? Well that’s great for it means you’re ready to buck the system. Meet Cassie Choi who was born an iconoclast. She entered nursing to make an impact and became a CEO and co-founder of a tech company in healthcare that focuses on the most important factor of healthcare: the relationship with the patient. Please join RNegade podcasters Antra and Karen as they learn about Cassie’s journey and the innovation and change she brings to the healthcare industry.  WHO SHOULD TAKE THIS COURSE: Nurses interested in becoming entrepreneurs. Nurses looking to become leaders at their institution or organization. Individuals interested in starting their own technology business for healthcare. COURSE OUTLINE:  I. Introductions/Get to know Cassie II. “The American healthcare system is too big and f***** up.” (Cassie’s experience as a nurse) A. Inequitable care B. Hospitals as pivotal roles in the community C. How do I empower people who don’t have basic access to healthcare? III. Stepping out of the box A. Learning to code B. Nurse as medical consultant for tech companies C. 1st Company: Forward D. 2nd Company: Pair Team How it all started Description of services provided Philosophy of technology and patient care It’s all about the relationship OBJECTIVES:  Upon completion of this course, participants will be able to: 1. become professionally self-reliant and start a business, side-hustle or gig 2. identify core skills to that are necessary for technology focused healthcare companies 3. reflect on their position in their workplace with regard to having imposter syndrome SOURCES: https://www.ncbi.nlm.nih.gov/books/NBK550959/ TO RECEIVE YOUR CE: Click on the Episode Website Link, or go to www.RNegade.pro, to become a registered user and answer the activity questions under the title of this podcast. Please submit your responses to the activities either by typing or recording an audio response using HIRETALK. Responses will be reviewed and if approved, you will be awarded your CE.  ACTIVITY QUESTIONS: Cassie’s experience at a prestigious New York hospital was an awakening for her that she was an imposter. Have you felt this way at work? Do you feel this way now? Please share in detail.   Cassie’s journey takes us on an adventure of startups and entrepreneurship all the while focusing on her core value of caring for others. Do you feel you could stop what you are doing now and take a similar step? Why or why not? Technology is great… when it works. What is an advancement in technology you would like to see that would help make a bigger impact in patient care? ABOUT THE INSTRUCTOR: Cassie Choi, RN, is the co-founder and COO of Pair Team, a San Francisco-based tech-enabled care team and operations infrastructure for America’s safety-net primary care clinics. Her experience in clinical design, operational management and product strategy fuel Pair Team’s vision and presence in digital health. She offers a unique blend of medical and business acumen and a passion for healthcare innovation. Cassie started her career in nursing as a critical care nurse in multiple acute care settings. It was there she saw gaps in American healthcare and was determined to find a solution. Cassie’s profession evolved into clinical operations and technology development. Her entrepreneurial spirit and passion for social and economic disparities led her to partner with former Forward colleague Neil Batlivala to co-found Pair Team in 2019.  She is a California Board of Nursing Registered Nurse and holds a bachelor’s degree in nursing from Northeastern University. ACCREDITATION STATEMENTS: RNegade is accredited as a provider of continuing education by the California Board of Registered Nursing TOTAL CONTACT HOURS:    1.0 (0.65 listen to podcast, 0.25 activity, 0.1 evaluation) EXPIRATION DATE: July 10, 2025
September 15, 2022

ALL BOATS RISE: The Contageous Blessings of Trauma Informed Care, from Practitioner to Patient

TITLE:  ALL BOATS RISE: The Pervasive Blessings of Trauma Informed Care from Practitioner to Patient OVERVIEW/COURSE DESCRIPTION:  Triumphing over adversity. We hear, see, and read about doing so in many self-help books and inspirational Ted talks. But how many of us really know how? How many of us can teach others how to be resilient? This is where Dr. Amy King, Child Psychologist extraordinaire comes in. She has devoted her life’s mission to educating healthcare professionals on how to provide mini resiliency actions to their patients. From an ecological approach, Dr. King teaches us how to triumph over adversity and breaks down the mystery behind it.  COURSE OUTLINE: Introductions/Get to know Dr. King Adverse Childhood Experience Study (ACEs). Background Takeaways What causes long term adversity? How to provide effective resilience against adversity via Trauma Informed Interventions What is Resilience based interventions Examples What is SSNR When a Healthcare provider has suffered long term adversity/trauma Reframing the standard question Changing victimhood to resilience based adversity How to access trauma informed care for healthcare providers OBJECTIVES: Upon completion of this course, participants will be able to: 1. Understand and identify adverse childhood experiences 2. Apply at least two examples of resilience based interventions 3. Access and provide resources for resilience based interventions to their patients Post-Lesson Activity options: TO RECEIVE YOUR CE: Please post your completed activity either on the Course Comment Section below or in your own social media channel. If you choose the latter, please tag us @rnegade.pro. In the CE Activity section leave a link to your post. The post can be audio, video, or text. We will review, comment and approve your submission for your CE.  Activity Questions: Intergenerational Trauma is more common than we think. Why is it that there is this stigma toward understanding trauma?  Dr. King reframes the question healthcare workers should ask themselves when treating patients from “What is wrong with this patient?” to “What happened to this person and how can I help?” Think back to a patient you had who presented long term trauma. By reframing the question, would you have treated that patient differently? Explain.  Would you be interested in spearheading adversity based training in your place of employment? How would you go about doing it? ABOUT THE INSTRUCTOR: Dr. Amy King is a licensed psychologist with a private practice and provides training, consultation, and education. Among her specialties is working with parents and professionals to help create resilient children and thriving families, guiding them to heal their stress and trauma through connected relationships. Her experience includes serving as a statewide trainer for the Oregon Department of Human Services and subject matter expert to promote child wellness in pediatric settings on behalf of the Children's Health Alliance. Her current work is promoting resilience within pediatric medical homes and school systems through partnership and collaboration. When she’s not working to promote family resilience, you can find her with her family on their small hobby farm in Newberg, Oregon.
July 13, 2022

What's Your Frequency? – The Miracle of Frequency Specific Microcurrents in the Treatment of Chronic Everything

OVERVIEW/COURSE DESCRIPTION This podcast course introduces listeners to Frequency Specific Microcurrent (FSM) for the treatment of an extensive and diverse number of acute and chronic conditions. Our instructor left us with the sentiment that we so often experience: “WHY DOESN’T EVERYBODY KNOW ABOUT THIS??” In 1996 Dr. Carol McMakin began treating individuals with fibromyalgia, myofacial, and other complex pain issues with frequencies resurrected from a list created in the 1920s. Her first published paper in 1998 was a case report of 150 patients with myofacial trigger points, a condition once thought “incurable,’ that achieved 100% relief with FSM treatment. She has since published numerous papers on FSM treatment for various pain and inflammatory conditions, which are also discussed in this podcast course. McMakin reviews the basic principles of the scientific method and evidenced-based research, the discoveries made possible due to her simultaneous work as a clinician and research professional, and how ‘leading with curiosity’ led to the discoveries and advancements that she made in patient treatment. COURSE OUTLINE I. Introductions/Get to know Dr. Carol McMakin II. The biochemical way - drugs and receptors III. The machine and the frequency ‘treasure map.’ IV. Introduction to treating pain with frequency V. Review of the scientific method & evidence-based research VI. Curiosity, connections, and curing the “incurable” Case studies Pain Inflammation (cytokines) VII. How FSM works - stimulating cell receptors VIII. More illustration through case studies IX. Vagus nerve applications for the immune system Limbic system & psych applications X. Other “happy accidents” Asthma Brain injury XI.  Other treatments that utilize frequency PMF Rife XII. FSM is teachable and reproducable XIII. How to work with Dr. McMakin & Contact Objectives: Learn the scientific principles of evidence-based research. Learn how to be both clinical and research professionals Learn how the power of curiosity allows for new approaches and understanding to treating patients About the Instructor: Carolyn McMakin, MA, DC is the clinical director of the Fibromyalgia and Myofascial  Pain Clinic of Portland, Oregon. She developed Frequency Specific Microcurrent (FSM)  in 1995 and began teaching FSM courses in 1997. In addition to maintaining a part time clinical practice, she teaches seminars on the use of FSM in the United States, Canada, Australia, Ireland, the UK, Europe, Taiwan and the Middle East. She has lectured at the National Institutes of Health and at international medical conferences on the subjects of fibromyalgia and myofascial pain syndrome, fibromyalgia-associated with cervical spine trauma and on differential diagnosis and treatment of chronic pain, pain syndromes and sports injuries. Her peer-reviewed publications include the FSM induced changes in inflammatory cytokines and substance P seen with FSM treatment of fibromyalgia associated with spine trauma, treatment of pain in the head, neck and face, and low back caused by myofascial trigger points, delayed onset muscle soreness, shingles and neuropathic pain. She consults with various NFL and MLB teams on the use of Frequency Specific Microcurrent in the treatment of sports injuries. She published her textbook Frequency Specific Microcurrent in Pain Management in 2010, and “The Resonance Effect” in 2017 which describes how FSM was developed and provides case reports and frequency protocols for the visceral uses of FSM.
April 12, 2022

CURING CANCER ONE WRINKLE AT-A-TIME: A Professor Emeritus ‘Lab Rat’ Riffs on the Root Causes of Dis-Ease in Health, Science, and Humanity

COURSE DESCRIPTION Join RNegade podcasters as they explore the wonders of science and laboratory work with Professor Dr. Varani. This course will focus on distinguishing science from technology, the transformation over the past 50 years on how science is understood and misunderstood. In addition, Dr. Varani will share his research that currently works on at the University of Michigan and how his findings will help healthcare professionals care for their patients when it comes to gut and overall health. OUTCOMES Understand the current state of science research from the corporate, government, and citizen lenses Distinguish between science and technology and the importance of distinguishing Explore the tissues of the colon and relationship between chronic inflammation and overall health of the other organ systems Understand how Dr. Varani’s current research reveals new information about health, nutrition, and making healthy choices OUTLINE I.   Introduction/About “Uncle Jimmy”      A. From Med School to Pharma to getting rats ‘high’      B. The Golden Age of Science      C. 50 years later, professor Emeritus, and still in love with the job II.  The current state of “science”      A. Decoupling of science and technology      B. The influence of politics      C. The dictates of grant money III. Dr. Varani’s current research on the gut, supplements, and inflammation ABOUT THE INSTRUCTOR Dr. Varani is an internationally recognized expert in human cell and organ culture, particularly models of skin. He has worked with a variety of biotechnology and large pharmaceutical companies, including Johnson and Johnson, Genentech, and Amgen. Utilizing in vitro and in vivo models he has supported retinoid, anti-inflammatory, immunomodulatory, and anti-cancer drug research. Dr. Varani’s research focuses on the processes of skin homeostasis, aging, atrophy, and fibrotic skin disease. His studies examine regulation of fibroblast proliferation, signaling pathways controlling growth, extracellular matrix production, elaboration of matrix metalloproteinases, and their inhibitors. His group utilizes chemically-induced skin irritation to understand mechanisms of inflammatory skin disease such as psoriasis, drug-induced injury, and Rosacea. Dr. Varani has developed human colon organ models to understand the process of growth and differentiation in this tissue. These studies have implications for colon cancer and inflammatory bowel disease. Dr. Varani received his undergraduate degree from St. John's University in Collegeville, Minnesota and his Ph.D. at the University of North Dakota in 1974. After Post-Doctoral work at the University of Connecticut, he came to the University of Michigan as an Assistant Professor in 1980. He was promoted to Associate Professor in 1985 and became a Full Professor in 1991. Currently, Dr. Varani serves as professor emeritus at The University of Michigan.
March 18, 2022

O.T. LITERACY: How nurses can leverage the essential role of occupational therapy for better patient outcomes.

COURSE DESCRIPTION Occupational Therapy is such an enigma that it is woefully underutilized, or engaged as an postscript to discharge rather than a necessary component of inpatient treatment. This podcast course serves to turn the enigma of the OT role into an essential solution for nurses to engage in the patient’s team, early-on, to prevent intercept debilitation secondary to hospital stays, and to enhance and accelerate rehabilitation post discharge. An inspiring complement to the education provided about the OT role is the instructor’s story of how she made a business and career from her unique solutions to the challenges of integrating Occupational Therapy within the current healthcare system. OBJECTIVES Upon completion of this course participants will be able to: Recognize 'the gap' in the healthcare communication system Explain how understanding and proactively utilizing all role's in the patient's team (aka team building/leading) can prevent further debilitation to the patient List the steps to become a healthcare entrepreneur Discuss the concept and process of motivational interviewing OUTLINE I.   Introductions/Get to know Nicole Nohner      A. Expertise, experience      B. Seeing a problem, becoming a solution II.   “The Gap” in the patient healthcare continuum      A. Addressing risk of debilitation early to prevent poor outcomes/readmission      B. Opportunities for evaluation: admission, in-patient, discharge, follow-up III.   Cutting her teeth Where Nicole learned to love OT, and developed her unique perspective      A. Forensics, Psych, Home Health and Skilled Nursing facilities      B. Exercise as medicine IV.   Preventing debilitation from admission through post-discharge      A. Taking an individualized approach to planning treatment      B. Anticipating challenges V.   How nurses can proactively utilize the OT role to improve patient outcomes & prevent readmission VI.  Bridging “The Gap:” Starting a business to become the solution      A. Establishing a mobile outpatient OT practice      B. Learning curves: social media marketing, insurance      C. Recognizing opportunities for growth VII.   Wins: examples of patients who didn’t fall through ‘The Gap’ because Nicole was there VIII.  Using an individualized approach      A. Proactive observation of the life and environment      B. Motivational Interviewing      C. Understanding and honoring a patient’s personal definition of success IX.   Finding your ‘Niche’ as an entreprenure X.   Contact Nicole Nohner ABOUT THE INSTRUCTOR: Nicole Nohner is an Occupational Therapist, Certified Lymphedema Therapist, Certified Fall Prevention Specialist and Entrepreneur. She earned a BS in Exercise Science from Gonzaga University and a Masters in Occupational Therapy from Eastern Washington University. As a student she traveled with athletes on the Junior Paralympics Team and lead a weekly recreational group for adults with developmental disabilities. Hand N Hand Home Rehab, her mobile Occupational Therapy Practice, is where her passion for communication, teamwork, functional exercise & meaningful activities results in her patients' ability to improve their lives and achieve their goals.
March 18, 2022

ACHIEVE-ABLE: Ableism awareness from a nurse who discovered that human potential doesn’t care how you move

COURSE DESCRIPTION This podcast course is a humbling, horrifying, enlightening, and inspiring experience, as you’re invited to see the world through the eyes of Ryann Mason, A.K.A. “Chronically_Ry,” of Instagram fame. Humbling - when we learned that our assumption that as healthcare professionals we ‘had a clue’ about the experience of persons with disabilities was not only lacking, but totally ignorant and ableist. Awakening - of how the ignorance of society, and medical professionals specifically, has contributed to the challenges that people with disabilities face. Enlightening - as our instructor gently and comprehensively remedies our ignorance with stories & metaphors from her own experience. Ryan’s simple guidance informs understanding and empathy to shift participants’ thinking and behavior toward individuals with disabilities to effect big change. Inspiring - Ryan Kress’s story is universally inspiring - one human who used adversity as compost to germinate purpose, service, and a life well-lived. OBJECTIVES Learn how disabilities do not prevent achieving one’s goal and how to advocate for oneself Learn more about abelism in both the general and healthcare community Learn how to identify disabled individuals OUTLINE I. Introductions/Get to know Ryan II. Ehlers-Danlos Syndrome About EDS Personal Timeline III. The Reckoning (Title, not verb) IV. Conquering Hills: literal and metaphorical V. The Ableism of Ignorance The general public - The [email protected] people say when I’m buying tomatoes. Healthcare providers - “Yes, I can stand. No, I’m not faking.” Patients - “Thank you for your concern. Hold still while I wipe your butt.” VI. First Person Language VII. Mobility Aids - (Can’t believe I have to say this but…) things that help people move, and prevent them from falling-down, improve their quality-of-life. VIII. Stories: The world-altering implications of an RN who goes places with wheels ER Story - man with sepsis Instagram Overload Educating-out ableism in healthcare IX. Contact ABOUT THE INSTRUCTOR Ryann Mason is a 29 year old disability advocate, registered nurse, proud member of the LGBTQIA+ community, adaptive athlete, public speaker, sexuality educator, and self-proclaimed loudmouth southern belle. Ryann was born with a rare genetic collagen disorder called Ehlers-Danlos Syndrome (EDS). Ryann created an Instagram account, “Chronically Ry,” to share her experience with EDS, and it exploded overnight. She continues to leverage this and other social media platforms to educate and inspire younger EDS patients and others with disabilities by sharing her story as a woman with a physically disability working as a nurse in healthcare. In addition to social media platforms, Ryann’s voice of advocacy for disability has been featured in Forbes magazine (twice,) multiple news stations, papers, and magazines. Ryann is a published model, adaptive athlete in wheelchair basketball, OCR, weightlifting, and an avid karaoke performer when the mood strikes. When she isn’t working the nightshift on the postpartum unit at her local level one trauma center, or running Chronically Ry, Ryann can be found at home with her girlfriend, para athlete Ryen Reed, and their 10 year old chihuahua, Oliver. Ryann could have let everything she’s been through bring her life to a screeching halt, but instead she continues to share her story to encourage and inform others about the needs and experiences of so many disabled humans all over the world.
March 18, 2022

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RNegade

RNegade was built for nurses by nurses who bonded over their passion for learning.

Antra and Karen wanted to make acquiring CEs as effortless and mind-blowing as the hours of audiobooks, online videos, and podcasts that they devoured every week. So they created The RNegade Podcast. You read that right – CE by podcast. No power-points or hand-outs. Just real conversations with innovative health & medical experts, inspiring leaders, pioneering nurses, and renegade humans.

You’ll be entertained, educated, inspired, and enlightened with… and also get CEs. Effortlessly.

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Team

Antra Boyd BSN, MSN, IRNPA

Antra Boyd BSN, MSN, IRNPA

Antra is the only one here who is actually having someone else write her bio in the 3rd person. She’s grounded ([email protected]), sensitive (her pretty blue eyes start pissing rain if you do something nice for her, or show her a TikTok of a baby cow), and a champion for the vulnerable. YET! She’s a TOTAL “Rockstar”(confirmed by a personality test.) Like, when she walks into a room people look up from their conversations to gage why they suddenly feel lighter.

Even before she put on the kick-ass costume of her professional resume: Navy veteran, 20-year clinical nursing experience in the OR, and wickedly talented entrepreneur in the private patient advocacy space; Antra’s life story – with the fertilizer of challenges and triumphs – has cultivated her unique way of seeing the world. “The status quo is a snoozefest. What puts a fire under my ass is shaking shit up (like continuing education), a nice glass of red wine, and hanging out with my tribe of trouble-makers.”

Antra is truly a RNegade. [You are welcome, but heed this WARNING: boxes, knowns, ‘shoulds', 'ought-tos', and boundaries will be blown-up.Hang out with Antra (RNegade), you will not only be entertained, educated, and inspired… you may snort-laugh too. And you can’t put the toothpaste back in the tube.]
Karen DiMarco BSN, iRNPA

Karen DiMarco BSN, iRNPA

Karen DiMarco is a bit of a wild card. She believes that authenticity serves as the laxative for connection, communication, and inspiration. She writes her bio in the 3rd person like a normal arsehole, but she’ll tell you about it (see what she did there?) Curiosity is her superpower, and creativity is the machete she uses to cut through the antiquated bullschizzle of how the world says things ‘ought to be.’ When she can’t think of a word to say precisely what she means, she’ll make one up: Memorgasm - the feeling/sound that is made when one suddenly remembers the name of a person/song/ or “what did I come in this room for again?”

Since this slashie mouthful doesn’t quite cover the CV: “R.N./transformational coach/published health researcher & educator/foul-mouthed humorist,” she goes by ‘RNegade.’ Although Karen is a girl with a dragon tattoo, she’s really quite kind. The thing that makes her leap out of bed in the morning like some deranged fairy godmother whose wings were crumpled by too many My Pillows, is helping others to achieve their greatest level of health, happiness, and human potential…preferably with lots of snort-laughing along the way.

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Reading, Writing and Anxiety When pediatric mental health collides with the US healthcare system.