Ep 177: The Path to Full Practice Authority in the Air Force

The fight to give CRNAs full practice authority continues in states across the country but there have been some important victories along the way. All you need to do is look to our military to find a model that many people would like to see across the profession as the U.S. Army, Navy, and Air Force have all removed restrictions on CRNAs. Today we’ll talk with Air Force Colonel Jan Setnor, MSN, CRNA, who was one of the key people involved in helping the Air Force gain that authority and she’ll share the story of how it all happened.    

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

One issue that’s really moved to the forefront over the past few years is the debate over whether CRNAs should be given full practice authority. The battle has been fought for many years but the relaxed restrictions during the pandemic have given CRNAs a stronger argument for moving in this direction permanently.

The military has been a leader in this area with three branches granting full practice authority to CRNAs. The Air Force most recently joined the U.S. Army and Navy in removing restrictions, but it wasn’t an easy thing to get approved.

Today we’re joined by one of the people who was in the meetings where this issue was being debated. Air Force Colonel Jan Setnor, MSN, CRNA, was a prominent voice during this process and helped shape the case that was put forth in favor of removing restrictions. It’s fascinating to hear how it all played out and what it took to get this agreed upon in the Air Force.

As you get started on the episode, keep an ear out for these topics:

  • How she became a CRNA after being a flight nurse in the Air Force.
  • The relationship between the ASA and military CRNAs and the restriction of practice.
  • What she did to push back against restrictions.
  • How the AANA supported her throughout the process.
  • What happened inside the meeting.
  • How they got their outcome from the arbitrator.
  • Working under different rules depending on where you are.

Check out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

[2:53] – Jan’s background in the Air Force

[7:07] – ASA and military CRNAs

[9:53] – Battling against restrictions

[14:27] – Calling Deb Molina

[17:04] – Details from the meeting

[20:55] – How they reached an outcome

[24:21 ]– Different rules

[27:18 ]– Advocating

[29:23] – VA rules in different states

[33:38] – Final thoughts

[34:50] – Where she was on 9/11


“If you look at the AANA, we utilize the military model a lot. We practice independently and it’s demonstrated everyday.”

-Jan Setnor, MSN, CRNA






Ep 226: The Need for More State Nurse Legislators

We talk all the time about the lack of nurse representation in policy-making positions, but that doesn’t make the data any less surprising. Today we’ll have a great discussion with Darlene Curley, EdD, RN, FAAN, about a study she recently completed on state nurse legislators. She’ll share some of the details with us in this episode and we’ll also have a wide-ranging discussion on how CRNAs and other nurses can continue increasing their involvement.  

Current Events

Ep 225: An Inside Look at Lobbying for Your State Association

During our visit to the NCANA meeting last fall, we had the opportunity to host a live podcast about lobbying for your state association and we had the pleasure of bringing NCANA lobbyists Patrick Ballantine and Tracy Kimbrell onto the panel with us. Both of them have been tremendous assets to our association because of their passion for lobbying. We explored that role to find out what skills it takes, how to utilize a lobbyist, and what you should expect from them.


Ep 224: ASA 2022 Difficult Airway Algorithm Update

The American Society of Anesthetists initially released the Difficult Airway Algorithm in 1993 to provide a guide for managing a patient with a difficult airway. It has been updated every 10 years since with the fourth iteration being released in January 2022.
The latest update has a number of key changes that Jeremy and Sass will take you through in this episode of the podcast.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.