CRNA transforms nursing practice through legislation




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Ali Baghai, MS, CRNA

This is the third article of the APNs Transforming Care series brought to you by the Johnson & Johnson Campaign for Nursing’s Future.

Ali Baghai, MS, CRNA, knew he wanted to help people, but he wasn’t sure how. He decided to major in psychology in college hoping to care for people like his mother who suffered from mental illness. But his experiences at the Hole in the Wall Gang Camp, a summer camp in Connecticut for children with cancer and other chronic and terminal illnesses, changed his life. While helping run a weekend retreat for campers with sickle cell anemia, Baghai cared for an adolescent in crisis, whose pain he couldn’t relieve. Reflecting on that, he knew he’d found his calling and transferred to Boston College’s school of nursing.

Baghai worked in pediatric emergency medicine and surgical ICU at major medical centers for five years after nursing school. Becoming a certified registered nurse anesthetist was a seed planted in nursing school. It later germinated in the ICU because the knowledge, clinical skills and critical thinking of an ICU nurse are applicable to the CRNA role, he said.

In 2006, Baghai was one of 15 people accepted into the CRNA program at Midwestern University in Glendale, Ariz., out of more than 400 applicants. “I took to anesthesia like a duck to water and realized that being a CRNA was exactly what I was meant to do,” he said.

Ten years later, Baghai still loves his role. “We have about 10 minutes to assess the patient, develop and discuss an anesthetic plan with the patient, and establish trust,” he said. “Then we become practical pharmacologists, administering correct medications at proper doses to place patients in an anesthetic state.”

The caring side of anesthesia is a real draw for Baghai. Surgery is a major stressor, and patients are vulnerable and need someone to calm their fears and ease them through the process, he said.

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Download for more stories from The Johnson & Johnson Campaign for Nursing’s Future APNs Transforming Care series.

Baghai’s work involves many technical aspects, including intubating; inserting central lines; and administering epidurals, spinals and peripheral nerve blocks, he said. He loves working with his hands to provide quality care. Once surgery is complete, the anesthetist must wake the patient at the right time, Baghai said, comparing his role to flying a plane. “It’s all about takeoffs and landings, doing it smoothly and properly to keep our patients safe.”

As a CRNA, he has worked as an independent contractor at hospitals, pain clinics, and surgery and endoscopy centers. For the past three years he has worked full time at Tempe St. Luke’s Hospital in Arizona, where he serves as chief CRNA.

Baghai has assumed a number of roles in the Arizona Association of Nurse Anesthetists, where he is now president. He co-founded the CRNAs of Arizona PAC, and helps lead the Arizona APRN Coalition, whose goal is to gain full practice authority for the state’s APRNs.

This past legislative session Baghai was asked to lead the coalition, which presented “monumental legislation that met all IOM recommendations for practicing APRNs,” he said. “Despite our efforts, the evidence, support from third-party groups, letters from nearly 200 independent physicians, thousands of letters and emails from constituents, and concessions our group made, we didn’t have enough votes to see our legislation through to law.”

Although a disheartening experience, Baghai knew they had increased the public’s and legislators’ knowledge about the CRNA role, which was previously one of healthcare’s best kept secrets, he said. Three months since the coalition pulled its legislation, Baghai is bringing the group together to make another run with a different strategy for the next legislative session, with some fresh ideas from new leaders, he said. “My juices are flowing as we prepare for the next battle.”

Hanging in his young son’s bedroom is a poster summing up Baghai’s advice to others considering an APRN role: Shoot for the moon; even if you miss you will land among the stars.

Editor’s note: OnCourse Learning does not endorse any views expressed or products or services recommended or offered in the content of this blog. OnCourse Learning assumes no responsibility or liability for any consequence resulting, directly or indirectly, from any action or inaction taken based on or made in reliance on the information within this article.

Read more articles from the Johnson & Johnson Campaign for Nursing’s Future APNs Transforming Care series:

Transforming primary care: One nurse’s story

Transforming family practice: One nurse’s story


About the author
Janice Petrella Lynch, MSN, RN

Janice Petrella Lynch, MSN, RN 

Janice Petrella Lynch, MSN, RN, is Nurse.com’s nurse editor, nurse executive and news blogger. Also a nursing educator, she has held faculty positions at Wagner College, Skidmore College, Molloy College and Adelphi University. Jan is a member of the New York Organization of Nurse Leaders and the Greater New York Nassau-Suffolk Organization of Nurse Executives. She shares her editorial and writing expertise with nurses at writing workshops; attends and covers nursing events and trade shows; and helps manage the annual Nurse.com GEM Awards program. To ask Jan a question, email jplynch@oncourselearning.com.

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