Passing Boards Is Not About Studying Harder
What SRNAs Need to Understand About Learning, Retention, and Test-Day Success By Jonathan Pabalate, DNP, CRNA, APRN | Founder, JPCAIC — JPC Anesthesia Informatics Corp | Nurse Anesthesia Faculty, University of North Florida Every anesthesia program sees it. On interview day, students are energized, grateful, and determined. Ask them what they are willing to do […]
The Weight of One: Five Years as a Solo CRNA at a Critical Access Hospital
By Jonathan Pabalate, DNP, CRNA, APRN | Founder, JPCAIC — JPC Anesthesia Informatics Corp | Nurse Anesthesia Faculty, University of North Florida It starts as an incision and drainage. The surgeon briefs me before the case — leg wound, needs debridement, straightforward. On paper, it is. The surgical complexity is low. The anesthesia complexity is […]
When the OR Meets the Creative Suite: What the Adobe × Claude Integration Means for Clinicians Who Never Lost Their Creative Side
By Jonathan Pabalate, DNP, CRNA, APRN | Founder, JPCAIC — JPC Anesthesia Informatics Corp | Nurse Anesthesia Faculty, University of North Florida There is a version of me that most of my OR colleagues have never met. Before I was a CRNA, before I was faculty, before I was building AI-assisted perioperative workflows for surgical […]
AI Literacy Is Not Optional Anymore: What I Learned Teaching It at FANA
There’s a moment I’ve been thinking about a lot since I walked off the stage at the Florida Association of Nurse Anesthetists Sand and Surf conference a this last weekend. It wasn’t the applause — although the engagement in that room was genuinely something. It was a conversation I had afterward, in the hallway outside […]
Medicolegal Discovery in the Age of Clinical AI
Why anesthesia, audit trails, fragmented platforms, and AI-assisted documentation are forcing a rethink of what “the record” actually means. For years, medicolegal discovery in healthcare operated on a fairly stable assumption: if you could obtain the chart, the audit trail, the medication record, and the surrounding metadata, you could reconstruct what happened with reasonable confidence. […]
BIS, the Aging Brain, and the Problem With Saying “The Evidence Is Mixed”
A faculty dry run, a student presentation, and a bigger lesson about how anesthesia clinicians should think about postoperative delirium, cognitive decline, and processed EEG. There is a phrase that gets used far too often in anesthesia education: “The evidence is mixed.” Technically, that is often true. But in practice, it can become a lazy […]
The Total Local Anesthetic Load Problem in the EXPAREL Era
What a conversation with Pacira’s medical science liaisons revealed about liposomal bupivacaine, geriatric patients, and the still-fuzzy question of total local anesthetic load. Some perioperative questions seem like they should have a clean answer. Then you start pulling on the thread. That is where I found myself after a recent discussion with medical science liaisons […]
Don’t Let Great Ideas Die in Chat: A Pragmatic Playbook for Capturing “Hidden” Insights in Healthcare
We don’t lack ideas in healthcare, we lack a reliable way to catch them. Every day, a great suggestion flickers by in a Zoom or Teams Meeting. At least one participant asks a question or brings up a point that gets lost in the back and forth group discussion. A clever workaround gets mentioned at […]
The Big-Data Paradox in Anesthesia: Seeing the Problem Isn’t the Same as Fixing It
Something strange happened when healthcare embraced big data. We instrumented the OR. We digitized the record. We started capturing physiologic streams that would’ve been impossible to track a generation ago. And the promise was simple: if we can see it, we can improve it. Except… that’s not what actually happened. Because now we’re in a […]
Mastering the Heart: Teaching Complex Cardiac Anesthesia Management Through Real-World Case Analysis
This past week, I had the privilege of leading an in-depth clinical debrief with my anesthesiology nursing residents at the University of North Florida on one of the most challenging aspects of anesthesia: the management of cardiac patients presenting for non-cardiac surgery. What started as a case discussion quickly evolved into an energetic, case-based workshop […]