The Year of the Babies!

Excel Anesthesia is Hiring! Join Our “ALL CRNA” Practice!

Excel Anesthesia Corporate Office Headquarters

Excel is hiring qualified CRNAs to join our expanding practice in Kansas and Missouri! CRNAs applying must have at least 2 years experience and be comfortable working in non-medically directed settings and have at minimum a valid Missouri license (preferably both Kansas and Missouri). Currently, we are seeking both FT and Part-Time positions in Kansas and Missouri for our “all CRNA” company. Excel is a well-balanced service provider, providing service at over 16 facilities, and hospitals in the Kansas City and surrounding areas (within a 90-mile radius). Excel Anesthesia has more than 17 years’ experience in the industry. Types of facilities/services range from ophthalmology with the provision of ophthalmic blocks, GI endoscopy centers, several urology centers and multi-specialty centers, three major hospitals as interim locum providers, and ENT, while servicing both pediatric and Adult populations.

CRNAs working for Excel are not required to be proficient in all skill-sets as we are able to closely match CRNAs to the type of patient population and skill-set most comfortably suited.

Full-Time Position- Compensation varies and is depending upon skill level and CRNA flexibility. For more information regarding compensation see post# 169513 on Additional sums may also be negotiated in order to offset provider Malpractice expense. Compensation package is for slightly less than 45 weeks of service, taking into account 6 weeks of scheduled time away and 6 Holidays in which CRNA won’t be providing service. Call is taken from home for one small rural hospital and is negotiable. Complete the following embedded application and submit. Once completed our staff will be notified of your interest and will contact you. You can also E-mail

Part-Time positions are also available.  For more information regarding compensation see Gaswork post by clicking here:
Complete our application online here. Once completed our staff will be notified of your interest and will contact you.  You can also contact us at


“BLING-UP!” While Helping Advance Missouri CRNA Practice!

CRNA Custom Crystal Rhinestone Pin


“Get your bling-on” in the operating room with this beautiful custom-made crystal, rhinestone pin!  This sparkling, “eye- catching, attention- getter” will surely raise the opportunity to  educate your patients as to what CRNAs are and the valuable service we provide. All pins have clear  dazzling stones and are silver plated.  Priced at $79 each plus postage, the proceeds will all be applied to the Missouri Association of Nurse Anesthetist, MoANA PAC fund.  There is a limited quantity available so be sure to get yours while supplies last.  The purchase price is an effort to raise PAC funds and as such are not tax deductible.  Support Missouri CRNAs by purchasing one of these lovely pins today.  We guarantee your satisfaction for 30 days after receipt of your items. We will either correct a problem or refund your money if you are not satisfied within 30 days.

Support Missouri CRNAs by clicking here or you can follow the link at the bottom of the post which will take you directly to the MoANA purchase site.  Both links will function to complete your transaction which will equally fund our MoANA PAC.  Even if you don’t have a Paypal account you can safely purchase with a credit card and order one of these beautiful pins today!  You will be glad you did!

The Missouri Association of Nurse Anesthetists Political Action Committee (MoANA PAC) is a political action committee representing the interests of CRNAs in Missouri. It is a voluntary, nonprofit committee established to elect candidates that will advance MoANA’s legislative program. MoANA PAC is important because it allows CRNAs to speak with one strong voice, reinforcing our “presence” in the state capitol. MoANA PAC is not affiliated with any one political party but supports individual candidates who believe in advancing the CRNA practice and persuade other candidates to hear the voice of the CRNAs.



Missouri Nurses Association Statement on Ebola and Nurse Preparedness Information, Resources, and How You Can Help

Missouri EBOLA PreparednessMissouri Nurses Association Statement on Ebola and Nurse Preparedness

The Missouri Nurses Association (MONA) continues to monitor the global health crisis of Ebola Virus Disease (EVD). We take an active role in addressing the safety needs of our nurses and their patients. As Ebola has spread to the United States, MONA has reached out to the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services for guidance. MONA will continue to communicate with these agencies, as well as other nursing associations, the Missouri Hospital Association, and the Missouri State Medical Association as the situation progresses.

Ebola Preparedness Survey
“Nurses serve on the front lines of health care, and it is imperative that they and all health care workers be guaranteed safe working environments, including proper personal protective equipment (PPE), current training in safety protocols, and Ebola preparedness,” said MONA CEO Jill Kliethermes, MSN, RN, FNP-BC. “Nurses must feel safe and prepared when dealing with any potential Ebola cases.” To that end, MONA is asking nurses in Missouri to participate in our five-minute Ebola Preparedness Survey to gauge facilities’ levels of training, preparedness and availability of PPE. Your responses will help keep nurses, patients and the public safer by identifying any possible gaps in training and preparedness.

Nurse Safety
Recently, the first case of Ebola in the United States was diagnosed in a man who traveled from West Africa to Dallas, Texas. Sadly, this patient passed away on October 8, 2014. Subsequently, two nurses who were caring for this patient at Texas Health Presbyterian Hospital in Dallas have been diagnosed with Ebola. Officials at the hospital have since acknowledged that a lack of clarity, protocols, and guidance contributed to a critical lapse in safety for these nurses and health care workers.

MONA joins with the American Nurses Association (ANA) in urging the CDC to provide clear standards and guidelines that nurses and health care workers can follow to ensure their safety and the highest quality of care for patients. MONA and ANA urge the CDC to adopt PPE standards that have been demonstrated to provide effective protection for nurses and health care workers in the clinical setting when caring for Ebola patients, such as those used by Doctors Without Borders and Emory University. CDC officials plan to release revised PPE guidelines soon. MONA and the ANA will review these guidelines and provide additional feedback, if necessary.

While we unequivocally believe that nurses are obligated to care for patients in a nondiscriminatory manner, with respect for all individuals, we also recognize that there are limits to the risk of personal harm nurses can be expected to accept as an ethical duty. MONA urges nurses to take our Ebola Preparedness Survey and speak up if they feel their facilities are underprepared to treat any patient. Nurses should have the right to refuse an assignment if they do not feel adequately prepared or do not have the necessary equipment to care for Ebola patients.

MONA joins with the American Nurses Association in urging nurses to review infectious disease guidelines and checklists to ensure they understand Ebola, how it is transmitted, and what precautions are necessary to protect themselves, their patients, and the public.

A multitude of resources are available from the Centers for Disease Control and Prevention and other health care organizations:
CDC: Ebola – Information for Healthcare Workers and Settings
CDC Webinar: Preparing for Ebola: What US Hospitals Can Learn from Emory Healthcare and Nebraska Medical Center
ANA: Ebola Information
ANA: News Release on Ebola
Public Health Emergency (PHE) Webinar: Ebola Preparedness for the US Healthcare System
National Institute for Occupational Safety and Health (NIOSH): Ebola Information
World Health Organization: Ebola: Protective Measures for Medical Staff

This current health crisis is of grave concern to MONA and a top priority for all of us, but we must remain calm. Through education, training, and preparedness we can manage EVD. MONA urges all nurses to avail themselves of informational resources and take our Ebola Preparedness Survey to help our state meet this challenge effectively and safely.


Stuber Post

Missouri Nurses demonstrated how personal party affiliation can be set aside in this year’s mid-term election.  Both Republican and Democrat nurses came together last night in support of Dr. Robert (Bob) Stuber.  They, better than anyone, know that it is not about the party this year; instead it is about the critical issues affecting the healthcare and safety of our citizens.

Last night many volunteers participated in a phone bank in support for Dr. Robert (Bob) Stuber as the candidate to elect for Missouri Senate district 34.  This district includes both Buchanan and Platte counties of which Parkville, Platte City, and St. Joseph Missouri are located.  There was an amazingly strong turn-out of nurses holding advanced degrees, volunteering their time in making calls to constituents of the 34th district; and it’s no wonder considering Dr. Bob is a strong advocate of the nursing profession.  He understands the need for Missouri to offer qualified heath care providers to our citizens.  He knows first-hand how poorly Missouri ranks (47th compared to other states in the nation) in its ability to get access to care to its rural population and is willing to do something about it. Read more

ROB SCHAAF- Holding Missouri Hostage

Missouri Needs Access To Care

Posted by Jean Covillo

October 10, 2014


Nearly 300,000 working MISSOURI adults will spend another year locked out of access to affordable health care because their income level places them in a coverage gap. WHY?
Because two men are obstructing the path to Medicaid Expansion and holding Missouri Hostage!

Missouri had a path to Medicaid expansion this year. The governor and the state’s leading business groups wanted it. All of the legislature’s Democrats and a growing number of Republicans supported it. Read more

Excel Anesthesia Proudly Announces The Wedding of Jenny West


Mr. and Mrs. Chris Frazier


Jean Covillo, Managing Member, Jenny Frazier, Scheduling Coordinator, Karen Parker, Senior Partner


Mr. and Mrs. Chris Frazier

Excel Anesthesia is proud to announce a name change within the organizational staff.  Jenny West, scheduling coordinator was recently wed October 4, 2014 in a beautiful fall, outdoor wedding held at Gallagher Barn in Bonner Springs, Kansas.  The weather could not have been more perfect.  The venue was amazing, with beautifully allocated seating outdoors for the ceremony followed by a reception held indoors in a warm, festively decorated barn complete with twinkling lights festooning its antique wood beams and tables heavily laden with savory cuisine.  Both Jenny and Chris will be honeymooning over the next week in Mexico.  Warmest Wishes and Congratulations to the couple from Excel Anesthesia.

Missouri In The Lead For Dead Last: The race for last among states re: access to healthcare.

September 25, 2014

By Jean Covillo, APRN, CRNA

Managing Member Excel Anesthesia, LLC

“The Anarchist”


According to the  Commonwealth Fund, an  independent, private  foundation that provides  comparative data related  to 38 health indicators  and state response to  national health policies      and initiatives, Missouri ranks a heartbreaking 44th overall. This is an overall decline from the 2010 report where Missouri ranked 33rd (Commonwealth Fund, 2013)

The reasons are simple and easily correctible.

First: There are not enough physicians applying to practice in rural Missouri. This is not uncommon in other states throughout the nation. Most states, including all immediately surrounding Missouri have adapted to this crisis and legislatively passed statutes that allow Advanced Practice Registered Nurses (APRNs) to practice to the full extent of their training and education. This education includes both a Bachelor’s degree in nursing along with a Master’s or Doctoral Degree in their chosen specialty practice, as well as several years of clinical training and oversight beyond those years of experience as a registered nurse. These APRNs have been competently fulfilling the health care needs of these areas and have done wonders in making up for the shortages of providers.

Second: In Missouri this doesn’t happen! Missouri APRNs have been legislatively restricted from practicing to the full extent of their scope of practice, which further compounds the problem by making it impractical and oftentimes impossible to provide care. In fact, Missouri is one of the most restrictive APRN scope of practice states in the entire nation. To clarify: Missouri has close to the worst ranking in access to care and the most restrictive scope of practice for APRNs in the nation!

You might wonder why this is? The answer is very simple…it is called money, power, and greed. A few weeks following a well attended fundraising event sponsored among others by the Missouri Nurses Association for the benefit of electing District 34 Mo Senatorial Candidate Dr. Bob Stuber, a vicious, slanderous, deceitful E-mail was written and circulated by Warren E. Hagan M.D., President, Buchanan County Medical Society. The credentials Dr. Hagan included in this E-mail were those included in his official elected capacity as the President of the Buchanan County Medical Society of which all participants were sent a copy. In the E-mail Dr. Hagan accused the nurses of “anarchy” for supporting a candidate, (Dr. Bob Stuber who is also a fellow physician) who believes in furthering Missouri citizens’ access to health care by encouraging legislation allowing APRNs to work to the full extent of their education and training.

Although most physicians would agree that the restrictive APRN scope of practice requirements in Missouri need to be revised in order to match those of the surrounding states and the need to adapt to the increasing patient population/ physician shortages; there are a FEW who continue to erect roadblocks by falsely claiming patient safety concerns (while studies support the opposite) and other various scare and bully tactics in order to “hold on to their turf”: “turf” that NO physician really wants as evidenced by the shortage in those areas. Apparently the rational is, “its better for patients to have NO access to healthcare than access to care administered by an APRN”.

The solution according to the incumbent candidate for Missouri Senate, Dr. Rob Schaaf devised and passed in the 2014 Missouri legislature session was to create a new category of physician provider called an “Assistant Physician”. Instead of lifting/revising cumbersome, outdated restrictions on highly qualified and competent Missouri APRNs who were already positioned, experienced, skilled and ready to practice in their specialty, he decided to promote an entirely new category of provider with virtually no professional clinical experience simply because they had the designation “physician”. A medical school education is an extremely rigorous and demanding program, and anyone should be proud to complete it. But medical schools do not design their curriculum for their graduates to hang out a shingle and see patients the day after the degree is conferred. Medical schools prepare their graduates for residency-a three or four year period, equally rigorous and demanding-where they then learn the complex and delicate art of caring for patients. The latter cannot be taught only in classrooms.

Nonetheless, the Missouri politicians (Senator Schaaf and Rep. Frederick) justify creation of this new “assistant physician” (a made-up title confusingly similar to the respected and well-credentialed “physician assistant”) as a strategy to address the shortage of primary care in many areas of their state. While the shortage is a problem that should never justify compromising patient well-being and safety. An ill-trained, ill-prepared provider can do more harm than good, prescribing dangerous medications, misdiagnosing serious illnesses, and threatening life and limb. Errors and misjudgments are too common even among veteran physicians, much less a green, new grad. It’s not fair to these aspiring young physicians to put them in a position to do harm, and it’s certainly not fair to their patients.

See the following link for more-

Schaaf’s bill passed and managed to escape veto allowing newly graduated medical students who have been denied acceptance into residency programs and have not passed all of their exams, to provide direct patient care in these Missouri rural areas with marginal oversight….. “Are you kidding me?!! Most young adults graduating from medical school, although highly educated, have no experience, which is why they complete residencies. Without residencies they have little to no experience personally starting IVs or taking blood pressures, let alone taking care of patients with OSA on CPAP, angina, CRF, COPD, HTN, diabetes, CHF or, heaven forbid a combination of co-morbidities without a seasoned physician overseeing their care!”

Our company, Excel Anesthesia works with hundreds of physicians every day. We are very proud to work as a team with our physicians and CRNAs and respect the educated minds of both physicians and APRNS. We believe the contribution of all is essential to the care of our fellow citizens and the key to improving access to care here in Missouri; ranking 44th is not only unacceptable, it’s a crime of abandonment. It does not benefit anyone to disempower those educated, trained, and capable of performing health care services in order to better promote one person’s or professions’ selfish gains. It must stop NOW!

Sadly, this vocal minority of influential physicians including Dr. Hagan and incumbent Senator Rob Schaaf are making Missouri policies and laws with their own special interests in mind. But it’s the Missourians who are suffering the consequences.

We CAN Make a Difference! We have the opportunity to remove Dr. Schaaf from office!


Here is How: 1. Register to Vote

2. SHOW UP TO VOTE-November 4, 2014

3. Vote for Dr. Bob Stuber for Missouri Senate District-34

REMINDER-RSVP Today-Dr. Bob Stuber Fundraising Event Tuesday Aug 26

NURSE LOGO SHIRTSMissouri Nurses are joining together to host a Fundraising event for Dr. Bob in Kansas City Missouri at Piropo’s Bar and Grill August 26. Even if you can’t attend we would appreciate any and all donations. Please see details located on the attached flyer! Special Guests include Attorney General Chris Koster, Fmr State Senator Wes Shoemyer, and Fmr Lt. Governor Joe Maxwell.

We need your support! Dr. Bob is running against Rob Schaaf, the Senator that is making all the legislative blockades for nurses here in Missouri. If you can’t make it, please contribute! Help us get the word out. I have personally mailed every nurse in Platte and Buchanan county an invitation. But this election affects all Missouri nurses, regardless of whether or not you are an RN, LPN, Nurses Aid, APRN, anesthesia or nurse practitioner! Please share this and help in any way possible! Even a small donation given by everyone will make a huge difference.

There are 93,000 nurses in Missouri and 2,600 in these counties. Patients in Missouri depend on our ability to get the vote out on November 4, 2014. See attached flyer for details on how you can contribute and or attend!

Please upload this image to any Social Media Groups in which you participate. Images that are .jpeg format, (such as this one) will download to your computer or phone as a picture and are readily up-loadable and can be included in your post. Just save it to your phone pics and post to the FB or Link-ed in group in which you participate. Help get the word out! Thank you everyone!

RSVP by clicking on this link:


Microsoft Word - Corrected Stuber Invite Parkville.docx