Continuing education for CRNAs

Walk out of the worst shift of your career still yourself.

You hold the line between life and death with your hands and your composure.

Enroll in the course

Requires iPhone with iOS 18 or later.
Real-time biometrics with Apple Watch Series 4 or later, or AirPods Pro 3.
Audio-only mode works without biometric hardware.

23%

Medical errors increase when clinicians report high burnout (BMJ, 2019).

12.5-72%

Reported burnout prevalence among CRNAs (AANA Journal, 2025).

Why this matters

A regulated nervous system is a clinical skill.

Patient safety begins with the clinician holding the line. Anesthesia posts among the highest burnout rates in medicine.

Pricing

One enrollment. A practice you keep.

Physiological Awareness in Clinical Practice · 3.0 MAC Ed CE credits.

What's included

  • 3.0 MAC Ed CE credits
  • Foundation: settle in under ninety seconds
  • Awareness: catch the climb early
  • Mastery: your own Gap Moment plan
  • Real-time biometrics with Apple Watch or AirPods Pro
  • Certificate valid for 24 months
  • Shareable verification URL for your records
  • First-year Pausality app subscription bundled in

AANA Member

$249$299
Save $50

AANA members and nurse anesthesia students get the discount after a quick verification, usually within one business day.

Enroll as AANA member
Other pricing options
Non-Member$299 · Enroll
CRNA Student$199 · Enroll
App Subscriber$199 · Enroll

See it in action

The app where you practice. The portal where your credits track.

Sixty-second sessions on your phone. Automatic progress synced to your CE portal.

Real-time biometrics

You practice.
Sixty seconds, between cases.

Not your typical CE
pausality.health/ce
Pausality CE portal: Foundation tier active, auto-tracked progress, 21 of 63 sessions complete.
Your CE dashboard: tier progress, session counts, and check-in status, tracked automatically.

Rich, engaging coursework.
Readings, guided practice, and check-ins, beautifully presented.

“I took one minute to use Pausality. I felt mentally clear, steady, and ready for the six cases.”

- Jonathan A., CRNA

Faculty

Taught by a CRNA, for CRNAs.

Pausality is built by Somnistics Research Labs.

Randy Graybeal, MSN, CRNA

Randy Graybeal, MSN, CRNA

Course Director · AANA Member #071955

Randy has practiced as a CRNA for nearly thirty years, at Rush University Medical Center, the University of Washington Medical Center, Providence Regional Medical Center, and now in an independent office-based practice.

He has served as Vice President and Federal Political Director of the Washington Association of Nurse Anesthetists. He has led high-fidelity simulation training for anesthesia teams, and his current focus is the physiology of clinician self-regulation in real clinical workflow.

He also carries firsthand experience of personal tragedy, which makes this mission a deeply personal one for him.

Walk out still yourself, sixty seconds at a time, across twenty-one practices, and earn the certificate and a career you can carry the whole way.

Over time the same practice opens toward deeper work that does more than return you to baseline and slowly raises the baseline itself. For now the sixty seconds is the whole ask, and it is enough to change the shape of your day.

Enroll in the course