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.
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.
Box Breathing
Ready when you are
60Try it first
Try a 60-second practice right now.
Box Breathing has four equal steps, like the four sides of a box. The guide counts each step to five:
- Breathe in for 5 counts. The square grows.
- Hold for 5 counts. The square stays full.
- Breathe out for 5 counts. The square shrinks.
- Hold for 5 counts. The square stays small.
In the app, Apple Watch or AirPods Pro add real-time biometric feedback. Audio-only works without them.
Medical errors increase when clinicians report high burnout (BMJ, 2019).
Reported burnout prevalence among CRNAs (AANA Journal, 2025).
Why this matters
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
AANA members and nurse anesthesia students get the discount after a quick verification, usually within one business day.
Enroll as AANA memberSee 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.
You practice.
Sixty seconds, between cases.
Rich, engaging coursework.
Readings, guided practice, and check-ins, beautifully presented.
Illustrative preview of the CE dashboard.
Questions
Before you enroll
Why do I sign in with Apple?
Your practice sessions happen in the Pausality iPhone app, which uses Sign in with Apple. Signing in to the course with that same Apple ID puts your app sessions, your course progress, and your bundled app year on one account, so every completed session counts toward your credit automatically. You never upload screenshots or log anything by hand. If you don't have the app yet, signing in here creates your account; use the same Apple ID on your iPhone.
I'm not an AANA member. Can I still enroll?
Yes. Choose the Non-Member rate. The AANA member number is only required for the AANA Member rate.
Do I need an Apple Watch or AirPods?
They're not required, but they give you the best experience. With Apple Watch Series 4 or later, or AirPods Pro 3, each session shows real-time biometric feedback and records your biometric data, so you can see how your body responds as you practice. Without them, audio-only mode gives you the guided session only: it still counts toward your course credit, but nothing biometric is shown or recorded. Either way, you need an iPhone with iOS 18 or later.
“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
Course Director · AANA Member #071955
Randy has practiced as a CRNA since 2004, 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.