The president of the Virginia Association of Nurse Anesthetists offers a solution.

Adrienne Hartgerink
Adrienne Hartgerink is a Certified Registered Nurse Anesthetist and president of the Virginia Association of Nurse Anesthetists. She also is the associate program director for the Nurse Anesthesia Program at Old Dominion University (ODU) in Norfolk, VA and a retired USAF
Lt Col.