Education
1998: Bay Medical Center, Panama City, Florida
    Masters of Science Nurse Anesthesia
1990: George Washington University, Washington, D.C.
    Bachelor of Science Nurse Anesthesia
1985: Augustana College, Sioux Falls, South Dakota
    Bachelor of Science Nursing

Professional Experience
2010- Present: Anesthesia Staffing Consultants, Hillsdale Community Health Center, Hillsdale, Michigan

  • Independent Nurse Anesthesia Practice, Acute Pain Management
  • Ultrasound and Image-Guided Pain Intervention in Regional Anesthesia and Pain Management
  • Fellow American Academy of Pain Management
  • Michigan Association of Nurse Anesthetists, Region 5 Director
  • Member Standard Setting Committee for the CRNA Certification Examination (September 2012)

2007- 2010: Banner Lassen Medical Center, Susanville, California

  • Independent Nurse Anesthesia Practice
  • Ultrasound and Image-Guided Pain Intervention in Regional Anesthesia and Pain Management
  • Professional Nursing Council

2002- 2007: Navy Nurse Corps Officer, Navy Medical Center, San Diego, California

  • Staff Nurse Anesthetist
  • Vice-chair Anesthesiology Department for Administration and Nursing Affairs
  • Chief Nurse Anesthetist
  • Co-Director Regional Anesthesia Service
  • Department Head, Critical Care Nursing
  • Executive Committee of the Medical Staff
  • Executive Committee of the Nursing Staff
  • Anesthesia Executive Steering Committee
  • Chair, Main Operating Room Effectiveness Committee
  • Chair, Command Nursing Cross-training Committee
  • Leader, Bariatric Surgery Subcommittee
  • Department Continuous Improvement Director
  • Department Risk Management Officer
  • Department Joint Commission Preparation Director
  • CRNA Journal Club Coordinator

2003: Deployed Operation Enduring Freedom and Iraqi Freedom IIA, 1st FSSG, Alpha Surgical Company

2003: Deployed Operation Enduring Freedom and Iraqi Freedom I, 1st FSSG, Alpha Surgical Company

1998- 2002: Navy Nurse Corps Officer, Naval School of Health Sciences Naval Hospital, Jacksonville, Florida

  • Clinical Instructor, Navy Nurse Corps Anesthesia Program
  • Research Coordinator, Navy Nurse Corps Anesthesia Program
  • Protection of Human Subjects Committee
  • Pharmacy and Medication Quality Management Board Committee

1995- 1998: Navy Nurse Corps Officer, National Naval Medical Center, Bethesda, Maryland

  • Staff Nurse Anesthetist
  • Associate faculty, Navy Nurse Corps Anesthesia Program
  • Department Supply Officer
  • CRNA Scheduling Officer

1992- 1995: Navy Nurse Corps Officer, Naval Hospital, Sigonella, Italy

  • Assistant Department Head of Anesthesia
  • Public Affairs Officer, Naval Hospital
  • Department Supply Officer
  • Department Quality Assurance Officer

1990- 1992: Navy Nurse Officer, Naval Hospital Camp Lejeune

  • Staff Nurse Anesthetist 
  • Deployed Desert Shield/Storm, 5th MEB, USS New Orleans/USS Tarawa

1988- 1990: Navy Nurse Corps Officer, Naval School of Health Sciences, Bethesda, Maryland

  • Full-time Duty Under Instruction, Nurse Corps Anesthesia Program

1985- 1988: Navy Nurse Corps Officer, National Naval Medical Center, Bethesda, Maryland

  • Charge Nurse Oncology Unit
  • Charge Nurse Intensive Care Unit

Professional Involvement
2011- Present: Michigan Nurse Anesthesia Association Board of Directors
2006- 2009: California Nurse Anesthesia Association Board of Directors
2003- 2007: California Nurse Anesthesia Association Fall Program Director

Faculty Appointments
2013- Present: Guest Faculty, Michigan State University
Course: Ultrasound Regional Anesthesia and Pain Management and Interventional Pain Management     
2011- Present: Guest Faculty, Flint/Hurley Medical Center Nurse Anesthesia Program, University of Michigan
Course: Regional Anesthesia and Pain Management
2006- 2012: Guest Faculty, Beaumont Graduate Program of Nurse Anesthesia, Oakland University
Course: NRS 635 Regional Anesthesia and Pain Management
1998- 2007: Adjunct Assistant Professor, Georgetown University

Original Publications
Dewees, J., Schultz, C., Wilkerson, F., Biegner, A., and Pellegrini, j. Comparison of two approaches to brachial plexus anesthesia for proximal upper extremity surgery: Interscalene and IntersternocleidomastoidAANA Journal. June 2006.

Ward, R., Hawkins, R., Lawrence, R., DiChiara, S., Biegner, A., and Vacchiano, C. The Use of Nalmefene for Control of Intrathecal Opioid-Associated Nausea in Postpartum Patients. AANA Journal. February 2002.

Beigner, A., Olson, R. L., Anderson, D., and Vacchiano, C. A. Quantification of Insensible Water Loss Associated wiht Insufflation of Dry CO2 Gas in Patients Undergoing Laparoscopic Surgery. Journal of Laparoscopic and Advanced Surgical Techniques. Volume 9, Number 4, 1999.

Beigner, A. R. Comparative Costs of Anesthetic Techniques. Anesthesia Today. Volume 9, Number 3, 1998. 


Published Abstracts
American Association of Nurse Anesthetists Annual Conferences

Dewees, J., Schultz, C., Wilkerson, F., Beigner, A., Pellegrini, J. Comparison of Two Approaches to Brachial Plexus Anesthesia: Intersternocleidomastoid and Interscalene. 2002.

Tursi, F., McMindes, D., Steczo, A., Wirth, P., Biegner, A., Pellegrini, J. Comparison of One, Two, or Three Nerve Electrolocation on Success Rates for Brachial Plexus Block. 2001.

Arp, P., Clark, W., Creighton, P., Biegner, A., Vacchiano, C. Brachial Plexus Block with Nesacaine and Dilute Ropivacaine for Brief Outpatient Procedures. 2000.

Ward, R. Hawkings, R., Lawrence, R., DiChiara, S., Biegner, A., Vacchiano, C.The Use of Nalmefene for Control of Intrathecal Opioid-Associated Nausea in Postpartum Patients. 1999.

Meeting of the Association of Military Surgeons of the United States

Ward, R., Hawkins, R., Lawrence, R., DiChiara, S., Biegner, A., Vacchiano, C. Use of Nalmefene for Control of Intrathecal Opioid-Associated Nausea in Postpartum Patients. 1999.

Biegner, A. R., Vacchiano, C. A. Outcome Study of an Inhalation Anesthesia Delivery System Specifically Designed for the Use in the Field. 1996.

Invited Presentations
2007- 2013:
Ultrasound Guided Regional Anesthesia

  • 2013- Present- Twin Oaks Anesthesia Services
  • 2011, 2012, 2013- Anesthesia Staffing Consultant Ultrasound Regional Anesthesia Conference
  • 2011, 2012- Dannemiller Conference
  • Michigan Association of Nurse Anesthetists
  • Montana Association of Nurse Anesthetists
  • Iowa Association of Nurse Anesthetists
  • Ohio Association of Nurse Anesthetists
  • Oregon Association of Nurse Anesthetists
  • Colorado Association of Nurse Anesthetists
  • Utah Association of Nurse Anesthetists
  • New England Assembly of Nurse Anesthetists
  • Midwestern University Nurse Anesthesia Program

Upper and Lower Extremity Regional Anesthesia

  • Oklahoma Nurse Anesthesia Association

2005- 2007:
Management of the Difficult Airway in the Combat Environment

  • American Association of Nurse Anesthetist Annual Conference, Washington, D.C.

Upper Extremity Brachial Plexus Regional Anesthesia

  • Texas Association of Nurse Anesthetists

Obstetric Complications

  • California Association of Nurse Anesthetists

Anesthetic Management of Victims of Chemical or Biological Terrorism Agents

  • American Association of Nurse Anesthetist Annual Conference, Cleveland, Ohio
  • California Association of Nurse Anesthetist 

Implementation of a Main Operating Room Effectiveness Working Group at a Military Treatment Facility

  • California Association of Nurse Anesthetists
  • OR Business Management Conference
  • Oregon Association of Nurse Anesthesia

1999- 2004:
Brachial Plexus Anesthesia

  • Regional Anesthesia Instructors Conference, San Antonio, Texas

Comparison of Two Approaches to Brachial Plexus Anesthesia: Intersternocleidomastoid and Interscalene

  • American Association of Nurse Anesthetist Annual Conference 2003

Comparison of One, Two, or Three Nerve Electro-location on Success Rates in Axillary Brachial Plexus Blocks

  • Shea-Arentzen Navy Nursing Symposium 
  • American Association of Nurse Anesthetists Annual Conference

Brachial Plexus Block with Chloroprocaine and Dilute Ropivacaince for Brief Outpatient Procedures

  • Florida Hand Society Annual Meeting

Brachial Plexus Anesthesia and Technical Aspects of Peripheral Nerve Blockade

  • Tennessee Association of Nurse Anesthetists
  • Florida Association of Anesthetists

Autonomic Physiology and Pharmacology

  • 20th Annual Smokey Mouth Nurse Anesthesia Conference

Combat Anesthesia Experiences: Operation Enduring Freedom and Iraqi Freedom I and II

  • California Association of Nurse Anesthetists
  • United Nurses Association of California
  • California AORN

Military Personal Decoration

  • Navy Commendation Medal (2)
  • Navy Achievement Medal
  • Presidential Unit Citation
  • Combat Action Ribbok (2)