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1 year ICU experience



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May 16, 2005 05:56 PM

1 year ICU experience

by SaraB

In order to get into CRNA school, all schools require a minimum of 1 year ICU experience. Are most people actually ready for CRNA school after only 1 year? Do people with only 1 year experience get rejected their first application?


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22 Comments
No. 1
from apaisRN
Old May 16, 2005, 07:06 PM

Originally Posted by SaraB
Do people with only 1 year experience get rejected their first application?
Nope.
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No. 2
Old May 16, 2005, 09:02 PM

IMO the ICU does very little to prepare you for CRNA. There are aspects that are very important, ie fluid management, lines, vasoactives, etc. Depending on the type of ICU you land in these opportunities may be few and far between. Alot of the other things may help somewhat, but will not be drawn on routinely for CRNA school survival, ie alot of other nursing tasks.

Yes and no, there are people who may get what they need in one year. No, people who have a year or less do not get automatically rejected.
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No. 3
from catcolalex
Old May 16, 2005, 10:45 PM

two of us in my class had less than one year of ICU at the time of application, and a year and a half total at the start of the program. we dont feel any further behind in comprehension or understanding or practice. anesthesia is anesthesia and not ICU nursing.
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No. 4
from TexasCCRN
Old May 17, 2005, 01:53 AM

I agree with most of the other posters. It is not how much time you have had, but more what you have done with the time. How much experience did you get, what did you get under your belt. Good luck
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No. 5
from SaraB
Old May 18, 2005, 06:33 PM

Is there anything that does prepare you for CRNA? Like something that can show you'll be good at it?
Originally Posted by Laughing Gas
IMO the ICU does very little to prepare you for CRNA. There are aspects that are very important, ie fluid management, lines, vasoactives, etc. Depending on the type of ICU you land in these opportunities may be few and far between. Alot of the other things may help somewhat, but will not be drawn on routinely for CRNA school survival, ie alot of other nursing tasks.

Yes and no, there are people who may get what they need in one year. No, people who have a year or less do not get automatically rejected.
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No. 6
from SaraB
Old May 18, 2005, 06:36 PM

How hard was it for you to get good letters of recommendation if you weren't at your unit for long at time of app? Did you feel resentment from co-workers who knew you were looking at CRNA schools?

Originally Posted by catcolalex
two of us in my class had less than one year of ICU at the time of application, and a year and a half total at the start of the program. we dont feel any further behind in comprehension or understanding or practice. anesthesia is anesthesia and not ICU nursing.
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No. 7
Old May 18, 2005, 09:06 PM
Updated May 18, 2005 at 09:13 PM by Laughing Gas

Originally Posted by SaraB
Is there anything that does prepare you for CRNA? Like something that can show you'll be good at it?
Well, not really. Alot of the basics are counter intuitive. Until you get hands on experience, not much else matters. The first time you try to mask a patient you'll see what I mean.

Understanding how to titrate fluids and vasoactive drugs is important. Even then the way you do it is different for an anes pt. ie, you don't give 5mg of lopressor all at once. Try to be around for intubations. Be familiar with induction drugs and paralytics and their doses. Look at anesthesia records after you get that fresh AAA out. See what the CRNA gave and did. When you can safely experiment with propofol, try it. Get a good working knowledge of how the drug actually works clinically. Other than that, pretty much all you can do is read. There is nothing else that will prepare you for that swift kick in the cajones when people are waiting for anesthesia, and you realize it's you!

Is there anything indicative of if you will be good at it? Maybe. Are you calm when others are calling for their brown pants? Can you think through stressful times? Can you taylor your skills to fit a difficult person's special needs? Skills are a small part. Paramedics can intubate. IV techs can start IV's. RCMS techs can read ECG's. RT's can start A-lines.
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No. 8
Old Jun 14, 2005, 05:08 PM
Updated Jun 14, 2005 at 05:10 PM by Penny Pinkly

Question Very Confused
I have just one question. Most of the CRNA programs that I've looked into all want at least 1 year of ICU experience however most ICU positions I've viewed all want at least 2 years of experience. How, if possible, do you obtain a position in any ICU as a new graduate with no ICU expereince?
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No. 9
from CougRN
Old Jun 14, 2005, 05:25 PM

Originally Posted by Penny Pinkly
I have just one question. Most of the CRNA programs that I've looked into all want at least 1 year of ICU experience however most ICU positions I've viewed all want at least 2 years of experience. How, if possible, do you obtain a position in any ICU as a new graduate with no ICU expereince?
normally this is because they provide a sign on bonus. so they can dictate how long you stay. if you don't have a contract or sign on bonus then it really won't matter how long you stay. that being said, it may be hard to get a manager to write a letter of recommendation in this setting. so keep looking because this isn't the norm to require 2 years in a certain position.
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