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any CRNAs as mid-level providers in the ICU?



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Apr 04, 2007 10:01 PM

any CRNAs as mid-level providers in the ICU?

by blee1

coming from an academic institution, PA's and NP's are an integral part of our CCM team. are there any CRNA's here that work in the ICU's in such a capacity in addition to working in the OR?

i am about to graduate with my BSN and am looking forward to a career in anesthesia, however i am also interested in the role of the mid-level provider in the ICU setting. is there any way i could do both?

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26 Comments
No. 1
from subee
Old Apr 05, 2007, 07:37 PM

Default Re: any CRNAs as mid-level providers in the ICU?
Originally Posted by blee1 View Post
coming from an academic institution, PA's and NP's are an integral part of our CCM team. are there any CRNA's here that work in the ICU's in such a capacity in addition to working in the OR?

i am about to graduate with my BSN and am looking forward to a career in anesthesia, however i am also interested in the role of the mid-level provider in the ICU setting. is there any way i could do both?
In 25 years, I've never heard of a CRNA working as mid-level practitioner in ICU. That is the bailiwick of the MSN in acute care nursing.
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No. 2
from loafin'
Old Apr 06, 2007, 08:38 PM

Default Re: any CRNAs as mid-level providers in the ICU?
Originally Posted by blee1 View Post
coming from an academic institution, PA's and NP's are an integral part of our CCM team. are there any CRNA's here that work in the ICU's in such a capacity in addition to working in the OR?

i am about to graduate with my BSN and am looking forward to a career in anesthesia, however i am also interested in the role of the mid-level provider in the ICU setting. is there any way i could do both?
Vanderbilt University has an acute care NP program that after graduation you have an option for early interview to anesthesia school at Middle Tennessee School of Anesthesia. You will be able to practice as both. Vandy is the only one that I've checked out, I'm sure there other schools with similiar options.
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No. 3
from blee1
Old Apr 07, 2007, 11:57 AM

Default Re: any CRNAs as mid-level providers in the ICU?
Originally Posted by loafin' View Post
Vanderbilt University has an acute care NP program that after graduation you have an option for early interview to anesthesia school at Middle Tennessee School of Anesthesia. You will be able to practice as both. Vandy is the only one that I've checked out, I'm sure there other schools with similiar options.
thanks for the tip, ill check it out =)

any others?
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No. 4
from Vich
Old Apr 12, 2007, 06:55 PM

Default Re: any CRNAs as mid-level providers in the ICU?
Some job descriptions i have seen say stuff like ICU?: Sometimes.

So it must be somewhere...
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No. 5
from suzanne4
Old Apr 13, 2007, 10:42 PM

Default Re: any CRNAs as mid-level providers in the ICU?
Covering stat intubations in the ICU. Only thing that I have seen done by a CRNA during my career.

Ordering medications? No.
Doing procedures, other than intubation? No.
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No. 6
from nurseabc123
Old Apr 17, 2007, 07:24 PM

Default Re: any CRNAs as mid-level providers in the ICU?
Originally Posted by suzanne4 View Post
Covering stat intubations in the ICU. Only thing that I have seen done by a CRNA during my career.

Ordering medications? No.
Doing procedures, other than intubation? No.
What about line insertion?
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No. 7
from piper_for_hire
Old Apr 18, 2007, 06:59 PM

Default Re: any CRNAs as mid-level providers in the ICU?
In my hospital, CRNAs only do line insertion in holding and the OR. My hospital is a teaching hospital - so there are always crit care, anesthesia and surgical residents eager to put in a line. I suppose in a non-teaching hospital this could be possible since CRNAs do put in lines but I've not heard of this as a regular thing. As another poster said, you usually only see them for stat intubations or codes.

-S
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No. 8
from suzanne4
Old Apr 23, 2007, 11:17 AM

Default Re: any CRNAs as mid-level providers in the ICU?
Have never seen a CRNA place lines in the ICU. Physicians are usually the ones to do it. Most hospitals that are non-teaching have house doctors that will place one if needed, and it is off hours.
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No. 9
from meandragonbrett
Old Apr 24, 2007, 02:41 AM

Default Re: any CRNAs as mid-level providers in the ICU?
Originally Posted by suzanne4 View Post
Most hospitals that are non-teaching have house doctors that will place one if needed, and it is off hours.

Only if you're lucky enough to have an intensivist that will actually do it. Ours throw the excuse "I'm not here for IV access"
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