Motivators - page 2
What motivates a nurse to become a CRNA? I'm sure there are a lot of factors. People want more autonomy, respect, the chance to have a bigger impact on their patients' care. Then, of course, there... Read More
Dec 31, '02They used to be called operating theaters- if you visit a really old one you will see there are seats all around for spectators (medical students) and it really does look like a theater. I bet hollyxuk and others in England just call the OR by this different name.
I toured the oldest hospital in the US while in philly and got to see the OR "theatre" which, by the way, was opened and in use before the invention of anesthetics. Crazy, huh! (I love stuff like that)
The job you describe sound more like an assistant than a CRNA, though... so could you explain it more?
Dec 31, '02Thanks for starting this post, loisane. I may not be a CRNA yet, but I hate that look you can get when you tell someone about this goal. You almost have to convince people you're not in it for the money---guilty until proven innocent. I don't think I could last through the long hours and hard work unless I had a deeper motivation than just money.
Jan 1, '03In england we call operating rooms theatres. As far as Im aware, I will be trained up to work with the anesthetics, to consent patients and accept them from the ward for surgery, prep the patient and make sure all equipment, gases, drugs are checked and avaiable, and administered as appropriate, check patient is fully prepped, also to work in recovery, supervising and monitoring patient until well enough to return to ward. This is only the basics, and i understand that it takes quite a while, before I can work unsupervised. I hope to have the opportunity to gain more clinical skills, I also hope to get back to hands on patinet care, in my current job I am a ward manager and drowning in paperwork. Does any of the above sound like something an american nurse working in anesethetics would do?
Jan 1, '03Hollyxuk,
Do you actually administer the anesthetic? What does your training entail? I was under the impression that there are no certified registered nurse anesthetists in the UK. Is an advanced degree in nursing required for your position?Last edit by London88 on Jan 1, '03
Jan 2, '03sorry, myisnt very good, work with the anaethetist, and I certainly hope I wont be administering any anaesthetics independently for a long time.
Jan 2, '03This enthusiasm and positive energy is fabulous. I am so glad to see so very many people motivated by more than the money.
As I understand anesthesia in the UK, it is all given by physicians, who are referred to as "anesthetists".
Holly, in the US surgical areas where I have worked we had RNs who work in "pre-op holding" or "anesthesia holding". They do many of the things you describe-consents, start IVs, and general preparation before entering the actual operating area. Many surgical areas also had non-nurse technicians who help anesthesia providers with supplies, gas tanks, etc. In other places anesthesia was on there own to keep all their stock in order.
The pre op nurses didn't really work directly with anesthesia, although of course they worked closely together. Post anesthesia is usually a separate department of RNs, also working in close association with pre-op and anesthesia.
Our patients typically go from holding to the actual operating room. In the operating room general anesthesia is induced, the patient is draped, and surgery is performed. The patient isn't moved from this room until the surgery is over.
I understand that induction rooms are used in the UK. Is that right? So, if I understand, the patient is induced in one room, then moved to the room where the actual surgery will be performed. I'll be interested to read your observations on this (once you get there!)
Jan 8, '03If money is your only motivator, you won't make it as a CRNA. The education is too intense, the work too hard and the responsibility, awesome. While I don't undervalue what I do in anesthesia, at the end of a difficult case, my thoughts are not about the money, but about what I did, why I did it, would I make any changes if I had to do it again and a lot of satisfaction.
The AANA has been very sucessful in seeing that CRNAs get reimbursed on par with anesthesiologists in government payment programs (Medicare). It is nice to see a national organization recognize the importance of adequate pay for professional services.
Mar 12, '03I agree that money should not be the primary motivator. As someone else had mentioned before....money does have some to do with it because who would go through all that hard work without some compensation later? However, although the money is good, it is not a major reason that I'm wanting to become a CRNA. I feel so passionately about it. I'm so excited. This is going to sound corny, but I'm consumed with the idea of finally getting to fulfill my dream of becoming a CRNA. It's the main thing I think about most of the time. I talk about it at work and drive everyone nuts, so I'm trying to put a cap on it as much as I can. I currently work on a medical floor and am pretty miserable. I hate giving such poor care (in my opinion); we have 8-12 patients a piece on the average and it is very hard. It's difficult to meet everyone's needs. I do feel like a waitress and I get cursed at just about every day! I want a more rewarding career with more respect from both patients and doctors alike. I like to be at the top of my game and I really like to challenge myself. It is scary, but it is very exciting in the same. I like the autonomy that CRNAs possess, as well as the respect, and knowledge. In addition, I like the idea of taking care of one patient at a time. Only having one patient in front of you pretty much guarantees they are going to get the best care possible. I don't like to do anything half way, and I feel like I can give my best as a CRNA. I have a long ways to go, but I will get there, and I'll know that I'll love it.
Mar 12, '03Why is it that nurses always apologize about money being a motivator? Maybe it is not politically correct to talk about it, and it certainly should not be the only reason to want to be a CRNA, but frankly I don't apologize for getting well paid for having received an education and for the skill and knowledge needed to administer anesthesia.
Believe me, you will earn every penny you make and there will be days when the satisfaction will be greater than any money you make and days when you know you are not getting paid enough.
One of my observations about nursing (generalization) is that they tend to complain a lot and apologize for too much.
Mar 12, '03I'm not sure if there is one specific motivator for me. Ever since I was little and knew what anesthesia was, I wanted to do it. but until abotu 2 years ago I had no idea that CRNAs existed. I started researching them and thought "This sounds like it's for me!" I've never had the desire to be a physician and I don't think I ever will have that desire. I've spent lots of time with a CRNA over the past year and I love it and I can say 100% that it's what I want to do\be. I know I have a long way but I know it's all worth it in the end.
Mar 15, '03I enjoy reading everyone's postings because we all seem to have the same thoughts. When I first heard of CRNS's I didn't even know of the salary. I'm an adrenaline junkie also, I love the rush in the ICU of a code. What I really admire about CRNA's(I've followed many of them) is how calm they are. No matter what is going on, they do things quickly, precisely, and with an air of huge respnsibility. Of course these are things that come over time, I like being under control during critical situations with my patients.
every CRNA I've spoken to loves the job, and always says it's worth it. So if you're motivated like I am, the money is a sweet bonus to a wonderful career.
Mar 17, '03Jenni,
Quote: "I enjoy reading everyone's postings because we all seem to have the same thoughts. "
One of the most profound statements I heard was made by one of the members of this board that I had the pleasure to talk to in person---"When you get to school you realize you are part of a group of people who think about things much the same way." And I have really found that to be true, especially those friends of mine that have gone off to school or who are about to go, we all think very much alike.
The money is definitely a factor for me, but the largest denominator is the ability for autonomy that this profession affords someone with experience. My plan is to work at a large facility or for a group at several large facilities for 3-5 years to get a good handle on the "art" of anesthesia then move on to a more autonomous area of practice--wherever that may be.