NP to CRNA...
I'm an FNP who worked for over 2 years as an ER NP and I decided to become a CRNA (I'm now a second year SRNA. Eleven more months to go!). During my interview, I was asked as to why I wanted to change careers. I simply stated to the interview committee that, "I wasn't planning to change careers. I was adding to my advance practice role". After all, I worked hard to become an NP. I wasn't giving that up that easily.
I truly believed in my mind that I could perform in BOTH advance practice roles. I do believe that I could serve a rural community advantageously as an NP and a CRNA. How? As a CRNA in the surgical arena...and as an NP in the outpatient setting. Managing the patient's anesthesia in surgery, and following up their care after surgery. I can both be the patient's primary care and anesthesia care provider. This dual role (although I don't know anyone who has done this) would be enticing to private medical groups (say, plastic surgeons, ENT, GI, etc) to hire one advance practice nurse who can manage and administer anesthesia. They wouldn't have to contract out and pay an anesthesiologist or CRNA to care for their patients who they're performing surgery on. They can actually save money.
Now, am I in it for the money? No. I'm comfortable financially. I can't speak for any of the NPs out there that decided to become CRNAs someday like me. I wanted the "dual" role because I believe in making it work. If I become the first one to do it, then hey...my dad would be proud of me (God rest his soul).
Bottom line is...just be honest with yourself and decide what you really want to be. If you decide to be an NP or CRNA OR both...then go for it. Don't do it because you're pressured into it, or be blinded by the financial rewards. Do it for yourself.
Just my .02 cents.
Vinny.
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