Paramedic with CRNA Aspirations - page 2
Hi everyone, I had a question come up the other day when I was conversing with a few CRNA's and I wanted to see what some other people viewed on this and if anyone has had an experiences. First to... Read More
Feb 10, '03Rob,
I am pleased that you are seeking counsel from this forum. No matter how much experience you have and educational foundation, you will find that administering anesthesia is not at all like anything you have done in the past. Besides dealing with each individual patient's unique response to drugs and surgery, you will need to understand the role of the anesthetist in the surgical environment. One of the most technically adept anesthetists, I ever knew, never understood the "politics" of the operating room and as a result could not hold a job for longer than 6 months.
Also, the only main ego in the operating room is the surgeon and they are not interested in anyone else. Trust me, I have over 40 years experience in the field.
Feb 11, '03VA medic
I'm an RN EMTP currently working as a flight nurse for a hospital based program with heicopter service. Pre hospital service quality is all based on time. How fast can you get the patient to a higher level of care. We (you and I) follow protocols and practice under medical direction. Pulling people out of cars and ditches and following a one page protocol is NOT science my friend. You and I are simply technicinans and there is absolutly nothing god-like about it. I'm not saying managing ABC's and following the technical sequence is easy because its not. Also the CCEMTP certification is not the same as the CCRN certification. I know I have them both. My suggestion to you is to get your RN and get into the ICU because that is the expirence your going to need to get into nurse anesthesia school.
Feb 11, '03"We (you and I) follow protocols and practice under medical direction. Pulling people out of cars and ditches and following a one page protocol is NOT science my friend."
Obviuosly I feel sorry for you that your program is that restrictive in nature for you. I have very liberal protocols that are not 1 page long and do require indepent thinking and an OMD that is opened minded for adjusting protocols as we see fit. I rarely have to call for medical direction on patient care. The few Pediatric protocols that require call in are written so that if we do not have time or are in a dead zone for cell and radio we can do the skill or med and document it. We are constantly inserviced and tested as well as being the "tester" agency for a new IABP system and carry the same meds as the helicopters. I do not pull people out of ditches anymore, would much rather have a difficult vent patient or medical patient that requires me to think and figure out what is going wrong, rather than the "Start two large bore IV's and drive fast to the closest ER" for a trauma patient.
I am in RN school and will have my RN and ADN by the end of the year and will be transfering within the company to a CSICU internship (4-6 Mos) and then will be offered choice of the different ICU's when I complete that. I will also be finishing my BSN during that time.
Thanks for the post. I defiantly know about politics. It is defiantly everywhere, especially in healthcare. I just signed up for another round of inservice hours in the OR for my job's requirements and I am going to be shadowing another CRNA again. I am really looking forward to it. I was so nervous when I had to intubate a patient in school, until I shadowed a CRNA and she had to be the best teacher that I have ever had. She is the reason that I am interested in this field and I am hoping I will get to follow her for the 48 hours. She defiantly had the cool head underpressure and knew the politics and tactful ways to get her agenda across to the surgeon when she needed to.
Feb 11, '03Want to hear something interesting? One of my classmates is doing a research project on what it would take to educate paramedics on what a CRNA does, and how they can become one. Alos what would motivate them to do so.
Good luck on you journey.
Feb 12, '03Craig,
I think I was lucky that my school had the ability to get us into the OR. It was amazing to be only 19 and standing at the head of the OR table next to a MDA and CRNA watching an open heart procedure. Apparantly from talking with many other Paramedics, their programs only allow them PACU time and most have to try and get their intubations in the field. Alot of schools in this area have poped up with Paramedic programs, but only one is with a college (where I went) and they already had all the contracts and contacts to do clinicals. When it came time for the new schools to try and get clinical space, they were out of luck. Thanks for the post. I really enjoy reading your journal. It is great for those of us who are hoping to be there in a few years. Keep up the good work!
Feb 12, '03Forgot something. The other drawback about trying to motivate Paramedics to go back to school is that the majority of them around here and throughout the nation are Firefighters as well. Many of them are Paramedics only because they have too. I know from the city here, many are disgruntled and are forced to get onto the medic unit. When new firefighters are hired here, they are made to sign a contract that they will have both firefighter training and be a Medic within three years or be fired. I have been doing research for class on the efficacy of care in the sitution where the firefighters are forced to be medics vs. the medic who wants to be there and help people. My case was the reverse. I only wanted to do EMS and no way did I want to fight fire. Thats how I eneded up in NC. About 90% of their EMS and Fire Departments are separate organizations. It is definatly much different here in Virginia. Take care.