Travel CRNA opportunities for new grads-Realistic?

  1. Is it realistic for a new crna to consider travel assignments/contracts? If so, what extra skills or experience should this person possess? Who are the best travel agencys to work for?

    ALL
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  2. 25 Comments

  3. by   deepz
    Quote from allapeyre
    Is it realistic for a new crna to consider travel assignments/contracts? If so, what extra skills or experience should this person possess? Who are the best travel agencys to work for?

    ALL
    Until they have amassed a considerable base of clinical experience, most new grads of my acquaintance have not shown the polished skills or the self confidence required to venture into solo slots that locum tenens assignments often involve. Solo = YOYO: you're on your own, out in the boonies, no backup. Of course there are also non-solo assignments in ACTs where this caveat would not necessarily apply. (Not until 3 PM, anyway.)

    Experientia docet.

    JMHO

    deepz
  4. by   loisane
    I agree. Any locum is best left until you have a few years under your belt.

    A regular home base gives you the chance to polish your abilities, with a solid network of collegues. You can't count on having that kind of relationship as a locum. No matter how intense your clinical education was, you will have learning curve as a graduate. It will just be shorter or longer based on the quality of your experiences as a student.

    The best first job is one where you will have to do it all-neuro, OB, peds, hearts, trauma, your own regional, etc. Once you do that for a couple of years you will be able to draw from that experience for the rest of your life.

    There are some malpractice limitations for new grads as well. Some insurers will not cover you for some practices (solo, office, etc) until you have a prerequesite amount of experience.


    loisane crna
  5. by   TejasDoc
    Lemme guess Deepz, you turn into a pumpkin?

    TD
  6. by   deepz
    Glad you asked! Surprised you're not yet familiar with the 3 PM Rule, otherwise known as the Sundown Paradigm: it's the situation in certain ACT practices -- no, make that that 'some' ACT practices -- no, actually, call it MOST of the ACT practices I've observed in a number of settings across America over the years -- where the lowly CRNAs require clinical stupervision throughout the daylight hours ... until the anesthesiologist wants to go home. Or has a tee time. Or a flight lesson. By that hour the hospital administrators etc. have also left the building. No one's watching what really goes on, not even Medicare investigators. (Though some auditors in Minnesota did perk up their ears recently, to the tune of a multi-million dollar settlement for billing fraud.) The CRNAs' intelligence just SOARS after 3 PM; then they're capable of most anything in the line of clinical anesthesia miracles.

    Then .... YOYO, baby.

    All night.

    "I'm available, right here on the other end of the phone line." Just don't dare disturb me or, I guarantee you, you'll be sorry.

    At 7 AM of course the CRNAs' IQ again drops to room temperature.

    JMHO

    deepz
  7. by   TejasDoc
    Quote from deepz
    glad you asked! surprised you're not yet familiar with the 3 pm rule, otherwise known as the sundown paradigm: it's the situation in certain act practices -- no, make that that 'some' act practices -- no, actually, call it most of the act practices i've observed in a number of settings across america over the years -- where the lowly crnas require clinical stupervision throughout the daylight hours ... until the anesthesiologist wants to go home. or has a tee time. or a flight lesson. by that hour the hospital administrators etc. have also left the building. no one's watching what really goes on, not even medicare investigators. (though some auditors in minnesota did perk up their ears recently, to the tune of a multi-million dollar settlement for billing fraud.) the crnas' intelligence just soars after 3 pm; then they're capable of most anything in the line of clinical anesthesia miracles.

    then .... yoyo, baby.

    all night.

    "i'm available, right here on the other end of the phone line." just don't dare disturb me or, i guarantee you, you'll be sorry.

    at 7 am of course the crnas' iq again drops to room temperature.

    jmho

    deepz
    thanks, though i knew what you were getting at the first time, it was a rhetorical question. but that's my fault, i gave you an excuse for a diatribe, i can't really complain when you do.

    though maybe it'll make you feel better if you look at the situation you described in a different manner. just think of all the autonomy you get at night in those situations! wow, how exciting. see, the glass is half full, not half empty.

    it must be quite a sight at 3pm, all those mds leaving, wearing their flight suits with a donut in one hand and a driver in the other talking to their brokers on a cell phone and counting the money they make off your back breaking labor.

    td
  8. by   deepz
    Quote from TejasDoc
    .....It must be quite a sight at 3pm, all those MDs leaving, wearing their flight suits with a donut in one hand and a driver in the other talking to their brokers on a cell phone and counting the money they make off your back breaking labor.

    Glad you asked! Of course, they'll also be stopping by the bank, to make a fat deposit of unearned income. Myself, I'd much rather pick cotton.

    Really, TD, it's just about hypocrisy.

    deepz
  9. by   u-r-sleeepy
    Quote from TejasDoc
    Thanks, though I knew what you were getting at the first time, it was a rhetorical question. But that's my fault, I gave you an excuse for a diatribe, I can't really complain when you do.

    Though maybe it'll make you feel better if you look at the situation you described in a different manner. Just think of all the autonomy you get at night in those situations! Wow, how exciting. See, the glass is half full, not half empty.

    It must be quite a sight at 3pm, all those MDs leaving, wearing their flight suits with a donut in one hand and a driver in the other talking to their brokers on a cell phone and counting the money they make off your back breaking labor.

    TD
    I'm just playing "catch up" again -

    Perhaps TejasDoc really does understand the hypocrisy of his (A$A's) position of trying to convince us of just how important it is to have their $upervi$ion during the daytime hours... Heaven forbid the public (and Congress!) learn they're really not needed in that role 99.98% of the time. I do wonder how the anesthesia providor "shortage" would be if the MDAs actually did their own cases for a while?

    Maybe we (the CRNAs) should try and learn a few things from the "methods" of some civil rights successes? "We have a dream... we want to practice our chosen profession as independent anesthesia providors... free of supposed $upervi$ion by MDAs... making $$$ of our backs... when they could be doing their OWN WORK... and actually helping those people in need of anesthesia care... even though they would take a cut in pay to do so... to help the REST OF THE POPULATION in America... and stop SUCKING UP SO MUCH GRAVY ($$$) from the healthcare system in America... and also stop trying to out-business-maneuver and legi$late CRNAs into increasingly inferior roles... all because of their lust for power and greed for money...."

    Well, it was a simple thought.

    Sleeepy
  10. by   TejasDoc
    Quote from u-r-sleeepy
    I'm just playing "catch up" again -

    Perhaps TejasDoc really does understand the hypocrisy of his (A$A's) position of trying to convince us of just how important it is to have their $upervi$ion during the daytime hours... Heaven forbid the public (and Congress!) learn they're really not needed in that role 99.98% of the time. I do wonder how the anesthesia providor "shortage" would be if the MDAs actually did their own cases for a while?

    Maybe we (the CRNAs) should try and learn a few things from the "methods" of some civil rights successes? "We have a dream... we want to practice our chosen profession as independent anesthesia providors... free of supposed $upervi$ion by MDAs... making $$$ of our backs... when they could be doing their OWN WORK... and actually helping those people in need of anesthesia care... even though they would take a cut in pay to do so... to help the REST OF THE POPULATION in America... and stop SUCKING UP SO MUCH GRAVY ($$$) from the healthcare system in America... and also stop trying to out-business-maneuver and legi$late CRNAs into increasingly inferior roles... all because of their lust for power and greed for money...."

    Well, it was a simple thought.

    Sleeepy
    So yeah, that's pretty offensive, comparing the "plight" of nurse anesthetists making more than 100k a year PLUS overtime to the actual plight of a race of people who had to come out from under the foot of hundreds of years of slavery and legalized oppresion. Like I said before, the comparison is just offensive.

    And as I've been told numerous times, you by law can practice as an independent anesthesia provider, so what are you complaining about? I hear there are plenty of jobs just a few hours outside the major metropolitan areas in South Dakota and Montana just waitin' to be picked up by an eager CRNA like yourself. Not an anesthesiologist in sight, so have fun.

    TD
  11. by   WntrMute2
    I really have no complaints about the supervison level at my hospital but, it is interesting that we have to wait for the docs to supervise placing a SAB in the OR but we are expected to place epidurals without any supervision 24/7 in OB. I'm not really complaining but it does raise questions.
  12. by   Gotosleepy
    interesting point from deepz:

    deepz's recurrent point is that CRNA=MDA, however, now deepz is telling us that a CRNA needs polishing prior to going for a locum - whereas locums are actually not a big deal for MDs fresh out of residency. Maybe there is a reason why some CRNAs should be supervised (especially those new grads fresh out of CRNA-school who have seen 1 lung transplant and then declare that they can not only do anything an MDA can, but also could do a lung transplant without difficulty). re: 3pm the IQ of CRNAs goes up... actually it never changes (in general most CRNAs have pretty high IQs to begin with)...

    for the original poster: i agree with loisane, you will be thrown into many new environments with little time to adjust - so very similar to Nurse Travel jobs, you need to have enough experience to adjust to new environments and new situations quickly. One of the better companies doing locum tenens is locumtenens.com - search under CRNA posts. And also if you do eventually go through with it, just remember that you always have the upper hand in your negotiations (you are in demand)... Be a diva, request a rental-BMW instead of the rental-Chevy, request leather furniture in the rental apt... etc. Usually they give you what you want. Skill sets: primarily as a locum they are not going to give you very complicated cases from the get-go (primarily as the surgeons would prefer to work with people they know for the tougher cases), but you should definitely feel very comfortable with airway management and line placements (unfortunately that is how you will be judged in your first week). I have worked with several locum CRNAs in my short career, and the best were those who weren't cocky and would ask for help/advice on a regular basis (pre-emption is better than getting stuck in a bad situation and looking helpless)
  13. by   gaspassah
    for go to sleepy, i am currently training in a hospital that also trains mda's. there arent any lung transplants going on there. are you suggesting mda's fresh out of residency are proficient at lung transplants even if they havent seen one?
    i think every anesthesia provider needs some growth after residency or school prior to trying to work independantly. noone has seen or done it all right out of training.
    d
  14. by   deepz
    Quote from Gotosleepy
    deepz's recurrent point is that CRNA=MDA
    Where did I say that? I explicitly say that we are not peers, CRNAs and MDAs; we are colleagues in this profession of putting folks to sleep. No more 'equals' than are those poor deluded AAs who call themselves anesthetists.


    Quote from Gotosleepy
    ....now deepz is telling us that a CRNA needs polishing prior to going for a locum - whereas locums are actually not a big deal for MDs fresh out of residency. Maybe there is a reason why some CRNAs should be supervised .......

    Wow. 'Locums is not a big deal for MDs fresh out of residency.' There you have it: the bone-headed arrogance that gets so many docs in big trouble. But of course it's not really the docs deep in trouble -- they don't pay the consequences; it is their patients who suffer. And yes, GoTo, there are MANY anesthesiologists whose lack of wisdom indicates they need stupervision.

    JMHO

    deepz

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