Latest Likes For IndiCRNA

Latest Likes For IndiCRNA

IndiCRNA 3,413 Views

Joined Nov 22, '12 - from 'Rienlander Wisconsin'. IndiCRNA is a CRNA. He has '1' year(s) of experience and specializes in 'ICU, transport, CRNA'. Posts: 120 (63% Liked) Likes: 237

Sorted By Last Like Received (Max 500)
  • Mar 30

    Quote from Topher53
    Now, before I get blown up with comments saying "it's not about money, but patient care". I get that. No need to tell me over and over. I heard CRNAs mainly get hired in rural areas, which kind of scares me. I would simply like to know the average starting salary of your line of work, plus the area you live in, and/or the amount of experience you have as a CRNA. Thank you!
    The answer is "it depends". Most of classmates/friends started at $130K-200K in this area. "this area" being between were we went to school in Minneapolis MN east through Wisconsin since most of us came to MN from Wisconsin for school then restured to Wisconsin (more than half of my class all came from one hospital's SICU and we all knew each other long before NA school). Those who took jobs in the city are making the least, those working in rural area the most. There are two of us, inlcuding me, who belong to all CRNA anethesia practices. I am not an employee but rather 1/3 owner of the practice. We have the exclusive contract to provide anesthesia sevices in a very busy smaller rural hospital, plus contracts to provide on call services for a couple tiny rural hospitals). My net (after taxes, health insurance, capital and interest payments to buy into the practice etc)for my first year will be over $300K. I make considerably less that the two senior partners at this point. We work a 6 week rotating schedual. 2 weeks of Monday-Friday schedualed cases in the OR and covering 2nd call in off hours and weekends (very rare to actually be called in, never happend to me so far). The second two weeks is no schedualed cases at all but on call 24/7. Actually average 21 hours a week of work during the call weeks. Then we are off for two weeks and the schedual repeats. I average slightly over 20 hours of work a week when six weeks of hours are devided by six. We take our call from home.
    It is a fantastic qualiety of life. We are never medicaly directed, we ARE the anesthesia department. Complete autonomy. I love it and highly recomend it. However to work in this enviroment you have to feel confident in your skills since there is no back up as there is with an ACT model.

  • Mar 19

    Quote from denver nurse
    IndiCRNA: thank you for your feedback, very informative! As a new grad did you start out working the ACT model or is there opportunity to work as an independent contractor? I am extremely interested and motivated to work 100% for myself and want to learn the ins and outs of billing and various practice models. Really important to me to be the master of my own income and autonomy but that comes with a level of experience i am guessing. did you feel you were well prepare out of school to work as a contractor or in a rural setting?

    Do you recommend starting out in a large hospital and getting experience, maybe an all crna group, or contract work? My program is front loaded the first year and then the final portion of my program is 16 months of straight clinicals 5-6 days a week so that should be some good prep time before job hunting.

    I followed a crna in the ACT model today at children's hospital and you are totally right...MD poke her head in once or twice out of four cases to say whats up and was gone after that. Didn't seem like the approach I would be interested in. Also, the crna told me the one thing they don't prep you for is the politics of anesthesia and how to juggle that mess. lots to learn i guess!

    thanks for any feedback!

    Denver
    I didn't need to start out in a large hospital. My observation in NA school what that the CRNAs working in the big hospitals actualy got to do LESS since there was alwasy lots of MDAs around. I get to do it all with the exception of open hearts and the more complicated neuro cases (currently the hospital is talking about starting an open heart program). Plenty of nerve blocks and regional as well as general. Also get some shockingly bad trauma cases since we are far from other hospitals (we are level III trauma center). I don't recomend stating out in a large hospital, but it would be better to start out someplace where you had some more experienced back up if you feel you need it. I didn't feel I needed it. I was very well prepared by my school and my ICU experience. The whole last 3 months of school clinical I was more or less functioning alone with back up if I needed it, I didn't. I have only worked ACT model as a locums. Not interested in doing it full time. I haven't worked as a contractor. I very much like being 1/3 owner of the practice. I don't really have to answer to anyone. I only see my partners at our monthly business meeting and occasionaly in report. Both of my partners are great people and wonderful to work with. We don't have politics. We hire the scut work like taxes, payroll (we have one employee), insurance and that kind of stuff out to a business managment company (actually one nice lady who works out of her kitchen). Most of the physicians I work with are great and they NEVER bother me about my practice, except one vascular guy who some times yells "he is tightening up, he is tightening up!" in the OR. I don't know what he is talking about but on the advice of my partner I just open a drawer, rattle a few bottles around, make a show of doing something while I do nothing and ask "how is he now?" after a few min. That always satisfies him. (eye roll)
    My program was front loaded didatic too, however there is plenty of book work and papers and presentations during that 16 months of clinical. It just doesn't seem as bad after the whole year of really tough didatic. You will find, as I found, that NA school is full of unrelated fluff. Take my advice, treat your OR, PACU & ICU nurses like gold. teach them, support them, and always be very nice to them. They go out of their way to make my life easier and I know fully well that if they wanted to make my life miserable they can.

  • Mar 18

    Quote from PMFB-RN
    FWIW I pwersonaly know several RNs from our ICU who completed their BSN at WGU and had no trouble getting accepted to CRNA school.
    I graduated from CRNA school August of 2011. I got my BSN from WGU (in a year) and was accepted to two of the three programs I applied to.

  • Jan 19

    Quote from Topher53
    Now, before I get blown up with comments saying "it's not about money, but patient care". I get that. No need to tell me over and over. I heard CRNAs mainly get hired in rural areas, which kind of scares me. I would simply like to know the average starting salary of your line of work, plus the area you live in, and/or the amount of experience you have as a CRNA. Thank you!
    The answer is "it depends". Most of classmates/friends started at $130K-200K in this area. "this area" being between were we went to school in Minneapolis MN east through Wisconsin since most of us came to MN from Wisconsin for school then restured to Wisconsin (more than half of my class all came from one hospital's SICU and we all knew each other long before NA school). Those who took jobs in the city are making the least, those working in rural area the most. There are two of us, inlcuding me, who belong to all CRNA anethesia practices. I am not an employee but rather 1/3 owner of the practice. We have the exclusive contract to provide anesthesia sevices in a very busy smaller rural hospital, plus contracts to provide on call services for a couple tiny rural hospitals). My net (after taxes, health insurance, capital and interest payments to buy into the practice etc)for my first year will be over $300K. I make considerably less that the two senior partners at this point. We work a 6 week rotating schedual. 2 weeks of Monday-Friday schedualed cases in the OR and covering 2nd call in off hours and weekends (very rare to actually be called in, never happend to me so far). The second two weeks is no schedualed cases at all but on call 24/7. Actually average 21 hours a week of work during the call weeks. Then we are off for two weeks and the schedual repeats. I average slightly over 20 hours of work a week when six weeks of hours are devided by six. We take our call from home.
    It is a fantastic qualiety of life. We are never medicaly directed, we ARE the anesthesia department. Complete autonomy. I love it and highly recomend it. However to work in this enviroment you have to feel confident in your skills since there is no back up as there is with an ACT model.

  • Jan 10

    Quote from mace8704
    Haven't read that before, and was basing my opinion off of the excellent estimated growth of 34%, 37,000 jobs, according to the BLS.
    I would be careful using numbers from those buffoons over at BLS. Those are the idiots who are still claiming a nursing shortage.

  • Nov 7 '15

    Quote from RNtemi
    Could you please share (via PM if you wish) the CRNA school you graduated form? Thanks.
    I am new here and can't PM but I don't mind telling you. I went to St.Mary's University in Minneapolis MN.

    http://www.smumn.edu/graduate-home/a...rse-anesthesia

  • Nov 3 '15

    Quote from BigcatchRN
    Thanks for your response Indi! I do have about 1 year of experience in intense Level 1 Trauma SICU but that was from a few years ago; I have since moved and now work a variety of ICU's through float pool but it is more community hospital level. I know that's not going to cut it to make my experience very competitive, but I plan to use the 1.5 years I probably have at a minimum before starting CRNA school to build more experience at a "sicker" SICU. The only thing holding me back now is the prospect of giving up my float pay
    : (
    Hey man forget your float pay. I intentionaly went to work in a very low paying hospital specificaly cause I know that nurses from that unit get accepted to CRNA school at very high rates. I make about $60K less working at that hospital than I could have in a different hospital 3 hours away. However that unit got me into CRNA school and I have WAY WAY more than made up the difference. You wouldn't even believe me if I told you how much I make now.
    I am 1/3 owner of an all CRNA practice. The 3 of us have the exclusive contract to provide anesthesia services of a smaller hospital. That means we get 100% of the bill rate for services. Our schedual is PERFECT. It goes like this. For two weeks I work mon-fri 6-8 hours a day doing schedualed cases. No call, no nights, no weekends. Then for two weeks I go on call 24/7 but have no schedualed cases. On average I work 15 hours a week during those 2 weeks but I am on call all the time. Usually I am called in for night OB cases and for trauma in the ER, and emergency cases. Fun stuff. We also provide on call intensivist coverage for the small ICU. That means I take calls at night to deal with issues with the ICU patients. We also run all the vents after hours. It sounds like a lot but it's not really and it's the only thing I have to do for those 2 weeks. I take call from home. I own a farm that I am setting up for hunting and I get a lot of work done and get in a lot of fishing during those two weeks. Then for two weeks I am OFF! So I get 2 weeks off out of every 6 weeks. Our schedual rotates like that in 6 week blocks.
    All the income figures for CRNAs you see are for employees. I am the junior partner of our 3 CRNA group and I will make more than $300K in my first year. The senior partner makes over half a million. I expect to make over half a million within 5 years. We are NOT supervised by physicians in any way. We ARE the anesthesia department. We write orders on our patients and follow them so long as they are in the ICU or PACU. We are in negotiations right now to take over the pain managment service. That will add minimal work but a lot of income. We recently hired a CRNA to cover baby leave by one of the partners and we are paying him $120K for 12 weeks work.
    Your float pay is nothing in compairison. Get it done!

  • Sep 27 '15

    Quote from mayahp22
    Did you all meet up while in school and decide to do this?
    Nope it's a long established practice. One partner was getting ready to retire and they were looking for a new CRNA to join to take his place. I worked casual in the ICU and ER in this hospital and wanted to go to CRNA school and was trying to figure out how to pay for it. They offered to pay for school if I would work for them when I graduated. This is a very rural area and it's hard to recruit people to live and work here. Well I am a country boy through and through and already lived in the area. After I graduated I went to work for them and an employee but very soon they offered to allow me to buy into the practice. I had to pay back the money they paid for my school since partners don't get scholerships but that was no problem since as a graduate with a job everybody and their brother wants to loan me money.
    It depends on what state you choose to practice in. I choose Wisconsin cause it is among the states that allow independant practice for CRNAs and the pay is high. While I was in school my classmates and I were offered similar oppertunities by other practices but none offered the amount if time off I get.

  • Sep 27 '15

    Quote from BigcatchRN
    Thanks for your response Indi! I do have about 1 year of experience in intense Level 1 Trauma SICU but that was from a few years ago; I have since moved and now work a variety of ICU's through float pool but it is more community hospital level. I know that's not going to cut it to make my experience very competitive, but I plan to use the 1.5 years I probably have at a minimum before starting CRNA school to build more experience at a "sicker" SICU. The only thing holding me back now is the prospect of giving up my float pay
    : (
    Hey man forget your float pay. I intentionaly went to work in a very low paying hospital specificaly cause I know that nurses from that unit get accepted to CRNA school at very high rates. I make about $60K less working at that hospital than I could have in a different hospital 3 hours away. However that unit got me into CRNA school and I have WAY WAY more than made up the difference. You wouldn't even believe me if I told you how much I make now.
    I am 1/3 owner of an all CRNA practice. The 3 of us have the exclusive contract to provide anesthesia services of a smaller hospital. That means we get 100% of the bill rate for services. Our schedual is PERFECT. It goes like this. For two weeks I work mon-fri 6-8 hours a day doing schedualed cases. No call, no nights, no weekends. Then for two weeks I go on call 24/7 but have no schedualed cases. On average I work 15 hours a week during those 2 weeks but I am on call all the time. Usually I am called in for night OB cases and for trauma in the ER, and emergency cases. Fun stuff. We also provide on call intensivist coverage for the small ICU. That means I take calls at night to deal with issues with the ICU patients. We also run all the vents after hours. It sounds like a lot but it's not really and it's the only thing I have to do for those 2 weeks. I take call from home. I own a farm that I am setting up for hunting and I get a lot of work done and get in a lot of fishing during those two weeks. Then for two weeks I am OFF! So I get 2 weeks off out of every 6 weeks. Our schedual rotates like that in 6 week blocks.
    All the income figures for CRNAs you see are for employees. I am the junior partner of our 3 CRNA group and I will make more than $300K in my first year. The senior partner makes over half a million. I expect to make over half a million within 5 years. We are NOT supervised by physicians in any way. We ARE the anesthesia department. We write orders on our patients and follow them so long as they are in the ICU or PACU. We are in negotiations right now to take over the pain managment service. That will add minimal work but a lot of income. We recently hired a CRNA to cover baby leave by one of the partners and we are paying him $120K for 12 weeks work.
    Your float pay is nothing in compairison. Get it done!

  • Sep 27 '15

    Indi, Do you mind sharing which schools you applied to?
    Minneapolis School of Anesthesia , St.Mary's University in Minneapolis, University of MN (not accepted), Franciscan Healthcare School of Anesthesia in La Crosse WI.

    I am in the exact same position as OP. I already have a non nursing BS and also a related, but non nursing MS degree. I want to get the BSN FAST and CHEAP. WGU is soooo tempting in that regard. Why would I want to spend 18 months and upwards of $15,000 on another BS degree if I don't have to?
    Indeed why are you getting a BSN at all? Only about half my class had BSNs. I have known RNs to go to anesthesia school with dregees in dairy science, english, forestry, biology, chemistry, education and others.

    I have near 4.0 GPA in all three of my degrees (BS, MS, and ADN). I have been a practicing RN for 6 years. I have 2+ years experience in ICU -plus pediatrics, neonatal ICU, obstetrics (ante- and post-partum), med-surg, and telemetry/stepdown. I say this not to brag but to put a perspective on the following:
    LOL it never occured to me that might be bragging. Your experience is pretty lite. Nothing counts except ICU experience and the kind of unit makes all the difference. Over half my class were all from the same unit of the same hospital and former RNs form that unit are heavily represented in local CRNA programs. This particular SICU has a large open heart program and is a trauma center. SICU nurses are expected to practice with tremdous autonomy and get constant experience with the sickest of the sick patients with very little physician support. For example on nights the resident that covers the SICU also covers trauma and emergency surgery. It might be impossible to get a physician at the bedside in less than an hour. For that reason the RNs have a vast selection of standing orders and protocols to deal with nearly anything on their own, at least for a little while. In addition the SICU nurses are the trauma nurses. When there is a trauma team activation it is an SICU RN who responds to the trauma bay. The ER nurses roll is to record vital sings and run and fetch things. The SICU RN is the bedside trauma RN. They are also the code team and rapid response team.

    I called a program director for a CRNA program I was interested in to feel out her opinion on the WGU BSN (prior to applying to any BSN program). She had not heard of WGU before, so I briefly explained the pass/fail grading process and the competency based approach. And I stressed that yes, the WGU program is fully accredited. I told her that some schools interpret the "pass" as a 3.0 which worries me because that is not a competitve GPA for CRNA applicants.

    Her response to me was something along the lines of "it would be hard for you to compete against other applicants who had already demonstrated professional nursing competency through a traditional BSN program with strong GPA."
    My GPA was certainly considered. My WGU GPA was counted as a 3.0 but when added in with my ADN GPA of 4.0 I ended up with a 3.66. 3.5 was considered compedative. In addition I took a graduate level advanced pharm class and got an A to demonstrate I could do graduate corse work (with the added benifit of reducing my work load during the first semester of CRNA school).
    Schools vary a lot on what they think is important.p In my area most schools don't require the GRE and consider qualiety of experience.

    Really? So now a BSN is what demonstrates nursing competancy. I understand what she is saying, I guess, but I just find the notion a little bit .....strange. And sad.
    Seem stupid to me. The BSN doesn't tell you anything about nursing competency. I think I got dumber in the BSN program.

    She did not say ANYTHING to me about looking at other factors such as experience, GPA with non-BSN degrees, GRE scores, or strong interview performance. At least for this one director at this one CRNA program, it seems the WGU BSN would be a quick dealbreaker for the admitting committee.
    Well if that is the school you really want to attend then you have your answer. I would suggest University of Wyoming. I know several RNs who finished their BSN there for around $5K

  • Sep 27 '15

    I got my BSN through WGU and was accepted to 3 of the 4 programs I applied to the first time. I graduated from CRNA school this August (2012). My exerience was far more important than academics. Where you work and what kind of ICU is more important than where you get your degree. I think that if your experience is questionable the academics becomes more important.

  • Sep 21 '15

    Quote from mace8704
    Haven't read that before, and was basing my opinion off of the excellent estimated growth of 34%, 37,000 jobs, according to the BLS.
    I would be careful using numbers from those buffoons over at BLS. Those are the idiots who are still claiming a nursing shortage.

  • Aug 17 '15

    Quote from mayahp22
    Did you all meet up while in school and decide to do this?
    Nope it's a long established practice. One partner was getting ready to retire and they were looking for a new CRNA to join to take his place. I worked casual in the ICU and ER in this hospital and wanted to go to CRNA school and was trying to figure out how to pay for it. They offered to pay for school if I would work for them when I graduated. This is a very rural area and it's hard to recruit people to live and work here. Well I am a country boy through and through and already lived in the area. After I graduated I went to work for them and an employee but very soon they offered to allow me to buy into the practice. I had to pay back the money they paid for my school since partners don't get scholerships but that was no problem since as a graduate with a job everybody and their brother wants to loan me money.
    It depends on what state you choose to practice in. I choose Wisconsin cause it is among the states that allow independant practice for CRNAs and the pay is high. While I was in school my classmates and I were offered similar oppertunities by other practices but none offered the amount if time off I get.

  • Aug 17 '15

    Indi, Do you mind sharing which schools you applied to?
    Minneapolis School of Anesthesia , St.Mary's University in Minneapolis, University of MN (not accepted), Franciscan Healthcare School of Anesthesia in La Crosse WI.

    I am in the exact same position as OP. I already have a non nursing BS and also a related, but non nursing MS degree. I want to get the BSN FAST and CHEAP. WGU is soooo tempting in that regard. Why would I want to spend 18 months and upwards of $15,000 on another BS degree if I don't have to?
    Indeed why are you getting a BSN at all? Only about half my class had BSNs. I have known RNs to go to anesthesia school with dregees in dairy science, english, forestry, biology, chemistry, education and others.

    I have near 4.0 GPA in all three of my degrees (BS, MS, and ADN). I have been a practicing RN for 6 years. I have 2+ years experience in ICU -plus pediatrics, neonatal ICU, obstetrics (ante- and post-partum), med-surg, and telemetry/stepdown. I say this not to brag but to put a perspective on the following:
    LOL it never occured to me that might be bragging. Your experience is pretty lite. Nothing counts except ICU experience and the kind of unit makes all the difference. Over half my class were all from the same unit of the same hospital and former RNs form that unit are heavily represented in local CRNA programs. This particular SICU has a large open heart program and is a trauma center. SICU nurses are expected to practice with tremdous autonomy and get constant experience with the sickest of the sick patients with very little physician support. For example on nights the resident that covers the SICU also covers trauma and emergency surgery. It might be impossible to get a physician at the bedside in less than an hour. For that reason the RNs have a vast selection of standing orders and protocols to deal with nearly anything on their own, at least for a little while. In addition the SICU nurses are the trauma nurses. When there is a trauma team activation it is an SICU RN who responds to the trauma bay. The ER nurses roll is to record vital sings and run and fetch things. The SICU RN is the bedside trauma RN. They are also the code team and rapid response team.

    I called a program director for a CRNA program I was interested in to feel out her opinion on the WGU BSN (prior to applying to any BSN program). She had not heard of WGU before, so I briefly explained the pass/fail grading process and the competency based approach. And I stressed that yes, the WGU program is fully accredited. I told her that some schools interpret the "pass" as a 3.0 which worries me because that is not a competitve GPA for CRNA applicants.

    Her response to me was something along the lines of "it would be hard for you to compete against other applicants who had already demonstrated professional nursing competency through a traditional BSN program with strong GPA."
    My GPA was certainly considered. My WGU GPA was counted as a 3.0 but when added in with my ADN GPA of 4.0 I ended up with a 3.66. 3.5 was considered compedative. In addition I took a graduate level advanced pharm class and got an A to demonstrate I could do graduate corse work (with the added benifit of reducing my work load during the first semester of CRNA school).
    Schools vary a lot on what they think is important.p In my area most schools don't require the GRE and consider qualiety of experience.

    Really? So now a BSN is what demonstrates nursing competancy. I understand what she is saying, I guess, but I just find the notion a little bit .....strange. And sad.
    Seem stupid to me. The BSN doesn't tell you anything about nursing competency. I think I got dumber in the BSN program.

    She did not say ANYTHING to me about looking at other factors such as experience, GPA with non-BSN degrees, GRE scores, or strong interview performance. At least for this one director at this one CRNA program, it seems the WGU BSN would be a quick dealbreaker for the admitting committee.
    Well if that is the school you really want to attend then you have your answer. I would suggest University of Wyoming. I know several RNs who finished their BSN there for around $5K

  • Aug 17 '15

    I got my BSN through WGU and was accepted to 3 of the 4 programs I applied to the first time. I graduated from CRNA school this August (2012). My exerience was far more important than academics. Where you work and what kind of ICU is more important than where you get your degree. I think that if your experience is questionable the academics becomes more important.


close
close