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BigPappaCRNA 2,296 Views

Joined Jan 13, '13. Posts: 82 (70% Liked) Likes: 159

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  • Oct 15

    The school name does not matter. At all. What school you choose to attend matters a great deal. There is zero correlation between big, famous, name recognition Universities and the quality of their CRNA programs. If anything, the opposite. I would never ever consider any of the programs affiliated with famous institutions in the northeast. Lots of pomp and bluster and "rigor" and then poor clinical training.

  • Oct 14

    The school name does not matter. At all. What school you choose to attend matters a great deal. There is zero correlation between big, famous, name recognition Universities and the quality of their CRNA programs. If anything, the opposite. I would never ever consider any of the programs affiliated with famous institutions in the northeast. Lots of pomp and bluster and "rigor" and then poor clinical training.

  • Oct 14

    The school name does not matter. At all. What school you choose to attend matters a great deal. There is zero correlation between big, famous, name recognition Universities and the quality of their CRNA programs. If anything, the opposite. I would never ever consider any of the programs affiliated with famous institutions in the northeast. Lots of pomp and bluster and "rigor" and then poor clinical training.

  • Oct 2

    One of the biggest advantages to a front loaded program, is that the program can really send you to a lot of different sites, and get you much better clinical experiences, possibly preparing you to be a much more independent provider. An integrated program is limited in the clinical sites offered, to a couple of hour geographic range, due to the student still having to attend class every week. This works out fine for some programs, Kaiser comes to mind, where there are no end of local, close, clinical opportunities. Other programs, especially in the Northeast, have one or two clinical sites. You do not get nearly the well rounded, high variety mix of both preceptors, or cases. Front loaded programs will send you far and wide, which may suck at the time, but you are getting the cream of clinical experiences, full practice often times, as well as CRNA only, independent often times.

  • Sep 20

    This is completely ludicrous statement.

    Quote from gettingbsn2msn
    If you are a "people person" there is a good chance that you will not like being a CRNA. I am very outgoing and that is why I became a NP. I also love science. However, even the hospitals and private clinics do not want people persons anymore. They want robots lol! I have always been told I spend too much time with patients, BUT I always get good reviews.

  • Sep 20

    If you can't "breeze" through your BSN, you should not consider CRNA school. Look into other areas of focus. CRNA school is on the order of several magnitudes more difficult. BSN as four years of easy easy easy.

    Quote from TheAtomicStig_702
    How the hell did you breeze through your BSN? And how the hell can I do the same? LMAO

  • Sep 16

    Intrathecal generally means the use of Duramorph injected, with or without local anesthetics. If they receive Duramorph (aka preservative free morphine) placed intrathecally, than they are on respiratory precautions, generally for 24 hours because the Duramorph can last that long. The initial analgesia from the Duramorph takes place at the level of the spinal cord, and on the narcotic receptors in the substantia gelatinosa in the posterior horn. Slowly, over hours, the Duramorph in the CSF works its way cephalad, and begins to enter the CSF in the brain, and bathes the periaqueductal gray in the walls of the ventricles, and this is where its later, delayed effect takes place. If a spinal is used for the procedure, but there is no long acting narcotic administered, only local, than you would not need to worry at all about the the long term, delayed effects.

  • Sep 16

    Intrathecal generally means the use of Duramorph injected, with or without local anesthetics. If they receive Duramorph (aka preservative free morphine) placed intrathecally, than they are on respiratory precautions, generally for 24 hours because the Duramorph can last that long. The initial analgesia from the Duramorph takes place at the level of the spinal cord, and on the narcotic receptors in the substantia gelatinosa in the posterior horn. Slowly, over hours, the Duramorph in the CSF works its way cephalad, and begins to enter the CSF in the brain, and bathes the periaqueductal gray in the walls of the ventricles, and this is where its later, delayed effect takes place. If a spinal is used for the procedure, but there is no long acting narcotic administered, only local, than you would not need to worry at all about the the long term, delayed effects.

  • Sep 16

    Intrathecal generally means the use of Duramorph injected, with or without local anesthetics. If they receive Duramorph (aka preservative free morphine) placed intrathecally, than they are on respiratory precautions, generally for 24 hours because the Duramorph can last that long. The initial analgesia from the Duramorph takes place at the level of the spinal cord, and on the narcotic receptors in the substantia gelatinosa in the posterior horn. Slowly, over hours, the Duramorph in the CSF works its way cephalad, and begins to enter the CSF in the brain, and bathes the periaqueductal gray in the walls of the ventricles, and this is where its later, delayed effect takes place. If a spinal is used for the procedure, but there is no long acting narcotic administered, only local, than you would not need to worry at all about the the long term, delayed effects.

  • Sep 16

    Intrathecal generally means the use of Duramorph injected, with or without local anesthetics. If they receive Duramorph (aka preservative free morphine) placed intrathecally, than they are on respiratory precautions, generally for 24 hours because the Duramorph can last that long. The initial analgesia from the Duramorph takes place at the level of the spinal cord, and on the narcotic receptors in the substantia gelatinosa in the posterior horn. Slowly, over hours, the Duramorph in the CSF works its way cephalad, and begins to enter the CSF in the brain, and bathes the periaqueductal gray in the walls of the ventricles, and this is where its later, delayed effect takes place. If a spinal is used for the procedure, but there is no long acting narcotic administered, only local, than you would not need to worry at all about the the long term, delayed effects.

  • Sep 3

    One of the biggest advantages to a front loaded program, is that the program can really send you to a lot of different sites, and get you much better clinical experiences, possibly preparing you to be a much more independent provider. An integrated program is limited in the clinical sites offered, to a couple of hour geographic range, due to the student still having to attend class every week. This works out fine for some programs, Kaiser comes to mind, where there are no end of local, close, clinical opportunities. Other programs, especially in the Northeast, have one or two clinical sites. You do not get nearly the well rounded, high variety mix of both preceptors, or cases. Front loaded programs will send you far and wide, which may suck at the time, but you are getting the cream of clinical experiences, full practice often times, as well as CRNA only, independent often times.

  • Sep 2

    One of the biggest advantages to a front loaded program, is that the program can really send you to a lot of different sites, and get you much better clinical experiences, possibly preparing you to be a much more independent provider. An integrated program is limited in the clinical sites offered, to a couple of hour geographic range, due to the student still having to attend class every week. This works out fine for some programs, Kaiser comes to mind, where there are no end of local, close, clinical opportunities. Other programs, especially in the Northeast, have one or two clinical sites. You do not get nearly the well rounded, high variety mix of both preceptors, or cases. Front loaded programs will send you far and wide, which may suck at the time, but you are getting the cream of clinical experiences, full practice often times, as well as CRNA only, independent often times.

  • Aug 30

    One of the biggest advantages to a front loaded program, is that the program can really send you to a lot of different sites, and get you much better clinical experiences, possibly preparing you to be a much more independent provider. An integrated program is limited in the clinical sites offered, to a couple of hour geographic range, due to the student still having to attend class every week. This works out fine for some programs, Kaiser comes to mind, where there are no end of local, close, clinical opportunities. Other programs, especially in the Northeast, have one or two clinical sites. You do not get nearly the well rounded, high variety mix of both preceptors, or cases. Front loaded programs will send you far and wide, which may suck at the time, but you are getting the cream of clinical experiences, full practice often times, as well as CRNA only, independent often times.

  • Aug 30

    One of the biggest advantages to a front loaded program, is that the program can really send you to a lot of different sites, and get you much better clinical experiences, possibly preparing you to be a much more independent provider. An integrated program is limited in the clinical sites offered, to a couple of hour geographic range, due to the student still having to attend class every week. This works out fine for some programs, Kaiser comes to mind, where there are no end of local, close, clinical opportunities. Other programs, especially in the Northeast, have one or two clinical sites. You do not get nearly the well rounded, high variety mix of both preceptors, or cases. Front loaded programs will send you far and wide, which may suck at the time, but you are getting the cream of clinical experiences, full practice often times, as well as CRNA only, independent often times.

  • Aug 12

    I would urge you to think long and hard about this decision. I have been a clinical instructor for several programs for more than 20 years. I have seen several dozen students enter the programs in their late 40s. Sadly, most of them wash out, and it has never been because of academics. Academically they have been some of the strongest. They have washed because of everything else in their life.

    When in your mid 20s to mid 30s, you are very flexible, very adaptive. This is good, because most all CRNA programs are inflexible. Breathtakingly inflexible. As you get older, no fault of your own, you become far less inflexible. Maybe you need money, maybe the kids are taking up your time, maybe you moved for school, maybe you are driving far because you didn't move, maybe your parents get sick and need help, maybe you get sick and need help, and on and on and on. When younger, it is far easier to deal with these. When older, the inflexibility of aging just does not blend well with the inflexibility of most programs. It is a bad combination. And I believe stats on the high attrition rates for "older" students would bare this out.

    Additionally, while it is illegal to age discriminate, one must ask themselves how employable they will be entering a stressful and dynamic work environment for the first time in their mid 50s. Most employers will happily higher people of that age if they have the 20-25 years of sage experience to go with it. You will not. You will have all the normal issues facing a new grad of any age, but then you will have that same inflexibility and neediness of someone older. There is very little upside for the employer, and too much downside. If presented with several candidates, you may fall on the list.

    Not trying to be cruel, or squash your dreams. Not at all. But before you move, quit your job, spend 100-200K, stress your family, etc, you need to really know why you are doing that, and do the benefits outweigh the drawbacks. It has been my experience that they do not.

    Good Luck.


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