Content That BigPappaCRNA Likes

BigPappaCRNA 2,075 Views

Joined Jan 13, '13. Posts: 79 (68% Liked) Likes: 145

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  • Aug 16

    We don't use EEG during anesthesia. Some will use a BIS monitor but the literature says that it is pretty much useless.

  • Aug 10

    That should be the least of your worries. I'd worry about getting into a program first.

  • Aug 9

    BigPappa nailed it. Truth. Ageism is real. "Breathtakingly inflexible" is brutally honest.

    Speaking as a CRNA who was once a medical sales rep, I urge you to take the time to really think about why you would make this late career shift - both in terms of motivations and long-term life plans. The corporate grind is not easy, for sure, but I didn't realize how good I had it as a rep until I was well along the path to becoming a CRNA. Admittedly, I was a rep during the glory days of great compensation. But with 17 years of experience, you are an expert. Consider how it will feel to be a novice learner again in a program that consumes your life for up to three years. Humbling, frustrating, exhausting.

    That said, my program had a few older students - late 40's and one at/near 50. They did very well. More importantly, they all have current licensure, so I assume they are still practicing.

    If you are set on ending your run in the corporate world, why not create a multi-step plan? Return to nursing, see what's changed in the decades that you've been away from direct patient care, and use that time to look into the CRNA role and programs that interest you.

    Just don't close the door completely on Corporate America until you are absolutely, 100% certain of your next steps.

    Oohrah and best of luck!

  • Aug 8

    Quote from Gassadist
    Usually what is hourly rate for CRNAs with 1 year experience and what is the minimum they should accept?
    Get the AANA compensation and salary survey. The summary of the report is free, and will give the best summary of expected compensation.

  • Aug 3

    Quote from Gassadist
    06 crna. If you don't want to give answer then it is ok.But why that much ******** ?
    Anyone in the anesthesia community who clicks on your name and see's that the last few months you've started repeated threads focused only on how many X hours you must work to earn X dollars as a CRNA will give you 06CRNAs kind of response.

    You get lots of answers from all kinds of people in these threads you've started but you seem to be searching for a photocopy of CRNAs tax filings.

    Perhaps it's all just misjudement on our part. Maybe you have a rare disease so that when you mean to talk about your passion for anesthesia and desire to provide smooth painless procedures for patients it just comes out sounding like Money, money, money and uh, money.

  • Aug 3

    I have extensive records of CRNA income because I held licensure in 5 states and submitted direct bids for contract work as an independent provider.

    I will forward that information to you if you abandon your plans to become a CRNA and attend medical school instead (allegedly, for the second time). Then, you can become one of those physicians whose focus is on making as much money as possible - regardless of ethics, medical necessity, or humanity.

    NOTE: No "bad words" or "advices" were used in this reply.

  • Aug 3

    Quote from HolisticSN
    I agree with everyone else 06crna CRNA if you do not have anything nice to say then save your words. It is perfectly reasonable for others to research fields of study and to take into consideration income especially when one will assume an enormous amount of student debt in the process.
    Posting on here looking for average CRNA salaries isn't research. The best you will get from the answers of a couple CRNAs personal salaries is a skewed view. Should someone really care to look into the subject you could get the free summary of the annual AANA CRNA compensation and benefits report, buy the full compensation and benefits report, look at beureau of labor and statistics, and look on
    I suggest buying the full compensation and benefits report from the AANA. It will break everything down for you and give you some of the background you need to start understanding the salary and compensation for CRNAs.
    The first thing anyone researching CRNA salaries should realize is you cannot compare hours, salaries, and/or benefits to RNs. Despite both being nurses they are completely different.

  • Aug 3

    Quote from Gassadist
    I have been hearing different opinions and different statistics about salary of CRNAs.But nothing is conclusive yet.I agree that variation occurs due to location, facility etc.What you think your colleagues are making approximately?. I mean INCOME ,not average base salaries. Income includes everything for example overtimr, two jobs etc.And please only serious replies. No bad words or advices please.Thanks

    I know a CRNA who made 40 millions dollars last year working 20 hours a month. He sometimes deliver babies solo as a Douala. He actually completed a CNA to CRNA bridge online..... nice guy

  • Jul 23

    Thankfully, barrier to entry is high and able to block people only in it for the money. If not, it would flood like the NP market and salaries would drop substantially. I'm glad the admission requirements and program material are so rigorous. It filters out the undedicated with only dollar signs in their eyes.

  • Jul 22

    People are comfortable in different types of practices. I prefer independent practices, but despite the differences in practice types independent CRNAs are just as safe and effective as our MDA counterparts.

  • Jul 21

    Great post but SICU is not the only ICU that most schools will accept. Adult ICU including MICU will do just fine. In my class, out of 28 students experience ranges from all ICU settings including picu. I just don't want our peers to become discourage if they are not presently working in a sicu setting. Great post and Congrats. When do you start?

    Quote from CRNA 1984
    1. Start Building Your Resume While in Nursing School
    While in nursing school you will need to continue to stay focused on your GPA. I can’t stress this enough. Schools will look at this, so put in the study time and try to get those good grades. In addition to your GPA, you also need to get involved with extracurricular activities. Schools like to see that you are well rounded and work well with others. Look for a list of organizations that are offered through the school and nursing program. I would also recommend looking at organizations and service work provided by the NSNA (National Student Nurses Association). They have 60,000 members nationwide, and they mentor the professional development of future registered nurses and facilitates their entrance into the profession. (Source: National Student Nurses Association)

    2. Work in the Right ICU
    Every CRNA school wants the most qualified applicants in their program, but what does qualified mean? It means they want students that have work experience that will aid them in the field of anesthesia. This type of experience is only gained by working in the ICU setting, and that is why most schools require at least one year in this area. Realistically, you need 2-3 years, but it is possible to be accepted after only one year. So are all ICUs created equal? The answer is no. You want to be in the surgical ICU (SICU). Surgical ICU is preferred for a number of reasons, but the biggest is they work with patients that just had a CABG also known as “post-hearts”. Working in SICU will give you an in-depth knowledge of physiology, anatomy, pharmacology, and top notch assessment skills. Being in surgical ICU not only helps you get an interview, it will help you during the interview as well. Look at your work experience as a chance to study. Most of the interview questions will come from clinical scenarios and work related topics.

    3. Research CRNAs Schools
    You need to take a systematic approach when you are researching schools, so that you do it efficiently and with little effort. There are a few factors to consider when deciding on schools to apply too. One of the most important is how difficult is the CRNA school to get into. Here is a list of things that can help you to answer this question. First, “Number of applicants vs. positions awarded”. Some schools have hundreds of applicants and only offer 10-15 spots each year. The chances of getting accepted to these types of programs by the average applicant are very small. Next, what are the “Educational Requirements” of each program? Some schools require Organic and Inorganic chemistry, which is definitely a hard requirement to meet. Finally, lets talk about the “GRE” (Graduate Record Exam). Almost every school has a minimum GRE score that they want you to meet. Schools with a higher GRE requirement are naturally harder to get into. Another thing to consider is “Required Work Experience”. This is what the school considers acceptable areas of work. Most programs, but not all of them, only accept ICU as an acceptable area of work. There are a select few that will allow ER or Pediatric ICU, but they are very few. The best thing you can do is to play it safe and work in ICU. Don’t count on ER or Pediatric ICU to get you an offer from a CRNA school.

    4. Job Shadow CRNAs the Correct Way
    Most schools require you to job shadow at least once with a CRNA and have documented proof. Some schools will provide you with a questionnaire on their website. The CRNA will fill out this form and you will send it in with your application packet. In addition, some schools will want one of your reference letters to be from a CRNA. You need to go beyond what is required by schools and job shadow multiple CRNA’s in multiple settings such as Labor and Delivery, OR, Day Surgery, etc. This will give you the chance to be exposed to various types of anesthesia that you be able to talk about later when you’re writing your personal essay. Because you shadowed the CRNA multiple times you will be able to get to know them, and create a good rapport. By doing this, you will ensure that their letter will include all positives remarks and most likely cause the CRNA to elaborate on your eagerness to learn, professionalism, critical thinking, communication skills, and your passion for the profession.

    5. Join Organizations That Strengthen Your Resume
    CRNA schools want to see that you are an active member in the medical community. The AACN (American Association of Critical Care Nurses) is an organization for critical care nurses. This is where you will sign up for things like the CCRN, CMC, and CSC exams. Next is the ENA (Emergency Nurses Association), which is the same type of organization as the AACN. The difference is that this one is geared towards emergency room nursing. Even if your not working in the emergency room you can join this organization. I promise you, VERY few applicants will have both of these certifications.

    6. Obtain the Certifications Schools Want
    The CCRN (Critical Care Registered Nurse) certification is a credential granted by the AACN Certification Corporation. It validates your knowledge of nursing care of acutely/or critically ill patients to administrators, peers, patients, and most importantly, to yourself. Some schools do not have the CCRN requirement, but I am telling you right now that if you want to get accepted into a CRNA program, get the CCRN certification. Other certifications that look good to schools include the TNCC (Trauma Nursing Core Course) CMC (Cardiac Medicine Certification) and CSC (Cardiac Surgery Certification). Both the CMC and CSC are additions to your CCRN. Once you have acquired your CCRN, you are eligible to these test. Very few applicants will have these certification, so it makes your application stand out. (Source: AACN Website)

    7. Start Saving for School
    This really doesn’t count as a tip for getting into CRNA school, but it can make your life A LOT easier once you start an anesthesia program. You will not be able to work once in school, so the more money you have saved, the easier it will be when the time comes to start the nurse anesthesia program. Start now by opening up a savings account and deciding how much you can put away each month. The earlier you start doing this, the more money you will have while in school. The majority of CRNA school will be paid with student loans, but that is a whole other topic.

    8. Your Personal Essay Needs to be Perfect
    Most schools require a personal essay that will vary in length and topics. This is a great opportunity for you to brag about your accomplishments. Schools want to know why you think you are qualified to enter their program. You are essentially selling yourself to them, so feel free to elaborate on your work experience. First, you will need to speak in-depth on the acuity of the patients you routinely take care of. Second, discuss your experience with ventilators, vasoactive drips, Swanz Ganz, etc. Also be sure to include anything you were a part of such as precepting, code teams, rapid response teams, etc. Be sure to have someone proofread you essay before sending it. Grammatical errors will really hurt your application.

    9. Practice for The CRNA School Interview
    The interview is your time to really impress the school and secure your spot in their program. In order to do this you are going to have to really prepare, because I can promise you, that all of the other applicants will be at the top of their game. Some programs are known to have interviews that are more of a “meet and greet” interview. These types of interviews are very laid back and don’t generally involve a whole lot of in-depth clinical based questions. However, most schools usually ask a lot of pharmacology and anatomy based questions that will really make you think. The CCRN really helps you prepare for this, so bring out your old CCRN study material and brush up on the material. I recommend focusing on cardiovascular, pulmonary, and renal. It seams like schools pull a lot of questions from these areas.

    10. Make Sure They Remember You
    Here is a cool little tip to help make sure the CRNA school remembers you. Have thank you letters already written and ready to send off the day after the interview. This little gesture not only shows gratitude, but places your name in their head one more time.

    I hope these tips work as well for you as they did for me. I applied to 3 schools, interviewed at 2 of them, and received offers from both. It isn’t an easy road but if you apply yourself and stay motivated you will find that being a CRNA is well worth the effort. I wish everyone the best of luck!

  • Jul 21

    Quote from Gassadist
    Bluebolt. ...You are right.But with overtime it can easily reach to 250k or more.Many places give time and half.Which don't give that,they give you 90 and hour or more on W2.
    Huh? That didn't make a whole lot of sense, but I get that you think the opportunity to work bunches of overtime and make bunches of money through overtime is an advantage. On the other hand, not everyone wants to live at work. Some would like to actually go home and see their families.

  • Jul 21

    Quote from dbabz
    One of my instructors is an APN and he made a really good point about CRNA. He said that his malpractice insurance is about $1,800.00/year, whereas CRNAs will pay about $18,000.00, eating up much more than the salary difference between the two. If you don't have a passion for it, the money probably isn't worth it.
    I'm not sure where he's getting his numbers but that's about 4 times the actual cost of malpractice insurance for a typical CRNA. Most CRNAs who work in anesthesia groups don't even pay for malpractice insurance because they are covered by their groups malpractice insurance. My professor who is a practicing CRNA said when she worked in an all CRNA independent practice she paid for her own and it was about $3000 a year.

  • Jul 21

    Quote from WildcatMLS
    The whole point of CRNA is knocking out your patients as quickly and efficiently as possible. People persons probably want to be able to hold a conversation beyond "count to your age starting at 1..2...3......zzzzzz" :P
    Yeah.... no.... not the way it works.

  • Jul 16

    Im just going to be honest and say that you literally have no chance at getting in with that GPA, unless you somehow find a CRNA school that would allow you to retake the classes you did poorly in. And even then, its a long shot.