BigPappaCRNA 2,976 Views
Joined: Jan 13, '13;
Posts: 105 (66% Liked)
; Likes: 190
You'll save a lot of time going the CRNA route, and the national trend is shifting to CRNA utilization in the acute care setting. Consider that
Logistically, it would probably make sense to go CRNA if you are already an RN--that's half the battle. Are you working in ICU currently?
Find a job in a free-standing GI center if you enjoy endo!
Not myself personally, but I know of 2 people. Most programs DO NOT accept NICU. Your clinicals will be ~95% adults. Right now, only 40 peds (10 of which must be under 2 years old) cases are required to graduate. If CRNA is your ultimate goal, I'd try to get at least 1 year of adult ICU experience to make yourself competitive.
I'm in a DNP CRNA program. I interviewed at a DNAP program before going with my current program that is a DNP. From what I could tell there was very little difference. The largest difference would be that DNAP programs don't have to be connected to an established school of nursing. Sometimes this carries a negative stigma but as some have mentioned the market projections show a very high demand for CRNAs in the future so this shouldn't be an issue with employment.
Another key difference is the specific requirements for your doctoral (project, thesis, capstone, whatever you want to call it). DNAP programs often have you do a large research project just like the DNP programs require but I think their regulations on it are loose. Again, some may say this is splitting hairs and if your research gets published in a scholarly journal during your third year of your program nobody will care if it was from a DNP or DNAP student.
The last difference, you already mentioned, the potential for a future academic employer to have some problem with your degree not coming from a nursing related institution. If you're 100% positive you never want to be a professor or work in academia then this doesn't affect you. Also, you could always teach at a DNAP program which I'm sure would accept your DNAP degree.
My only real concern as a student looking at DNAP programs is if they are connected to a medical school or residency program. Many DNAPs are not completely stand alone and will be connected with another medical institution, oftentimes a med school. The one I interviewed at was connected to a large medical training program and residency program, fellowship program, etc. In my naivete I was enamored by the large academic setting with so many medical trainees who I envisioned would be working alongside me as a team growing together. Thank God I chose the other program because once you're in training you'll realize the political firestorm that is anesthesia and how you will be purposefully relegated to second fiddle in almost any setting involving residents/fellows. I would have probably spent my entire training getting the leftover undesirable cases and struggling to get my bare minimum numbers at CVLs, PNBs, difficult intubations and complex cardiac/neuro cases. I would have also been trained mostly in an academic setting where you are trained under an MDA to be essentially handicapped in order to justify their ACT directed model of care.
I know that last point seems unimportant at this phase in your journey because you're probably so eager to get into a program and start learning anesthesia. Trust me, it will become very important once you begin your training and you're looking at your future career and independent practice. Make sure you choose the right program.
I would suggest saving your money. I don't think you would get a lot out of this conference at this time.
Honestly yes and I feel bad saying it. I would love to be able to say you're never too old but I'm just trying to be realistic. Older students have a higher drop out rate and a lower board pass rate. If you have other things in your life (ex. a family) I would think it would be difficult to accomplish.
I was recently accepted to a school that is ranked highly on US news report, #5. Seems to be a well known school. Was also accepted to a school ranked in the 20s that would be more affordable. Any advice or suggestions on how to choose?
The program has been trying to get regional accreditation for a few years now. Without regional accreditation no other college recognizes the degree or credits. If you graduate from there you can never teach in anther college.
Your statements are very misleading to the AA profession.
1) The practice of anesthesia has much in common with the practice of nursing.
More in common with nursing compared to what? The practice of anesthesia is not synonymous with nursing.
2) Anesthesiologists Assistants do not have a nursing background so do not understand basic content such as medical terminology, physical assessment, patient communication and much, much more.
This statement makes it seem like AA's don't obtain any training or education in medicine. We both know this isn't true. Patient communication? Are nurses the only group of people who know how to have a conversation with others? AA programs require 2 years of education in science courses (pre-med) many of which take medial terminology as a prerequisite. Physical assessment is also learned in AA programs and again taught in CRNA programs.
3) AAs are taught to assist an anesthesiologist while CRNAs are taught to care for a patient.
Assistant is a little misleading when it comes to what AA's do in the OR. In fact, CRNA's and AA's do the exact same thing. Nurses just tend to use whatever ammo they can find to put down another profession that has the same goal they do. To care for the patient while they are in their hands.
The nursing board has been outstanding when it comes to supporting nurses (including CRNA's). That is not up to debate. However, when you have posts like this where you purposefully put down a profession with false anecdotes of experience or abilities -- you lose credibility.
Honestly its a little early for you to be narrowing it down yet. Its good to think about what next and set goals but don't let your goals be set in stone. I would work towards the ICU job. The ICU is a great spring board to so many other careers (NP, CRNA, nurse manager, house sup, wound care, IR...the list goes on although not all those require ICU). Once in the ICU take every learning opportunity you can get and don't shy away from complex patients. Then after 2 or more years in the ICU start considering your path more. By that point your skill set will be stronger and you will have had the chance to work next to all those jobs i mentioned above. That is how you will really know, by observing those in the field and asking them questions.
hope that helps.
I have seen nurses totally disregard patient dignity even when they are awake. Actually had it happen to me. I can imagine what happens when you are asleep. Until the last few years I did not even consider this. I just have a problem when a patient is told this will help you relax but not told the effects and then walkinto their room during visiting hours only to find them partially exposed from the waist down and they don't even realize it. So did they lay like all night exposed to housekeepers janitors it people other visitors who may have walked into their room by mistake. Totally wrong. Or someone walking into a surgery during a very personal procedure that has no business being there. Makes me not want to spend a night in a hospital. I have also has these drugs such as Valium when I was just sitting in my bed for observation no problem with blood pressure. Why should I have to take something that might cause amnesia or compliance when I was sitting there calmly watching tv waiting for morning to be released. Nurse/doctor convenience? Make the patient sleep so we won't have to deal with them. But whether it is in or or on the floor a patient should never be exposed unnecessarily just for nurse/doctor convenience. Would you want to be treated in that manner? Or your mother father daughter son. I know after a while it is just part of the job but sedating a person so you can disregard their privacy and dignity is wrong. I do not want my short term memory affected and all the after affects of nightmares. I want to know what is going on and be in control of what someone is doing to me. For some patients it is devastating and degrading. Actually probably much more than any patient will admit because it is just expected by some in healthcare they the patient should just suck it up. So what if you were exposed or made fun of you survived didn't you? Had a similar comment made to me by a patient advocate. Just has done bad personal experiences that have made me distrustful and ready to question any medical professional.
Anybody used 15mg of Ketamine and 2mg of Versed mixed together right before you go back? I worked with a CRNA who called it her ketamine kiss. I gave it to my patients when working under her and it seemed to help knock out the anxiety for sure. In fact, they were kind of tripping (but pleasantly) as we moved from bed to OR table. I found that after induction I usually didn't see as much of a drop in BP as well.
As an SRNA I'm always asking if they want Fent/Versed before we go back but I'm frequently being told no. I'd say it's more common to give them no Versed at all and only 50 mcg of Fent on induction, they roll back to the OR natural.
Offlabel, hold their hand, start pushing your drugs and tell them you're giving them your ketamine kiss, pet their hair and I guarantee you'll get an A+ on bedside manner.
I am not a nurse but I can tell you that there are patients who hesitate even going to a doctor or having a procedure done because of losing control to strangers. As far as having to change your behavior or how you are handling patients should never happen. You are professionals and you should always be professionals whether the patient is awake or not. No one should ever be laying on a table helpless and have someone walk into a room and watch a highly personal procedure done and watch a procedure being done whether they are sedated or not. After my experiences and watching providers not respect me and other patients I can only imagine what some do when you are sedated. A patient should always be told what a drug will go to them and make an informed decision and if these drugs are being administered to shut a patient up it is morally wrong. I also understand there are many cases where these drugs are necessary for proper care in the case of patients who are in extreme pain burn patients dementia patients
I have also been told by nurses with a giggle and a wink that as soon as male patients are under they lift their gown to see what they have. Lost total respect for them.
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