Content That BigPappaCRNA Likes

Content That BigPappaCRNA Likes

BigPappaCRNA 708 Views

Joined Jan 13, '13. Posts: 33 (61% Liked) Likes: 53

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  • 3:34 pm

    Anastasiak, you should familiarize yourself with something called the burden of proof, don't worry I'll tell you since you obviously don't know, "he that asserts must prove". I wasn't the one who asserted that neuro is lower on the list, you and your friend however are, therefore it is your responsibility to prove. So while you seem insistent on throwing your two cents in, please show me ANY and I mean ANY proof that "they list them that way for a reason". It's called the list are being done arbitrarily.. Profound concept I know... I didn't see anywhere in your great source where it says, "ICU and CVICU are the top choice area of specialty". All your "source" showed was another arbitrary list. Thanks for your insight.

  • 3:31 pm

    I can't speak for others, but I got into every school I applied to with only Neuro ICU experience. Actually, one of the program directors stated SRNAs that used to be Neuro ICU nurses had the highest NCE pass rate percentage out of any ICU specialty. I bet there are some schools that prefer a certain type of ICU experience, but I doubt it would make or break your application. Plus, you can always get your CCRN certification to demonstrate your knowledge of general critical care patho/management.

  • 1:28 pm

    Quote from Brooklynn89
    My manager started the same day I did!! I told HR that was my intention when I interviewed. I think I am just gonna suck it up and ask her. The worst she can say is NO and I won't know unless I ask.
    Thanks everyone for your input!
    Actually, the worst that she can say is yes, and then write you a crappy recommendation. How are you applying with only 2 months experience? Because clearly you are applying to schools where your NICU experience won't count if you moved to a CVICU. Why not wait until you have at least 6-8 months at least? At 2 months your supervisor can't even speak to your independent clinical decision making skills. On any evaluation it is going to ask how long your supervisor has known you, and it won't work in your favor when that answer is 2 months.

  • 1:28 pm

    Were you upfront with your manager when you interviewed for your position? Did she know that you were transferring with the intention of gaining enough experience to apply to school, or did she believe that you had a long-term interest in the unit?

    If the former is the case, go ahead and ask for the recommendation. If the latter is the case, go ahead and ask, but don't be surprised if you get a less-than-glowing reaction and recommendation.

  • 1:28 pm

    I don't think it's wise to ask for a recommendation while on orientation. My friend transferred from PICU to our CVICU and asked for one about 2 months after getting off orientation. My boss reluctantly agreed but admitted it was generic as she had barely been working there. Why not wait another year?

  • 1:28 pm

    I think you should wait a while, so that your new manager can see what you are capable of as a fully functioning nurse rather than a trainee. Otherwise you will be putting him/her in a very awkward position. Admission to CRNA programs in my neck of the woods require at least 2 years of full time work as an ICU nurse. They give higher consideration to CCRNs - which also requires experience to qualify for the certification exam.

  • 10:16 am

    Honestly, I don't think it really matters what type of ICU you work in it mostly matters that the applicant is knowledgeable/proficient in the broad spectrum of critical care...i.e. pressors, sedation, vents, lines, etc and you will see all of this and more in Neuro. I currently work in a CICU in a state of the art new heart and vascular tower and I don't have near as many patients with the variety of gtts here as I did when I worked in neuro. IMO neuro is the hardest specialty and requires tremendous critical thinking ability....

  • 10:15 am

    Sweetether you are painfully misinformed. Neuro ICU experience is in no way "last on the list". I don't know where you're getting your information from but please educate yourself before stating things as fact. I am a current SRNA and sit in on the admissions committee for incoming students (in a very, very well respected program) and neuro ICU experience is valued just as highly (if not more so) than any specialty ICU. And the fact that you think it ranks in the same category as PICUS/NICUS betrays your ignorance, most schools require adult ICU experience, therefore making PICU/NICU ineligible as prerequisite experience to gain admission to CRNA school and thus they are not even remotely in the same category.

  • May 15

    ICUman; maybe crna is just not for you because on average; crnas make more than NPs( assuming same no of hours worked) i have seen NPs offered pay in the range of 80k without benefits For APRN; I think that is just terrible!

  • May 15


    I will be CRNA very soon. I read your post and comparison of the salaries of RN and CRNA; however, you compared 48 hours of RN salary to 36 hours of CRNA salary. If you compare 48 hours salaries of RN and CRNA, you will see a huge difference.

    So here is the analysis based on the numbers provided by you:

    RN salary:
    4038/ 2 weeks = 4038 dollars/ 96 hours (since you work 4 shifts)= 42 dollars/ hour
    now since your take home is 2834/ 2 weeks which is approximately 70% of your pre tax salary (4038 dollars); so you pay about 30% taxes

    CRNA salary:
    150k per year. we have 26 biweekly paychecks so 150000/26 paychecks= 5767/ 2 weeks = 5767/ 36 hours= approximately 80 dollars/hour
    if you work 48 hours as a CRNA then your salary for 1 week will be as follow:
    40 hours x 80 dollars = 3200
    8 hours overtime x 120 dollars (1.5 of your base pay)= 960 dollars
    Total salary for 48 hours (1 week)= 4160 dollars
    That means biweekly pay is 8320 dollars before tax (since you pay 30% in taxes as you provided the information, your take home for 2 weeks is 5824 dollars)

    so in conclusion the comparison of the RN salay and CRNA is follow after taxes per pay check (biweekly)

    RN biweekly (2834 dollars): CRNA biweekly (5824 dollars)
    It comes to 2000 more dollars per paycheck; which is 26 paychecks per year x 2000 dollars = 52000 dollars per year

    You also mentioned that you are married. If your wife works and you can cover your monthly expense from her salary then you will have to take loans for only tuition fees (which you will be able to get it from federal government; in addition, you will have 10 years to pay it back at good interest rate). There are many scholarships are avaliable through the CRNA schools as well.

    It is big career change; there are many advancement opportunities as a CRNA (for example: you can work as a part-time professor and they will cover most of the tuition loans for you); You can get Doctor in Nurse Anesthesia as well; they will have all programs in to Doctorate by 2025 not 2015; therefore, if you get your master in nurse anesthesia before 2025, you will not require to get Doctorate (this is the information I received from Director of our program).

    I hope this information helped you in deciding your career; have a good luck.

  • May 15

    Quote from Joshualive2
    Hi for any nurse anesthetist who knows the answer to this I would appreciate the info: Is there a formula that adds up the lidocaine dosage in tumescent fluid used for liposuction and the I.V. lidocaine used during the induction of anesthesia that allows you to find a safe maximum dosage for each when used together? Someone told me there is but I have not been able to find it. Any help would be appreciated. Thanks.

    Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for ... - PubMed - NCBI

  • May 13

    Quote from oobray
    Right, I know that but what I'm asking is there a difference in scope of practice when a CRNA is practicing on his/her own without an MDA. Are there any limitations as to what sort of procedures, what sort of patients etc.
    No. Anesthesiologists are not required to ever be involved when a CRNA does an anesthetic in any state. The only requirement for MDAs to be part of a case stems from facility requirements not state or federal.

  • May 9

    Quote from sleepy1010
    Was wondering if a RN with no certification in anesthesia, can administer tumescent anesthesia for lipo if trained by the physician. I am unsure if this is within the scope of practice of a RN in NJ and unable to find any info on the BON website. Any info is appreciated
    I am wondering if the RN position entails just providing moderate/IV sedation for tumescent anesthesia. That would be more in line with normal RN duties.

  • May 6

    The OP's post is actually painful to read...

  • May 5

    CRNAs work independently in every state. There is no need for anesthesiologists (MDAs) in any state to supervise CRNAs. Certain facilities require MDAs to supervise or medically direct CRNAs, but that is facility driven not state or federal law. Those facilities that utilize medical direction do this mainly for reimbursement purposes (that is my opinion which is justified by numerous research studies showing the safety of independent CRNAs).
    It gets more complicated in that some states require "supervision" of CRNAs or don't allow CRNAs to write post op orders. These states where CRNAs work without MDAs generally utilize a standard form in each facility, to my understanding, that allows the surgeon/dentist/podiatrist to order anesthesia and be the "supervising" physician. Supervision in these situations meet the legal and often the billing definitions, but has nothing to do with what most people understand as supervision. Supervision of a CRNA: A Concept Without a Reliable Definition