Latest Comments by BigPappaCRNA

BigPappaCRNA 2,402 Views

Joined Jan 13, '13. Posts: 89 (70% Liked) Likes: 173

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  • 0

    This isn't shocking news, this is good news. One of the best and most affordable programs in the country is transitioning to the DNP. Still the cheapest route on can take to get a DNP and become a CRNA. Still amazing teachers who are leaders in the profession, one of whom sits on the COA, one of whom sits on the NBCRNA, and one of whom is the principal author of the only all CRNA textbook. This will only make the program that much more competitive, and that much more desirable.

  • 2

    Well, school does not get easier when you start CRNA school, and it is science intensive. Ask yourself, honestly, why you did not do well in some classes, and decide if that can be improved. Maybe you got sick, had a child, had to move, had money problems,etc, if not, maybe you should look elsewhere. I don't undertand quitting your current job, paying tens of thousands of dollars, maybe moving, all just to drop out after one semester. You have to be honest and objective with yourself. Certainly, take a graduate level statistics course, or chemistry course, or physiology course, and let that be your guide.

    I also would urge you NOT to apply to the big, giant, puppy mill programs. Of course they may accept you. They have a few hundred initial spots, so what do they have to lose? Apply to a smaller, leaner school, where, if you get accepted, you can be certain they feel that you will have what it takes to make it. Again, starting school is a major, life changing event. Just because you want it really badly does not mean you will succeed. Do away with some of the guess work.

    Good luck.

  • 3
    wtbcrna, ICUman, and m1lkofamnesia like this.

    The practice is dogma from days long ago. It is no longer required as it once was. Some people still probably insist on you doing it in school, and that is fine, but it just does not matter. Not even a little bit. Pretreat or not, same K+ shifts, same increase in IOP, same increase in abdominal pressure, same myalgias. It really just makes the patient look better at induction, but there is a literal ton of literature out there that says they will still have just as much myalgias. Like cricoid pressure, it is going to take several generations for this dogma to die.

  • 3
    loveanesthesia, ICUman, and crna2021 like this.

    Don't try to study before school starts. It is a waste of time. You are going to school to learn that stuff. The two books I would recommend that you read before starting school are, "Watchful Care" and "What I was not (nessessarily) Taught about Anesthesia." If you had to choose just one, then let it be "Watchful Care."

  • 0

    They are both solid, respectable programs. Their relative "rank" to each other is completely meaningless. Homecoming King and Queen results from your local high school are determined more scientifically than the US News rankings. Go to the program that fits best.

  • 3
    ICUman, rhinoroc, and wtbcrna like this.

    Those rankings are completely meaningless. Number 5 vs number 20, just doesn't matter. Look at their clinical training, their rotations, etc. The school ranking from US News should NOT factor into your decision.

  • 2
    ICUman and wtbcrna like this.

    The types of schedules and what your day looks like is as varied as anything else. I must disagree with wtb, as there are plenty of jobs out there, that are in hospitals, that do not have call. While I have not sought those out, it is really all I have ever known. There are night shift CRNA's. They work full time. My current job is in a huge, university hospital, and there are two CRNA's who split the nights. No call for anyone. Simple fact is, every single hospital, job, and group, will do their schedule a bit different. But if not taking overnight call is important to you, you should not have too much trouble finding a job like that.

    Keep in mind, however, that everything is a tradeoff. With no call may come less pay, less flexibility, less variety of cases, etc. There are very, very few perfect jobs out there. Just have to prioritize.

  • 3
    rhinoroc, ICUman, and loveanesthesia like this.

    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.

  • 4
    Julius Seizure, ICUman, rhinoroc, and 1 other like this.

    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.

  • 5

    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.

  • 6
    Ahanna7, Froggybelly, Bluebolt, and 3 others like this.

    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.

  • 1
    meanmaryjean likes this.

    People, stop feeding the Troll.

    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

  • 6
    blochealth, Rocknurse, MurseJJ, and 3 others like this.

    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

  • 2
    blochealth and m1lkofamnesia like this.

    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.

  • 2
    loveanesthesia and ICUman like this.

    11% is drastically low. Just by being a 1099 you will have to cover your employers FICA contribution. This year that would be an additional $8,636 on your tax pill in FICA. Add to that vacation, ed leave, med insurance, dental insurance, vision insurance, life insurance, disability insurance, CME money, etc. all must be considered. Most 1099 jobs require about 25-50% additional to make them better, although, they do open things up to a world of tax advantages. Also, just because your spouse is providing the health insurance, doesn't or shouldn't mean you should accept less for your services.

    One final note, you might check about the malpractice component. If that is the only hospital in which you work, and they are supplying your insurance, you will be considered a hospital employee, regardless of the form designated to pay you. This means that you would not be able to take advantage of a lot of the benefits that come with being a 1099.