Latest Comments by BigPappaCRNA

BigPappaCRNA 1,617 Views

Joined Jan 13, '13. Posts: 59 (61% Liked) Likes: 98

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  • 5
    kiszi, Bluebolt, WestCoastSunRN, and 2 others like this.

    Yes. It is very much within the CRNA scope of practice. Done every day, all over the country, by CRNAs, everywhere. Having said that, there are less, and less Swan lines being placed. There are so many new and different technologies out there now that give very similar data, and do so with non-invasive technology. As to the OP, that is a very old term, but I am guessing it has something to do with putting up the wedge balloon during the last portion of placement, and letting the balloon "float" into position.

  • 1
    Tacomaboy3 likes this.

    The degree required will be highly dependent upon the program you select. If they offer a MSN, or a DNP, and are based in a School of Nursing, than you will need a BSN in order to be admitted. If they are not located in a school of nursing, and offer a MS and or a DNAP, than other degrees, such as biology or chemistry would be just fine, but either way, you will need to be a Registered Nurse.

  • 3
    awind, Bluebolt, and wtbcrna like this.

    Quote from Bluebolt
    So no advice for the original post about practicing at my fullest capacity and learning advanced skill very well? Come on CRNA's, you must have noticed some paths to success in that way.
    It all starts with which school one attends. Some are set up for independence. Some are set up to be factories for the local ACT practice. Be careful which one you choose. You will not be given good training and a broad range of experiences if it is an MDA dominated training program, as they do not like to train their competition. They are financially invested in limiting opportunity.

  • 0

    Much, much, much will depend on the why. Not meaning to sound harsh, but there is a whole process set up before a student is terminated from a program. Academic reasons are hard to overcome because they are so black and white, so objective. Clinical reasons are harder to quantify, much harder, so to even go down that pathway means there were significant red flags raised about your performance. Either way, there may be programs that would consider giving you a second chance, but usually you would need to quantify what life events made this happen. I sick child, a sick spouse, personal illness (which surprisingly most programs are not too supportive), or other things like your house burned down, victim of a violent crime, etc. I think for your own good, some very open and honest self reflection is in order. What will be different the second time around for you to now be successful?

  • 0

    Your stats overall, are right in the cusp. They could go either way. The simple fact that you are posting them here and asking, means even you have some doubts.

    If if you are planning on applying to one of the smaller schools, you likely will not be invited for an interview. If you are applying to one of the 100+ students a class puppy mills, you may do just fine. The irony here is that the larger schools have a much wider bell curve students, and yet because they are so large, cannot offer those students on the far left of the bell curve, the proper support with which to be successful.

    I would wait wait one more year, take a grad level course in either pharmacology, physiology, or statistics, and do well in the class. This will do several things for you. 1. More experience simply makes you a better and stronger candidate. 2. Doing well in a grad level class makes you a better and stronger candidate. 3. If you do well, there are far, far more schools open to you as viable options. 4. If you do poorly, you have saved yourself 100K in debt, and quitting a job, and possibly moving all for no good reason.

    Good Luck.

  • 0

    This is something I have never heard, from anyone, before. One might never have their own insurance. If you are working in a hospital, and they are your employer, they will be covering you. You won't have a policy of your own (although agencies will still try to sell you one). I would talk to another person at the BRN office. Or talk to another CRNA in whatever state you are trying to obtain licensure. Or maybe you misunderstood the requirements. Many, dare I say most CRNAs, will not have their own policy when hospital employees.

  • 3
    cocoa_puff, paolahevia, and ICUman like this.

    The possibilities of work are endless. Every conceivable shift and combination is worked every day. By thousands. Some flexibility may be needed on your part, as not all practice styles, and types, exist everywhere. And even though you received excellent advice above, there sometimes is shift work where you absolutely get relieved. OB, and Trauma are two examples. When you are working in those two specialties, there is always someone scheduled to come on and relieve you. The larger the hospital, the more likely this is the case. The smaller more remote the hospital, the less likely.

  • 0

    1. All the military programs.

    2. Kaiser Permanente.

  • 1
    Kyanq1980 likes this.

    Quote from Kyanq1980
    Can someone shine some light my way....

    I will be applying to TWU CRNA 2017 start date. Wanted to receive some input on my background and what I could do to increase my chances of acceptance into the program.

    I have a Bachelors Degree in Business Administration and an Associates in Nursing. This month will be six years since I became an RN. I have been extremely fortunate to have started working in a PICU from day one. I was also crossed trained to work in the NICU six months after. I continue to work in these departments in an Advanced Level III Hospital. I recently obtained my RNC-NIC, which is an equivalent to the CCRN in NICU.

    Cumulative GPA of 3.07, Nursing GPA was approximately a 3.4, still pending to take my GRE and a Chemistry course to meet requirements.

    TWU offers an RN to MSNA program. A bachelors degree can be in another field.

    I unfortunately did not do as well in my early course work, and worry that these stats wont be competitive enough. Not sure of I should retake some courses or obtain a BSN in order to boost my GPA.

    Any opinions and suggestions are welcome.

    Thank you
    Sadly, with your current situation, you are a very weak candidate. Just trying to be objective and honest. Not trying to sound harsh. Your GPA is marginal at best, and your work experience is less than ideal. Both can be overcome, and are not absolutes, but taken together, they make you a marginal candidate. Rather than finding the one school who will take you as is, I would work to strengthen my candidacy, and in a few years, apply to other schools. Get some adult experience. Take some graduate courses in science or stats and DO WELL. Get your CCRN, and any other certification you can. Shadow as much as you can. Do will on your GRE. I dont know if TWU even requires the GRE, but a good score will help them see you have potential. If you score less than 300, it is probably time to look for your career in a new direction. It is not hard to figure out how to make yourself better, maybe you should make sure you can actually do some graduate level course work before you spend thousands of dollars, quit your job, relocate, and then do poorly. Good luck.

  • 0

    Quote from AAC.271
    As much as I want the future of healthcare to have NP/MD/DO in the same echelon, we have to be cognizant that there are other mid levels among us who will want to join us or will start competing with us. Because of how established the MD's are, they will generally always be the last to be laid off, but if AA's start gaining steam, then who do you think the greedy hospitals look to let loose? the CRNA's, especially if the AA organization starts conducting studies showing how safe they are compared to Anesthesiologists/CRNA.

    There never will will be a study about independent AAs. Because they cannot practice independently. Ever. They can only practice in the most expensive model of anesthesia care, which is the ACT. AAs are nothing more than a solution desperately searching for a problem.

  • 1
    ICUman likes this.

    The job prospects are so limiting if you go the AA route. You would be eligible to work in less than a third of the states. You would never be able to be independent in any way. Your compensation would not keep up with a dynamic, independent CRNA. Your ability to actively pursue and work 24 hour shifts would be far, far more limiting as an AA. There is just no comparison for someone in your situation. AA is great for someone with no choices or options. You have both, and it would make no sense at all to choose the limiting path of AA.

  • 3
    Bluebolt, MurseJJ, and ICUman like this.

    Quote from AndersRN
    That statement will change if you go to med school and decide to become an anesthesiologist...
    No. Actually, it won't. We learn the same facts. We use the same textbooks. We do the same job. We have the same results. Unless the subject is about advanced appreciation of break room Java, and stock portfolio performance, the two educations provide the same level of knowledge and understanding.

  • 1
    twinsmom788 likes this.

    Quote from offlabel
    So, a flight medic of 4 or 5 years with a BS in Chemistry or Biology is less qualified than an L and D BSN nurse with the same time on her unit?

    I would love to have the flight medic as a student. They would be great. They would still need to be nurses, we we practice under our nurse license. And, they would need a BSN if the program to which they were applying were MSN or DNP programs. But those are not my rules, or even program rules. That is University rules. But one does have to be an RN, to be a CRNA.

  • 0

    Truth be known, the CC requirement is more of a hurdle than anything. Placed there to slow down the candidate and force them to get their experience in critical thinking, prioritizing, and communication. Some, but not too many, can start directly into an ICU. Most have to put in some time first, and then do their ICU time. This makes for a better, more well rounded candidate.

  • 2
    cocoa_puff and ICUman like this.

    Quote from offlabel
    Whoa...I have no reason to doubt this statement, but if its true, there has to be way more to the story....Just at face value, this is an endorsement of AA equivalency to CRNAs by USGPAN...not doing any favors to CRNA's if this isn't just an outlier in their admissions. That's an off the street admission into anesthesia training, unless, like I said, there's more to the story.

    That said, as an in the trenches provider, it isn't hard to tell those CRNA's with strong CC backgrounds. If a candidate doesn't bring that to the table and the program accepts them, that's on the school. But they're not the ones that have to work with them.

    So what I'd say to the OP is, be as strong as possible for the sake of your future patients and the CRNA's you'll ultimately be working with.

    No AA equivalent. Just that fact that experience is experience is experience. It is about decisions and critical thinking and priority setting and communicating and achievement. You can and do get that in most any unit. As a CRNA educator for over two decades, I love ER nurses. They are very good at situational thinking. All those things I mentioned up above. There is nothing magical about ICU experience, and, in fact, 95% of what we do is quite boring, mundane, and routine. But ICU experience does give a little bit of an edge up on worst case scenario kind of patient presentations that we see once in a while. A full nursing education and 4-5 years of any type of acute care RN experience and you are light years ahead of any AA.