Chiropractor to CRNA advice

Nursing Students SRNA

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Okay, so we have a bit of a unique situation and tons of questions. Already just searching on this site we have found a lot of answers, so thanks!

A little background:

My fiancee and I are both young chiropractors in our own practice. However, she doesn't like a lot of things about our profession and wants to go into nursing (more specifically CRNA - at least thats the idea at this point.) Providing quality care for our patients is great, but the business/selling side of chiropractic really frustrates us.

Anyway, starting a family and our financial situation are major concerns to us which basically translates into "she wants the quickest and least expensive way to get her CRNA degree. By reading many posts on here, we realize that the CRNA school you go to is of little relevance (besides really learning the material and passing the exam).

Our Proposed Plan:

Okay, so she recently applied and was accepted to the the local school here. After completeing a few random classes that she didnt take in undergrad (Phys. Ed and foreign language), she will apply to the nursing program and if she gets in starts next spring. Two years and total $10K to get the BSN. During this time she can work part time at the office helping out with insurance, reception, and some nutritional patient care. (She did think about just doing an online NP degree after the BSN, but she seems to be more interested in CRNA)

Then, we are at crossroad since where we live doesnt have a CRNA program. But, we would be willing to sell the practice and move somewhere for her to get a job near a CRNA program and an ICU job. That year she would have the ICU job would establish residence for a public school CRNA program tuition. Then apply to CRNA school. Then after 2.5 years, pass test and get a job as a CRNA.

Questions:

-I realize its extremely competitive, but what exactly does that mean? She was valedictorian in high school and the doctorate program at chiro school (4.0gpa in a fairly rigorous program). So, if she does well (like 3.9 -4.0GPA) in the BSN program, are her chances very good of getting into a local CRNA school on the first shot?

-Does this path make the most sense?

-What does she need to do at this point to better her chances of getting into a CRNA school. For example, I saw on ECU's website that courses in physiology and chemistry/biochemistry within five years are highly recommended. Her's will be slightly longer than 5 years when she applies. So, does she need to retake these classes to better her chances?

-Right now, we are looking at 3 states - North carolina (where we are now), Mass, or Iowa. We would like to be in the Boston area, but both accredited schools are private and we dont want to add to our already ENORMOUS student loans (combined over $300K) from chiro school. Pros / cons of these states for CRNA?

- Anything else we should know or consider?

Thanks a ton for any advice you can offer us. As you can see, we are very new to this and it's early on. But, she wants to make sure she takes the best and most efficient steps possible.

-Chris

Specializes in ER, OR, MICU.

Everyone's answers here are great. Long story short. . .I am a CRNA. I had a previous life as well where I incurred school loans. Thus, I would say establish residency whereever there is a STATE CRNA program. Where you go doesn't matter as much as will you graduate. I'm sure there are different levels of CRNA schools but no matter what school you goto, you will learn what you need to get started or else they wouldn't be accredited. Your wife sounds like a top notch candidate who will not stop until she finishes so better she finish with the least amount of school loans. Things to note as another member posted, be aware of the CRNA programs that now require you to get a Doctorate in Nursing Practice (DNP) like in Iowa. This will incur more time and more money. Understanding your situation, I am sure you are trying to go the quickest route possible. That being said, I also used to live in Iowa. Iowa is much more economical than Boston as far as living expenses and for the most part it is pretty safe. I don't know much about the CRNA school in Iowa though. Anyway, if you would like more info, PM me. Good luck!

Sorry for the short and abrupt sentences. At this time, I am usually asleep since I wake at 430 / 5am on most days.

I'm an SRNA in the Boston area, and currently getting a job right out of school as an RN is taking many people up to 6 months. Getting into an ICU in boston is nearly impossible currently. I had CCU/CSU experience of 2 years recovering post op hearts and I couldn't get into a Boston ICU/CCU/CSU or anything. Like the previous posters said, cost of living is pretty bad here, and as you already know the schools are expensive. On the plus side I can tell you that the programs here take the best candidates and don't really care about where you are from or where you want to work when you are done, so I would stay where you are and do everything you can there and move where you get accepted. On a side note, I know that in many ICU's I have seen or worked in that will take new grads, they usually give preference to the aids or secretaries in the unit that were in nursing school while working there- not sure if it is like that where you are, but it may be her best shot at getting an ICU job immediately

Thanks for all the advice and sorry for the delay in response. Still have a couple questions.

1. Based on what you all said, I would think the best idea is to get the BSN done here. During that time, if possible, she can try to work as an aid or secretary in a hospital to better her chances of getting an ICU job out of the gate. By the way, do secretary/aids get paid anything for this or is it more of an intern type thing. We originally thought she would just help out at our chiro office during her spare time, but if a job in the hospital would significantly help the chances of landing an ICU job then we should probably go that route instead. Once she gets the ICU job she will take GRE's and start applying to CRNAs schools - with a preference for a state public school.

Does that make the most sense?

2. Recently, we were talking to the primary doc we refer with in our building. He thought it would be better for her to do the NP instead of the CRNA based on the ability to refer (ethically without violating Starks law or anything) for chiropractic since he said as a general NP she would see probably over 30% back/neck pain patients. (This question is probably more geared to the chiropractor that posted on this thread.)

I guess the best idea would be to shadow an NP and a CRNA during her BSN schooling. Is this easy to do?

Thanks for all your advice so far... it has been super helpful. This forum is a GREAT resource! I wish chiros had something like this.

-Chris

Best of all would be to get an aid or secretarial position in an ICU as most departments do their own hiring. An aid position would provide much more experience that would help in nursing school.

It is not the best paid work, but it's usually a livable wage and includes insurance benefits.

The ability to refer seems like an ancillary reason to choose one over the other, absolutely shadow as much as she can and choose what she would enjoy most.

Specializes in CRNA.

What does she not like about the chiropractor role? I guess my first thought is if she would like being a NP she would like being a chiropractor, seeing patients in an office. That's if she would be a NP in a family practice, there are a lot of other NP roles such as ER, working for a speciality surgeon, etc. But those NP positions would not have the referral advantage that you speak of.

As for working in a hospital, if she can get a nursing tech or aide position in an ICU then that would give her a hiring advantage at that hospital and maybe others.

Thanks for all your input. As for why I am not completely happy with chiropractic - it really has nothing to do with patient care. I actually very much enjoy that part of it, and if that was all I had to do then I might not even be thinking about something else. But in the field of chiropractic there are 2 sides. . . the patient care and the marketing/selling of your services (something that many health care professionals do not have to do as they are generally accepted). That whole side really doesn't fit my personality and honestly, if I have to do it for the rest of my life I can see that I would not end up as happy as I'd like.

With that being said, I'm still fairly young and figure this is the best time to make a change if I'm going to. Better sooner than later. So I really appreciate all the advice and suggestions! It has been very helpful.

As far as NP vs. CRNA, I'm really just trying to gather as much info. as possible right now. I'm not even in the nursing program yet and I'm sure once I'm there I'll get a better idea as to what I would like and where I would best fit.

Best of all would be to get an aid or secretarial position in an ICU as most departments do their own hiring. An aid position would provide much more experience that would help in nursing school.

It is not the best paid work, but it's usually a livable wage and includes insurance benefits.

The ability to refer seems like an ancillary reason to choose one over the other, absolutely shadow as much as she can and choose what she would enjoy most.

>>

I am in the processing of completing an aid program now. In my state it is "Certified Nurses Aid" although I do not know if all states require certification. Anyway, it's 6 weeks 2 nights per week plus a short 16 hour clinical. All told, it is 75 hours and cost about $350. In both Illinois and Iowa, aids in hospitals (aka patient care techs, aids, nursing assistants) are all required to hold CNA and CPR certification. I plan/hope/beg that I will be able to land an aid job in the ICU or NICU. I'll have almost 2 1/2 years experience as an ICU or NICU aid by the time I get my RN, and I hope to knock their socks off for those 2 1/2 years. The day I hold "RN" in my hand, I want that ICU RN job lol. Anyway, coming from a previous career, I know enough to know that it's who you know and who you impress that opens doors. The pay for a hospital CNA here is about $11 an hour If I work 3 nights per week during nursing school, I look at as an excellent liason into nursing, and I'm getting paid to network.

Win-win!:yeah: So, my suggestion, is have her zip through a CNA class and start working. *p.s. the secretary positions on floors here are all filled by CNAs as well.

Specializes in SICU.

First off, I agree with the above poster. Get your CNA (if applicable in your area - I'm from Iowa) and work as a nursing assistant in an ICU if possible or otherwise start on a med/surg floor and transfer to ICU in a few months. That experience will be invaluable after you get your RN just for the familiarity with the ICU environment. Choose where you want to work as an RN and try to get your foot in the door as a CNA in that unit.

Second thing I can't believe no one has pointed out is that you don't need a BSN! You already have a bachelor's not to mention a doctorate! All you need for many programs is an RN license and ANY bachelor's degree. So, you can just get your MNHP like Missy mentioned in 1.5 years or do a traditional Associate degree in nursing program, which actually takes three years counting a year of pre-reqs (I don't know why everyone calls it a two year degree).

This is true of the Iowa program, I don't know if the other two require BSNs. You also don't need to take the GRE for the Iowa program. Although, like Missy pointed out the Iowa program leads to a doctorate in nursing practice and will take an extra year for you. Personally I would prefer a DNP program because eventually all CRNAs will be DNPs. But that doesn't mean that's what you have to do, all those with master's will be grandfathered in.

As far as NP vs. CRNA, there are two main differences. One is office visits vs. critical care. Some may find the idea of working in an office treacherously boring, while others may find critical care and anesthesia too intense and stressful. The second difference, which I also can't believe nobody has pointed out, is that CRNAs make almost exactly twice what NPs make. That's a significant fact for anybody.

Just wondering if there is an update to this story. I am chiro that is partway through my BSN (third BS :/). I entered with an NP goal but now find myself considering CRNA as the new summit. I realize how much more work and time the CRNA will be vs. the FNP (or DNP) and would really like input from someone who has done or is in the middle of the transition. Thanks.

Not sure im far enough along to help as my fiancee is almost in the same spot as you.

But, as we were the original poster, ill give you our update.

My fiancee is in semester 3 of 4 (ends next December) of a local BSN program. She is mostly not in our chiropractic office anymore (she comes in only one afternoon a week to perform acupuncture on a few patients since she is certified and i am not). Its nice to pay in state tuition! She now gets paid to go to school as she got a couple scholarships and she TA's and tutors younger nursing students. That sure beats $160K chiro education that leaves you with basically one option - start your own practice.

Anyway, the plan right now is to try to get a nursing job (preferably ICU but that might be tough) ASAP after she graduates. Many suggested to get an aide/secretarial job in ICU while in school but she hasn't done that yet. But as soon as she gets that ICU experience then we just apply like crazy to CRNA schools (not worrying too much about where they are)... we are looking to move to the northeast so we would basically take any school in 3-4 state range as most say the school you go to does not matter.

The website all-crna-schools.com is quite helpful with that kind of stuff... application dates, tuition, length of program, etc.

Are you still practicing while getting your BSN?

Thanks,

Chris

Thanks for the update Chris. Yeah still practicing in a partnership but cutting back more and more. If I end up going the CRNA route it doesn't make a ton of sense for me continue to grow a practice. Good luck to you are your wife.

-William

Another DC here looking for updates on this story. I am currently looking to attend a 1 year BSN starting in May '17. After that I will (hopefully) work in an ICU and then apply for CRNA school. If I do not get into that program I will probably do an NP program. Thanks!

PS I just realized that this thread is going on 4+ years old

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