CRNA Practice in Houston

SigmaSRNA · Feb 9, 2006

Just wondering how CRNAs practice in the major medical centers in houston (Ben Taub, Methodist, Hermann, St. Luke's, LBJ) as far as; 1) who decides on the anesthetic plan and 2) The ability to do multiple skills (line placement, regionals). Maybe Nitecap or anybody working in houston can give me the lowdown. Thanks in advance

John

1st year RRNA

Texas Wesleyan University

Nitecap · Feb 9, 2006

Just wondering how CRNAs practice in the major medical centers in houston (Ben Taub, Methodist, Hermann, St. Luke's, LBJ) as far as; 1) who decides on the anesthetic plan and 2) The ability to do multiple skills (line placement, regionals). Maybe Nitecap or anybody working in houston can give me the lowdown. Thanks in advance
John
1st year RRNA
Texas Wesleyan University

It all depends what group you work for. I will break it down as I have seen and heard so far but believe me I am new to anethesia but have been in Houston a while.

St.Lukes and Methodist General OR's are all run by GHA (greatger houston anesthesiology). They are the largert group in Houston totaling about 110 anesthesiologist, 150 or so CRNA's 25 AA's and 10 or so RN's. They have a good website you can check out if you google it. This is medical direction to the max. The pay is very competitive start at 130 in a few yrs up to 150k fast. However you def. wont be doing much regional if any at all. You will be doing a ton of general with good hours. Call is available but not required I think they have no call positions available. In shadowing GHA CRNA's many times I saw the CRNA and MD perop the pt together or CRNA preop then MD come and maybe as a few more questions. CRNA many times selected induction agent ect but many times MD would push the drugs, CRNA intubate then MD off to another room. CRNA pretty much ran the case with MD's rotating is and out, CRNA selected volatile and emerged and sometimes MD can back to for extuabation sometimes MD just assessed pt in PACU. Methodist and Lukes are busy as all hell. Just methodist I believe has close the 50 OR suites throughout the hospital that GHA runs. General OR, Neuro OR, eye suits, ENT suits, plastics suits. St. Lukes has about the same. GHA does not do the CV anethesia at Methodist or St. Lukes. All in all I hear a great job, great pay, great MD/CRNA relationships, great benefits, 401k matching, hlth, dental, eye you name it, plus nice bonuses, raises and I believe some profit sharing but not for sure on that.

As far a Bentaub goes whos motto is "home of taub notch care" LOL it is a lot different. Its the major county hospital serving the indigent, total teaching hospital with 90% Baylor staff. Level I trauma center getting more penetrating trauma than blunt though we do get blunts too. Anethesia wise there is both a CRNA program and Anesthesia residency as well. The pay will not be as competitive as GHA but you will in have much more autonomy. Bentaub delivers about 700 babies a month and you will work some OB so there are plenty of spinals and epidurals to be placed and believe me there is more than enough to go around for residents, attendings and SRNA's. Also do alot of other regionals bier blcks, ankle blocks, brach plexus just a ton of blocks period its is a teaching facility and everyone is either teaching, training or learning for surgey, anesthesia pretty much every serivce beside transplant that you can think of. You will be a Baylor employee, benefits are good (prob not as good as GHA) and they do have 403B I believe that matches.

I have a ton of info on others facilities so PM me. Methodist has a CV group that has split from Baylor and are hiring CRNA's. Pay is competitive and all you will do is CRNA. Mostly vascular CEA, periph bypasses, AAA, as well some CABS, valves when the OR's are swamped. They do several thoussand thoracic cases a year.

Again PM me.