endoscopy anesthesia job?

Specialties CRNA

Published

You are reading page 2 of endoscopy anesthesia job?

Anesthesia16

8 Posts

I have heard that you can subtract 30-40K from 1099 to equal what you'd get comparably get for a W2 which has benefits. Is Gaswork the website most CRNA's find their jobs? When I see the highest listings in SC it goes like this:

Min Max

230K 250K everything besides OB and heads-1099

210K 220K Ortho, ENT, GI, GYN, OB, Urology, Spine, General, and Endoscopy-1099

210K 220K General, Ortho, Uro, Cardiac, GYN, Neuro, Vasc., ENT, OB, and Endo- 1099

180K Max not mentioned, endo only, W2 (the one I mentioned earlier)

I greatly appreciate the comments. I feel like salaries is too often considered a taboo topic in healthcare.

PaSSiNGaS, MSN

261 Posts

Specializes in Nurse Anesthesiology.

Just having an arbitrary number like 30-40k because of 1099 shows you really need to speak with a CPA or another CRNA who has actual experience using a S corp or LLC and all the tax advantages you have.

You do keep going back to money and the salaries so is this the most important thing you are looking for when you finish school? Not that it is bad to be #1 on the list but be cautious when you are wanting the highest paying job you can find.

I have heard that you can subtract 30-40K from 1099 to equal what you'd get comparably get for a W2 which has benefits. Is Gaswork the website most CRNA's find their jobs? When I see the highest listings in SC it goes like this:

Min Max

230K 250K everything besides OB and heads-1099

210K 220K Ortho, ENT, GI, GYN, OB, Urology, Spine, General, and Endoscopy-1099

210K 220K General, Ortho, Uro, Cardiac, GYN, Neuro, Vasc., ENT, OB, and Endo- 1099

180K Max not mentioned, endo only, W2 (the one I mentioned earlier)

I greatly appreciate the comments. I feel like salaries is too often considered a taboo topic in healthcare.

offlabel

1,561 Posts

I have never worked strictly for a GI Center, but I have done a ton of GI cases on ASA 3's and 4's at the hospital I presently work. We do a lot of therapeutics ,e.g., ERCPS, EUS, Push Enteroscopies , Dilations under fluoroscopy,etc. I WOULD RECOMMEND working somewhere doing a lot of sedation cases. You want to feel

Very comfortable managing airways. You also need the laryngoscopy experience in case of an emergency. Hope that helps

At least as important is knowing when the case should not be done at an out patient endoscopy center. Those are as few and far between as dicey airways, but no less critical in recognizing. And that takes practice and experience in a big house.

offlabel

1,561 Posts

Think about it. If you have to intubate someone will you feel comfortable right out of school??

If a CRNA didn't feel comfortable intubating patients on leaving his training program, the program would have had no business letting him graduate. That should be the least of his concerns.

Anesthesia16

8 Posts

Just having an arbitrary number like 30-40k because of 1099 shows you really need to speak with a CPA or another CRNA who has actual experience using a S corp or LLC and all the tax advantages you have.

You do keep going back to money and the salaries so is this the most important thing you are looking for when you finish school? Not that it is bad to be #1 on the list but be cautious when you are wanting the highest paying job you can find.

No it's not the most important thing but you're right I should be cautious :)

Pgcrna222

16 Posts

In order to be good at intubations it takes successfully intimating 100's of patients. I you look at an anesthesiologist clinical experience and a CRNA it doesn't compare. Looks at there numbers like spinals, epidurals, tubes and A lines. They get tons of it.

PaSSiNGaS, MSN

261 Posts

Specializes in Nurse Anesthesiology.

I'm not sure if this is a joke or what. You are very far off with your analogy... not to mention your horrible english skills

In order to be good at intubations it takes successfully intimating 100's of patients. I you look at an anesthesiologist clinical experience and a CRNA it doesn't compare. Looks at there numbers like spinals, epidurals, tubes and A lines. They get tons of it.

Pgcrna222

16 Posts

I don't need to be grammatically correct to get my point across on social media. It's called being tired and autocorrect. Obviously you have no idea. I'm no expert; I have been doing this for ten years so I know a thing or two

allnurses Guide

wtbcrna, MSN, DNP, CRNA

5,125 Posts

Specializes in Anesthesia.
In order to be good at intubations it takes successfully intimating 100's of patients. I you look at an anesthesiologist clinical experience and a CRNA it doesn't compare. Looks at there numbers like spinals, epidurals, tubes and A lines. They get tons of it.

Unless you went to a bare minimum requirements school you will have plenty of intubations, spinals, epidurals, and a lines. My number of cases and along with each of those skills rivaled any anesthesiologist when I graduated.

Besides that everything you mentioned is a technical skill. Intubations takes about 100+ for most people to become proficient, sabs/epidurals take 15 on average to become competent and around 50 to become proficient. I haven't seen the research on number of a lines it takes to become competent and proficient but I would assume it's on par with SABs.

I personally wouldn't recommend going to an endoscopy only job right out of school d/t likelyhood of restricting further anesthesia jobs outside of that niche practice, but any new grad should have the skills to do this upon graduating.

You can verify the research through a pubmed search or read about the research plus discussion on what it takes for SRNAs to become clinically proficient in "A Resource for Nurse Anesthesia Educators, Second Edition".

m1lkofamnesia

240 Posts

Specializes in ICU.

I do not think a new grad should start out in an endo or eye center. Don't stick yourself into an endo hole right out of the gate. I don't believe you truly master your anesthesia skills until you've been working on your own (not as a student with a CRNA hovering nearby) for a year or two.

I'm just gonna leave this here as an example of what can happen when you're not intubating patients on a regular basis.

Co-Defendant CRNA Denies Responsibility for Failed Resuscitation - OMIC

"The CRNA admitted that he had not performed an intubation in the five years preceding this case"

Anesthesia16

8 Posts

I do not think a new grad should start out in an endo or eye center. Don't stick yourself into an endo hole right out of the gate. I don't believe you truly master your anesthesia skills until you've been working on your own (not as a student with a CRNA hovering nearby) for a year or two.

I'm just gonna leave this here as an example of what can happen when you're not intubating patients on a regular basis.

Co-Defendant CRNA Denies Responsibility for Failed Resuscitation - OMIC

"The CRNA admitted that he had not performed an intubation in the five years preceding this case"

I think the issue with that instance wasn't the fact that they started out in endo as a new grad or not, but the fact that they hadn't performed an intubation in 5 years and stupidly (if the story is true) didn't care that there was no color change on the co2 monitor. Even if I did start out in endo, i'd still like to work part time somewhere else doing intubation to KEEP that skill. Any skill can be lost after 5 years of not doing it. I remember when I worked in ICU, I heard an old timer Resp Therapist make fun of how the pulmonologists used the glido scope so often, which is also seems like something the CRNA's should have in the endo center, just in case.

subee, MSN, CRNA

1 Article; 5,430 Posts

Specializes in CRNA, Finally retired.

Endoscopy is no place for beginners. GI's constantly make bad decisions about suitability of cases as outpatients and have to respect your decision to abort the case. Your airway skills must be top drawer...not beginner status. It's where we go before retirement; not starting out:) I did 13 to 19 cases a shift and you must make quick decisions on those tired little feet! I had 36 years of experience.

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