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Reminisce 4,153 Views

Joined: Nov 8, '09; Posts: 84 (24% Liked) ; Likes: 49

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  • Jun 20 '10

    i sooo understand.

    i tire of always being told i look like a b*tch.
    it's lonely at the top.


  • Jun 17 '10

    While I have not had the easiest life overall (not so great family), I have had a wonderful, highly fulfilling career, for which I am profoundly grateful. I can honestly say that I am one of the few people who got into exactly the right field at a young age, and have enjoyed almost all of the journey along the way. I LOVE nursing, and while it is truly hard work and is never easy, it has given me plenty of rewards and memorable moments. It give you a very different perspective on the meaning of birth, life, death, suffering, and the connections between and among people. I can remember the names of people I cared for 40 years ago, and I know without a doubt that I have made a difference in the lives of many, many people. How many peole in the business world can say that?

    I have have had the honor of working with dozens of wonderful human beings (AKA many nurses and physicians) who give of themselves to help others, even when they could choose to do something easier. Those nurses are there on Christams eve, 4th of July, and on a beautiful summer Sunday while their family is at a picnic, most of the time without complaint. They know how to laugh, how cry, how to care, and how to be fully human. They are almost always decent people who you can count on in a crunch, and my life would be poorer if I had never met many of them.

    Another things I like about nursing are that it is never, ever boring. Your patients will either get better or worse, but I doubt they will stay the same from day to day. You will never, ever have the same day for two days in a row. And, if you get sick of or bored with one area, you can easily move to a new area and learn new skills or take on other challenges.

    I like being part of a team, but I also value the independence you have to decide for yourself how you will organize and carry out your assignment. You are both part of a team, but are also fairly autonomous.

    Because your nursing education and the thinking/problem solving skills you acquired when you learn the nursing process equip you to do just that (solve problems), nurses are flexible and able to "fit" into many, many roles. I have heard us described as "the building blocks of the HC system". That is why the number of jobs for well educated BSN nurses keeps growing. In the past 30 years, these are just a few of the nursing roles that have emerged: Diabetes educator, wound care, hospice, lactation consultant, nurse informatics, discharge planner, case manager, research liason nurse, infection control, and more.

    See why I feel so lucky?

    Career path: Nurses aide at age 19, LPN at age 21, worked ortho, ER, general and oral surgery. My own childbearing experiences got me interested in OB, talked my way into a transfer to PP. Just missed being laid off in the early to mid 1980s, was transferred to high risk OB (with no orientation). Went back to school while working full-time, got an ADN, then BSN. Five months before graduating with an ADN, I was transferred to L&D, which was by far, my favorite staff nurse job ever. Became a very scucessful lcatation consultant, which moved me out of L&D, which I missed terribly. Had an opportuity to go the midwifery school, and took it. Practiced as a CNM for 10 years, loved what I did, but worked for an exploitative employer and got burned out.

    Took a part-time teaching job and found it both much more manageable with lower salary but way better benefits and a chance to save $$ for retirement. I also really like it; the student keep you sharp, and help me feel young(er). Turned out to be good at it, am now full-time and enjoy the cahllenges of constantly improving, learning to develop good simulations, etc. I am looking into DNP programs, and will (if I stay health) spend the next 12 years teaching, then retire at age 70. After that, I think I will volunteer, and would like to spend some time in either the Peace Corps or Doctors without Borders, so I can give back.

    Quite a long and winding road, but a beautiful trip along the way.

  • Jun 16 '10

    I agree with the "don't hesitate to be a PITA" if things aren't right. However, also know that no one is ever going to be good enough for your mother.

    Best wishes. She's lucky you're there for her and I'm sorry you're going through this.

  • Jun 16 '10

    My mom died of pulmonary fibrosis ... so, I can imagine quite vividly what you and your mom may be going through.

    While I think my mother got very good care overall, the one thing I regret was not speaking up on her behalf earlier in her disease. I wish I had been more agressive about a few things than I was.

    Based on that experience ... the best advice I can give you "Don't hesitate to be a PITA if that's what it's going to take."

    I wish you and your mom all the best ...

    As for your "Why?" question ... I believe there has been a general lowering of standards that includes nursing schools, the hospital admins. who don't provide the nurses with what they need to do a good job, some nurses themselves, and just about everyone else. People are just not as keen on quality anymore -- unless they are the recipient. That's sad.


  • Jun 16 '10

    Quote from Reminisce
    is ICU where the majority of the death happens?
    Hospice is the nursing specialty where the majority of patient deaths take place. After all, hospice patients are very sick, have terminal prognoses, and are typically given less than six months to live.

  • Jun 16 '10

    Roughly 1/3 of ICU patients die, 1/3 have lasting effects from their illness and 1/3 make a complete recovery.

  • Jun 15 '10

    Quote from Reminisce
    This might be a dumb question to most of you who are nurses already, keep in mind I am 18 and curious, is there a lot of death in the ICU? is ICU where the majority of the death happens?
    [FONT="Lucida Sans Unicode"]I don't know where the majority of death happens. It depends on the patient population and the institution. The ICU patients are the sickest, so they are technically the most likely to die. However, some patients are terminally ill but are not in ICUs because ICU treatment isn't indicated.

    I'd say hospice has the highest percentage of patient demise. But that's a different subject altogether!

  • Jun 15 '10

    Took and PASSED my board exam on Friday........woohooo!!!! I can finally change my SRNA to CRNA

  • Jun 15 '10

    This makes for such fascinating reading.
    Is it the nature of private healthcare that has some patients think it's ok to be aggressive/abusive/sexually inappropriate?
    Is it the nature of private healthcare that has you all believe that when patients are aggressive/abusive/sexually inappropriate it's just part of the job?
    Do your managers not get involved in dealing with such patients?
    Here in the UK, the NHS operates a Zero Tolerance policy to all forms of violent, aggressive, abusive and sexually inappropriate behaviour towards all staff, patients and visitors. There are posters and leaflets everywhere in all the Trusts.
    If someone is abusive (for no medical reason), they are issued with a first and final warning so if they do it again, they are escorted off hospital premises by security or their care is transferred to another hospital - END OF!
    It's good, it protects everyone and because it's policy, if your management or the Trust as a whole does not act accordingly to protect your rights, you have the law on your side.
    I think it's sickening, Saiderap, that instead of supporting each other in trying to deal with difficult patients, colleagues are instead are trying to forcibly offload their responsibilities onto others. It says a lot about your team dynamics. Something needs to be done about that.

  • Jun 15 '10

    Quote from RN1980
    all this is mute. private insurance rates will soon be so astronomical that nobody will be able to aford them and will have to switch over to obamacare for financial survival. this mean a reduced reimbursement for both hospital employed anesthesia providers and private practice doc's. i fully agree with paindocs rationale for only accepting cases that will reimburse the most, pure basic economics. but in future yrs his base patients that historically was covered with private insurance will have swapped over to cheaper obamacare and daily schedule may look like 90% obamacare and 3% private and 7% uncovered. obamacare, bad for you and bad for me.
    I think I will listen to the AANA one of the most powerful anesthesia organizations in the country which is not predicting a cut in pay or a dramatic increase in private insurance rates. You may want to look a some neutral assessments on healthcare before spouting pure speculations on here.

  • Jun 13 '10

    Quote from Pose
    I can't believe half of this. An MD is better than a DO, a PhD is better than an MD, a DNP is equal to an MD, so is a DO below an RN, and a PhD above a DNP?

    I'm sorry to say, that depending on what your graduate degree is in, it may or may not be more intellectually stimulating than ____. Have you handled the basic sciences of medical school? Have these "my MD is inferior to your PhD" handled the science-oriented graduate work? Have you? Did these PhD seekers attend the program in order to apply their science in a clinical field?

    And lastly, where do you believe this is all going?
    Initially, I was not going to reply to this post -- wanting to let the thread die a natural death. However, the poster is a new member, asking a legitimate question in a reasonable way. So .... personally ...

    1. I hope that eventually the different academic disciplines will clarify their programs and come to a concensus about the criteria for the various degrees they offer. That will reduce the confusion and game-playing that so often goes on now.

    2. I would like nursing to come to establish 2 doctoral level degrees. The traditional PhD focusing on knowledge development (i.e. research and theory) and a practice degree (DNS? DNP? whatever) that focuses on advanced clinical practice and/or the application of knowledge. Some disciplines have clearly done this and I applaud their good sense.

    3. I hope that the establishment of similar (but not necessarily identical) academic standards for doctoral education would lead to an improvement in the relationships between the different disciplines and degree holders. We could all treat each other as equals -- each respecting the expertise and accomplishments of one another.

    And ... BTW Pose ... the "hard sciences" are no more difficult to master than the social sciences, the humanities, or the arts. They are just different. The flexibility they require and ability to work with ambiguity make them very difficult to grasp and to work with. That's why so many people "do them badly." The fact that some people do them badly does not make those who become experts in them any less worthy of respect any more than the fact that some people are bad at the hard sciences make truly expert scientists less worthy of respect.


  • Jun 13 '10

    It seems to me that some of the posters in this thread have some "self esteem issues" when it comes to the profession of nursing -- and are putting physicians on a pedastal they do not deserve.

    It is wrong to put physicians on a pedastal and it is wrong to encourage the general public to do so. Other disciplines have much to offer and should not be shoved aside or diminished by encouraging a glorification of the medical profession over all others. We should be educating the public about the value of the other professions, not perpetuating any existing misunderstandings or illusions about the absolute supremacy of medicine.

    As I have said before, I introduce myself using my first and last name -- rarely using any title and always identifying myself as a nurse. But my PhD outranks an MD in the world of academic degrees and I have earned the title of "Doctor" with 7 years of full time graduate education plus many years of practice. In case you didn't notice, I have spent more years in school than most physicians.

    I have earned the title of "Dr." and will use it when I choose to use a title. Those who don't want nursing (or other disciplines) to be given the respect and public acknowledgement we have earned should get over their desire to worship physicians. It's insulting to those of us who have done the work to earn other doctoral degrees.

    Physicians chose to use the title of Dr. back when it was an elevation for them to be called the same thing as college professors with PhD's. Historically, their education was less and the "Dr." title was a way for them to be elevated in the public eye. They should not now try to kick the PhD's down by stripping the title they appropriated from them in the first place. If they want a title that is exclusively their's, they should either use the title "physician" or make up another title -- not kick the original "owners" of that title out of the club.


  • Jun 13 '10

    Quote from texas-rn-fnp
    I see most people who have a doctorate refer to themselves as Dr... I understand this is technically correct, but frequently misleading to other people. I am against using it except for physicians since it creates confusion. Perhaps there should be a better or different terminology.
    If there is a need for additional terminology, then the physicians should be the ones who change -- or at least make some gesture of concilliation toward the PhD's. The PhD's were "here first" and have the higher ranking academic degree. The phyisicians' use of that designation is a relatively recent development in the course of history.

    It's just downright wrong to place physicians on a pedastal like that.

    If patients become confused ... we all have an obligation to educate them by explaining our role in their care. That includes physicians. Nurses (and others with PhD's and other legitimate doctorates) shouldn't have to take a back seat.


  • Jun 12 '10

    certified registered nurse anesthetists (crnas) at a glance

    nurse anesthetists have been providing anesthesia care to patients in the united states for nearly 150 years. crnas administer approximately 30 million anesthetics to patients in the united states each year.

    what is the role of an individual crna?

    a crna takes care of a patient’s anesthesia needs before, during and after surgery or the delivery of a baby by:

    • performing a physical assessment
    • participating in preoperative teaching
    • preparing for anesthetic management
    • administering anesthesia to keep the patient pain free
    • maintaining anesthesia intraoperatively
    • overseeing recovery from anesthesia
    • following the patient’s postoperative course from recovery room to patient care unit.
    the credential crna (certified registered nurse anesthetist) came into existence in 1956. crnas are anesthesia professionals who safely administer approximately 30 million anesthetics to patients each year in the united states, according to the american association of nurse anesthetists' (aana) 2007 practice profile survey.

    crnas are the primary anesthesia providers in rural america, enabling healthcare facilities in these medically underserved areas to offer obstetrical, surgical, and trauma stabilization services. in some states, crnas are the sole providers in nearly 100 percent of the rural hospitals.
    according to a 1999 report from the institute of medicine, anesthesia care is nearly 50 times safer than it was in the early 1980s. numerous outcomes studies have demonstrated that there is no difference in the quality of care provided by crnas and their physician counterparts.*

    crnas provide anesthesia in collaboration with surgeons, anesthesiologists, dentists, podiatrists, and other qualified healthcare professionals. when anesthesia is administered by a nurse anesthetist, it is recognized as the practice of nursing; when administered by an anesthesiologist, it is recognized as the practice of medicine. regardless of whether their educational background is in nursing or medicine, all anesthesia professionals give anesthesia the same way.

    as advanced practice nurses, crnas practice with a high degree of autonomy and professional respect. they carry a heavy load of responsibility and are compensated accordingly.
    crnas practice in every setting in which anesthesia is delivered: traditional hospital surgical suites and obstetrical delivery rooms; critical access hospitals; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, plastic surgeons, and pain management specialists; and u.s. military, public health services, and department of veterans affairs healthcare facilities.

    nurse anesthetists have been the main providers of anesthesia care to u.s. military men and women on the front lines since wwi, including the conflict in iraq. nurses first provided anesthesia to wounded soldiers during the civil war.

    a specific list of crna functions and practice parameters is detailed in the aana scope and standards for nurse anesthesia practice .


    further info: compiled 12/2/2002 by kmchugh crna

    what are the prerequisites for crna?

    first, you must be a registered nurse, and you must have a bachelor’s degree. not all programs require a bsn. in many cases, being an rn with an unrelated bachelor’s degree is sufficient for admission. check with programs where you intend to apply for this information.

    next, most schools require an undergraduate degree gpa of 3.0 or higher. if your gpa is below this, check with the school that granted your degree about the possibility of taking more classes, or retaking classes to raise your gpa.

    most programs will look at applicants’ gpa from a few different angles. the first consideration is the overall gpa, which must be at least greater than 3.0. next, the applications committee will consider grades applicants received in the science courses, such as chemistry, microbiology, etc. finally, the committee will look at grades received in nursing school. there is a lesson in this. if you have a 3.5 gpa, but your science and/or nursing school grades are lower grades, this may hurt you.

    many schools will require you to take the graduate record examination (gre), and will have a requirement for a minimum score on this test. the test is administered at most sylvan learning centers. there are a number of books and computer programs available to prepare you to take this test. taking the test “cold” is probably not a good idea. you can retake it if you do poorly, but both scores will be reported to schools where you are applying. also, the test is fairly expensive, so if you can avoid taking it twice, you should.

    nearly all schools require one year of experience in an icu before an applicant will be admitted to the program. most will not accept er, or, or other experience (though a few programs are a bit more lenient). there is a good reason for this requirement. you will need experience with vasoactive drips, ventilators, and other things that you can only get in an icu. larger hospital icu’s are generally preferable to smaller ones.

    many students wonder whether one year’s experience is sufficient. generally, the answer is yes. however, some may feel more comfortable applying after two or three years experience in an icu. the bottom line is one year meets the requirement. after that, it is up to the prospective student to decide when they feel comfortable.


    how do i apply for a crna program?

    application requirements vary from program to program, so for specific information check with the schools where you intend to apply. you will have to do this in any event, as you will need an application packet from the school.

    generally speaking, you will first have to send in a “paper” application that the school will send you. there will usually be a required non-refundable application fee that must be sent in with your application. check carefully that you meet the requirements of the school before sending in your application. if you do not, you will probably have wasted your application fee.

    some applicants consider sending out applications in “shotgun” fashion, sending out as many applications to as many schools as they can afford. this is not a good idea. beyond being expensive, scheduling interviews at all these different schools can become a real headache. it is better to pick out two or three schools that most interest you, and apply to those schools.

    once the application deadline has passed, the school will go over all the applications, and will select a certain number of applicants for interview. those applicants will travel to the school at their own expense for a face to face interview with the program director and the admissions committee. these interviews can be stressful. see the next question for more information on interviews.


    how do i prepare for my interview?

    admission to anesthesia school is highly competitive. if you have reached the interview phase, you have passed a major hurdle, but you are not at your goal yet. most schools will interview something like two to three applicants for each available seat. you will want to avoid giving the selection committee a solid reason to choose someone else over you.

    -be on time! if you are late, even if the committee waits for you, you have given yourself a black mark that may be impossible to overcome.
    -wear conservative business attire, such as a suit or conservative dress, to your interview.
    -insofar as possible, be relaxed during your interview. the committee will expect nervousness, but if it makes you incoherent, that’s a pretty good sign you don’t handle stress well.

    it is impossible to predict what kinds of questions the application committee will ask, but be prepared for certain “stock” questions:

    -why do you want to be a crna?
    -what do you know about what a crna does?
    -what have you done to ensure you really want to do anesthesia?
    -what steps have you taken to prepare to get through school (generally, though not always, a financial question)?
    -also, most interviews include a question or two on vasoactive drips (i.e. dopamine, nitroglycerine versus nitroprusside), or some other aspect of nursing you should have learned working in an icu.

    be prepared for questions to which you don’t know the answer. most interviews will try to find such questions, to discover how you handle that situation. when these questions arise, don’t waffle or try to “bs” your way through. stay composed, and admit you do not know the answer.

    one other note: every school has its criteria in looking for students. it cannot hurt you to contact the directors of the programs you are considering and asking them what you can do to make yourself a more attractive student. admission to crna programs is very competitive. give yourself every advantage.


    where are schools that have a crna program?

    the american association of nurse anesthetists maintains a website with a link to all schools currently accredited by the council on accreditation. this site can be found at: accredited nurse anesthesia programs


    what are the “best” crna programs?

    there is no “ranking” of schools. the term “best” has little meaning, because it means different things to different people. rather than worrying about finding the “best” school, it is probably better to find a school that is the “best” fit for you. in your considerations, you should include geographical location (is the school close by, or in an area you are willing to relocate to), length of schooling, and program cost. if a school is accredited, it will provide you with the education needed to pass the certification exam and become a crna.


    what are the differences between crna schools?

    as mentioned above, schools offer a variety of different options. length of school varies from 24 months to 36 months. some schools grant masters of nursing (which require some core nursing classes, such as nursing theory) degrees, while many others grant masters of nurse anesthesia degrees, which are not strictly speaking “nursing” degrees. while there are a certain number of core clinical experiences all students must get, clinical experiences vary as well. at some schools, clinical is slowly phased in while in didactic education, while in other schools, the didactic education is “front loaded.” some schools have clinical education in the same area as the school location, while others offer clinical education at “satellite” locations. the point is there are a number of different options that must be considered when selecting a school.


    can i work during school?

    generally, the safe answer is no. nearly all crna programs are full time programs that require an enormous amount of study time to be successful. some students manage to work on a prn basis, but are very limited in the actual number of hours they work. working full time while attending a crna program is nearly impossible. not to worry; see “how do i finance crna school?”


    how do i finance crna schooling?

    many of the same government no interest and low interest loans for undergraduates are available to graduate students. additionally, there are a number of companies that offer loans to students in medically related fields. these loans may all be used to pay for tuition, books, and other school related expenses. these loans may also be used for day-to-day living expenses. most crna’s graduate programs with what seems like a pretty heavy debt load, but remember, a crna will earn two to three times the annual salary of a staff nurse. provided you don’t go overboard, the debts are easily managed.


    how much does a crna earn?

    this varies based on location and time. crna salaries are constantly changing, so exact figures are difficult to give. it is safe to say that at the time this was written, salaries for new graduate crna’s ranged from $90,000 to $140,000, plus benefits. many anesthesia groups and hospitals, in addition to this salary, offer overtime pay for any hours worked over 40 hours per week.

    a word about benefits: for crna’s, benefits may be quite substantial compared to what a staff nurse receives. they may include education loan repayment options, full health and dental care for the crna and his/her family, retirement packages, malpractice insurance, life insurance, and others. in considering contracts, benefits should play a major role in your decision. when they are included into the salary package, they can increase your actual income substantially.


    when should i sign a contract?

    you may be presented with some different options after being accepted to a crna program. some hospitals and anesthesia groups may offer you a contract as soon as your are accepted to a program. these contracts usually will include some benefit to the student while s/he is in school, such as a stipend or help with loans. there are rare groups that even offer contracts that pay for tuition and books while you are in school. none of these contracts are without strings, of course. these contracts will include a clause that requires you to work for the contracting hospital or anesthesia group for a set period of time, usually at least two years. therefore, it would be to your benefit to know as much as possible about the hospital or group before signing the contract. ask questions about hours required, call time, pay, etc. see the next question for more information.


    what should i consider if i am considering signing a contract before finishing school?

    there are a number of factors that you must factor in when considering a contract, especially if you have not finished a crna program.

    -salary: check out other anesthesia groups in the area. is the salary competitive? some places may offer contracts that are competitive at the time you sign the contract, but by the time you begin to work, the agreed upon salary may be well below what the local market has risen to. some contracts will have a clause that covers this eventuality.

    -benefits: these could include, but may not be limited to, health and dental insurance coverage for you and your family; retirement packages; student loan repayment options; malpractice insurance; overtime pay for overtime work, etc. carefully consider these benefits, as they make a substantial contribution to your annual income. it might not hurt to compare what you are offered with what is offered elsewhere in the community.

    -hours: check with people already working with the group or hospital you are considering. how many hours per week are they averaging? how many hours per week do you want to work?

    -call: many groups and hospitals require crna’s to be on various levels of call. how often will you be on call? are you required to stay in house when on call? is the day after call a normal work day, or are you off on post-call days?

    -location: it may seem stupid, but is the group or hospital offering the contract in an area where you want to live? rest assured, if there are no crna jobs exactly where you want to live, there are probably jobs within about a 30 minute drive of where you want to live.

    -what type of anesthesia does your prospective employer do? there are a number of different ways and places that anesthesia may be done. if peri-partum anesthesia is something you want to do, make sure that the place you are considering does anesthesia in labor and delivery. if you enjoy doing anesthesia for open heart surgery, make sure the group you work for does open heart anesthesia, and allows crna’s to do these anesthetics.

    many prosepctive crna’s do not find out what they really enjoy doing in anesthesia until they have the opportunity to try out different things in school. so, if you sign a contract prior to finishing school, you may find that you enjoy something totally different than what is done where you are going to work. for this reason, many student anesthetists avoid signing contracts until they have been exposed to a number of different environments.


    what are the employment prospects for crna’s?

    in a word, excellent. currently, there is a shortage of crna’s. this shortage is compounded by the fact that the average age of crna’s is rising. crna’s are retiring at a higher rate than the programs that produce crna’s can possibly produce graduates. so, there will be job openings for the foreseeable future, with good prospects for increasing salaries and benefits.

    if you are curious, go to the following site:

    you will be surprised at how many jobs there are, and this is only one site. there are a number of sites out there that help crna’s find employment.

    you can also go to a “headhunter” to find a job. these are people/companies whose sole purpose is to match people with needed skills to jobs that need to be filled. once accepted to a program, you will begin to receive numerous mailers from these companies. one warning: these companies make their money only when a crna is placed in a job. therefore, they will work hard to get you into a position. don’t be afraid to say no, and don’t be afraid to say you want to think about the decision before you sign. generally, these companies are pretty professional. but, remember, the job they have is to sell you on a location.


    where do crna’s work?

    the short answer to this question is that crna’s work in hospital operating rooms, labor and delivery wards, and anywhere there is a need for anesthesia services. in the more urban areas, crna’s generally work for the hospital or the anesthesia groups under the supervision of the anesthesiologist. in more rural areas, there may be no anesthesiologists. in these locations, you will often find an anesthesia group that is owned by crna’s. as a general rule, crna’s at these locations are more independent, and have less back-up available for assistance. new graduate crna’s are often more comfortable working in locations where there is more readily available assistance.

    there are also crna’s who work for travel agencies. these may look attractive at first, since these type positions generally pay considerably more than other positions. the thing is that these positions are straight pay. there are no benefits connected with most of these positions, and you are responsible for your own taxes.


    how many hours does a crna work on average?

    again, this varies with position and employer. in some places, crna’s are offered contracts that guarantee no more than 40 hours a week. some of these places will allow you to work overtime if you want it, but will not require it. in other locations, you may be expected, depending on your position in the call schedule, to stay until cases are finished for the day. in some of these locations, it is not uncommon for crna’s to work 50 to 70 hours a week. these are all avenues that must be carefully explored before you sign a contract.


    what does a crna do?

    crna’s do anesthesia of all types. in school, you will learn about general anesthesia, regional anesthesia, and spinal and epidural anesthesia. you will also spend time performing obstetric anesthesia. you will learn to manage the anesthetized patient with various co-morbid diseases. you will learn skills such as intubation, arterial line placement, central line and swan-ganz catheter placement, spinal anesthesia, and epidural catheter placement.

    in short, you will learn the science and art of anesthesia. what you do after school will depend on your preferences and what is expected of you by your employer.


    other sites for crna information:

    questions and answers: a career in nurse anesthesia

    american assoc. of nurse anesthetists: becoming a crna

    srna web --created for and by the srnas of southern illinois university edwardsville

    each of these sites will also provide links to other sites. there is a wealth of information about nurse anesthesia on the internet.

  • Jun 12 '10

    OP, there is no need for you to do more than you need to with this person. Spend as much time as possible being away. Study in your room, or away. If you find you can, take a part time job. This will give you more time away and it might even be time you look forward to as a break from school and these people. When someone talks to you or at you there is no need to acknowledge they exist if you don't choose for them to exist in your world.