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ptier_MNMurse

ptier_MNMurse BSN, RN

CVICU, ED, TSICU, PICU, EMS

TNCC, CCRN, Firefighter, EMT, ED, PICU, SICU, CVICU

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  1. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    Just came in the mail. Dated for 6/6 but I received it on 6/11. No email and no change to application profile.
  2. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    Nope. I think that has been pretty variable whether it changes or not in previous years.
  3. ptier_MNMurse

    CRNA Applications

    It depends on the school. Some schools require that in order to replace a grade you need to retake the same class at the same institution, while others substitute the grade with a similar course. Your GPA and certifications look good. Maybe work on the overall GPA but the math/science seem fine. The GRE would be helpful, and scoring a 300+ would look good. You have the minimum experience for ICU. Often, schools seem to like people with 3-5 years experience. Do you work SICU at the level 1? I would definitely apply as even if you don’t get in, reapplicants are appreciated per the schools I am applying to (shows commitment and dedication to becoming a CRNA). It often comes down to what the applicant pool looks like though. You could be very qualified and still not get in because other people are better qualified. apply, keep you chin up, be patient and good luck!
  4. ptier_MNMurse

    Continuing Education/Career Development Question

    I think your attitude is awesome! Never stop learning for the rest of your life. My grandfather is a surgeon and still travels for conferences and learns new things, and the man is 80 years old! I always tell myself that if he can still learn something new so can I. It keeps your mind sharp and enhances your critical thinking and patient care. Do not lose this fervor for learning! I think the "why bother" reaction is from people who have gotten set in their way, or know what works for them and don't care to enhance their practice. This is the wrong attitude to have, especially for patient care. If we are to deliver the best care to the people we care for, we should be up to date on best practices. This however, is often challenging to implement, given this pushback. The other factor in why you might be getting pushback is your experience. While you have 7 years as an ED tech (I am assuming), and 1 year as a nurse, your nursing experience might be a credibility factor. I know this can be frustrating to hear, and while it may or may not be a true factor in your knowledge, it may be a perceived factor amongst your peers. A senior nurse being told "the latest and greatest" in medicine from someone with one year experience in nursing may not be taken well. I think the best thing to do would be to continue to grow your knowledge base and be a resource for people when something comes up! Keep your chin up and your mind open to learning new things.
  5. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    I think you can always start a new application. Are you referring to the blue "start new" button on the applicant dashboard? If so I think that is always there! Wishing you the best! What does yours say?
  6. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    mine still says under review
  7. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    Got it! I guess we will have to wait and see. Also, congratulations!! It is awesome you got in! I am happy for you! (I take it you are attending that is?)
  8. ptier_MNMurse

    CMC Certification

    I took Nicole Kupchick’s CCRN class and thought it was very helpful for the CCRN exam. I studied from the practice test book and after studying that for a few weeks, I thought the test was quite easy. I cannot speak specifically to her CMC material but she lays things out simply and impactfully in her CCRN material. Having spoken with her I know she takes a lot of time tweaking her questions and material and I think she does a good job with her material.
  9. ptier_MNMurse

    PICU to adult ICU as a traveler

    I think you would be ok! I transitioned from PICU/peds CVICU to adult SICU and then adult CVICU. Honestly, while they have different problems, PEDS seems more particular to me still. I found that having that specific knowledge base in the PEDS world was helpful for me in being particular for my adult patients. PEDS are more sensitive/have less reserve, but adults generally have a higher number of concurrent disease states. You will probably have to make some adjustments, but you should be fine (in my opinion).
  10. ptier_MNMurse

    Should I accept this job offer?

    In my facility we only have 1:1 or 1:2. The 1:3 ratio sounds like an Intermediate Care Unit. It could just be the acuity of the unit though? I would ask more about this, but a 1:3 assignment in a high acuity unit sounds like it would be an unsafe nurse:patient ratio.
  11. ptier_MNMurse

    Confusion about changes in program requirements

    "The Council on Accreditation of Nurse Anesthesia Educational Programs (COA) requires that all students matriculating into a nurse anesthesia educational program on January 1, 2022 or thereafter be enrolled in a program approved by the COA to award a practice doctoral degree." (http://www2.smumn.edu/deptpages/~NAP/pages/apply.html) You would have to enroll in a DNP/DNAP program for CRNA. This just means they no longer offer the Masters of Science in Nursing with a focus in anesthesia. Often it also means they just add on additional coursework to the MSN program to make it a DNP program, effectively lengthening the program (average length for a masters program: 24-28 months, average length for a DNP program 36-42 months). So it adds on a little time, but not that much with perspective on the rest of your career. Also the DNP/DNAP requires a DNP project whereas the MSN requires a masters thesis. I can't speak much to comparing these, having never done either, but both are research heavy. Honestly, the DNP/DNAP route sounds awesome and I am really excited for it! I thought at first the MSN would really be all I want, as this is all you would really need to practice. But being able to teach way down the line with the DNP, as well as the higher professional level of education, I believe would foster deeper respect for the profession as it continues to make advancements in practice. The CRNA role is constantly developing and I think attaining the higher level of education is awesome!
  12. ptier_MNMurse

    Saint Mary's CRNA Program 2020

    Welcome to June! I wish I knew where they were with applications too! But I feel like the longer we wait to hear the better?
  13. ptier_MNMurse

    Science GPA and retaking classes versus Grad level courses

    I would read up on the requirements and prerequisites the schools you are looking at have for admission. Often times schools state a minimum cumulative GPA, but due anesthesia's math and science heavy component, they also take into account your math/science GPA. This generally includes the hard sciences along with your math courses. So biology WOULD be included. Check with the school if retaking a class at a different institution will replace the grade or just add to your gpa. The school I am applying to requires that in order to replace the grade, you need to retake the same class at the same institution. Your math/science GPA could use some work. The minimum math/science GPA for the school I am currently applying to is a 3.1-3.3, however many admitted students have higher GPA's than that. I would suggest taking some graduate level coursework (patho, pharm, stats, etc.). This can boost your math/science GPA and prove you can succeed at the graduate level. I had a similar story with studying engineering before I got into nursing, and had to retake a bunch of classes. So, I know where you are coming from. It is a lot of extra work but it is worth it! I would apply either way though! You never know what the applicant pool is going to look like any given time. Good luck!
  14. ptier_MNMurse

    Crna jobs

    This is awesome to hear! I have seen the advanced pain management and acute surgical pain management fellowship programs on the AANA website and I think these would be awesome programs! https://www.aana.com/ce-education/pain-management/advanced-pain-management-fellowship-program https://www.aana.com/ce-education/pain-management/acute-surgical-pain-management-fellowship I also liked the resource you mentioned from the HHS Pain Management Best Practices Inter-Agency Task Force. I think you were referencing section "3.3.3. Workforce" when speaking of it (draft report attached below). I would be excited to see the nurse anesthesia profession grow in this role. https://www.hhs.gov/ash/advisory-committees/pain/reports/2018-12-draft-report-on-updates-gaps-inconsistencies-recommendations/index.html#3.3.3-workforce I have seen CRNA's putting in epidurals and performing axillary nerve root blocks and other things of that nature. The regional anesthesia and pain services team at my hospital seems to be comprised of MDA's and I got to talk with them about pain management services. They mentioned that pain management services is expanding, but seemed hesitant when I asked them about the CRNA's role in this setting. I am just wondering your or anyone else's opinion on this? Is there push back/tension from MDA's? How is that expanding currently? If CRNA's are functioning within these roles, is it in more rural settings or are they able to practice in more urban environments? Not trying to stir the pot, I am just interested to see where things are going! I hope this is not too far off the OP's post, but I thought it seemed applicable.
  15. ptier_MNMurse

    Pedal pulses and posterior tibial

    Yeah, I agree it can sometimes be a little tedious. The popliteal artery bifurcates just below the knee into the anterior and posterior tibial arteries (also the peroneal/fibular artery) and the anterior eventually becomes the dorsalis pedis. So you have two primary branches that may have some collateralization, but that's why we check both. Interesting that you bring this up as we don't check ulnar pulses, though the ulnar artery provides a majority of the hands perfusion. So why we don't check and document on this is also interesting.
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