alansmith52

does anyone out there have a formula or any kind of means to dertermine how what Ill net after taxes and all bennies on a 1099 job for expample job pays 225000 1099 can we translate that into take home after I pay all the crap.. dental, health, malprac, retirement, vac, taxes.. thanks

funny you mention this. there is a huge political struggle at my place of empolyment over this very topic, yes we are exempt which protects our employer from paying us overtime. our work agreement also states that 45 hours is whats expected of us each week. some argue that we are the perfect mix between hourly and salary (Sourly) as they call us now. I submit however that there are many jobs with really the same set up. hourly with an minimum garunte per week. hour employer of course would have us work however whenever for a little as possible. their phyciains of course. :)

agreed, Utah, Nevada and Colorado are exceptions can you imagine how many mormon anesthesiologist there are? where do you think they want to live? aside from being a desirable state to live as Nilepoc stated these guys also have serveral generations of family in utah so the market is bad for us in these few states.

3 days a week as well, one 24 hours shift 07-07 one 8 hour shift 07-1500 one 12 hour shift 07-1900

WOW,, nothing could be further from the truth, whomever is telling you that has some agenda, probably a nursing faculty. I get so many job offers its almost annyoing (I said almost) I have a whole black garbage leaf bag in my closet at home where i toss job offers that come in the mail (just in the mail). I there are plenty of jobs

so , now there telling us that if an SRNA or RRNA same thing right is assigned to a room on their own. that the case becomes a free case, is this true, ????? I knew this job was political but I never thought I would get sucked into it and it would keep me awake at night for the rest of my life CRNA

very helpfull advise, we had a meeting this AM at the chiefs house we had about 10 show. most agree that it isnt so bad that we are ready to leave yet. its the trend we are worried about. we did bang out some of the major points that we are going to try and negotiate with the chair and his henchmen. your assumptions are correct we have a chief but he does not get supported. he is ment to be our sounding board. we work for the university and are assoc. faculty in the school of medicine. it has been made clear that we owe them no time. made clear by them. "do what you have to do but we have to do this". still holing on alansmith52

Well some of you might remember me. I come back to you now in desperation, dissatisfaction and a huge ulcer in my stomach. Ill try to make a long story short. basically I took a job at the hospital I did my residency at. its a medical residency department that has a contract with the hospital. a "health science center". all the CRNA's have the same deal. 168 k w2 the kicker is there was no contract which at the time I was told and felt like was good and bad. we got sign on bonuses without having a minmum time contract if you follow. we did expect to work SOME call and were promised 85$/hour for every hour over 45 in a week. So. all we have in writting is this 168k for 45 hour week period. well myself and other new grad class mates recurited our personal friends and within 6 months have taken a department with two crna's to 16 CRNA's. After all have moved and settled in. the department has started to tighten the screws on us each week we are confronted with a new requirement for example our scheduling changed so we have less controle over it, the demand of having two CRNA's in house every saturday, yesterday they had a meeting to tell us we would now have to cover all the holidays despite the fact that this department has 12 medical residents and 15 RRNA's the dep. chair says that the dep is not profitable and these demands come by way of the hospital. I don't know if I belive all that. anyway it is very depressing that here 16 CRNA's just moved their families, bought houses ect. the game is being changed. YOGA I wish you were here. I wish we could all just quit and leave them in the the lurch, what to do, what to do, oh what a world, what a world. any ideas alansmith52 PM me and ill tell you a great place to avoid working

we jokingly call it mivamove, but use it from time to time anyway. including RSI: heres my explanation if anyone cares. in my mind I do RSI for one of two reasons one umbrella is the full stomach umbrella, i.e. gerd, diabetes, pregancy ect. the other situation is AIRWAY if I have a difficult airway. lets take a big fat guy with no chin who i also my think may have extrajuctional receptors or a K of 5.7. i want to intubate but on the off chance i cant ventilate or intubate i pray he will breath on his own soon right? I dont want sux for the k issue. and i dont really want to use roc either cuz its gonna be too long before he breaths. I say miv is an option. you might argue if i have all these conditions i might opt for fiber optic or awake fiber optic or awake look, which i would probably do but hey we are talkiing about RSI right. any way that is when i have used it and i havn't actually had a situation that i could not intubate or ventilate to test the theory that miv would ware off fast enough for the pt to breath spontaneously so its unproven at best. word.

who would have thought I would have ever made it this far. don't know everything yet. and it makes me nervous. I am nervous about the boards. I have had a good residency here at Texas tech and for now I will plan on staying here to work for a little while. thanks to all who have contributed to this database/ a wealth of knowledge.

this isn't my genra but I have always thought Heat was reliable enough. hot water on the hands should kill or maim I would think.

I wanna strip my wifes membranes. I will do it sterily so please spare me the dialouge. can someone simply explain it.

my class has one. i set it up on myfamily.com. 120 strong us each have our individual passwords. we share stories, anesthesia recieptes pictures.. ect.. unfortuantly it is private sorry but its an idea for you. I think we pay 30 dollars a year/

I wish we didn't have so many nay sayers within our own ranks. It doesnt' help our cause. as far as widing the gap between doctors and nurses.. so be it. I say I dont wanna to cozy up to any of them anyway. true competitors can not be friends, allies, teamates or colluges. and so it is with us and them. they may be nice to your face. but that is only to kill you with kindness. remeber who you are and what you stand for.

well shiver me timbers. gasp, shock, must have clarity.. you are a CRNA teaching AA's yes????

I had a hard time sitting through two more hours of lecture at web ct speed, I enjoyed recording the lectures and then playing them back to myself double time. just a little somthing.

you mean stand up to the medical mofia in washington.. tommy thompson.

as much as you would love to buy a pda right now i would wait untill clinicals.. I think a laptop is good and a digital voice recorder is a must. its true lecture will be aviable to watch on line you still have to go to class. :)

It's good to see its possible. he craig: on my way to tuscon for a clinical rotation I had to leave my broken down car in your home state. NM.. I think it has been towed to almogordo..lol the good news is toyota is gonna put a brand new engine in for free.. congrats man, enjoy your vacation. I am counting the days.. let see. well less then 300. matt

Texas wesleyan is not housed in a nursing department i belive my degree in masters science Anesthsia does that sound right? but i understand what your saying, our potential doctorate simply wont be in nursing it will be somthing else if I understand right??? I wonder how long it will take if we decide to go back for it

I like your reply lois. here is my question. my program, is not a nursing prgram perse. the degree is "masters science nursing" how will this change effect me? am I gonna have to go back to school and do all this over???? obviously not but I am sure not Having a nursing degree will have some ramafication.?

I would be more difficult to do my job without one. whey do act as gofer but they also set up my room between cases which cuts down our turn over time dramaticaly. they also set up art lines and central lines. pretty much anything an anethsetist needs help with. I know at another institution they get the patien in the room, start art lines put the pateint on monitors and then call the CRNA to come and induce. they are a great help and I am quite spoiled I hear by ours. kudos to the techs.

I just noticed how well my apex compared to base ventilation bate and catch worked. the simple mind thinks of the V/Q ration right away? now if i could just teach one of my attendings about how ventilation favors the more distensible base. (or more dependant lung) lol tee heee

I just noticed how well my apex compared to base ventilation bate and catch worked. the simple mind thinks of the V/Q ration right away? now if i could just teach one of my attendings about how ventilation favors the more distensible base. (or more dependant lung) lol tee heee

this puts a name on what I 've been thinking about. I just couldn't fomulate what I see going on with the CA1's that I work with. Iam making a top 10 list of funny things I hear attendings say. here are a few. 1. the apex gets far more ventilation that the base (my personal favorite) 2. "oh oh, wait I see a buble in the line we got get that out so we don't give an air embolism. 3. whenever you attach a needle to a syringe don't touch this part (pointing to the threads) with your finger" 4. "desflurane step change? I ve never heard of such a thing" anyway its a work in progress, I am gonna make T shirts and don't argure about the apex deal. we where talking about an upright sv patient.