MorgantonCRNA

You asked if you should tell your current boss... yes be honest.

As others have said, you will receive a list of questions to ask and instructions to give.

I wonder: do you work in the OR? It sounds like you do. Do you have MDAs in your OR, I do not and I rely very heavily on my circulator. I let them intubate, they push drugs, etc etc. I really have to have a competent circulator in the OR. My circulators are ex-ICU nurses and they are they best on the planet!!!

Historically, nursing has been seen by the public as the most honest, trustworthy profession: Uphold those standards, please.

I did not read through all the comments. 1. Shadow a CRNA for a few days and see what they do. 2. You reasons for wanting to be a CRNA, make me want to suggest a different career field.

Losing your license takes a good amount of hard work. You will be ok. Get out of this situation ASAP and get into a NURSING job. New grad in the OR: arrrgghhh!!!!!! This comment is too late for you, OP, the damage is done, but maybe some other new/soon to be grad will read this. A new grad HAS NO BUSINESS is the OR. A new grad does not have the skill set to help me in an emergency (the circulator is my right hand (wo)man. In an emergency, it is just me and you!) A new grad will learn next to nothing about nursing in the OR. The biggest crime we, as a profession, can make is to set our young up for failure. Placing a new grad in the OR is just that. I was going to add some disclaimer down here about not wanting to hurt anyone's feeling etc etc to be about PC, but PC is what is screwing up this country, I am not going to be PC this, if it hurts your feelings, that's not my problem, patient safety is my problem.

While the advent of our newer volatile agents have drastically reduced the risk of explosion in the OR, it is still not acceptable practice to have an open flame in the OR. When using cautery around the airway, one most be cautious and limited the FiO2 low as safely possible. Remember N2O2 is an oxidizer too. This is especially important when using cautery around the face of a patient receiving O2 via facemask or Nasal cannula. Care must be used to ensure O2 is not trapped under the towels covering the face. Having a container of water handy is not a bad idea either. If you are not already doing it, Fire Safety will be added to the "TIME OUT" procedure in the not too distant future. Some people sneak snacks into the OR, but eating in the OR is not "allowed" JACHO would beat up pretty good if they saw food in the OR, especially the sticky mess a roasted marshmallow would make.

Wow tough one. I think its the surgeon more than the surgery. I guess depending on my mood I like scopes, that whole keeping people right on the edge of deep asleep but still spontaneously breathing... Sometimes I HATE scopes. I like quick D&C, mask cases. I don't like having to do a D&C where I have to intubate... too much work for a short case. I like long open belly cases, fluids, blood, pressors, tweaking the vent etc, lots of work, makes the case/day go by fast. I like TLH with a surgeon who knows what the hell their doing, I have worked with MDs who take 45min and some that take 1.5 hours. I like Total Knees, because I can follow the surgery and know what's next also because I like regionals: do a spinal, saphenous block then propofol. Knees, might be my favorite surgery, but that might be because our Ortho Doc is my favorite surgeon.

Dear OP, Anesthesia deaths are extremely rare. It is more dangerous driving to the OR that it is to undergo anesthesia. Anesthesia has become incredible safer over the past 30 years. I have had 2 deaths in 10 years and they were both AAAs one the surgeon stopped in the middle of the case and called it. I was really bummed because I had been working to hard to keep this guy alive. The second one died a week earlier 3 hours after surgery in the ICU when I ran out of EPI. We had 3 AAAs in 3 weeks (yes they really happen in threes). Epidural paralysis: ********.

First of all: My previous post on this subject regarding pay etc. Second of all: You are comparing apples to oranges Your PA gf HAS to have a MD supervising her and there are somethings she CANNOT do as outline by LAW. CRNAs DO NOT have to have a MD supervising them and there is NOTHING an MDA can do that I cannot as outlined in the LAW of 17 states in this country. There is NOTHING out of my scope of practice as compared to an MDA providing anesthesia. While I am glad your gf understand her role, you clearly do not understand mine.

I don't think, nor hope MDAs will be phased out. I hope CRNAs will be phased in more.

A lot of misinformation out there. MDAs get paid more, I am more upset that I am fatter now than when I was 20. To set the record straight 17 states require no supervision. I work in Alamogordo, NM there isn't a single MDA in the entire hospital. So no I don't work under anyone's license but my own. No one has any secret knowledge about anesthesia that I do not. No MDA comes in to rescue me or bail me out or any other way you want to put it. Research has shown time and time again THERE IS NO DIFFERENCE in outcome between providers CRNA v MDA. Research has also show CRNAs are cheaper. That's why I am working in a CRNA group in my hospital. MDAs get paid more that we do but 275k/yr is all I need so....

Wear long underwear under your scrubs.

Wow, what an incredibly IGNORANT statement to make. I was making 30k as a nurse, now Im making 200k+ I was 33 when I had my fist child 39 when I started anesthesia school, It was a little hard for 28 months, but now I have the time and money to devote to them for the rest of their lives. I can pay for their college help them as they start a career/family etc. It is never to late to better yourself. I hope your life goes as smoothly as the fairy-tale picture you painted, but if it doesn't keep working on it.