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ProgressiveThinking

ProgressiveThinking MSN, CRNA

Anesthesia
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ProgressiveThinking has 7 years experience as a MSN, CRNA and specializes in Anesthesia.

Went from being a LVN in a nursing home to Med-surg. Got my ADN and then worked in telemetry and SDU along with doing a little bit of home health. I then got my BSN and worked in a teaching hospital ICU and am now a new CRNA. I have picked up overtime almost everywhere and would voluntarily float to most units except anywhere involving PEDs or OB. I took the least succinct route possible to anesthesia school, haha.

ProgressiveThinking's Latest Activity

  1. ProgressiveThinking

    Coronavirus and Intubation Question

    A tube yes (but even then you can still be exposed), an LMA I'm unsure of. I'm intubating everybody and trying to avoid MAC cases in general unless it's a quick and short case and the patient is low risk.
  2. ProgressiveThinking

    First CRNA Job - What to look for?

    Was this in an ACT? Do you feel like this job prepared you for independent practice? all I keep reading online is "you should do independent practice only and blah blah blah" I joined a similar ACT in a major academic center doing big cases and traumas (the place doesn't limit CRNAs at all with the exception of blocks), and I'm learning so much. For now, I'm very glad I chose this route with hopes to be able to handle anything thrown my way when I go independent later on. In my short time as a CRNA I've already done some VERY high acuity cases on patients with ALL of the comorbidities you could think of. I figured later on down the line I would never say to myself, "man I regret all that big case experience at the level 1 trauma center that I got," but I come on these boards and it seems like wanting to start out in an ACT/major academic center is almost taboo. Sure, I'm not doing blocks, but I figure I could always take a block refresher course. I'll never be able to take a refresher course on doing an emergent open AAA on a crashing patient with COPD, asthma, DM, CKD going into rhabdo, PVD, and PAD on the brink of death.
  3. ProgressiveThinking

    Ohio University Accreditation?

    Ohio University is completely accredited. I received my BSN from there and have had zero problems here in CA.
  4. ProgressiveThinking

    Advice how to get into a DNAP program in CA with low GPA

    Get better grades in the nursing courses and you will be fine. I would accept somebody with a 3.0 in biochem good nursing grades over somebody with just good nursing grades (and no biology degree) any day.
  5. ProgressiveThinking

    Quality of Online NP Programs and Providers

    Yeah, that’s the thing. This is an Internet forum. Pretty sure the people in these cities don’t care if you act like you’re their knight in shining armor. They don’t need you to defend them. Nobody ever called the cities undesirable. He just asked how these cities in particular were desirable, and you took extreme, over the top offense to it.
  6. ProgressiveThinking

    Quality of Online NP Programs and Providers

    I think that my personal overall take home from this thread is that the quality of NP programs vary widely, and for profit diploma mills dilute the quality of applicants and programs. Fixing this is difficult to do, and there's so many different factors that affect it, and there are so many NPs who have different thoughts on what should be required of their program requirements and curriculum. Some want a residency, others don't. Some think experience should be required for both primary care and acute care (which it already is), others don't. Some think 600 hours of clinical is enough, others don't. It's pretty unanimous that people think online education is the way of the future. My initial thought process was that PA school was more rigorous because NP education by design was set to build on their nursing education and experience, but now I'm not so sure. I personally can't judge what level of difficulty is required in a program to produce quality primary care providers, but I will say that ICU coworkers at a local school have said that their NP program wasn't difficult at all, and they were still able to have a life and work full-time unlike a friend of mine who went to PA school. I think that's fine as long they produce quality providers who are able to excel clinically, and have great patient outcomes. This is an arduous thing to measure though since many NPs end up working in different specialties and varying levels of physician oversight. The same NP program essentially rolled out the red carpet for my best friend with a 2.5 GPA saying that his 2 years of med-surg experience at the time made up for his lower GPA because there wasn't enough applicants (quality vs quantity). Albeit, another friend who went to a more difficult FNP program had to quit working because it was so difficult. Both programs were brick and mortar hybrid programs. I think that this speaks to the varying levels of quality in NP programs which I think gives physicians who dislike NPs ammo to criticize the education process of NPs. As far as the job market goes, some say it's bad while others vehemently oppose that notion saying that flexibility and a willingness to relocate is crucial. I just wanted to say thanks to the people who have contributed to this thread so far and helped educate me. None of the content I have typed was meant to bash the NP profession so I apologize if any of it came off that way! The CRNA world has some similar problems (although not to the same extent).
  7. ProgressiveThinking

    Quality of Online NP Programs and Providers

    I actually think that you should apologize to me.
  8. ProgressiveThinking

    Quality of Online NP Programs and Providers

    It wasn't an insult, but rather a comment to point out that it seems like you become upset and offended with people disagreeing with you. Your comments do come off as snarky and abrasive, which I think is why so many other people liked @murseman24 comment. In his defense I don't think he ever called any of the cities undesirable per se, he just asked how the cities you listed were desirable, and you took unnecessary offense to it, or it came off that way at least..
  9. ProgressiveThinking

    CRNA Boards help- URGENT

    The most helpful thing for me was studying the APEX mock exams inside and out. I felt like the NCE questions were different, but going through the rationales and the thought process required to arrive to the correct answer is what helped me most. I also did all of the Apex review exams multiple times and reread the rationales quite a bit. A few days before the test I typed out everything I knew about each subject (took awhile), then went back and added small/minute facts and figures to it. You'll be surprised at how much you know (this helps with confidence), and doing so helped cement a lot of concepts and a few minute details that I ended up seeing on the NCE. It can also be an anxiety issue, which can be tackled many different ways. For me, I took melatonin to sleep at night, and made sure to keep working out and exercising. You got this.
  10. ProgressiveThinking

    Quality of Online NP Programs and Providers

    If I were 10 years younger I would just take the route Tegridy did, but as a CRNA going back to med school it just wouldn't make financial sense for me unless I matched into ortho or some other higher paying specialty and I wouldn't start making real money until I was 40. That, and I actually really really enjoy anesthesia. Plus I enjoy my life outside a work, so I appreciate the online options that nursing provides.
  11. ProgressiveThinking

    Quality of Online NP Programs and Providers

    A post master's FNP can be completed in 1 year, so I've been considering it just to switch it up every once in awhile. When you work at smaller hospitals having FNP also opens up doors to do things outside of the perioperative arena depending on the state. Odds are I'll stay in California at a level 1 or 2 trauma center in an area with no shortage of healthcare providers, but it's something I've always wanted to do. I wrestled back and forth between NP and CRNA prior to CRNA school, and while I'm glad I took the route I did, I wouldn't mind doing urgent care work on the side to stay clinically sharp and use a different part of my brain. That, and I have a connection who owns an urgent care and they said if I got it I could pick up a day here and there to help out, which would be perfect for my situation. I still wrestle with DNP vs DNAP, PhD, FNP, MBA, or a combination of them. Ideally, I wouldn't mind being a PhD, FNP, CRNA, MBA, haha. At what point is enough though...I probably won't go back to school for another couple of years. Odds are ill get a DNP (20k) first and then go for FNP (15k) or MBA (7-11k). A hard science PhD (90k) sounds nice, but there's just too much research involved.
  12. ProgressiveThinking

    Quality of Online NP Programs and Providers

    I wouldn't mind eventually trying out a semi rural location. Lots of autonomy, high pay (especially as a CRNA), low cost of living. WAY easier to get ahead financially. Locations like these would make becoming a FNP worth it as well. I also wouldn't mind getting out of California, but all of family is here. I say this as I'm about to start a job in one of the nation's most expensive California counties next week
  13. ProgressiveThinking

    Quality of Online NP Programs and Providers

    okay karen
  14. ProgressiveThinking

    Quality of Online NP Programs and Providers

    Hello, I'm curious to see how practicing NPs feel about the proliferation of online NP programs, especially the diploma mill NP programs that accept applicants without prior NP experience. Do you feel like this is watering down your profession and/or possibly causing physicians and the public to have a negative view of your profession? OR, do you think that this is the future of education, and the current method of training NPs should stay the way it is? I have no dog in this fight, but I constantly read physicians bashing the quality of online NP education, including the lack of clinical hours (<800). I'm curious to see how practicing NPs feel about this. As an aside, I'm considering doing one of these online programs, so this post isn't meant to bash a specific field, but rather create a discussion on whether or not practicing NPs like the direction that their field is headed in. Thanks!
  15. ProgressiveThinking

    Union University CRNA 2020

    I didn't go to this school, but I'm curious to see how the entire situation unfolds. Word on the street is they're trying to cut CRNA faculty pay by 30% to match with NP faculty (even though CRNA tuition cost 300+ more/unit) which is leading to the mass exodus. Rumor has it that this was all started by NP faculty that were jealous of CRNA faculty pay. NP faculty is closer to administration and voila; 30% pay cut proposed. I heard there are also proposals for NPs to teach CRNAs (They won't be staying in compliance with the COA with that one as our educations and knowledge base/depth are vastly different). Good luck trying to attract faculty with pay that low. Hope UU admin sees this post. There are 100+ CRNA programs in the country. Do yourself a favor and choose a different one. The good news for current students is by law UU will be required to have a "teach-out plan" with another school if it gets that far. Hopefully it doesn't though.
  16. ProgressiveThinking

    Just graduated from CRNA school

    Oh, and I forgot to mention that another important factor in deciding between the two programs is clinical experience. Another reason I chose the MSNA was because I knew SRNAs at the place I'd be doing clinical at (I worked in the ICU there), and I knew I would get a lot of autonomy, traumas, and other big cases. Even though I graduated with more blocks than a lot of other people in my state who went to schools with a better name, I do wish I had more regional. Nobody tried to limit the amount of regional I got, it's just that there was only so many blocks and my primary site was a SRNA driven site so ALL of the SRNAs kind of fought over the blocks. This included SRNAs from other programs. Overall, I would have to say that if the program I graduated from was the more expensive option, and was a DNAP, I still would have chosen it because of the experience I've gotten. I'm very thankful my experience, and I didn't know how good it was until I rotated to other clinical sites that had MD anesthesia residents. I would personally try to stay away from programs where SRNAs compete with residents for cases because a lot of the time SRNAs end up with lower acuity cases. This isn't always the case though, especially in hospitals that are so large that there's plenty of cases to go around for everybody. Also, as long as the school has a decent NCE pass rate, I wouldn't worry too much about didactic. At the end of the day we all study APEX, which I think kind of equalizes out the didactic (or lack thereof) for most programs. Whether or not this is a disservice to the students is an entirely different topic.
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