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Executive compensation
Thankfully your opinion doesn't matter. And I can guarantee you have no clue what the CEO does or what their job entails. Lets talk proportions. How about we take from you the same percentage of income taxes the CEO pays after all that is fair. An no it is not your business what someone else makes. Just be thankful you have a job because of the CEO running the hospital. If you don't like the money the CEO makes I suggest you quit your job and find a hospital more to your liking.
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Executive compensation
Obscene Profits??? You can't relate becuase you are not in that position. Nurses on here constantly complain that management has no clue what they do. I say most nurses on here have no clue what a CEO does, What they are accountable for and the ladder they completed to get to that current compensation. It is nobody business what somebody else makes. The fact is if you took $1000/year from every nurse in the hospital just think about how many supplies and monitors you could provide for the hospital.
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Huuuge tax refund...bye NS debt!
America as we know it cannot survive when almost half the people in it do not pay taxes. Perhaps if people had an ownership stake in the economy (everyone paying taxes) then people would better themselves or even get a 2nd or 3rd job to help out. All that government assistance does is let someone just get by. People need an incentive to better themselves at times and perhaps paying taxes would be that incentive.
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Huuuge tax refund...bye NS debt!
Just because someone is getting a refund does not mean they overpaid. MANY people in this country get money back which is a lot more than the money they paid in. If they paid in at all. 47% of Americans pay zero income tax. Only in America.
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Did you become a CCRN before CRNA?
Never had CCRN but I did have my CEN. I had every instructor cert as well, ACLS, TNCC, PALS, NRP, PHTLS.
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Lessons learned from a fatal medication error:-- reflections for CRNA epidural order
Why did the Nurse work a double shift? I bet it was her choice to work the double shift. she should have checked the medication before administering it. She shouldn't have bypassed the barcoding system. To say this nurse did not cause the death is inexcusable. So many BASIC things that everyone learns in nursing were not done. I don't anyone other than the nurse is to blame. She didn't follow the very basic 5 rights of medication administration. Whether or not the bags look like antibiotics is irrelevant. That's why you verify the medication upon administration.
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1st CRNA position
I know what you mean by the regional experiences. I only had one rural sight where i was able to place epidurals both labor and steroids. Only had about 25 spinals before I graduated and no block experience. The AANA does offer a course in regional anesthesia that is very good. I was fortuante to have a partner in my practice that has exceptional regional skills and has taught me well. You need to find some rural areas to practice in your program in order to get more experience. That was one of my main concerns when I applied to my program and I asked questions. It's really up to the individual to ensure if you want to work rural as a new grad that you research the schools before starting. Talk to current students at the program and get their insight.
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Anesthesia Boards
valley is all you need to study. Some of the questions are directly from the sweat book. Are they the ones they throw out? I don't know. I thought the examination was very easy. A lot easier than the 2 exams you take from the aana during the program. The biggest thing is find out what the question is asking. Example. Q: You give 20cc of 0.25% bupivacaine with 1:200k of epi to a patient. Which injection site would have the greatest effect on cardiac function? A. Brachial Plexus B. Femoral Nerve C. Epidural D. Axillary Nerve What are they actually asking you? What they want ot know is which of these injection sites is the Most Vascular. Don't read things into the question like if I punctured the Femoral artery and injected it wold certainly have a great effect.
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1st CRNA position
all programs should prepare you to function in an independent capacity.
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CRNA Vs. MD
People who gripe about others being overpaid do not understand simple things like supply and demand. Or the fact that anesthesia makes the hospital money. In other words they are not CRNAs and have no concept of the job entails. they see their check and the CRNA jobs on gaswork or wherever and are basically jealous.
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What do you consider to be a challenge or problem in the field?
The poor preop H&Ps I get on a daily basis. For instance had one the other day. 69 y/o Male patient Patient hx. CHF, SOB with exertion, diabetic neuropathy, hx of atrial fibrillation (NSR on current EKG), Past hx of TIAs, PVD, HTN, cardiomyopathy, Extensive family history of MI. Couple of caths in the past for cardiac related issues (non-specific) Do you think the that maybe this patient might need an a stress echo, or a cardiac workup from someone other than a family practice physician? See this type of thing all day long and have to cancel cases until this gets resolved. The biggest thing to remember is when things go wrong in the OR anesthesia gets blamed. So don't ever let a surgeon bully you into doing a case you don't feel comfortable with. You have a right and a duty to the patient to cancel/ reschedule that case if you don't feel comfortable!!!
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Perspective SRNA on down the road. Advice?
Go tyhe ADN route and work in critical care while completing your BSN. Schools do not look down on and ADN when applying to CRNA school. Just study hard for your science courses and most schools really only look at the last 60 credits for your BSN degree.
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1st CRNA position
My first (and current) position is in a rural hospital with 2 of us. I found it not too hard to transition to a rural envirionment your program should teach you to function independently. My biggest learning issues were regional anesthesia. I didn't get a huge amount of blocks in school so my partner and othe locum CRNAs would teach me. There are many times right out of school where my partner was on vacation or working locums and I was by myself for the week. I wouldn't change a thing if I could go back and do it again. I work a lot of locums and I either work solo positions or I work in a CRNA only practice. Not sure if I could function very well in an ACT model or if I would even want to try. The nice thing about the rural environment is a better lifestyle, a lot more money and less working hours. the only draw back is the call. I don't mind call so for me it is not a big deal except for all the BS calls I get because the RNs can't place an IV to save their life. Any more questions PM me
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Any Excelsior College grads now CRNA or SRNA?
Paramedic, Excelsior Grad ASN in 2001 BSN from University in 2002 and CRNA in 2007
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One year CRNA program?
There is no shortcut to becoming a CRNA. There is no such thing as a one year program to obtain your CRNA no matter what degree you currently posess.