Nitecap

On the spot. You will go on 4-5, 25 min 1 0n 1 interviews. Google the most common interview questions asked and be prepared for these questions that could be asked to any profesional.

sorry

Plan: 100% O2, maintain ventilation O2 is vital to the organs. Keep pressure up to ensure organ perfusion. Give what ever drugs the donation people want you to, they are the experts in preserving organs. A little opioid can smooth things out. Even though the patient is dead they still have an sympathetic response to pain which can send HR and BP through the roof since the surgey is so traumatic. Heart out, turn off the vent whenever surgeon says its cool. Let them take the rest of the organs. Peace out.

A-line wave form analysis Upstroke - contractility Down stroke - SVR, Volume status Level of dicrotic notch - Volume status, SVR, norm should be in upper 1/3 of downstroke Area under curve - Stroke volume Respiratory variability - volume status. Square wave tests - assess to see if under or over dampened

Nice post. One thing I do question is the statement of educating 10 CRNA's for one MD. My total of CRNA school will be about 120-130K. I really dont think it takes 1.2 million to educate 1 anesthesiologists. I think the AANA needs to quit using this stat or show the data to validate it. I am glad the Texas Association of Nurse Anesthetist has finally proven their statement that 80 Texas Counties are soely served by CRNAs. The list, including hospitals, is found on the TANA website, which by the way all TEXAS CRNAs and SRNA should visit at http://www.txana.org. Use the voter voice option to contact your lawmakers. Send the prewritten letter. It takes 2 minutes tops.

Continue to have Your Voice heard in Austin On March 11th, TANA sent you an e-mail via voterVoice regarding SB 1314 and HB 3313. We asked that you send an e-mail to your State Senator and State Representative. Using the link provided at the bottom of this e-mail, TANA has provided you with a suggested pre-written message to send as a follow-up e-mail to your legislators. TANA asks that you: 1. Immediately e-mail your State Senator and State Representative the message provided. Please include your name, credentials and contact information (home address and telephone number). 2. Ask your co-workers, family and friends to send an e-mail to their State Senator and State Representative. Please include name and home address. 3. Visit your legislators at the Capitol in Austin or in their district office to voice your displeasure with SB 1314 and HB 3313. TANA Board Members visit the Capitol twice a week (Tuesday and Thursdays); if you would like to join them, please contact the TANA office at 512-495-9004 for further information. Act now to insure your practice does not change. Thank you! Click the link below to log in and send your message: http://votervoice.net/target.asp?id=tana:13477818

Please join the fight whether you get in our not. We need you help now. Goto http://www.txana.org under the voter vioce section and contact your Tx rep or senator. It literally takes 3minutes.

The shortages loom where MD's choose not to work. How can AA's fill these shortages when they cant work in these areas either. AA's arent any cheaper than CRNA's. In states that allow AA practice they make the same as CRNAs.

AA's are not good for texas. What Texas needs is to continue increasing production of the proven and more versatile providers which are CRNAs and Anesthesiologists. The Texas Nurses Association is totally against the AA bill. All nurses should unite.

Listen the most logical solution to any shortage in Texas is to increase the number of CRNAs and Anesthesiologists. Both camps are already increasing numbers in Texas as we speak. Why do we need an AA liscensing board for so few Texas AAs. Lets just divert the time and resourses to increasing MD and CRNA output. To all TEXAS SRNAs and CRNAs and Nurses this bill will effect you. PLease goto txana.org. From here goto the voter vioce section let your senator/representative no you dont want them to support this bill. Its a fight for your profession no doubt. Once the AA profession catches fire it will attract similar applicants as PA programs which have been overwhelmed with fresh out of undergrad applicants with no clinical back ground what so ever. Yes these PAs serve a purpose and many are really good, however many work in clinics or for docs and dont have to make decisions on the fly like we do in the OR. DO you really want a fresh out of school AA with an undergrad in Education or Exercise Science putting you to sleep with only 1 yr of patient care experience that they recieved in AA school. Yes I know AA school is 2 yrs but a year of that is didactic since most seem to be front loaded. IF AAs get a board in Texas you can put your money on it that AA programs will pop up all over TX. That means a flooding of the market with a less proven provider. You do the math. To thwart this we must take action now. Sources close to the politics of this have warned that they expect the TSA to prob. insert supervision language somewhere in this process. Texas law makers need to be bombarded with letters, emails, phonecalls and faxs urging them not to support these bills. Its time to step up guys/gals.

I know several AA, Hispanic and Asian CRNA's as well. 40% of my CRNA class is non-White. There are plenty of Minority CRNA's.

I would just keep calling the BCM admissions office. Dont call the Nurse Anesthesia Program directly. All applications go thru the admissions office first. They will be the one that know what they do and dont have. You should get a letter as well. The peeps in the admissions office are fairly new. This is the first yr that these individuals handle CRNA apps. Just keep calling and be patient.

First you have to think Big, then roll Big and back your big thinking up with big actions. Anyone can do anything they want if they put forth all the effort they have. Be resiliant, dont accept defeat, stand tall, roll with the punches and accomplish your goals.

Professionalism? Please dont judge my professionalism over 1 opinion that I stated. The proper way to do things is to hand out a more detailed word document if all you are going to come to the table with is a presentation with a title and 5-6 short fragmented bulleted statements per slide. The word doc should flow with the presentation but be in greater detail. Sadly many profs(not just CRNA's but MD/PhD) fail to do this. Then what you have is a student that a day or so later is trying to make heads or tails out of fragmented, incomplete sentences with a bunch of pictures that have no detailed explainations. You are the prof. A little constructive crit can only make you more effective in teaching and getting your point across. After all im paying 20k a year for my education. Believe me I put it in evals and have already seen a change. Thats how the system is supposed to work. Listen I give my profs mucho props. Love all of them. I WAS JUST trying to explain that students shouldnt try to learn BIG TICKET CONCEPTS by relying soley on the notes of one professor. They should turn to at least 1 if not 2 texts and see how the authors explain it. Many times it may be the same way. But many times it may be presented slightly different which may help you to grasp the CONCEPT much tighter and chew on it and spit it right back out when you are getting PIMPED in the OR. Thats all. SO Teach dont take things personally. Believe me I have learned that that can be your worst mistake in forum posting. Have a great weekend.

Those guys talk like every freaking anesthesiologist around is doing research. That is just plain untrue. THe fact is that only a small percentage of them are doing the research and writing text books ect. Yes anesthesia has come a long way in the past few decades no doubt. And yes anesthesiologists have helped it to advance. But even more so have the pharm companies that have developed safer,more effective drugs. The medical device Co. that have developed safe deliver machines, and safer rescue equipment ect. We really should push this info to the public. Yes anesthesia is much safer these days and yes providers play a big role its safety. But if we we still using drip ether or dTb, galamine ect anesthesia wouldnt be as safe. Plain and simple. And believe me anesthesiologists are not developing these drugs.

One golden peice of advice i can give to all new didactic SRNA's is to not worry to death about what or how your class mates are studying. Of course always keep the eye out for old materials that may assist you but realize that you may study differently than your best buds in the class. DOnt get freaked out that they like to stay caught up while you tend to stay a little behind. Go at your pace and not theirs. Maybe every so often talk about things you are studying but many times group study turns into group gossip and clowning around and really is not productive. As long as you know your shiat it doesnt matter what pneumonic debby is using or cute little pink graph suzie made or nifty little song jane made to remember something.IF these silly things help then so be it use it. But dont worry about what others are doing. WOrry about what you are getting done and how productive you are whether caught up or not. I was always a week behind the ones in the class that went home every night and studied what we did in class that day. I however took a little more time and really learned in the first time i looked at it. For instance I am only going to read a pack of noted 3 times tops. It may take me 8hrs to get thru the same notes others read in 1.5hrs but they read the notes 20times before the test compared to my 3 times. The key thing is to really learn and understand in debt KEY CONCEPTS. By understand these concepts well enough to converse about them with just about anyone. you can fill in via memorization any amount of detail you need at any time. Believe me you are never going to remember every detail about every thing you study. But if you understand and can visualize and verbalize the main CONCEPT then you can fill in all those little details quickly and easily to bring things togther again. Im my observations those who are great memorizers and dont really learn concepts dont do as well. This is not undergrad folks. You have to really understand the how this works and why with everything you learn. Thats the difference b/t RN's and CRNA's. RN's know if I give this drug this effect will happen. CRNA's know that plus why and how it happens at the chemical/molecular/receptor/ion channel/charge level. I can not stress enough to turn to your text books for assistance in learning these KEY CONCEPTS. Usually the people the write texts are experts in their field. Perhaps they may have way more expertise than your professor. This helps to bring things together. Your prof may teach something one way which you may or may not understand. The author of your text may explain it slightly different that all of a sudden causes that little light to come on and you say I totally understand now. You will realize that there are tons of different ways to teach the same concepts. Its up to you to decide which way helps you to see the big picture the clearest. Limiting your self to one professors skimpy asssssssss power point presentation is a mistake, esp if its over an impt concept. Its all about you and what study strategy (yes I said strategy) gets you the most productivity you can get. You must have a game plan going into every semester/block/course/test/day. You really have to manage your own time and work around whatever obstacles you have personally which will vary from person to person. You just gotta get the job done no matter how you do it. Its your time to shine. Its time to step up to the plate and see how smart you really are. I look at it as a challenge every day. Them against me, lets see how I can beat them today or this block. Lets see if they can get the best of me. sadly this competitive mindset is highly ineffective once you start in the OR, but it worked well for me in didactic. Good luck everyone, study hard.

1. How was the first year of your program structured & how did you adapt to it? Front loaded. Class 5days /week 5-7hrs/day. Adjust well and did well. 2. Does your program targeting helping students or trying to "weed out"? Helping but extremely tough. Only have a total of 12 per class but stats show every class looses at least one 3. How much of the program is actually science based? The entire program is science based. Gross Anatomy, gross Neuro Anatomy, mostly phd or MD professors for science courses with CRNAs or MD for anethesia courses. 4. What do you consider the toughest class of your program? (for example: Gross Anatomy) Neural Science and Gross Neuro Anatomy they are one course 50% written, 50% gross practical. We take it with the MSI 5. Do your program consist of a cadavar lab? Yes I never want to set foot in another cadaver lab. Nah it was cool. A great opportunity that sets Baylor apart from the rest. 6. Did you guys do better in your science classes or your nursing classes in undergrad? Undergrad is not at all comparable to CRNA school. I did fairly well in both though slightly better in sciences 7. How do you guys feel about nursing theory in general? Nursing theory is mumbo jumbo. Not much florence nightengale stuff is incorporated in Baylor but a good bit of ALice Magaw and Agatha Hodgins is talk about in the history of the profession. YOu learn plenty of professional theory dont get me wrong but its about Nurse Anesthesia not nursing. I mean to be an effective professional in your profession you have to know your roots and how you got where you are now. 8. What would you consider as the best Intensive Care Unit as a pre-req to anesthesia school and why? CVICU - tons of IV vasoactive drugs, sick pts with more aggressive vent managment/weaning than longer term units, tons of hemodynamic monitoring (swans, alines), more devices such at balloon pumps, CVVHD, VADS ect, super fast paced with rapid turn over of pts. 9. If you had any other experience before anesthesia school besides ICU, (i.e. NP) did it play a significant role in learning anesthesia? Only 3 yrs CVICU as a RN and 1.5 at a PACU PCA.

Ended up getting a blinged out black metal on black rubber master cardiology with the big bodied 27inch tubing and the tricked out side clip. WIth my initials engraved in old gangsta english.

I think its the volume of info given to you at one time and not the difficulty of the info. I just finished didactic last week. I considered myself a pretty smart guy and did fine but really underestimated the volume of the info we got. I mean blocks we were juggling 7 classes per block. It was unreal. Hard to keep up if not impossible. I really kept pace with the major classes pham, priciples of Anesthesia, phy, anatomy, nervous systems. The other smaller classes I reverted to cramming.

Try to go to baylor if you want real gross anatomy. WE have true gross the same as the med students take totaling 3 blocks. We take the same nervous system class as the med students that includes gross neuro as well. Believe me you will be sick of gross by the time you finish these courses. They are great though not gonna lie.

Finally starting fulltime in the OR and really need a new stethoscope. Had a littman Cardiology III that just walked off one day. Need to make the purchase in the next day or so need any suggestions you guys have. Not looking for the most expensive one but not cheap one either. Willing to pay a few hundred. Talked to a few and they claimed a bell is impt for bruit ausc ect so the master cardiology is out. Not really sure whats out there and if anesthesia providers tend to lean on one model vs another. Let me know, thanks.

It will prob take more than a handfull of courses to bump your GPA up. Yes that the Chems, bios, pharms that everyone here has said. Shoot I would throw in a gimme as well. A 4 credit course that you you will no doubt get an A in along with those extra science courses. yes they may decifer a science class from non science but you really need to up that GPA to get the interview.

Confront the person professionaly. Are they lazy are struggling? If they are lazy bring it up nicely and say you arent gonna carry their load. If the are struggling ask if they need some assistance? If things keep deteriorating you will have to get someone involved b/f your training is negatively effect.

Goto to the most intense ICU that will hire you as a GN. Dont be afraid to jump into the Mix when things are going to shiat. Study outside of work epecially pharm using medical not nursing pharm texts. After a little less than a year when you start getting a little more settled in start studying for the CCRN. It will not only help you in your ICU practice but also improves your app to CRNA school. Try to advance as fast as possible. Try to take the sicker pts. Take as many extra courses the unit provides as you can such as device mgmt ect. Try to get certs to take devices such as CVVHD, IABP, VADS, ECHMO ect. These all look great on resumes as many people arent able to manage these pts. Good luck.