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bwt02

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  1. Subee, This is not an accurate assessment. The National University, Nurse Anesthesia program students work directly with program faculty, the Assistant Program Director and the Program Director in the operating room. The program is focused on independent, full scope of practice, and accomplishes this mission and vision very well. Graduates and program faculty and community CRNAs can attest to the quality and outcomes of the program.
  2. The National University, Nurse Anesthesia Program is accepting application until July 31. The National University program is based out of Fresno, CA and is focused on training the independent practice nurse anesthetist. Cohort sizes are only 12-15 to allow for near one:one student faculty ratios. Master of Science in Nurse Anesthesia | National University
  3. I am posting this to get feedback on Pharmacology text. I am a practicing CRNA who has been asked to develop and teach the pharmacology course for BSN students at a local college. I would really like to hear from other faculty member who teach or have taught this subject matter, and your recommended text to use for the course. I want this course to be challenging and to have strong pathophysiology integration. Thank You, Bryan
  4. Anyone use spinals for abdominal liposuction? Surgeon likes to prone the patients too to do the flanks. I know some anesthesia providers do this I just have not and would like to hear your thoughts
  5. I cant imagine any anesthesia provider not giving opioids during a case especially when it is a case known to have high postoperative pain.. I cant think of a case were I have not given opioids outside of strictly a regional technique.
  6. The terminology of "Midlevel Practitioner" needs to go away... What a degrading term. As a CRNA I KNOW I am not a "Mid Level Practitioner". I think this terminology comes from insurance companies..
  7. I attended CRNA school in AZ and can tell you that there are jobs. As the program produces more CRNA's in the state the market continues to grow and new opportunities are developing. All new grads from my program had jobs at least 4 months prior to graduation. There are jobs available and most of them are only medically supervised "on paper". Though I did not stay in AZ to practice many of my close friends did and they are happy with their practice envirnments and they are doing all types of cases and lots of regional. The Mayo Clinic in Phoenix may be the least desirable simply due to strong "Medical Direction". Hope this helps
  8. 87,000 and my wife worked the whole time to help out with bills. I attended Midwestern Univ. ( a private Univ. ) not known for its cheap tuition.
  9. I am a pasted graduate of Midwestern, and yes the clinicals are all over the southwest. You are infact responsable for your housing and travel which adds a significant expense to the program. It is a very tough and demanding program with extensive travel. It is fully front loaded and the campus is a health science only campus. There are only CRNA's, DO's, OT's, PharmD's, PA's, and perfusionist that attend the school. This provides for a great way to build interdisciplinary relationships early.
  10. Just wanted to get some feedback from other CRNAs on how they would handle this situation: Pt presents from ER for Lap Chole. Pt has flank and abdomenal pain. Past medical hx of GERD and HTN or which he had not taken his labatolol in 2 days. Preop he was hypertensive in the 170's/110 area. Treated in pre-op area with Fentanyl 50mcg for pain and Labatolol IV 20mg in 5 mg increments over 20min prior to OR. On induction RSI with Cricoid technique. 7.5 ett placed and Desflurane used. Induction was without incidence. BP post induction 130's/70's. Within 5min post induction noticable st changes in lead II and V (inversion in II and elevation in V). The anesthetic was deepended and 10mg of Morphine given without any improvement. BP dropped to 60-70/40-50 and 100mcg of neo was given with moderate improvement. Surgeon was notifiied of ST segment changes and saw the ECG tracing on the monitor. He consulted with his attending on the phone and decided to cancel the case since this was not emergant. A nitro infusion was started and over a period of 5min the ST segments began to return to baseline. An intraop EKG was done that showed no sign of ischemia. The patient was emerged from anesthesia and transported to PACU were he remained stable. Cardiac enzymes were sent and were negative. Of note I did not cancel the case but rather the surgeon, however I feel as if my clinical judgement is brought into question by fellow staff especially since I am a new nurse anesthetist. What would you have done?
  11. Just graduated from Midwestern. The clinicals are 12 weeks and about half of them are out of the phoenix area. By the end you can walk into any OR and give anesthesia anywere.
  12. Just wanted to hear from other SRNA's as to how your heart rotation went. I am at a private heart hospital that does about 3 hearts a day and lots of vascular. It is all MDA staff. Only 1 week into the rotation, but we are treated as task masters (intubate, make this gtt, make that gtt). Basically not managing the patient. It is only a 4 week rotation and I really just want to get through it.
  13. I got an offer for $88/hour as a GRNA then $98/hr after cert. THe position is a 1099 with zero benefits paid (no vacation/ med/dental/retirement/ect). 40 hours per week and no scheduled call. I would like to hear from other recent grads and experienced CRNA's on their thoughts of such a position.
  14. The CRNA's at the AZ Mayo are TIGHTLY supervised. The MDAs want you to call before giving Ephedrine. THe MD pushes your drugs and talks to the patient as they go off to sleep.
  15. I was wondering how valuable the Valley Anesthesia review course was to any of the recent grads out there. Do you think it definately prepared you for the quiz.

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