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subee MSN, CRNA

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subee has 45 years experience as a MSN, CRNA.

CRNA

subee's Latest Activity

  1. Why would anyone work 3 12's in a row? Not good judgement because the toll it takes on your body is extraordinary.
  2. subee

    New CRNA licensure

    CRNA is a certification, not a license.
  3. subee

    Why is BSN required for CRNA?

    Oh no, now we will have to here a litany about how 2 years of college better prepares one for nursing life than 4 years of college.
  4. subee

    Just Say “NO” to Nurse Staffing Laws

    How did we ever allow shareholders into the patient care arena? All this corporate speak that now applies to hospitals is a symptom that we have given "we're here for the patient" paradigm a space in the dumpster. If only the nurses here in this forum could come a team "health tzar" we could do a better job. Maybe not a GOOD job because hospitals are always trying to figure out how to make chicken salad out of chicken s&#t, but we would be trustworthy tzars:)
  5. subee

    Why is BSN required for CRNA?

    Because it is a LIBERAL ARTS education. It separates trade school from acollege degree. Are we over-educating nurses? I do wrestle with that question sometimes, but if we want to call ourselves a "profession" then a bachelor's degree is a baseline requirement. The practices and cultures of healcare are changing faster than we can keep up. If we can't produce nurses who are leaders rather than followers, things will never improve. The forces of the medical industrial complex will simply run over us because we don't have enough people to react to the forces which diminish us. That's why we study things like sociology - it's all a part of the big picture.
  6. Okay. Go ahead and be an MD....please. If you're not interested in nursing for your self, just leave. Especially since you are going to get med school for free. I was 35 when I applied to med school and just decided that I was too old to start a career so far in debt. The only reason I became a CRNA was that I didn't take organic until I was 34 and didn't want it to be for naught. What else required that organic I asked? Dentistry and nurse anesthesia. I had terrible feet so asked them to sign me up for that nurse anesthesia thingie not knowing that in the future I would be telling myself that I am so blessed that I don't ever have to go to a partners' meeting:) Go and take that perfect medical school education. Enjoy it and see if you can have a happy life without disparaging other people. In the long run, you will be happier.
  7. The downside is that it is very expensive for an MDA to do the job of a CRNA. It's irrational, illogical and wasteful. It makes no acknowledgement of having the appropriately trained practitioner matched to the demands of the job. Don't you think it's crazy that MD's are delivering most of the babies when every other country in the world uses midwives and have better infant mortality statistics? Why would an MD ever be participating in a healthy, normal delivery? Wrong person for the wrong job. I know in anesthesia, some of the academic folks get burnt out and leave academia for corporate practice so we are now paying a talented specialist to do a CRNA's job at inflated rates. Hey, you CHOSE to do a pediatric and an anesthesia residency. You've invested time, money and intellectual energy to do it and now you have to show your face at an induction for a D and C and watch someone else induce the patient while you just stand there? That's crazy. I'm sorry you need to make more money to "survive" so you abandon your job and then want to threaten mine? AND, you are generally doing a CRNA job collecting an MDA rate. It's like requiring a neurosurgeon to do a spinal tap (which I did hundreds of times very nicely, thank you:) As generations of CRNA's did them well before me. Hey, CRNA's perfected ether anesthesia and it was an awful drug.
  8. hear you about that one! There as absolutely NO COMPARISON between the requirements of NP education vs. CRNA...NONE. And I know you are a doc now so probably don't go through all of AN, but I do, just to keep up with what's evolving. It's very discouraging to tons of RN's how lax our "profession" has become re: educational standards. But when you go to CRNA school (which is now pretty much 3 years long with the new DNAP requirement looming over the new students), you have no life. It is all day, every day. It is doing ICU, OB, and cardiac rotations. You can't work and you have to show up and be there full-time. The chairman of my department requested me to give him a general - and I say this only to point out his comfort level with the CRNA's in his department. This wasn't a little rural hospital - we were doing over 10,000 anesthetics in 7 rooms/year. It's where I developed my own PTSD over production pressures:). If we can't depend on statistics to measure outcomes, well, what else can we do? Your opinion isn't a scientific method. BTW, I slaved over the machine for 37 years and saw a lot of schools of thought come and go. So, you are really going to have to PROVE what you are saying. I know, I know - lying statistics, but how else can we conduct rational inquiry. We need more internists, rheumatologists, endocrinologists - not more anesthesiologists doing a CRNA's job.
  9. CRNA's can't do ALL the anesthetics on any given day but they can do 90% of them...alone or with collaboration, depending on the institution. This goes back to an old study by Kaiser in California done in the 90's (I think!) when MDA's and CRNA's were given a questionaire re: the percentage of cases requiring MDA "supervision." BOTH groups agreed on a figure around 90%. I remember this well because it struck me as a sensible figure. It's just not rocket science....it requires attention to detail, good psychomotor skills, and generous doses of science as well as artistry. Our body of knowledge is so small compared to other specialties. And I wonder....what's it to YOU, Army RNtoMD? If the patients, hospital administrators and surgeons are happy with our care....just what IS it to you?
  10. No, I would never say that the educations are equivalent. But my own experience, plus the historical experience and data extracted from our long history of being providers that MDA's do not need to be present for about 90% of the cases done on any particular day. Sometimes we need another set of experienced hands and sometimes we need to consult with an MDA , but they don't need to be involved in 100% of the cases. If it's a super big case with a super sick patient, that's a 2 person case anyway, usually a team of MDA and CRNA. Don't need 2 MDA, but need more than two CRNA's. Why is it that we are sole providers to soldiers in the field but need an MDA around for a D and C? That's a very inefficient system.
  11. I think I'm starting to understandArmyRNtoMD. If you are from another country that does not have master's or doctorate trained nurse anesthestists, then you don't understand the rigors of our education here in the US. It's very tough to get accepted into a program and we do have science pre-reqs. I needed O-chem and physics pre-application. For two or three years you don't have much of a life...just like in med school. I had to wwork alone straight out of training (after 5 and on weekends). While it was harrowing for me and the patients didn't have the benefit of 35 years of experience, I was prepared adequately to at least be safe. And that's all a patient gets when they are assigned an inexperienced doc. And, don't confuse us with NP's who get to go to school online:)
  12. Illogical argument. Anesthesia was NURSING from the very beginning. The Medical students weren't adequate for the job at the time so a school for nurse anesthesia was created. The FIRST formal anesthesia education offered in the country. Surgery requires much vaster body of knowledge than anesthesia. We have separate (mostly 3 credits each) courses in cardiac physiology, repiratory physiology, neuroscience and pharmacology but with a slant towards how these systems are affected during an anesthetic. It's a small specialty with a limited armentarium. Surgery, on the otherhand, is definitely the practice of medicine. So the above argument is silly. I've never heard the term "clear license" after over 20 years of working with addicted CRNA's and RN's. Are you saying that nurses shouldn't be allowed to return to nursing after addiction? Well, that's just stupid, too. However, there are definitely more people in anesthesia (MD's and CRNA's alike) who can't and won't return to anesthesia because of the stress and access. But it doesn't mean that can't return to their respective fields in different capacities. I don't know where your information comes from but it's obviously not from any knowledge of the field. And whoever mentioned NA.org - yes, I remember. But clinical situations come up on the members only AANA forum.
  13. subee

    Gave vancomycin wrong

    You were lucky...I can't imagine any patient getting IV push Vancomycin without, at least, having an awful case of red man syndrome. Have you made a change in your "system" so that it doesn't happen again. Why was med not already in IV bag before taking it to the room? I still shudder when I remember a med error I made 4 decades ago! I was also lucky and didnt get kicked out of grad school.
  14. subee

    No One Understands

    You might as well learn how to be assertive now before you go through your whole career being put upon. It's such an important survival skill. Be kind but firm. Being a doormat will lead to unhappiness.
  15. subee

    I was accused of being impaired at work

    I'm so confused from the above posts about teeth:). Is what the same for adderall?
  16. subee

    Trump's 'religious conscience'

    ?? I'm missing something here. And yes, lots of stuff is Trump's fault.
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