air

I am not sure about the exact number. I have been in my program for about 20 months. This is the third person to be let go.

yes, getting into another program has proven a challenge. some programs have indicated that his application would not stand out well. some would want to call his previous program for a reference or recommendation to admit. both of those options would not be favorable if i venture to guess.

Well, if by the game you mean "getting along" maybe you are right. Remember that once you are isolated and shunned, no matter how good you are progressing clinical, you will end up being marked to be let go.

I think ultane is a very benign drug. That kidney issue raised by CAMP SUPRANE is way overblown. In the clinical setting,I have learned to use what my preceptor wants. Some clinical sites have agent preferences mostly related to cost issues

I had experiemented in changing my agents. For long cases, I use Iso if it suits the patient. Towards the end, I turn on DES or Ultane. My interest in nitrous is minimal. Some pros use 70% nitrous in the end and keep their patients vented, blow off your agent, then turn off your nitrous keep your oxygen at 6-7 liter flow, 100%. Within two minutes you call the patient's name, the open their eyes and follow commands. Well this applies if they are adequately reversed.

In CRNA programs you get issued a number by AANA. Other programs will interested in why you left your former program. You would have to explain yourself in a neutral way.

we all sat in class with him. We saw what was happening. I particularly was not brave enough to speak up on his behalf. I just thought they would toy around with him and let him complete the program. He did excel in class work. Showed up on time for clinicals, helped the nurses out in pre-op holding. But when the in-house faculty settled on him finally, everything just headed one-way.

Actually the looked at the whole situation from the clinical aspect, stayed on his case and accumulated documentation for him to leave the program. Those clinical mistakes were mistakes we all make but when he made them it became a news and a point of correction to the rest of us in class. Usually he would have been written up by that time.

Well, it happened in the USA

A friend of mine was forced to leave a program mostly because of personality issues with the assistant program director after 1yr in the program. What are his chances of getting into another program. Are there folks out there that had moved from one program to another for whatever reason? Was the new program receptive during the application and interview process? This guy did very well in all his didactic work

Roland when I was applying, I let things like this determine schools I wanted to apply to. I applied to schools that I thought I met all their requirements. I factored in cost program and living, requirements for application, (did not take the MAT and I was not going to take it.), a school that asked for graduate level statistics which I did not have at that time, I slowly placed their application near the waste paper basket. I am not sure what I would have done if a school would have asked for a state licensure prior to application( My primary license is from a compact state, I would not have had a problem). I have also been a travel nurse for sometime, so I have held licenses to most states.

I am a student I am currently rotating at a site were lot's of locums work I spoke to this guys at length when i work with them. The usually pay for their own malpractice insurance, they are responsible for their own healthcare and pensions. Some of them work in other areas where they do their own billing, while others allow the institution/group to do the billing for them. If and when they do not work they do not get paid, simple. You are working for yourself. Unlike an employee, if you do not work you get PTO. Malpractice unfortunately if a state by state thing. So, some of them have a malpractice premium for NJ and PA. Some just for PA. They pay a ryder(sp) to work in endoscopic only settings, even though some locums would negotiate for the ryder to be paid by the facility. You get paid what you negotiate. It needs a strong work ethic. Unfortunately most of the guys i met as locums none of them has less than 15 years experience under their belt. Then the agency CRNA, usually this an agency negotiates the contract with the facility/group. That agency sends you a paycheck, weekly or biweekly. The may take out 8-12dollars from your hourly rate and call it malpractice premiums, some may provide healthcare, 401K, STD, LTD. They may also provide housing and transport. Most of the CRNA's I saw under this group have 5years or less of experience. I can tell you that these guys initially worked at one facility after they graduated, that facility usually was big, tertiary teaching facility before they moved into this practice arrangment. I hope there are some of them on this forum who would add some insight to this discussion

Howard review. Howard is/was a PD in one of the schools around the Pittsburgh area. he offers a review course. It is thought his review is not as popular or far reaching as Valley review. If you meet proffessionals that graduated in the later 80's or 90's in the PA area the mostly took the Howard review. I met a recent Drexel graduate this Summer, he spent his last dime on the howard and valley review. He took his board exam within a week of graduation. He told me, those reviews were invaluable to him, but refused to rank or rate them in terms of which was a better review.

This is not scientific some years ago they started using laparoscopic instruments in surgery. There was talk about it changing surgery and reducing surgical time. Well, I have seen it reduce patient hospitalization not reduce surgical time, infact the opposite could be argued. Somehow during any procedure that you are doing to a patient you may need anesthesia to watch over the patient. I remember years ago, during cardioversion, it was me, the cardiologist, and the patient. Now, i see that anesthesia is all over it. Anesthesia is even pushing resp. therapist from shock (electroconvulsive (sp).)therapy for psych patients. you need anesthesia in lithotripsy rooms. Even now that new machines are out that you do not need the patient to be prone. In some hospitals in PA, even when an MDA does spinal on a C-section, you still need a CRNA to be there right up the time mom gets back to her room. In cath and EP laps, I remember, it used to be the patient, the cardiologist, a tech(respiratory therapist/nuclear med/x-ray) and circulating nurse. Now, I have noticed that it is becoming the norm in some hospitals to have Anesthesia present. I do not see technology drying up the jobs anytime soon Same day surgery centers are needing more anesthesia people than thought possible if you are going to get a procedure done in your physician's office better make sure that a board certified anesthesia personnel will be watching over you. I have seen dentist bring in patients for anesthesia for wisdom tooth extraction. they have quoted various reasons, from asthma, cardiovascular, previous MI, patient request,etc. That expection of MR therefore will not comply is not the only indication for them anymore Most locums i run into, take pains to explain the increase number of new grads would dry up jobs faster than anything else. QUOTE=bryanboling5]So far, there's been several folks post that the future looks good. Maybe I didn't explain myslef well in the OP. I don't doubt that future looks good for CRNAs, I'm not at all suggesting that the job market is going to crumble due to advances in minimally invasive surgery and interventional radiology. But, as someone who would hope to practice as a CRNA but won't be doing so for another 5 years or so (still got to finish undergrad, get experience, all that), I'm wondering what might the job look like in 5 years, 10 years? Will it be the same as now? Different? How so? I realize that this is allnurses.com and not the Dion Warwick Psychic Friend's Network, but I thought it might be interesting to hear from folks who are out doing this, going to conferences, reading the literature, seeing what is around the bend, and see what you think might be in store. Don't worry, no one will hold you legally liable for your predictions, just a fun excercise in future thinking. With that said, let the ideas flow. bryan

The economics you talk about makes sense Remember I am a student, economics usually does not come into play for me. Most hospitals here in PA, require and MDA to be present for inductions, usually they want in and out in seconds, therefore you need a drug with rapid onset, then once after induction you can do what you please. Anyway, during the TAH, that is what happened.