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renardeau BSN, RN

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  1. renardeau

    CRNAs: We are the Answer

    A large portion of my family are doctors as well, so this is anecdotal from them and also from my own experience having rotated with them and with residents. Medical students may touch the patient, but they don't make decisions. They shadow, hold retractors, maybe make an easy cut, do a few stitches, etc. I am sure your daughters have been present when a baby was delivered---maybe they even caught the baby. I doubt they were leading the birth process, and I doubt the attending was not hovering over their shoulder. They do parts of procedures under lots of supervision. The residents are the ones that are supposed to be learning, and so in the clinical settings, medical student experience often comes second. As for anesthesia, first year interns come into anesthesia with very little anesthesia training (maybe a month or so with certain med schools). They don't know really how to prime IV tubing. They don't know any of the anesthesia meds other than a few lectures on the anesthetic gases. Yes, they have extensive medical training. Do you need to know tissue pathology and genetics to do anesthesia, though? No. A large chunk of their training, what they're tested on in Step 1-3 exams, is not necessary to their practice in anesthesia, whereas CRNA school is focused only on anesthesia. Do I think at the end of anesthesia residency, doctors often have more experience and medical knowledge? Yes. But largely because most residents I know work many more hours than the SRNAs. Even still, do I think that's training that is necessary to be an independent practitioner? No. You can sit here and compare an ICU nurse to a medical student to a resident to an SRNA all day. At the end of the day, CRNAs do practice independently---completely independently---in many parts of the country. I live in Baltimore and there are facilities and hospitals here that are independent practice/bill QZ. Are people dying left and right because there's no MD? No. Anesthesia is very safe in the US and you put yourself at more risk getting into your car and driving than you do going under GA. At the end of the day, practice experience is what counts. (The art of emergence, for instance, is something that you develop on your own. Attendings even tell residents that it's not something they will really know how to do until they're out of residency and practicing on their own with less oversight.) Personally, do I want an AA, a CRNA, or an MD doing my anesthesia? I want the practitioner with more experience. I would want the AA with 5 years practicing over a CRNA with 1. I would want a practicing CRNA over an anesthesia resident with an MD behind his/her name.
  2. renardeau

    Fastest Route Possible?

    Along the lines of fellow posters, try drug reps or other medical tech/supply companies, e.g. Abiomed, Medtronic, Covidien, etc. They appreciate people with clinical experience/health backgrounds. The ones I know make far more than NPs actually and there are a lot of job perks, albeit some come with a catch (like some traveling required, but often you can stay generally local). Best of luck.
  3. renardeau

    Age Demographics from your Programs..

    Our class is mid-20s on average with a range of 24-late 30s (not sure of exact age of one person) at the start of the program, I believe. I say if it's a subject you enjoy and your finances allow for it, you might as well try! Going back to school has been such a refreshing change in the pace of my life, starting from the application process. I've met a lot of great people and had I not gotten into school, I don't think I would've regretted the process. As for your worry regarding being a competitive applicant, I will be very honest with you and say that I have not heard of classes with anyone in that age range. However, my own experience is but a small sample size from attending open houses and interviews from just one application cycle, so take that how you will. Many schools have admissions offices that are very receptive to questions if you call/email, and I doubt they will mislead you as to the age range of their classes if you ask them directly. Best of luck!
  4. renardeau

    Frustrating... ED is Not Critical Care

    This is super delayed and but I tend to the visit this site in spurts and then leave in spurts... I was re-reading old threads that I got alerts from and just wanted to clarify. I truly don't believe that ED nurses are better or worse, but we do focus on different things---there we seem to agree. If we are talking specifically about the realm of critical care nursing, perhaps this is merely a difference of opinion, but to me, things like down-titrating pressors, DCing unnecessary things, knowing vent settings well enough to move care forward, advanced therapies, etc. are absolutely a part of critical care nursing and, as you said yourself, are just not done/prioritized in the ED. Do they get critical patients? Yes. Does the ED consequently handle some aspects of critical care? Again, yes. But my main point---or perhaps, just opinion---is that critical care is not just stabilizing a sick patient.
  5. renardeau

    IV extensions

    Sometimes, I just add a little extension tubing with some stopcocks for this purpose---like a mini-carrier. If my patient is requiring enough drugs for a real carrier bar with ~5 stopcocks to be necessary, they usually have a central line (we usually use them for stuff like multiple pressors anyway) and that lumen generally would only run continuous drips (no IVP or IVPB drugs). And, as people have already mentioned, everything running together would have to be compatible.
  6. I'm currently incapacitated at home with little to no will to move. My lovely fiancé is my caretaker today as I make my way through the course of what appears to be either food poisoning or some stomach bug I find myself wondering how nurses are when the tables are turned and it is their turn to be nursed---and perhaps not just in the hospitalized sense but also at home. Personally, I prefer to suffer alone... I.e. I'm not into being cuddled/having hair held while attempting to vomit or something. Don't get me wrong---I love being pampered normally like after a long day at work, but when I'm sick I prefer to self-quarantine...
  7. renardeau

    2017 CRNA School Applicants: General Thread

    Sorry, I meant to reply and then I thought I'd just wait until after I interviewed everywhere so I could post a re-cap and then I sort of forgot for a while So all in all, I applied to 3 schools: Georgetown, UMD, Columbia, interviewed at all 3, and was ultimately accepted to Georgetown and UMD, rejected at Columbia. Thoughts are as follows: Georgetown: my first interview---program directors and faculty were very gracious and welcoming. They definitely had looked over all their applicants when picking out the questions they wanted to ask at the interview. Besides basic interview questions, they also pointed out perceived weak points of my application (for me, this was my grades) and asked me to explain why things were the way they were and how I hoped to improve on this in the future. For another applicant, it was their choice to leave the ICU and work outpatient instead of staying critical care, for another it was their short duration of ICU experience, etc. No clinical questions, though I have to add a caveat that they know my hospital very well, so perhaps that was a factor. People felt that the interviewer's reactions to questions were difficult to read, but I would say that my interviewers were willing to smile and I didn't feel they were as cold as some people said :) UMD: I'm actually surprised I was accepted here as the interview did not feel like it went well. Again, no clinical questions, but interviewers definitely pushed me to answer questions on things like coursework past nursing school, CRNAs in policy and advocacy and why I had/had not done certain things in these areas. They also had some more curveball interview questions. My interviewers seemed generally dissatisfied with my answers and pushed for clarity. I got a lot of "you're skirting the question" or "that's not exactly what I'm asking". Adrenaline/anxiety level during this interview was definitely the highest. Columbia: Generally laid-back interview, and I thought it went okay, though obviously this was not a successful venture for me. During the waiting time, students worked with interviewees and showed them how to intubate, showed them the SIM machines, etc. I honestly thought it was a lot of fun! This was the only interview that asked me if I had a plan in place for finances/support network through school.
  8. renardeau

    University of Maryland (UMD) CRNA program starting in 2017

    SURFs did not change for me.
  9. renardeau

    Columbia CRNA Summer 2017 (MSN)

    Actual rejection
  10. renardeau

    University of Maryland (UMD) CRNA program starting in 2017

    Got the phone call today :) pretty surprised. I didn't feel great about my interview.
  11. renardeau

    Columbia CRNA Summer 2017 (MSN)

    Lol guess I read them wrong---rejected. Almost a blessing in disguise because it would have been a hard decision. (I'll be going to Georgetown in the fall.) Columbia is an amazing program with awesome people though---the SRNAs there really impressed me at the interview. So good luck and congratulations to everyone who got in!!
  12. renardeau

    Columbia CRNA Summer 2017 (MSN)

    I didn't think they were so bad? There was laughter at my joke attempts at least . They definitely pushed for some answers that they might have felt I didn't answer so clearly, but it wasn't unreasonably aggressive.
  13. renardeau

    Columbia CRNA Summer 2017 (MSN)

    It was very personality-based. They will reiterate this to you when you get there, but if you have the interview, you have the stats/ICU experience and they just want to get to know you and see if you fit in. Also it was super fun! The senior SRNAs there taught us how to intubate and let us practice on the dummies and other SIMs in the meantime while waiting to be individually interviewed. Question for anyone who is familiar with the program---I know there is a bridge-to-DNP option, but does anyone know how much longer it is/what the timeline is like? I meant to ask, but with all the activity, I forgot...
  14. renardeau

    November 2016 Caption Contest. Win $100!

    I have to warn you---I'm a difficult stick.
  15. renardeau

    2017 CRNA School Applicants: General Thread

    Take a course or two (but one at a time, so you definitely get an A) if you're worried about GPA. Schools particularly like upper level sciences like organic/biochem/adv pharm/physiology etc. Otherwise your experience is more formidable than mine. If it's at all reassuring, my GPA was 3.2, but I still have interviews everywhere I applied (no acceptances/rejections yet though before I speak to soon...) If you can do well on your GRE, that also helps to temper a lower GPA, as most schools that want it use that as a gauge for how well you'll do academically.
  16. renardeau

    Columbia CRNA Summer 2017 (MSN)

    Yup. Signed up for my interview!

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