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BCRNA's Latest Activity

  1. BCRNA

    Can CRNAs prescribe meds or have their own practice?

    Yes. There are all CRNA practices. Anesthesiologists are not required. All CRNA practices make ALOT more money because of no profit sharing with third parties. You can also own your iwn staffing agency. I know a few people who make a living staffing places and taking part of the revenue, with them not actually giving any anesthesia.
  2. BCRNA

    Most beneficial certification

    Depends on your career goals. Working in informatics does not require certification. It can add to your resume though. If you want a management position then you will need a masters degree. Employers are more impressed by your personal work history and project management skills. CPHIMS and RN-BC are two common certifications. An "informatics specialist" is someone with a masters. I would recommend an in state public university. They are cheaper and more respected. A University of Pheonix degree is expensive and actually looked down on. If the only prerequisite is ability to pay tuition, stay away from them. You can do an online program and no one will know if you pick a traditional school.
  3. Are they in their early 20's? I teach undergraduate nursing, and I am shocked at the general attitude that they should be given good grades for showing up, and that they generally ignore all constructive criticism. If your not telling them they are great, they don't want to hear it. It is one of my personal pet peeves that the younger generation thinks success should be given to them. Personally, I would talk to the other instructors to see how they are doing in their other classes and clinicals. I don't think there is anything wrong with giving a bad evaluation explaining that they aren't open to suggestions. With that said, the only thing you can do is try to keep a calm demeanor and explain that your job is to give constructive criticism, and that you are just trying to help. For the student who said it was a different diagnosis, I would ask them to define a diagnosis and a symptom. Changing the symptoms does not change the diagnosis, they are two completely different elements. You will have to make a judgement call on if you think the student is becoming a safe nurse. Nurses can have bad attitudes, but bad attitudes that foster unsafe practices should not be allowed to graduate without correction. It will make the school look bad. I personally hate having to give bad grades to students, I would love to give all A's. I understand your dilemma because it is easy to give advice, and completely different to actually have to do something. If they are unresponsive to your advice for improvement, it should be stated in their evaluation. Students need to learn that job performance does have direct implications, and that there are no rewards without earning them.
  4. BCRNA

    Informatics and Nurse Practitioners

    You could possibly keep your NP license if you can claim your informatics role includes NP issues. It is possible to be 100% administrative and still be a practitioner/anesthetist/etc. Just remember you will lose actual skills and it is not appropriate to do clinical work. I know many CRNAs who are 100% education or hospital administration, and that qualifies.
  5. BCRNA

    CRNA profiles

    What is posted by the AANA is very accurate. New grad pay ranges 90 to 120000, depending on market saturation. Top out pay is 180000. Independent practice can take you to 250000. But that is an all crna practice with ALOT of hours.
  6. BCRNA

    Part-time opportunities for CRNA's?

    I can attest that you can work part time in anesthesia and make 6 figures. Its a great job with great perks. I would make 180,000 full time. It should be about what you enjoy. If pay gets cut, it will be across the board . You will still make 2-3 times an Rn.
  7. BCRNA

    Part-time opportunities for CRNA's?

    A starting salary of 120,000 is really good. the top is probably close to 160,0000. Starting salary is still 2 to 3 times a RN. I think all healthcare salaries will go down because of obamacare. i have lost a lot of benefits as a direct result if changes. also, you can go in-state and apply for scholarships. You need to pick the job you enjoy. it is real easy to get burnt out as an RN, much more so than CRNA.
  8. BCRNA

    Should I look into nursing informatics??

    Nursing has many areas you can move into if you do not like one area. Informatics does not absolutely require clinical experience, though I find there are fewer open positions for it (in my experience). I would encourage you to check out programs. Also, see the American Medical Informatics Website (http://www.amia.com) to see the diverse job settings.
  9. BCRNA

    Denied by patient

    Where I work patients are told, by the anesthesiologist, it is a CRNA doing the anesthetic. The MD gets paid less for doing a single case. If they supervise they get the equivalent of twice the amount of a single anesthetic. Patients are not given the choice.
  10. BCRNA

    fatigue and burn out

    Crna school is the hardest thing I have ever done, and I am a Phd student now. The training is very stressful, just know it gets easier, especially when you can choose where to work. Stick with it, and know it will pass. I hard a very hard time adjusting to the time demands and unpleasant preceptors who liked to teach through intimidation.
  11. Interesting article, but there are way to many potentially confounding variables that cant be controlled for statistically. The design they used can not prove cause and effect, only association. The 1.5% mortality would not be surprising at a level one trauma center, or a high acuity hospital. The patients are more likely to not recover. There was a 64% less "odds" of dying, not liklihood. Those are two completely different terms. Converting the odds to "liklihood" would make it closer to 5%. Odds are difficult to interpret, and are often reported because it has a much larger number than liklihood ratios, makes it seem more important than it is. I think the article deserves more research to explore the findings. Honestly, you could argue a difference of just four hours when both groups are almost 70 hours is not clinically significant, even if it is statistically. Its almost a 5 percent difference. Where I work we would have to hire a crna to do the blicks to prevent delays in surgery, plus most of our patients would demand to be unconscious. They would get a TIVA to induce general anesthesia anyway. Most patients would refuse a true regional. Thats my personal experience anyway.
  12. BCRNA

    How do CRNAs get treated by MDAs ?

    It is about power and money, even though physicians claim patient safety concerns. Where I work it has been so long since anesthesiologists actually gave anesthesia by themselves that it is no longer safe for them to practice independently, we actually have a policy stating CRNAs have to be the primary anesthesia provider. Of course the wording is done to make it sound like a simple staffing issue. The actual working relationship is great, all of the backstabbing occurs outside the hospital with PAC donations and support. Also, you can go to the ASA website and see the political undertones in the statements about CRNA education. They still make it sound like RNs with BSNs are giving anesthesia.
  13. BCRNA

    DNP Informatics

    Find a school offering a DNP who also offer a MSN in informatics, they will have the resources. Informatics is clinical nursing, a phd is for research. Informatics specialists are clinicians who have a strong technological aspect . It is still nursing practice, not research.
  14. BCRNA

    Purposive sampling

    Purposive sampling is very similar to convenience sampling. The main difference is that the researcher picks participants based on the researchers judgement that the participant has the desired qualities. You can do posters and recruit "in person". There are no hard and fast rules. When you write out the sampling plan, there is virtually no difference in the actual method used. You can also use snowballing, where participants identify other potential participants. The book is vague because there is no one single way to do it, you just have to clearly report your method in the write up.
  15. BCRNA

    How old were you when you began?

    I started CRNA at 24, but age ranges were 24 to 52 in my class.
  16. BCRNA

    DNP or CRNA

    Two completely different paths. The only benefit to both are if you wanted two different jobs. Also, DNP is a degree name that CRNAs can have too. It just stands for doctor of nursing practice. You should shadow both.

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