BCRNA

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

There are not many dual doctoral programs like that. I did the DNP because I was not completely sure I would like research. I did, and am doing a Phd. I would think that it is a path suited to a minority of students. DNP skills are a subset of what is needed for the phd. Some would see it as redundant to have both. I believe it would be good for someone who wants to do clinically based research. I don't think it was a waste of time, my project taught me a lot. It also helped form my Phd dissertation. If you do it right you can build one off the other and have a stronger clinical impact. It would help start a strong research career. Hopefully will produce two publications to show your expertise. I think it would be good to combine if you want to have a strong clinical aspect to your research. Many nurse scientists are doing great research, but are so far removed from patient care that their impact on nursing itself is very indirect--although still significant. It just depends on exactly what you want to research. i think as programs embrace the DNP for all APNs, soon all APNs who get phds will also have DNPs. If your relatively young then doing it will maintain your marketability for changes in the next 10-20 years.

The DNP does not teach education either. There are nursing education degrees and certificates. But neither the DNP or Phd includes courses on teaching. Some universities view the DNP as a subset of skills learned in the Phd, they call it Phd-lite. The Phd will still be the preferred degree in academic settings because if the research focus. The DNP is a great degree for people wanting a clinical focus, and some schools give tenure to them. Hopefully the DNP will improve faculty salaries for instructors.

I am biased, but I would say CRNA because AAs have a more limited scope of practice and are not employed everywhere. If you ever wanted to move you would be stuck to states with AAs. Also, you will be at the mercy of an MD for pay and scheduling, since they have complete control over AAs they can dictate salary and scope of practice for you.

I can say from personal experience that my program used us as staff, and that our cases were determined by staffing needs and not my education. My program was owned solely by physicians in the 1970's. The MSN requirement in the late 1990's shifted official ownership to a university, but it was ultimately still run by physicians. Eventually all physician control was eliminated by the university (over student complaints of receiving a poor education because students were free labor and used to staff rooms). I could do almost any case at graduation, but I couldnt explain fully "why" I did certain things. Also, until recently very few CRNAs had doctorates to lead programs. The number of PhD CRNAs ( and DNPs) are skyrocketing.

Current CRNAs dont have to get a DNP. And it will be a few years before new ones HAVE to get one. Currently, some programs offer it as an option.

The purpose of nursing informatics is to assist nurses in using information to provide nursing care (facilitating the use of data to create wisdom). A IT department can create software programs and implement technology into clinical settings, but failure to fully evaluate the nursing work environment is one of the leading causes of failed implementations. A programmer can create a system that is perfect by their standards, but is completely useless by the endusers. Informatics in nursing focuses on the information flow needed to provide nursing care. Nursing informatics is needed to bridge the "techs" with the nurses. "Techs" have no clue what the information needs of nurses are. Just ask any informatics nurse who has had to implement a system that was initially led by only programmers, who waited until the end to ask nurses how they will actually use the system. I have seen a particular implementation be completely unused because it was designed without the nurses workflow in mind.

You can be a specialist in a field without clinical work, unless you claim your specialty is clinical practice. Your expertise is your research focus, which is often based in theory development and testing--not practice. For example, if you study psychsocial adjustment to new onset cancer, you dont have to be an oncology nurse clinically to interview and study oncology patients. Your interest is more intellectual than physical care.

Many traditional school offer online degrees (fully online). When choosing a school you need to consider your career goals. Most of the time no one will know where you got your degree (as long as they are accredited and allow you to take the appropriate certifying exam). If you want a career as an academic you need to avoid schools like University of Phoenix and the like, they aren't looked highly upon by full time academics because the main criteria for acceptance and graduation is the ability to pay the tuition. If the program has extremely low entrance criteria, that is a good clue that they just want your money. I legitimate program won't let absolutely everybody into the program. A good program will not let someone in who does not have the potential to finish the program. There is nothing wrong with an online degree, and there are many good programs. But they aren't all created equal, and many have poor reputations. You should talk to people who actually finished the program you are looking at, this will tell you if others have been successful with them. I would recommend a good in-state public university that gives instate tuition rates.

I would recommend the RN route to become a NP because it is easier to fit the education into a working schedule. You can look for a BS to MSN program and not have to get a second BS. Also, there is more flexibility down the road if you want to change environments. A PA is more limited in what they can specialize in. As a CRNP you can more easily change specialties (family practice to dermatology/pediatrics/ER). Also, more autonomy as a NP with more job opportunities. There are also many hospitals who will pay half or more of the tuition for an initial nursing degree. It will mainly depend on your career goals and the amount of flexibility in education that you need. Virtually all of the CRNPs I know have gone to school part time and worked full time to support a family.