RicRock

Schools with multiple clinical sites so you can learn from a variety of people. find a school that does specialty specific rotations.

So you think the school should have enough preceptors at every clinical site to cover all students? I’m guessing that you have a lot to teach but if you don’t think you do then just don’t take students.

Get your masters first then do dnap later if you feel the need. Especially if it means less in student loans.

COVID-19 Patients should be intubated by people that do it multiple times on a DAILY basis. They desaturate so fast that you don't have a lot of time for multiple attempts.

Just because you think it’s important doesn’t mean everyone does. Also, you can’t change other people’s behavior, give a report you feel good about and then bounce.

Probably not before you start. You’ll need a license for every state where you have clinicals.

Get your BSN anywhere and work in a large, high-acuity, ICU. What you learn there is more important than anything else.

Trust your preceptors. If struggling, always go back to step one... position. Most SRNAs that I see who are struggling with intubations aren't setting themselves up for success. Everyone struggles from time to time.

Good luck

I agree, use it. Makes it look like you are really committed to that school.

Didactic has changed a lot since I went but if you look for opportunities, you won't get a better clinical experience.

They are not interchangeable, but are treated the same at some practices. Shadow a CRNA the practices independently, that's something that AA's can't do.

Regional blocks are taught to ALL CRNAs There are facilities where CRNAs independently do hearts/heads. Why do you think there isn't?

Have you ever worked with CRNA's?

Just wanted to note real quick. You do realize that CRNAs have a graduate degree and go through a residency right? With my BSN, I didn't know the WHY either.

Very glad your girls are alright.

If I thought it would make a difference to you, I'd dig for it but it was published over 6 years ago. I'm sure one of your buddies could dig it up for you. It's the position statement from the ASA telling them to refer to themselves as physician anesthesiologists

Did you read the ASA survey and conclusion?

Yawn. It's not a physician title. And I could give you sources, but you and I are never going to agree. Read the ASA survey as to the reasons they went with physician anesthesiologist. They provide the best arguments. Not sure what stake you have in it but I wish you well.

Not sure about transparency, they recognize that the general public just knows the anesthesiologist is the person that puts them to sleep. They (the public) doesn't know if that's a nurse, a doctor, or a cat. Currently, I introduce myself 3 -6 (or more) times a day as a nurse anesthetist and they look at me confused. I say nurse anesthesiologist, and they immediately understand what my role is.

As far as who does what is facility dependent. Some CRNAs practice independently, doing all the blocks and lines. Some are never allowed to do blocks or even push their own drugs for intubation. As you stated, especially in university hospitals, crnas will do no regional.

I'd advise you to spend some time on AANA.com CRNA's provide anesthesia in all kinds of environments. Some facilities do utilize CRNA's in emergent situations for their airway/hemodynamic management skills but this is always for something acute. You wouldn't round on septic patients and adjust vents etc. CRNA's do provide acute pain management services using regional techniques and in some states, chronic pain. The HHS Pain Management Best Practices Inter-Agency Task Force recommends a greater use of CRNA's in pain management roles to help combat the opioid epidemic. Their final recommendation was released May 9th. Since Pallative care is more than just pain management it would be outside the scope of practice as well.

Generally our surgeons introduce us as the anesthesiologist and I don't know what a supervising anesthesiologist is.

They usually think that you are the one providing the anesthesia.

Perfect explanation