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brighidh

brighidh

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brighidh's Latest Activity

  1. brighidh

    What next ... ?

    I work in and love the OR (circulate and scrub). I've gotten into a specialty I love, too, but I'm feeling a bit restless, as though I should be planning the next step. What I notice among different specialties is that they utilize either PAs or NPs as first assists and sometimes tap the hospitals surgical assist pool (staffed almost entirely by PAs). I feel as though I should be looking at one of these in order to advance my career. I talked to a surgeon I trust who laid out their expectations of NPs vs PAs. I talked to some folks from both career lines and really, I'm not any closer to knowing if one of these is the right path. The NPs say do FNP, the PAs say stick with NP since I'm already a nurse... though some also say go to PA school to have better pay and acuity of cases (interest generating). (Is this a reality, that PAs are better paid?) I just want to be in the OR the majority of the time, at the field, and not in an office seeing patients or chasing high acuity cases across the hospital as the majority of my hours. I've envisioned that I'd like to spend about 70% of my time at the field, but a 50/50 or 60/40 split is obviously not horrible. What I don't want (and what I do see) are NPs who come into the OR maybe once every few weeks to do one case with their surgeon and the rest of the time is clinic hours. I like where I am (hospital and specialty) and my specialty primarily uses NPs when they use them and I'd consider going that route, but I would want more surgical time. What would be an option here? I want to stay in the specialty, but spend more time hands-on surgically with patients and possibly do some work with research. Suggestions and help much appreciated!
  2. brighidh

    What next....?

    I love the OR. I've gotten into a specialty I love, too, but I'm feeling a bit restless, as though I should be planning the next step. What I notice among different specialties is that they utilize either PAs or NPs as first assists and sometimes tap the hospitals surgical assist pool (staffed almost entirely by PAs). I feel as though I should be looking at one of these in order to advance my career. I talked to a surgeon I trust who laid out their expectations of NPs vs PAs. I talked to some folks from both career lines and really, I'm not any closer to knowing if one of these is the right path. The NPs say do FNP, the PAs say stick with NP since I'm already a nurse... though some also say go to PA school to have better pay and acuity of cases (interest generating). I just want to be in the OR the majority of the time, at the field, and not in an office seeing patients or chasing high acuity cases across the hospital. I've envisioned that I'd like to spend about 70% of my time at the field, but a 50/50 or 60/40 split is obviously not horrible. What I don't want (and what I do see) are NPs who come into the OR maybe once every few weeks to do one case with their surgeon and the rest of the time is clinic hours. When I suggested RNFA, I was told the one RNFA who was on staff was a pity case they took on because they knew her previous hospital was going to eliminate their program and they had a long history with her, so they 'took her in'. That was incredibly disappointing and the description was ... even more disappointing, but yay for her for at least securing a spot, right? I like where I am (hospital and specialty) and my specialty primarily uses NPs when they use them and I'd consider going that route, but I would want more surgical time. What would be an option here? Suggestions and help much appreciated!
  3. brighidh

    International OR option?

    Is it possible to get a job in another country (preferably European or close to it) as a nurse from the United States? I scrub and circulate. Just considering options.
  4. brighidh

    CNOR exam

    I just finished the Zander Perioperative prep course and they gave high 90% first time pass rates for their course. Also recommended apps to do. I liked it.
  5. brighidh

    Insurance companies

    I've heard different doctors make mention that patient A or B has this or that insurance and they either approve or mention how the insurance they have is sucky. From a health care perspective, what are some "good" insurance companies and which ones don't provide as well? I don't mean a good insurance company would cover every little option right down to a pedicure, but which ones will push for less proven drugs, fast discharge, deny certain procedures (oncology, reproductive), etc? What is the "feel" for those companies?
  6. brighidh

    How to become an RN first assistant

    What exactly is ACNP? I'd love to eventually become RNFA, but I'm on cardio/vasc/thoracic team -- which precludes me from scrubbing in. I could swap out to general and scrub in much more easily, in any other specialty, actually, but I want to stay on CVOR. It seems most of the job listings I see want nurses who scrub and circulate. Can't lie that I'd also like to see $100k+ without having to become a CRNA. I've been considering either PA or NP, too, in order to get there. I thought the only option was FNP, though.
  7. brighidh

    CVOR

    Thanks for the feedback, nurses. I really do appreciate it.
  8. brighidh

    CVOR

    I've been placed on the cardio-vascular-thoracic in my OR. I've been told that CVOR is high-demand, can write my own ticket after a year's experience, etc. Maybe train to do transplants, etc. However, the situation is a high-stress one due to personnel and I'm wondering if it's worth it. I can move to another hospital later, no prob. I'm looking for feedback from people who are /have done CVOR and what job outlook is like, what pay rates are (motivational), and if all teams are stressful due to the nature of the job bringing (possibly) out the worst in folks or if this might be isolated.
  9. brighidh

    How to become an RN first assistant

    I came online tonight to look for this very topic because an RN in the OR told me recently that he had to have 5 years experience scrubbing before he could pursue RNFA. This was very depressing to me as a nurse who mostly circulates. Do I have a shot at becoming an RNFA without much experience scrubbing? He said NIFA was the certifying body, too.
  10. brighidh

    help with steps/routine

    Thank you, all -- I really appreciate the feedback and have made notes on all that you've suggested. Things are getting easier each day and some of this is coming automatically, now. Still some needs work. Thank you, again!
  11. brighidh

    Is it still financially worth it to become CRNA?

    This greatly interests me because I'm working as a PeriOp Nurse and will be cross training to PACU soon, but I honestly love what anesthesia/CRNAs do. I definitely see what they're doing since I'm turning over patients with them all day long -- and it looks much less back-breaking and like I could do it longer than I likely will as a PeriOp nurse. Only, I don't want to go to ICU and in order to get there, I figured that was the only way. How did she manage this?
  12. brighidh

    Already make $42/hr. Is travel nursing worth it?

    Are you referring to a specific specialty? What's yours? Thanks -- B
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