Had my first kid, worked full time as a tech during night shifts, Nursing school full time and pre-reqs full time as full of a load as fast as possible. Went to a really good nursing school. Was tired sometimes but graduated with only 1 B the rest A's. Just be dedicated and have good study habits. A couple of my pre-reqs were more difficult academically than nursing school.
I really don't think the MSN vs DNP job competition will ever be a thing for CRNAs. To be extra competitive in the job market as a CRNA means you are capable of practicing independently, are proficient in regional anesthesia, and comfortable with OB and peds. You are a provider and your skills make you valuable.
I would go MSN all the way. A lot of DNP programs will allow you to work while completing the DNP portion upfront, so it makes it more palatable. But I don't think you're missing out on any job opportunities. The programs I'm most familiar with in my area that are DNP and used to be MSN just added a bunch of discussion board posts and paper writing. It's more expensive and adds no clinical value. I understand it from a political perspective though, but practically speaking I think it's pretty worthless. (Think BSN vs. ADN).
murseman24 replied to paramedic-RN's topic in Nurses
It's just a very old and outdated hierarchical system that brings one profession up at the expense of the rest. Most of ya'll sound like you've drank the Koolaid and are suffering from Stockholm Syndrome. The nursing profession will continue to garner little respect when you can't even respect yourself.
murseman24 replied to SummerOlaf's topic in Students
You won't be paid well as a nursing instructor and you would be doing your students a disservice. Please don't. an NP and PA don't do as much "bedside" care, you can always move on to something like that.. there are other options with less hands-on bedside care
When I did rapid response we didn't have your role, and most of the patients were medical not complex surgical. I would let the ICU nurses handle the stabilization/ACLS interventions and busy yourself with the setup for the procedure. If you're on a floor that doesn't handle codes and crises often like the ICU then godspeed to you for trying to stabilize the patient and set everything up at the same time.
murseman24 replied to stacylethani's topic in Nurses
I once had a GI doc ask me what MAP meant (mean arterial pressure). You can't know everything. Maybe an emergency med doc has the most training for any general issues you might come across on the street. But then these are the same people the rest of the hospital pokes fun at because they always seem to be grasping for straws and missing things. No one's perfect. Your family doesn't have a clue.
It can cause atropine-resistant bradycardia and hypotension as it has non-competitive alpha and beta adrenergic antagonism. This patient has been on it for a while it sounds and this is just a maintenance dose, so I doubt you would see these effects here, but I think parameters are important b/c as the nurse you could be blamed for an adverse event if hemodynamic compromise does occur for some reason and you gave a drug with "borderline" vitals.