BigPappaCRNA

BigPappaCRNA

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All Content by BigPappaCRNA

  1. Why not paralyze??

    I think it is just a practice that has been handed down through time. When I first started practicing anesthesia in 1992, we didn't even have End Tidal agent monitoring. We just turned the Forane dial to 1% and hoped and prayed that they were getti...
  2. Why not paralyze??

    No. No only is it not common sense, your opinion is not evidenced based and not supported by a mountain of literature. Never paralyzing someone with an LMA is old school dogma, passed on through the years with no research to back it up. There are ...
  3. Why not paralyze??

    Sorry Solarex, but he is 100% correct. Sugammadex is actually cheaper, directly compared with the prices of both Neostigmine and Glycopyrolate (both of which have soared since Sugammadex was released). This is not even taking into account the more ...
  4. Etomidate Vs. Propofol for Standard Inductions of GA

    I have not used Etomidate in more than 10 years. Just see no reason for it. The adrenal suppression is well documented. Now, where there may be some area for discussion is in the clinical significance of the adrenal suppression. That is open to d...
  5. CRNA Programs with No Competition

    Samuel Merritt has very, very few. Some of there students may rotate at UC Davis, and there are residents there, but it is a huge, enormous facility and from an SRNA point of view, plenty to go around. Samuel Merritt students also get to go to some...
  6. CRNA school but low GPA

    Get some good, strong, quality nursing experience. During that time, get your ACLS, and PALS, and your CCRN. Take all sorts of classes. Then...you will need to take some classes in order to show the program (and yourself) that you are capable to w...
  7. CRNA school but low GPA

    I think you read his post wrong. His nursing GPA is 3.02. I do not want to pile on, but I do not think there is a program in the country that will take an applicant with that, at least as is.
  8. Why don't CRNAs have prescriptive authority like NPs?

    We work in chronic pain management in all states and practice settings already. There are many, many pain management fellowships and post-graduate certifications a CRNA can get. Maybe a few of the older crowd were grandfathered in, but most are req...
  9. CRNA Application Essay: Discuss a Current Problem

    How about keeping it current. Expectations of some facilities that CRNAs actively work in the ICU due to the Covid crush.
  10. Nurse Anesthesiologist Name Change

    To be clear, the profession did not change its name. The professional association for CRNAs changed their name. The AANA does not have the power to change the professions name. Our ability to practice is by state, and with our state nursing licens...
  11. Direct-Entry MSN to CRNA DNP

    You will be able to practice as a CRNA with a masters degree for many, many years to come. However, this year is the final year that programs are admitting masters students. After this year, all admissions will be into DNP/DNAP programs, to meet th...
  12. Do CRNAs work mostly with COVID patients?

    This post has a very strong "troll" feel to it.
  13. Question

    I don't find them to be any problem at all. Especially for a spine surgery which likely will be intubated. Just don't let them intubate your esophagus, problem solved.
  14. Halfway done w/ CRNA school, ask me anything

    I have heard this, but have not really seen the it. Most classes have a few scattered students in their 40s. The reality is both academically and clinically, they do very, very well, in fact they are usually near the top of their class. But, the o...
  15. Should I keep applying?

    I just have to keep it real. You have not done too well in your courses up until this point. Only you know why that is, but I can tell you, the work needed to complete a CRNA program is exponentially more difficult. If you gave your school work yo...
  16. CRNA question for VCU

    My apologies. I did not see that you was a different person responding than the OP. My bad. As far as VCU, they are one of the leaders in the profession. You have a different opinion based on your interaction with their faculty and graduates than ...
  17. CRNA question for VCU

    Hmmmm....well lets see. I said some programs may all one to have one hole, and still be considered. Your CV is one entire black hole. There is not one single qualification that you present currently, that would even get you an interview, much less...
  18. CRNA question for VCU

    As it sits right now, you have zero chance of getting in to VCU. Period. Sorry to be so blunt, but they are one of, if not THE premiere CRNA school right now. Some programs will let you get away with having one hole in your resume', but VCU is not...
  19. Calling out any exclusively NICU RNs who became CRNAs?

    At the very, very least, try moving to a busy PICU. But really, 2 years of Adult ICU would be best. Who cares if the school will accept the NICU experience or not, it will put you tangibly behind your classmates. Why would you want to make things e...
  20. Well, my bigger concern is that those programs might not have Accreditation through either WASC or SACS. If they do not, your degree would be only for the wall in your home, and it would be as if you did not actually have a degree. Not saying they...
  21. Travel Nurse Experience on CRNA Application

    Experience is huge, as a general rule. If you have 2-3 years of busy ICU experience already, than the travel time is just fine. Not a problem at all. If the extent of your critical care experience consists of travel nursing, than it is reasonable ...
  22. Can you be a CRNA if...?

    Honestly, if your self-assessment is accurate, than being a CRNA might not be the best career for you. Things can be learned, but it is hard. And expensive. And time consuming. All to see if you can do it? And that is just the hand skills, upon ...
  23. Best ICU experience for CRNA school

    Big and busy, is most important. In a perfect world, Surgical/Trauma ICU with the best, but one has to take what they can get. CVICU is absolutely, positively NOT the best. It is generally one system. A busy surgical trauma, or mixed Medical/Surg...
  24. SRNA hopeful-Help!

    Your overall package sounds just fine to me. You will do great. You should know that right now, it is IMPOSSIBLE to shadow, anywhere, with anyone, due to COVID. I would not worry too much about that right now.
  25. Reaching our to director-unprofessional?

    That is a very reasonable course of action for you. Why guess. Hear it directly from them where you are strong, and areas in which you can improve. The P.D.s don't bite, and were once in your shoes. You will be fine.