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wtbcrna MSN, DNP, CRNA

Anesthesia
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USAF nurse

wtbcrna's Latest Activity

  1. wtbcrna

    Partnership Track in a Practice

    Congratulations! I obviously don’t have any experience in partnerships, but I would ask the group how many people that start to work there as anesthesia providers make partner and if it’s not 100% why not. Then ask when the last person made partner, who that person is and talk to that person. That being said I think you need to look on independent CRNA FB group for advice.
  2. wtbcrna

    CRNA Automation?

    The earliest date that anesthesia full automation could even start to be a viable time is 2030-2045 when AI is expected to exceed human intelligence/capabilities. That being said even if in 2030 the AI was capable of doing it then the robotics portion would have to be developed and tested. That would take a minimum of 10+ years and as stated previously it normally takes 17+ years for research to come into practice. Then there are the FDA approvals, public acceptance, the anesthesia/medical PACs to buy off on it. The McSleepy/Sedseys system was discontinued d/t lack of sales because it was never accepted by medical providers and the public not because it couldn’t do the very limited job it was designed for. The average age of a CRNA is 47 y/o with most CRNAs graduating in their early to mid 30s assuming that they these new CRNAs are expected work for average of 30-35years or less. There is zero reason to think the next generation of CRNAs that graduate in the near future will have anything to worry about from anesthesia job loss d/t automation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961028/ https://www.stahq.org/
  3. wtbcrna

    CRNA Automation?

    If we ever invent a machines to take over what anesthesia providers to do the vast majority of anesthesia providers wouldn’t have jobs anywhere in healthcare.
  4. wtbcrna

    CRNA Automation?

    We can always add more technology to Anesthesia but for the foreseeable future anesthesia providers aren’t going anywhere. The job of doing anesthesia encompasses much more than just pushing drugs and intubating people.
  5. wtbcrna

    CRNA Automation?

    Mcsleepy was discontinued shortly after it was released and it was never approved for anything but moderate sedation cases mainly for GI sedation cases. Actual replacement of anesthesia providers by automation is not just a technical matter but a political matter. The anesthesia lobby is the most powerful and well funded medical speciality lobby there is even eclipsing AMA at times. Further, the process from research to active use in medicine averages over 17 years with no complications. IMHO I think it is safe to say anesthesia providers in the US aren’t going to be replaced for several decades. I can safely say that knowing how anesthesia PACs protect their market, how long research takes to make it into practice, previous history of anesthesia innovations coming to market, and people’s reluctance to trust machines without someone directly monitoring them that can take over for them at a moments notice.
  6. Hello wtbcrna. I am a new graduate nurse (finished in May and passed nclex last week). I Joined the Airforce reserve in January hoping to get a couple of personal/family benefits but I am beginning to realize that that's probably not going to happen the way I thought, mostly because my recruiter lied to me about somethings and not totally opened about others. I'm shipping out to bmt next week but my big goal is to be a crna through HPSP. Airforce offered me a job outside nursing because I have limited options as a non-US citizen, though I know it would probably be best to come in as commissioned officer after one year of icu experince. How do you advise I go about this? I know I will probably need a release from my present unit to go to school (not sure), and also have to overcome the hurdle of commissioning. Wish I knew what I know now 6 months ago. Please advice me.

    1. wtbcrna

      wtbcrna, MSN, DNP, CRNA

      Hi Kulvikky, 

      You cannot do hpsp without being eligible to be a commissioned officer. One of those requirements is being a US citizen. You can use the GI bill to go to school, but other than that there is little the AF will help you going to CRNA school in your current situation. 

       

      Sincerely 

    2. kulvikky

      kulvikky

      Thanks for the reply. Yes I know I need to be a citizen before commissioning or getting hpsp. I am just starting out as a new nurse and my citizenship should kick in latest by  the first quarter of next year. I was just wondering if you have any advise regarding switching to commissioned nurse officer and eventually getting the hpsp when I finally apply  to crna school (in the next 2years at least). I dont know how difficult it is for reservist to 1. Be able to attend crna school with current reserve commitment and 2. Secure hpsp 

    3. wtbcrna

      wtbcrna, MSN, DNP, CRNA

      It will all depend on your reserve unit. You may have to just serve your initial commitment. You should also know that technically your contract isn’t finalized until you say your oath for the second time at meps right before you go to bmt.

  7. wtbcrna

    'Force feeding' at Guantanamo

    This diatribe has what to do with with the original thread? Your lack of understanding of why the military is needed has no bearing on reality. You can debate military budget and terrorism all day long, but until you have spent time in Afghanistan and/or Iraq you truly will never have a clue about why the US military is needed to fight terrorism abroad.
  8. wtbcrna

    'Force feeding' at Guantanamo

    You're clueless.
  9. wtbcrna

    Employer paying off Student Loans?

    The VA is just a government job not a uniformed service, so it's more or less like any other civilian job.
  10. wtbcrna

    Employer paying off Student Loans?

    Military has loan repayment programs, but the best offer is to decline the loan repayment and the accession bonus and just opt for the 50k/yr bonus for 4 yrs. USPHS has similar programs to the military. There is HRSA. NURSE Corps Loan Repayment Program | Bureau of Health Workforce Certain IHS positions will sometimes offer above the HRSA rates for bonuses and loan repayment. The VA has 10k/yr with a lifetime max of 60k. You can also get a complete loan forgiveness if you have 100% VA disability rating. Those are the ones I currently know about.
  11. wtbcrna

    Military CRNA Daily Life

    Deployments, TDYs, and remote assignments your family stays at your base/last base you're assigned to, but all normal duty assignments your family is assigned/goes with you.
  12. wtbcrna

    Military CRNA Daily Life

    90%+ of being a military CRNA isn't much different than being a civilian CRNA with full scope of practice. USAF deployment cycle is 6 months with 12 months in between. It varies greatly depending on manning and if you are trained in special areas such as special operations or helicopter medical transport. Generally, anywhere you are deployed with the military you will have WiFi access and will be able to talk to your family on a regular basis. Each family deals with it in different ways. Some families will move back with their parents while their spouses are deployed, Ive seen some parents come live with them and help with the children, but the most common is people just deal with the deployments in the best way they can and use military support networks that are in place. The military is more like and extended family than just a job where you work.
  13. wtbcrna

    Defasciculating dose before Succs?

    There is no clear indication between fasculations and myalgias. There are a variety of reasons for myalgias after surgery. Severe myalgias are also unlikely to be caused from succinylcholine. Prevention of Succinylcholine-induced Fasciculation and Myalgia:A Meta-analysis of Randomized Trials | Anesthesiology | ASA Publications
  14. wtbcrna

    endoscopy anesthesia job?

    Unless you went to a bare minimum requirements school you will have plenty of intubations, spinals, epidurals, and a lines. My number of cases and along with each of those skills rivaled any anesthesiologist when I graduated. Besides that everything you mentioned is a technical skill. Intubations takes about 100+ for most people to become proficient, sabs/epidurals take 15 on average to become competent and around 50 to become proficient. I haven't seen the research on number of a lines it takes to become competent and proficient but I would assume it's on par with SABs. I personally wouldn't recommend going to an endoscopy only job right out of school d/t likelyhood of restricting further anesthesia jobs outside of that niche practice, but any new grad should have the skills to do this upon graduating. You can verify the research through a pubmed search or read about the research plus discussion on what it takes for SRNAs to become clinically proficient in "A Resource for Nurse Anesthesia Educators, Second Edition".
  15. wtbcrna

    Experienced CRNA...ask me anything

    Just to clarify: The AACN recommenced the move to a terminal/doctoral degree for a APRNs graduating in 2015 or later. The AACN is not an accrediting agency for any APRN association. The AACN cannot mandate changes for CRNAs or any other APRNs. The AANA decided to support the change to a terminal degree requirement and the COA adopted that change. It was in part due to the recommendations of the AACN, but it is and was the AANA and the COA that did and had to make that a requirement. There is a more detailed brief in the AANA and COA websites about requiring a doctoral degree for new graduates by 2025.
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