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SDStudent1

SDStudent1

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SDStudent1's Latest Activity

  1. SDStudent1

    CRNA Automation?

    First, as I stated previously, it was 2 authors, not one. Each of these authors provide the same (likely more) "real world knowledge" you seemed to minimize by the "one authors view" comment. Its ironic you seemed to aggrandize your own experience right after making this unlettered point. Second, I would ask you not to mischaracterize what my point was (which is another sign you are aware of the lack of substance in your position). I simply made the point that it cannot be said with any certainty that anesthesia providers are not going to be be automated to some degree in the near future and that it is a completely legitimate concern to have if you are considering going into the field. Being that I was once in the OP position, I thought it might be helpful to them if I explained what my thought process was for deciding against it. If you are going to go through the effort of being condescending at least be accurate. Yes, this may occur long after YOU retire. But the purpose of this thread has nothing to do with YOUR retirement date. It has to do with the OP who is thinking about starting a career in the field. So despite your best effort to make the discussion about you, I don't care how this effects you. My thoughts where as it pertains to someone thinking about starting a career in the field.
  2. SDStudent1

    CRNA Automation?

    Well I stayed at a Holiday Inn last night so I think we know who wins this argument. Honestly, my response was not meant to be confrontational in anyway. I was simply offering the OP something further to think about coming from a different perspective. But again, appeals to authority (x2 now) and assuming authors of an article, that are contradicting what you are saying, would agree with you is less than convincing. If you have an issue with the substance of what I am saying, I am all ears and am open to being wrong and needing to update my opinions. You should be humble enough to do the same. In my opinion that is where a lot of subject matter experts make their mistake. They become comfortable with the fact they are well informed and miss the slow unanticipated moving train that hits them because they where to busy developing calluses from patting themselves on the back. That is why I do not place too much weight on people's titles, especially when they make sure that you are aware they have them instead of relying on substance of there backing their position. The OP asked a question he thought some people in the field might laugh at ("Dont laugh but") and I felt it was important that he/she be aware that they were right to have that concern or at least warrant further looking into. It deserves a little more consideration then a judge dreed-like ("I am the law") response.
  3. SDStudent1

    PMHNP Specialization

    Both seem extremely interesting areas for entirely different reasons. Thank you very much for taking the time to answer.
  4. SDStudent1

    CRNA Automation?

    I appreciate you appreciating my view point but I was quoting the opinions of 2 prominent Anesthesiologist who published a peer reviewed article in the US National Library of Medicine and National Institutes of Health. I would imagine they have the necessary expertise you require. If I said something that was inaccurate I would be more than willing to be educated on that fact but using the fallacies of appealing to authority and damning the source usually means you can't. With all do respect, after reading your posts it doesn't seem you have the expertise in regards to emerging technologies to make an informed decision which I would argue is more important when answering a question about how technology would effect people in the future.
  5. SDStudent1

    Psych Nurses. Do you hug your patients?

    I am not a Psych nurse but I did stay at a holiday inn last night so let me offer my opinion on a subject I have absolutely zero experience with. While you are at it can I ask for your insightful opinion on rocket surgery ? Your mother Teressa complex will go away shortly after you get your first headbutt (which happened to me on Psych ICU), bit (same), spit on (cant even count the number but my record is 3 times in 1 shift) or have a knife pulled on you (happened to me while working at an ACT program). You want to be a care bear and give hugs all day then you do you my friend, as for me I would prefer to go home not getting the crap beat out of me for doing something stupid. I am going to help you out 1) I the future, if you are posting something that starts with "I am not a XXXXXX BUT", you should probably rethink that post 2) You should definitely not waste you time going to school to be a Psych nurse. It requires not only compassion but common sense which if you post is any indication, you are severely lacking.
  6. SDStudent1

    PMHNP review books?

    Just memorize the high yield information provided by the movies One Flew Over the Cuckoo's Nest, Shutter Island and 12 monkeys (in that order exactly) and you should be good to go.
  7. SDStudent1

    PMHNP Specialization

    Regarding the DSM, thats a good way to conceptualize the ability to subspecialize in the PMHNP profession. I would not have thought to put it that way. I feel like the deeper I get into my PMHNP program the more I hear about interesting niche roles I would never had considered. For example, I think one PMHNP one here was talking about incorporating horse therapy or something like that into her practice. Although that is not something I would be interested in doing, it's interesting to know what is possible. I guess I should have titled this subspecialties / Niche roles / unique modalities within PMHNP
  8. SDStudent1

    PMHNP Specialization

    Would you mind describing what a typical day for a Forensic PMHNP would look like, what you found interesting about it and how it differs from working on something like a Psychiatric ICU (where I work now as a Psych RN) ? Forensics seems very interesting to me but unfortunately, I wont be able to do a clinical rotation in forensics as part of my PMHNP program. I am currently in clinicals at a hospital who supplies Psychiatrist/PMHNP to a large local prison in the area but, despite my best efforts, they will not let me do a rotation there. Also, what about LTC makes it lucrative and what do you mean when you say it is very flexible ? I only ask because I would not have guessed that was the case but I have heard the same thing from other people posting on here. When I started my PMHNP program I wanted to work Pediatric Psych and was terrified of Geriatric because of how medically complicated they are. I am now most of the way through the program and have completely switched. I have not interest in doing pediatric psych but found that I actually enjoyed working in geriatrics. Thank you very much for the info
  9. SDStudent1

    CRNA Automation?

    Again, I will have to respectfully disagree. And again, I would use the cell phone as an example. The “Brick” cell phone was discontinued within a few years of its creation, but I am willing to bet you have a far more advanced and capable version of it in your pocket right now. Just because a first-generation version of a technology did not become mainstream does not mean that is the end of the story. In fact, in the case of Mcsleepy I would argue the opposite. It actually did receive FDA approval to autonomously provide anesthesia in a live surgery. I don’t think it is a stretch to worry about that fact if my job revolved around providing anesthesia. The general trend with technology advancements is that initially it augments and later it replaces. Most likely, AI and Robotics would initially be used to automate the mundane and repetitive tasks and then at some point would entirely replace the Anesthesiologist/CRNA. I would further argue that the technology currently exists to do so. It is more of an implementation problem at this point. The reason Mcsleepy failed is because a closed loop feedback system is very rigid and rule based which is inadequate to handle the complexities of providing anesthesia. With the advances in machine learning, that limitation is no longer present. This NCIB article says as much, stating “hand dexterity” is likely the only thing that may not be able to be automated “at this time”. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903534/ I do agree with you that it is not only a technical matter but a political one as well. But I also feel the politics of it become decidedly less complicated when there is substantial financial incentive, which would be the case if Mcsleepy 5.0 proves to be cheaper with as good if not better outcomes. It wouldn’t matter how strong a single special interest lobbying group was, it would not be as strong as all the member who would profit from it. I am not arguing that I know for a fact that it will occur within a given time frame. I am only arguing that the OP has a very legitimate concern given the interest in automating anesthesia, when coupled with the technological advances that have already occurred. I feel the only thing that can be said for certain is that Robotics and AI will drastically change a CRNA job description. Whether that is primarily augmentation or complete replacement I don’t think you nor I can say for certain. (That being said, I am definitely rooting for you to be right about the cyborg technology assimilation ) "We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next ten. Don't let yourself be lulled into inaction." - Bill Gates
  10. SDStudent1

    CRNA Automation?

    I feel like the horses in the 1800's told each other the same thing. They thought they had job security because the horse and buggy would always require a "horse component". Excluding the horse power comparison in cars, that turned out not to be true . But on a serious note, I would respectfully disagree. In nursing school I briefly considered CRNA and ruled it out shortly thereafter when I read an article about "Mcsleepy, the automated anesthesiologist" which started being used live in surgeries back in 2008. Personally, I believe it's only a matter of time until it doesn't require a human component and I think it's next to impossible to say with any degree of certainty that it wont happen within your career timeframe. Use cell phones for example. Moores law (which states the number of transistors in a dense integrated circuit doubles about every two years) took the cell phone from a brick in 1993 to me being able to use my Galaxy Note 4 in virtual reality goggles too see a panoramic view of mars (as seen from the mars rover). I don't think anyone could have predicted how quickly the technology progression would happen and what changes would occur as a result. There are tons of articles out there about jobs that are more likely to be automated vs those that aren't. The general trend I see is that jobs that rely heavily on interacting with (conscious) people seem to be the hardest to automate at this point. Long answer short, I don't think anyone could answer your questions with any degree of certainty but I would be worried about the fact that they are already trying to automate anesthesiologist / CRNA.
  11. SDStudent1

    PMHNP Specialization

    What sub-specializations are available for PMHNP. The ones I can think of off the top of my head include ............ Forensics / Correction Telepsychiatry Perinatal Psychiatry Addiction LTC Geriatric Pediatric Private Practice I am curious if anyone could offer some insight into what all is available to someone certified as a PMHNP. Thanks
  12. SDStudent1

    PMHNP Specialization

    I am currently in the last year of my PMHNP program. Throughout my program I have, at random mostly, heard about different subspecialties within the PMHNP field. The ones I can think of off the top of my head include ............ Forensics / Correction Telepsychiatry Perinatal Psychiatry Addiction LTC Geriatric Pediatric Private Practice That being said, I am not getting ahead of myself. I plan to start as general as possible and maybe specialize in a particular field, if I feel strongly about, later in my career. I am mainly curious if anyone could offer some insight into what all is available to someone certified as a PMHNP. Thanks
  13. SDStudent1

    ACT nurse interview

    It was a somewhat hard choice for me. I enjoyed working at ACT and really liked the autonomy. There was two main reasons. First, we had a really good program direct that moved up in the company and he replacement was unethical and incompetent. She was fired, about 6 months after I left, for both of those reasons. Second, my overall plan was always to get well rounded psychiatric experience under my belt before going to Psych NP program (which I am finishing up now). Having experience in the ACT program as well as at an Inpatient locked unit has been EXTREMELY useful every step of the way in my PMHNP program. So, either way, I am very happy with the fact I got some experience working in a ACT program and feel I am better for it. I keep in touch with my previous coworkers at the ACT program and would certainly consider going back as a prescriber if the opportunity presented itself (minus the terrible program director )
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