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gazpaz

gazpaz

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gazpaz's Latest Activity

  1. gazpaz

    advanced physiology/pharm/patho

    PM me
  2. gazpaz

    Dnap. Is crna worth it in the next years

    I wouldn't focus on MSN vs DNAP right now. Most programs are transitioning to DNAP as required by the COA. Instead focus on the quality of the program, the clinical rotations you will have and the hands on learning opportunities that you will have. At at the end of the day, your clinical performance and your letters of recommendation will get you a good job after school. Anesthesia is a very small community and news travels far and fast. We have MSN and DNP CRNAS at my job, we are treated the same and there is no degree difference in pay or treatment. It's all about personality, attitude and clinical performance. I wouldn't go back for a DNP unless forced to by my anesthesia group, which I don't see happening.
  3. gazpaz

    ICU RN NEXT STEPS?

    Be an all around over achiever - get ACLS, PALS, work as a charge nurse, run codes, work on special projects or committees. Take the GRE, work OT shifts to give yourself more hours in the ICU and more experience. Work on placing a ton of IVs, working woth ventilators, Aline's, Swans, learn all of the drips and why you are giving them. Be the person that other people turn to for help or when things are starting to go south.
  4. gazpaz

    BSN or B. S. In Chemistry?

    Pre-red for anesthesia school = BSN. Go to a few schools websites and look at their admissions requirements.
  5. gazpaz

    HELP! Is it really worth it??

    Don't you have the life of your patients in your hands every day as an ICU nurse? How many times have you been part of a code that saved someone's life or an emergency intubation? Yes school sucks, yes it is hard, yes it is stressful, but it is worth it. At the end of the day, would you regret not at least giving it a try? Worst comes to worst, you decide it isn't for you and you transfer into a critical care np program.
  6. gazpaz

    Providence hospital 'let's go' of 68 crna's sounds fishy

    It's a really unfortunate situation. The Michigan68 actually raised money and hired a lawyer to attempt to negotiate the contract and obtain all company policies and procedures to review prior to signing a new job contract. There were issues with not all of the policies being available for review, the management of retirement funds, scheduling procedures and personality of Dr. Largo (the company owner). There was reportedly an issue with one of the MI68 putting up a cartoon on her FB page (no names named in it), but apparently Largo didn't find it funny and threatened her with a defamation lawsuit. Also a question of kickbacks for the outsourced anesthesia contract and money going to company to "supplement" Medicare reimbursement. Those who who refused to sign the contract, the hospital told them that it was a sign of "voluntary resignation" - none of the MI68 can apply for unemployment because of this or was offered a severance package. Some individuals have worked there for 20+ years, one employee decided to have her labor induced early while she still had health care coverage.... Very unfortunate and sad, but also most likely a sign of things to come. Many hospitals are staring to bid out anesthesia contracts to national groups in order to cut costs.
  7. gazpaz

    What steps do I need to take to become a CRNA?

    Many programs have already transitioned from offering a MSN to a DNAP. Honestly, I don't think it makes any difference, just pick a school which will give you the best clinical/residency experience. Rushing to get into a program early to avoid the DNAP requirement is only hurting yourself in the long run. Myself and most of my coworkers have no plans to go back to school for a DNAP. Focus on getting a solid foundation in a high acuity ICU (fresh surgical patients or hearts), get ACLS and PALS, work as a charge nurse, work on unit committees and projects... Make the most of your ICU experience and then do the same in CRNA school. You should feel comfortable and be able to work as an independent provider when you graduate. Take call, stay late to finish your cases... The more experience you get, the better prepared you will be for a job after graduation. Also decide if you want a front loaded (1 year class only, 2 years 40+ clinical hours a week and only 1-2 classes a semester) or integrated (clinical hours mixed in with classes for the entire 3 years). Look at programs and find out where they their rotations, what opportunities you have at these rotations, do they hire students, where do most graduates go to find jobs, how saturated is the area?
  8. gazpaz

    Math help

    Why are you using 1/2% Lido? Do they have 2% at your rotation?
  9. gazpaz

    is CRNA depressing like ICU?

    While I cannot fix stupid, I can sedate it! Being a CRNA is a complete 180 from being in the ICU. Shadow someone and see if you like it. i will tell you though, I still help clean up code Browns if they happen in the OR and have been puked on several times - goes with the territory. At the end of the day, it is your patient and you do whatever needs to be done to ensure the best for them.
  10. gazpaz

    Updates on the Pros and Cons of being a CRNA

    Before asking a very general and subjective question you should look into the job role of a CRNA and you expectations of an APRN role. The AANA website has tons of resources for individuals interested in the CRNA role. Also look into the political battles between the ASA and AANA, current legislation issues such as the VA bills and medicate state opt-out issues. Also look into the "Michigan 68" to understand job contract issues. The amount of autonomy and schedule are very dependent on where you practice, as are the salaries and employment opportunities. Each job its own specific pros and cons, you just have to decide what is the ideal situation for you. All that being said, I love being a CRNA and think it is a wonderful profession. Great for critical thinking and individuals who are looking for more autonomy and to move out of the ICU.
  11. gazpaz

    advanced physiology/pharm/patho

    Instead of taking more classes to become more competitive, can you try to working your ICU experience instead? I'm not sure how large of an ICU or what distribution the beds are, but more expansive ICU experience would also help. Work in a level 1 trauma center, larger ICU with higher SICU patient volume, getting ACLS, PALS... Work with fresh CABGs, lung resections... Do you have your CCRN or other advanced certifications? Are you a charge nurse? How many swans, a-lines, central lines have you worked with? How many codes have you participated in? How many IVs have you put in? How many of your patients have you weaned off a ventilator successfully? How many have you had to emerge you intubate? You our will probably have to retake any advanced patho/physio/pharm classes as part of the nurse anesthesia program curriculum. I wouldn't waste my time and money on that now, especially when a rich ICU background can make you equally, if not more competitive.
  12. gazpaz

    Return to CRNA school or go for MDA

    MDA - 4 years of medical school, then you have to interview and match into one of the anesthesia residency programs (anywhere in the country) and complete 3 years of residency (80 hr weeks with call) and many anesthesia residencies require a 1 year ICU internship prior to entry. If then you want to further specialize - you have another fellowship (2 years) in pediatric anesthesia or OB anesthesia.... Then you get to apply for a job as an MDA (and finally make more than 30-50k as a resident) either way you have a ton of clinical hours to perform, it's required for the profession. I'm not sure how going for an MD would avoid the problem of leaving your kids with a nanny - in my opinion it would require them to spend even more time with the nanny (if the nearby CRNA program is only 3 years). can you contact your old Crna program and try to pick up where you left off and save some time and $$$
  13. gazpaz

    ICU Experience before CRNA

    I'm a Gtown grad, if you are planning on going back to Gtown for their NAP try to get a job at either WHC (not 4H) ICU tower/CVR or in one the GUH ICUs. They pull heavily from those places for their program. If you have other questions feel free to PM me.
  14. gazpaz

    CRNA

    Best Nurse Anesthesia Programs | Top Nursing Schools | US News Best Graduate Schools Become a CRNA $60-70,000 private or out-of-state tuition is common for the NE. $30-40,000 in-state tuition. $100,000 seems a little excessive especially considering the 18+ months of clinical hours alone (you are free labor and just pay malpractice insurance to the program). How much are they charging per credit? Keep in mind the other hidden expenses: textbooks, board review materials and courses, housing, food, transportation to clinic sites, health insurance.... FYI - Emory founded the AA program, aiding the ASA's continued battles against CRNA independent practice. Do your hw and look into the huge political battles between the ASA and AANA, VA bill/issues, Medicare-opt outs... https://med.emory.edu/aa_program/program/history.html
  15. gazpaz

    How "good" of an ICU nurse does one need to be?

    What attracts you to being a CRNA? Most people want autonomy, then the more flexible schedule, more reimbursement. Critical thinking and and acting fast on your feet is a huge part of the job. You can learn and grow in school, but you have to comfortable being that person - the person the in room initiating the code, starting the massive transfusion protocol, telling the surgeon it's time to stop and flip the prone patient to manage the airway. You have to know what to do for a stat c-section when the baby comes out blue and mom starts freaking out while hemorrhaging. You have to be comfortable making the call and initiating action. There are great surgeons and OR nurses out there, but you need to know what to do in the case that they can't help you and you are on your own until more help comes. Most of the time things in anesthesia go well, but when the don't it's really bad and things go south really fast. You need to feel comfortable as an independent provider, regardless of where you practice. There isn't a magic formula for making a "good ICU nurse" and having that translate to a good CRNA. You have to comfortable and confident in your skills, otherwise you are just putting yourself and patients at risk. Shadow a few CRNAs (try to find one in independent practice). Go go into every code and run a few, learn to become charge nurse, do as many IVs as you can (anesthesia is the IV team in many places). Do whatever you need to be "that nurse." And in the end, if it doesn't work out there are plenty of other nurse practitioner roles to explore.
  16. gazpaz

    Books to read before school starts

    Take a nice vacation and read something for fun. Plenty of time in school to read all of the anesthesia text books.
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