Published May 17, 2006
MmacFN
556 Posts
Hey all
Just wanted to get the general concensus from the experienced CRNAs as to where the best states to practice in are.
I know there are alot of jobs just about everywhere, but there must be some places which are better than others to work in?
Anyone?
rayman
158 Posts
Good question, Mike! I think a lot of newbies would be interested in some comments here.
blee1
246 Posts
good question..
hows the scene in hawaii? i ask cus i was born and raised there. i hope to end up back home one of these days (hopefully as a CRNA)...
EmeraldNYL, BSN, RN
953 Posts
I keep getting all these job offers in the mail for all these midwestern states. I think the pay in these states is pretty good and CRNAs can function pretty independently. Here in PA, CRNAs are utilized extensively, but almost always in an anesthesia care team setting. In Philly, hospital policy varies with what CRNAs get to do-- at some places they can do anything and at other hospitals they are not allowed to do hearts, or spinals, or blocks. Because it varies so much I think it is best to ask the anesthesia dept. when you apply for a job what you will and will not be allowed to do.
Nitecap
334 Posts
Not sure what you mean by CRNA friendly. You can break things down even more than by state. Take it for instance Texas. Houston having the largest medical center in the Country and the 5th to largest population is extremely CRNA friendly. Austin a good bit smaller in population and hospitals is more MD dominated though recently there are more and more CRNA opportunities there. Houston however has hundredes of solid paying positions open at present. Anesthesia groups even through functions for us while we are in school attempting to recruit us.
Yes I am getting many great mid west recruiting things by mail and email. They have a pretty big need. So to nswer the question Im not real sure if you can break it down by CRNA friendly states, whatever friendly is refering to. You may have a practice on one side of town that uses many CRNA's, offers great salaries, autonomy, challenges and work environment yet across town have a group that hires few CRNA's, pay not as good, no autonomy and no challenging cases. The CRNA's may love their positions at that first place while the CRNA across town think they can find better employment.
good point nite
I consider "friendly" high level of practice autonomy (but ACT is OK as long as there is autonomy in pracitce), practice to scope, full range of cases and good pay. The pay would be the least important.
Things wil probably be different by the time im done, but its an interesting topic
Country PICU
49 Posts
I am glad to here that the mid west has alot of openings. My goal is to become a CRNA and would love to move to the mid west.
Please keep the comments coming.
Good Luck everyone
SigmaSRNA
210 Posts
Not sure what you mean by CRNA friendly. You can break things down even more than by state. Take it for instance Texas. Houston having the largest medical center in the Country and the 5th to largest population is extremely CRNA friendly. Austin a good bit smaller in population and hospitals is more MD dominated though recently there are more and more CRNA opportunities there. Houston however has hundredes of solid paying positions open at present. Anesthesia groups even through functions for us while we are in school attempting to recruit us. Yes I am getting many great mid west recruiting things by mail and email. They have a pretty big need. So to nswer the question Im not real sure if you can break it down by CRNA friendly states, whatever friendly is refering to. You may have a practice on one side of town that uses many CRNA's, offers great salaries, autonomy, challenges and work environment yet across town have a group that hires few CRNA's, pay not as good, no autonomy and no challenging cases. The CRNA's may love their positions at that first place while the CRNA across town think they can find better employment.
I didn't know Houston was like that. I thought Greater Houston Anesthesiology had that city on lockdown. I have a friend at Methodist and a friend at MD anderson; both stated that the MD pushes their induction drugs and pretty much sets the anesthetic plan. Where are the more autonomous jobs in Houston?
Yes GHA puts most of the city to sleep ,you are right. The jobs are good and plentiful. They are one on the top 5 largest anesthesia groups in the U.S. Check them out at http://www.choosegha.com. GHA and MD anderson are 2 diff. groups though. I have rotated thru many GHA hospitals and wouldnt say they plan the anesthetic. Many times you choose the agents and they push them, you tube and they leave. You run the case and they may rotate in and out every so often.
As far as more autonomous gigs in Htown the 2 county hospitals are good. Bentaub Gen. Hospital and LBJ General Hospital. Bentaub is the Level I trauma Baylor affiliated teaching facility, LBJ is another large county hospital. Being teaching hospitals you have a lot of regional opportunity there so thats a plus. Some of the surrounding hospitals such as Houston Northwest ect may be an option also.
I may work here a year until ly girl grad CRNA school then Ill prob shoot out. Htown is a nice city but just bland and boring as hell.
For what reason would an MDA push the drug? Thats seems totally senseless to me.
Also, if yer at Ben Taub say hi to Dr. Ken Mattox. His brain is as big as 4 peoples even if his personality is as blank as a chalk board
Yes GHA puts most of the city to sleep ,you are right. The jobs are good and plentiful. They are one on the top 5 largest anesthesia groups in the U.S. Check them out at www.choosegha.com. GHA and MD anderson are 2 diff. groups though. I have rotated thru many GHA hospitals and wouldnt say they plan the anesthetic. Many times you choose the agents and they push them, you tube and they leave. You run the case and they may rotate in and out every so often.As far as more autonomous gigs in Htown the 2 county hospitals are good. Bentaub Gen. Hospital and LBJ General Hospital. Bentaub is the Level I trauma Baylor affiliated teaching facility, LBJ is another large county hospital. Being teaching hospitals you have a lot of regional opportunity there so thats a plus. Some of the surrounding hospitals such as Houston Northwest ect may be an option also. I may work here a year until ly girl grad CRNA school then Ill prob shoot out. Htown is a nice city but just bland and boring as hell.
yoga crna
530 Posts
So the patient thinks the doctor put them to sleep, instead of a nurse. Then the doctor can inject induction drugs on another patient. Insurance pays 100% x 2 or more.
Hey Yoga
Appreciate yer post.
So essentially, its about money and perception but mostly money. Is this common practice in most ACT places?
I dont mean this in a bad way to the Anesthesiologists, but isnt them comming in to push the induction a slap in the face of the CRNA? Its the least difficult part of the job.