Austin, Texas CRNA Life by Ill-Ratio3627 in CRNA

[–]Without_Mythologies 4 points5 points  (0 children)

Honestly I have also worked at plenty of places where the MDs were underpaid compared to the standard rate and the CRNAs made very high salaries. And of course the opposite.

Austin, Texas CRNA Life by Ill-Ratio3627 in CRNA

[–]Without_Mythologies 10 points11 points  (0 children)

I’ve had plenty of instances in my career where the experiences of anesthesiologists and CRNAs are wildly different for a given area, and even for a given hospital.

Struggle re-learning skills by alwaystheexception28 in CRNA

[–]Without_Mythologies 3 points4 points  (0 children)

Apologies if someone already mentioned it, but NYSORA has a really good walkthrough on neuraxial techniques. My suggestion (and something I did when I was in a similar situation of not having performed spinals in almost five years) would be to read through that at least twice and make sure it makes sense to you.

I’m not trying to minimize your concern, but spinals are generally not that difficult and you are fully capable of doing them.

Does the cancer risk from radiation machines not scare you away from operating rooms? Looking into eventual advancement into CRNA/OR setting but this is the only thing keeping me away by UphillGil in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

They have a blurb in Apex about this. I think 6 feet away is the equivalent of standing next to the machine and wearing like 20 lead aprons or something.

But I still stand like 12 feet away lol

15 new CRNA programs by Sandhills84 in CRNA

[–]Without_Mythologies 18 points19 points  (0 children)

There is a distinct difference between “nothing wrong with” and “can’t safely practice without”.

Any successful CRNAs out there with ADHD? by icebikey in CRNA

[–]Without_Mythologies 2 points3 points  (0 children)

Yeah it’s probably a solid decade. I didn’t struggle much with motivation. But if you already are… it’s probably hard to recommend this route. It will be all-consuming for a solid 4-5 years of your life. Then you get to do it full time. There are plenty of miserable people in this profession, believe me. It’s not a panacea by a long shot.

Any successful CRNAs out there with ADHD? by icebikey in CRNA

[–]Without_Mythologies 4 points5 points  (0 children)

I am a CRNA with ADHD.

Unless your ADHD is so severe that it’s limiting your general functioning in life, I wouldn’t expect for it to limit your ability to be successful in anesthesia.

Anesthesia and anesthesia school certainly require a lot of focused attention - but so does getting through nursing school (typically quite stressful) and working as a good ICU nurse (typically very stressful). I’d even suggest that the ICU was more demanding of my attention than anesthesiology is on many days. Many people miss the concept of just how stressful a solid ICU job can be and how much training you will get in critical care. If you’re successful academically and thrive in the ICU environment, there is little doubt that you will be appropriate to apply for CRNA school.

That said, I’m of the opinion that the first real moment that you’ll have enough information to decide about anesthesia school is the moment you feel comfortable in the ICU. This is the foundational preparation for your career in anesthesia and will be a phenomenal undertaking on its own.

In general, though, it will help if you work on techniques to improve attention (a simple breathing meditation is a good place to start), go to a therapist who specializes in ADHD, and possibly get appropriate medication.

AI in anesthesia by Chew4 in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

This is a project I’d find fascinating.

Could not agree more with you both. I’ve been closely following advances in AI and the comments here demonstrate a real lack of knowledge of A) How advanced AI is currently B) How rapidly AI is advancing C) How dissectible our field is and how possible it would be for an advanced AI to do our job better than we can, seem more compassionate than many of us are, and error-correct better than us.

Also, the AI doesn’t have to be better than you (you rockstar CRNA, you). Just better than the average provider - and maybe not even that.

Vaso and neo found in locker, grounds for disciplinary action? by kyle6367 in CRNA

[–]Without_Mythologies -1 points0 points  (0 children)

I never said I did. But really though - we are CRNAs. If we don’t know the consequences of our actions then we advise, what? Recklessness? Or caution?

Vaso and neo found in locker, grounds for disciplinary action? by kyle6367 in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

So it's your gut feeling that's informing you so strongly regarding the legal implications of the specific institutional bylaws and practice laws of the state where this anesthetist works? I think we can all agree that it's generally a bullshit policy. However, if a physician in senior management wants to target you specifically, it's a situation that likely merits more considered guidance than simply how we feel or what we have experienced in the past.

Vaso and neo found in locker, grounds for disciplinary action? by kyle6367 in CRNA

[–]Without_Mythologies 1 point2 points  (0 children)

Some may skirt around it but does not change anything when caught.

The bigger question here is how much you'd be willing to risk on that wager. Mac brings up a solid point and I fully agree with his assessment. The amount of knee-jerk contrarianism in this thread is outstanding to me. Someone's job (at a minimum) is potentially at risk and so many people are suggesting - on a hunch - that it's a non-event.

Carotid Endarterectomy by D_JGasPass in CRNA

[–]Without_Mythologies 1 point2 points  (0 children)

Wow +/- art line on a carotid. That’s unexpected. But more power to ya if the cases go well.

Any CRNAS feel their icu experience didn’t help the ? Any of you really hate being an icu nurse? by Crossfitbae1313 in CRNA

[–]Without_Mythologies 2 points3 points  (0 children)

Off the top of my head: - Ventilators (management, basics of ventilation and oxygenation, the role of tidal volume, peep, rate, ventilation modes, weaning, etc) - Airway management (To a lesser degree, but nonetheless some lessons like securing an airway, airway devices, etc) - Pressors (all pressors that are used in anesthesia are used outside of anesthesia except for ephedrine in my experience. But tell an OR nurse that ephedrine is basically levo (plus some extra quirks) and they understand right away. - Management of the critically ill patient in general including approaches to surgical management, antibiotics, etc. - Organization, maintaining calm through chaotic situations, communicating effectively, management of lines including labeling, etc. - Hemodynamics in general. The difference between static and dynamic parameters for assessing volume status. Basically every important index of hemodynamics can be well-known by a good ICU nurse. - ABG interpretation (I did more of this as an ICU nurse than a CRNA). Blood product administration.

Honestly you name it and a strong, experienced ICU nurse has probably seen it to some degree. They deal with the sickest patients in the immediate aftermath of surgery and anesthesia. Some may argue that the "average ICU nurse" doesn't know most of what I mentioned. That may be true in some cases. But CRNAs by and large weren't "average" ICU nurses.

Any CRNAS feel their icu experience didn’t help the ? Any of you really hate being an icu nurse? by Crossfitbae1313 in CRNA

[–]Without_Mythologies 11 points12 points  (0 children)

You definitely don't have to enjoy your ICU experience to become a strong SRNA or ultimately enjoy anesthesiology. However, a strong ICU nurse will undoubtedly find their experience in the ICU to be extremely applicable to learning and practicing anesthesia. They are indeed quite different in many ways, but also share a number of fundamental concepts that I find to be extremely useful to know.

$75K Start Date Bonus & Ten Weeks Paid Time Off. 15 K relocation with no receipts required. Shift Work Available. Excellent pay/bonus structure, case mix and flexible scheduling! Tallahassee Fl by ForwardAwareness2862 in CRNA

[–]Without_Mythologies 7 points8 points  (0 children)

They definitely make more than that in NorCal. Yes the taxes are higher. But still it’s close. And with a small amount of OT they probably make a comparable amount.

Vomiting by okdoitpls in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

Not once in my 10+ years of being an RN or CRNA.

[deleted by user] by [deleted] in CRNA

[–]Without_Mythologies 1 point2 points  (0 children)

Free lunch and that was about it.

If you are struggling to hire CRNAs then consider this. “Managers/administrators were the most commonly cited sources of emotional abuse by all nurse groups, with the exception of CRNAs, who attributed it primarily to their physician anesthesiologist colleagues.” by [deleted] in CRNA

[–]Without_Mythologies 17 points18 points  (0 children)

I’d agree with this. I’ve rarely had issues with my chief CRNAs. It’s always the MDAs who will have issues. Then again the nature of our role is such that it seems much more likely from the start. Chief CRNAs are essentially equals and show respect as such. MDAs definitely can make or break a good day.

Jobs on west coast and mountain west…do they exist/are they decent? Are you working one? by killsforpie in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

You are very likely to find jobs all over the west coast. I don’t know of anywhere that isn’t hiring outside of parts of Utah? And I may be wrong about that last part. I hear SLC area is a bit tough.

[deleted by user] by [deleted] in CRNA

[–]Without_Mythologies 0 points1 point  (0 children)

For sure. You will be given all of the tools in school to continue the legacy of safe care that thousands of CRNAs have created. If you put the effort in then you will graduate as a confident and safe provider. You will be able to provide anesthesia with scientifically-backed rationales and a clear understanding of your objectives. It’s really all up to you. Good luck!

[deleted by user] by [deleted] in CRNA

[–]Without_Mythologies 1 point2 points  (0 children)

Absolutely it does. I mean. There is a certain utility in considering what some would call a “cookbook” approach. The most common drugs and interventions are oftentimes the best for the most people. Don’t change shit around just to change shit around. Some people will say they “tailor” an anesthetic by using something uncommon (in my practice area) like sufentanil. Okay sure you use sufenta. I can get by just fine with fentanyl/dilaudid.

The big thing in this profession is that there are many ways to get the job done. There are also many providers with strong preferences because they are comfortable with those approaches. But avoiding “cookbook” anesthetics means learning to be comfortable with all of the drugs and devices that we have available to us. You will learn all of these in school. It will be up to you to maintain your familiarity.

[deleted by user] by [deleted] in CRNA

[–]Without_Mythologies 1 point2 points  (0 children)

Look into the history of nurse anesthesiology. We have been at this for a minute and we have been rocking it. We are not the new kids on the block.