Comments on: There, I Said It Tells All http://averageman.org/2007/02/19/there-i-said-it-tells-all/ Just another WordPress weblog Fri, 24 Apr 2009 04:45:11 -0500 http://wordpress.org/?v=2.9.1 hourly 1 By: Charles G http://averageman.org/2007/02/19/there-i-said-it-tells-all/comment-page-1/#comment-348 Charles G Mon, 24 Dec 2007 04:28:34 +0000 http://www.nurseanesthetist.org/blog/2007/02/19/there-i-said-it-tells-all/#comment-348 TISI took the words right outa my mouth. I knew this back in my training days in the early 90's. The AANA will never change this reqirement because it facilitates more warm bodies at the head of the table. Now what the aana has created is a total lack of credibility when they froth at the mouth at how AA's are unqualified to do anesthesia. What a crock. The asa will take that assertion apart limb by limb and use it to validate their own claims about CRNAs. Thank you AANA!!!!! TISI took the words right outa my mouth. I knew this back in my training days in the early 90’s. The AANA will never change this reqirement because it facilitates more warm bodies at the head of the table. Now what the aana has created is a total lack of credibility when they froth at the mouth at how AA’s are unqualified to do anesthesia. What a crock. The asa will take that assertion apart limb by limb and use it to validate their own claims about CRNAs. Thank you AANA!!!!!

]]> By: jmackie http://averageman.org/2007/02/19/there-i-said-it-tells-all/comment-page-1/#comment-347 jmackie Sun, 03 Jun 2007 03:51:16 +0000 http://www.nurseanesthetist.org/blog/2007/02/19/there-i-said-it-tells-all/#comment-347 9 Months In I feel the need to reply to this old thread because it resonates with me. I am enjoying (i.e. surviving) my 9th month of a 33 month anesthesia program. I was accepted into more than one program after working nearly 3 years in acute care, including cardiac recovery. The words written above are true: a year is often not enough. In other words, if an applicant has the drive to only meet minimal requirements, they will probably struggle as a SRNA. This struggle is also a burden for instructors, patients, surgeons and staff. What I might confess, however, is that 5 years of acute care experience may not be enough to facilitate a smooth and safe transition from RN to CRNA. There is a dramatic leap in knowledge and responsibility from one to the other. I've assisted with dozens of rapid sequence intubations, but could not stop my hand from shaking during the first dozen of my own. Intubation is just a basic skill (not meant lightly), whereas volumes of compounding information must be committed to memory and practice. After a few months the shaking shifts to visceral organs, usually hidden to the outside environment. My only hope at this point, and i am very confident in myself and my instructors, is that 33 months of struggle will pay off - and i do not mean financially. To be straight, a year may be enough for somebody else. You must search and know your capacities for stress, learning, and interpersonal relationships. All of my preceptors are great. They all do things a little bit different from one another. They all want me to perform the delivery of anesthesia in their way (even if they say otherwise). All are detail oriented. All of them perform anesthesia at the highest level. Given these conditions, an SRNA can expect to feel the pains of being moulded and transformed into an astute clinician. I am most grateful for these aches. 9 Months In
I feel the need to reply to this old thread because it resonates with me. I am enjoying (i.e. surviving) my 9th month of a 33 month anesthesia program. I was accepted into more than one program after working nearly 3 years in acute care, including cardiac recovery. The words written above are true: a year is often not enough. In other words, if an applicant has the drive to only meet minimal requirements, they will probably struggle as a SRNA. This struggle is also a burden for instructors, patients, surgeons and staff.

What I might confess, however, is that 5 years of acute care experience may not be enough to facilitate a smooth and safe transition from RN to CRNA. There is a dramatic leap in knowledge and responsibility from one to the other. I’ve assisted with dozens of rapid sequence intubations, but could not stop my hand from shaking during the first dozen of my own. Intubation is just a basic skill (not meant lightly), whereas volumes of compounding information must be committed to memory and practice. After a few months the shaking shifts to visceral organs, usually hidden to the outside environment. My only hope at this point, and i am very confident in myself and my instructors, is that 33 months of struggle will pay off – and i do not mean financially.

To be straight, a year may be enough for somebody else. You must search and know your capacities for stress, learning, and interpersonal relationships. All of my preceptors are great. They all do things a little bit different from one another. They all want me to perform the delivery of anesthesia in their way (even if they say otherwise). All are detail oriented. All of them perform anesthesia at the highest level. Given these conditions, an SRNA can expect to feel the pains of being moulded and transformed into an astute clinician. I am most grateful for these aches.

]]> By: David Godden http://averageman.org/2007/02/19/there-i-said-it-tells-all/comment-page-1/#comment-345 David Godden Sat, 10 Mar 2007 04:03:23 +0000 http://www.nurseanesthetist.org/blog/2007/02/19/there-i-said-it-tells-all/#comment-345 Olivia, Do not let any thing deter your from your dreams. Hang in there and keep moving toward your goals is the best advice I can give you. Is it possible to be very successful with one year of clinical experience in critical care and then to go on to anesthesia training? The answer is yes for the right person. Remember that this is the minimum experience that is required by the AANA and "There I Said It" only is saying that for some this is not enough. Of course you see her logic is sound. All I can say is that for you - stay focused and motivated to pursue your dream. Do not let anything distract you from your goals and you too may be able to carry the CRNA tradition forward. The best of luck to you but most of all I wish you determination and persistence, which is what gets the job done. Olivia,

Do not let any thing deter your from your dreams. Hang in there and keep moving toward your goals is the best advice I can give you. Is it possible to be very successful with one year of clinical experience in critical care and then to go on to anesthesia training? The answer is yes for the right person. Remember that this is the minimum experience that is required by the AANA and “There I Said It” only is saying that for some this is not enough. Of course you see her logic is sound.

All I can say is that for you – stay focused and motivated to pursue your dream. Do not let anything distract you from your goals and you too may be able to carry the CRNA tradition forward. The best of luck to you but most of all I wish you determination and persistence, which is what gets the job done.

]]> By: Olivia http://averageman.org/2007/02/19/there-i-said-it-tells-all/comment-page-1/#comment-346 Olivia Sat, 10 Mar 2007 01:10:14 +0000 http://www.nurseanesthetist.org/blog/2007/02/19/there-i-said-it-tells-all/#comment-346 I just started to work in ICU at a local VA hospital almost three months ago, with the goal to enter CRNA school within one year. I am thankful for the intensive training the VA system offers its employees but, knowing what I know now, which is little more than when I started, has helped me realize how much more I have to learn. After reading your article, I asked myself whether the knowledge and the experience I have gained in this last three months x 3, would be enough to prepare me to the task. Somehow I highly doubt it. I just started to work in ICU at a local VA hospital almost three months ago, with the goal to enter CRNA school within one year. I am thankful for the intensive training the VA system offers its employees but, knowing what I know now, which is little more than when I started, has helped me realize how much more I have to learn. After reading your article, I asked myself whether the knowledge and the experience I have gained in this last three months x 3, would be enough to prepare me to the task. Somehow I highly doubt it.

]]> By: David Godden http://averageman.org/2007/02/19/there-i-said-it-tells-all/comment-page-1/#comment-344 David Godden Mon, 26 Feb 2007 03:57:59 +0000 http://www.nurseanesthetist.org/blog/2007/02/19/there-i-said-it-tells-all/#comment-344 CG you are awesome! CG you are awesome!

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