My Motivation Pursue An Advanced Practice Degree

The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.

“Nursing has evolved as a scientific discipline and is emerging into professional status. From Florence Nightingale's

Nurse Anesthetists are also known as CRNA, which means Certified Registered Nurse Anesthetists. Being a CRNA, one has big shoes to fill when it comes to their job. CRNA’s work with anesthesiologist surgeons and other physicians and medical professionals to give anesthesia to patients undergoing medical and surgical procedures. CRNA’s care for patients before, during and after a medical or surgery by doing a patient assessment , preparing the patient for anesthesia, they must maintain the anesthesia throughout the whole procedure to secure the proper sedation, and pain management, and as a CRNA they must make sure the patient recovers from the anesthesia properly. CRNA’s usually overshadow anesthesiologists. They perform much of the work

They also take care of patients anesthesia before, during, and after surgery. They even give mothers epidurals during child birth for pain management. A CRNA can also perform physical assessments, participate in preoperative teaching, administer anesthesia to keep patients pain free, oversee recovery from anesthesia, prepare for anesthetic management, and follow the patients postoperative course from recovery to the patient care unit. These types of nurses are the only certified personnel to deliver anesthesia in most rural hospitals in the United States (Lippincott Williams & Wilkins 42).

With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).

Certified registered nurse anesthetists are advanced practice nurses who are certified and specialized in the administration of anesthesia (“Position description,” 2014). CRNAs make their own independent decisions and judgments regarding the application of anesthesia, and, in most states, physician supervision of CRNAs is not required (“Legal issues,” 2010). The profession was introduced to the United States during the

They juggle a vast amount of information on a daily basis and must have the judgment and confidence to stand firm for the patient’s safety. They must be sure that they will make the right call when it comes to measuring the amount of anesthesia being administered to a patient or coming up with a new plan when another fails. They must be confident to help the patient and family feel at ease and trust them to take exceptional care for their loved one. I need to improve my confidence because I am sometimes timid when making a decision or answering a question. I will become a successful CRNA if I improve my confidence because I want nothing less than the best care for my

The history of the Nurse Anesthetist dates back prior to the Civil War and were considered by many as the pioneers of the practice of anesthesia. As the complexity of administering anesthesia increased, physicians deemed the practice of anesthesia to be equivalent to the practice of medicine. As time progressed, some physicians attempted to have the practice of anesthesia banned from the nursing scope of practice. It was not until a case was brought in front of the California Supreme Court where they ultimately established the legal precedent granting nurse anesthesia its legality. Specifying that nurses can administer anesthesia and that they would be operating under their scope of practice as long as it was done under the guidance of a supervising physician (Hamric, Tracy, & O 'Grady, 2014). That law was federally mandated until 2001, when the Centers for Medicare and Medicaid changed the federal supervision rule of Anesthesiologist and Nurse Anesthetists in order for facility to receive reimbursement of care ("Certified Registered Nurse Anesthetists Fact Sheet", 2016). This offered states an “opt-out” rule allowing the unsupervised practice of nurse anesthetists. This change led to conflict in the anesthesia community between physicians and Certified Registered Nurse Anesthetists (CRNA) as the debate of a CRNA’s ability to practice autonomously was now the center of attention. With the costs of healthcare rising and the

With all of the different specialties in healthcare, some get overlooked or may be under the radar. An uncommon and often disregarded career choice in healthcare is that of a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice. Although not many people know about these healthcare careers, they play a vital role within the healthcare team. This field is growing rapidly and the likelihood of coming into contact with a nurse anesthetist during a hospital stay is on the rise. Knowing the history, education, responsibilities, and career outlook for a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice can aide in understanding their very specific role in the care of patients.

According to the US Department of Health and Human Services, there is a significant and growing need for this professionals across the country. The prospects of finding a well-paid job in this field is said to be extremely good. In the month of January my uncle who is a veteran in the US Army was rushed to the emergency unit of Baylor Hospital Dallas to perform appendectomy. At the hospital, before the surgical procedure I had an opportunity to speak with the nurse anesthetist about the prospects of his profession because I had expressed interest. From our initial conversation, he explain that he has been practicing at the facility for about ten years and also a member of the American Association of Certified Nurse anesthetist (AACNA).He went on to say that future is really bright for nurse anesthetist in the United states and currently there are about sixty thousand nurse anesthetist practicing in the country right now. Without doubt there is a greater need for anesthesia professional like CRNA’s as millions of previously uninsured American now have access to health care due to Obama care .And as of now there are many health

It's important for them to know the patient's medications, allergies, or diseases so drugs can be administered properly. Anesthesia can be given to a certain location to numb only one part of the body, or general anesthesia can be given so they are numb for the entire surgery. Nurse anesthetists provide 34 million anesthetics annually in the United States ("Nurse Anesthetist" Career Articles). The CRNA stays in the operating room the entire procedure, making sure vital signs are stable and changing the amount of anesthesia as necessary ("Nurse Anesthetist" Occupational). Some CRNAs work 40-hour weeks, and some work weekends or nights. Nurse anesthetists spend all of their time at work on their feet, so it's important to know how to adjust to that ("Nurse Anesthetist" Career Cruising). Nurses have to maintain focus for a long time to ensure they are administering the right amount of anesthesia ("Nurse Anesthetist" Career Articles). It's also necessary for CRNAs to have empathy to make sure their patient is comfortable. All nurses at any level should promote interpersonal

“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)

     “Nursing is an art: and if it is to be made an art, It requires an exclusive devotion as hard a preparation, as any painter´s or sculptor´s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God´s spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts.” Spoken by a true nurse, Florence Nightingale; a pioneer of nursing and a reformer of hospital sanitation methods.