/r/CRNA

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A place to discuss Nurse Anesthesia.

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/r/CRNA

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10

Weekly Student Thread

This is the area for prospective/ aspiring SRNAs and for SRNAs to ask their questions about the education process or anything school related.

This includes the usual

"which ICU should I work in?" "Should I take additional classes? "How do I become a CRNA?" "My GPA is 2.8, is my GPA good enough?" "What should I use to prep for boards?" "Help with my DNP project" "It's been my pa$$ion to become a CRNA, how do I do it and what do CRNAs do?"

Etc.

This will refresh every Friday at noon central. If you post Friday morning, it might not be seen.

75 Comments
2024/11/01
15:59 UTC

1

Health insurance

To all the locums out there: what do you do for health insurance and how much do you pay a month?

1 Comment
2024/10/31
14:34 UTC

21

Divorce Question

I'm trying really hard to make my marriage work. I'm still in school, and trying couples therapy. But part of me is scared that if I wait much longer I'll graduate and we'll still end up divorcing. If I got a divorce after I've already graduated, will I end up having to pay alimony? Like before I've actually made any actual money is there a chance I could end up paying because I have the potential to make more money than my husband?

39 Comments
2024/11/01
08:22 UTC

1

CRNA Positions at UC Davis Health in Sacramento, CA

Hello,

I'm the CRNA sourcer for UC Davis Health in Sacramento, CA.

We're a Level 1 Trauma, Teaching, and Magnet Facility with an ACT care model. Our salary range for FTE begins at $271K and we're known for our great benefits. We recently increased our sign-on bonus to up to 20% of the annual salary for hires working roles over 50%. We provide relocation assistance up to $10K, based on distance.

I'm currently hiring full-time, part-time (60% & 75%), per diem and one supervisor roles. We have 48X, a newly built Outpatient Surgery Center Complex opening in 2025, so we'll be adding even more CRNA roles as we expand.

You can view our CRNA Careers page here: https://health.ucdavis.edu/join-the-team/crna

I'm a NYC transplant and I temporarily moved to Sacramento 15 years ago, lol. I like the food and arts culture in the greater Downtown area, which is very walkable. The cost of living is only 20% above the national average, which is fantastic by CA standards. We're also close to many great travel destinations, including Napa, Bay Area, Sonoma, and Tahoe. There are super cheap flights to Southern CA all the time, and they take an hour. I road-trip to destinations north and south regularly. Miss snow/skiing in the winter? The Sierras begin 45 minutes away. Too hot in the summer and the traffic's lousy? Amtrak to San Francisco's 70s temps in under two hours.

If you want to discuss opportunities, you can reach out to me via email or LinkedIn.

Valerie Fioravanti
UC Davis Health
Nurse Recruitment/APP
vfioravanti@ucdavis.edu

Please note: I have a very specific job, working to fill CRNA, Nurse Practitioner, and Physician Assistant roles. If you're looking for a position outside this realm, I'm not a great resource.

0 Comments
2024/10/30
23:06 UTC

1

Planning for the future: Anyone with locum experience?

Hey everyone! I will be starting as a new-graduate 1099 CRNA in Arizona with a two year contract. In Arizona I'll be eligible to create a PLLC and file as an S-Corp, for the tax savings and liability protection.

However, I recently found out that not all states recognize PLLC's. I plan to do a lot of locum work in the future in states that don't recognize PLLC's: California, Hawaii, Alaska, Wyoming, Oregon.

Some recognize LLC's but California for example, does not recognize either for medical professionals and seems to force you into a Sole Proprietorship (with no liability protection, no tax savings) or forming a California Professional Medical Corporation (liability protection, can file as S-corp, appears too complicated for locum work).

  • Did you create both PLLCs and LLCs and filed taxes each year on both, even if one was not utilized?
  • Any experience in California with sole proprietorship? Or what'd you do to optimize liability and tax savings?

I know we are not tax professionals, I was just wanting to see what industry norms were before talking to a CPA.

Sources:

https://sdcorporatelaw.com/business-newsletter/can-i-use-a-pllc-to-practice-medicine-in-california/

https://www.nerdwallet.com/article/small-business/professional-limited-liability-company

https://www.locumpedia.com/guides/no-bs/locum-tenens-salary-contracts-taxes-insurance/

0 Comments
2024/10/30
16:41 UTC

1

Any discounts or deals on the Apex core modules?

I need to do my core modules. Does anyone know of a deal or discount with Apex?

2 Comments
2024/10/30
19:51 UTC

2

machines

is there actuallly a difference between all the anesthesia vendors? trying to decide on budget vs quality vs relationship with rep

4 Comments
2024/10/29
21:57 UTC

1

Seattle area insight?

Hi all, I’m looking into jobs in/near Seattle as a new grad and hoping for some insight in terms of anesthesia groups- what groups staff which hospitals, are they CRNA friendly,etc. I’ve spoken to a few places, but just trying to see what’s all out there. Feel free to DM me if you have any info!

1 Comment
2024/10/29
16:59 UTC

21

Torn on Relocating

Hi all! Ive been at my current job 7 months and it’s my first position out of school. The group I work for is great and I have no complaints besides the pay is low (200k/annual). Recently my husband and I have been yearning to move to the mountains or somewhere out of DFW as we’re getting tired of city life. What’s holding me back is that I signed a contract for 3 years (but I could pay it back) and I love the people I work with. I’m torn on what to do, but the mountains are calling my name! Any input is welcome, thanks!

42 Comments
2024/10/28
23:55 UTC

45

New Grad CRNA Job in SoCal: UC Davis v. UCLA

I will be graduating in December and was contemplating on the decision of what job to sign with for the California market. I received 2 offers one for UC Davis and one for UCLA, Sacramento v. Los Angeles. UCLA is offering starting pay of $220K with $5K relocation but also 10-week orientation no time commitment as far as I am aware and have until Nov 1 to decide also higher cost of living, UC Davis is offering starting pay of $275K with up to $10K relocation, $55K sign on bonus (3 year commitment), and cheaper cost of living [until October 30 to decide]. Money is not really important to me and I do not care for the sign on bonus as much and my priority is being clear and understanding if the facility and culture is right for me, as well as work life balance. I wondered if any one can attest to the culture for either UC systems and if the scope of practice that CRNAs had. They are both level 1 trauma centers and supervision, otherwise they both proclaim of a collegial relationship with their physician anesthesiologists.

This is really hard to do across the country but after talking with family and friends about it, I think I may lean on to signing with UCLA because I love Southern California, do not mind the higher COL/traffic, and will be better able to network with individuals for entrepreneurial endeavors. TLDR > Is this a dumb move to give up on $100K for what I feel is right for me? LA > Sacramento?

51 Comments
2024/10/26
20:18 UTC

1

MedStar Georgetown?

Hi all,

What's the culture like a MedStar Georgetown. I see they have a come one come all catvh all posting for CAAs and CRNAs. Is there a reason for this?

5 Comments
2024/10/26
14:42 UTC

1

Independent(ish) practice in the DMV?

Does anyone know of any hospitals in the DMV (DC, MD, VA) where CRNAs operate mostly autonomously?

I’m looking for a workplace with either loose or no MD supervision where CRNAs can push their own induction drugs, perform spinals, epidurals, and peripheral nerve blocks, and carry out their own anesthetic plan more or less independently from start to finish. Thanks in advance!

5 Comments
2024/10/25
20:47 UTC

17

Weekly Student Thread

This is the area for prospective/ aspiring SRNAs and for SRNAs to ask their questions about the education process or anything school related.

This includes the usual

"which ICU should I work in?" "Should I take additional classes? "How do I become a CRNA?" "My GPA is 2.8, is my GPA good enough?" "What should I use to prep for boards?" "Help with my DNP project" "It's been my pa$$ion to become a CRNA, how do I do it and what do CRNAs do?"

Etc.

This will refresh every Friday at noon central. If you post Friday morning, it might not be seen.

172 Comments
2024/10/25
15:59 UTC

1

Any experience with comp program based on production/output for busy ortho practice? Some do blocks as well

0 Comments
2024/10/25
00:20 UTC

1

Best shoes for CRNA on feet all day. Female if matters

4 Comments
2024/10/25
00:18 UTC

5

Medicare PECOS Denial

I am a new military CRNA and was told to apply for Medicare Pecos. I was denied, and no one at my command understands or knows why. After a few months, they just credentialled me anyway. Does anyone have any insight into this? Since no one seems to understand why. I applied for a civilian job, marked that I was denied Medicare, and showed them the letters I received, and they told me they had never seen this before either. I reached out to Medicare, but no one has been any help.

Initial Denial

 State: NE

 Form Type: 855O
 Date: 06/17/2024
 Status: REJECTED
 Status Reason: DENIED: PROVIDER INELIGIBLE
 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------

Fee-for-Service Contractor: WISCONSIN PHYSICIANS SERVICE
MEDICARE PART B PROVIDER ENROLLMENT, P.O. BOX 8248, MADISON, WI 53708

I got a letter saying this was the reason. When I e-mailed them, all they said was that same line. When I asked more, they did not explain.

42 CFR 424.530(a)(1)- Not in compliance with Medicare Requirements There is no statutory or regulatory basis which permits a certified registered Nurse anesthetist CRNA to order and refer in the Medicare Program

7 Comments
2024/10/24
23:48 UTC

0

CRNA

Looking for CRNA jobs near Boston.

5 Comments
2024/10/24
14:47 UTC

1

Anyone have experience with a comp program based on production? Fair way to comp as will not want CRNAs fighting over high payout cases. Practice is orthopedic

0 Comments
2024/10/22
23:22 UTC

15

AANA Membership Lapsing

Advocacy and political support aside, am I losing anything significant by not renewing my membership? The journals are extraneous for me, and I don't utilize their liability insurance.

The perk I would use the most is the CE tracker, but even that feature has been buggy and I have been manually uploading all my credits, it hasn't captured ANY of my reported CEUs. I'm not sure how much this is relevant for the CPC as now I'm enrolled with the NBCRNAs Maintaining Anesthesia Certification program?

With all that being considered, is their something I'm missing out on, particularly as it concerns maintaining my credentials, by letting my membership lapse? Is their a penalty if I wish to renew in the far off future instead?

Thanks!

EDIT: Can't change my flair for some reason, I am a CRNA.

35 Comments
2024/10/23
00:59 UTC

24

Rationale for not accepting a job while still in school

I'm currently in school and have been wondering about the pros/cons of accepting a job offer prior to graduation. For reference I am still in my first year and I know that this is typically advised against, but I just wanted to hear some rationales for that. For context I moved for school with my wife and will be moving back to the city we left after graduation, we already own a home there, there is only one level 1 trauma center in that city (I worked there as an ICU nurse for years) and I really like the idea of working there post-graduation. Recruiters for this particular system have told me that if you sign on early for a given salary and that salary increases for new graduates by the time you actually graduate then they will match it for you. The current pay for this system is ~192k for new graduates. The idea of getting a stipend and not having to deal with student loans after graduation seems really enticing to me. I know that this would effectively lock me into this hospital for three years. Big cons I can think of are: you fail out of school and now owe this system money (worst case scenario), I don't actually like the culture at this hospital once I'm working there and I'm trapped for a few years. What else should I be worried about if I were to make a commitment like this?

33 Comments
2024/10/22
12:25 UTC

1

Apex Anesthesia CEU Choices

What bundles do those of you who use Apex for CEUs are most cost efficient? Looking to satisfy most of the renewal requirements and have a source of information to guide the development of my clinical practice.

Thanks!

1 Comment
2024/10/20
21:24 UTC

1

Career Fair Swag

Our anesthesia group has some upcoming career fairs and we are wanting to order some swag merch to give away.

  1. What are your favorite swag giveaways?
  2. What items do you dislike?
3 Comments
2024/10/21
17:05 UTC

1

NBCRNA Reentry program advice and CE credit/Core module providers

About to start NBCRNA reentry program in next few months. I have been out of practice for 14 years. I think about how great my anesthesia would be if I had been practicing but trying to focus on the fact that reentry could be possible for me in the next year or so. I am looking at the CE available credits for phase 1. I am curious which company offered the most helpful information. Also which ones prepared you for the board exam the best? AANA, APEX, CORE did you stick with class A credits or B as well? How much did you spend on reenrty? Any help or advice with this process would be appreciated. Thank you in advance.

0 Comments
2024/10/20
03:40 UTC

33

CRNA PROGRAM DIRECTOR OPPORTUNITY

University In Nashville/Madison, TN is seeking a CRNA Program Manager!

REQUIRES: TERMINAL DEGREE (DNAP, DNP, PhD, CRNA)

  • 5+ yrs Clinical CRNA Experience
  • 1+ yr as Faculty or Program Admin of CRNA Doctorate Program
  • Clinical Practice 2 Days/Month
  • 4-Day Work Week
  • Up to 75 Students in Program

Salary: $275k + 10% Comp for Meeting Goals + Relocation Package + Benefits Package, including Health Ins paid 100% & HSA funded to max amt. May begin the role working remotely until relocated!

45 Comments
2024/10/20
04:46 UTC

12

Weekly Student Thread

This is the area for prospective/ aspiring SRNAs and for SRNAs to ask their questions about the education process or anything school related.

This includes the usual

"which ICU should I work in?" "Should I take additional classes? "How do I become a CRNA?" "My GPA is 2.8, is my GPA good enough?" "What should I use to prep for boards?" "Help with my DNP project" "It's been my pa$$ion to become a CRNA, how do I do it and what do CRNAs do?"

Etc.

This will refresh every Friday at noon central. If you post Friday morning, it might not be seen.

106 Comments
2024/10/18
15:59 UTC

27

Any American CRNAs relocated to another country and willing to share their experience?

Before anyone suggests the International Federation of Nurse Anesthetists.... Their website is crap and outdated. I would love to connect with real American trained CRNAs who have successfully relocated or worked abroad. Thanks!

26 Comments
2024/10/17
02:24 UTC

19

Declining Offer without Burning Bridges

BOTTOM LINE UP FRONT: How can I decline a job offer I was previously enthusiastic about accepting, without burning future employment opportunities I would need in the future?

I am probably overthinking this, but I would appreciate insight from a professional standpoint.

I (soon to be graduating SRNA) interviewed with an anesthesia group that I really enjoyed. They are one of the few groups in the area I would eventually need to live in for my husband's work. However, they are offering far below what I hoped to contend with cost of living and pay down my student loans/save for a house down payment as quickly as I would like. I keep running the numbers and it just isn't possible.

When I interviewed, I was transparent with them, I informed them when they asked that although I was not interviewing with any other groups in the area, my home clinical site has offered me a job multiple times. I made it apparent that I was very interested this group and would accept an offer if they selected to hire me. After the interview process and recommendation from the clinical staff for hiring me, I began running the numbers more seriously. The more I run the numbers the more I realize I cannot accept the offer and meet my financial goals. I really did like this group and would have loved to have them as coworkers, I would just need time to save money to afford to take this job in the first place.

How can I decline this group's offer without burning a bridge that I will most definitely need in the future?

26 Comments
2024/10/16
19:54 UTC

1

Using private disability insurance

I recently had surgery and was curious if anyone has used their private disability insurance to cover for loss of income during that time? I’d like to use my benefit to supplement the PTO I’m using - that way I don’t drain my PTO bank and keep my income. I’m working with my HR and my insurance broker, but thought I’d ask here too. Thanks!

1 Comment
2024/10/16
16:41 UTC

24

What is your target retirement age and retirement cash goal? Im thinking 60/$6m

Just seeing what other people are thinking about their retirement goals. Things are looking good with this market, but bound to have a few dips before i retire.

107 Comments
2024/10/15
17:25 UTC

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