Graduating soon and looking to sign.

Job 1: W2 base 210,000 (+2% per year). 50k sign on 2 year commitment. 18k referral (supposedly staff splits this). 1750 ed funds, 40hrs ed leave. 10% match. No call, weekends, holidays. Set schedule 4 10s or 3 12s. 15hr PTO / 8hr sick per month. Mix of direction / supervision. No OB or regional. 175hr OT.

Job 2: W2 base 230,000. 1099 base 275k. (8,000/yr bonus). 25k sign on 3 year commitment. 6% match. No call or weekends. Set schedule 8s, 10s, 12s. Less observed holidays than job 1. 8wk / year PTO. Supervision. No OB or regional. 200hr OT. Direct PRN 1099 rate of 205/hr.

Job 3 for reference: W2 base 205,000. 25k sign on 2 year commitment. 2k ed funds, 1wk ed leave. 4% match. Call/weekends. 6 wk PTO. Not sure of schedule/holidays. Direction. Have OB, not sure on regional. 175hr OT.

Idea is to take job 1, max 401k, and do PRN 1099 shifts at job 2 or elsewhere. Don't want to move. Enjoy the staff & culture @ 1 & 2. Southern central US, low cost of living. Talk me out of it. Thanks

Hi,

I am in CRNA school and will start clinical soon.

Are there left-hand dominant CRNAs on here that initially really struggled using their right hand for intubation (particularly using a bougie or with nasal intubation)? I want to hold the blade in my right hand so badly and intubate with my left hand. I tried nasally intubating in lab today. Advancing the tube with the Magill forceps using my right hand was so difficult dexterity-wise. Then we practiced using a bougie… again, I was so clumsy and uncoordinated compared to all my right-handed classmates. I feel if I could switch hands I would perform so much better! I take every chance I can to practice in open lab. I haven’t come across an instructor so far that is left-handed to ask for pointers.

I’m feeling frustrated and now worried I’m not adjusting as quickly as I thought I would, more so now that clinical will start shortly.

I had my right-hand dominant classmate try these skills using her left-hand today to see if she equally struggled under similar circumstances…. it did not go well for her either, so I’m hopeful it’s not just me that sucks.

Any suggestions/tips?

Thank you.

I’m a SRNA currently looking for job advice, particularly in the Westchester County area. I’m also open to opportunities a bit further upstate, in the Bronx or upper Manhattan or in Fairfield County, CT.

I’ve been considering White Plains Hospital, as they have an enticing offer, but I’m a bit hesitant about working for NAPA.

I’m hoping to maximize my experience in the early years of my career, so any advice or insights would be greatly appreciated! I am interested in doing a wider case mix if possible and definitely want to do some OB.

Thanks in advance!

Hey guys, looking for some tips on barostim procedures. Our facility has just started doing these and was curious on what things everyone else has done to make these as smooth as possible.

I know to run them half a MAC with nitrous and sevo, OETT, paralytic, versed, fentanyl, low dose epi infusion and nothing that will blunt the baroreceptors.

My facility does not have remi or sufent unfortunately or I would use that.

Thanks in advance!

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.

https://www.fiercehealthcare.com/regulatory/ftc-secures-11th-hour-settlement-pe-firm-welsh-carson-over-alleged-roll-scheme

What do we make of this? Is this the end of USAP in Austin? Will rates in Austin finally come up?

I’m debating between 3 jobs right out of school. I’ve visited each site but wanted to hear more opinions on the groups/hospitals. I want the typical things like independence, support, and be able to expand my regional skills.

First place is the group Greater Anesthesia Solutions in Arizona working at Banner Boswell.

Second is US Anesthesia Partners in Nevada working at the summerlin or mountain view hospitals.

Third is National Partners in Healthcare at Banner desert.

Any help or comments are appreciated.

I’m a 4th semester SRNA but only have been 2 semesters in clinicals, and I'm a little bit frustrated. Between two semesters, I’ve had 10 attempts at intubation, all spaced out. 2 of them were this month.3 of the total in general were glidescope. I have only had one successful direct laryngoscopy without assistance. I was going once a week semester for 3 months and now it's bumped up to twice a week. I have a ton of mac, interspaced GI, CVL, and entire preop days where all I do is IVs (not great at that either). The days I do have general cases, they are intense so not a large number of cases. Just one or two if I am lucky. Today was the first time I feel an anesthesiologist didn't hip check me and helped me ventilate a lot and actually gave me two tries. I still didn't get it, but it was nice the difference in attitude. I also had been practicing with Miller because I was told that was a preference of this site, but now everyone switches and says one or the other is easier and I don't even know what to stick with now. Although my one successful DL without assistance was with a miller. I am frustrated because a lot of my peers in other sites seem to be intubating a lot and I'm hearing all about it. I know some people at my site feel like it's a lot of MAC too, but I don't think they're having such trouble. I don't know if I should speak to a professor or clinical coordinator about this because I do love the site but I don't know if my numbers are unusually low or I'm just struggling cause I'm bad with it. Any tips or tricks are highly recommended.i just don't understand how i will surpass the large learning curve even feel ready to be alone at the end of fall. I know feel I am becoming overly fixated on intubating and not celebrating my wins, but it's kind of hard not to be.

Just curious-I met an Aussie lady who works a very similar job down south. They call them anesthetic nurses there. Was wondering if anyone has worked there before?

I am in my first year of practice as a 1099. I pay taxes quarterly, not filling as an S corps under the recommendation of my accountant. I am currently putting aside roughly 1/3 of my income for taxes, and recently paid for the first time. I am not looking for shady advice, but my accountant made it sound like an s corps is not worth it until you are in the 450k range because the old deduction isnt available anymore and the payroll costs eats into any benefit. I feel fortunate to even be in the tax bracket Im in, but I recently found out most people in my group are filling as s corps and writing off all sorts of things at the same income, and their tax burden was half of mine. Is this normal? Does everybody have “a guy?” Am i missing something?

Hello my lovely colleagues. It has recently come to my attention that there has been a push for passage of AA legislation in my state. My state currently has a lot of issues regarding CRNAs and this would definitely contribute to the issues. The main push for AAs in my state is to primarily suppress CRNA salaries as we are being seen as “overpriced”. I am currently donating to PACs to fight the good fight and what not. However my question is to those who had AA legislation pass in their state how did it affect you? Did you see your salaries start to stagnate? While I’m overall not worried about these assistants I do know that even introducing 100 of these assistants in my area could cause damage to my salary. Our profession is 70000 strong when compared to their 3600 so I don’t even understand how they would “alleviate” the shortage. That being said what impact can they have towards us in actuality? Thanks for your opinion folks!

Hi r/CRNA!

I'm Joe Rodriguez, CRNA and Managing Partner at Guide Anesthesia, a company I co-founded that now includes about 150 CRNAs and MDs providing services in Phoenix, Tucson, El Paso, Flagstaff, and Prescott. Over the past decade, I’ve navigated the complexities of anesthesia services—starting with honing my clinical expertise and then dedicating a significant portion of my early career to anesthesia policy reform. I’ve served as a state president and on the AANA board, working on key issues in Arizona and at the national level alongside some incredible teams and leaders.

These days, I’m focused on creating value for our group members, addressing the challenges of anesthesia and surgical services, and building models that prioritize clinical excellence, sustainable business practices, and individual growth. A central theme in my work is promoting autonomy and empowering others—I believe there’s nothing more satisfying than helping people use all their skills to benefit patients, systems, and themselves.

I’m also part of the faculty team at National University and co-host the Anesthesia Deconstructed podcast, where we explore the issues shaping our profession in greater depth.

If you’re curious about being a CRNA, transitioning from restrictive to autonomous practices, the impact of regulatory reform, leadership and management, running an anesthesia service line in today’s environment, navigating competition, or collaborating with teams of leaders, ask me anything!

Let’s talk anesthesia, leadership, economics, or even life between Pennsylvania (where I grew up) and Arizona (where I call home now). I’m here for it all! 😊

https://preview.redd.it/plcc1vfw7rfe1.jpg?width=3389&format=pjpg&auto=webp&s=813b61f034c8b5d4f3729437fded1c4c64d950aa

We are in the middle of a reorganization period and are seriously short staffed. Most of our staff right now are local 1099 per diems who have regular jobs in the area. I’m planning on discussing bringing in some locums with administration. I would like to go into this conversation armed with knowledge. What is the best way to vet a locums company to help staff our facility? What questions do we need answered before choosing one? (Lower NYS)

On the Beyond the Mask podcast I've heard the CRNA Financial Planning guy talk about hiring spouse/family members for small roles in an S-Corp for tax benefits. I talked to my CPA about it and all I could think of for a genuine job to pay my wife for was to do my payroll. They said it wasn't worth it since it takes such little time that any money I could reasonably pay my wife for doing payroll would be insignificant in any tax benefits. If you're doing this, what are you paying and what is the job the person is doing for your S-Corp?

Anyone have any experience working at Inova Fairfax or VHC Health? Will most likely land in the northern Virginia area post-graduation and wanted to get an idea of the CRNA culture.

Hey everyone! My family is finally positioned to buy our first house. We are trying to gather some additional information about the optimal loan situation (Low down payment, no PMI, low interest rate). Obviously its idealistic in this market to have all three, but maybe 2/3 would be nice?

Can anyone share their experience with CRNA loans vs first-time homebuyer loans? What is the best approach here? We live in New York State in case anyone has worked with local lenders.

TYIA!

On 1/28 from 0900 EST until 1900 EST r/CRNA will be hosting an AMA with Joe Rodriguez from Guide Healthcare.

Joe has been a practicing CRNA for over 10 years and currently focuses on business and operations for Guide Healthcare. He is a former president of AZANA and former AANA board member. He has led several state and federal level reforms and is faculty at National University. (Bio taken from core anesthesia Instagram)

Mods will be watching closely, we anticipate a lot of trolls. Keep it professional or you will be banned.

SRNA here, I will be graduating in 2026 and I’m thinking about moving to Wisconsin. I am wondering if anybody has information on CRNas working at Froedtert Milwaukee. Are CRNas able to do their own regional? How much new grads should expect in term of salary ? Thank you

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.

Hi yall. Anyone know some of the going rates in San Antonio either w2 or 1099? I was curious about Wilford hall and the va or any other interesting places around

Hey current CRNAs, I am graduating soon and am considering where I want to work after boards. I have heard that people tend to get burnt out working at private practice facilities but less so at larger academic centers. Any thoughts? Thanks!

any recommendations for an employment lawyer for 1099 contracts?

Senior SRNA here. Have done well in school thus far with didactic as well as clinical rotations. Still don’t feel completely comfortable with basic pediatric cases tonsils etc and don’t really have a desire to do pediatric cases following school. Are there jobs out there like this? Is peds a requirement in most jobs?

I am a current SRNA and have always been interested in cardiac anesthesia. My experience in the CVICU and shadowing a cardiac anesthesia has been nothing great to me. However, I know it is different observing vs practicing as a cardiac CRNA. How do you guys like it?

PS: I also work on a vascular access team that does ultrasound guided IVs, mid lines, and PICCs. With experience as a VAT nurse, I think that will translate well with cardiac anesthesia with line placement.

Not expecting a lot from this post, but what is the lowest markup % you’ve seen from an agency for providing a locum? What’s a good deal these days? Obviously not including the situations like first time placement being 0% or any new client deals. Is it always 20+% these days?

Asking for a friend

How much are you paid to hold the pager for home call?

Percentage of your hourly rate per hour? (I've heard 10-15% of hourly rate)

Straight pay if called in? 1.5x ?

Thanks

I am a CRNA with over 20 years experience. I have been retained to be an expert witness for the defense council of a CRNA sued for negligence/malpractice. I am to analyze the chart and anesthesia record and write up a report and my opinion. Are there any resources for me to reference for a format/layout of my report? Ive been looking for examples online to guide me, but not much out there.

Hi all - considering a move overseas and was curious if anyone has any experience working on a military or Air Force base abroad as a CRNA. Curious to know how similar it is to working in the States, pay, quality of life, etc.

Any insight would be great!

Hello everyone,

I'm Brad. My wife is an experienced CRNA here in Florida. She works in surgery centers. We are moving to Bedford NH this summer, but we don't know any of the local CRNA community. We're looking for her to find either a good locum job / locum agency, or a good permanent job in a surgery center.

Can anyone help with info about which groups / practices are good/bad and where to start looking? We've checked out sites like gasworks and locumtenens, but we're missing the personal insight part.

We appreciate any help we can get.

Thanks!

Brad