Sunday, February 27, 2011

CRNA – Certified Registered Nurse Anesthetist: Another Medical Route to Consider

I’m a prior PJ and I’m currently in a CRNA program. I’m here to help any PJs thinking about pursuing a medical career in Anesthesia. When I was going through the pipeline, I was lucky enough to go through the Army’s Joint Special Operations Combat Medical Training Course. During our clinical training, we got our intubation practice in the operating rooms (OR) of big hospitals and medical centers. What I thought were anesthesiologists (MD-A) training me, were actually CRNAs. I never heard of them, and come to find out, in the general sense; they are Critical Care (ICU) nurses with a Master’s degree in Anesthesia. They are trained to provide the exact same anesthesia care as anesthesiologists, without having to obtain a medical degree.


CRNAs get paid pretty well (depends on which area of the country you work and the type of practice you’re in; which I will get into in another blog), not as high as MDAs, but high enough that you’ll be in one of the higher tax brackets. However, you do the same amount of work, if not more, than MDAs. You can compare the difference to Officers and Enlisted, CROs versus PJs. In the facility I originally trained in, there was one MDA to 4 CRNAs. The CRNAs were the ones actually in the OR providing anesthesia care to the patient having surgery. The MDA acted more as a supervisor and was only paged if the CRNA required additional help. Now this system differs between different hospitals and different states, but CRNAs are trained to do everything a MDA can do. The only real difference in terms of scope of practice in different hospital settings is what the CRNA is allowed to do.


Now the route to become a CRNA is very different than the route to become a MD. That’s not to say that becoming a CRNA is any easier, just that it requires less time, less schooling, and less cost (student loans to pay back) than going the med-school route. Getting into a CRNA program is very competitive. You still have to work hard nonetheless. But I can tell you from first hand experience, as long as you have the grades and high GPA to back up your resume, just having a PJ background will take care of the rest.


If you are interested in becoming a CRNA, you can find more information about the career and the colleges offering a CRNA program at www.aana.com. I will post more info about the process and path to becoming a CRNA, and some extra details about the job itself in later blogs. For now, I can tell you in my experience, there is never a day where I do not look forward to coming to work at the hospital. This job will test and challenge your anatomy and physiology, as well as your pharmacology. If you have any questions or comments, just post your comments at the end of this blog. Good luck to you in your post-Pararescue medical career endeavors!


Hopper

19 comments:

  1. hey hopper i am currently in nursing school right now and was wondering would the the air force let someone who is a nurse become a pj? just wondering i am considering going into the military after college to get some good training and experience.
    -Joesixpak

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  2. Joessixpak,

    You can be a PJ no matter what. You just have to pass the flight physical, the PAST test, and everything else to qualify for the Air Force and Pararescue. Now if you're in a BSN program, you can consider going CRO (Combat Rescue Officer). But I had a BA degree back in the day and I still enlisted to be a PJ. Now keeping your nursing license and your nursing skills might be a problem while being a PJ. Let me know if you have any questions.

    Hopper

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  3. Hopper,

    I have similar questions. I have just made the decision to pursue the CRNA route instead of the MD route. I am interested in knowing if it is realistically possible to work as a CRNA and also be a PJ or CRO in the AF Reserve. If so, could you provide any input on my situation. I have a BS in Management. I have all nursing prereqs complete but am continuing to finish most med prereqs to boost my anesthesia school application down the line. Should I pursue nursing school first or pursue PJ pipeline first. I am 26 years old. I am looking to attend the University of Miami which has a 1 year (3 semester) nursing program. I really have a ton of questions as to how this could work, if at all. Obviously if I pursued PJ first, I couldn't deploy in the middle of nursing school or anesthesia school. Is there a non-deploy loophole while in school? Also, what about the 3 year anesthesia school process. Again, I could satisfy the weekend/2wk reserve commitment, but what about possibly being deployed. Is the only answer to become a CRNA first and then go PJ straight into Reserve? If so, I'm not sure this is possible due to my age by the time I could graduate as CRNA. Any input is greatly appreciated.

    Jay

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  4. Jaybo914,

    Whether you’re thinking about Med-School or CRNA, it will be hard to do either while you’re going through Pararescue, even if you’re in the Reserve or Guard. And even after you become a nurse, it will be hard for you to work full time in an ICU and try going through Pararescue.

    First, you have to find a PJ Reserve unit willing to hire you. Since Pararescue is such a small and specialized careerfield in the AF, you have to contact an AF Pararescue Reserve unit first before talking to a recruiter. Most Reserve units like to take prior PJs and you would really have to show your worth if you’re some guy coming off the street. For a reserve unit to send you to Air Force basic training, INDOC, and the pipeline, it will have to come out of their budget. So they’re not going to send anyone who is thinking about becoming a PJ. They’ll be investing all this money into a person who hasn’t proven himself yet. If you want to be a reserve, you’re probably better off trying to go Active Duty, and once you’ve been a PJ for a few years, then go to a reserve unit. But going Active Duty has its advantages and disadvantages as well if you’re trying to become a CRNA.
    Then there is a wait to get an INDOC slot. Right now I heard that since there are so many people trying to get into Pararescue, it takes about a year before you can process through.

    Whether you want to become a PJ or a CRNA, they both require full-time commitment and dedication. In my honest opinion, I really find it hard to do both at the same time. You really have to look at yourself and decide which one you desire and want the most. Which career is going to be more fulfilling? I was 26 when I went to INDOC and I got out to start my CRNA career at age 32. I didn’t know about becoming a CRNA until my last couple of years of my enlistment. The route to become a CRNA is so competitive, my PJ background made me stand out above all other applicants.

    My advice to you: If you want to become a PJ, you have to put your heart and soul into it and focus everything in becoming a PJ, otherwise you’ll waste your time “trying”. If you want to become a CRNA, then stick to getting the best grades with your prereqs and BSN, get hired into a very critical ICU that will give you the most experience, and then start applying to become a CRNA after working for 1.5 years.
    If you want to do both, then be a PJ first, then focus on becoming a CRNA (like how I'm doing it). Even in the reserves, you have to do more than the 1 weekend a month to stay current with all of your qualifications PJ qualifications. And if you decide to go the CRNA route first, there will be a period of 2 years during the pipeline where you won’t be practicing anesthesia. That’s a long break and tough to stay current with your license. Hope this info helps.

    Hopper

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  5. Thanks for the input Hopper. You really confirmed most of my assumptions or prior knowledge. I acknowledge that when it comes to career fields that are so demanding, you really have to be fully committed; you can't split your focus and desires.

    My mother has been a CRNA for over 20 years. Seeing her work, and the lifestyle it provides, I am most intrigued. On the other hand, as a professional athlete winding down a minor league career, I fear the potential doldrums I anticipate working as a nurse, etc. With this in mind, I thought about what combined the idea of being elite, physical, and saving lives... and I found pararescue. At 26 now, I thought it would be an awesome way to wind down the prime physical years of my life and a way to do something I'd truly be proud of while making a meaningful difference. On the other hand, one issue that has led me away from continuing in professional sports is the desire to have a family and not be a part time husband or father on the road and jumping from city to city every year. Obviously in the military, this is a challenge I would eventually face.

    With all that said, I have to say kudos to you. To have PJ and CRNA on your resume... two pretty outstanding achievements... and it sounds like quite a life.

    Coming from an athletic background at the professional level, I have grown accustomed to a lifestyle of constantly striving to be the best. The CRNA route is the obvious best choice in terms of staying alive, making big bucks, having a family and time to spend with them, etc. On the other hand, something tells me I'm going to be thinking about jumping out of air planes, swimming in high seas, and being there to grasp the hand of my "teammates" when they're most in need... the camaraderie and respect is another appeal of the pararescue field as I feel it'd mimic that of what I am accustomed to with my former teammates...

    Anyways, thanks again for taking the time to write back! Best of luck to you in your future endeavors... I've got some soul searching to do...

    Jay

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  6. Jay,

    I'm a currently a M1 at the University of Illinois College of Medicine and a part-time PJ reservist in Tucson. Hopper is correct in stating that reserve units have to pay the way for their recruits so they are very selective about who they take "off the street". However, your age, and your professional athlete and life experiences will make you stand out at any reserve unit's selection. Feel free to contact me for any info about the reserves. Though, like Hopper said, if you go the PJ route first, your CRNA plans will be put on hold for several years.

    PJGS

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  7. PJGS,

    How can I message you directly? I have searched over the website and can't seem to find a direct contact link?

    Jay

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  8. PJ Golf Sierra,

    I have not heard back from anyone regarding how to get in touch with you. I have even emailed the website. I am most interested to speak with you about your reserve experience and the requirements it entails. I am specifically interested in the conditions of your status as a reserve PJ while in Med School. I have simple questions such as what if you get deployed?

    I am also interested in the process to become a PJ through the reserve. I search all over online and don't find much as to the specific steps other the standard "contact a recruiter" line.

    The more I think about it, I feel deep down I want to do this. I love the idea of dedicating the next few years to becoming a PJ, and then afterward pursuing Nurse Anesthesia, like PJ Hopper. However, my concerns are simply how can I go through three years of anesthesia school with the risk of getting deployed? What happens then?

    Anyways, I have a week or two before I have to make final decisions regarding school curriculum and really need to speak further with someone like yourself. I check the site daily for updates... please inform me of how to get in contact...

    Jay

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  9. Jay,

    Email: Pararescuedoc@gmail.com and I will check it regularly this week. I had it set to forward to my email but something is not working. Shoot out another email and address it to PJ GS...it should get forwarded to me then.

    Thanks,
    PJ GS

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  10. Hopper,

    I know the last post was old but I was hoping that you still check the site. I am currently in training with the 445th AES at WPAFB in ohio as a flight nurse. I know I wanted more while training and then I was made aware of the CRO. I spoke to my LtCol and chief nurse about applying for a CRO position. He had limited information and suggested talking to a recruiter. So I am hoping since you have first hand knowledge you would be able to provide me some information about the whole process? I would really appreciate any info!

    Sincerely,

    Lt Daniel Bermea

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  11. Hopper,

    Good day, I wanted to know more information about becoming a CRO, My current goal is to become a nurse first then become a CRO and after that become a nurse anesthetist, but I wanted to know if I become a PJ first and after one enlistment get out could I go straight into a crna program because of my experience in para rescue. Would I still have to work 1-2 yrs as a nurse before I can apply as a crna or will the PJ training suffice for experience. Your help with this is greatly appreciated.

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  13. Thank you for sharing. Its informative and full of information.

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  17. Hopper,

    I am a nursing student thinking about joining the Air Force. I want to go the PJ route vs the CRO route (I think). I want the more hands-on job. I don't know much about CRO's job duties and responsibilities though.

    I have also debated joining the AF Nursing corps. My question is, would it be difficult/realistic for me to attempt the PJ route while having a nursing degree? Will I be able to keep my skills up-to-date? And from your personal experience, do you see more hands-on with PJ or CRO?

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  18. Is it possible to do PJ reserve and be a Registered nurse at the same time? Currently a registered nurse, but would also want to pursue my passion as a PJ. Is it possible to maintain both jobs as a nurse and do reserve PJ?

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  19. I have been working towards becoming a crna ever since I graduated high school. Im currently in the process of getting my bachelors in nursing, I have one more semester of pre-reqs before I would start the nursing program. Recently I have been extremely interested in becoming a PJ. Would you recommend that I get my bachelors in nursing first before trying to become a PJ that way when I get out of the military I would be able to start working towards becoming a CRNA, or should I work towards becoming a PJ first and wait to work towards my bachelors in nursing?

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