Meet Kate Veenstra: From Bedside Nurse to Top Spot at UM Health-West

Meet Kate Veenstra: From Bedside Nurse to Top Spot at UM Health-West

Kate Veenstra, DNP, MSN, RN, CNL, CMSRN, ACM, NEA-BC, was recently appointed as the new chief nursing officer at the University of Michigan Health-West. Her more than 18 years of experience also tells quite a story.

Veenstra started as a bedside nurse at the hospital in 2006 and has held many roles, from associate chief nursing officer to the most recent interim chief nursing officer. Throughout her career, Veenstra has been a champion for her team and patients, leading initiatives that have significantly improved care and productivity.

One of her most notable accomplishments is co-leading a clinical nurse program, which helped to reduce cardiac readmissions and hospital stays. She also participated in a clinical care team during the COVID-19 pandemic.

Daily Nurse named Kate Veenstra the Nurse of the Week for her outstanding contributions. According to Dr. Ronald Grifka, president of UM Health-West, “Kate’s caring nature, innovative mindset, clinical expertise, and commitment to nursing excellence make her the ideal leader for this role.”

Veenstra is passionate about the success of nurses in West Michigan and has been involved in developing the Amy Van Andel Nursing Scholars program, which aims to remove cost barriers for those looking to start their careers in nursing. She has also played a significant role in creating a talent partnership with talent partnership with Grand Rapids Community College and the UM Health-West Foundation.

Nominate a Nurse of the Week! Every Wednesday, DailyNurse.com features a nurse making a difference in the lives of their patients, students, and colleagues. We encourage you to nominate a nurse who has impacted your life as the next Nurse of the Week, and we’ll feature them online and in our weekly newsletter. 

Caring for Critical Hearts: Meet Sarah Cazenave, Cardiac ICU Nurse

Caring for Critical Hearts: Meet Sarah Cazenave, Cardiac ICU Nurse

Sarah Cazenave is a BSN, RN, and CCRN who works in the Cardiac Intensive Care Unit (ICU) at Children’s Hospital New Orleans (CHNOLA). She takes care of the most critical cardiac patients at the hospital. Her cousin, Brooks, was born with only half of a functioning heart and had to undergo a staged surgical plan of 3 surgeries at CHNOLA. The care he received inspired Cazenave to become a Cardiac ICU nurse at the same hospital.

Daily Nurse proudly honors Sarah Cazenave as the Nurse of the Week.

Cazenave says Brooks and the care he received inspired her to become a Cardiac ICU nurse at the same hospital that cared for her cousin. “I am so fortunate to work with many amazing individuals who cared for Brooks while he was in the hospital. It is a challenging but rewarding specialty.”

Cazenave shares what it was like visiting Brooks while he was receiving care.

“Upon entering the unit, a staff member immediately barks at me to wash my hands and then escorts me to his hospital room. My aunt, a nurse herself, is sitting at the bedside. We quietly talk about my cousin’s progress as he rests comfortably in the bed,” she says.

She recalls glancing at all the pumps, lines, and chest tubes while maintaining her distance a few feet away. She doesn’t want to wake Brooks up and recalls the complexity of the scene, making her feel nervous.

“I am scared to touch anything for fear of messing it up. After twenty minutes, I hugged my aunt goodbye and hastily left the unit. I feel relieved when I leave the hospital. Children are supposed to be running around and playing with toys at this age, not hooked up to numerous monitors and lines in a hospital bed. The whole experience feels foreign to me,” she adds.

Cazenave’s cousin Brooks, now eight years old, was born with Uhl’s Anomaly, tricuspid atresia, and pulmonary atresia. He received four open heart surgeries at Children’s Hospital before the age of four, with his latest being the Fontan in 2018. He is now a happy and healthy eight-year-old who enjoys playing with Pokemon, jumping on the trampoline, and having pillow fights.

Fast forward five years later. Cazenave now works with the most critical cardiac patients at Children’s Hospital in the Cardiac Intensive Care Unit.

Cazenave cherishes the privilege of watching Brooks grow up and is grateful for the care he received at Children’s Hospital. Brooks inspired her to become a Cardiac ICU nurse, and she is proud to work with the same amazing individuals who cared for him while he was in the hospital.

She says it’s a challenging but rewarding specialty.

“Now, when I enter the unit, it doesn’t feel foreign to me, but rather like home.”

Nominate a Nurse of the Week! Every Wednesday, DailyNurse.com features a nurse making a difference in the lives of their patients, students, and colleagues. We encourage you to nominate a nurse who has impacted your life as the next Nurse of the Week, and we’ll feature them online and in our weekly newsletter. 

National Burn Awareness Week and Specialized Work of Burn Nurses

National Burn Awareness Week and Specialized Work of Burn Nurses

February 4th to 10th is National Burn Awareness Week , and Daily Nurse is recognizing the specialized work of burn nurses. Burn nurses are known for their exceptional skills, commitment, and unwavering dedication to patient care. They work tirelessly to treat individuals who have been affected by burn injuries and to advocate for burn injury prevention within their communities.

Meet Emily Werthman, PhD (c), MSN, RN, CBRN, the Burn Program Manager at The Johns Hopkins Burn Center. She is also a member of the Board of Certification for Emergency Nursing (BCEN) board of directors for the 2024-2025 term and shares her insights on burn nursing as a specialized nursing practice.

-What are your title and credentials at The Johns Hopkins Burn Center?

Burn Program Manager

PhD (c), MSN, RN, CBRN

-How long have you worked there?

13 years

-What do you enjoy most about your role as burn program manager?

I love the detective aspect of my job: finding a problem, discovering its root cause, and then developing a plan to fix it. I also work with an amazing interdisciplinary team that makes it exciting to come to work every day.

-Talk about how you ascended to that role.

I started as a BICU nurse and loved our burn program’s research and quality aspects. I knew that burn nursing was where I wanted to practice, but I also wanted to further my career options by pursuing an advanced degree. After about 10 years at the bedside, the burn program manager position became available while I was obtaining my MSN in nursing education. I was so happy to be able to combine my love of research, quality, and bedside burn nursing knowledge into this role. I am also incredibly fortunate to work for a health system that encourages and supports its nurses’ continuing education so I can continue with my PhD.

-What inspired you to become a burn nurse?

My mother died in a house fire shortly after my college graduation. Knowing that her nurses were with her, providing the best possible care, inspired me to do the same for all the families and patients we care for here at the Johns Hopkins Burn Center.

What associations are you a member of, and how have they helped your career?

I am an American Burn Association (ABA) member, serving as the lead nurse planner. I volunteer with the Board of Certification for Emergency Nursing (BCEN), serving as a CBRN Exam Construction Review Committee member, and have just been appointed to BCEN’s board of directors.

These roles have allowed me to work outside of my hospital system to impact the work of burn nurses nationally and internationally. My work with the ABA has allowed me to progress from member to committee member to lead nurse planner. Similarly, at BCEN, I started as an item writer and have continued to work within the organization to support its mission. Both organizations have provided opportunities for professional growth through networking and continuing education.

-What does a burn nurse do?

There is not a typical day in burn. We see patients at their worst on the first day they are injured, their best on the day they are discharged, and everything in between. Burn is unique because we know our patients and their families through one-on-one interactions during daily wound care sessions. A shift in the BICU or BWU will usually involve all your standard nursing interventions but with a healthy dose of specialized wound care, wound vac placement, dressing takedowns, and lots of psychosocial support for our patients and their families.

Burn nurses are more than trauma care. Can you talk about the other types of care they provide patients?

Burn nurses genuinely care for the patient across the entire continuum from admission to discharge and then reconstruction procedures in the years following an injury. In addition to critical care, they provide outstanding psychosocial support to families and patients. Many burn nurses participate in prevention activities like outreach at local schools and partnerships with local firefighters.

-How do you become a burn nurse?

After graduating with a history degree, I returned to school to get my AS in nursing, eventually earning a BSN and MSN. I am currently preparing to defend my PhD dissertation, as well. I knew when I entered nursing school that burn nursing was my calling. I contacted the burn center for my senior honors project to arrange a guest lecture at my nursing school. I kept in touch with them after graduation so that they were aware of my interest in the burn center and to let them know when I applied for an open position there.

Talk about the need for burn nursing and BCEN specialty certification.

I seek to effect change in the field of burn nursing as a subject matter expert, test question writer, and exam content review committee member for the CBRN exam. Specialty certification is an essential part of recognizing burn nurses’ unique work. As more hospitals move toward Magnet certification, standing with other certified nurses offers burn nurses the ability to demonstrate our commitment to quality care.

-What are the benefits of being a burn nurse? 

Burn nursing is a challenging field. But it is just as rewarding as it is difficult. We see patients progress through their recovery, and through our work with the Burn Therapy Program, we continue to see them for years as they return to their lives.

Talk about the reward of being a burn nurse.

The payoff is the outcome. When we see a patient with substantial burn injuries overcome their injuries and go on to live happy, successful lives, it makes all the long, hot days in a tub room worth it.

Talk about being 1 of 12 expert nurses selected by BCEN to serve on the Burn Nursing Role Delineation Study Advisory Committee.

No other specialty provides you with a level of interaction with patients and their families, all while providing life-saving critical care. The burn nurse is truly the best representation of a holistic nurse that I know—integrating critical care with psychosocial care, wound care, focused systems assessments/interventions, and all that comes with the care of surgical patients. Being selected to help define what a burn nurse does was an honor. And to be able to work with some of my role models in burn care (Gretchen Carrougher and Katie Hollowed, in particular) was so exciting. To think that we could work together with burn experts from all over the country to help on our path to certification was life-changing.

How does the committee’s work serve as a roadmap for nurses who sit for the CBRN exam?

In our work, we helped define what the burn nurse does, which helped define the parameters of the CBRN exam.

-Do you have anything else to add for Burn Awareness Week?

This year’s theme is preventing flammable liquid injuries, so I encourage people to check out the resources available at ameriburn.org to ensure they are following all appropriate safety measures!

Unlock Your Potential: Master the 8 Steps to Becoming a Successful CRNA

Unlock Your Potential: Master the 8 Steps to Becoming a Successful CRNA

Embarking on the journey to certified registered nurse anesthetist (CRNA) school can be both exhilarating and daunting. To help you navigate this path, I’ve compiled a comprehensive guide outlining key steps to enhance your candidacy for CRNA school. This guide is not just a list of steps; it’s a culmination of foundational strategies that have been proven effective.

As the founder of CRNA School Prep Academy, we’ve mentored thousands of CRNA hopefuls. Our guidance has led over 3,000 students to gain admission to CRNA schools nationwide. Each aspiring CRNA I’ve mentored has walked a unique path, facing distinct challenges. However, these diverse experiences all fall within the scope of the steps outlined below. Following this guide can save time, money, energy, and the emotional toll many prospective students experience.

Consider this article your roadmap, rich with insights, practical advice, and important warnings. It’s designed to provide a clear understanding of what lies ahead, equipping you with the knowledge to make your journey as efficient and fruitful as possible.

While this guide outlines the general terrain, the specifics of your journey — how smooth or challenging it may be — will depend largely on your circumstances and where you currently stand.

For now, focus on these steps. Assess which areas require immediate attention and then prioritize the rest according to their significance in your preparation.

The key is to start on the right foot, whether at the beginning of your journey or you’ve already made some progress. Proper preparation from the outset, or starting now if you’re further along, can make a world of difference in your journey to becoming a CRNA.

Before diving into the specific steps for CRNA school preparation, I want to highlight three recommendations. These will provide clarity and focus across all aspects of your journey. By addressing these upfront, you can streamline your efforts and avoid unnecessary expenditure of time, energy, and finances..

To optimize your preparation and make informed decisions, consider the following foundational strategies:

  • Identify Potential CRNA Programs: Start by selecting a few CRNA programs you’re interested in applying to. If you need help figuring out where to begin, here’s a comprehensive list of CRNA programs across the US to help you start your search.
  • Research Program Specifics: Contact them directly once you’ve shortlisted your programs. While their websites are a great resource, they might only cover some of the nuances of the application process and program requirements. This step is crucial for gathering in-depth information, some of which I’ll also touch upon in this guide.
  • Evaluate and Plan: Assess what’s required to meet the minimum criteria of these programs and distinguish yourself from other applicants. Develop a plan to fulfill these requirements, and identify areas where you can excel beyond the basic expectations.

Armed with this foundational knowledge, you’re better equipped to navigate the subsequent steps more precisely and purposefully.

Let’s embark on this journey together.

STEP 1: Educational Pathways to CRNA School

  • Complete Your Undergraduate Degree: Begin by graduating from an accredited Bachelor of Science in Nursing (BSN) program or combine a Bachelor of Science (BS) in a science field with an Associate Degree in Nursing (ADN). While a BSN is universally recognized, not all programs accept a combination of a BS and ADN. This is why verifying the specific requirements of your chosen CRNA programs is crucial.
  • Consider the Route to Your Degree: The pathway you take to obtain your BSN or equivalent undergraduate degree (such as LPN to ADN to BSN) is less important than the program’s quality. However, exercise caution with pass-fail programs, as they can negatively impact your GPA, which is a critical factor in your application.
  • Understand Accreditation Requirements: Pay attention to the accrediting bodies for your ADN and BSN programs. CRNA schools generally prefer candidates from programs accredited by national bodies like the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing (NLN). Programs with both national and regional accreditation are generally well-regarded. However, if your program is solely regionally accredited, this might limit your options for CRNA schools, so research this aspect early in your journey.
  • MSN Graduates: If you already hold a Master of Science in Nursing (MSN), you can still pursue a CRNA degree. Check with your target CRNA programs whether your graduate coursework will be recognized and transferrable.
  • Diverse Educational Backgrounds: CRNAs come from various educational backgrounds, including dentistry, EMT, business, accounting, nursing, and the military. The key factor across these diverse paths is maintaining a strong GPA, particularly in core science courses such as Biology, Anatomy, Physiology, Chemistry, and math courses like Statistics.

In the following section, we’ll delve deeper into the importance of your GPA and specific course performance…

STEP 2: Maintaining Strong Academic Performance

Securing a spot in CRNA school is highly competitive, and a solid academic record is crucial. Here’s how to navigate this aspect of your application:

  • Target a High GPA: Aim for a GPA of 3.5 or above to be a competitive candidate. While GPAs below 3.5 are still considered, they may necessitate additional steps to strengthen your application. The most important initial action is to contact the programs you’re interested in and request a review of your transcripts.
  • Understand the Focus on Core Sciences: As mentioned earlier, CRNA programs often prioritize your GPA in core science subjects like Chemistry, Anatomy & Physiology (A&P), and Microbiology. However, each school has its unique method of calculating your GPA. Some may focus on your last 60 credits plus core sciences, while others consider all your grades across all degrees. A few programs might even review high school GPAs and standardized test scores like the ACT/SAT. Early consultation with your chosen programs can clarify these requirements and save you confusion.
  • Addressing Lower GPAs: If your GPA is lower, be prepared to take additional steps. This might include retaking courses, enrolling in graduate-level classes, or both. If it’s been over a decade since you completed your science coursework, refreshing these subjects could be necessary. Also, some programs require recent science grades (within the last 5-10 years).
  • Strategize for Multiple Applications: If your GPA isn’t strong, plan on applying to several schools or reapplying to the same school. However, be mindful that some schools limit the times you can interview or apply (often a maximum of two attempts). Thorough research and direct communication with each program are essential. Inquire about their average accepted GPA to better understand their weight on this criterion.

Remember, reaching out to programs for specific guidance is critical to ensuring that your academic qualifications align with their expectations. This proactive approach can significantly enhance your chances of success.

If you possess an Associate Degree in Nursing (ADN), it’s crucial to understand that your ADN GPA carries more weight than your BSN GPA in the eyes of CRNA programs.

Why is the ADN GPA More Critical?

The emphasis on core science courses is the key reason. Typically, ADN programs include more of these crucial science courses than BSN programs. Therefore, your performance in the ADN program offers a more direct reflection of your abilities in these essential subjects.

A Common Misconception

Let’s consider a scenario where you have a 3.0 GPA in your ADN and a perfect 4.0 in your BSN. You might assume that an average of 3.5 would be sufficient. However, this is often not the case. CRNA programs tend to scrutinize your science grades from the ADN more closely. If these grades are on the lower side, you might either fail to meet the minimum application requirement (for example, a 3.0 GPA) or fall short of being a competitive applicant.

In summary, for ADN holders, excelling in the science courses during your ADN program is particularly crucial. It’s not just about the cumulative GPA; it’s about where and how you achieved those grades, especially in the core science subjects that are fundamental to the CRNA curriculum.

It’s important to note that even students with a perfect 4.0 GPA can face rejection from CRNA programs. This serves as a reminder that grades, while significant, do not encompass the entirety of what makes a successful CRNA candidate.

STEP 3: Gaining the Right Critical Care Experience as an RN is Vital in Your Journey to CRNA School

Here’s how to optimize this phase:

  • Ideal Duration of Experience: Aim for 2.5 to 5 years of work in a Level 1 Adult Intensive Care Unit (ICU). Many CRNA programs consider This timeframe the ‘sweet spot’.
  • If You Have Less Than 2 Years of Experience: Be aware that you might need to meet the minimum requirement of 1-2 years set by many schools. It’s important to ensure you meet this baseline before applying.
  • If You Have Over 5 Years of Experience: Demonstrating your willingness to learn and adapt is crucial. Despite extensive experience, showing that you are still open to new learning is key. One way to do this is by excelling in a graduate-level course and earning top grades.
  • Recentness of Experience: Most CRNA programs prefer your critical care experience to be recent, typically within the last 1-2 years. Ensure that your experience is up-to-date to meet these criteria.
  • Experience Outside the 2.5-5-Year Range: Don’t be discouraged if your experience doesn’t fit within this range. Instead, focus on strengthening other aspects of your application. Many candidates with more or less experience have successfully gained admission by excelling in other areas.
  • Type of ICU Experience Matters: While a Level 1 Adult ICU is ideal, due to its status as an academic center often providing more opportunities for research involvement (which is highly valued by CRNA programs), a Level 2 ICU can also be competitive, especially in regions where Level 1 access is limited.

Remember, the quantity and quality of your ICU experience are both critical. Alongside the duration of your experience, the type of ICU where you work plays a significant role in your application’s strength.

While Level I or II trauma hospital experience is highly valued, there are other environments where you can also acquire competitive critical care experience. Here are some key considerations:

  • Assessing the Acuity Level of Your Unit: If you’re working in a unit that regularly receives critically ill patients from smaller hospitals and involves managing vasoactive drips, ventilators, Continuous Renal Replacement Therapy (CRRT), or other advanced life support systems, this indicates a high level of acuity. Such experience can be valuable, even if the unit isn’t designated as a trauma center.
  • Considering Other ICU Environments: If an adult ICU isn’t your preference, be aware that your options for CRNA schools might be limited, as not all units are equally valued. Let’s explore some alternatives:
    • Pediatric ICU (PICU) and Neonatal ICU (NICU): Most CRNA schools accept PICU experience. However, NICU experience is more variable. Of 123 CRNA programs surveyed, 102 accept PICU, but only 27 consider NICU on a case-by-case basis, and 21 explicitly do not accept NICU experience.
    • Emergency Room (ER) Nursing: ER experience is less commonly accepted as equivalent to ICU experience. Currently, only 4 out of 129 programs categorically accept ER experience, while 5 consider it on an individual basis.

Remember, these numbers reflect the current acceptance rates and can vary. It’s important to verify with the CRNA programs you’re interested in directly. Each program may have specific criteria or views on what constitutes relevant experience. Being proactive in understanding these nuances can significantly impact your application’s success. ICU experience standards are set by the COA (Counsel of Accreditation), which you can review here.

If high-acuity ICU experience is unavailable in your immediate area, it’s worth considering a commute to access this experience level. By making an effort to work in a higher acuity ICU, you not only gain the essential experience sought by CRNA programs, but you also showcase your dedication and commitment to your career goals.

When selecting a CRNA program, consider its location relative to major hospitals, especially Level 1 facilities. Remember that if your chosen school is near a Level 1 hospital, you’ll likely compete with applicants with experience in that setting. In most instances, CRNA programs prioritize the quality of your experience over its quantity. It’s crucial, therefore, to find various ways to demonstrate the depth and quality of your professional background and skills as a candidate. This approach can significantly enhance your competitiveness in the application process.

It’s important to note that certain units typically do not qualify as ICU experience in the eyes of CRNA programs. These include the Catheterization Lab (Cath Lab), Operating Room (OR), Post-Anesthesia Care Unit (PACU), and Step-down units. While exceptions can be made, they are rare, and relying on such units for your ICU experience is generally not advisable if you aim to strengthen your CRNA application. The likelihood of these experiences being considered equivalent to ICU experience by CRNA programs is relatively low.

STEP 4: Besides Your Clinical Experience, Taking on Leadership Roles and Engaging in Your Community is Crucial for Your CRNA Program Application  

CRNA schools seek candidates who not only excel academically but also have the potential to become ambassadors and advocates for their institutions and the CRNA profession at large.

  • Pursue Additional Certifications: Aim to acquire extra certifications relevant to critical care, such as CMC (Cardiac Medicine Certification) and CSC (Cardiac Surgery Certification). The CCRN (Critical Care Registered Nurse) certification is essential if you have at least 1750 hours of ICU experience, as it’s often considered a benchmark for competitive applicants.
  • Engage in Leadership and Educational Roles: Get involved in leadership committees within your unit, take the initiative to mentor or precept nursing students, participate in volunteer work, or contribute to research projects. These activities demonstrate your commitment to learning and leadership in the field.
  • Show Eagerness for Continuous Learning: Actively seeking learning and development opportunities strongly indicates a dedicated and driven professional. This approach enhances your application and positions you favorably for obtaining strong letters of recommendation.

Job shadowing is a crucial component in strengthening your CRNA school application. It’s highly recommended to engage in this activity extensively; on average, a competitive candidate dedicates 40 hours or more to shadowing. Even if a program lists shadowing as a recommendation rather than a requirement, it’s still vital to pursue it. There have been instances where programs have declined highly qualified candidates due to their lack of shadowing experience. This experience is a testament to your dedication and understanding of anesthesia. CRNA programs are rigorous; they seek candidates who demonstrate a deep commitment and genuine interest in anesthesia.

Given the demanding nature of CRNA schools, programs are keen to select fully committed ones. The admissions committee might also have reservations if you don’t show certainty in your desire to become a CRNA.

Finding shadowing opportunities can be challenging, especially with new protocols introduced after COVID-19. Here are some strategies to secure these experiences:

  • Start with Your Current Workplace: Your existing hospital or place of employment can be the first place to seek shadowing opportunities.
  • Reach Out to Local Hospitals or Surgery Centers: If your workplace doesn’t offer these opportunities, approach other local medical facilities. Hospitals and surgery centers often have CRNAs on staff who might be open to being shadowed.
  • Utilize Online Platforms: Use of social media groups and online forums dedicated to nursing or CRNA professionals. Posting a request for shadowing opportunities in these groups can yield positive results.

Remember, showing initiative in finding and completing shadowing hours reflects positively on your application and demonstrates your proactive approach toward your CRNA career aspirations.

If you’re encountering obstacles in finding shadowing opportunities, reaching out to your target CRNA programs for assistance can be beneficial. These programs might provide valuable recommendations or alternative methods for securing a shadowing position, like contacting your local CRNA state association.

It’s essential to be proactive and persistent in your efforts to gain shadowing experience. Ideally, begin your search a year before your application. This foresight and consistent effort can significantly enhance your chances of securing the necessary experience.

An essential consideration during this process is the specific requirements of CRNA programs regarding shadowing. Many programs have a preference or even a stipulation that some of your shadowing should be conducted with a CRNA instead of an anesthesiologist (MD). This is due to the unique roles and perspectives that CRNAs bring to the field of anesthesia, which differ from those of MDs. While gaining insights from an MD can be valuable, ensuring that you also shadow a CRNA is crucial to meeting the specific needs of certain CRNA programs.

STEP 5: Navigating GRE and CCRN Requirements for CRNA School

When preparing your application for CRNA school, understanding the role of the GRE (Graduate Record Examinations) and CCRN (Critical Care Registered Nurse) certification is crucial. Here’s how to approach these requirements:

  • GRE or CCRN Requirement: Most CRNA programs require either the GRE or CCRN certification. In some cases, the GRE might be specifically required for applicants with lower GPAs, typically in the 3.2 – 3.4 range. If the program you’re applying to emphasizes the GRE or CCRN, excel in these areas to distinguish your application.
  • Target GRE Scores: Aim for a competitive benchmark for programs that require the GRE but don’t specify a target score. A score of 300 or above and a 3.5 to 4 in the analytical writing section are generally considered strong. While some schools might lower their minimum GRE score requirements, many competitive applicants often score above 300. Think of a 290 or 300 on the GRE as analogous to having a 3.0 GPA in terms of competitiveness – it might get your application considered, but aiming higher (preferably above 305) can strengthen your candidacy.
  • Compensating for Lower GPA: A robust GRE score can counterbalance a lower GPA. For instance, if your GPA is around 3.4 or less, a strong performance on the GRE can help mitigate concerns regarding academic performance. Some programs specifically request GRE scores from applicants with GPAs that meet the minimum requirement. In such scenarios, excelling in the GRE becomes an opportunity to enhance your overall application profile.

Remember, while meeting the minimum requirements is essential, always strive to exceed them where possible. This approach increases your chances of acceptance and demonstrates your commitment and capability to excel in a rigorous academic environment.

STEP 6: Strategies for Maximizing Your GRE Score and Utilizing CCRN Effectively

  • Investing in a GRE Tutor: If you’re finding it challenging to achieve even the minimum GRE score required by your CRNA program, consider hiring a tutor. Many tutors offer score guarantees or your money back, which can be a worthwhile investment for boosting your score.
  • Prioritizing Academic Enhancements: If your GPA is a concern and the GRE isn’t a primary focus of your target program, only consider taking the GRE after exploring other options. Prioritize enrolling in graduate-level courses relevant to your future degree, aiming for top grades to bolster your academic record. This approach demonstrates your academic capabilities and helps improve your GPA and earn graduate credits. Additionally, if advised by your program, consider retaking specific undergraduate courses to strengthen your academic standing further. This should be your first course of action before taking the GRE, as detailed in Section 2 regarding the importance of GPA.
  • Leveraging Your CCRN Score: While most CRNA programs may not emphasize CCRN scores, it’s beneficial to find out if your chosen program does. If they value the CCRN certification, and primarily if you’ve scored well (such as 80% or above), it’s advantageous to highlight this achievement on your resume. Though it might not be a deciding factor, a high CCRN score can certainly add to the strength of your application.

Focusing on academic improvements and strategic test preparation can significantly enhance your CRNA school application. Whether it’s excelling in graduate courses, retaking undergraduate classes, or maximizing your GRE score with the help of a tutor, each step plays a vital role in showcasing your dedication and readiness for the rigorous demands of CRNA training.

STEP 7: Strategically Selecting Graduate-Level Courses for CRNA Preparation

Graduate-level courses, especially in the sciences, can significantly bolster your application for CRNA school. This step is highly recommended for all applicants, but it becomes essential for some, depending on their academic background and the requirements of their targeted programs.

  • Consult Your Target Programs: Contact the CRNA programs you’re interested in before enrolling in any courses. This step ensures you invest your time and resources in courses that align with their specific requirements and preferences. Avoid taking irrelevant classes or missing out on essential ones by getting this information directly from the source.
  • Understand Program Prerequisites: Besides classes recommended by your target programs, be aware of any prerequisite courses that are mandatory for applicants or enrollees. These prerequisites can vary significantly between programs. For instance, AdventHealth’s CRNA program requires STATS 215 and a college-level Chemistry course to be completed before applying. Additionally, they require a specific course – Chemistry & Physics for Nurse Anesthesia – to be completed by December 31 of the year preceding enrollment.

Understanding and fulfilling these prerequisites strengthens your application and demonstrates your proactive approach and commitment to meeting the program’s standards. By strategically selecting and excelling in relevant graduate-level courses, you position yourself as a well-prepared and competitive candidate for CRNA school.

If you find yourself in a situation where it’s been 6 to 10 years since you last completed a science course, it’s wise to enroll in a new class, even if it’s not explicitly required by your target CRNA program. This step is crucial for a few reasons:

  • Stay Updated with Current Knowledge: Academic standards and content in science can evolve. Taking a recent course ensures that your knowledge is current and relevant.
  • Demonstrate Ongoing Academic Engagement: Completing a recent science course shows CRNA programs that you are actively engaged in your academic development and committed to maintaining your knowledge base.
  • Address Undergraduate Grades: If you received grades of C or lower in your undergraduate science classes, enrolling in a graduate-level science course can effectively demonstrate your improved capabilities. For example, AdventHealth’s CRNA program requires a minimum of a B grade in their prerequisite classes. Excelling in a graduate-level course can show that you have grown academically and are prepared for the rigorous coursework of a CRNA program.
  • Stand Out Among Other Applicants: Even if retaking an undergraduate course with a lower grade isn’t mandated by your prospective program, doing so can help you stand out. Your updated grades will be compared against those of other applicants, and higher grades can significantly enhance your application.

In summary, updating your science education, mainly if your previous grades were not strong or your coursework needs to be updated, is a strategic move in strengthening your CRNA school application. It showcases your commitment to continuous learning and ability to succeed in a demanding academic environment.

If your GPA hovers around 3.4 or meets the minimum requirement of your target CRNA program, it’s essential to strategize effectively regarding additional coursework. After consulting with your chosen program about your GPA and its implications, consider the following when selecting “bonus” classes:

  • Prioritize Relevant Science Courses: As discussed earlier, science courses often carry more weight in the evaluation process. Opt for courses that will benefit your CRNA preparation rather than less relevant ones like Nursing Theory. Focus on subjects that will enhance your understanding and skills in anesthesia-related areas.
  • Ensure Course Credits Are Transferable: If you’re investing time and money in a graduate-level course, ensure that it offers tangible benefits. Choose courses whose credits will count toward your CRNA program. This approach demonstrates your dedication and academic prowess and gives you a head start in your CRNA studies.
    • Courses like graduate-level Statistics or Pathophysiology are often valuable choices. They strengthen your academic profile and align closely with the CRNA curriculum.
    • However, be aware that not all CRNA programs accept transfer credits. Verify with your targeted schools whether the courses you are considering will be credited toward your CRNA degree.

By carefully selecting courses that are relevant to the field of nurse anesthesia and transferable to your intended CRNA program, you maximize the value of your additional academic efforts. This strategy can compensate for a lower undergraduate GPA and position you as a committed and capable candidate for CRNA school.

To thoroughly understand the requirements and preferences of your target CRNA program, a helpful starting point is the website www.coacrna.org. While not every school lists details such as the average GPA of accepted students, this resource can provide valuable insights into what various programs look for in candidates. Use this information to form a clearer picture of your path to acceptance. However, it’s crucial to directly confirm these details with the programs you’re interested in to ensure accuracy.

Pro Tip: Attending an open house event hosted by your desired CRNA program can be an excellent opportunity to get your questions answered. These events often provide direct access to faculty and current students, allowing you to gather firsthand information and insights that might not be readily available online. Open houses also offer a glimpse into the program’s culture and environment, helping you assess how well it aligns with your personal and professional goals.

STEP 8: Mastering the CRNA Program Interview

The interview stage is crucial in the CRNA program application process. Even the most outstanding application can falter without a strong interview performance, so preparing thoroughly and starting early is vital.

  • Begin Preparation Early: Don’t wait for an interview invitation to start preparing. Start honing your interview skills when you begin working in the ICU or right now if you’re already there. Early preparation allows you to develop and refine your responses over time, reducing stress and improving confidence.
  • Understand the Scope of Preparation: Simply reviewing your resume isn’t enough. CRNA program interviews often delve beyond your resume to assess a range of competencies. Being prepared means having a deep understanding of your own experiences, skills, and goals and being able to articulate them effectively.
  • Familiarize Yourself with Different Interview Styles: CRNA interviews can vary significantly from one school to another. While some may focus on personal questions to gauge emotional intelligence and situational responses, others might test your knowledge in Pathophysiology and pharmacology or present mock code scenarios. Be prepared for diverse questioning styles, including potential written tests similar to the CCRN, math problems, emotional quotient (EQ) assessments, or even impromptu essays.

By recognizing the importance of the interview and beginning your preparation well in advance, you’ll be in a strong position to showcase your capabilities and commitment effectively. This proactive approach can significantly enhance your chances of impressing the admissions committee and securing your place in the program.

A deeper understanding of a CRNA program’s interview process can significantly enhance your preparedness. Here are some strategies to consider:

  • Leverage Program Open Houses: Attending open houses is more than just an informational session; it’s an opportunity to gain insights into the program’s interview style. Explore with current students to get a firsthand account of their interview experiences. This can provide valuable tips and expectations for your preparation.
  • Network with Faculty and Staff: Open houses also offer a chance to meet the program director and faculty. Engaging with them helps make a positive early impression and familiarizes you with the people who might be interviewing you. Recognizing a friendly face during your interview can ease your nerves and add comfort to the experience.
  • Integrate All Aspects of Your Preparation: Every part of your application journey is a stepping stone towards the interview. Practice articulating your experiences, handling criticism, responding under pressure, and showcasing your competencies. The more you refine these skills, the more natural and confident you will appear in your interview.
  • Support Your Resume with Confidence: While your resume might get your foot in the door, the interview is where you bring it to life. Be ready to confidently elaborate on your experiences and skills, demonstrating how they align with the demands of a CRNA role.
  • Remember, It’s a Two-Way Street: While the program evaluates you, remember you also assess them. Given the significant investment of time and money required for a CRNA program, ensuring it’s the right fit for you is important. Prepare to ask clear and respectful questions about any aspect of the program you need more information on. This addresses your concerns and shows the interview panel your thoughtful consideration and interest in their program.

As we wrap up this journey through the intricacies of getting into CRNA school, I hope you feel empowered and equipped with the knowledge to take this exciting step forward in your career. Remember, the path to becoming a CRNA is as rewarding as it is challenging, and every step you take brings you closer to achieving your dream.

POCUS Provides ICU Clinicians Clear Benefits

POCUS Provides ICU Clinicians Clear Benefits

Recent advances in ultrasonography technology have led to increased usage at the point-of-care, with handheld devices offering diagnostic and therapeutic applications.

Point-of-care ultrasonography (POCUS) has proven to be an effective tool for various medical and surgical conditions, including those experienced by patients who are critically ill. Its numerous benefits are that it can be performed quickly and cost-effectively without transporting the patient, uses no radiation, and is easily reproducible and noninvasive. POCUS can be performed at the patient’s bedside as clinical questions arise and rapidly repeated as a clinical situation mandates.

Point-of-Care Ultrasonography in the Critical Care Setting: Abdominal POCUS ,” published in AACN Advanced Critical Caredescribes several applications for POCUS in abdominal imaging, including the biliary tract, liver, kidneys, bladder, and appendix, as well as intra-abdominal free fluid. For each one, the article covers indications, relevant anatomy and physiology, clinical pitfalls, scanning techniques, and documentation of findings.

The authors are Bryan Boling, DNP, AGACNP-BC, and Abbye Solis, DNP, ACNP-BC. Boling is a nurse practitioner in the anesthesiology department, division of Critical Care Medicine at the University of Kentucky, Lexington. Solis is a nurse practitioner in the Weinberg Surgical ICU at Johns Hopkins Hospital, Baltimore. They are both adjunct faculty in the adult-gerontology acute care nurse practitioner program at Georgetown University, Washington, D.C.

“The most-known application of abdominal POCUS is to quickly assess the trauma patient for occult intra-abdominal injury, but it can also help clinicians evaluate the function of several abdominal organs that may fail during critical illness and contribute to morbidity and mortality,” Boling says. “POCUS is redefining how illness and injuries are diagnosed and treated, and its growth and expansion will only continue.”

AACN Names Vicki Good Chief Clinical Officer

AACN Names Vicki Good Chief Clinical Officer

The American Association of Critical-Care Nurses (AACN ) named Vicki Good, DNP, RN, CENP, CPPS, CPHQ, as its chief clinical officer (CCO).

“As a member of our executive team, the CCO provides leadership of AACN’s initiatives to drive the transformation of acute and critical care work environments to align with AACN’s Standards for Establishing and Sustaining Healthy Work Environments,” says Dana Woods, AACN CEO. “Our CCO collaborates widely within the AACN community and beyond to identify, translate, and facilitate opportunities and integrated action to address current and emerging practice needs and advocacy priorities on issues that matter most to nurses and their patients.”

Nationally known for her patient safety expertise, Good succeeds Connie Barden, MSN, RN, CCRN-E, CCNS, who retires after serving as AACN’s inaugural CCO since 2014.

“Nursing is at a pivotal point. The pandemic illuminated several key areas that have long impacted nursing, and AACN is positioned to be at the forefront to help the profession move forward in areas such as establishing and sustaining healthy work environments, supporting nurses transitioning to critical care, and staffing,” says Good.

After beginning her critical care nursing career at Parkland Memorial Hospital in Dallas, Good served in executive positions for Mercy Health System in Springfield, Missouri, since 2018, including systemwide responsibility for nursing professional development and quality. During the COVID-19 pandemic, she took on an additional role in emergency care for the health system. She has held leadership and clinical roles with CoxHealth, Baylor Health Care System, and Harborview Medical Center.

As AACN president from 2013-2014, a one-year term, Good advocated for nurses to lead the redefinition of safe patient care and optimal outcomes. She recently served on the National Nurse Staffing Think Tank and Task Force, co-led by AACN, to develop recommendations for long-term solutions to the current staffing crisis and the systemic issues exacerbated by the COVID-19 pandemic. As CCO, Good is a member of the AACN Staffing Advisory Group, which is charged with defining the scope and standards of safe staffing for critical care patients.

“Vicki’s expert personal and professional experience with the issues direct care nurses face is one of many strengths she brings,” says Woods. “As a highly engaged AACN volunteer for more than 20 years, Vicki is well versed in our strategic priorities and the care environments our community members practice.”

She served on the external advisory board of Transforming Healthcare through Innovative Nurse-Led Care Delivery Solutions, an initiative of the Institute for Healthcare Improvement and Johnson & Johnson Center for Health Worker Innovation. She is also a member of the American Organization for Nursing Leadership and the Missouri Organization of Nurse Leaders.

She is a scholar of Just Culture and a frequent author and national speaker on workforce solutions, healthy work environments, burnout, and patient safety and quality.

“Just Culture and healthy work environments are pivotal in creating inclusive environments where nurses thrive and patients receive optimal care,” says Good. “As an association, we must continue to advocate for the intersection of these critical components to support our workforce and patients.”

Good earned a Bachelor of Science in Nursing, a Doctor of Nursing Practice from Texas Christian University, and a Master of Science in Nursing from Seattle Pacific University. She completed the Parkland Memorial Hospital critical care trauma nurse internship.

She is a current adjunct faculty member at Missouri State University and active in community organizations in the Springfield, Missouri, area, including as a current board member and past president of the Springfield Child Advocacy Center.