CRNA Inspiration in the Operating Room Personal Statement

In Nursing School, I did a clinical rotation in the operating room with CRNAs working all around me. I watched them as closely as possible. This was the beginning of my dedication to the goal of becoming a CRNA myself. I crave the excitement of becoming a CRNA. No day is ever the same because each patient and procedure is unique. I love how CRNAs assess, monitor, and supervise patient care before, during, and after surgery. The variety of anesthesia subspecialties, especially neuro-anesthesia, obstetrics, and chronic pain management, makes it a very compelling and diversified career choice. I find the advanced procedures performed by CRNAs especially attractive, including intubation, invasive line placement, nerve blocks, epidurals, and spinals.

The CRNA School Personal Statement

An anesthesia provider possesses the knowledge and abilities to titrate complex medications, including sedatives, analgesics, and paralytics, to achieve a desired anesthetic effect. I see the anesthesia machine as a brilliant tool, able to provide anesthetic gases, ventilation, oxygenation, and continuous monitoring all at once. Anesthesia providers are experts at monitoring patients undergoing complex surgeries and procedures. They can accurately assess anesthetic depth by utilizing unique approaches such as minimum alveolar concentration (MAC), bispectral index monitoring (BIS), and peripheral nerve stimulators (Train of 4). This is where I see my calling: becoming an expert at providing support for breathing and circulation while frequently managing emergency situations, including respiratory arrest and cardiopulmonary resuscitation.

A Memorable Shadowing Experience

Of my many shadowing experiences throughout my medical journey, one stands out distinctly in my memory. I had the opportunity to shadow a Certified Registered Nurse Anesthetist (CRNA) during a robotic laparoscopic cholecystectomy procedure. This experience provided me with invaluable insights into the role of anesthesia in surgical settings and the intricate details involved in patient care.

Prior to the surgical procedure, we met with the patient in a pre-operative area. The CRNA conducted a thorough history and physical examination. This step was critical as it allowed for the identification of any potential risks or complications that could arise during anesthesia. The CRNA took the time to explain the anesthesia process to the patient, ensuring they understood what to expect. This included discussing the types of anesthesia that would be used, the importance of monitoring throughout the procedure, and addressing any concerns the patient had. Obtaining informed consent for anesthesia was an essential part of this process, underscoring the ethical responsibility of healthcare providers to ensure that patients are fully aware of the risks and benefits associated with their care.

Preparing for Surgery

Once the consent was obtained, the patient was transported to the operating room, where the environment was bustling with activity yet maintained an air of professionalism and focus. In the OR, we began the preparations necessary for the procedure. The CRNA expertly connected the patient to various monitoring systems that would track vital signs such as heart rate, blood pressure, oxygen saturation, and other critical parameters throughout the surgery. This monitoring is crucial, as it provides real-time data that can indicate any changes in the patient’s condition during the operation.

Next, we established intravenous (IV) access, a vital step in ensuring that the patient could receive medications and fluids as needed. The CRNA demonstrated enormous skill and precision while placing the IV, explaining the importance of selecting an appropriate site and ensuring that the access was secure and functional. After establishing the IV, we prepared all the necessary medications that would be administered during the procedure, including anesthetics and other supportive drugs. The CRNA took meticulous care in double-checking dosages and ensuring that all medications were correctly labeled and ready for use.

Communication and Patient Care

Throughout this process, the CRNA maintained an open line of communication with the patient, answering any remaining questions they had and reassuring them about the procedure. This aspect of care is often overlooked but is vital in helping to alleviate any anxiety the patient may feel before undergoing surgery. The CRNA’s ability to foster a trusting relationship with the patient was evident and highlighted the importance of empathy and clear communication in the medical field.

As the surgery commenced, I observed the CRNA’s vigilance and expertise in managing the anesthesia throughout the procedure. It was fascinating to see how they adjusted medication dosages in response to the patient’s vital signs and the surgical team’s needs. The entire experience was not only educational but also a profound reminder of the critical role that anesthesia providers play in ensuring patient safety and comfort during surgical interventions.

Managing Anesthesia During Surgery

During the procedure, the patient expressed nervousness, so an anxiolytic, Midazolam, was provided. We then proceeded with induction by pre-oxygenating the patient and administering Lidocaine, Fentanyl, Propofol, and Rocuronium. Immediately after, the patient was intubated, and mechanical ventilation began. Throughout the maintenance phase, we provided gas anesthesia through the ventilator circuit in the form of Sevoflurane. The case was prolonged due to complex gallbladder anatomy, so the patient was re-dosed with Propofol, Fentanyl, and Rocuronium at appropriate intervals. At one point, the patient became slightly hypotensive, so we provided Phenylephrine IV Push, and his blood pressure improved.

Preparing for Emergence

Towards the end of the case, we planned our emergence. We slowly down-titrated Sevoflurane and prepared any necessary medications that would speed up and enhance recovery. The patient received Sugammadex and Zofran in anticipation of emergence. The mode of mechanical ventilation was switched to a weaning mode (CPAP). The patient began spontaneously breathing and following commands and was soon extubated and placed on a nasal cannula. The patient was then transported to the Post Anesthesia Care Unit (PACU) and woke up without any complications.

Conclusion: My Journey to Becoming a CRNA

This shadowing experience with the CRNA during the robotic laparoscopic cholecystectomy was truly memorable. It has significantly influenced my understanding of perioperative care and the importance of teamwork in the surgical setting. I am inspired to pursue a career as a CRNA, where I can contribute to patient safety and comfort in the operating room.

In my journey, I have learned that the role of a CRNA is not just about administering anesthesia. It encompasses a deep understanding of patient care, effective communication, and the ability to respond swiftly to changing situations. I am excited about the path ahead and the opportunity to make a meaningful impact in the lives of patients.

CRNA Inspiration in the Operating Room Personal Statement