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CVICU, CRNA, Child of Tibetan Refugees in Nepal, Nurse Anesthesia, Army Reserves

Updated: 17 hours ago

Born in Nepal to Tibetan refugees, I came to the United States 7 years ago for higher education, the only member of my family to ever attend a University. Compassion and helping others are philosophies that my Buddhist family instilled in me as a child. So, I grew up wanting to be of help, together with my interest in caring for the sick and a desire to improve healthcare in Nepal led me to nurse. After completing a year of nursing prerequisites in New Mexico, I moved to Washington State and graduated from XXXX University with a BSN.

To express my profound appreciation and gratitude to a country that has given me countless opportunities, I signed up to serve the US as an Army Reservist for the next 6 years. Following the earthquake in 2015, I returned to my native country Nepal as an American educated nurse where I assisted relief missions in rural villages needing medical help. The decision to become a CRNA was a natural result of witnessing casualties undergoing surgeries and the way that anesthesia help to relieve their suffering. This was when I made it my purpose to pursue a career in Nurse Anesthesia, to make my fullest contribution to my community here in the USA and Nepal. During the mission, I had the opportunity to work in the operating room with several volunteer healthcare providers from all over the world and enjoyed every moment in the OR. I especially appreciated the way that the anesthesiologists presented with the right balance of backbone and flexibility, as they orchestrated the patient’s course through induction, maintenance, and emergence.

After returning from Nepal I started my preparation to pursue a career in nurse anesthesia by working at a Cardiovascular ICU. This is where I fell in love with managing critically ill patients on life support: pressors, therapeutic devices, ventilators, recognizing early signs of degradation, and intervening to prevent complications all at the same time. Caring for immediate-post-op patients requires similar promptness in the management of care, just like in perioperative settings managed by a CRNA. Thinking independently to solve a problem is a method I use to train and enhance my critical thinking skills.

One of my shadowing experiences at the University of XXXX Medical Center with a CRNA was very enriching and eye-opening. During the early stages of a prostatectomy, our patient’s SpO2 was 92% despite 100% ventilator support which lead to interventions such as probe changing, recheck ETT positioning, a branch, and insertion of A-line for ABG. The CRNA I shadowed portrayed the vital traits of a leader by identifying the problem promptly and comfortably taking charge of the situation by initiating the interventions while collaborating with team members for the best patient outcome. Working at an outpatient surgery center alongside the sole anesthesia provider who is a CRNA allows me the opportunity to learn first-hand about the profession regularly. After every interaction with a CRNA, I feel more inspired and driven as they always seem to enjoy it is rewarding and satisfying to be practicing autonomously.

I also attended a Diversity CRNA Information Session & Airway Simulation lab workshop where we had the opportunity to get a hands-on introduction to different airway management systems, intubation using glidescope, bronchoscope, and learning about the gas machine, epidurals, and spinal in the sim lab. The keynote speaker Paul Santaro, CRNA and past president of AANA spoke about the Economics and Business of Anesthesia, independent practice, billing, and career advocacy for the CRNA profession. As Advanced Practice Registered Nurses, CRNAs carry a very heavy load of responsibility to safely administer anesthesia, provide airway management, and emergency serv, ices and monitor patients throughout the case. My long-term goals entail serving as an advocate both for patients and our profession, practicing with a high degree of autonomy.

I have prepared for a career in nurse anesthesia by taking on challenges and going outside my comfort zones. Therefore, I’ve always sought challenging assignments for clinical exposure, kept academic skills current, and always maintained a per diem position that required me to learn new skills. I have stayed current with evidenced-based practice from the AACN, attended NTI conferences, obtained the CCRN, participated in hospital-based research, and completed graduate coursework to establish my ability to handle graduate-level work. I could not be more dedicated to the pursuit of a career in nurse anesthesia.

Compassion, lifelong learning, and community service are my core values. After earning a degree in Nurse Anesthesia, I hope for a lifetime of mentoring, since I have been a tutor and enjoy it very much, and now serve as a preceptor in my unit. As I will be one of the few CRNAs in the Tibetan/Nepali community, I look forward to serving as a guide to other minority nurses and I am intent on sharing my expertise acquired from Gonzaga University. I aspire to serve in places where I can make the most of my linguistic abilities as I am fluent in Nepali, Tibetan, and Hindi. I hope to distinguish myself in nursing missionary activities concerning contributions to the US and Nepal. As a nurse who seeks to serve for as long as possible, I look forward to decades more to come attending to the healthcare of soldiers and their families as a CRNA. Nothing excites me more than the prospect of, going on to teach future nurse anesthetists; as a result of my devotion to education and professional advancement.

The determination and perseverance cultivated through years of self-reliance in a new country, helped me to become adaptable, handle stress, pay attention to detail, and remain grounded. I am fully confident that I will be able to distinguish myself in your program as a result of hard work, 2 years of experience in the CVICU, and working alongside a CRNA at a plastic surgery center. I bring with me a keen sensitivity to social and moral issues, with a holistic approach stemming from a Jesuit education at XXXX University. I feel strongly that I am the best fit for the DNAP Program in Nurse Anesthesia at XXXX University since it as a Jesuit university, and I share the values of XXXX University and very much look forward to putting them into practice as a globally inspired CRNA with a great sense of mission and to the underserved.

I thank you for considering my application to the DNP in Nurse Anesthesia Program at XXXX.

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