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DNP Nurse Anesthesia Personal Purpose, University of XXXX, Neuro ICU

Updated: 7 days ago

The University of XXXX is my first choice for advancing my education and earning the DNP in Nurse Anesthesia, becoming a CRNA. I share the mission of the University of XXXX with respect to the priority of gearing higher education to the core values and goals of community service. I have been working at XXXX Hospital in the CVICU for the past 9 years. Not only does our hospital provide state-of-the-art health care for patients, but also promotes higher education and community service. Volunteering at the Northeast Federated Woman´s Club of XXXX County has provided me with a real-world opportunity to demonstrate my commitment to helping the underserved since the club is made up mostly of African American community members of underprivileged families where at least one member suffers from Alzheimer´s or some other form of dementia.

In 2015, I decided to step down from my leadership role as charge nurse of a 28 bed CCU/NEURO ICU at XXXX Medical Center, to further my education. The unit had a wide range of patients with a broad variety of conditions including septic, hypertensive crisis, respiratory failure and stroke. The Neuro ICU also served a diverse patient population with numerous conditions, post-op of craniotomy, ventriculostomy and aneurysm, all of which required close monitoring. As charge, I was responsible for responding to all codes in the hospital, rapid response, SEPSIS, stroke and code blue. This experience sharpened my assessment skills and helped to become able to identify compromised patients early on.

As a CVICU nurse at Holy Cross, I care for patient pre-op and post-operatively. The open-heart patient, in particular, requires extensive observation and communication between respiratory therapist, physician and nurse. I now have much more confidence in my ability to work collaboratively as part of a very high-functioning health care team. Following the hospital protocol and monitoring the patient hemodynamically has helped me to develop a critical and timely sense of when extubation is appropriate. Working in the CVICU, I have learned how to take control and stay calm in a crisis. The patient may be on multiple vasoactive medication with addition support such as IMPELLA or an intra aorta balloon pump.

Caring for these critically ill patients is a 1:1 assignment which has enhanced my skills to critically think under pressure. Participating in monthly data collection for ventilator associated pneumonia (VAP) and alarm management has been rewarding as it serves as a teaching opportunity to strengthen the unit. This has provided me with an opportunity to share some of the wisdom that I have gained with my colleagues and new grads through preceptorship and mentorship.

I had the opportunity to shadow a nurse anesthetist and observed four cases, two CABG, TAVR and a thoracotomy. Listening to the nurse anesthetist, in particular, explaining the process of pre- anesthesia, providing support intra-operatively and following up with the patients post-operatively, put the finishing touches on my enthrallment with Nurse Anesthesia. To prepare for the challenges of graduate school I have spent the past 3 years enrolled in courses that will prepare me for excellence in Nurse Anesthesia at the University of Miami. for the demands ahead. My determination, motivation and experience, give me hope that my application will be look upon with favor and my level of service to the community will be greatly enhanced so that I can make my fullest contribution as well as mentoring new generations of nurses. I thank you for considering my application to the University of XXXX.

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