As a future Nurse Anesthetist, I will work to encourage a positive view of the profession by doing my part in increasing public awareness that CRNAs are anesthesia experts who are highly educated and skilled in providing anesthesia safely to all patients, in every setting and for all types of procedure. I see the program as providing an avenue to enable me both to maximize my utility as a nurse and also to fulfill my personal, academic and professional potential. I also seek to apply the fruits of my, significant and relevant, experience and training to date in a more challenging and satisfying role. I am particularly interested in assisting patients who are fearful or have difficulties in understanding, by reason of low educational level or language barriers, what the procedures proposed involve and the reasons why they are considered to be necessary.
I was raised in Nepal within a culture and family in which an expectation of hard work, cheerfulness and kindness to others were instilled in us from our earliest years. From an early age, I wanted to make a difference rather than just make a living and nursing always appealed to me as a career and it is a choice that I have never regretted. My nursing career began when I worked as a supervising CNA with geriatric patients in a care facility. My culture accords the elderly special respect and gentleness which enabled me to create a special rapport with elderly patients and I regarded it as a privilege to care for them.
I began work at Jamaica Hospital, NY, in 2011 on the Medical-Surgical Floor. The hospital serves the disadvantaged and uninsured who often have minimal English language skills. My experience there has provided me with an exceptional degree of cultural awareness and sensitivity as well as the ability to reassure and soothe patients who are not only distressed because of illness or injury but also often very fearful at the prospect of treatment and at unfamiliar situations, people and surroundings. From my first day, I loved the work and sought to acquire as much knowledge and variety of experience as I could and this challenging professional environment and my positive attitude to it provided an excellent foundation for my progress in the profession.
I was awarded my BSN in 2014, Summa Cum Laude and with a GPA of 3.9 and, in April 2015, I transferred to MICU/CCU which I regard as a reflection of my employer’s confidence in my ability and professional potential. The Hospital is a Level 1 Trauma Center and a hypothermia/cardiac/stroke Designated Facility. Many of our patients present with life-threatening illnesses or trauma requiring major surgery and often come with co-existing conditions making them especially vulnerable. Consequently, our staff are highly trained and experienced in treating high-risk patients.
I have acquired many skills from my work in the Unit. I am proficient in stabilizing and hemodynamically monitoring patients with critical illness and who require constant observation such as those on mechanical ventilation, vasopressors, cardiovascular medication, sedation, analgesic and other critical medications. I also assess patients to establish whether or not they meet the criteria for ‘weaning off’ mechanical ventilation and assist in the ‘weaning’ process. I am also experienced in dealing with the predictable complications arising from ‘weaning’ and applying prompt intervention when appropriate. Among other skills acquired, I have managed patients with intra-aortic balloon pumps who are in cardiogenic shock, setting up a-lines, assisting physicians when patients are getting ventriculostomy done at bedside.
My work has involved frequent contact with CRNA’s and as I became increasingly aware of their vital role and of the high-degree of expertise that their role demands, an ambition to emulate them was fired. To prepare myself to make this application, I have spent considerable time with CRNA’s discovering as much as possible about their role. I spent 36 hours shadowing two CRNA’s observing them assessing patient histories, checking labs., setting up the room, developing plans and preparing medications. I also learned how to hold the laryngoscope and what to look for when intubating. I observed the induction of patients presenting with an array of co-morbidities using different types of anesthesia. I also attended a program hosted at the University of Tennessee in Chattanooga in 2017 in Diversity in Nurse Anesthesia Mentorship and learned much about the role, its scope and the economic and political factors affecting the specialty. I was also able to have hands-on experience in checking the Anesthesia machine, manipulate the fiber optic scope for intubation purposes, LMA and Endotrachael placement, identify anatomy via Ultrasound Guided for Interscalene Brachial Plexus Block, properly ventilation skills, spinal and epidural placement, proper usage of Glidescope, and central line placement.
I have carefully considered the special characteristics and skills required of a CRNA, I know that the program will be intellectually demanding and that the role calls for specific and comparatively rare personal characteristics such as the possession of highly developed critical-thinking skills, the confidence to work with significant autonomy and to exercise leadership, but also to collaborate happily with others, the ability to work calmly sometimes under extreme pressure and, not least, the ability to empathize and to communicate highly technical information in ‘layman’ terms to anxious patients and families. I have carefully considered whether or not I possess the necessary academic and potential and personal characteristics and have concluded that I do. I have proven academic ability and potential; I have significant and highly relevant nursing experience; I have acquired an excellent understanding of the demands of the role and am confident that I can meet them. I can assure the reader that, if selected, I shall apply myself with exceptional diligence and enthusiasm.
Thank you for considering my application.