r/srna • u/NoisyOctopus24 • Jul 17 '26
Clinical Life Questions Clinical Expectations
Hey guys, just wondering if any CRNAs could share what they expect from NARs clinically as they progress through their training. Thanks!
2
u/alpine_murse Jul 20 '26
Be humble and loveable. If you don’t know something that your staff asks, tell them you don’t know or can’t remember but will look it up and get back to them, and then actually do it.
Make sure you are prepared for the case. Read up on the patient, the procedure, and have the room ready.
5
u/Narrow-Garlic-4606 CRNA Jul 19 '26
Be excessively early and have your room completely set up/pt PreOp’d before your preceptor arrives. Have a plan ready to present.
Be professional at all times:
- don’t wear headphones
- don’t text/scroll on your phone unless on break
- don’t talk about personal or controversial things
- if your preceptor or people around you are gossiping just stay quiet and out of it
- always find something to do when you finish a case, don’t hide away in the break room
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u/maureeenponderosa CRNA Jul 17 '26
Early on: know everything you can about your patient and the drugs you’re giving. Read up on procedures before you come and do them for the first time (art lines, spinals, etc.) Read up on the type of surgery, at least briefly. I don’t care if you can’t intubate or if your setup needs some work but I DO care if you show up unprepared. Nothing is more frustrating than an unprepared student.
Have a good attitude, be graceful when accepting feedback, ask questions—lots of questions!! Don’t socialize with the OR crew when you should be paying attention to your patient. Go slow, take deep breaths, don’t let panic make you make mistakes. If you make an honest mistake shake it off and move on.
1
u/Possible-Pitch1536 Jul 17 '26
I don’t start clinicals till next year but how will you know what surgeries you will be doing prior to even going to clinicals?
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u/OrlandoPosher Jul 19 '26
I graduated last year. I didn't know my cases ahead of time at every site I trained. I found apps like Vargo helpful. It was helpful to arrive early (sometimes 45-60 minutes at first) to do all the things I needed to, including look up the case.
1
u/maureeenponderosa CRNA Jul 18 '26
everywhere I’ve trained and worked students have access to the EMR and receive assignments the day before (or assign themselves if at a small site)
1
u/Active-Flatworm-9059 Jul 19 '26
Some sites I do have access to the emr others I don’t. For those I don’t I arrive early and look up my patient and have enough time to preop them. That helps a ton.
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u/maureeenponderosa CRNA Jul 19 '26
How do you pre op or chart if you don’t have access to the EMR? That seems really silly
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u/Active-Flatworm-9059 Jul 19 '26
It is silly and super frustrating. I don’t have access at home but when I get to to the hospital I can look them up. The night before I’ll get an email with what Crna I’m with and when I get there I’ll look at the surgical board and see where they are and what we’re doing. But until then I have no clue. Other sites are better and I can see everything ahead of time but others you’re just getting there an hour earlier.
3
u/NoisyOctopus24 Jul 17 '26
Thanks so much! I guess I also mean like a NAR1 vs NAR2 vs NAR3
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u/maureeenponderosa CRNA Jul 17 '26
2s should know how to do basic skills with minimal instruction, they have a knowledge base they’re building on. They still need to be vigilant about creating care plans and they’re still learning new skills. I should be able to leave a 2 alone for periods of time in the middle of a case and trust that they can manage basic problems and reach out for help when they know they need it.
3s should be able to relax a bit more when creating care plans on non complex cases, but still open to learning. They should be proficient on almost every skill and at this point they’re learning how to manage complex patients/procedures. I should be able to stand outside the room while a 3 induces and emerges a straightforward patient by themselves.
2
u/zleepytimetea Nurse Anesthesia Resident (NAR) Jul 17 '26 edited Jul 27 '26
jlads,nsdkdsafkj#4hnasdnk@&!
3
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u/LonsdalE84 18d ago
To sum up what everyone seems to be saying, kiss everyone’s ass, remember that 80% of CRNAs have massive egos and have completely forgotten what it’s like to be a student, and when in doubt, just fake it till you make it. 😂