MSN Nurse Anesthesia, Indian Raised in Africa

An Indian woman who was born and raised in Tanzania, I already think of America as my home and country since I settled in California more than a decade ago. Now 30, almost since my arrival at 19, I have dreamed of becoming a nurse. To become a CRNA, in particular, has always been my central career goal that I have been talking and dreaming about for years now, at least ever since I stepped into my first Associate Degree in Nursing (ADN) class. My special passion for Nurse Anesthesia grew fonder in the hospital watching CRNAs working with great focus and precision in order to keep patients hemodynamically stable in OR and post-operatively. I like the 1 to 1 CRNA-patient ratio, their autonomy of practice, and the vast diversity of the patient populations that are cared for by the CRNA.

My principal mentor in my ADN Program, XXXX XXXX, RN, MSN, told me that the finest foundation for the nursing field is the development of an advanced understanding of Anatomy and Physiology and I took this to heart as an undergraduate student at Santa Ana College. In fact, I even worked as the instructor’s assistant for five years conducting open anatomy and physiology labs for community college students every week in which we closely examined feline bodies and cadavers.

I have been an ICU nurse now for more than 2+ years and I am currently working at Mission Hospital (CICU). I started off working in a mix of ICU settings (ranging from complex medical-surgical ICU to multi-organ-failure patients). I have taken care of patients with all shocks, EKOS’, PCI, multiple organ failure, hypothermia, pulmonary care, severe ARDS on roto prone bed, AAA, and carotid repairs. I am always looking for opportunities to learn new and advanced techniques and strategies that are proven to support patient viability. I am at my finest managing multiple drips in order to keep a patient stable. I was also part of the Catheter Associate UTI (CAUTI) team and I help to educate staff on how to prevent CAUTI on critically-ill patients. I conducted research on educating RNs and Patient Care Technicians on ways to prevent CAUTI in ICU patients, and I was successful in bringing CAUTI rate from 4.7% to 0%.

I was just recently hired by XXXX Hospital, California in CICU and I feel especially excited by the new opportunities presented at this advanced medical center. I am especially intrigued to learn more about potentially lethal heart conditions as my passion for caring for post CABG grows deeper day by day.

I also recently became CCRN certified as I am a firm believer in supporting my skills with advance education and certification to solidify my understanding of the many aspects of critical care nursing. I have a special passion for developing my expertise in the area of drug interaction and my highest moments so far have come in my shadowing of CRNAs at XXXX Hospital. I followed the patient(s) from the pre-operative to post-operative stages and I was involved in numerous procedures ranging from simple rotator cuff repair all the way to open Abdominal Aortic Aneurysm (AAA) and stenting. I have closely observed the use of various forms of Anesthesia, Local, Regional and General. So far, I have done 19 hours of shadowing and my target is to do at least 80 hours in different settings and procedures. Shadowing helps me to better understand the depth of different interactions of anesthetic medications and their effects on body systems. I also pay especially close attention to the measures and documentation made by the CRNA.

I am proud to come from the Developing World and to have successfully struggled economically to always put my studies first. I have had to make numerous sacrifices to stay relentlessly focused on nursing these past several years. I was already missing my father terribly for not seeing him in such a long time when he died in a car accident back in Africa at the age of 47. I could not afford to even buy a plane ticket to return to Africa for his funeral at that time. The only consolation that comes to mind in this respect is that I am older and wiser for knowing and feeling my own tragedy first hand; this helps me to empathize with the profound tragedy faced by so many of my patients.

As both a student in your distinguished program at XXXX University and for many decades of lifelong learning still ahead of me, I hope to develop an avid focus on trauma, participate in research in this area, and devote my practice to this area as well. At some point in my career, it would be an additional privilege to teach nursing students (SRNA), sharing some of the most significant and valuable things that I will learn about trauma along the way.

I look forward to contributing to the diversity of your program at XXXX University not only as an Indian woman who speaks Hindi, Gujarati, and Swahili, but as someone born and raised in Africa. With first-hand and up-close experience with some of the worst public health care systems or lack thereof in the world, I have developed a resiliency and tenacity to struggle and hope against all odds, especially in the service of the underserved.

My father survived his traffic accident for several hours, and might well have lived if it had not taken 8 hours for an ambulance to arrive at the scene. Later on in my career I want to return to Africa and to do what I can to help the people among whom I was raised and I look forward to developing greater maturity in my vision concerning nursing missionary activity to the Developing World as a student in your program.

I thank you for considering my application to your especially competitive CRNA Program at XXXX University.

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