Shortly after being awarded my Bachelor degree in Nursing in the Philippines in 1991 and working there as a hospital Staff Nurse, I immigrated to the United States and was sponsored to work in a community hospital on the South Side of Chicago where I worked in the Intensive Care Unit and Emergency Room. Serving such a deprived population, seeing patients and relatives at their most vulnerable and being able to play a part in seeing critically ill patients recover were all deeply moving experiences which totally confirmed me in my calling and spurred me to excel within it. An interest in Critical Care developed into a passion and spurred me to pursue advanced training and certification such as CCRN, TNS and, in 2013, a Master’s degree in Clinical Nurse Leadership. I am currently an officer of the Uniformed Services working as a Clinical Manager and Team Leader at a prestigious N.I.H.

I have carefully considered the next step in my career path to enable me to maximize my utility to patients and to the profession and have concluded that I possess the characteristics and academic and professional potential to become an excellent CRNA practitioner. My interest in the specialism began some years ago when I shadowed an excellent Nurse Anesthetist in ICU during emergency surgery. I was deeply impressed by the commitment, calm professionalism and autonomy demonstrated during the procedures. Subsequently, I witnessed CRNA intervention on a more personal level during the birth of my youngest daughter. My wife had undergone six long hours of agonizing labor pain until finally agreeing to the placing of an epidural catheter and administration of an anesthetic by a CRNA. My wife was both safe and comfortable while my daughter was brought safely into the world. I was full of admiration for the professionalism and effectiveness of the CRNA involved and the experience spurred a deeper interest in the specialism which I decided, one day, to pursue.

While working full-time in Open Heart Surgical ICU, I began taking several science classes in a local community college in preparation for the CRNA program. However I was unable to pursue full-time training at the time because of the financial needs of a growing family and the need to support my aging parents. Now that my children are less dependent, an opportunity to follow my interrupted dream has arrived and I could not be more enthusiastic about doing so.

I am aware that the specialism calls for specific characteristics and would not be making this application if I were not convinced that I possess them to the necessary degree. I would not have achieved what I have in nursing had I not demonstrated an ability to perform to an excellent standard in high-pressured, acute clinical settings and to remain calm during clinical crises and complex situations, having exceptional commitment to patients and the ability to work autonomously or as an effective team member or as an inspirational leader.

Last year, I was commended for USPHS Commendation Medal as an officer who exhibited an exceptional level of proficiency and dedication during the 2014-15 Ebola virus disease (EVD) outbreak at the National Institutes of Health (NIH) Clinical Research Center. I also received the Clinical Center Director’s awards for strong leadership in the critical care unit, and the development of strategic initiatives that enhanced the efficacy of the Model of Care implementation, and received the NIH Director Award for exemplary service and leadership in caring for Ebola infected patients. Furthermore, I was awarded the 2016 RADM O. Marie Henry N-PAC Publication Award for the article I wrote “Ebola at the National Institutes of Health; Perspectives from a Critical Care Nurse” which was published in the Advanced Critical Care journal. 

Recently I was selected to receive a NIH Clinical Center Nursing Award in the Leadership Excellence Award category for demonstrating an ability to remain a top performer clinically while working in an administrative role. This award will be presented at the Clinical Center Nursing Award Ceremony on Monday May 8 at the Masur Auditorium National institutes of Health.

I also know that, in addition to the need to demonstrate certain personal characteristics to a high degree, the specialism also calls for an exceptional degree of academic potential and commitment. I believe that I have demonstrated this by the range of qualifications that I have acquired while working full-time and raising a family. The luxury of full-time study will enable me to excel within the CRNA program, which I am determined to do.

I am fully aware that the program will attract many qualified applicants. However, I consider myself to be an excellent candidate. I am a student of life, a lifelong learner and a transformational leader. I have the proven ability to effectively manage the treatment of the most critically ill patients in ICU and to perform exceptionally well in a high-pressured acute environment.

I strongly believe that ‘all work and no play make Jack a dull boy’. It is necessary for those working in a highly pressured and demanding environment to be able to ‘switch off’. I am an enthusiastic mountain biker and skier and seek to maintain the good health and well-being that I desire for all.

To summarize: I am a highly experienced and well-qualified critical care nurse who has filled roles directly applicable to that of the CRNA with exceptional commitment and I possess a deep and genuine desire to serve, especially the vulnerable and under-served. I am very excited at the prospect of crowning my career by becoming a highly effective and caring specialist in anesthesia and can promise outstanding diligence and commitment in the program and in my career beyond it.

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Now 26 years old, I am a nurse with her Master’s Degree and extensive experience. I graduated with distinction from my MSN Program and have demonstrated my capacity and dedication as a nursing professional. I now hope to be selected for your competitive DNP Program in Nurse Anesthesia at XXXX University not only as a result of the above, however, but also on the basis of the fact that I underwent open heart surgery at the age of 13, my current half-life, and endured two more operations on my heart while still an adolescent. I know what it feels like to go into surgery and think that you may not come out of it alive. I know what it means to be a child in this situation.

The XXXX University in XXXX is my dream school. If I were to be selected to your distinguished and competitive 27-month MS Program in Nurse Anesthesia, I would definitely attend. Nothing would bring me a greater sense of honor and sheer joy than to study towards becoming a CRNA at the #1 ranked hospital in XXXX for patient care. The teaching environment, outstanding adherence to the values of practice-based and lifelong learning – call me to XXXX. I especially appreciate your commitment not only to patients but also family-centered care. I am convinced that I would be able to make my maximum contribution to nursing if I were to be given the best possible education in Nurse Anesthesia, and I see XXXX as the best fit for my very high level of drive and dedication to excellence.

I am a XXXX girl born and raised. XXXX is my home. I hope to be considered for a spot despite the competitive nature of your program primarily because I earned a 4.0 GPA. I also have experience, however, currently serving since this past April of 2016 in the Cardiovascular ICU at XXXX Medical Center in XXXX. Previously, I served at XXXX Hospital in the ICU (11/2014-5/2016). I do well in my courses because I read most of the time when I am not at work: especially about congestive heart failure, valve replacement, aortic dissections, aortic aneurysms, respiratory failure, Electrolyte imbalances, septic/cardiogenic/neurogenic shock, complications with Diabetes, Gastrointestinal hemorrhage, but also alcohol/drug withdrawal, psychiatric illness, and end of life care. 

Being accepted to and completing your MS Program in Nurse Anesthesia at XXXX will enable me to acquire the highest and most sophisticated knowledge base and level of skill possible, enabling me to distinguish myself as a nurse anesthetist capable ultimately of ‘adding value’ to the profession through research and teaching. I seek to realize my personal potential by applying the fruits of my experience and training to date in a most challenging and subsequently 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 procedure proposed involves and the reasons why it is necessary.

I also seek to apply the significant experience I have gained in veterinary anesthesia. I worked for 10 years in this field with stable and critical cases. It will also enable me to apply my recent training in post-op cardiothoracic surgery. I see XXXX as an excellent ‘fit’ for my professional purposes because of the prestigious faculty, excellent facilities, practice-focused training, exposure to research work and the opportunity to train in the use of, and to apply, the very latest advances in Nurse Anesthesia.

My clinical practice focuses on the development and refinement of the knowledge and skills necessary to manage care as a member of an interdisciplinary team. I focus on patient and family centered care, observing protocols and procedures developed from evidence based practice relating to quality improvement and patient safety. Each case, especially the complex, enables me to extend my clinical and critical reasoning skills. My role calls for highly developed cultural sensitivity and the ability to relate well to colleagues and to patients and their families. I have happily socialized, worked with and treated people of many social and ethnic backgrounds. My practice includes assessment and management of patients with various illnesses and co-morbidities. These include but are not limited to diabetes, heart failure, electrolyte imbalances, alcohol and drug overdose/withdrawal, respiratory failure, COPD related complications, liver disease, kidney disease, cardiogenic/septic shock, management of post codes, and post-operative vascular surgery. I am currently training in continuous renal replacement therapy and post-operative cardiothoracic surgery. Earning the degree will develop my critical thinking skills and considerably enhance my level of professional expertise, enabling me to exercise significantly greater autonomy in planning, treatment and post-op evaluation and care. It will also greatly enhance my ability to work with patients of all acuity levels.

I also hold a Bachelor’s degree in Exercise and Sport Science and have applied the knowledge gained in my own life by the adoption of a healthy and active lifestyle. I enjoy partaking in many sports including body-building in which I have competed successfully. I love to share my specialist knowledge with patients, friends and colleagues assisting them, when invited, to assist them in setting realistic but challenging nutritional and fitness goals.

I am convinced that my experience in Veterinary Medicine will contribute to my capacity as a CRNA because of my special interest in the care of those patients who are unable to fully communicate verbally as a result of a variety of conditions. Working with animals, who cannot communicate verbally, has provided me with an unusually high level of sensitivity to ‘non-verbal’ signals generally.

I appreciate your consideration of my application to Nurse Anesthesia at XXXX.

Since January of 2014, I have been serving as a Registered Nurse in an ICU, first in Tennessee and now in Minnesota. Immediately prior to this, I completed a six-month internship in the Operating Room. Since I began serving as a nurse in OR and then ICU, I have spent as much time observing CRNAs as possible as the opportunity presented itself, and I have sought out several opportunities to shadow those whose capacity struck me as exceptional. The XXXX School of Anesthesia is my first choice for graduate study towards certification as a CRNA because of the sheer excellence of your program and the fact that the location will enable me to dedicate myself fully to my studies, where I have the full support of my family and professional networks.

I hope to earn my Master of Science Degree in Nurse Anesthesia at the XXXX School of Nursing, which is close to my home and where I earned my BSN. The XXXX School is also located within the XXXX Hospital/XXXX University Medical Center complex where I currently serve in the ICU. I love being part of the largest regional academic medical center in our part of the country.  It would be a special honor to learn on the cutting-edge resulting from your program’s partnership with the XXXX University School of Medicine’s Department of Anesthesiology.

I am keenly excited at the prospect of training at the top facilities in our region, especially XXXX Hospital, XXXX Hospital for Children, and XXXX Children's Hospital. Having my heart set on XXXX's MSN Program in Nurse Anesthesia is not all about location, however. I also very much appreciate your proven results with a certification exam pass rate of 96.9%.  As a result of your small class size, I will have greater access to, more one-on-one interaction with my professors who are top-notch CRNA's employed by XXXX University. It would be yet another great honor to learn at the world class Clinical Simulation Institute - one of only 21 international centers that have been accredited by the Society of Simulation in Healthcare. 

In addition to earning the respect and admiration of my colleagues as a dedicated and compassionate CRNA, I want to become recognized as a leader who gives his all as a mentor and role model for underserved youth in my community. I am keenly aware that if it were not for my own mentors, I might well have never gone to college. Mr XXXX, my high school biology teacher, saw my potential and suggested I participate in the summer internship program at our local hospital, which was my introduction to healthcare. XXXX, the CRNA who I shadowed while still in high school, took me under his wing and introduced me to Nurse Anesthesia. 

Serving in the ICU of a large metropolitan hospital, many of my patients come from inner city, disadvantaged, poverty stricken communities.  I would like to be able to give back to those communities and improve outcomes by providing opportunities for youth.

My intense passion for helping young people from disadvantaged backgrounds is driven by the fact that my own father, a semi-functional alcoholic had little time for his children or his wife and when he was around he made us miserable. Thus, I had to learn independence, strength and perseverance from a very young age.  While there were poorer children on my block, I am the first in my family to go to college and had only a minimal support system. I know first-hand how challenging it can be to overcome obstacles that prevent one from realizing their potential. Once I acquire the financial resources, I look forward to spending as much time as possible serving as a volunteer in support of medical missions abroad. I look forward to someday having a family and being a good husband and father. I could also see myself wanting to become politically engaged at some point since I have a passion for public policy.

I graduated Magna Cum Laude with my Bachelors of Science in Nursing. I have taken the time to really assess what I want, to understand where I fit in, and to gain the knowledge and experience necessary to tackle this next step.  I have worked and excelled with a diverse patient population in the Medical ICU of the largest academic hospital in St Louis for the last 2 years. I am single with no family responsibilities and thus have the ability to completely focus on your program.  I assure you that I will put every ounce of my focus and energy into excelling in your program.

I have a constant desire to learn and grow as a student. A great listener and a very active student, I cultivate a special interest in resiliency training as well as ethics and advocacy issues. I very much look forward to participation in class discussions in your program concerning a wide range of topics and I thank you for consideration of my application to the MSN Program in Nurse Anesthesia at the XXXX School.