I’m weighing two offers: a 1:3 supervision model at a 7-OR community hospital with ultrasound in every room, ERAS and preop clinic support, versus a higher-paying solo CRNA site with older monitors and minimal standardized checklists. For those who’ve made a similar choice, did the extra autonomy offset the impact on anesthesia plan optimization and patient safety protocols over time?
I took the higher-paying solo CRNA job once — , “older monitors” meant chasing ETCO2 modules and writing my own checklist for months. Autonomy was nice, but day-to-day safety and throughput were better at the 1:3 site with ultrasound in every room and ERAS/preop support; if you go solo, make upgrades and a WHO/AANA checklist part of the offer: https://www.aana.com/practice/clinical-practice-resources/standards-for-crna-practice. Would you shadow one day at each and time how many cases you can safely turn over without firefighting?
Do a shadow day; verify code cart seals and spare ETCO2 modules, @OP — otherwise bake ‘upgrade timelines’ into the contract.