Connecting from Afar: Strategies for Succeeding in CRNA Distance Clinical Rotations

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According to the U.S. Department of State (2017), resilience is the key to successfully adapting to stressors and maintaining psychological well-being in the face of adversity. And let’s face it—CRNA school throws plenty of those your way. My program at Emory has us rotating through sites all over rural Georgia, Alabama, Kentucky, and Tennessee. About every other clinical rotation has been distant for me. In this blog, I’ll share some strategies that have helped me stay focused during these distant rotations and highlight how resilience has been a crucial part of this journey.

Finding Housing for Your SRNA Distance Clinical Rotations

First things first: where will you stay during your rotation? It’s amazing how many students overlook this critical detail. Ask questions:

  • How far is the site from home?
  •  Who’s responsible for finding housing?
  •  Does your multi-state RN license cover the state?
  •  How long is the rotation?

If your program provides housing, fantastic! But if it doesn’t, you’ll need to plan ahead. Ask for your clinical rotation schedule early so you can coordinate. Here are some tips:

  •  Split housing: Team up with other students to share an apartment lease, Airbnb, or Vrbo.
  • Hospital resources: Larger hospitals sometimes have housing for medical residents—ask your preceptors or the housing office.
  •  Student advice: Reach out to students in the cohort above you. They’ve been there and can offer valuable insights (or warn you about what to avoid).

Simplifying the Credentialing Process for Distance Clinical Rotations

Your program may have a team of people who manage your credentialing process for the clinical rotations. They are an excellent resource for out-of-state credentialing. Before starting a program, ask what RN license you require for out-of-state rotations. I’ve never met anyone who says licensing in a new state is easy; many states take 60 days or longer.

Staying Healthy and Budget-Friendly During Distance Rotations

The “freshman 15” may be long gone, but distant rotations can challenge even the healthiest eaters. While eating out is always an option, it gets expensive fast. A kitchen setup—even a basic one—makes meal prep easier and healthier.

Pro tips:

  • Some hospitals offer free meals for students, even dinner, especially if your hours extend. 
  • Budget for food to avoid financial stress.
  • Meal Prep frozen meals that will keep in the hotel fridge.

Creating Social Connections During SRNA Distance Rotations

Nothing makes me feel better after a long and stressful day in the OR than eating Bruster’s ice cream and venting to a friend, colleague, classmate, or husband. Here’s how to make distant sites feel less isolating:

  • Meet other SRNAs: Share case stories, ask for tips, and bond over the unique challenges you’re all navigating.
  • Explore the area: Join running clubs, brewery tours, or local events. Not only is it fun, but it’s a great way to de-stress and meet new people.
  • Build relationships with staff: Many OR nurses and CRNAs love working with students. Some of my closest friends are people I met during rotations, and those relationships have lasted long past clinicals.

Study Tips to Stay on Top During Distant CRNA Rotations

Yes, you’ll be studying. Yes, it’ll feel endless. But here’s the good news: small, consistent efforts make a huge difference.

  • Daily reviews: Spend 30 minutes reviewing a topic each day. It keeps material fresh and makes studying for the SEE or boards less intimidating.
  • Case prep: Reviewing cases for the next day is a great way to refresh your knowledge and impress your preceptors.

Concluding Thoughts: Building Resilience in SRNA Distance Rotations

Navigating distant clinical rotations as a SRNA can be challenging and rewarding. By prioritizing essential aspects like lodging, food, social connections, and effective study habits, you can enhance your clinical experience and cultivate resilience in the face of new challenges. Remember that every rotation is an opportunity for personal and professional growth. Embrace these moments, seek support, and stay focused on your goals. With the right strategies, you can turn these distance rotations into a fulfilling part of your journey toward becoming a skilled and confident CRNA.

References:

What is Resilience?. (January 20, 2017). https://2009-2017.state.gov/m/med/dsmp/c44950.htm

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