Looking for honest opinions from CRNAs, NPs, and experienced nurses
I’m looking for honest advice from people who have actually been through these career paths because I genuinely feel stuck trying to figure out what direction makes the most sense for my future and long-term quality of life.
I’m 33 years old. I currently work as an ICU nurse with about 1 year of RN experience, and before nursing I worked as a paramedic for years. Right now I only have my ASN, so I still need to complete my BSN before I can even realistically apply anywhere for advanced practice programs.
Financially, I’m actually in a solid position overall, which is part of why this decision feels so important to me. I’m completely debt-free. I have about $20k sitting in a HYSA as a 6-month emergency fund and around $122k invested across my 401k, Roth IRA, and HSA combined. I’ve become extremely focused on retirement planning, investing, financial independence, and building long-term stability. I’m trying to think strategically and not make emotional decisions that could set me back financially for years.
At the same time, I also don’t want to spend the rest of my life feeling like I played it too safe.
One of the biggest things driving me lately is that I genuinely want to experience more out of life outside of work. I want to travel internationally, see the world, take multiple trips a year, and actually have the income and schedule flexibility to enjoy life while I’m still relatively young and healthy. I already know I don’t want my entire identity to revolve around working bedside forever.
That’s part of why CRNA keeps pulling me back in.
The compensation is obviously attractive, but honestly it’s more than just the money itself. It’s the idea of:
- Higher income ceiling
- Better benefits
- More schedule flexibility
- Working fewer shifts
- Greater long-term financial security
- Ability to aggressively invest and retire comfortably
- Having more freedom to travel and enjoy life outside the hospital
I know money isn’t everything, but realistically a CRNA salary combined with fewer workdays could completely change my quality of life and ability to achieve my personal goals.
But then reality hits me.
I still need:
- BSN completion
- More ICU experience
- CCRN
- Competitive application prep
- Possibly leadership/preceptor experience
- Shadowing
- Graduate-level science readiness
By the time all of that realistically happens, I’d probably be around 37–39 before even starting CRNA school, assuming I even get accepted on the first try, which I know is unlikely for many applicants.
And honestly? I don’t even fully know if I’m smart enough for CRNA school. That fear is very real for me. I know how brutally difficult those programs are academically and mentally. Sometimes I feel motivated and capable, and other times I wonder if I’m romanticizing it because of the salary and lifestyle.
I’ve also considered NP school, but the more I research it, the less convinced I become. I constantly see discussions about:
- Saturation
- Burnout
- Lower salaries than expected
- Regret over debt/time investment
- Lack of respect in some settings
- Poor job markets in certain specialties
- APP oversupply concerns
And if I’m being honest, I don’t even know what NP specialty I would truly want to pursue. I know one thing for certain: I do not want to stay in ICU or ER long-term. Bedside critical care is already mentally exhausting me, and I can’t picture myself doing high-acuity bedside nursing forever.
Part of me wonders if the smartest move would simply be:
- Stay RN
- Move into a procedural specialty like cath lab, IR, OR, GI, or PACU
- Maximize RN income
- Pick up strategic overtime/travel contracts if needed
- Continue investing heavily
- Maintain flexibility and lower stress
- Avoid massive student loans and years of school
Especially because I’ve realized there are ICU nurses making very respectable incomes already through overtime, differentials, travel work, procedural areas, and smart financial management.
I also wonder if there are other career paths I’m overlooking completely.
Healthcare informatics?
Medical device sales?
Perfusion?
AA school?
Industry roles?
Leadership?
Remote healthcare positions?
Something outside the hospital entirely?
I guess I’m struggling to determine whether CRNA is truly the right path for me… or whether I’m mainly attracted to what the career could provide financially and lifestyle-wise.
I don’t want to wake up at 45 regretting that I never tried.
But I also don’t want to spend the rest of my 30s stressed, buried in school, delaying life, and potentially sacrificing years of freedom if there are better paths for someone in my position.
If you were genuinely in my shoes at 33 years old, what would you realistically do?