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  • Posts

    • Academic center required a formal training and demonstration in the sim lab followed by 3-5 proctored bronchs on intubated patients. Private setting requires 2 observed (no hands on), 3 "mentored" (we're not sure what this means), and 5 "proctored" (yup still no clue) And once you've got the privileges you fly solo, no doc.
    • Here are 2 self help books that I like with just this in mind: https://www.amazon.com/Unfu-Yourself-Your-Head-into/dp/0062803832?SubscriptionId=AKIAILSHYYTFIVPWUY6Q&tag=duckduckgo-d-20&linkCode=xm2&camp=2025&creative=165953&creativeASIN=0062803832 https://www.amazon.com/Thoughts-Feelings-Harbinger-Self-Help-Workbook/dp/1608822087/ref=sr_1_1?s=books&ie=UTF8&qid=1527123895&sr=1-1&keywords=thoughts+and+feelings+taking+control+of+your+moods+and+your+life   I have them both, used and still use them both and the second one has work for you to do so if you aren't willing to do the work...it may not help much. It was recommended by a psychologist I saw for anger that was actually anxiety. Use multiple modalities. Self help, therapy, meds when appropriate. Mostly make sure you are taking care of yourself mentally and physically and get enough sleep and exercise. Not enough of the first can make your whole life suck. I hate exercise for exercise's sake but  enjoy heavy work that accomplishes something. So find what works for you and get busy making it happen.
    • I have had 2 positions where this was common. I worked for a community health center who hired new grads because they were cheap. When they had been there for a while, earned their keep and improved their skills they would request a raise and were told "we are a CHC and we don't do that." Hard job, no raise ever...buh bye. My current employer just keeps cutting staff and asking people to work harder. We have lost 1/2 of our best MAs and LVNs because there is simply better money for less work elsewhere. We have lost 1/3 of our UC APPs for the same reason.  The decisions are made by people sitting in an office looking at diagrams and flow charts who have no idea what we actually do. Until they feel some kind of bite nothing will change. When people waited 90 minutes for routine problems because we had 1 MA and 1 provider where we usually had 2 I gave them the email and phone number to admin. When I was told to stop I advised that if they thought I was going to get bitched at all day for their decisions while they hid in their offices they were nuts. I'm a marked man...
    • Just so Camo. But we live in the bubble, too close and too passionate, so making this decision for ourselves without outside advice probably isn't a smart move.Something like not treating your own family because there is too much emotion involved. I am anxiously waiting to see how things progress with the consultant company whomever that turns out to be. This year OTP dominated the conversation. Next year the results of the consultant will be the genesis of the debate on title change that will lead to one.
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