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NYCPAC

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  1. Might get flack for this but wish more PCPs would consider looking through this curriculum. It does not “promote” obesity. But rather encourages providers to help their patients identify barriers to optimizing their health. Health should not exclusively be defined as physical fitness and a number on that antiquated BMI scale, there are SO many layers to wellbeing and general health. https://www.sizediversityandhealth.org/content.asp?id=19 Sent from my iPhone using Tapatalk
  2. What specialty are you in? How long have you been practicing and what are your biggest qualms about being a PA? Sent from my iPhone using Tapatalk
  3. I probably shouldn’t mention which hospital but a large academic children’s hospital in California. It seems like a common theme across California since nursing unions here are pretty strong Sent from my iPhone using Tapatalk
  4. Hello fellow PAs! I have tried to ask around and got various answers but I figured asking a mass of similar providers might be in my best interest. Here’s my story: I was hired by a large academic hospital on the west coast about 2.5yrs ago and continue to work here. Since arriving I have been merged into the NP group and we have now been deemed the APP group. Expectations for us are the exact same. After befriending multiple NPs who also moved cross country for this job I found out that they all had paid for trips including hotel and transportation for interviews as well as compensation for moving expenses to take this job. I asked for all of this when I was in the interviewing and hiring/negotiating phases to move cross country for this job and was denied every which way. I paid my own way for an interview, put myself up in a hotel, and used about $7500 of my own money to move here without a penny of relocation assistance. Multiple NPs have told me I should request some type of back pay compensation for this as it’s truly unfair. My hospital continuously treats PAs as second class citizens to NPs, and it’s super frustrating. I am unsure if it’s too late to ask for any type of compensation (most people owe this relocation expense back if they leave before 2yrs) or if I should ask for it and stand up for myself. I don’t exactly know how to if at all approach this and feel stuck Sent from my iPhone using Tapatalk
  5. Be aware with first republic you cannot get the advertised rate unless you bank with first republic and maintain a monthly avg of $3500 in their checking acct. you must set up autopay through their checking acct you open with them. Additionally they do not have any pause/forbearance options should you get sick or lose your job for some reason. The rates are amazing but theres risks to consider that’s all I’m saying Sent from my iPhone using Tapatalk
  6. I never said anything about misspelled words. I simply asked what it is you’re doing for them and what the incentive is.... Sent from my iPhone using Tapatalk
  7. I’m confused by their site...are you just interpreting labs online or are you at a site drawing labs? What’s the pay like? Sent from my iPhone using Tapatalk
  8. Y’all...this is the second post I’m about to delete since people wanna use this forum to troll one another. If you can’t stay on topic, create your own thread or DM each other to argue. This forum is getting super skewed Sent from my iPhone using Tapatalk
  9. I use SoFi and for the most part am really happy. Their rates are great and even with the discount of 0.25% they don’t change the monthly payment so that extra percentage goes toward your principle to have it paid off sooner. I always try to pay extra and refi every few years when I get raises and such for a lower fixed rate. Are you looking for fixed or variable? I consolidated all my fed and private loans through SoFi If you message me I can send you a referral code! Sent from my iPhone using Tapatalk
  10. I’d love to do this. Whenever I pick up OT shifts I feel the burnout even more. After taxes I take home about $800 for an OT shift (they tax them as discretionary bonuses at 41% which is insane) but because I still have six figure student loan debt I am throwing all that money at my loans. So I feel like i worked and reap little from it. But I suppose every little bit helps toward them Sent from my iPhone using Tapatalk
  11. What have you done or would like to do for some extra cash that maybe doesn’t come with the stress of clinical work (or maybe it’s clinical but is somewhat mindless as a PA? Starting to feel the burnout a little and looking for some opportunities that might supplement my income without burning myself further Sent from my iPhone using Tapatalk
  12. I am seriously so lost with these responses. I am not knocking RNs and welcome them to question anything they think is out of line or makes them uncomfortable. The case I am talking about is a charge nurse, not even the assigned bedside rn for said patient, demanding me to order Wydase for an infiltrate that was about 6hrs old and no evidence of burn, merely minor swelling. There was IVF containing a small amount of CaGluconate running prior to the PIV going bad. Nothing more running through the failed PIV. And while I know the burn can take some time to show up, I am not going to “prophylactically” stick a child for this. The bedside nurse said she didn’t care because she agreed it wasn’t necessary, but that the charge Rn was going to ask her if I ordered it. Charge Rn calls and rips me apart saying I HAVE to do this and if I dont she will report me to my attending. I calmly explained how Wydase isn’t warranted for this and that even plastic surgery doesn’t include this any longer as part of their protocol for IV infiltrates, especially those without obvious burn/blistering of the skin. That wasn’t enough, she didn’t care and said “this is what we do here and I’ll just ask your attending for the order” she uses my role as a way to bully me into entering orders that she thinks are necessary in her mind. I have a number of years of experience, I’m ALWAYS open to learning new things, I always make myself available to nursing staff and rely heavily on them every single day. I 100% show my appreciation for their work, and have on numerous occasions told the nurse manager about specific nurses doing a stellar job! When my role is being used against me on a daily basis for people to get what they want without sufficient evidence as to why, it’s eventually going to piss me off and make me feel undermined. Sent from my iPhone using Tapatalk
  13. Don’t get me wrong, I have had my butt saved a few times by nurses, however, I demand the respect i give. When a nurse tells me something I never take it with a grain of salt, I always listen, let them explain themselves and speak to them in a respectful way. Medicine is a team sport and I try my hardest to make sure they feel heard and acknowledged as an vital member of the patient teams, however when you’re demanding something that isn’t critical or even necessary and just want me to order a medication because it’s habitual for you to have I’m going to challenge it. At the end of the day, my license and my charting is just as meaningful as theirs. I’ll never shut a nurse out, but when you approach me with blatant disrespect on a daily basis because you think being a charge nurse entitles you to speak down to people and act your the attending who can just demand me to execute your plan without proper rationale, it’s a problem. This is someone that multiple people have and continue to have issues with because of her controlling and demanding ways. It’s exhausting to be undermined DAILY Sent from my iPhone using Tapatalk
  14. This is exactly what I did. I told her that I know typically her idea would make perfect sense but in this case this is why I am not going to order the med you want and even backed it with information from a consultant. It’s not in the patients best interest at this time, and that I’m happy to hear her out, but it’s then that she’ll say well ok if you aren’t going to do what I want and because this is what “we” normally do here I’m just going to call the attg to enter the order. It’s not just this, she bosses our advanced practice group around everyday and thinks she’s entitled to demand orders, consults, transfers, etc. she challenges fellow RNs, MDs, RDs, RTs...basically anyone who doesn’t give her what she wants. Sent from my iPhone using Tapatalk
  15. What is your best advice when dealing with pushy nurses who insist you do something and when you tell them no it’s not clinically indicated, they challenge you and then tell you they’ll bring it up to your attg? In the past I’ve told them to knock themselves out by asking my attg and have typically been backed by my attg, but I have a particularly, well extremely, difficult charge RN I work with in ICU who wants to dictate care all the time and its driving me bonkers!!! She constantly tries to undermine practitioners and will do anything to get what she thinks is necessary [emoji849] Sent from my iPhone using Tapatalk
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