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Diggy

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Diggy last won the day on January 1 2017

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About Diggy

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  1. Diggy

    How do I improve my chances?

    Definitely get more experience as an EMT-B. After certain hours as a scribe, you're tapped out. I work in the ED where scribes are part of the team, and what they do is very limited. The ED Techs do more. See if you can transfer into that role?
  2. Diggy

    ED case.....

    Ahhh, I try to not read any response so I don't change my mind last minute. Apart from that...I have no idea.
  3. Diggy

    ED case.....

    I would say sepsis workup. The pt meets the criteria. Fever, tachycardia, tachypnea, increased pulmonary markings (sounds like PNA---acute lung injury ---> sepsis). What saved the patient: Fluids resuscitation Early broad spectrum abx Flu A+ (no longer SIRs....but sepsis?) What wasn't mentioned that would save the entire ED from a lawsuit and the patient: Were blood cultures drawn to rule in dx of sepsis? Did the pt bounce back and was worked up for sepsis? Lactic VBG done? Am I way off?
  4. I would say pay your deposit so you're guaranteed a seat. As for students being competitive with each other...you're going to find type A personalities in every professional program. I had those in nursing school and I didn't care to hang out with them socially. If they have a low attrition rate, above average first time PANCE pass rate, then by all means. But if you think you won't be successful at this program, save yourself the stress and wait out for the other programs.
  5. I was just about to say this lol. It would be the same on this forum, just take a look at those who decided to do PA as a back up to MD/DO. Nobody likes being thought of "second best" or "first place loser" *in general*. Feel free to private message me. I welcome all questions.
  6. Diggy

    OT considering career change

    Disclaimer; I am not a PA, PA-C, NP, PA-S, or Pre-PA. 1: You're trained to be a diagnostician under the same philosophy as your physician collaborators. PAs are gaining strides in the medical community, although slower than their NP colleagues, they are achieving more respect by patients and members of the health care team. In training, PAs have a much stronger science-based background as compared to NPs. This is a huge benefit upon graduation but becomes even once the individual gain real-world experience while doing their due diligence in staying up-to-date with current practice. 2: This is a loaded question. Respect is achieved when respect is given. In the general public, both clinicians are respected by patients and their medical team. Politically, NPs are much more powerful than PAs hence why more than half of America favor "independent" practice for NPs and none for PAs. That said, I have yet to witness "independent" practice for NPs in hospitals. Yes, many NPs own their own practice (they have to hire a medical director), as do many PAs. So this is arbitrary and just colorful words. Although anecdotal, two Emergency Departments that I have worked in do not hire NPs on their ER team, only MDs, DOs, and PAs. Their reasoning for hiring PAs was somewhat disrespectful from my interpretation. One ED hires both PAs and NPs as house providers when patients are considered admitted and waiting for an inpatient bed. 3: During its first inception, PAs were encouraged to have specialty mobility. However, during recent years, the Certificate of Added Qualifications (CAQ) and Residencies have become more common making it a tad harder. However, in comparison to NPs who specialize in either Family Care, a generalized concentration, to more specialized areas (Acute Care, Peds, Neonatology, Geriatrics, etc), it is much easier for a PA to go from let's say FM to EM, ICU, Surgery than it is for FNPs to go from FM to ICU without obtaining post-grad NP certificate. 3b: It is much easier for NPs to obtain nonclinical positions due to also being an RN by nature. If you take a look at administrative positions in hospitals, many are filled by RNs or MSN/DNP/PhD wielding RNs. It is not impossible for PAs to obtain such positions, it's just not as common due to the fact many PAs rather be at the bedside. It is encouraged in nursing school that RNs must naturally progress from clinical to administrative/political positions. Their reasoning? To shape the future for the millions of nurses in America. In the end, you must decide what you seek in a career than it is to focus on titles of the profession. Do extensive research; practice limits, political influences, career ladder, and pay. Remember, you should strive to work to live, not live to work. No one should spend more time at work than they do at home doing what they love to do.
  7. Diggy

    Direct Patient Care Hours

    The more PCE you attain, the better off your application will be. A variety of PCE would also be in your favor.
  8. Completely understandable but my view on this is why take out another loan for another degree that doesn't guarantee a well-paying job upon graduation and passing their respective boards? Even with a BSN, you can still become a PA, becoming an RN doesn't stop you from progressing. A masters degree in biology sounds great and all but then you're taking out another loan in order to get into PA school (and even then it's not guaranteed). RN isn't the only option (but the fastest and best return on investment) - respiratory therapy, radiation therapy, paramedic, etc. Ace whatever program, get a well-paying job, pay off some loans, gain amazing experience (a biology degree doesn't do this), re-apply to PA school. I had the same mentality during my first undergrad that I never saw myself as an RN and was gung-ho about becoming a PA. Nurses also get a bad rap so that's why I had a hard time convincing myself I'll be okay. I didn't get into PA school with a 3.5 cGPA 3.5 sGPA and it was a reality check about the competitiveness about the field..now with a 3.67 BSN I'm pretty sure if I re-apply I would have better chances. But after some serious consideration, I'm going to stick to this role for a few years and enjoy my new tax bracket while paying off some loans and improve my confidence level (and knowledge base) before contemplating going into 100-150K in debt for a 25K increase in pay. But again, everyone has a different perspective and I wish you nothing but good luck in whatever you decide to do
  9. Man, props to you guys who kept at it for multiple years before getting accepted. I caved in after 1 cycle. The advice I give everyone who endured multiple cycles and is thinking of applying to MPH or an MS in a non-clinical field is to seriously think about an accelerated BSN. The pros are; a well-paying job (new grads are making up to 75K/year - 80-85K easily if you're an overtime wh*re), it can take anywhere from 11-16 months to complete, top-tier patient care experience and more opportunities to advance in a provider type role (PA or NP). As @EMEDPA stated, ADN programs are also another option. WAY cheaper than an ABSN or BSN in general, however, some hospitals prefer BSN graduates due to their magnet status...or bragging reasons "90% of our staff nurses are BSN educated". Here in the Philadelphia region, ADNs are being passed over for BSN grads because you know, there is a nursing school on every street lol.
  10. Diggy

    RN or PA?

    Hey! Welcome to the forum! I too battled with this choice and was pro-pre-pa my entire undergrad but somehow ended up becoming an RN lol. Your GPA is fantastic so don't worry about not getting an interview somewhere. If you play your cards right (with enough PCE) you will be a first go-round pick. As for being scared of not getting in, you miss 100% of the shots you don't take. Let me first say I was against becoming an RN because of all the horror stories. But it's been nothing but a wonderful experience for me - from student RN to professional RN. The ED staff is very welcoming, and the patients are so grateful. I tend to get less of the blow when patients are angry. That said, I'm still in the honeymoon phase of my nursing career. When I applied to PA school my cGPA was a lot less than yours - 3.53 to be exact. I applied to 9 schools, interviewed at 2, and got rejected. Applied to 1 BSN program, interviewed, and got in. So my interview skills was probably not the problem. Nursing isn't all that bad, but then again, I'm not working inpatient...I could never do it. The ED is where I belong. My confidence level has increased tremendously but I do have 3 years of MA experience. You're kind of forced to become confident in the ED. Things move so fast, you don't have time to think of your emotions. If you want normal family-oriented hours...outpatient is your best bet (9a-5p) whether RN, PA, or NP. All of the nurses, providers, and ancillary staff at my hospital work 3 12s which I love. I'm doing 5 8s for the first 3 weeks but I absolutely hate being at work so much. Also as the newbie, I got hired for nights which I don't mind because I'm young and have no family. Plus I'll be working a nice +15% on top of my hourly rate during nights. If I should do it all over again...I would have done nursing school during my first undergrad instead of earning a BSN as a second degree. Then go off to PA school. But as it stands right now, I'm probably going to do an EM-NP Program due to lower cost. As for being a diagnostician vs a clinician that carry out orders...you have to do your due diligence. As an RN you can't just carry out orders willy nilly because these are peoples' lives in your hands. You have to know what you're assessing for, why you're giving a medication, how it works, any side effects, and how to fix it should sh*t hit the fan. For example, just the other day, a young patient came in with severe chest pain, after a neg. cardiac workup was scheduled to get morphine for pain...his BP was low at baseline and I still gave it but had a 1L bag spiked and running just in case he decided to tank. Well, he did so I got the ER MD asap to get an order in for levophed...my point is, although I wasn't diagnosing...I'm the one at the bedside. Can you imagine if I gave him the morphine as ordered then left the room? He would've coded.
  11. "Great contract but I have a question; are you saying I cannot be employed as a professional PA, and be unemployed, for 2 years should we [the organization and I] decide to end our relationship?"
  12. Have you tried submitting applications to private practices? Most of the time they just want someone who is driven.
  13. Diggy

    Where do you guys think I stand?

    Tell them how you really feel ?? lmao
  14. I take it as passing the class. No Fs, WFs, or Ws. But as @healthcare3o0 said, try to match whatever GPA you had when you received your acceptance letter.
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