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Diggy

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Diggy last won the day on June 6

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  1. Nope, you cannot challenge the NCLEX-RN as a PA-C the same reasons a NP cannot challenge the PANCE. Also, the flight nurse requirements specifically ask for RN/NP experience in EM or ICU. So being a PA in EM or Critical Care won't fulfill that requirement. A lot of flight RN positions go to those who also have their CCRN (Critical Care RN) certification and to get that, one must have 1750 hours as a RN/NP in the ER or ICU. You becoming a PA and then pursuing flight RN sounds expensive and unnecessarily drawn out if you ask me.
  2. "I am sorry you are in this situation but certifying you using my credentials is unsafe and illegal and I am unable to complete your DOT physical today." However, I'd refer him back to the prescribing provider at the Ortho clinic to obtain a written letter with the clinic's letter head stating the driver is safe to be a commercial driver while taking this medication. Instruct him to return within 28 days on a day I am working with the letter and I will pass him. I will also explain to him that should the letter state he is unsafe to be a commercial driver while taking this medication, I will not pass him. Set the stage early so there is no confusion later on. This is permissible according to the FMCSA guidelines. I'm sympathetic so I'd give him the benefit of the doubt and not fail him straight out (since he admitted to lying). I'd give him options so I don't play a part in ruining his livelihood.
  3. I'll take a shot... I'd introduce myself and ask how the patient is doing today. Find out what they do for a living (sound interested in their personal life). Then... Ask the patient have they ever been DOT certified before Restate the question "are you on any prescription medications for (list common dz HTN, HLD, DM, COPD] ..any surgeries or injuries in the past (try to cross-match PMHx with the vicodin Rx query). Restate the question AGAIN "are you on any pain medications" Ask the patient if they are aware of any disqualifying reasons, just to see what knowledge they have regarding DOT exams and the certification process. Then say, "per protocol, any individual seeking to become DOT certified must meet certain requirements (list a few) followed by listing a few disqualifying factors. The goal is to not catch the patient off-guard or make it seem judgmental. Provide facts and the reasoning to which they do not qualify. Proceed with (for this reason, I am unable to pass you for the DOT certification at this time). Provide a handout regarding what disqualifies a patient. Then say "should you want a second opinion, you're more than welcome to do so"..."any questions?" ***Stand in the room with your back towards the door after initial physical assessment but before the questioning***
  4. 3.7 is actually above average at a number of schools. I would say 3.5-3.7 is average. Below 3.5 is considered low in my experience applying to PA school. You can definitely offset your worries by exceeding other areas. 2000+ paid PCE, 500+ volunteer/community service hours, 100+ shadowing hours, maybe a study abroad? That said, many PA schools look at the whole applicant once they pass the initial screening point. Good luck!
  5. A good tech is a life saver! Most nurses like myself are "do it yourself" meaning I won't go out of my way to ask for something to be done if it's clearly in one's scope. The same way I don't expect the providers I am working with that shift to going out of their way to "tell me to do something" Help with rounding on patients especially on busy days (which is every single day lol). Don't be afraid to "triage" the nurses requests. For example, if someone needs to go to imaging and another one needs a blanket/food... Bring the other patient to radiology.. A blanket can wait. If not, you're going to run yourself ragged. Don't be afraid to ask for help or be shown how to do something. It's better to sound clueless than to look clueless. Especially in front of patients. It's a quick way to lose credibility lol. Good luck! The ER is an amazing place to learn new skills and building upon current knowledge.
  6. I am in no way getting compensated for this but Portage Online through Geneva college offers BioChem for ~$600. https://portagelearning.com/courses/chemistry/chem210
  7. The Pell Grant is given to college students who is determined to be in financial need to complete their first bachelors degree. I wouldn't include that.
  8. You have a whole team working on the same patient. Yeah you'll make mistakes but that's part growing int your new role. It takes more than 1 person to kill a patient lol. If you really want out, finish the 3 months and soak up all the valuable information and then move on. At the end of those 3 months, you'll find out you either REALLY hate the ER or you were just stressed because of the steep learning curve.
  9. Becoming a PA was suppose to be for those already in the health field who want to deepen their medical knowledge and advance their skill set. That said, the trend is now to make PA a first career choice instead of building it upon previous experiences. However, paid patient care experience allow applicants to know what they're getting into. Long story short, there are no real reason for an applicant NOT to fulfill said requirement. A lot of individuals on here have sacrificed their well-paying 6 figure careers to start over from the ground up to matriculate into PA school. An honest question to ask yourself is; since I do not have the health care experience, why should an admission committee choose me over someone who completed all of the required hours?
  10. I have a clue how Racism works in America because I fit the description of someone who looks suspicious in broad daylight. Abortion, not so much since I do not carry a womb. I found it unnerving that the OP would think abortion is the MOST horrific thing, to the point that AAPA should focus elsewhere [or remain silent] instead of issuing a statement. Margaret Sanger's forced sterilization can be applied to today's society; white cops sterilizing the black population via death by bullets or in this case, death by asphyxiation. Modern medicine has come a long way in how we assess, treat, and manage individuals. In 2020, medical induced abortion is not forced - it's an elective process. In 2020, Blacks and other people of color do not elect to be shot point blank or suffocated by cops in the street, then having said cops walk freely in society - or at best antagonized for minding their business. The OP's question shifts focus away from current events. That is my point. The AANP also issued a statement and man, the responses nurses gave is nothing like what is happening on this board.
  11. To equate medical induced abortion (an elective process) to racism and police brutality against people of color is irresponsible. "...any concerns about the AAPA statement of supporting the Black community and combating racism?" This is like me, as a RN, stating that COVID-19 is a hoax even when I see it happening first hand.
  12. Sounds like leadership to me - it's in the name; Lead Medical Assistant lol. Don't split the hours. List 100% of these hours as PCE and include in the description the phrase ...served as lead medical assistant...
  13. Welcome! Working as a RN does provide excellent PCE prior to enrolling into PA school. It's actually listed as one of the highest level of PCE alongside RRTs, medics, radiology technologists etc. However, most BSN programs do not typically include all of the pre-reqs for PA school. So, you'd have to do post-bacc courses in upper level biology and chemistry (300 level) courses such as microbiology, genetics, Ochem, BioChem, etc. The math level in nursing school is basic as hell. Medication calculation is the easiest thing to learn and that's coming from someone who is terrible at math. I've only been a RN for about 1.5 years but prior to nursing I had applied to 9 PA schools and 1 BSN program (interviewed at 2:1) respectively and was denied at all 9 but accepted to the 1 BSN program I applied to. No regrets so far. As for me, my plan is to enroll into a DNP program with a concentration in Emergency Nurse Practitioner. Then do a Residency/Fellowship in Emergency Medicine/Urgent Care. Reason being, all of my pre-requisites for PA school have expired or is expiring. Continuing up the Nursing ladder is easier financially. I prefer a guaranteed path than a maybe. As for the curriculum, PAs are better trained to enter the work force upon graduation and passing the PANCE as compared to NPs. I would say CRNAs are equivalent to PAs curriculum wise. However, I would say my experience in the ER will serve me well as a future ENP compared to those who went directly into a Direct Entry NP program. Level of confidence and understanding the flow of the ER is something that cannot be taught in a classroom. I'm one of those individuals who try to exceed the bare minimum and always looking to advance my skill set and knowledge base. It is unfortunate that most NP programs require a minimum of 700 hours of clinicals (some even less). Regardless of the path you choose, you'll be doing an amazing thing. You just have to sacrifice for now to get to where you need to be. Good luck!
  14. What would you be changing it to? Being in health care can be [fun] and also highly stressful. Being with great workers make it tolerable. The money is great especially if you're young and single with no real responsibility as of yet. Outside of work I hate bodily fluids... Also there's plethora of other health related careers out here that do not come into contact with bodily fluids on the regular but still fulfill the helping people/society feeling.
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