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pahopeful

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  1. This summer in the extreme Texas heat, I had several people come in with hyponatremia d/t over ingestion of water. Pretty interesting, but not too rare in these parts.
  2. Hi Everyone, I am an ER PA with 5 years experience both main ED and Fast Track as well. Currently working in ER, but not enjoying the facility where I am. Just wondering if anyone knows of any jobs in Fort Worth or Weatherford area in ED or UC. Any tips would be appreciated!
  3. Toradol, compazine, benadryl and a liter of NS. Works wonders for true migraneurs.
  4. In the ED, we unfortunately see child abuse more than we would like. Do we miss some? Probably. I personally have reported several cases. Usually, the child is still sent home with the parent, and a case worker makes a home visit. Of course, if there is serious injury, that is not the case, but with the cases of mild injury or neglect, this is how it is done here in Texas.
  5. I agree with the above. You will need frequent pump breaks to try and keep up with such a young infant. Don't worry about this. Your baby is MORE IMPORTANT! Having worked as a PA-C in the ED and breastfed my baby for one year, I understand your challenge. Just know that in the great scheme of things, you're not missing that much of your schooling, but your baby misses out greatly if you don't breastfeeding. You can do it! :)
  6. No, True Anomaly, I don't work in Fort Worth. But I do work in the DFW area. :) The hospital where I work also as the physician "sees" every pt policy. I think that pt's like the provider in triage thing, but I don't think the providers do. Next thing it will be the docs up in triage taking a pt from start to finish. In fact MattM had mentioned a doc in triage system in an old post. This allows the PA to see pt without need for further f/u from physician and still bill at 100%. I have mentioned it around my workplace, and no docs are jumping at the chance yet!
  7. No, True Anomaly, I don't work in Fort Worth. But I do work in the DFW area. :) The hospital where I work also as the physician "sees" every pt policy. I think that pt's like the provider in triage thing, but I don't think the providers do. Next thing it will be the docs up in triage taking a pt from start to finish. In fact MattM had mentioned a doc in triage system in an old post. This allows the PA to see pt without need for further f/u from physician and still bill at 100%. I have mentioned it around my workplace, and no docs are jumping at the chance yet!
  8. We are doing a variation on this. Namely, we don't have a dedicated provider to do it. The 2 midlevels on have to just get it done. We are expected to greet the pt within 30 min of their arrival. I pretty much hate it, but can see some benefits. I dont think I would enjoy doing a triage shift like that mainly d/t the reasons E named. The person in triage invariably as to order too much or too little. The way we do it currently just about kills us because you have to see your reg volume, and manage things out front. I work at a 24k volume facility. Here in Texas it is getting to be standard to post your wait times on the website. One hospital even has it on a billboard! It seems to me to be a big PR thing for the hospital much more than an increase in the standard of care.
  9. We are doing a variation on this. Namely, we don't have a dedicated provider to do it. The 2 midlevels on have to just get it done. We are expected to greet the pt within 30 min of their arrival. I pretty much hate it, but can see some benefits. I dont think I would enjoy doing a triage shift like that mainly d/t the reasons E named. The person in triage invariably as to order too much or too little. The way we do it currently just about kills us because you have to see your reg volume, and manage things out front. I work at a 24k volume facility. Here in Texas it is getting to be standard to post your wait times on the website. One hospital even has it on a billboard! It seems to me to be a big PR thing for the hospital much more than an increase in the standard of care.
  10. I have 5 yrs experience in EM. I have been at this position for 2 yrs. I think the production bonus is coming, so that may help things. Thanks again for your thoughts. I highly respect your opinion.
  11. We don't right now. They are considering adding that for everyone. So, you do you think it would be out of line to ask for an increase in base? I don't want to get greedy, but just want to make the most of my opportunity. Would appreciate anyone in the DFW area's comments as well. Thanks for your thoughts EMEDPA.
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