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ohiovolffemtp

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ohiovolffemtp last won the day on October 23 2020

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About ohiovolffemtp

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    EM PA & volunteer firefighter/paramedic

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    Physician Assistant

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  1. My mom was a nurse before I was born. I think Florence Nightingale gave the commencement address at her nursing school graduation.
  2. This wouldn't be in the military, but if you want to do disaster and humanitarian missions, you could consider joining a D-MAT team.
  3. Had my 2nd shot on Monday (Pfizer). Just like 1st shot - very slightly sore injection site. Of course, I'm in the older age group that per reports has far less reactions.
  4. Based on the numbers you're quoting, that's 60-80 patients per provider over 12 hours, or 5-6.5/hour. Even if 95% are COVID tests and you spend only 3-4 minutes with them doing a quick HPI and listening to heart & lungs, that's going to be an exhausting pace, just to do the charting. As you pick out the occasional sick one that either needs some Rx or needs referred to an ED, it's only going to be worse. I did some of this in November-December. It wasn't mentally tough, but it certainly wasn't easy money.
  5. Non-exempt means that you are not salaried, i.e. hourly. If you have a job where you are likely to work beyond your scheduled hours, it's better to be hourly paid/non-exempt so that you will (or at least should) be paid for your extra time and get overtime pay if it exceeds 40 hours/week or some other threshold.
  6. I can't comment about this specific situation, but there have been some vaccine providers that have had to open up vaccines to folks not on the current list because of insufficient response from those eligible. The whole process has been less than ideal in many states/counties, with many local administrators trying to make sure no doses go to waste.
  7. I do the scheduling for my ED: 1 PA/NP shift/day. 2 FT'rs, 2 PT'rs, 2 PRN's. Pretty much always, I'm able to keep the FT & PT folks happy, mostly able to keep the boss at home happy. The PRN folks would like more shifts, but they're not to be had right now. I can see that in a larger department it could be much harder.
  8. Yep. The reality is that almost none of us have the luxury of going Johnny Paycheck. Especially in today's and the foreseable future's job markets, you pretty much have to make the best of where you are.
  9. I don't think anyone really appreciates the amount of material you need to cover during your didactic 12-18 months, at least until you're in the middle of it. The common phrase is "drinking from a fire hose". It is. It also usually leads to a binge/purge cycle of retention. You'll probably feel some better during clinicals, but you'll have the anxiety of being in a completely new setting every 4-6 weeks: new area of medicine, new facility, etc. That's a different kind of terror - depends a lot on your preceptor. Then will come the anxiety of preparing for PANCE and the worry of waiting for results. Even though 95% of all PA students pass on the 1st attempt, many people are sure they failed, until they find out they passed. Then, it will probably be 3 years in your 1st job before you're beginning to hit the flat part of your learning curve. I'm not wise enough to know the words to re-assure you. But, what you're feeling is totally normal and far more common than not. All of us who have gone before you got through it. I can't speak for them, but I'm sure I'm not smarter or better than you in any way. I struggled, but got through. Out of all that I went through, I've kept that portion of what was applicable. But, it was in my 1st job that I learned my trade. Keep going. It won't get easier, but you're clearly have the same level of capability that we all do, so you can make it. Then, you can try actually practice medicine for awhile and really find out if it fits you.
  10. This is SOOOO right. Many places when you apply for credentialing and/or med mal coverage will want proof of med mal coverage from all prior employment. It's soooo much easier if you can just email them images of the declaration pages from all of your prior coverage.
  11. I made the mistake on my 1st DEA application and just checked schedule 2, thinking that it would automatically include the lower schedules. It didn't. I did have to go back online to the DEA's web site and fix/re-apply, but didn't have to pay any additional fee.
  12. I was more struck by the multiple hours EMS crews are waiting in ED parking lots to bring patients inside. That will totally kill a department's ability to respond to 911 calls.
  13. Patellar tendon avulsion fracture. Predicted course: pain control, immobilization, lots of quality time spent with the orthopod du jour, including addition of some after-market hardware in the knee.
  14. My practice has been to use decadron on an OP basis for folks who are having some respiratory difficulty, eg. wheezing and/or diminished breath sounds but who are not hypoxic either at rest or on walking. I usually also prescribe a pulse ox and recommending checking while walking around the house BID for outpatients likely to decline. Hypoxia gets admitted. What would be downside to having patients "prone", i.e. vary their sleeping/laying positions from side to side vs staying supine on an outpatient basis?
  15. Unfortunately, the patients that I've had that needed physical restraint until sedation kicked in usually had enough street drugs on board, sometimes were psychotic enough, that reasoning wasn't even possible. Otherwise, the Ron White quote would work, "I don't know how many people it would have taken to kick my a$$, but I knew how many they were going to use."
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