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Rbnz

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About Rbnz

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    Physician Assistant

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  1. I have worked in a rural critical access hospital for 5 years. I assist gen surgery, ortho, and OB/gyn in the OR. I also see family clinic pts and see pts in the wound clinic. When needed I see pts in general surgery and ortho surgery clinic as well. I got wound certified and recently underwent a certification for rad/onc and am available to help them when needed. I already make a very good salary. I would argue that with new certifications and responsibilities it should only increase my hourly rate. Am I wrong in thinking this or even asking for a raise for these extra qualifications?
  2. Thanks for the reply. The only reason this patient has my number is due to belonging to the same church who has a roster with everyone’s phone numbers. I do not give out my number to patients. I guess I will need to delete my number from said roster. I will start working on those things listed.
  3. I do family medicine 4 days a week. What do you do if a patient has your number and texts you about worsening mental illness/suicidal thoughts. This patient now lives in a different state and says that they do not want to talk or see anyone else. Do you respond and work through it with them via text messages? Schedule A telemedicine visit? And this is happening while your on vacation? Just a current scenario I am in and would like some advise. Thanks.
  4. So I work in a small rural community hospital In Arizona that services maybe around 10,000, plus surrounding areas. My name is on all orders for Covid-19 testing for those who just walk in and want to be tested. Which means that the lab is calling me with all positive cases. Which in turn I call the patients and inform them of the result. There has been a lot recently. What are some things you are telling your patients when they test positive? Some pts have a lot of questions, which I sometimes have to deflect onto the health department. The county health department in my area calls all positive pts as well and goes through everything with them. Any thoughts or suggestions? Things I should and should not be saying?
  5. This is a private group contracted with 2 hospitals. They have one PA there now who has been out of school for one year. No weekends or call as of right now but that may change. I would love to ask for 200k but realize that won’t happen. They offered 115k with typical benefits. I said no thanks, and am countering with 140k with guaranteed increases till I am over 150k. I know my worth and am not hurting to leave my current job who actually sees my value and pays me for it. So we will see what they say. I fully anticipate losing this job opportunity. Am I pricing myself out of a job? This is not the first time I have had an offer and turned it down due to salary expectations. As a whole I have a really hard time with how most PAs are compensated.
  6. I have been a PA for 5 years now in a rural critical access hospital. Amazing job but location is terrible for a family. I assist in general, OB/GYN and Ortho surgery, family clinic and wound clinic I have been offered a job doing IR in large city in Arizona. I am hoping to connect with other IR PAs to get an idea about compensation. I have a job offer but no salary has been negotiated yet. I am currently making around 180k and anticipate taking a hit to my income. This IR job will be full service...pretty much any IR procedure that a PA does I will be doing. So any IR PAs out there who can fill me on what I should be negotiating please chime in.
  7. At a small critical access hospital in Arizona that employs 5 PAs. The hospital also utilizes many physicians that come into town that also bring their own PAs/NPs. We are all involved in wound clinic, family clinic, UC, and first assisting in the OR. We have never really had a voice at the hospital and are essentially left out of all meetings including meetings where PAs are discussed. We have many managers and physicians that we answer too on a daily basis, which can get very confusing. My question is...is there any good resources for getting PAs more involved and having a voice? Should PAs be a voting member on the MEC? Is it unreasonable to have a Lead PA that funnels and distributes information to the other PAs? Thoughts...
  8. Rural area in Critical Access Hospital. 3 years out of school. Base 120K 15 dollars per pt visit. Take 2 weeks of call a month for first assist cases only. Average 50 hours a week. Busy with family clinic, first assisting in the OR for all surgeons, and at times wound clinic, surgery clinic and ortho clinic. This year will make around 210K.
  9. I work for a small critical access hospital in AZ. I was hired as a surgical PA who helped in General surgery clinic and first assisted for general, ortho and ob/gyn. I was also seeing pts in the wound clinic as well. This slowly turned into seeing pts in the family clinic and just first assisting as there was a need in the family clinic. They now want me to drop family clinic where I have been for 2 years and switch over to Ortho as there is again... a need. The reason for this is because the hospital hired another PA for only family clinic when we didn't really need one. The orthopedic dr isn't really that busy but says that he may leave if he doesn't get help. Administration has approached me about switching to Ortho full time. I am comfortable with where I am at in the family clinic and assisting in surgery as needed. They are asking me to drop and pick a new area of medicine on the drop of a dime. My contract says that I work at the hospital and clinic, it does not define what my roles are (huge mistake on my part). I feel like I am getting the short end of the stick here, as they are catering to this new hire PA. At what point does it become excessive to keep switching? Can I say no? Has anyone else worked for a small hospital where they have been asked/told to change specialties? I am at a loss of what to do. I don't really want to work in ortho full time and have expressed those feelings but I expect them to force me. Thoughts? I am also contemplating that if they make me do this, and want me to essentially be a PA who can cover all clinics (family, gen surgery, ortho, and wound clinic) at a moments notice then they need to pay me more...
  10. Rbnz

    IR PA PAY

    So I am currently a surgical PA for the past 3 years. Hoping to transition into IR with an interview coming up. Typical IR PA salary? What should I be looking for in a good IR offer? I would be doing routine IR procedures: piccs, central lines, para/thora etc... Any advice would be great! Thanks
  11. Finished school with 165K (some left over from undergrad). Wife stays home with our 2 kids. Took a job in a small rural community. I have put in on average 52 hours a week and have taken about 20 days of call a month since starting for the extra income. Work, work, work is what I have done for the past 2.5 years. We are now down to about 40 K and I plan to have this paid off by the end of the year. No new cars, small vacations (nothing elaborate or expensive), rent, nothing elaborate for Christmas/birthdays, did not go out much (we got creative for date nights), etc... We also did not consolidate our loans. We started with paying off the highest interest loans and have continued to do that till now. Our monthly payments are now down to 450 a month which has allowed us to hit them even harder due to the lower interest accruing. This has not been easy!!!! But was our goal by moving to a place with no amenities, crappy schools, no parks, etc... It is totally painful to send thousands of dollars a month to the government. KEEP GOING!!! Sacrifice, work 2 jobs, move for a better job (always be looking for a better opportunity), move in with family, just do what you have to do to become financially secure and out of debt. Just my 2 cents.
  12. I am currently working in a small rural clinic/hospital doing family clinic and first assisting in surgery. I signed a new contract about a year ago which has a non-compete clause in it. I have a job offer in the same town doing occupational for a large corporation seeing only their employees. I would not be in competition with my current employer at all as I would only be seeing people at that site. Do you suspect that this may be a problem? Would this non-compete inhibit me from taking this job?
  13. 2 years out of PA school, currently doing surgery, family clinic and wound clinic. Small town about an hour away from Phoenix, Az. I was approached today about doing some side work with hospice/palliative care home visits. They are not set up in my current town but will be shortly and they want me to see pts for them when I have time. I will be meeting tomorrow with a lady who is over this whole area, who will give me more specifics. Any questions that I should be asking? Anyone have experience with this kind of work? Does this work pay well? Is this a good way to increase my income? Any red flags that I should be aware of? Pros and Cons of doing this kind of medicine? Any and all thoughts are appreciated!!
  14. 1.5 years out of school. Signed on for 96K a year doing general, ortho and OB/GYN surgery. When not in the OR or helping the surgeons I am in family clinic seeing pts and or the wound clinic. I actively see pts in all areas. I also was taking 50/50 call coverage for surgery. My fellow PA just left which leaves me with almost all the call each month. I am paid hourly at 47 an hour. I actively see pts in each area, sometimes daily. I feel justified in asking for a raise because I am covering so many areas of medicine. This past year I averaged about 3000 hours of call time and worked on average 50-60 hours a week. I do not get paid overtime pay as I am salary exempt. So this past year I made about 140K, but that was working my A off. Thoughts on asking for a raise. The only reason I made that much was due to the amount of call I took and the hours I worked. I feel since I am being asked to cover all these areas and essentially saving them money I should be up in the 55 an hour range. Any thoughts appreciated. Thanks.
  15. Surgical PA one year out, that signed a contract as being a "physician assistant", not a surgical PA. Biggest mistake of my life. I work at a small critical access hospital that has surrounding family/urgent care clinics. The other PA I work with is another surgical PA as well. The current situation is that there are no providers to cover one of the clinics for a week and they want us to cover the clinic for one day each. I know that my contract doesn't state surgery only, but can they force me to cover a clinic? I went to talk with the clinic manager and told him that I did not want to cover the clinic due to their poor planning, and also said "hypothetically what if I said no to covering the clinic", his response was that it wouldn't go over well for me and that I am an employee of the hospital and they can force me to cover the clinic. This is a small thing in a growing list of problems where I work. Any thoughts greatly appreciated. So angry!
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