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LT_Oneal_PAC last won the day on May 24

LT_Oneal_PAC had the most liked content!

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About LT_Oneal_PAC

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    Physician Associate

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  1. Find another job, PA or otherwise. Remember, it’s business. A job wouldn’t hesitate to let you go after 6 months if it benefited them and you’ll make them far more money than they lose.
  2. Good thought about getting it from some place that can special fit. I didn't know those existed. Oh yes. I remember "fondly" that smell of my plate carrier after wearing it for 2 months in Uganda. The scary part was when I didn't smell it anymore... There may or may not be available defense near me....We are the rural midwest after all.
  3. It was a joke. I have no problem using any force necessary if I were serious, it wouldn’t be the work that would bother me.
  4. You’re comment wasn’t out of line at all. While I quoted you, it wasn’t really directed at you. Just reiterating the point in an attempt to avoid politics entering the conversation.
  5. As far as I know, no one in the department is armed with any weapons, or I’m sure someone would have used it on the previously described patient. I would hope people would be aware of my displeasure if they created more work for me by causing serious trauma to a patient Very rarely do we have any police. I’ve seen a deputy once. I tend to agree. The need for it is vanishingly small. It’s why I have talked myself out of it so many times. But every so often something else crazy happens at work and gets me thinking maybe I’m being a cheap skate. I mean, I pay for all kinds of insurance that has worse cost to potential benefit ratio. Again, I don’t want this to digress. I express no opinion on gun ownership in this thread. Obviously it depends, but if I were at my desk at rest position, and had it under my desk, I could have it on and ready to run in under 5 seconds. Is it enough time? Maybe. Could they sprint from the door to my office before anyone even knew what was going on and slice my throat? yes, easily. There is no perfect solution to my safety that does not disrupt patient care, and I’m not willing to do anything to slow patient care for my safety. There is no full proof plan either. If someone wants to get me bad enough and they have a lick of sense, they will. This would be but a small tip of the scale. as far as coverage, obviously many vital arteries are exposed. I’m not planning on wearing the body armor and going on the offensive, but stay at a safe distance while I try to verbally calm the patient, or to protect another patient or staffer providing me with increase survival odds. I do have I can tourniquet myself no problem and suture ambidextrously. I cannot crack my own chest. I see your point though, more through the lens of “is shelling out $700 worth a small advantage that most likely will never get used”
  6. We had a knife wielding naked guy running through our hospital very recently. I wasn’t on shift, but sounds like he made it around a ways. I’ve had to tell more than a couple patients that weapons are not allowed in my ED, knives or guns, sometimes with difficulty because they are drunk. I’ve not personally been scared for myself at work, though I wasn’t there with knife guy, but I’m thinking about getting some body armor to keep under my desk. Nothing rifle rated or anything like I wore with marines. Just some soft handgun level armor with spike protection for knives EMS patch in bright letters. It ain’t cheap though. 600-700 dollars for something that meets those criteria. Am I being silly? On one hand I’m statistically very unlikely to ever have something happen to me in my area, but on the other the one time cost for assurance that I would have the advantage against an armed patient seems like a small price to pay even if I only used it once. It’s not without precedent that a disgruntled patient has come to shoot their provider. anyone have body armor at work? I’m sure plenty of you guys are packing some real heat, but that isn’t what this is about and I would hate for the thread to detail into gun control.
  7. Similar topic merged into this earlier topic.
  8. Topic moved from residency section to Florida South University section, as this is not a residency topic.
  9. Degree demonstrating clinical knowledge, pursues admin positions competitively against others with doctorate degrees, academia, add another bullet point for why I deserve a salary increase, increase the competitiveness of my application if I ever change jobs, meet the current degree standard for health care (pharmacy, DNP, DPT, OT, optometry, audiology, and more all have doctorates) future proofing.
  10. Answer to both questions The AT still website says 2-3 years. That doesn’t mean it can’t be quicker. With their “technology fee” it’s comes to $19k and change. By far the cheapest. the shortest is no doubt Lynchburg at 12 months. It is also 25k in tuition. I’m not sure about fees. Plug for my choice: Butler says 2 years standard and 5 year max, but it is self paced so it can be faster if you really load yourself down. I’ll be shooting for one year, but 50 credits in 3 semesters while working full time will be a real challenge. butler also has an option for 15 percent discount if you precept students (4 per year) making it $29,750. There are no fees. They had a mostly clinical curriculum with just the right amount of admin classes for me. i cannot find anything about UNMC having a program. currently unknown is anything about the new program at Rocky Mountain College. Supposedly to start 1/2021, but no information other than some news articles.
  11. I wish it was two courses! I've signed up for double the full time course load. I almost signed up for 6 classes, but pulled back to 5. It's going to be a busy fall. Fortunately it's broken into 2 sessions, so it will be faster paced but I won't be splitting my attention as much. I put Biochem with pulmonology, which I know the latter pretty well from my anesthesia days. I put rheum, probably my worst subject because I think it's all voodoo, with cardiology that I also know pretty well along with Aging, which I hope is a relatively easier course. We'll see the difficulty after this semester and I'll start a blog post here about it.
  12. You can use my name, it's not going to hurt my feelings. The requirement is, and has been for decades, 1 year of acute care experience. 95% of programs, a statistic I made up on the spot by anecdote, determine this to be critical care. The average has been, and continues to be, 3 years. Why should PA's and AA's stay out of CRNA territory, if NPs haven't stopped getting into ours? First, AAs were specifically created to disrupt CRNA practice. You'd be malicious against a group that was created by physicians to undermine us, right? This is straw man argument to use NPs in the same context. They were created at the same time as us. They created themselves. Eugene Stead created us. We all know that a well trained PA could do well giving gas. No one is questioning that. I guess the money and numbers you are referring to are nurses and their lobby. Know that the AANA and the AANA-PAC are completely separate from the rest of nursing. They broke off a long time ago because CRNAs pushed for independence before anyone.They have more money because they join their state and national organizations and donate to their PAC at a rate that should make us feel ashamed. The actually reason is there is not a need that we can meet, at least not without extreme prejudice from all sides. We are currently STRUGGLING to practice to our full abilities in specialties we already exist in. I see no reason why we wouldn't have the same fight breaking into anesthesia. Remember, the need is in rural areas where there is not an anesthesiologist. Sometimes these places even have difficulty to even attract CRNAs. AAs, who have proven themselves over and over, are not allowed to practice at anytime when a anesthesiologist is not in the building. So why would legislatures and interested stakeholders be willing to let us get into this area. Likely it would be even harder than AAs because we are unproven in this arena, there is already a provider that meets this need, we require extra training as it is not covered at all in schools now, and we probably would be fighting AAs as well who want to be adopted in their own right. AAs don't want, and have never wanted, the autonomy we seek. Even if we were to successfully get into anesthesia, it would likely be at the detriment to our current OTP/FPA push. Now if the ASA wants to donate some cash and put out a statement that we could practice autonomously after completing a residency in anesthesia, that is a horse of a different color. Never going to happen though. As far as AAs keeping out of CRNA territory, not my pigs and not my farm. They can do what they want. I just understand the CRNA position. I would understand the AA position better if they were wanting to practice in rural areas where there is actually a need. ^Bingo bango.
  13. We have received multiple reports on this topic. first, if a prospective applicant is gullible enough to believe everything they read on the internet from a user who does not provide their personal information to be verified, then that’s an applicant you probably don’t want as they are dumb. Since we cannot verify anything by anecdotal reports only, we have decided as a group these reports typically stay up. This isn’t science where we have objective data to help us stop the spread of misinformation, a subject I am passionate about. Could there be a real program problem that people should be aware of? yes. Could this be a struggling student who wants to lay blame on a program for their problems? Also, yes. applicants, we have far more reports that this is a upstanding program than not. Keep that in mind. I’m sure your favorite restaurant has at least one really bad yelp review from a disgruntled karen, but it doesn’t keep you from eating there. Keep that in mind. Remember, this is one persons anecdotal experience on a anonymous forum and won’t necessarily reflect your experience or even be remotely true. moral of the story is you should always do your own investigating by talking with current students, alumni, and faculty. Edit to Add: if someone is complaining about potent chemicals in cadaver lab, they are not speaking from tremendous experience. I’ve taken three cadaver labs in my life at three different institutions. The formaldehyde always sucks. It’s not limited to one program
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