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charlottew last won the day on February 27 2016

charlottew had the most liked content!


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    Physician Assistant

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  1. I wish! It is for the NP school run by our affiliated med school, I don't think any $ changes hands. For me, it's to show that I 'support the mission' and that I'm a team player. We tend to draw a fair number of our new hires from this NP program, so it's helping the service 'audition' someone, to some extent. I get brownie points out of the deal. And one could argue, that the NP's they graduate, are better quality because they have put in more clinical hours as students. In less COVID-y times, we take students for clinical rotations from other institutions - those generally come with some kind of payment - these $$ are pooled together and used to get end of the year presents for the entire service. It's a nice gesture.
  2. I agreed to precept an NP student this term, the commitment is 23 shifts! (12h each). I will teach during as much of it as I can, but it's not going to be full-on teaching, that entire time... I can only do so much.
  3. Any recent history of headache, dizziness, weakness, parasthesias? ask the wife
  4. Perfect is the enemy of the good. Your sanity comes first. -- I am a bit of a perfectionist myself, and the above are two credos I use in order to manage.
  5. Agree x 2! I have been working SICU for awhile, and sometimes the surgeons joke around about dragging me into the OR. It really does help, to have built those relationships.
  6. I don't have any insight to offer but I will comment that I'm impressed that your thermometers even read that low. When I have hypothermic patients, the report I get from nurses is usually that the temp is 'unreadable'. At that temp, I'd watch out for bleeding, too.
  7. Yeah, especially since I've been vaccinated, I've been going into the COVID rooms and talking to/examining the patients. With proper PPE of course. Pre-vaccination I was much more wary - but I have pre-conditions that make me a very high COVID risk.
  8. We have EM residents rotate through the ICUs, the ones with a short attention span/what's the disposition attitude, do not enjoy ICU work very much. Then there are others who are able to go through the details of everything you need to track, to manage ICU patients. Which is a long way of saying, I agree with @MediMike above, it is a significant mental/process shift between ED and critical care. When we were COVID-crunched in the ICU's, we drew on CRNAs (not great, actually), anesthesia and surgery residents (had rotated in ICU's), or APP's with past ICU experience. If you have APP hospitalists willing to make a move to the ICU, that's another option.
  9. there's the Fundamental Critical Care Support course, sponsored by the Society for Critical Care Medicine: https://www.sccm.org/Fundamentals/Fundamental-Critical-Care-Support It's two days and includes simulation scenarios. We run it at my shop every two years. There's also a self-directed version. It's helpful, but not as useful as actually working in the ICU. For people looking to pick up shifts, if they have some fundamentals we orient them for anywhere from two to five shifts in the ICU. Advise them to consult Marino's (and the online protocols we have), and keep a close eye on them. Good luck!
  10. The Medical Reserve Corps in MA is being deployed to vaccine clinics (volunteer work). You can find your local unit and join, here: https://www.mamedicalreservecorps.org/ . I joined a number of years ago as a PA student in order to work at flu clinics. Have been giving jabs ever since I got my license. I'm gonna volunteer for an upcoming COVID jab clinic. (I've gotten the COVID vaccine already, so I feel reasonably safe, working these clinics). You might also be able to volunteer/pick up a temporary gig at one of the COVID field hospitals, see this link https://www.mass.gov/info-details/apply-for-jobs-at-covid-19-temporary-care-sites . These should probably be running, for at least another month or so, depending on case rates. If you want to work in a medical capacity, you'll need a license. There are opportunities for non-medical positions, too. Good luck! I think you will find the job search will go better, once you have your license in hand.
  11. Um, "involuntarily relinquished" would seem to apply here, the OP was let go (didn't quit). So some explanation in the credentialing paperwork would probably be required. IANAL, but that's my layperson opinion.
  12. We had a belligerent guy on the unit once, young guy very strong, he got agitated and started throwing equipment in the room. We hustled out of there, shut the door on him (clear glass door so we could observe him) and called the hospital police. Five minutes later, 2 officers appear - apparently that was the entire campus force on the weekend. We're like, don't you have any backup? Fifteen minutes later, half a dozen city cops show up in full riot gear. Much better. We made a plan, then rushed as a group into the room. Cops in riot gear, the rest of us in full PPE. Pin the patient to the bed, put a mask on him (he was spitting), vest, four point restraints, IM haldol (or was it zyprexa?). Very effective. But it generated paperwork! All of us clinical people had to write and sign reports of what happened, for the police records.
  13. Got it today, my arm is a bit sore, which I consider to be a good sign. Wasn't certain I was going to be in the first wave (I'm not a nurse, after all), but happy all the same.
  14. RNA is not very stable. Too many RNases out there. I think the Moderna mRNA vaccine is stable at normal freezer temp (-20C). They are working on formulations, that would be stable at normal refrigerator temps (4C).
  15. Actually, an update - my shop is giving everyone in the hospital a $500 bonus. This apparently includes the residents. It's a nice gesture, I think.
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