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charlottew last won the day on February 27 2016

charlottew had the most liked content!

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About charlottew

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    Physician Assistant

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  1. 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.
  2. 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.
  3. 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.
  4. 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 hospit
  5. 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 clo
  6. 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-de
  7. 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.
  8. 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 th
  9. 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.
  10. 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).
  11. 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.
  12. Google searching picked up this link: https://www.acog.org/practice-management/coding/coding-library/coding-for-covid-19-testing which contains Swab Collection There is no specific code for swabbing the enduring for COVID-19. Swab collection is included in E/M service. However, if collected in the office and transported to the laboratory, CPT code 99000 can be billed: 99000: Handling and/or conveyance of specimen for transfer from office to a laboratory Maybe that is what you are looking for?
  13. I have in the past filled out camp health forms for my kids and signed them as a medical practitioner who examined them (only when the form does not specify that it has to be Their Pediatrician). Because I would not sue myself (or the camp) for an incorrect finding (not that there would be one). But other than that, I wouldn't venture to practice outside of my job.
  14. ICU here. No COVID bonus, but our addcomp rate (for picking up extra shifts) was temporarily bumped up about 30%. It's back down, now
  15. I agree there is an element of hysteria even amongst health care providers who should know better. For instance, inpatients with scheduled procedures need a covid swab beforehand (even if they have been in the hospital 2 weeks). Which is fine, go ahead and send the test. But why do we need to put them on precautions? (face shield) These are asymptomatic people, nothing has changed for them except we put them on a schedule...
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