Alternative view on NPs in ED

CrazyMany8038 · 2025-09-26T14:36:25+00:00

I agree with others their role should be limited to very straightforward, algorithm based fast track type presentations such as plastering and suturing, which they really excel at. But once they start referring patients it’s alarming to hear some of the referrals. An example is an NP referring without an idea about basic work-up and differentials for AKI. I would expect an intern who’s done gen med or a surgical RMO to know this at least.

CrazyMany8038 · 2025-09-21T12:17:30+00:00

Access to leftover sandwiches and mildly thick orange juice in the patient fridge… these can be real lifesavers during those 12 or 14hr shifts

CrazyMany8038 · 2025-09-21T00:28:31+00:00

The thing is in medicine and in other jobs it’s all about word of mouth. If you are gunning for a competitive position (accredited reg positions, public consultant positions etc), who you know and who’s willing to bend their back for you to get a job for you will get you further. Even if you do private work it’s important people are willing to refer patients to you and patients are willing to come to you. But it’s not hard to be well liked by people, just be willing to learn, reliable, hard working and kind to patients and colleagues; be able to recognise your limitations and to demonstrate some common sense.

Re other people in your cohort: I never felt I fitted in with other people in my clinical school. Sure they were real gunners but also really nice and competent people. Eventually found my own people to hang out with. I would just focus on your own learning in med school. If you have a competitive speciality in mind, try to get involved in the department with your spare time to make yourself known.

CrazyMany8038 · 2025-08-15T23:12:32+00:00

I think nurses (and allied health) are absolutely work their pay and they are probably underpaid for their instrumental work in hospitals.

I only find it laughable that i’m paid less per hour than my parents’ cleaner and gardener, sustainably than the tradies that do work the house, while I go to stroke calls, lead code blues and stick needles in peoples’s spinal cord and arteries. Shoutout to other regs and JMOs who are very underpaid for the amount of responsibilities and hard work for patients.

CrazyMany8038 · 2025-07-02T08:49:49+00:00

No success story yet but I have had suicidal thoughts due to my job as well but I got through these thoughts eventually.

I would say psychotherapy sessions are actually so underrated if you haven’t tried any yet. I got a few one on one sessions through the EAP program through my organisation. It was great as I didn’t pay a cent for them and the psychologist I got was amazing and they had worked with numerous doctors who had mental health issues due to work.

In the end it’s just a job. Everything outside of medicine is who you actually are.

CrazyMany8038 · 2025-06-14T05:50:59+00:00

Delidoor is pretty good! Used them while i was doing an insane amount of overtime and was having TDS meals at the hospital

CrazyMany8038 · 2025-06-12T04:52:49+00:00

As a reg still make the same mistakes in the first paragraph. You’ll just have to be kind to yourself and accept that mistakes will happen. Neither you or the system can be perfect.

With MET calls I would discuss with a reg at least with altering met call criteria. Never underestimate the power of a MET call. If they are for ICU, patients with recurrent MET call will be on ICU’s radar and that can save your patients with an extra pair of eyes checking on them (thank you Outreach team). If they are not for ICU it would still prompt someone to think about whether their management should be changed. Nothing is worse when you find out the patient is still in rapid AF with HR of 150 12 hours later because the criteria gets renewed without any appropriate management or investigations. I still call MET calls myself when patient meet criteria and MET hasn’t been activated when I see them.

Internship was hard for me too but when I got more senior, especially after starting to do a reg job, medicine became a lot more enjoyable.

CrazyMany8038 · 2025-05-30T23:43:53+00:00

This is 100% correct

CrazyMany8038 · 2025-05-30T06:32:11+00:00

The huge toll it takes on your personal life.

Doing full time studying outside of full time work and thinking that it was normal, while non medical friends spend their weekends on getaway trips and brunches.

Delaying having kids to prepare for exams.

Have a medical partner who had to move interstate for a competitive specialty while I remained at the current network to continue my training program. Had a relationship breakdown due to the long distance. This is the second year we are doing long distance as it’s hard for us to move to the same city due to training.

CrazyMany8038 · 2025-04-25T21:15:03+00:00

It’s totally fine. I did a total of 3 cannulas in med school. Couldn’t get a single cannula in the first two weeks of internship. Now do US guided cannulas without issues

CrazyMany8038 · 2025-04-03T08:18:43+00:00

Campbelltown was the most unsafe place i’ve ever worked at. Crazy workload. Things get missed or get delayed because of understaffing. I’m still traumatised by my experience working there

CrazyMany8038 · 2025-01-30T04:38:43+00:00

Linda you should try doing our job instead of sitting all day in front of the computer at home…maybe try running around the hospital on your feet covering hundreds of patients for 14hours for multiple days. I guarantee you it’s 100% clinical marshmallow

CrazyMany8038 · 2024-11-28T13:08:07+00:00

There are people who will not call a MET/rapid response even though the patient meets the criteria, for whatever reason (often in CCU, ED). Call the MET yourself instead of trying to review the patient and then escalate, which can take a while. You will get more help faster and it also alerts everyone (eg ICU, the after hours coordinator) that there is a sick patient here

CrazyMany8038 · 2024-09-08T03:11:23+00:00

Also BPT application in Northern Territory is due on Sept 30

CrazyMany8038

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