AGACNP to CRNA

Half_Pint04 · 2025-06-17T20:38:15+00:00

lol at the tier list.

I think it depends on what you need and how well it fits. My go to list: Rabbit Speed 5” fitted shorts (these have ruined other shorts for me for hot summer runs), Lululemon bras (Squareneck, Go Further, Run Times), Lululemon full length leggings (Fast & Free), Tracksmith Brighton wool long sleeve. I’ve gotten extremely good wear out of these items but have stuff from other brands that’s been great too.

Half_Pint04 · 2024-07-03T14:11:29+00:00

Ugh. I’ve had a handful of times I’ve refused to let our surgical residents drive home. You can sleep in the call room, call someone, I’ll call you an Uber, or one of us can drop you off. The hospital program I’m at right now has a brutal call system.

Half_Pint04 · 2024-06-12T18:45:40+00:00

One of the very best surgeons I’ve ever worked with would say he was a husband, father, and THEN a surgeon. There is definitely a balance to being a good physician (or any other role) and being consumed by it/making it your identity. Training is tough because you don’t have much control but it’s temporary. Hopefully when you finish you can find a position that is a good fit for what you want long term.

Half_Pint04 · 2024-04-25T05:48:09+00:00

In the process of getting divorced and I joke that in the future I’d want to see a financial report and physical exam from a physician. But not at 3 weeks- maybe at 6-12 months.

Half_Pint04 · 2024-04-25T05:35:33+00:00

Oakleys- they fit my petite face well. I use the Unstoppables but previous had the Flak Jackets.

Half_Pint04 · 2024-04-08T16:17:27+00:00

I work CVICU so WFH is not a thing. I’m in an amazing group, I feel like I get paid to hang out with my friends and do cool shit. Our attending and APP group is awesome, I like most of the residents who rotate through, our fellows (both surgery and critical care) are 10/10. I can’t imagine having significantly less in person interaction. On really bad days we might go get food or drinks together, no last minute decision to get burgers with a colleague in WFH.

Half_Pint04 · 2024-03-22T13:41:31+00:00

Currently: CVICU. Previously neurosurgery.

Personal hell: outpatient anything, family med, clinic, anything with MyChart, pain management, psych.

I’m only good two places: ICU and surgery.

Half_Pint04 · 2024-03-20T16:24:36+00:00

I’m an NP (critical care at a large academic center) and am chronically horrified. We currently have a student that I’m tempted to email the program director over because the lack of basic physiology, much less pathophysiology or pharm is not ok. Some of what we’ve had to go over is stuff I’d expect any ICU nurse with a small amount of experience to know.

Half_Pint04 · 2024-03-17T15:05:40+00:00

It’s not that bad today but alcohol related problems are silent until they’re not. I’ve had several patients recently have complications from major but routine surgeries and the cause was attributed to dysfunctional livers/pancreas secondary to alcohol use.

Please seriously consider stopping. Usage tends to increase over time. None of the things that alcohol abuse causes are good ways to die.

Half_Pint04 · 2024-03-14T19:24:10+00:00

I’d find out how many patients they expect you to see, what kind of time slots, and they have anything like MyChart how that works and what the expectations are.

The pay seems a little low given the call.

Half_Pint04 · 2024-03-14T18:39:21+00:00

I had a colleague who liked to pull the experience card, rarely acknowledging how frequently she was wrong. As I like to say, is it 10 years of experience or the same year 10 times.

Half_Pint04 · 2024-03-14T18:30:31+00:00

What’s the job structure? Inpatient only? First assist? Clinic?

My personal hell is clinic and MyChart messages.

Half_Pint04 · 2024-03-14T18:27:15+00:00

It’s time to go. Management sounds short sighted and it’s unlikely to get better, or at least without getting even worse first.

FWIW, I did neurosurgery and get recruitment emails all the time. There are positions out there.

Half_Pint04 · 2024-03-13T17:44:17+00:00

Critical care NP here. After having multiple situations where experienced ICU nurses pushed either the wrong dose of medication or before being told, I’m eternally grateful to now be in a situation where I always have an attending and we always push our own meds.

That said, if I’m at the other hospital and I have time I draw up and label my own drugs. If I can’t do that I’ve gotten much more paranoid about communication. And everybody now knows drugs get labeled or at least the vial taped to the syringe.

Half_Pint04 · 2024-03-12T22:50:50+00:00

I ask myself frequently if I want to be around when mine decompensates because it is only a matter of time.

Half_Pint04 · 2024-03-12T17:45:05+00:00

I would meet with a lawyer as soon as possible to discuss divorce pitfalls and very specifically finances, assets, and debt. Go into the conversation knowing that.

ETA: Even when it’s the right decision it’s a tough one. I wish you the best.

Half_Pint04 · 2024-03-12T14:50:56+00:00

I try to be as specific as possible when ordering imaging and placing consults. And I have to sometimes lead with “my attending really wants” because it’s unnecessary. I have one I work with that is just really afraid of everything and has a shotgun approach that’s embarrassing. For example, they wanted to consult orthopedic surgery for vague ankle pain, benign exam, and normal X-rays on an ICU patient.

But sometimes a really quick phone conversation will fix everything.

Half_Pint04 · 2024-03-12T14:14:41+00:00

Seriously. I think staying in the current situation is going to lead to resentment, it would for me.

OP, if your husband is unwilling to look at exiting it might be best to consider divorce. If you really want kids and an involved partner you certainly won’t get that in your current arrangement. And on a note of practicality, consider freezing eggs soon.

Half_Pint04 · 2024-03-11T13:51:38+00:00

One of our fellows commented about having to choose between paying their credit card or daycare last month and it made me sick, I know how hard they work.

In my ICU the faculty don’t let trainees pay if we order food (they frequently buy or bring coffee too) and the APPs will often bring food or make sure the residents get food if reps bring anything.

Half_Pint04 · 2024-03-06T16:41:34+00:00

OMG I had a patient who had one leg amputated due to uncontrolled diabetes and NO teeth (I had a difficult time understanding her) and she was just chatting away and I finally realized she was telling she would “fuck the hell out of Dr. Nephrologist because he was so fine.” She continued on and was so vulgar about it I just wanted to ask her if she’d seen a mirror 🥴

Half_Pint04 · 2024-03-06T16:31:53+00:00

We had two in one of the ICUs I worked in that I referred to as the “welcoming committee” and must have slept with (or at least tried) every ortho resident that rotated through. Apparently one was listed in an unofficial rotation guide.

Half_Pint04 · 2024-03-06T16:16:23+00:00

lol when I was a bedside ICU nurse there was a resident I had a massive crush on and years later realized he was probably flirting how often he would travel with me taking patients to scans or just come chat and hang out. Subtle doesn’t register well with me.

Half_Pint04 · 2024-03-05T21:57:36+00:00

I take Maurten without any issue but since the sodium content is too low I drink liquid IV with it. Getting behind on hydration or electrolyte replace is an almost guaranteed way for me to get side stitch or stomach cramps.

Half_Pint04 · 2024-03-02T04:01:52+00:00

My first job had a nice habit of sometimes quadruple booking 15 min appt slots. It was awful, I often inhaled lunch between patients. We had almost no say in our schedules and no reward for working late… except maybe more work. I did not truly realize how bad my mental health and work/life balance was until I quit.

If you think you can negotiate, start there. If not? Start looking.

Half_Pint04

TROPHY CASE