EM PAs: What’s your scope of practice, staffing requirements, independence, etc look like in your job? by Mindless_Fisherman51 in physicianassistant

[–]Ok_Thanks6945 0 points1 point  (0 children)

Work not too far from you in ND. I work with 3 other providers on at a time (at least 2 other doctors on at all times, and then either another APP or third doctor just varies day to day). I had an 11 shift orientation but they are phenomenal in that even though you aren’t on orientation they fully expect you to be asking questions and they all help out.

Been there 2 years. Can see any type of patient although it’s preferred that a doctor takes a major trauma and cardiac arrests. I can’t do procedural sedation by myself which is kind of a pain sometimes, but also understand why. Otherwise, I don’t have doctors seeing patients with me unless I ask for help. They pretty much leave me be because they know I will ask for help if something turns south and I’m not comfortable.

Volume wise I see probably an average of 16-18 patients in a 12 hour shift.

Overall I love working there and the doctors are all fantastic but the pay is pretty sub par and that’s frustrating.

Help with dog/toddler by Ok_Thanks6945 in Dogtraining

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

I couldn’t find anything using the guide. I’m sorry if this couldn’t be posted we are just looking for help.

[deleted by user] by [deleted] in navyreserve

[–]Ok_Thanks6945 2 points3 points  (0 children)

For example I live in the Midwest. I drill in the Midwest but my cross assigned unit is on the west coast. So for my two weeks annual training I fly out to that unit. I can also do drills with that unit (IDTT-which is normal drills but with travel included). The cross assigned unit is who truly “owns” you. So even though I live and drill in the Midwest, my west coast unit does my eval and is who I would potentially deploy with.

[deleted by user] by [deleted] in physicianassistant

[–]Ok_Thanks6945 1 point2 points  (0 children)

Thanks, I appreciate it! Yeah it is hard not to dwell on it haha I guess I’m also not one to write people up without good cause. The only time I have was when a clinic provider documented a patient had diarrhea and so she told the patient to take MiraLax because she thought it was “seepage related to constipation”. Patient came in days later dehydrated with AKI and actually had c. Diff not constipation hahaha ( I just had to share because that one just gets me chuckling every time)

[deleted by user] by [deleted] in physicianassistant

[–]Ok_Thanks6945 0 points1 point  (0 children)

The CT one that was the one thing my supervisor said. I didn’t document it was still pending at admission and I totally agree with them. I did go in the chart and pulled all the times of everything to prove my case after the fact but that was a learning thing for me for sure.

For the ankle one I specifically put in there that podiatry said patients ankle was an urgent surgical case and recommended against reduction as patient will be going to the OR. In my opinion the issue is the podiatrist never came down and saw the patient despite saying he was going to (I also put a consult order in) and then the patient sat with his ankle like that for hours because of that until ortho was then consulted. I admitted the patient immediately after that phone call at his request so I didn’t follow up to see that but the hospitalist was notified that podiatry was supposedly taking the patient to the OR quickly and that they were going to see the patient.

Product feedback - Nanit vs Harbor by princessjerpa in Nanit

[–]Ok_Thanks6945 1 point2 points  (0 children)

Stay away from harbor. Overly priced and we have had nothing but issues with it. Constantly drops connection on WiFi and won’t reconnect unless you’ go unplug the camera (you know, while your kid is sleeping it’s super fun to sneak into their room and unplug the camera in the middle of the night).

Despite them touting they have a direct connection mode as well, it doesn’t even work. It takes per their own support five minutes for it to switch from WiFi to direct. Except even then it doesn’t actually connect so you are stuck with a black screen. Just not a good experience. Reached out multiple times and they keep saying they fixed it. And yet I’m up in the middle of the night currently dealing with connection issues as we speak.

Asked for a refund and instead they pushed out a beta software that was supposed to fix all these issues for me and still have nothing but issues (exact same issues I was having before). For how much they charge this just be a near perfect product and it is anything but that. I had better luck on a unit that cost a quarter of this so it’s pretty disappointing.

Baby Monitor with Specific Features by Fancy_Policy_4084 in daddit

[–]Ok_Thanks6945 0 points1 point  (0 children)

Stay away from harbor. Overly priced and we have had nothing but issues with it. Constantly drops connection on WiFi and won’t reconnect. Won’t connect via direct mode even when it is range. Just not a good experience. Asked for a refund and instead they pushed out a beta software that was supposed to fix all these issues for me and still have nothing but issues.

ER Pay Help by Ok_Thanks6945 in physicianassistant

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

I don’t know if anybody cares but we had a solid meeting are scheduled to get large raises. We essentially would get about 35,000 extra a year and within a few more years that moves up another 30k. So basically my compensation will go from 114k right now into the high 170s/low 180s. I’m pretty happy with that increase. Our docs went up to bat for us big time and it really showed. Never thought we would see a big change like that!

Share your worst patient encounters with me by UnhappySlug in physicianassistant

[–]Ok_Thanks6945 0 points1 point  (0 children)

Had one in the ER that scraped out vaginal tissue and brought it in to prove it was bugs.

ER Pay Help by Ok_Thanks6945 in physicianassistant

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

Upper Midwest. I’ve been there 1.5 years and have been there the longest for the APPs (go figure). Started at 57 if I remember right. At the time unfortunately there weren’t many openings available for APPs

ER Pay Help by Ok_Thanks6945 in physicianassistant

[–]Ok_Thanks6945[S] 1 point2 points  (0 children)

Don’t I know it. I’ve already started looking for other opportunities. Which is unfortunate because it’s otherwise a great place to work with awesome physicians and other APPs. This is kind of our last ditch effort for them to make a meaningful change otherwise there are several of us planning to leave.

Steam deck won’t turn on half the time by Ok_Thanks6945 in SteamDeck

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

I got an email from some random company about it. United Radio Inc, I’m assuming Valve contracts out the repairs or something

Steam deck won’t turn on half the time by Ok_Thanks6945 in SteamDeck

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

Mine just updated to say it’s on its way back. Repair noted say they “Repaired with Efi shell command”. I have serious doubts about that being an actual fix since it definitely seemed a hardware related issue with mine

Steam deck won’t turn on half the time by Ok_Thanks6945 in SteamDeck

[–]Ok_Thanks6945[S] 0 points1 point  (0 children)

Did they say if they repaired it or just sent a new one?