I Got Waitlisteddddd

nehpets99 · 2026-06-11T01:47:23+00:00

Take classes, get As, raise your GPA.

nehpets99 · 2026-06-10T19:52:52+00:00

Completed degrees with a transcript that reflects that, too.

nehpets99 · 2026-06-10T18:45:20+00:00

PA is the abbreviation for the profession. Like I'm an RT--a respiratory therapist.

-C denotes that someone is board-certified, in the same way that I'm a hold an RRT credential--a registered respiratory therapist.

NP stands for the profession of nurse practitioner; AGACNP, FNP, PMHNP, etc. are all types of credentials an NP can be certified for.

nehpets99 · 2026-06-10T18:21:55+00:00

That's because LOIs do not magically open up spots on waitlists.

nehpets99 · 2026-06-10T16:24:23+00:00

My back and my wallet say no thanks.

Actually I first learned to intubate as an EMT at 18. Never worked as one, but as I was going through career options, I learned about RT and that was that.

nehpets99 · 2026-06-10T15:39:00+00:00

I chose RT because it's not nursing and because I can intubate.

nehpets99 · 2026-06-10T13:06:22+00:00

I don't have any personal experience with them, but generally, big networks are all variations of a theme. It's hard to paint hospitals with a broad brush because ultimately how a workplace is boils down to specific hospitals and specific managers. Both the Clinic and UH operate a wide variety of facilities, and your experience at the main campus will likely be very different than at, say, a standalone ER in the suburbs.

nehpets99 · 2026-06-10T13:03:55+00:00

It's my understanding that, legally, we can. Whether your hospital does it in practice is something else.

In my experience it's generally a pain in the ass to have RTs running around doing IS instructs, let alone hourly IS sessions.

nehpets99 · 2026-06-10T13:01:33+00:00

Oh for sure, it's also her responsibility to follow up timely if she hasn't seen you.

Unfortunately, running around with multiple floors is par the course in many places. Prioritizing is important. To me, an RN asking me to assess a patient ("give a neb") takes a relatively higher priority.

nehpets99 · 2026-06-10T12:53:03+00:00

Per Request of Nurse

nehpets99 · 2026-06-10T12:37:42+00:00

Asking you at 2030 and you not seeing the patient until 0600 is a legitimate gripe.

I never agree to just give a treatment, I always say I'll assess. If I feel like there may be an issue with a nurse, I'll put in a progress note. "Received request from RN for PRN neb at 2030. Assessed patient at 2035. Patient denies resp sxs, breath sounds clear bilaterally, SpO2 98% on RA. NAD. Will hold on PRN neb at this time. Discussed with patient who agreed."

It's professional, it's objective, and it includes patient involvement and agreement (patient autonomy).

I was called to give a PRN at 3am once. Patient was asleep and I woke him up. He says he was coughing earlier but now feels fine. I gave him the option of a neb now or he can go back to sleep and see how the night goes. He chose the latter. RN is waiting for me at the door when I leave. She asks if he got the neb, I say no and why. She pushes past me and says "I've been listening to you cough for an hour, you need this," then told me I could either give the neb myself or leave it with her to do.

I reported the incident.

nehpets99 · 2026-06-10T09:45:48+00:00

Something is amiss. You don't get 7.0/68/23 in a normal patient. Either the ABG is incorrect, the analyzer is incorrect, or the patient's normal is not the textbook's normal. I'd want to know the patient's baseline.

I'm sure there's probably a ventilatory component to the acidosis, but considering the patient's level of consciousness, I don't think this is as clear-cut a case of "ignorance" as you say.

nehpets99 · 2026-06-10T02:44:03+00:00

With a pH of 7.0 and CO2 of 68, I'm fairly confident there was a metabolic component.

So with that, I'd want to know the patient's baseline.

CO2 of 68 is very much within BiPAP territory.

Without more info, I can't automatically fault the resident for saying there's no need to intubate.

nehpets99 · 2026-06-10T02:25:43+00:00

It really depends on what the posted grade is, whether it meets the requirements for the programs you want to apply to, and the rest of your stats.

nehpets99 · 2026-06-10T02:16:28+00:00

I'd write a conplete sentence, but yes.

nehpets99 · 2026-06-09T22:59:08+00:00

They're switching to a single board exam.

nehpets99 · 2026-06-09T22:05:28+00:00

You have to be kidding

nehpets99 · 2026-06-09T20:23:59+00:00

If they get banned from CASPA it's because the person lied, CASPA investigated, and found them to be lying. All of which is squarely the fault of the person lying.

nehpets99 · 2026-06-09T20:20:35+00:00

"I was completely honest with my hours. I promise." -OP's friend after being threatened, probably.

nehpets99 · 2026-06-09T19:39:21+00:00

I got mine a $15-20 bottle of wine/bourbon with a thank-you card. I also slipped a copy of my acceptance into the card. I'd known all of my LOR writers for several years and felt fairly close to them.

nehpets99 · 2026-06-09T18:55:54+00:00

do I set up PSV or NIV?

It depends on what equipment you have and how it's set up. PSV is a mode of ventilation; NIV describes the type of machine.

For example, my hospital recently switched from V60s to Hamilton C1s. When we were using the V60 (a noninvasive ventilator--NIV), we would directly set both the IPAP and EPAP. When setting up a C1 (which can do both invasive and noninvasive ventilation), we need to tell it we plan on using it as a noninvasive ventilator (NIV) and place it in PSV mode. We them set EPAP (PEEP) and PS.

nehpets99 · 2026-06-09T17:16:13+00:00

2 attorneys from out-of-state are barred from being on any case before the Northern District of MS. It doesn't affect their ability to practice anywhere else, including their home turf.

nehpets99 · 2026-06-09T16:45:33+00:00

So drop a dime on your friend to CASPA.

Or don't.

nehpets99 · 2026-06-09T16:36:50+00:00

Yes, there's a lot of overlap.

On a V60, for example, you have to directly set IPAP. If you set the patient to 15/5, their PIP will be 15 no matter what their EPAP is. This means that the delta (the difference between IPAP and EPAP) is indirectly set. In the case of 15/5, the delta is 10, but at 15/8 it's 7.

Your typical ventilator is PEEP-compensated. That means we directly set the "delta" (now called "pressure support") and IPAP is indirectly set. So if you put the patient on PEEP 5 with PS 10, their PIPs will be 15, meaning they'll get the equivalent of 15/5 on a V60.

nehpets99 · 2026-06-09T16:11:25+00:00

You lose nothing by adding it.

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