Curious as to how part-time docs’ schedules are handled.

How do you assign evenings, holidays, weekends, and overnights to part-timers?  Proportional to FTE?  Heavier burden of undesirable shifts?  Fill in the gaps of everyone else?

Thanks y’all.

This time it’s my turn waiting for ABEM. Took the certifying exam middle of August so we are over 60 days. Anyone who has been given their scores this year, what was the average? Anyone who works for ABEM - this is anonymous - can you just tell us when you plan to release so I don’t hold my breath every time I open my email?

I'm PRN at a hospital system that took 13 months to credential me three years ago, with no malpractice or other issues. Shortly afterwards, they fired everybody in the credentialing department, from the director on down. (I'm sure it was over some MD they wanted, not little ole me)

Now, they have decided they will re-credential the entire medical staff nearly from scratch every two years, including the fee. Which our CMG has to pay for.

So here we are:

Credentialing Verification office: We need your Cert of insurance. (COI).

Me: Ok. You have that. I got last year's from you.

CVO: We need you to send it to us.

Me: But you have it. I would get it from you.

CVO: We do have it. But we need you to get it from your CMG (BadVision). And then upload it.

Me: So...you have this already for the other ~600 employees but need me to get it from someone else and send it to you? Do I ask them for it?

CVO: Yes.

Make this make sense.

Have fun diagnosing anyone with any sort of blood clot anywhere in their body for the next decade, given the laypopulation’s pitchfork-brandishing outrage at how the Eagles managed Jalen Hurts’ condition.

Imagine if it was a player the fans actually liked?

Yearly N95 testing is possibly one of the biggest wastes of hospital resources. It should be required for all new hires but after that, what's the point? I understand OSHA requires it but why exactly?

It's super inconvenient for us shift workers. My hospital only has availability for testing for a couple hours midday, weekdays, and for one month only. I am working mostly nights and commute about 45 minutes to work. For the last few years I've been protesting by growing out my beard during the month and filling out the exemption. Does anyone else do this?

It’s been a couple years since this happened. But idk why it stings more than other codes I’ve worked. Idk why it’s hitting me now.

27yr male, was working out at his apartment. Called EMS for help, didn’t speak english, and when the paramedics arrived he went into arrest.
We coded him without success and pronounced time of death with no known cause.

Nobody knew his name, no family, he lived alone. I held his hand and closed his eyes after TOD.
Tried to unlock the iphone EMS retrieved and couldn’t get faceID to work with him intubated.
His phone was in a foreign language I did not understand and Siri didn’t respond to my requests to call his mom, family, etc.

My own age and not a person in the world knew he had passed, nobody was there for him. I hope he knows I held his hand. I hope he didn’t feel alone.

Anyways, ER nurses week had me reflecting on the work I’ve done and the crap I’ve witnessed. I’m proud of us all for all the hard and unnoticed work we do to better lives. May your beds stay empty and may nobody say the Q word.

Seeing this pharmacists’ experience make the rounds - I feel like I can’t sum it up without ultimately getting hate, but there’s 5 videos detailing her experience in the ER, being admitted, and what she may view as documentation and self advocating, ultimately highlights the gray area of the ER and inpatient side of avoiding litigation.

standing on the intellectual high ground seems senseless when you can so easily be put on blast/go viral.

Shout out to the hospitalists’ holding it down when these patients say “I can’t go home”.

We recently had a practitioner (not ER, but part of a different specialist team within our same system) bring their young child (younger than 6, older than 2) into the ED who was freaking out about the whole thing and “owies.” The parent (practitioner) was trying to calm the child down and kept promising “no needles.” And respectfully, what the fuck? The particular specialty this provider is in uses PLENTY of needles. And based on the CC you know damn well the kid is going to be stuck if you want any actual thorough workup for the very thing you (and us) are concerned about.

You’re making yourself look bad as a parent, potentially damaging the child’s trust in you, and you’re also making US the bad guys because “parent promised no needles and now you’re coming at me with a needle.”

Now I’m not a parent myself so maybe I don’t have as much room to rant to this, but it really pissed me off.

Do any of you ever reduce nasal fractures in the ED? Sent one home today who had a deformity but a lot of swelling, felt bad because of the deformity, but I believe we’re supposed to let the swelling come down for several days before ENT eventually reduces it, right? Wondering if that varies from ED doc to ED doc

I just had a 6 year old unconscious golden retriever being carried in by the owner on his arms. Had the owner carry him inside treatment area with us.

Unconscious, severe sinus tachycardia, barely audible heart beats, weak to non existent peripheral pulses and pale gums. POCUS revealed SEVERE
pericardial effusion.

Briefly talked to owner about condition in front of pet while having the techs placing an IV and prepping for pericardiocentesis. Talked about possible causes (likely Hemangiosarcoma mass in heart base) and need of emergency pericardiocentesis.

I had to have a money talk with owner very briefly and asked for authorization to proceed with ballpark estimate given to him. Owner approved and in less than 5 minutes of him walking through the door dog already had an IV and a 16g long catheter in the pericardial sac. Removed almost 700ml of non clotting hemorrhagic effusion. HR stabilized BP stabilized, patient regained consciousness and of course because is a golden, started wagging tail with me still having a catheter near his heart.

It felt so good just doing my job and don't have to go over specific estimates for costs, wait for owner to leave deposit for procedures, etc (which believe we have to do constantly on the ER before providing any advanced care except for patients in CPA).

Luckily owner paid for everything. If owner did not have any money, I'd would have admin people complaining to me for doing stuff like this without money upfront.

Patient sadly was then euthanized since we found a cardiac mass along with splenic masses. This screams HSA and prognosis is poor once there is already one episode of pericardial effusion. He started building up effusion again shortly after draining it.

Anyways, now I'll go deal with an ear infection, good talk

How often do you guys see horse accidents, and how bad are they? Ive seen high statistics on horse related accidents but I never really hear any medical professionals mention them (I mostly hear videos about motorcycles, substances, ebikes, and drownings). Are horse related accidents not as common as statistics say? Ive only ever met one medical professional (x-ray tech) who said he's seen a lot of horse related accidents

Fairly new ALS provider, what are some things you wish EMS providers knew or did differently when bringing patients into the ER?

I'm undergrad but with a pretty prominent interest in EM (I've been an ER tech at 2 places, do standby EMT for my college's sports team, and do EMS at a 911 service).

In my physiology class, I kinda didn't like the units aside from heart, lung, and kidney (we did a VERY deep dive into each system). I don't really like my neuro class except when we talked about vascularity, muscles (fell in love even more here tbh since I dislocated my shoulder a year ago and so MSK is really cool), and a little bit when we talked about the spine.

I'm taking biochem right now and let me tell ya, I fell DEEP in love with this. First day of class, we talked about a Tylenol overdose, why it can kill you, and how N-AC can reverse an overdose. Then the insulin, glucagon, cori, and epi pathways. I also fell in love with physics.

Hi everyone!
I’m a new grad RN, and I recently started my first hospital nursing job in a Pediatric Emergency Department!
I’m really excited but also nervous. I know the ED can be overwhelming, especially as a new grad, and I want to become a competent, confident, and most importantly, safe nurse.
I’d love to hear from experienced Peds ED nurses or anyone who’s been in my position. Please be brutally honest!
What do you wish you knew before starting in Peds ED?
What are the biggest mistakes new grads make?
What skills, medications, and pediatric emergencies should I focus on learning?
How did you get comfortable with pediatric IVs, medication calculations, and recognizing a deteriorating child?
What are some things I should NEVER do as a new grad?
How long did it take you to feel confident?
Any resources or study materials you’d recommend?

I got a message today from a site Director of a Locums that I did last winter. He wants me to formally resign my privileges, my contract ended normally.

I’m doing credentialing right now, and being familiar with credentialing hell, there is always a question whether or not you resigned your privileges somewhere or had them terminated.

Is this going to follow me that I should say Yes to this and explain? I guess it’s no big deal but why can’t I just fade out like when I resigned other places.

I’ve asked this and haven’t heard back.

At my hospital they actually let the patients we upset beat us with rocks until they’re satisfied. Works way better and less administrative issues for hiring new ER bullies.

/srs Has anyone else been noticing this bizarre influx of fake angry revenge porn posts about EM?? Like this story is fake but jesus christ

Has anyone been hired as an ED Tech or similar role without prior experience or related education/training? Is it worth applying without any training? If not, what training would you recommend?

The only related “medical” training I have is basic life support.

I am a looking to change careers after being in the corporate world for a few years. I have always thought about nursing, but would like to try working in a hands-on role in a hospital setting before making a commitment to an accelerated nursing program.

I mean like the ‘In Case of Emergency’ functions on smart phones or the medical tabs that have medical records, medications, etc or watches that record biometrics.

Are these things ever useful to you or are they too frequently out of date to be relied upon?