Impactite back pocket pain in the butt.
Today, in serendipitious series of events (intriguing unfolding) a potential job opportunity cropped up down in the ER. I have a rapport with those peeps because I do a bunch of consult work down there with patients who have acute airway obstruction, tonsillar abscesses, head and neck cancer with acute associated issues, nose bleeds..that kind of thing. Since I"m the consult PA, I have more time to devote to these various issues than the residents on our service, who are focusing their education on surgery so they can get out there and do their thing with their academic or private practices when they graduate. Nobody wants to do consults (especially ER consults)..which is why they hired me...to do the grunt work, so to speak.
Now, some openings have come up in the ER for "mid-level practitioners"....which are nurse practitioners (NP's) and physician assistants (PA's). I'm considering. Question is...which is best for Further? Does it even matter? Not ultimately...but in the interim? I don't know! Down there would be more variety/intensity...more
****, blood, vomit, spit...and more highly focused management over broad range of issues. Also...better circumstances within which to acutely manage whatever crops up and then "drop it" when that patient gets admitted to whatever specialty needs to deal with it...or goes home after acute care has been given. i.e. you just deal with whatever's in your face, down there...and then drop it to move on to the next thing when that issue has been dealt with. Bam, bam, bam, bam...one right after another until shift is over....then go home without another thought about whoever/whatever you saw apart from inner debriefing to perhaps improve ability to handle similar situations later when they crop up.
My current job has perks, too...with respect to Further. As consult PA, I'm pretty much on my own....seeing patients wherever throughout hospital and then reporting to supervising physician when their advanced expertise is needed. There's the "known" element....in that I know ENT and typically see familiar scenarios over and over again...so don't get blind-sided too often. But maybe getting blind-sided is a good thing? When learning detachment and flow? I don't know!
Interesting options. And, can't deny how things cropped up in terms of the job offer itself today. I won't go into details (jabbered on long enough) but timing and alignment played a part. Bottom line is, I'm going to interview, methinks....see what emerges. I confess I don't have impeccable feel for "what's indicated" just yet...though I think that aspect is getting better.....even since I've been here.
Home
Login
Register