Physician Assistant Studies Alumni Snapchat Takeover

Good morning everyone! My name is Elise, I’m a Physician Assistant and I graduated from Pitt’s PA program in 2016.
So today I’m taking over the SHRS Snapchat page and you’re gonna get to
see what a day in the life is like for me. I work in Critical Care Medicine at
Excela Health in Greensburg at Westmoreland Hospital. So I work in the ICU there and
you guys are gonna get to see what my day is like and if you have any
questions at all feel free to ask. So I’m standing here waiting for my coffee to
finish up and I’m gonna be leaving for work in a few minutes so as I’m waiting
I’m just gonna answer a quick question: “Why did I want to be a PA?” So for me that
story is kind of long but the short version is I saw too many people being
treated as just a chart or just a number, they have this many comorbidities, they have these labs, and a lot of times the patient or their family, neither one of them, are being included in any of the decision-making and I really didn’t like that, that’s not fair that a person may have thoughts, feelings, goals, everything, so I really just
wanted to treat the person in the short term and the long term and keep them
included, family too, so that along with the fact that I really liked medicine
that it’s really like a puzzle and usually all the puzzle pieces aren’t
there and you have to figure all of that out to find your diagnosis and find your
best treatment so that’s really why I chose to be a PA. Okay guys so we’re just about to start
rounds and we do collaborative care rounding so there’s a whole team of us
that look at everybody’s medications and everything for the whole day and we
decide the plan. So let me just introduce you, this is Dr. Hader he’s the
Intensivist today. This is Kristi, she’s another PA that’s with us. Rachel, who’s
our nurse today for this room, Michelle from pharmacy, Erik the charge nurse, and
Jaya from dietary. So we all work together and we come up with a team throughout the day and we’ll talk to you a little bit. Okay guys so now that rounding is done we have some stuff to follow up on throughout the day so I have some family discussions to have, we’re going to be doing a procedure later this afternoon, we’re going to be doing a bronchoscopy which is a flexible
camera that goes through the endotracheal tube so that we can look
into somebody’s lungs to see if there’s any masses, any secretions or
anything like that that’s inhibiting them from coming off the ventilator. So
I’ll check back in in a little while. So I’m gonna grab my food real quick and
by the time I get back upstairs our new admission will be there and so what I
will do is I will look them over, do their total physical exam, I’ll add any
medications they might need, we’ll do procedures if they need them, that means
intubation, that’s a tube in the throat placed on a ventilator to help them
breathe. Some patients need a central line which is a line that goes into the
internal jugular vein that gives them central access with lots of ports so
it’s like a big IV that has a lot of access. If they need an arterial line for
invasive blood pressure monitoring, chest tubes, things like that, those will all be
done right after they get here if they need it and I’ll update you guys in a
little while, okay. So today’s been a pretty busy day we just got another admission that’s pretty sick and a lot of these patients need a central line
which is essentially a big IV that goes into their internal jugular vein or into
their femoral vein. It allows us to give a lot of
different medications and to do some monitoring so I’m gonna go ahead and get sterile and I’ll see you guys afterwards. So this afternoon was pretty busy we had
a couple of admissions, I got to do some procedures, and I’m just now getting home, so if anybody has any more questions feel free to send me some more messages, I’ll be answering for a little bit longer. I hope you all enjoyed seeing a
day in the life of Elise as a Critical-Care PA. I hope it also helped
give you guys some insight about what PA’s do and how we function. I
function pretty independently, I get to make all my own decisions and if I ever
need help doctors are always there and that’s part of the beauty of being a PA.
You have that support always and you have that as a doctor
too but it’s a little bit different when you’re a PA. So it’s a great profession and
if anybody has any questions you can always email admissions or email the PA program or send me some more messages tonight. So hope you all enjoyed, thanks.

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