 All right so I had a question asked specifically about like kind of what I did as a trauma PA and then also talking about my patient's census because I mentioned that I had a census or we as the trauma team had a census of over 60 patients and the person that commented said you know that's a lot. I thought 20 patients was a lot which 20 patients is a lot but 60 is a lot as well and so I just wanted to clarify for you guys like exactly like what that looks like what does the 60 patient census look like who and how much I'm really responsible for and what I do on a consistent basis as a trauma PA. So let's get into the video right now. All right what's up you guys to Donna welcome back to my channel. Okay so 60 patient census yes that is in totality so obviously I've mentioned before that as the trauma team like there's throughput in terms of like what how a patient is like comes into the hospital how they're seen and then like how they kind of maneuver throughout the hospital and then essentially go home and so for the trauma team like we are we are in the emergency department but we are not part of the emergency department at least on our trauma side. We are separate although we are adjacent to so adjuncts I guess you can say so a person can come into emergency department and then be upgraded to become a trauma or they can come into the hospital and be just go straight to trauma or they can just come directly to trauma after being called on the box from the EMS saying like hey you know like no I don't need a console this is literally just information I'm coming in with a 55 year old male that was in a car accident had a long extrication they're splintering on the windshield loss of consciousness diminished GCS right and so immediately this person is coming directly to trauma this is not something that the emergency department is going to handle so that is like we are like the first line of defense I guess you could say in terms of the trauma PAs like we will be the ones that are seeing the patient and we are very much like super super involved like it is our patient yes we have our attendings that are like their names are like the ones that are on the patient but there are certain cases and certain patients that we will see on our own and then we will talk to our attendings about it you know when they come out of the OR or whatever the case may be we'll let them know what our plan of action has been thus far and if there is anything that they want us to do in addition they'll let us know but we are the first line so if a patient comes in I'm going to be doing like the assessment I'm going to be prescribing the medication I'm going to be doing all of that getting all the various different you know imaging that is essentially what happens and so those patients that come in will be seen on the next shift if they are here overnight and so that adds to our census so if we have like 10 patients or 15 patients in total in the ICU and then we had five patients in the IMC but then we have 30 patients on the floor that's 50 patients already and that's kind of how it goes so in trauma our patients are spread out everywhere there's going to be patients in the emergency department there are going to be patients in the trauma they're going to be patients in the OR in the PACU they're going to be patients on the floor in the ICU and in our step down unit now we are responsible for seeing all of those patients because we have to know what's going on with each of those patients and although I am not like directly kind of taking care of the patients in the ICU because there are ICU PAs for that any patient anywhere else I will be taking care of them now because we are a trauma and acute care service we see all of the general surgery patients as well so your small bowel obstructions your appendicitis and your colostitis like all of those like that's our bread and butter as well so we will have patients that are primarily medicine in nature however we as a consulting service for general surgery will also be managing those patients so when I say I have a 60 patient census that is overall so the trauma PA team has two attendings like for the an A we have the list kind of split up into A and B so the A team and the B team will have each an attending they will also have each a PA and then the ICU like attending that's taking care of all the trauma and critical care patients that came in will also be a part of the team but they're generally like we're still primary as the trauma team so it's it's kind of weird like they're primary but also kind of consulting in the ICU because they're boarding there and then they will have their own PA so I will be seeing let's say all of the patients on the B team but also some of those patients might be in the ICU so I'll have to go and see them although the majority of the care will be done by the ICU PA I still have to know what's going on with that patient because if there is something emergently that's wrong like from a traumatic standpoint or like you know a wound back is working or something along those lines or the patient is bleeding and I need to now come and throw a couple sutures into something they call me you know like the ICU PA will call me and be like hey this is what's going on so yes it is a lot of patients I think on each list we would have like maybe like 30 or so patients sometimes 20 and the majority of them will be floor status so 20 will still have like about 20 patients that we are responsible for so it is still a lot of patients a lot of notes to write a lot of people to like kind of be up on and that is why like I always have my trusty handy list and I have my little notes on my list a little like highlighted in different colors so I know like what's going on with each patient I'll have check marks for things that I've done things that still need to be done will be in a different color you have to be very systematic when you're dealing with lots of people and they all need something and so from a trauma PA standpoint like we do a lot you know we're gonna still see traumas that come in actively you know if you come in from a bicycle accident like I still will have to run downstairs and see you if my trauma EDPA colleague is busy with another trauma we will have to pick up that kind of you know like slack I guess you could say which is not really a good word but we'll just have to help out help and you know like triage that patient as well because they need to be seen but at the same time I still will have floor patients that need to be managed and so it's really important for us to be a team be team players but ultimately I'm not only just seeing patients in the emergency department and and in the trauma bay I'm managing floor patients as well and so that's where our synthesis can balloon like out of control and that's where we can get inundated with the various different tasks like pulling out chest tubes or inserting ng tubes or you know we get a consult for you know some of the sub specialties and we have to run and do like a fully a placement or we have to go do a line placement or put a chest tube in or there's a fistula that's bleeding there are all these aspects of things that we have to kind of triage as well as taking care of our patients and so if that's not something that you want to do if that's not something that you want to like be a part of if you solely want to just see patients and then send them out you know like then emergency medicine and urgent care is for you but from the trauma in the trauma service we see patients and they stay with us for a little bit longer okay it's not just like a one and done like I'm seeing you for 24 hours and that's it although we do have those aspects of patients as well but that is what I do as a trauma PA if you want a more in-depth detailed look maybe I might try to like do some videos or something I don't know we'll see how that can go but I can try to like just be a little bit more detailed about like the day to day but ultimately like that is essentially it and when it comes down to our senses our senses can balloon out of control especially in the summer times when trauma is extremely high because people are out having fun and being stupid so we can have a really high senses but ultimately because we have a team and we are team players you know it makes the workload like all right so I hope I answered you guys question if you have any other questions for me leave them in the comment section below thank you guys so much for watching be sure to stay tuned for the new series called who wants to be and if you haven't already also like this video follow me on instagram and down the pa and on instagram I get that see university and don't forget to subscribe thank you guys I will talk to you guys next time