Hey all, anyone know anything about working for Sound Critical Care? I’m considering a position at one of their locations. Feel free to PM if not comfortable using the public forum.
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Top of the license means top of (i.e. maximum) incompetence.Anytime you see the words ‘top of their license’ you know to take a direct 180 and walk away. Sad to see physicians pulling this bull****.
Only where human lives don't count.Another pointer to the huge potential for mid-level incursion in critical care
Only where human lives don't count.
A good intensivist will run circles around a good midlevel for anything that gets to the level of intubation or shock (and many others). Critical care is one the specialties where basic science knowledge is a fundamental requirement for good care. Exactly that basic science knowledge that's so minimized in nursing education of all levels. I am not buying and reading books about patho(physio)logy for nothing.
Half of what I do that's game-changing for the patients is usually counter-intuitive, even to some physicians. If one practices critical care by a book, any one book or source, even UpToDate, one will kill some patients, period. Every patient in the ICU is different.
Now I can see why hospitals love bad intensivists, regardless of their education level. A bad intensivist will order a ton of unneeded tests, and that's how the hospitals make their money, a lot of it. Somebody like me who thinks twice about that, who uses free bedside ultrasound before/instead of the CT scan, will not be highly popular, regardless of lives saved. That's the sad state of American medicine: what's right for the patient is quite the opposite of what's right for the hospital systems.
If only the DRG counted, hospitals would encourage everybody to cut down on useless labs and non-invasive diagnostic procedures, and would not hire midlevels left and right. Midlevels order useless studies all the time.I had assumed hospitals like less testing given the change to payment via DRG. More palliative care, early discharge etc.
If only the DRG counted, hospitals would encourage everybody to cut down on useless labs and non-invasive diagnostic procedures, and would not hire midlevels left and right. Midlevels order useless studies all the time.
I am 100% sure that hospitals are strongly incentivized to do diagnostic studies on at least certain patients.
glad this is brought up. Im looking at a sound ccm job in the south. 15shifts, 215$ an hr and 225$ for nights. They have bad reviews online.
The problem is the job thats the best fit for me personally is in a part of the country I dont want to live in nor think I can (including significant other stating she won't come).
Current situation ticking time bomb.
I've heard the census is capped at 16 since there are only 16 beds in your unit ha!
Do you work for a hospital or an independent group?16 bed ICU can easily be 20+ encounters in a day depending on the turnover. Census matters less than the number of encounters. I wouldn’t be too excited about that. Especially if you are going to be primary on all of them and covering patients waiting in the ER for unit beds. The set up is everything. Don’t make the mistake of being too easily pleased, as most fellows are when looking for their first job. Companies like Sound exists for one reason only = to make money off your work.
Do you work for a hospital or an independent group?
What’s a good hourly rate for CCM full time?
From what I've heard is 2 physicians on a day then one on at night with APP. (32 beds)
Avg encounters are 7-12 per night shift which includes responding to codes (they count codes and lines are encounters also).
7on and 7 off. To me this much better than my current gig which pulls me 3 different directions including kids thrown at you.
I'm EM, not CCM so my experience may or may not be relevant. I've been doing some per-diem work for Sound for almost a year, and I would say its dismal reputation is well deserved. Poorly organized, dishonest, incessant gaslighting, overuse of midlevels (and encouraging them to practice far outside their scope). The hospitalists don't seem to mind them though. The EM docs who've been there seem like the most beat-down, burnt group I've ever seen.
So is it normal to be paid an hourly rate for ICU in the US? In Canada it's mostly fee-for-service, and ICUs generally have a comprehensive billing code for each patient that covers all of their care/procedures etc per day, with the highest reimbursement on the first few days.