2) Male sterilization reversal (vasectomy reversal)
3) Minimally invasive vasectomy (No scalpel vasectomy)
A Personal Choice is located near North Hills Mall Midtown, Raleigh just inside the I-440 belt line.
We have been in this location since 2014.
A Personal Choice exclusively provides sterilization reversal surgery. Sterilization reversal is the main alternative treatment to in-vitro fertilization (IVF). Sterilization reversal can be more affordable and more successful than IVF.
Most states do not have doctors skilled enough to provide sterilization reversal. As a result, A Personal Choice is a very unique practice offering patients an affordable alternative to more expensive IVF infertility treatments. As a result, patients travel from across the United States to have sterilization reversal surgery at the center.
The information below provides more information about our practice, the services we offer, and our full time nursing jobs. You will also find an on-line Employment Application if you are interested in applying for a position.
For more information about our Full Time and Part Time Nursing positions please visit the following links:
Patients schedule surgery over the phone, travel to A Personal Choice, stay in a local hotel, and spend three (3) days in Raleigh during their treatment.
Patients have pre-operative consultations on the first day, surgeries on the second day, and post-operative evaluations on the third day. Reversal surgery is outpatient and performed in an accredited office operating room.
A Personal Choice offers full time office nursing positions, part time surgical nursing positions, and several PRN nursing jobs.
Surgeries are performed in an accredited office operating room under general anesthesia provided by skilled anesthesia staff.
Reversal surgeries are offered Monday through Thursday.
Fridays are dedicated to providing No scalpel, minimally invasive vasectomy and these procedures are performed under local anesthesia.
A Personal Choice is open from 8am to 5pm Monday through Friday. The office is never open on weekends or at nights.
There are no on call responsibilitiesfor staff.
The office is closed for the full week of the July 4th holiday and the full week of the Christmas holiday.
Other major holidays the office observes are New Years Day, Memorial Day, Labor Day, and Thanksgiving (two days Thanksgiving and the day after).
PRN Nursing Jobs: Understanding Our Practice
The following is a short video that will provide you with a better understanding of what we offer patients and what some of our nursing jobs entail.
More information about PRN nursing job positions is provided below.
PRN Nursing Job At A Personal Choice
Work Days: Monday through Thursday. No weekends. No nights
Work Hours: 7:45 am until surgeries are completed (12 noon to 3pm). No after hours work expected.
Pay range: Depending on experience
Degree requirements BSN or RN
PRN nurses are typically nurses who have limited hours elsewhere or who work weekends at local hospitals and want additional work hours during the week. They typically will work 1 to 3 days in our office every two weeks but this depends on their availability and our staffing needs.
PRN Nursing Jobs: Primary responsibilities are to facilitate surgery
PRN Nursing staff primarily assist with care of surgical patients. PRN Nursing positions are offered Monday through Thursday. These position are surgical nurse positions but prior surgical experience is not required.
PRN Nursing staff get patients ready for surgery in the pre-operative area, work as surgical circulating nurses during surgery, and provide immediate postoperative care in the recovery room.
Prior surgical experience is not required and on the job training can be provided. When a nurse begins working they gradually learn each job position with a one-on-one mentor. Typically, they will start out in either the 1) preoperative/postoperative area or 2) as a surgical circulating nurse.
After several months they will become crossed trained with a one-on-one mentor in the second area of training (for example if a nurse starts with the preoperative/postoperative training…after several months and mastery of the preoperative/postoperative area, they will then cross train as a surgical circulating nurse).
Preoperative patient intake. This involves getting patients ready for surgery and providing patient education about what to expect during and immediately after surgery. Nurses working in the preoperative area must be able to start an intravenous catheter (IV). If required, training in IV insertion can be provided. Nurses must be able to gain proficiency in starting IV catheters. Anesthesia staff can provide back up for difficult to insert IV catheters.
Surgical circulating nurse. The surgical circulating nurse is part of a five (5) person operating room team composed of the surgeon, a CRNA, and two surgical technicians (an instrument technician and a first assistant).
The circulating nurse is responsible for nursing paper chart documentation during the surgery procedure, completing the operating procedure note (simple, Microsoft Word computer based template), and providing any additional items required during surgery (ie instruments, medications, intravenous fluids, etc). The circulating nurse assists with patient transfer to the recovery room and assists with cleanup and operating room turnover for the next surgery patient.
Post-operative recovery. This involves recovering the patient immediate after awakening from general anesthesia, providing post-operative pain medication, providing postoperative education to the patient and responsible adult.
On surgery days there are always a dedicated circulating nurse and a dedicated recovery room nurse.
Surgical experience not required for PRN Nurse position
Prior surgical experience is not required for our PRN Nursing positions and on the job training can be provided.
Although surgical nursing may seem intimidating to many potential applicants, surgery at A Personal Choice is not as stressful as hospital provided surgery because:
1) we perform a very narrow set of surgical procedures (very easy to learn),
2) patients are carefully screened during scheduling and are low risk surgical candidates (very rare to have complicated surgery or a surgical emergency)
3) surgeries typically last less than 90 minutes.
4) there is low nursing staff turn over, nursing staff is very well trained and eager to provide assistance if required
5) competent and stable anesthesia staffing is always available for consultation and/or assistance.
PRN Nursing Jobs: Additional clarification
On surgery days there is always a dedicated circulating nurse and a dedicated recovery room nurse. PRN nursing staff will work in either of these two roles. Usually in conjunction with a part-time nurse or one of the full time office nurses depending on staffing.
PRN nursing staff positions require flexibility but positions are available Monday through Thursday to assist with reversal surgeries. PRN nursing staff generally arrive at 730am and stay until surgeries are completed. Surgeries are generally completed between 12noon to 3pm and depends on the number of surgeries scheduled that day.
Surgeries are offered Monday through Thursday. Up to a maximum of four (4) surgeries can be scheduled but most days will have three (3) surgeries. Surgeries are scheduled three (3) to six (6) weeks in advance. This means the number of surgery cases on each day is known with a high degree of certainty at least three (3) weeks in advance.
Prior surgical experience is not required and on the job training can be provided. Although surgery is performed under general anesthesia, surgical patients are carefully selected. High risk surgical candidates are not accepted for surgery. The vast majority of patients do well and are extremely happy with their care.
Although surgical nursing may seem intimidating to many potential nursing applicants, surgery at A Personal Choice is not as stressful as hospital provided surgery because of a stable surgical staff, a single (easy to get along with) surgeon, a stable and capable anesthesia staff, and a limited number of surgical procedures that limit the stress of having to learn different skill sets.
Medical Director: Dr Charles W Monteith
Dr. Charles Monteith is the Medical Director and only surgeon working and performing surgery at A Personal Choice. Dr. Monteith is easy going, a good teacher, and he is very approachable.
Dr. Monteith is board certified in Obstetrics and Gynecology. He attended medical school at the University of California at San Francisco and residence at University of North Carolina at Chapel Hill. Dr. Monteith worked on the AHEC Ob/Gyn faculty at WakeMed New Bern for eight years and has extensive surgical experience.
As the owner of the facility, Dr. Monteith understands it is in everyone’s best interest to have a well trained staff that can provide great patient care and to have a stable physician presence who is supportive of his staff and their efforts. In short, he is personally motivated to foster a supportive working environment dedicated to providing superior patient care.
Advantages of A Nursing Job At A Personal Choice
The following are the major advantages to working at A Personal Choice:
Less stressful than a hospital setting
Stable work hours 8am to 5pm. Some days 730am arrival.
No nights. No weekends.
No on call responsibilities
On site parking
Protected lunch hour
Patients extremely happy with quality of care provided
Patients are hopeful and supportive of your efforts as a health care provider
Major holidays are honored: New Years Day, Memorial Day, July 4th, Labor Day, Thanksgiving (two days) and Christmas
Office closed the week of July 4th and the week of Christmas.
Small office environment, staff are easy to get a long with and use a team approach
Who should not apply…
The following are attributes we have found to be ‘deal breakers’ in people who should not apply or who are likely not to last in our environment.
Those looking for excitement and drama. If you want to run codes, transfuse blood, and save lives on the brink of death, then we are not for you.
Those with a history of substance abuse or multiple disciplinary actions
Those with a history of felony or criminal convictions
Those who anticipate getting paid as much, if not more, than they are paid in a hospital setting
Those who anticipate multiple, unplanned absences
In general, the biggest employment issues have been with 1) those who have unrealistic pay expectations and 2) newly employed staff who have multiple absences.
Unrealistic pay expectations. Many potential employees expect the same level of hourly pay that a hospital provides. This is not realistic for a new hire. There is a reason hospital pay is higher and that is because they expect you to deal with more stress, longer shifts, night/weekend hours, holiday work, and being on call. Office based work is less stressful.
We realize the need to retain good staff. The nurses who have been with us the longest and are team players have hourly reimbursement comparable to hospital nurses; however, it is not realistic to expect this level of treatment when you are a new hire and an unknown.
Multiple, unplanned absences. Many nurses will leave a hospital to work in an office setting because they have other ‘issues’ in life and they think an office environment will allow more flexibility to deal with these ‘issues’. Although we do offer staff more flexibility than the average hospital setting, flexibility must be earned over time by being a team player rather than automatically assumed because you are in a less stressful work setting.
Please keep in mind we are a smaller office practice. We have 8 to 10 full time staff. When 1 person out of 10 is absent multiple times this causes more of an immediate issue for patient care when compared to 10 people being absent in a hospital staffing pool of over 100 nurses.
Our office is like a small family and is an ideal setting for the appropriate person. We can provide a very comfortable environment to the person with a true team player attitude.
Interested in applying for one of our PRN Nursing Jobs?
If you are interested in applying for one of our PRN Nursing jobs, we encourage you to complete the on-line application below.
You should be prepared to attach a resume to the on-line application. You can also email or fax a copy of your resume if necessary.
For more information contact: Mary Heramia Practice Administrator Telephone (919) 977-5050 Email: MaryH@tubal-reversal.net
All on-line applications will be emailed directly to Ms. Heramia after submission.
Nurse Employment Application
Have Questions? We’re Happy To Help!
We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.
Warm and inviting our state of the art surgical facility offers safe, affordable & personalized tubal reversal surgery. Dreams of starting a family become a reality here.
“Thank you so much for making it possible to bring these two amazing people into our lives.”
– Saratoga Springs, New York
Birth Announcements
“You are my heroes. We can never thank you enough.”
– Ontario, Canada
Birth Announcements
“We have been so blessed to bring another tubal reversal baby into our family.”
– Buckatunna, Mississippi
Birth Announcements
“Ivy is our second Monteith Miracle!”
– APO, Armed Forces Europe
Birth Announcements
“It was a leap of faith and we have had a blessed journey.”
– Colorado Springs, Colorado
Birth Announcements
“Thank you for making our dreams come true!”
– Nebo, North Carolina
GET IN TOUCH WITH US
Ask The Doctor
Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.
If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.