coast2coast, MSN, NP 6,721 Views
Joined Jul 9, '10.
Posts: 404 (42% Liked)
I see this frequently with psych patients - they want you to engage in a power struggle. Drives me nuts, every single time.
There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep looking.
No offense was intended, I was merely trying to counter what I see as a widely-held belief that things like legal status are not a routine part of healthcare delivery.
An acute care example would be someone needing dispo to rehab or skilled nursing. Sure, a patient can come in emergently and by EMTALA be treated, and immigration status I would agree does not impact that emergency treatment, in general. But what do you do with someone who ends up profoundly disabled, but without the income or health insurance to be accepted into some level of rehab? Like any inpatient who overstays their welcome in acute care, the barriers to dispo become a matter of common knowledge and therefore, at times, judgment. It shouldn't impact care but the potential is there.
I apologize if my original comment seemed to negate your personal experiences, on re-reading I can see how it could come off like that. I just want to engage in a discussion on a topic that I am obviously quite passionate about, not looking to cause offense.
I'm not aware of any healthcare facility that makes any sort of determination of the immigration status of individuals presenting for care. Everyone has been treated the same and no one has asked about immigration status, in my experience.
I think there is a lot of misunderstanding between RNs who perhaps are not familiar with the APRN role.
I've been an APRN for 9+ years and I did absolutely love bedside nursing. However, I equally love my roles as provider and prescriber. Like other APRNs have mentioned, I do help pts. My pts are for the most part seriously ill with a much shortened lifespan. I discuss end of life issues almost daily.
I do provide a service but mostly I provide care.
Never. I have also stopped giving out my direct extension at work and am now directing patients to the receptionist or nursing line.
99% of my calls and messages could/should be handled by someone else. I found that by my being involved they generally took much longer to resolve and wasted a great deal of time.
You REALLY, SINCERELY, URGENTLY need to speak to me and only me? You know where I work every day ... If it's not worth making an appointment to you, why on earth should I give you my time off the clock?
Pediatric Emergency Care:
January 2013 - Volume 29 - Issue 1 - p 63â€“66
Comparison of Rectal, Axillary, Tympanic, and Temporal Artery Thermometry in the Pediatric Emergency Room
Batra, Prerna MD; Goyal, Sudhanshu MBBS
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