mharrah 3,325 Views
Joined Nov 2, '05.
Posts: 63 (8% Liked)
Hello. I'm trying to get paperwork together for transitioning from working independently to now having a medical director. I do chemical peels, facials, and microdermabrasion. I need to come up with protocol orders and a medical director contract.
My first question regards protocol orders. Should I just take my current treatment protocols (indications for each treatment with step by step instructions of how to do each treatment) and turn those, word for word, into the treatment protocol orders that the physician will sign? Also does anyone have any examples of skin treatment protocol orders they could share, or give an example.
The next involves the medical director contract. I know I'm going to have to come up with this on my own, but if you have any samples, that would be great!
Thanks so much! and please don't think that I don't know what I'm doing :-)
I've been in this business for 7 years but did not need physician collaboration until now.
I would be happy to answer to participate in the interview. You can pm the questions if you would like.
I have a side job running my own small business doing chemical peels, microdermabrasion, and facials. I am hoping to be able to quit my other job some day and be able to run my own business full time, but that means I would need a big increase in clientele. If anyone is in the same line of business and wants to exchange ideas about marketing, let's talk!
Do any of you aesthetic nurses do sclerotherapy? Do you do it under a physician's supervision? Are RN's able to order hypertonic saline solution for sclerotherapy, or does it require a physician to order it? I do chemical peels and microdermabrasion, but I need to add other services. I was thinking I could do sclerotherapy since I'm already familiar with it. Does anyone have any other ideas for services I would learn/add to my menu?
There are a few part-time medical assistant instructor positions open in my area. I have no clue how much a position like this would pay. I would appreciate if anyone could give me any information. I believe salarywizard.com only provides full time salary info. Does this kind of job pay by the hour?
I'm curious about this as well. Around here, it's all doctors that run the med spas.
I hate my job in LTC. I have an anxiety problem, and it gets worse each day with my job. I want to go back to ambulatory care. I managed my anxiety much better with that kind fo work. I worked for a dermatologist and loved it, but I had to quit, because I couldn't survive on just the $13/hr she was paying me. The problem is, I've been looking through the ads for weeks and don't see any openings for ambulatory care. I originally got my foot in the door at the derm office by making cold calls. Wondering if I should try that again? Just call up different offices and see if they need an RN? Or should I go out and deliver resumes in person? I'm feeling down and depressed that there is nothing out there for me.
Bottom line...is it rude to do cold calls or show up in person?
I saw a job opening for an RN for the surgery dept at Charleston Surgical Hospital. Anyone familiar with this place and what types of surgeries they do? What would the responsibilities be? Is that formerly the Eye and Ear clinic?
I've been an RN for 5 years but only worked in LTC for two months. I really like this new place, and I can see there are many opportunities for advancement. Currently I know of openings for unit manager and nurse practice educator. How soon is too soon to apply or express interest in advancing? I don't want to be laughed at for applying too soon or not taken seriously. But my mom is DON at a different facility, and she recently told me she had worked her way up to ADON within two years of becoming an RN.
So I've been off orientation for about a week. The other night, I experienced seeing someone dead for the first time. She wasn't my resident, but I wanted to go in and look just so I could get use to this kind of thing. She was a DNR. For about a day after that, I thought maybe LTC wasn't for me. I couldn't get her face out of my head. But I'm feeling better about it now. I don't really have any questions about this experience...I just kind of wanted to talk about it/get support.
Even though I just got off orientation, sometimes I'm technically the nightshift supervisor since I'm the only RN in the building. I have to run the midnight census, start an antibiotic for a resident on the other unit that has a port, and some other little stuff. And then I'm assigned about 20 residents of my own. My question is, what is the normal case load for the nightshift supervisor. If something comes up, it would be hard to do this and care for 20 residents too.
The thing I like about LTC is that it seems there are a lot of opportunities for promotion-unit manager, restorative, clinical reimbursement coordinator, etc. How soon is too soon to apply for these positions?
Are you suppose to check for residual prior to administering tube feedings or giving meds through the tube? I'm new to LTC, and I'm not seeing my mentors check for residual. I'm trying to get my hands on the facility's protocol. But until then, can someone give me some direction or a sample protocol?
I just started a new nursing job at a LTC facility. I'm on the transitional care unit. I have 21-25 patients with three trachs and two enteral tubes. I work three 12 hours shifts per week. Last night was my 2nd night on the TCU. Was supposed to be with a mentor, but she was pulled away to help with other things, so I did the 9pm med pass alone. I started at 8pm and ended at nearly midnight. I really need to speed things up. Any suggestions?
I was offered the position today for 7pm to 7am at the LTC facility I interviewed at. I guess they liked my response about Mr. Smith. Wish me luck. I'm nervous, and I hope I can handle it. I remember dealing with all kinds of chaos when I worked dayshift at the hospital. It was rough.
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