Graduate nurse: difficulty finding job.. Emergency Medical Scribe Experience - page 3
I've been reading and hearing about many graduate nurses both new and old who face a difficult time finding a job and experience for a while. I'm not sure if this may help or not, but if you feel as if you've applied to the jobs... Read More
- 1Feb 17, '12 by HouTx GuideI tend to agree with Esme12 - this is yet another ploy by physicians to avoid changing their practice despite the very clear evidence that patient safety improves when physicians assume responsibility for their own orders & documentation. Sheesh.
It also adds more expense to the health care process by inserting another job into the mix - I assume these folks want to be paid, right? IMHO, this is not a 'naturally evolved' position like the 'monitor wranglers' in endoscopy... those positions came about because of the new tasks and new work that is needed to support laparoscopy. Nope - in this case, physician documentation is not new - it just changed modalities. What's next?? A "hand scrubber" to handle all that time consuming pre-op stuff so the 'busy surgeon' can use her/his time more effectively? Physicians have to become part of the team rather than simply interested bystanders. If not, they're not going to survive the reimbursement changes under value-based purchasing.
My organization is not permitting scribes, and I am very happy about that. Physicians are expected to interact with the electronic records just like everyone else.
- 1Feb 21, '12 by AnivaMy intention for starting this thread was not to weed out animosity towards scribes, physicians/providers, or other positions. You can always start another thread for that. This was to provide another option of experience for students or new grads and whether or not they look into it is their own agenda. Any suggestions to help them would be most welcome. Good luck to those still on the hunt
- 0Feb 22, '12 by Esme12, BSN, RN Senior ModeratorI hear you........I had NEVER heard of a "scribe" before. I was taken aback. I am still unsure about a licensed person's responsibility when taking notes and the legality involved if the MD gets sued what is the "scribes" responsibility if they are licensed. I never intended to hijack the thread. Peace.
- 1May 3, '12 by SkyiaHey Aniva! I just wanted to say that I came across your posting a while ago because I was also having THE worst time finding a new graduate nursing posiiton. I did more research and applied to a position that had an opening for a scribe. I had to relocate and the pay wasn't great, but I've learned SO MUCH!! I'm so much happier now and to think I almost gave up on the medical field! Thank you so much for the information, it was a blessing for me!
- 0May 4, '12 by PneumothoraxQuote from Anivaexcellent advice. thank you so much!I've been reading and hearing about many graduate nurses both new and old who face a difficult time finding a job and experience for a while. I'm not sure if this may help or not, but if you feel as if you've applied to the jobs in the nursing avenue (RN, CNA, etc.), there is another avenue to look into.
The emergency medical scribe is a position where you (as a scribe) follow a provider in the emergency room and complete all the documentation (paper based or EMR). The pay is not as good as a nurses, but the experience more than makes up for it. You get to see everything the providers see without the liability. See everything, write everything, learn everything! They teach you why they do certain tests and symptoms of various pathologies (when it's not busy). Through working as a scribe, you get a very solid grasp of how things flow and more medical management. Some hospitals have these scribe programs in-house, but many hospitals contract with third party companies. (e.g. EMSS). (by the way, if you have clinical/nursing knowledge, you will have an advantage over other scribe applicants unless the program only wants medical students... but most programs hire undergrads who are going into nursing, NP programs, PA program, or medical (premed) students). If you can write down the conversation between the physician and patient, you can take a good history = you can be a great scribe.
I understand that to some, this is not the ideal RN experience because you will never flush and IV line or administer medication (you don't get to touch the patient); however, the experience gained is powerful. The experience you gain after working as a scribe with a nursing background is a potent combination that puts you in the mindset of a provider. This is the type of "wisdom" older nurses learn through the years. After working just one or two years, you may know and see things a "seasoned" nurse knows (or more).
After I graduated nursing school a few years ago, I had a very difficult time finding an RN position. I was applying to numerous positions that were not the most favored... When I applied to these positions, there was an internal conflict... I knew the position was experience, but I also knew it was not the best experience. It's very disheartening when you apply for many jobs and fail to catch a break. It's an absolutely horrible feeling to know you're a smart and kind hard worker, but cannot get others to see that and give you a chance. For those who are going through this, I understand how you feel and there are a lot who have felt/are feeling the same way.
Fortunately, someone referred me to the scribe position at a local hospital. I've never heard of a medical scribe, but I figured, I'd apply. I am extremely grateful for the referral and I loved being a scribe. I was accepted into an MSN program and working my way towards being an FNP. The scribe experience has given me such an edge in the MSN clinicals and it has help me "think" like a provider. When I was scribing, I've had various residents, PA students, and NP students inquire about working as a scribe (because they've never heard of it) and they would comment on how wonderful the experience was saying, "I wish they had that when I was in school" or "I wish I had known about this..". I wouldn't hesitate to work part time as a scribe while I'm working as an NP in the future. One ER attending I really admired once told me prior to leaving, "You never stop learning and seeing new things. Even after working ## years in the ER, I'm still learning. I hope you got to see a lot during your time here and I hope you get to see so much more." This opportunity has changed my life and without it, I don't know where I would be or who I would be... I really want to extend a hand to others who have struggled to find that "golden" experience. A hand to pull you out of a spiraling vortex of the RN job search and to a different safety ground.
- 0Aug 3, '13 by medisecI wonder for those of you who "scribed" as a transition while searching for an RN position, does or did "scribing" help you become more familiar and comfortable with navigating the EMRs when you finally did settle into an RN job? I know each system/hospital is customized or built different, but provided some familiarity??
- 0Dec 1, '13 by AnivaMedisec, as a scribe, you be the expert of navigating through your organization's specific EMR. Every facility may have a different documentation system and if you were to switch positions, you may need to retrain on the particular system. In general, however, every EMR has the same elements. Vitals, PMH, HPI, ROS, PE, Labs/imaging/tests, Consults, etc. Some smaller facilities or hospitals may still be on paper charting or in transition to EMR (dual documentation). If you're comfortable using a computer, you should be fine on any EMR (they will never throw you in without proper training).
- 0Dec 6, '13 by SippieI haven't seen the scribes in the ED but I swear there might have been one at my last eye doctor's appt lol. She followed the physician around and wrote down everything that happened and everything that was said. I should of asked lol.
Do scribes ever work for regular doctors outside of the ED as well?
I was aware of scribes due to the talk from the med students on SDN that have done it.