Updated: Feb 29, 2020 Published Oct 2, 2019
nursetim, NP
493 Posts
Do any NPs have scribes assigned to them. I am slow, but thorough adult NP. Cranking out high volume is not my forte. If I had a scribe, I imagine I could see the requisite 80 Pt.s a day (just kidding), seriously 30 Pt.s/day.
djmatte, ADN, MSN, RN, NP
1,243 Posts
18 hours ago, nursetim said:Do any NPs have scribes assigned to them. I am slow, but thorough adult NP. Cranking out high volume is not my forte. If I had a scribe, I imagine I could see the requisite 80 Pt.s a day (just kidding), seriously 30 Pt.s/day.
With a scribe I could see that many. I refuse a scribe anytime it’s offered. I clear 20ish ppd on my own and I think that’s acceptable for my pay with room for growth in my pay. I don’t trust a scribe who has no medical or nursing background to convey what I want in a more effectively and at the RNs off the day I’m responsible. I just optimize epic as best as possible.
6 hours ago, djmatte said:With a scribe I could see that many. I refuse a scribe anytime it’s offered. I clear 20ish ppd on my own and I think that’s acceptable for my pay with room for growth in my pay. I don’t trust a scribe who has no medical or nursing background to convey what I want in a more effectively and at the end of the day I’m responsible. I just optimize epic as best as possible.
With a scribe I could see that many. I refuse a scribe anytime it’s offered. I clear 20ish ppd on my own and I think that’s acceptable for my pay with room for growth in my pay. I don’t trust a scribe who has no medical or nursing background to convey what I want in a more effectively and at the end of the day I’m responsible. I just optimize epic as best as possible.
Edited for Typos
Neuro Guy NP, DNP, PhD, APRN
376 Posts
I have in the past. I enjoyed it as it made me that much more efficient. Usually they do have medical terminology experience if not some patient care experience too, as most young scribes are looking to apply to medical or PA school. Besides, they write exactly what you tell them and use the templates you created.
1 hour ago, Neuro Guy NP said:I have in the past. I enjoyed it as it made me that much more efficient. Usually they do have medical terminology experience if not some patient care experience too, as most young scribes are looking to apply to medical or PA school. Besides, they write exactly what you tell them and use the templates you created.
Sadly our providers they don’t. Most of them are in school with minimal experience. Most of the mds that use them don’t even know how to use epic much less monitor what they’re writing. And some providers don’t even let them go into the room with them. Not gonna lie, out clinics are fairly chaotic. lol
If you use EPIC, not all practices do. Still, would rather have a scribe.
db2xs
733 Posts
Do you have dictation capabilities? My last institution had it.
AddictionNP, MSN, NP
130 Posts
I feel like I do better without one. I can see 25-30 patients in a day (I work in occupational medicine) and have templates for the most common complaints patients have.
Rnis, BSN, DNP, APRN, NP
341 Posts
I use dragon dictation. We can't find rooming staff as it is,...... scribes aren't a possibility. I sometimes see 19-20 patients a day.....but those are stressful days. most people in my role are seeing 12-16... I am amazed to hear some people are seeing 25 -30 patients a day
DrCOVID, DNP
462 Posts
One thing you might look into, which might depend on your setting, is voice to text charting software. I know this has been in development and should honestly be the way of the future, since we all know how much time documentation takes.
Might be possible to even use an application on your phone to record things in text and then transfer them ?