Capturing charges is main function of EMR

[Emergent]

We've been getting emails at my Per Diem job, follow ups to the re-education inservice on our computer charting that I missed. I get the gist of it: no free texting info if we can click a check off screen. Document all chargeable services, such as lab draws, IV starts, X-rays. A stern reminder was given, post inservice audit, of what charges were lost.

So, basically, our charting is actually bean counting for the corporation. It's NOT a communication tool,and the corporation doesn't worry about our legal backsides. Our primary role is to capture billable items through the EMR.

[jadelpn, LPN, EMT-B]

It is all about meaningful use. If you are "proving" that you are using the EMR to it's best advantage, the facility gets monies for that. But you have to hit the high notes.....education was huge, along with the "usuals" of pain and follow-up, risk assessments and the like. There is a considerable amount of money that a facility receives from the government for this. All to get EMAR's as part of facilities everywhere...

And yes, there's no more grabbing stuff in emergencies. Hoops must be jumped through. Nurses need to be held accountable for each and every little tab of Tylenol.

Ah, the business side of nursing. If only they could get rid of those pesky code things...

[emmy27]

It is all about meaningful use. If you are "proving" that you are using the EMR to it's best advantage, the facility gets monies for that. But you have to hit the high notes.....education was huge, along with the "usuals" of pain and follow-up, risk assessments and the like. There is a considerable amount of money that a facility receives from the government for this. All to get EMAR's as part of facilities everywhere...

And yes, there's no more grabbing stuff in emergencies. Hoops must be jumped through. Nurses need to be held accountable for each and every little tab of Tylenol.

Ah, the business side of nursing. If only they could get rid of those pesky code things...

We've recently been told that it's unacceptable to pull an extra flush or carry one in our pockets- they must be pulled as needed under the correct patient name one at a time.

So that's definitely improving efficiency and doesn't at all make us feel and look like incompetents.

[imintrouble, BSN, RN]

We've recently been told that it's unacceptable to pull an extra flush or carry one in our pockets- they must be pulled as needed under the correct patient name one at a time.

So that's definitely improving efficiency and doesn't at all make us feel and look like incompetents.

We never could pull extras. We also have to make sure there's an order first. No overrides.

My hospital charges approximately $40 for each 10 ml flush.

This thread has put a serious dent in my holiday cheer. As if I didn't have enough reason to dislike hospital administration.

[ThePrincessBride, MSN, RN, NP]

These are the same people who care more about "productivity" numbers from convoluted algorithms and increasing profits more than patient safety and high quality care. So this of course isn't surprising...

It sickens me how the hospitals want to nickel and dime every single thing while giving these big wigs ridiculous bonuses and salary...SMH!

[ThePrincessBride, MSN, RN, NP]

We've recently been told that it's unacceptable to pull an extra flush or carry one in our pockets- they must be pulled as needed under the correct patient name one at a time.

So that's definitely improving efficiency and doesn't at all make us feel and look like incompetents.

What?!

Charging for flushes? That is insane to me!

[SmilingBluEyes]

I didn't realize this was news. EVERYTHING we do is for the bean counters.

[NurseSpeedy, ADN, LPN, RN]

My hospital charges approximately $40 for each 10 ml flush

My grandmother used to ask for itemized receipts when my grandfather was in the hospital back in the 80s. She would complain endlessly about the cost of Tylenol (among other things). $40 saline, she'd be asking if it had been holy water we were injecting into the poor man!

[KatieMI, BSN, MSN, RN]

My grandmother used to ask for itemized receipts when my grandfather was in the hospital back in the 80s. She would complain endlessly about the cost of Tylenol (among other things). $40 saline, she'd be asking if it had been holy water we were injecting into the poor man!

I remember the itemized part of our hospital bill (total of over $6.000.000 for mom and baby:alien: including 3,5 months of NICU). It was thicker than a morgage paperwork. I pretty much fainted from just looking at it. Then the company hired by our (private) insurance took it and found some several HUNDREDS of double charges. Things like two pairs of sterile gloves billed for one procedure which didn't require any sterile field to begin with. Every single sterile set was billed twice, even when most procedure statements said ".... successful first attempt". I also remember numerous Band-aids which were billed each for a money one can buy a large box of them in the nearest Walmart, and in amount of, should they really be used to cover IV pokes, then I must have as much blood as a whale. The bill was culled down by a good third only by dusputing those charges.

Although there's no bad without some good in it. When two years later "providers" tried to get CPS onto us because I disputed their (totally wrong) diagnosis and refused their expensive "services" which were to be paid by the same private insurance, I was ready and knew what to do.