new job and first get to know my staff meeting

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Specializes in General.

Today was officially my first day at the office on my own I had a lunch meeting with my office nurse and office manager, I told them my expectations of them and asked what they expected of me

My expectations were 1. if there is a problem please come to me if you think there is a better way of handling pt flow let me know, let me know if you are not getting your breaks you need your breaks, please be courteous to each other we are all in this together. I have a open door policy the only time my door is closed is if I am having a personal conversation if it closed unless it is an emergency please don't just walk in. No you do not have to have coffee waiting for me when I arrive I am not above getting my own coffee and I enjoy getting to greet everyone in the morning, here are expections of me "we have been here a while and pretty know what works but if you want to try something different lets try it. No we will not open the door unless we have first hand knowledge that you have hagen daz ice cream in the cooler, we do not have time to get your coffee for you we are too busy making sure the charts and patients are ready so we can take our breaks what a crew now mind you this was all light hearted meeting which I wanted it to be, on a more serious note i did establish guidelines on how to handle chronic late shows and no shows and we all seemed to agree if you are 30 minutes late and I am seeing patients who are on time then I will fit them in if you are a no show 3 times then you come in as a walk in depending on how serious it is for the next meeting any suggestions :redpinkhe

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Specializes in Nephrology, Cardiology, ER, ICU.

Whew - that's well organized!

What type of office setting is this?

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Specializes in General.

a rural medicine clinic, the patients think it is OK to be late or no show's i decided to start from the beginning to lay ground rules, so that 3 months from now we are not hearing but she saw us before. I am a strong believer that patients need to take responsibility for their health care and showing up for appt's. Now I am not that hard nosed that if they have a good reason for being late, and really need to be seen I will consider it on an individual basis, but from my understanding the previous provider pretty much let the pt's walk in at will and it really messed schedules up staff was not getting breaks or lunches. so yeah the staff is pretty cool

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Specializes in Nephrology, Cardiology, ER, ICU.

Sounds very cool....if I remember right, you're in southern IL, right? Are you near a critical access hospital? Or closer to a tertiary hospital?

Good luck.

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Specializes in General.

I am located in a critical care access hospital but the corporation I work for rents office space for them yes I am in southern Illinois it is Christopher rural Health I know they are looking for FNP's I know you are a ANP but if you are interested I would check them out they may take a ANP

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Specializes in Nephrology, Cardiology, ER, ICU.

THanks. I live near Peoria and hubby lives in Alton. At this point, he is working there for another 3 years and then will move back here. He would like me to move there but that's not possible.

I'm actually an adult health CNS but I'm finishing a peds CNS so I can see everyone. Will keep that in mind.

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Specializes in L&D, QI, Public Health.
a rural medicine clinic, the patients think it is OK to be late or no show's i decided to start from the beginning to lay ground rules, so that 3 months from now we are not hearing but she saw us before. I am a strong believer that patients need to take responsibility for their health care and showing up for appt's. Now I am not that hard nosed that if they have a good reason for being late, and really need to be seen I will consider it on an individual basis, but from my understanding the previous provider pretty much let the pt's walk in at will and it really messed schedules up staff was not getting breaks or lunches. so yeah the staff is pretty cool

I think it's cool that you are setting new standards, however I also think it's hard to change a culture of people. Oftentimes, it's us that have to bend, sort of meeting our patients where they're at.

But again, I'm pulling for you and it'll be interesting to see how it works out.

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Today was officially my first day at the office on my own I had a lunch meeting with my office nurse and office manager, I told them my expectations of them and asked what they expected of me

:redpinkhe

I agree with most everything you have noted. My only concern is the use of "my" office nurse. Based on the description of your expectations you didn't mean it the way I feared. I always think of this when I call for a consult and they say you can talk to "my" nurse or his/her nurse. Makes it sound as if the nurse is owned by the provider, one of those things I need to get over.

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Specializes in General.
I agree with most everything you have noted. My only concern is the use of "my" office nurse. Based on the description of your expectations you didn't mean it the way I feared. I always think of this when I call for a consult and they say you can talk to "my" nurse or his/her nurse. Makes it sound as if the nurse is owned by the provider, one of those things I need to get over.
No I did not mean it the way it sounded, even though she is assigned to me she and everyone helps everyone out
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Specializes in General.
I think it's cool that you are setting new standards, however I also think it's hard to change a culture of people. Oftentimes, it's us that have to bend, sort of meeting our patients where they're at.

But again, I'm pulling for you and it'll be interesting to see how it works out.

It is working out well, yes it is hard to change the culture of people but I think if one implements it gradually that they will come around, no one likes to be rescheduled
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