Abkr80

No it's your personal assessment that you were hired to make based on The information you have been provided. You were hired by a company that sought your knowledge base not necessarily skill set. If your audit results affects any individual in any monetary way rather that be insurance coverage or billing etc. then you should obtain the consent of the persons chart and/or the poa as what you are reviewing may be omitting some Information you would need to make a fair accurate and thorough review and assessment. If you have the consent then no there is nothing illegal going on. Because you are not providing hands on care and you are working for a company that needs you for administrative services only. If you are working as more of a legal nurse consultant more or less finding a defense to claims against the company possibly having one too many outcomes that are unfavorable then for me, it would become a moral issue and is fighting against a individual who received poor care being somehow twisted into its the patients fault due to non compliance of a treatment plan if the company you are working for is in charge of the patients overall well being? You might be helping the bad guys stay bad and not even know it. what is the purpose of you doing these types of audits?

Glucose 163 fasting elevated neutro Elevated bili pancreatic I am guessing. Family hx cancer- LFT- normal so I am guessing it’s pancreatic

Just remember 3.2 milliliters makes 1000000 units PER 1 milliliter I think that’s where you are getting hung up

Remember you are dealing with units per ml. So 3.2 ml makes 1000000u/ml you want 700000u one ml is 1000000 units so divide 1000000/700000 units = 0.07 ml

I think everyone has felt this way at some point in there career. Unappreciated, dispensable, feel as though others may be acting passive aggressive in assignments, pulling someone from what they know and are comfortable with. I feel sometimes it’s warranted and sometimes it’s simply feeling disrespected but have no real reason to. I want to give it to you straight. I worked my way up from a CNA to a RN and have a grip on how each discipline feels. I have always felt the best way to handle these issues is to simply ask. Request a time to meet with her ask a 3rd person be present and politely and professionally ask the question. “I have been feeling…… may I ask why there has been this change, is there something I have done incorrectly. Is there a rationale to this change in duties.” Put the question back on her and ask directly. This may be unnerving to her but as a nurse and a professional you have the right to ask this very valid question. It’s important to understand and convey that you understand the importance of remaining flexible and know that she is equally capable however you enjoyed your position and now feel it has changed which you do not enjoy. Explain that you want to learn and grow and advance as a nurse, not back peddle into a role you have done prior to finishing nursing school. Be humble, honest and definitely don’t behave entitled to that position because you feel you are the best at it. You may be! But behaving as though your work is superior to those you work with will only encourage a supervisor to want to knock you down a few pegs. Don’t let ego get int he way of your success. Hers or yours. If you are respected and valued as a excellent employee then there will be opportunity for you to be satisfied with your job- which includes keeping you assigned to the duties which you have mastered. If there is no desire to work with you and keep you happy as a employee then put in your notice. Explain to HR (in a private email) that you do feel MGMT needs to be made aware of your reasoning for resigning, that you did attempt to solve the issue with her and were dismissed. That you were made to feel less than… and explain your emotions honestly. But don’t ever feel entitled because you know your job well and don’t want to leave it. Knowing MANY jobs in a facility and performing them without complaint really is a valuable employee. A employee resigning for being floated elsewhere is not going to be the kind of employee anyone wants to fight for. It’s hard not to become offended when we feel disrespected, it’s easy to become reactive. But remain calm, professional and cooperative. I wouldn’t leave a job without understanding exactly why. You are essentially resigning from a job because you were floated out of your normal duties up to this point. You should probably know why that occurred before making any decisions. good luck