nitasarn

Ive recently been approached about doing chart reviews or overseeing charts for a private home health agency that it just starting up. They made it seem like i would just be looking at charts and reviewing them and then initaling them. i know thats theres a lot more to that? Is there anyone that it doing this as a registered nurse and can tell me what exactly does this job entail? How to i go about getting more information before I meet up with this agency.

Does your clinic use electronic health records? When seeing 50-60 pt that can be hard. Either way, could you have a simple way of charting things that can be universally use for the common complaints you see? I know at the urgent care I work at I have templates that I familiarized myself with and am able to zip thru things like cc, hpi and then I may add some things. Are you able to complete most of your charting at the bedside before moving onto the next pt. I know it's rough the most pt I've seen is 28 and I was charting forever into the night.

75% after test score is pretty good.

I never had one.

I don't know how active the board is anymore, but I had a questions /or more so need insight into how we manage high census days in urgent care. Right now all UC are staff with 1 FNP, 1 RN, and 1 radiology tech. Which is fine during the week. But on the weekends or on holidays you can expect to see 30-40pt a day. We have multiple meetings about it but no one seems to have a solution. (Right now, were stuck to making phone calls to staff who is off that day, to see if anyone wants to come in, and I think the staff is getting sick of it). My solution would be to staff 2 NPs. But right now, it doesn't seems like that's what management is wanting to do, probably because of costs. It started off as one UC, now we have 3 that have opened or will be opening all within this year. Thanks

You Tube. Can't say enough about youtube. Also learn normals versus abnormals for all systems. Other than that its practice practice.

Pharmacology is NO JOKE, i dont know about online, but we had paper tests in class and you know how stressful thoses can be. Online tests are usually timed

i bought the practice breakfast. Some Bread company bagels cream cheeses, and juice.

I agree with the PP, the thing I would worry about is the questionable longevity of your position for the hcg clinic

I bought breakfast for the office, bought sit down lunch for my other preceptor. And a fruit tray for another and of course a card. I feel like you can never go wrong with treats.

Quit!

I agree with the previous posts. When i did clinicals the first week i would shadow the NP. Then I would start going in without my preceptor to conduct historys and do the physical assessment. I would then report my findings to her and then discuss my plan differential diagnosis, etc. One thing I always did after clinicals at home was to read about something I had seen that day. I would do that everyday.

You really dont owe him anything, just do your hours with him and if you do decide to work with him then that is the time he can set those experiences up for you and as a new NP that is working urgent care now. Youll need it:)

Blah!!!. im really trying not to use antbiotics for symptoms that seem to be viral in nature or even allergy related, but at the end of my speech..the patient says "well why do I feel so blah"...and my response "When did colds feel good".....I think it so hard to get thru to patients esp because my CP seems to had them out like their tic tacs. Finally, on my DC papers i just put....even with antibiotics your symptoms may take up to a week to resolve.

I agree with the above post. Sounds like she needs insulin.One you started combining and adding on stuff , it may just be easier to go on insulin.. She could always get off of it. If shes doing the things she needs too.