maineiac

Latest Activity

1. new problem how do you manage calls in your office

   maineiac replied to maineiac's topic in Ambulatory

   Indeed some good ideas! in response to rx's the worst so far has been the mom with a son on effexor who haden't seem anbody for 6 months and was feeling suicidal ,,also at the other end of the state and mom wanted to know could i call in a refill wit...

2. Hourly vs Salary

   maineiac replied to Jeansky's topic in Ambulatory

   One of the long term problems in any nursing setting is the people who are attracted to this work are caring and generous to a fault Be sure when moving from hourly to salary you track how many actual hours you put in and calculate accordingly.Also c...

3. office politics feel like wearing combat gear to work

   maineiac replied to maineiac's topic in Ambulatory

   You nailed it right on the head. I don't understand why some people seem to be invested in maintaining chaos. After many years in nursing I have observed that often we don't support each other.It seems quite a paradox that those who care so well for ...

4. office politics feel like wearing combat gear to work

   maineiac posted a topic in Ambulatory

   Has anybody else tried from the bottom up management? Was it horrible in the beggining? I truly believe in personal empowerment and giving staff as much control as possible over their work and enviroment. I am starting to wonder if there are just pla...

5. Drug Seeking Patients

   maineiac replied to Stormy62's topic in Ambulatory

   No it's not that you've been in critical care too long.I did not know what it was either. 3rd degree ankle is when 2 or more of the major ligaments sustain either partial or complete tears resulting in separation from the bones( it also means your en...

6. Drug Seeking Patients

   maineiac replied to Stormy62's topic in Ambulatory

   In a timley event I now find myself in a "drug" seeking behavior.lol Since I last posted I had a bizarre accident at Walmart while buying dog food, they rolled a low dolly behind me and I turned around and fell over it sustaining a 3rd degree ankle s...

7. Drug Seeking Patients

   maineiac replied to Stormy62's topic in Ambulatory

   Our practice has collaborated and developed a clear narcotics agreement which ALL patients sign when rec. a rx for pain meds. One of the key components is no refill for any reason without an office visit. ie if script lost, dog ate it ect. Thankfull...

8. new problem how do you manage calls in your office

   maineiac replied to maineiac's topic in Ambulatory

   Good idea, we already do turn the phones off at 4:30.The biggest offender seems to be the pharmacy.For instance they will have a patient at the pharmacy fax us a request and then call back sometimes repeatedly.Our 48 hour refill policy is clearly wri...

9. new problem how do you manage calls in your office

   maineiac replied to maineiac's topic in Ambulatory

   thanks for your reply. we are trying to answer calss as they come in. today at the management meeting we decided to restrict the incoming lines untill the new staff is up to speed and we are able to hire additional staff. would welcome other ideas ab...

10. new problem how do you manage calls in your office

    maineiac posted a topic in Ambulatory

    Looking for some solutions, the office is down 3 people in the front. The 6 phone lines are ringing off the hook. This is causing real stress to the 2 people out front and resulting in patients being on hold for 20 min, hanging up in frusteration or ...

11. need advice about dealing with hostile enviroment am new managerHELP

    maineiac replied to maineiac's topic in Ambulatory

    Thanks again for all of your support. Staffing is still terrible made a decision that we needed an office runner and filer to deal with the moutains of paperwork an office that size generates. Have also successfully run 2 staff meetings and this week...

12. need advice about dealing with hostile enviroment am new managerHELP

    maineiac replied to maineiac's topic in Ambulatory

    Thanks again for all the great responses. Yesterday was the first staff meeting I was in charge of, frankly it was a disaster.The previous office manager had hired her husband as a billing person and I got tag teamed by both of them. The front offic...

13. need advice about dealing with hostile enviroment am new managerHELP

    maineiac replied to maineiac's topic in Ambulatory

    thanks to all of you for the freat ideas and the support. I was not offered any additional salary for the front desk job, frankly I'm not sure the practice could afford it. Monday is day 2 and will attend a management c the md's and the manager who h...

14. need advice about dealing with hostile enviroment am new managerHELP

    maineiac posted a topic in Ambulatory

    I'm a newbie to this forum, but have been in nursing 18 years.Have just accepted a new position as clinical manager of a 4 Physician,3 NP Family Practice. On my first day I was also elected front office manager. The general office manager has had a l...