Lemon Bars

Latest Activity

1. Urgent care/Primary care travel nurse?

   Lemon Bars replied to Lemon Bars's topic in Travel

   Thank you, NedRN. This is a very good suggestion as I do see postings for ER travelers all the time, much more so than Urgent Care or Primary Care. I just don't know if I can handle the speed and chaos of working in an ER. I'm a mellow person by natu...

2. Urgent care/Primary care travel nurse?

   Lemon Bars posted a topic in Travel

   I am interested in travel nursing, but almost all my six years experience is in primary care or urgent care clinics. I am an RN with a bachelors degree in nursing. I strongly dislike working in hospitals as a bedside nurse. Does anyone have experienc...

3. Lack of acute care experience

   Lemon Bars replied to mzilos's topic in General Nursing

   Hello, mzilos. I had a similar experience with my first hospital nursing job after graduation. I do think that my trainers during my orientation did a poor job and overall their expectations were unreasonable for a new grad. High stress, multi-taskin...

4. The avalanche of prior authorizations

   Lemon Bars replied to pebblebeach's topic in Ambulatory

   I have been working as an RN in a primary care clinic for nine months, and my experience with prior-authorization requirements is similar. This really highlights the problem with our third party payer system. Patients want unlimited access to expensi...

5. Any month-long programs to get continuing ed credits all at once?

   Lemon Bars posted a topic in General Nursing

   Does anyone know if there are residential education programs, perhaps in the summertime, where an RN can enroll in a program lasting for multiple weeks and get a great many continuing education credits done all at once? There seem to be few local opt...

6. Rash triage

   Lemon Bars replied to CeciliaBlue's topic in Ambulatory

   At the clinic where I work, we have some seldom used appointment rooms at one end of the building. That is where I take patients like this, and where I do most of my nurse-only visits just to stay out of the way of the MDs, NPs and PAs who are seeing...

7. Large numbers of prescriptions are being lost!

   Lemon Bars replied to Lemon Bars's topic in Ambulatory

   Thanks folks. I am trying to document some of it but I'm so busy at work. I can't get any of the other nurses to track it. We are a small rural clinic and there are only two IT guys. Our office manager is our EHR software expert and she is totally ov...

8. Large numbers of prescriptions are being lost!

   Lemon Bars posted a topic in Ambulatory

   I'm a recent BSN graduate and I've been a RN at a primary care clinic for five months. We have a disappearing prescription problem and it seems to be getting worse. Through RN protocols, I am allowed to review charts send electronic prescription refi...

9. Rapid response in the clinic

   Lemon Bars replied to Gamecock RN's topic in Ambulatory

   I asked this same question not long ago. The nurse manager at the clinic explained to me that it was fine for employees to practice good teamwork and to operate informally as a sort of RRT, but that our clinic would not adopt an official RRT policy b...

10. Urgent and emergent situations in the clinic

    Lemon Bars replied to Love2Sleep's topic in Ambulatory

    I've worked at a rural family practice clinic for the last five months. For emergencies, we call 911 and get the patient ready for transport by ground or air ambulance. We have epi, nitro, and a few other emergency meds. We put patients on oxygen, do...

11. RNs and up - Do you really use all of the "gen-ed" course material on the job?

    Lemon Bars replied to RomaniGypsy's topic in General Nursing

    Unfortunately you will only use a small fraction of what you learn in each class, both prerequisites and nursing school classes. Your analogy of throwing mud at a wall and hoping that some will stick is accurate. You will not need to know the differe...

12. 2019 Nurse Corps Loan Repayment Program

    Lemon Bars replied to EDRN713's topic in New Nurse

    I have not applied before. The HPSA score for my facility is 16. My annual salary will be greater than my debt. Should I apply or would it be a waste of time? Thanks for any advice.

13. I think our country needs a central repository for lab orders, imaging orders and prescription orders

    Lemon Bars posted a topic in Ambulatory

    The staff at our clinic is wasting an incredible amount of time rerouting prescriptions from one pharmacy to another because patients suddenly decide they want to pick up their prescriptions from X pharmacy instead of their usual Y pharmacy. Also, ou...

14. Stop Calling It Burnout

    Lemon Bars replied to Katillac's topic in General Nursing

    This video is exactly right. Through unions, laws, or choice of workplace, we need to encourage a more reasonable working environment that features better staffing, resource/break nurses, more aides, etc. Squeezing of the employees seems to be happen...

15. Distractions & interruptions: ICU vs. other units?

    Lemon Bars replied to Lemon Bars's topic in Critical

    Thanks everyone. I have a couple of applications in progress for outpatient clinics. I was trying to get the recommended hospital experience before branching out, but I might have to skip the hospital part. I'm already on medication for ADD and I do ...