lpn164

lpn164

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  1. Disrespect & Profanity

    I guess I didn't respond to your final question. I am not going to tell you my name, but if I were in a doctors office or hospital I really don't care if you call me by my first name my last name or if I am called miss or mrs. I am glad you are in...
  2. Disrespect & Profanity

    I am in ambulatory internal medicine - I am not on a floor treating a patient for a 12 hour shift and potentially for several days - If I were then I would want to get more personal. I see 26-30 patients a day. I would rather spend more time asking...
  3. Disrespect & Profanity

    So I am going to be "Frank" for me I am so annoyed with anyone who has a problem with what I call them. If it is part of your name it is your name, I do not know your preference, I do not know your marital status, I do not know if you are a doctor, ...
  4. Advice for interview

    Expect to get a lot of calls about prep in general and familiarize yourself with every different prep format and instructions. I worked in GI and 75% calls where questions related to their prep. Get very familiar with diverticulitis flares and symp...
  5. Joint Commission JACHO TJC

    Hi everyone, I am an ambulatory LPN in a very fast paced Internal Medicine office. We are under our hospital standards. We are up for a mock survey this week for JACHO and are in the window for the real deal. For some reason I feel like our office...
  6. LPN VS RN

    I attended an LPN program at a community college. I have an associates degree in science with a specialization in licensed nursing. The program offered LPN or Advanced LPN (what I did to get associates in science) it required 1 extra semester to t...
  7. Do you have an SOP for patients who vagal?

    This is old but hopefully my response will help future nurses. We have a LONG running LPN in our office 25 years+ in nursing if not more, you would think she would be a great educator or mentor to go to but she is the complete opposite. She calls 9...
  8. That would be lovely. However insurance is the controller of who and where a patient can go. Typically it seems the harder they make it for the patient the more money they get. Sad but true.
  9. Daily huddles

    I predominantly room patients and perform basic POC testing. I use to huddle with my provider with a printed schedule and write down testing or questions that needed to be addressed but now I know my doctor like the back of my hand so I just huddle ...
  10. PHQ9 Survey

    I would talk to whoever does your billing. Depression screenings are covered by insurance and they should not be getting a charge for the screening. They may get a charge for being seen for an appointment for depression but the screening itself no ...
  11. The avalanche of prior authorizations

    I am so thankful to no longer have to do referrals as my current employer has a dedicated person to do this and we also have a concierge service now as well. However I have done my fair share for sure. The biggest problem that I witnessed (and lear...
  12. MA for a boss?

    One of the bigger problems in privately owned practices are just this. The doctors can mold and train anyone to do anything if they are willing to do it. A lot of times the person does not know that they even have a scope of practice or that they m...
  13. Neuroscience Office ideas

    What is your title I assume RN or higher given your previous job? Do they perform any invasive procedures in the office? Did they comment on any particular areas for improvement? What would your normal day look like, are you going to be actively i...
  14. Spanish speaking patient phone calls

    Why can't you call the translator and have them listen to the message?
  15. Rash triage

    I definitely think it is rather insulting to anyone to tell them to wait outside the lobby. If they are in the hall/elevator etc the people in the lobby will likely travel those same places within 2 hours anyway. Also if they have the rash in awkwa...