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funny charting errors
"She is walking with clutches on both side to support her." She must really like her purses! She carries two at once! (co-worker meant to type crutches) "She has intermittens throbbing pain..." Pain between the mittens? "As she gets up, urine comes out without her will." Coming out from where?? "left a massage for call back" That just doesn't sound appropriate for patient care... "Smoking: 10 sticks for 25 years" I guess smoking sticks is better than smoking cigarettes? Maple or Pine branches anyone? "hospitalized for "uterus"" No details whatsoever. Never heard of someone being hospitalized for having a Uterus. Ingrown toenail pain documented under "ankle pain", (instead of foot pain) and patient experiences pain "when her nail is in her flesh" Description given by student who did not want to be there.
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Per Diem?
I was thinking of applying to per diem jobs. Is there a such thing as per diem only on the weekend? I'm possibly about to start a full time job mon-Fri case in home health, but I wanted to do a per diem hospital job so I can keep my options open in case home health doesn't work out for me and to have hospital skills so I don't become un-hirable later down the line. I've never done per diem and not sure how it works. Do I pick my own shifts? Ideally I'd like to do one day a weekend (Saturday or Sunday) for whatever hour shifts I would be needed for. Is this a realistic expectation? Or should I not waste my time applying for per diem jobs?
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funny charting errors
Here are a handful of chart bloopers from my office. I'm sure I'll be adding more to this list as I come from an office where English is not the native language for most of the employees, including our doctor: "Patient is also here for RT Foot pain occurs for 1 week. Pain began after little incident took place at her home country. She was in public place where cloud with many people. She was standing with the cloud and one big heavy lady walked by and stepped on her RT Foot." Treatment: Prescribed "Ben Gay prn" "She is here for for needful and further suggestion" Under Treatment: "Morbid (severe) obesity due to excess calories. Notes: Loose weight." (instead of lose weight, lol) Patient scheduled for "gluteus mateus" injury "She has continuous aching pain and is unable to bend her knee backwards."
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CE requirements for VA?
Thank you!!!
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CE requirements for VA?
Hi! I am renewing my license for the first time and don't know where I can take CE courses to fulfill my requirements? Is Elite Continuing Education a valid site? I need CEs specific for the Virginia License. The Virginia Board of Nursing website is very confusing and looks like it hasn't been updated since 2016... I keep going back and forth and not finding a link to CE courses I can take. Can I take courses from nurse.com? I also checked the Virginia Nurses Association, but to get all my hours it would be $450 through them!! I don't have that kind of cash!! I don't want to end up doing the wrong courses though and then get in trouble for taking the wrong courses... or falling for a scam website. Any recommendations?
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Charting Bloopers
For a patient in pain, the MA wrote "patient is taking Naproxen, and it works somehow." Literally word for word what was written in the patient's chart. I think the MA meant to write that it works "sometimes" or something along those lines.
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Irreplaceable
Eczema isn't contagious... you can work with an eczema flare-up. Ask them why they don't stay home when they have the flu or diarrhea? Maybe they don't have enough leave. Maybe they really need the money or they might think they are needed too much to take off.
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Triage?
I try to respectfully just let them know, in a "by the way, I was taught..." tone. I wonder if it's something they learned in MA school or something the doctor told them they were doing. English is the second language of our doctor and I've heard him call it triage too. I'm wondering if it's something lost in translation or he doesn't know the English word for it? I don't want to cause too much ruckus. There's already some tension in the office because the staff turnover has caused many mistakes to be made by staff. The MA was put in front desk duty since I was hired, and she's also pretty stressed out because of the new responsibilities. Our office manager also transferred to a new office, so we only have a temporary office manager. We were supposed to hire another front desk person, but hiring has frozen, and I was told that the doctor doesn't want to hire a new manager or front desk person now. Don't even get me started about the medical records problems we have... the doctor types with his index fingers so he has A LOT of notes that he never finished because he types less than 40 wpm. There is a long list of more than 50 people who are waiting for their medical records and it is the MA's duty to keep track of them and "make up excuses" when people call requesting for MRs, why they can't receive them. I feel so sorry for her.
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Triage?
I work at a doctor's office, and the medical assistants use the word "triage" so loosely. To them it means just taking the patient's back into the room and taking their vitals. I have been correcting them, but they still tell the patients that they are "triaging" them. Should I keep correcting them? In my old job, it was called "rooming". I would "room patients" when I took them back to take their vitals. I'm just concerned that someday they will write on their resume that they "triaged" patients, and then end up at a job expected to actually be triaging patients and being in over their head. Is it ok for them to keep telling patients that they are "triaging them"? At your facility, what do you call it when you take patients back into the room and just take their vitals?
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Changing to a non-nursing career?
WOW! I'm going through these posts and I can't believe how many nurses feel like I do! When I graduated nursing school, I kind of had an idea that I didn't really want to do nursing. I was looking at all kinds of jobs that I could do with my degree, and I did manage to land some sales interviews, but I'm kind of glad those didn't work out. I don't think I could be a salesperson. I finally landed a job as a health educator for my first post-graduation job. The pay wasn't that great, but I would have stayed if the company didn't have the issues it did. It had a high turnover, and management didn't know what it was doing (I think they were just putting too much on my/their plate with regards to projects, but didn't realize how much work it would take). I loved many parts of my job, learned so much from it and truly wish it had worked out. I went to find a nursing job because I figured 'hey, if I'm working my butt off already, I might as well be paid more'. Needless to say, I hated it. The first month was great, but once orientation was over things just started going downhill and my honeymoon ended. After several months it got to the point that I just dreaded going to work. Right now unemployed, but going to try to make it as a multimedia artist. If you have any art talent, it doesn't matter what your degree is. Companies only really look at your portfolio and what your skills are. I paid off my nursing school debt, my parents are kind enough to let me live at home for free, I don't have any kids to take care of. I'm doing self-schooling to improve the skills that I already have, watching youtube videos and reading articles on breaking into the art industry, joining communities of artists and figuring out things on my own. I make a small amount of money as a contract video editor, so it pays the gas, groceries and bunny food. I will agree with you other nurses, getting into minimum wage/retail jobs is HARD once you've worked as a nurse. Going to keep trying for a part time job, don't care the pay, while I study tho until I can start supporting myself as an artist (which according to other self-taught successful artists usually takes 2 years drawing DAILY and developing your skills).
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NCLEX help
Hi! I would like some advice. I graduated from nursing school a year ago, but due to family crisis/problems have not taken the NCLEX and have only been mentally capable of doing any studying after moving out of the house (which was a month ago). I just got hired and need to take the NCLEX within 90 days. What would you recommend for me to help me study? I really need to pass, if I fail I will lose my job.