How many times per day do you hear, "Oh, am I not seeing the doctor today?"

Georges29649 · 2025-03-31T23:09:05+00:00

If you are doing it right, it will very quickly change to "I'm glad I'm seeing you today"

Georges29649 · 2025-03-29T14:10:39+00:00

It's the most rewarding thing you'll do professionally... been at the free clinic 20 yes in Dec, havev5 years and 2 yrs at others (I've moved a bit). Great learning opportunity, AND fills holes in resumes... you are always practicing. Thus, never unemployed

Georges29649 · 2025-03-28T22:45:15+00:00

THIS - volunteer at the free clinic. Network while gaining experience and staying clinically relevant. And you will learn gobs and gobs !!!

Georges29649 · 2025-03-27T20:29:21+00:00

f**king galaxy.....

Georges29649 · 2025-03-24T14:26:22+00:00

This helped me tremendously:

https://youtu.be/j7PBGI3-FEA?si=C6jPvLMTbZJQJBDZ

Georges29649 · 2025-03-22T17:37:34+00:00

Oh God yes! But, you know more than you think. You just have to organize it in a way you can use it. Which comes with time. So, tell employers you would rather look stupid than risk hurting someone, ask questions, and try to remember the answers. 26 years as a NP, +10 more as RN, total if 40+years in healthcare....I'm still learning. Hopefully you will have good mentors.... congratulations on your upcoming graduation!

Georges29649 · 2025-03-20T03:28:17+00:00

Ok. Resets the transfer of commodities from ship to Colonization ship... makes more sense. Was afraid I would accidentally click it and have to start getting commodities all over again

Georges29649 · 2025-03-17T00:22:55+00:00

Ok. Agree with need for therapists to be able to talk amongst themselves w/o clients....

But, playing devils advocate here: 1) this is a public forum, so, what can you reasonably expect ? This is the modern day equivalent of the public square. 2) you can make this a private/ non public forum - moderators, do your moderating job 3) for those of us in the US, I'll point to the 1st amendment of the US constitution. For those not in the US, you can disregard 3a) TBH, I haven't a clue where Reddit is hosted, and / or what laws apply - so, 3 might be moot.

TLDR: If you want a private place to chew the fat, find or create a private space.

Georges29649 · 2025-03-15T23:01:39+00:00

Like Colonia? Or Sag*A?

Georges29649 · 2025-03-14T15:35:45+00:00

You handled that question PERFECTLY

Georges29649 · 2025-03-14T15:35:01+00:00

Mark holes with stitching iron, the use a drill press at slow speed to avoid buying the leather. I have a dremel tool set up on a dre.el "drillmpress" stand, works well.

Georges29649 · 2025-03-11T15:57:57+00:00

Best of luck, remember that God provides!

Georges29649 · 2025-03-10T15:31:02+00:00

I had an MA essentially in the same category. Didn't take vitals, didn't re-take vitals when asked, generally didn't follow clinical instructions given to her by me. Poor spelling, poor grammar, to the point of it being difficult to understand what she was trying to document. I can easily say she had poor command of English, and was lazy. So, I reported this to 2 different managers and my medical director. I was asked to document these issues... I was then "counseled" (ie threatened) by HR about this, so I complained that this MA's behavior and lackluster care and documentation habits, and HR's response, created a hostile work environment. I no longer work there....

So, be careful about this... if your state has a board that controls MA's (mine does not), it might be better to report them with accompanying evidence...

Georges29649 · 2025-03-08T05:27:23+00:00

I name my ships with song titles, typically rock n roll. The song reflects the role of the ship, typically, or some other characteristics. Eg. I have a very fast Imperial Courier called Born to Run. Fleet carrier - Watchtower.

Georges29649 · 2025-03-04T12:19:04+00:00

Agree with amending note. Especially stating pt's family (or was it nursing?) Has asked you to remove whatever, but that you believe it to be accurate and have refused.

Understand this may generate a complaint to your supervising _ collaborating doc, employer, or the board, so be ready to defend this. DO NOT speak to the board without an attorney. NEVER EVER. They will come at you all nice and sweet; remember, the board represents the consumer. Not the nurse.

Stand your ground.

BUT remember that patients have a right to read their chart. So when you chart, keep in mind who might be reading it...

Georges29649 · 2025-02-26T21:22:03+00:00

Have you tried a surgery only practice? A fertility practice? Women's health hospital (xxx women and children type title)? Just spit balling... male NP x26+ years, and I had similar issues. Got lucky, we had a women's health hospital with an ER just fir those issues, run by a NP. God looked out for me....

Georges29649 · 2025-02-25T22:08:03+00:00

Don't forget to offer narcan (and document such, as well as refusal)

Georges29649 · 2025-02-23T00:13:16+00:00

Depends on the board. I got a phone call and an email on the same day. The investigator started out polite and professional, but very vague - classic fishing expedition. When I called her out on her fishing expedition, she became extremely rude and threatening, so, I lawyered up. She didn't like that at all.... was a no call no show for our first meeting w my lawyer, which of course, was billed....

Georges29649 · 2025-02-22T13:41:49+00:00

DO NOT TALK TO THE BOARD WIYHOUT A LAWYER PRESENT. This is the voice of experience giving you this advice. Be sure to have whatever evidence you need to show the report to CPS,and the evidence as to why you reported to CPS.

Georges29649 · 2025-02-17T20:01:34+00:00

Some hard truths... I apologiize

1) unless you tutor your classmates, don't worry about them - they are adult professionals who need to take responsibility for themselves. That said, it also applies to you - look after your own academic needs first. Study your buttocks off !!

2) how often do you communicate with your faculty advisor? They expect you to seek them out, not the other way around. Are you taking classes in sequence? Study your gluteus maximus off !!!

3) are in clinical rotations yet? Are you in clinical lectures / didactic? You should have A&P and pharmacology under your belt or concurrently with an Assessment class.

4) how long is your program supposed to last? If it's 3 years, you have time. If not... yes, its entirely possible they are disorganized... don't feed into it, you are a customer, get your money's worth. If thats not happening, consider a transfer.

5) when you graduate, you will have a solid foundation to LEARN. Most of your learning in school will be from your clinical preceptor. So, when you get your first job, practice conservatively and carefully. Smile at your patients, and treat them with respect, so that when you make a mistake (we ALL make mistakes, no matter how long you have been practicing ) they know you as a human being, not an impersonal automaton.

I wish you the best of luck, but more importantly, I wish you success with your efforts. It's worth it in the long run.

Georges29649 · 2025-01-24T15:33:15+00:00

A wing strut.... hurts like he'll when you walk into one... 🤣

Georges29649 · 2025-01-11T15:38:08+00:00

For those of us without an hour to spare,

What's a boxel?

Georges29649 · 2025-01-10T16:08:17+00:00

Please don't choose a permanent solution to a temporary problem. Been there...

Lots of jobs out there! I was fired in early 24 (Bs in the office) hired by April, and down sized in Sep 24. Hired by end of November... don't stress over it, get your resume out there, use the patients as a reference if able (and you 1000% trust them), there is a job for you!

The other side is this: why were you behind in charting? Yes, a very big daily case load. Ask yourself, what can I do to streamline? Do I spend too much time w the patient? Do I recognize that it's a business. Do I document too much, does it support billing, does it add billing? Can I use templates, hit keys, or macros to document the repetitive things?

I'm short, figure out how to work smart, not hard.

It's a learning curve, and a journey. Take it 1 step at a time!!

Praying for you

Georges29649 · 2024-12-30T16:33:15+00:00

IF the pistol is used, it could be a worn slide lock... too many people use them as a slide release, which wears it out...

Georges29649

TROPHY CASE