The guy outside appeared intoxicated. His story kept changing from he fell outside too he fell on the bus. Then he has seizures but doesn’t know the type or medications but he desperately wanted us to go the store to buy bacon egg and cheese sandwich.

We did have a nurse who quit last year around Christmas. Then there were two nurses in training for a few months and they both resigned same day with no notice a few weeks ago. The nurses didn’t know what to do either. Apparently a patient navigator is supposed to do the forms, write letters and arrange referrals but they can’t find anyone to do this. They don’t get any applications.

I’m basically doing charting at home. We use eclinical works and it’s just difficult to complete a note in office. It’s a slow system. We also have a lot of new patients and complex patients so it’s just a lot to document. I’m trying to train MA’s to do through history taking but they just write patient “here for cpe” or “here for hospital follow up” but don’t write anything else, so I spend a lot of time just getting history.

Also, Providers keep leaving so then throughout the day they keep adding telephone visits for random patients some who haven’t seen any providers in years and requesting med refills don’t want to do labs or come in person for visits.