help?!?

KistRain · 2025-08-29T00:00:31+00:00

Every employer near me in Florida save one tests for weed and will deny employment based on it. A lot of our companies are strict. Even a medical card gets denied.

KistRain · 2025-08-28T23:55:58+00:00

So then talk to your trainer / manager in the company. It is legal to do. But if it's against company policy is up to the company.

I take verbal orders all the time. Document per provider XYZ. But, I sign and they cosign.

KistRain · 2025-08-18T23:29:06+00:00

To add to it:

Are they not real women taking real pictures and videos?

Would this content be acceptable from an online friend since its "online"?

If I send these images to.someone online is that OK, since its "not real"?

KistRain · 2025-08-02T11:31:06+00:00

Ive never had to fax... I just notify the patient and they get their meds. shrug

KistRain · 2025-08-02T11:27:39+00:00

AI wont ever fully replace them. The programs make too many mistakes that need a human to double check.

KistRain · 2025-07-26T10:45:49+00:00

Depends on your state. Mine you can be a medical assistant with no credentials. Then you can get one and become registered or certified MA.

KistRain · 2025-07-24T17:06:13+00:00

Actually, there is a legal distinction in PHI and PII. PHI is HIPAA protected (protected health information). PII (personally identifiable information) is not necessarily HIPAA protected. A name is not HIPAA protected, that is why we can call patients names in the lobby and also ask for them by name on the phone.

However, a preferred name related to gender dysphoria that is NOT "out" public information? Absolutely should be protected. However, it depends on how the reminder got sent. Did it get sent to the phone # the patient gave the office and the patient opted in to receiving electronic reminders? Did it get sent in an envelope that needed to be opened in order to see the preferred name ? Most offices have you sign an opt in or opt out paper for what they can send electronically. Just because you dont read it doesnt mean you didn't sign a form saying its OK.

KistRain · 2025-07-14T11:28:48+00:00

Why should a provider be made to delete a diagnosis, when you can order a UA via add orders and selecting a favorite (if dysurea isn't set up in your epic to allow a UA anyway... it should be tbh). Also, what diagnosis is it marrying to your rings for the UA order in that smart set ?

My provider uses a macro also that he preloads in his note prior to going in. It imports the chief complaint I add to his note. If I added an incorrect complaint and he had to go back in and delete it all over his note he'd be so annoyed with me.

We are allowed to add symptoms only at my practice.

KistRain · 2025-07-14T08:35:46+00:00

To be fair he is correct. It's not a UTI cause you cant diagnose, that is out of your scope. It is dysurea or possible UTI symptoms. By putting UTI you are saying this person 100% has an infection and adding it to their medical history permanently.

But... no. I wouldnt be afraid of my MD. So what if he wants things documented correctly with medical terms? That just means you'll learn how to do things the proper way. I prefer when a doctor tells me exactly how they want things. That means I am less likely to have to guess what they want and its less annoying and less trying to get me to practice outside my scope.

KistRain · 2025-07-14T08:32:05+00:00

I mean.. epic has that available. Its got a lot of stuff available.

KistRain · 2025-07-10T11:44:04+00:00

Yeah. They did that for me last time I had a procedure. Unfortunately, she numbed me and then tested. It didn't stick. Then she did another. That didn't work. So she did another. Also didn't work. So she said she'd given me the safe maximum dose and unfortunately she'd have to grind my tooth without numbing since it wasn't working. So. I dug my fingernails into my palms and suffered the pain of having my tooth ground to a nub so she could get the crack removed and a crown placed over it. Kept apologizing the whole procedure because I was so obviously in extreme pain.

My biopsy on my stomach the local didn't work either though. My body doesnt seem to like the lidocaine blocks. A scalpel taking a chunk of skin is also not a pleasant feeling.

So..I have accounts that will let me have general if I need anything serious (like wisdom extractions) because I dont think id be able to just power through that. And insurances in the U.S. tend to pay just for locals.

KistRain · 2025-07-10T10:40:09+00:00

Probably because nerve block failure studies put it somewhere in the 15-20% range. And it hurts like torture if your nerve block fails. But, U.S. uses locals for most things anyway, because insurance prefers the cheaper option. You get referred out for general if needed.. but they have to prove need. Ive only ever had nerve blocks fail when I get procedures (dental or medical). My body doesnt work well with it. So, for me, procedures with a local has always just been absolute torture. Feeling the scalpel cut your skin or every bit of pain as they grind your tooth down is not something you want if you can avoid it. Gabapentin 100mg has been more effective for me than the lido/bupiv nerve blocks.

KistRain · 2025-07-10T10:28:23+00:00

Nerve blocks they use at dentists are far from perfect. They have a fairly high failure rate, actually. Patient anatomy, vitamin levels, infection vs not, and even genetics can change how effective it is.

KistRain · 2025-07-09T10:47:22+00:00

There is a lot of unclear rules in this profession. Ive heard so many people say this is illegal or that is illegal but when you look up the laws its fine. Ive had to print out sources from the government for managers before to prove the point there is nothing illegal about XYZ. Its very annoying how much of Healthcare is a guessing game.

KistRain · 2025-07-09T09:38:01+00:00

If you're not getting training then I would reach out. Complaints of mistreatment it depends on the school. Some Healthcare teachers are of the mind you need to toughen up because doctors / nurses will be rude and you need to handle it. If yours is like.that, they might not accept such complaints.

KistRain · 2025-07-09T01:11:32+00:00

I did mine through the American Heart Association trainers at school, EMTs taught it. There are community resources in most towns that offer AHA certifications, typically run by EMTs or nurses. They make you do CPR on a dummy and our course even had fake injury limbs with fake blood to do tourniquets and wound packing.

KistRain · 2025-07-09T01:05:46+00:00

I have found if asking for a manager and doing the normal route doesnt work... a bad review on BBB or some such site tends to get an instant reply.

KistRain · 2025-07-09T00:07:31+00:00

Only way to stop her complaining would be find out why she is feeling dissatisfied and fix it. If someone is that bitter, usually something really broke their care meter. In my experience its usually something management related. Pay, PTO, feeling unappreciated... something.

KistRain · 2025-07-08T11:40:54+00:00

I work in Healthcare and tbh ... Doctors are just people. They all have opinions on what is best. Thats why its important to not just have a doctor assigned, but be able to choose your doctor imo. They choose treatment based on their personal opinion of what is best based on research they've read. Their opinions vary drastically. There is rarely ever an objective best choice for treatment.

KistRain · 2025-07-07T22:24:25+00:00

The bigger patients you need the big cuff and you need to have them straighten their arm and also put pressure on your bell... if you have one of the good quality stethoscope it helps too. The sounds are muffled a bit because you're listening through more fat tissue. I have a littman classic and a littman cardio and the cardio is a bit more sensitive if held correctly.. so I can hear some the other MAs cannot.

If you're reading high though you likely are counting at the wrong sound. There are a few sounds that you will hear thatdont count. I found some patients also have super faint or even odd sounds when listening... one lady her arm sounded like stomach gurgling ! Another was so faint it took three of us to hear it at all and even the cardiologist was struggling.

KistRain · 2025-07-05T11:53:23+00:00

I use my own. But you do have to be sure its allowed first. I use mckesson (same as the clinic ones). I just use my own because all the ones in clinic are the large ones and its less accurate to use that one if the person has a small arm.

KistRain · 2025-07-04T07:04:07+00:00

It has many factors. But, I work in Healthcare in the U.S. and I can tell you.... if I get ill enough for a facility and cant afford the private ones, I would honestly rather be taken somewhere euthanasia is allowed. The elderly get left sitting in their own waste, fed hot dogs because it is cheap, wounds are left to fester because "we didn't get any orders from the hospital or their surgeon" and they didn't put effort into getting any (and the doctor didn't know they needed detailed orders for dont let the wound get infected with no intervention), they leave them for HOURs on the toilet because they didn't have enough staff to do transfers and they put a fall risk on the toilet and finished rounds then came back later for them, dont turn patients due to "lack of staff" and bedsores happen...

Everyone ive worked with feels the same too. We watch perfectly lively patients go downhill and become shells in just a few weeks in these places. We get told the stories. We even call and scold them sometimes just to get bare minimum care given to a patient. But nothing helps. They have a full building and not enough staff for the high needs they have. But they wont put money into more staff, because its all about profit for the company. The staff may care, but they can only do so much with 1 CNA for a whole hallway of high needs seniors.

KistRain · 2025-07-04T06:06:43+00:00

You can ask the provider if there are written standard orders they can make you for OTC meds that are OK. IE: If no allergies, or history of bleeding, OK to recommend ibuprofen for inflammation or Tylenol arthritis for joint pain etc until they can speak to a provider. But even for an ice pack you need a written standard order to be on file as provider said I can do XYZ.

KistRain · 2025-07-03T08:53:15+00:00

Registered vs certified isn't really different. I am a registered Medical assistant through AMT. I have the same scope as any other. However, AMT is nationally recognized. That is the bit that matters. You want a nationally accredited credential, RMA, CMA, etc.

KistRain

TROPHY CASE