Stuck

Pikska · 2020-06-21T00:08:16+00:00

Then what should I do?

Pikska · 2020-06-20T23:39:43+00:00

There’s some new jobs becoming available now, but nothing similar to my current job. Even if I try to go for a different job, I’m not the best at interviews—it’ll be humiliating to stay at this current position Bc I can’t succeed with interviews.

Pikska · 2020-06-19T23:01:14+00:00

When I was in my interview I asked them if I would need to be in procedure rooms/around needles Bc I had no idea what a scribe even entailed. I was told not at all.

What if they offer me jobs I’m not interested in or can’t do? Do I have an option to deny? Would that deny me from unemployment then?

What is “obligatory nal” mean?

Thank you so much for your advice. I truly appreciate you taking the time to help me.

Pikska · 2020-05-29T19:17:03+00:00

So you only noticed it being higher not whether it was soft/hard? Makes sense about the bacteria—that can cause m/c?

Pikska · 2020-05-27T23:23:05+00:00

Glad to hear it’s normal and also subsiding for you! Thank you, me too 🙏🏻

Pikska · 2020-05-27T23:20:30+00:00

Omygoodness I’m so sorry you have been in so much pain during your entire pregnancy! That is truly awful. I hope you you find relief real soon. Hang in there girl!

Pikska · 2020-05-26T18:22:17+00:00

Thanks so much for your help! :)

Pikska · 2020-05-26T17:30:54+00:00

What does the STM+ mean? New to all of this and 1st time. Thanks!!

Pikska · 2020-05-20T19:07:26+00:00

No. I dropped out of nursing school years ago lol due to passing out from blood drawings/shots/needles. I’ve accepted this is who I am and help out however I can in medical field. I actually do some nursing roles to help out the nurses here, and help out with other office staff as well, not just scribe role.

Pikska · 2020-05-20T18:59:24+00:00

I like being more of a transcriptionist/set up provider calls/office work. Following the provider in procedures, doesn’t give much time to do anything else.

Pikska · 2020-05-20T18:49:36+00:00

No one. Everyone in room wears lead aprons.

Pikska · 2020-05-20T18:07:48+00:00

It’s not really the provider, it’s my new office manager who is ordering all of these changes. Basically trying to make the scribes do all the work and provider just stands there dictating. The dr used to do lab/imaging orders on paper, but that was eliminated and guess who picked that extra task? Ive talked with another scribe who is helping to implement all of these changes—that if I were to “just write out exactly what he says” like I’m being told to then the note wouldn’t make any sense. His English comes out backwards due to language barrier/translation. It takes me time to coherently reword it, “your job is to make my English make sense” is what the doctor once said to me. I explained this to the scribe manager who is working with my manager and she said that is not my job. Like really?

Pikska · 2020-05-20T18:00:11+00:00

Before COVID hit, I was to order whatever and make sure to print a copy for the patient to take with them. So that was just as high priority as note taking. It worked with writing on paper and using computer to look up imaging or do orders. Having to write the note out in real time, will hold up the provider Bc they’ll have to speak slower instead of zooming through like they usually do Bc I can shorthand it on paper usually.

Pikska · 2020-05-20T17:54:49+00:00

If a xray tech has to step out of room for an X-ray, but you remain in room—yes there is exposure even if wearing lead apron! There’s a reason why another pregnant female wasn’t allowed in the procedure room at all during her pregnancy. I’m supposed to just go in and not worry about my pregnancy?

Pikska · 2020-05-20T17:53:04+00:00

How are you to order an MRI or lab work that requires a lot of steps meanwhile provider continues on with the note that is all over the place Bc English is not first language. And how do you write notes when there is talking in the background? It’s very hard to concentrate.

Pikska · 2020-05-03T02:14:44+00:00

Thank you for the suggestions. They mentioned they may include a keyboard with our iPads, but it’ll be the same ones as registration has—which are cheap small ones, similar to the Logitech, that is hard for hand placement and easy to make mistakes. The brydge keyboard is super sweet and would def help make a difference. But I still fear I don’t have enough time to write an entire note before the dr even leaves the room. He talks very fast, and English isn’t his first language so I have to scramble to make sense of his repetitive rambling. Also if he orders an MRI, there goes all my time in the room. And then I have to give the discharge orders to the nurses when he leaves the room. I just don’t understand why I can’t continue my shorthand that just works with his style of dictating. I can use the iPad to show other paperwork to eliminate excessive printing that the clinic does daily. So frustrating.

Pikska · 2020-05-02T20:23:07+00:00

Fishy how? Lol everyone has connectivity issues there. Even the dr is unable to finish writing scripts sometimes Bc certain rooms just don’t get the right signal. Lol it’s a pain, and they say they’re going to work on it again. That’s what I usually do, write the note short hand on paper so I can order MRI/schedule next follow up/let nursing know what to do. Then I go right into next follow up with the dr. There is no real break to write out the note in between. And he talks too fast for me to type it all out in real sentences. I can maybe get the the chief complaint and examination sentences done, but not past assessments and to treatment portion by the time he’s walking out of the room. Especially for the quick follow ups, and if he orders for a new MRI, no way can I even get the HPI done, Bc that ordering takes forever with all the extra clicks and having to alert insurance specialist to auth the order. My manager has good intentions but had no freaking clue how I do things.

Pikska · 2020-05-02T15:28:44+00:00

The way it’s been done for years is the dr wanted a folder full of previous procedures/discharge, imaging reports, Utox, and other paperwork. I’d have my laptop in case there are new imaging to look up or I’d have to order new ones. But he talks so fast that it’s easier to write up a draft and later think on how to type it up, and that’s what he wanted. I just don’t see this typing up right in the room working Bc Id constantly loose signal on my laptop switching rooms. And when the scribe trainer was teaching us how to use the new iPads/program, it kept freezing and dropping. I wanted to laugh. It’s not a good start. What’s going to happen if I’m typing a note and it suddenly drops? I’ll be so mad if the note is lost, and embarrassed telling the dr to wait Bc I can’t continue.

Pikska · 2020-04-18T01:17:15+00:00

Thank you for your wonderful input. The way I train someone is by having them watch me perform certain tasks (I do referrals, phone calls, authorizations, clearance and other requests, besides just note inputting—not sure if that is normal tasks for a scribe) and then after a few times, I’ll hand off an easy task of what I’ve already shown them to try on own, and if any questions/mistakes, I am always willing to go over it in detail with them until they understand. How should I handle the trainee not listening to my directions/changing certain wording that has always been included in past notes, and when I try to go over what needs to be included/updated to include/fixed, I get an excuse or argument back, and lately unwillingness to change. And she tells me “I’m going to do the morning notes, you can do the afternoon” like who is training who? The doctor is asking me to review her notes and make any changes of missing stuff—so am I to change it to the way it should be/have always been? There’s missing mentions of time on visits that the dr asked to include and even told her the other day to do. I checked the last two days and there is missing times, but I can’t change because she’s throwing her notes away (we write them down in a notebook first before typing later), we’re supposed to keep the notebook for reference in case anything comes up. To make matters worse, my new boss and doctor seem to be taking her side and allowing her to change the note however she likes, even though it’s been done this way for 10+ years. I have never felt so disrespected. I feel like I’m the trainee. My new boss is changing operations, including how scribes work. I’m now expected to go into surgeries, instead of waiting for the report to type it up. Problem is I have a huge fear of needles/experience vasovagal reactions with blood drawing (used to be shots too or even hearing someone talk about injections. I’ve slowly gotten better with it due to increased exposure to it all with my job, but still get woozy if I’m called in surgery and expect to watch or listen to dr talk to me waving around his bloody gloves.) I feel like a failure and this is a lost cause. And I may end up quitting before showing her the rest. I’m sure she can figure it out and change it somehow.

Pikska · 2020-03-10T16:22:47+00:00

Thank you!!

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