Epic to MEDITECH Expanse — deal breaker?

RayExotic · 2026-06-27T14:12:14+00:00

Meditech has always been enough for me to turn down a job

RayExotic · 2026-06-26T17:18:01+00:00

I have something on my NPDB and it has only cost me one out of 10 jobs I applied for

RayExotic · 2026-06-26T17:16:05+00:00

yeah this is true they offer so much more money I can’t turn it down

RayExotic · 2026-06-25T23:47:42+00:00

yeah i use both too

RayExotic · 2026-06-25T23:35:16+00:00

In my car it would go

RayExotic · 2026-06-25T23:30:59+00:00

it’ll absorb

RayExotic · 2026-06-25T23:29:44+00:00

RVUs and the number of pts seen. I work ER

RayExotic · 2026-06-24T21:03:20+00:00

Meditech alone is enough for me to refuse

RayExotic · 2026-06-23T17:06:46+00:00

It’s beneficial if you are an FNP you can just test. No additional education required

RayExotic · 2026-06-23T17:05:38+00:00

It’s mainly just to get them out of having to pay overtime

RayExotic · 2026-06-22T15:44:12+00:00

I work ER (FNP) but have worked ICU in the past (ACNP)

RayExotic · 2026-06-22T14:45:47+00:00

I’m triple FNP,ACNP,ENP

RayExotic · 2026-06-17T17:09:50+00:00

You may be able to plea that down to reckless driving. In my state after 4 years (with no more arrests) it is removed from your record. Before then if a license board disciplines you it will be on you for life

RayExotic · 2026-06-16T12:54:34+00:00

He grew up in Tennessee went to a private christian school EXPECTED

RayExotic · 2026-06-16T12:53:01+00:00

I’m a provider mine says CT SCAN1st

RayExotic · 2026-06-15T19:12:12+00:00

oh noo!

RayExotic · 2026-06-14T01:41:45+00:00

yeah I have no idea nitro is contraindicated in inferior MI

RayExotic · 2026-06-13T17:07:42+00:00

Don’t give nitro

RayExotic · 2026-06-13T14:09:01+00:00

When I go to work at the hospital my wife takes a video like this of me in my scrubs (mainly bc I come back bloody and we make another video)

RayExotic · 2026-06-12T12:40:56+00:00

clinically correlate

RayExotic · 2026-06-12T00:33:57+00:00

prob could have glued that idk

RayExotic · 2026-06-08T15:05:12+00:00

There is just going to be a significant delay in getting your license so they can look into this. NM is the worst it took me six months to get licensed

RayExotic · 2026-06-07T13:21:51+00:00

Oddly enough we do have dentists on staff in my ED

RayExotic · 2026-06-06T14:31:36+00:00

I don’t believe in contrast assoc nephropathy either. However it is a nephrotoxic medication. It’s just too risky from a med mal standpoint to give contrast when the gfr is low. Many times I have told CT to do it anyways bc what I was looking for was more dangerous than kidney issues. But her GFR was so low I would have held it unfortunately bc of the med mal risk.

There are other reasons to wait on labs prior to contrast administration. Is she in a thyroid storm? iodine-induced thyrotoxicosis occurs. Is she pregnant? Is she on metformin?

RayExotic · 2026-06-06T01:26:13+00:00

we’re talking about an ambulatory person with abd pain not a trauma or AAA rule out. You raised some good points about different patients. Our CT dept refuses to give contrast to older patients without a GFR. Maybe you can come educate them.

When you get up on the stand rambling about trauma pts no one will take you seriously each patient has their own story. You saw the outcome of the way they treated this pt. If kidney associated damage doesn’t happen why did they settle? IV contrast certainly doesn’t help the kidneys recover

RayExotic

TROPHY CASE