Wednesday, October 02, 2013
It's been a rough week so far. I work in a family practice office with one MD and a brand new NP who just started seeing a couple patients a day yesterday. She will go to full days next week when I have my new nurse. Currently I have one LPN who is on vacation this week. This means that I have a float nurse--an RN. Now I'm not saying that an RN is any better than an LPN however, there are just some basics that even I know and I'm not clinical at all.
We had a patient in yesterday that had a few non-healing wounds on her legs that were apparently oozing and not looking good- we did send her to hospital. The next patient shows up and the nurse brings him into the same room without cleaning it up first- she wiped down the table while the patient was standing in the room.
Confidentiality is definitely a priority in a doctors office. One of our patients was in for labwork then a visit with the doctor. After she had her labwork done, the nurse had her sit next to her and started asking her the questions that should be asked in the room with the lab tech right there.
This is just common sense in my opinion that you don't do these things. I had to put a few patients in the rooms because she was taking 20-30 minutes to put patients in putting the provider very behind.
I think she is probably a very good RN (who has her bachelors too) just not in our office. She is the only nurse and she needs to be able to function on her own and do all the quality controls, tracking, messages, triage, rooming patients on her own without the duties being split among other nurses like most offices are. It was towards the end of yesterday that I had found out that she has been only doing triage for the last 6-7 months and not rooming patients at all. Plus we had a system upgrade to our electronic medical records system that she hasn't used until this week.
So this helps explain the slowness in the rooms but not much else. I can't even imagine how our flu clinic will go this afternoon with patients every 10 minutes from 100-430. I will be walking shortly then again at lunch to help ease my stress!
Have a wonderful day everyone!