OFFICIAL: Health Care Thread. Health Care Crew Unite!

[spicyprice]

Cerner let's you copy forward on assessments as well. They changed our to setup even further, the WNL really means WNL. And you can chart your whole assessment without taking your hands away from the keyboard using the tab up/down and first letter of what's in the drop box.

I've used the old DOS - like meditech. Straight awful

[South Side Stev]

For my initial assessment, I cannot use a "WNL" option, I have to spell it all out, which is silly.

There is a point to this. Could you imagine if everyone just put 'WNL' for every assessment? There are pertinent positives and negatives to a physical exam. Charting "WNL" doesn't really say much, and the entire chart would be full of lazy people charting "WNL" every time. Having to actually chart more than WNL for your initial is a good thing.

When I was a RN we had flowsheets, which were much simpler and information dense. I get so sick of reading computer notes now. Some of the ICU NPs will default in 4 days of ALL lab work, every imaging study report (7 days of completely normal PCXR interpretations by a radiologist do not belong in a SOAP note), and then do the ****tiest PE & A/P. Its the most useless **** to read because 80% of the note is auto populated garbage that isn't relevant. They have 0 clue how to compose a SOAP note, and its faster for me to go through the chart myself for information than to read their auto populated note with 0 thought put into it.



I hate computer charting, but its here to stay. McKesson is complete garbage, Cerner is much better, and Epic has been my favorite.

[StickLegs78]

WNL = we never looked

[DatMurse]

WNL = we never looked

How did you know?

[guyman123]

Cerner let's you copy forward on assessments as well. They changed our to setup even further, the WNL really means WNL. And you can chart your whole assessment without taking your hands away from the keyboard using the tab up/down and first letter of what's in the drop box.

I've used the old DOS - like meditech. Straight awful

How are you copy forwarding assessments on Cerner? Aware me pls

[gorbeth]

Lol. We do use quite a few "UTAs" in our assessments. Sometimes a 3 year old isn't going to let you look at their throat, or a 17 year old is going to flush their poo before you look at it. /shrug What can ya do?

Everyone in my unit is pretty on top of our charting, it just sucks that we have to waste so much time on it.

[gorbeth]

This topic though... I am taking care of pediatric patients. They can literally have a completely normal assessment except for one area. The majority of my patients do not have multisystem issues

[BeastMode101]

Brahs, that are in health care management, do you have tips of an undergraduate hoping to get into this career field?

I'm having a hard time looking for internship that's specific to health care management (I'm a business major and this is probably my last year to secure an internship), do you have any sites/forums/resources to get an internship in this area? It's very different than looking for an internship in marketing or accounting which are always offered at career fairs.

Any tips or advice?

Also what's the typical path look like for someone working in health care managemet?

[EpinephrineB]

Job: Cardiac Perfusionist.

Your thoughts?

Go.

[guyman123]

Job: Cardiac Perfusionist.

Your thoughts?

Go.

This sounds like a good question for South Side Stev and KlownZ.

[PaC-mAn8]

There is a point to this. Could you imagine if everyone just put 'WNL' for every assessment? There are pertinent positives and negatives to a physical exam. Charting "WNL" doesn't really say much, and the entire chart would be full of lazy people charting "WNL" every time. Having to actually chart more than WNL for your initial is a good thing.

When I was a RN we had flowsheets, which were much simpler and information dense. I get so sick of reading computer notes now. Some of the ICU NPs will default in 4 days of ALL lab work, every imaging study report (7 days of completely normal PCXR interpretations by a radiologist do not belong in a SOAP note), and then do the ****tiest PE & A/P. Its the most useless **** to read because 80% of the note is auto populated garbage that isn't relevant. They have 0 clue how to compose a SOAP note, and its faster for me to go through the chart myself for information than to read their auto populated note with 0 thought put into it.



I hate computer charting, but its here to stay. McKesson is complete garbage, Cerner is much better, and Epic has been my favorite.

In Epic, there is a side bar that actually lists what "WNL" means. For example, I generally always chart WNL under my cardiac assessment because it meets the criteria listed in the side bar "HR regular, unlabored, BPM 60-100".

If other systems don't list that, then yes...I definitely see your point about it being a bit careless.

[spicyprice]

How are you copy forwarding assessments on Cerner? Aware me pls

Left click on the column you want to copy, scroll down the page to make sure you capture the whole page if it's been freshly opened. Then at the top there is an icon.... Will take pic tonight of which one.... And then it let's you set the time/date and then enter.

Brb 0645 no change in pt all night copy forward assessment do first checks for q3 assessment. Done charting in 5 min on both patients for whole night.


I used to challenge myself how late I could do my charting and get it done by 7am if my patients were stable. 640 is the latest. I like the adrenaline rush lol.


Obviously my job is too easy some nights

[StickLegs78]

Job: Cardiac Perfusionist.

Your thoughts?

Go.

Sweet job, one of the CRNAs I work is married to a perfusionist. Can involve long hours, call etc, but the pay is in line with the high level of responsibility.

[South Side Stev]

Job: Cardiac Perfusionist.

Your thoughts?

Go.

Klown is a perfusionist. Im a CT PA who has worked with them for years.


Its pretty much a Master's. I know Texas Heart (one of the last certificate programs)is transitioning to that.

Very good pay for relatively few hours.

I know some people who pump 2 cases a week and make 6 figures. We have 20+ perfusionists and they have very good hours. I have never worked anywhere where they had bad hours.


If you're at a shop with ECMO then you will have to sit overnight ECMO shifts, but our guys get paid for night/weekend shifts on top of their salary.


If I had it to do over I would do perfusion. It is a very small field, but the outlook is supposedly good since there will be large number retiring in the near future.

[Megalomaniacal]

Perfusionists are cool.
Love dealing with them

[PaC-mAn8]

First shift solo tonight guys. Hope I make it.

[Megalomaniacal]

You'll make it



already 3 code grays today.....why?

[DatMurse]

Some 89 year old man coughed on me and died the next day. Am I going to make it guise?

[guyman123]

Some 89 year old man coughed on me and died the next day. Am I going to make it guise?

Bye Felicia.

[SKIN__N__BONES]

Got an interview soon. Already nervous as hell. Never had a legit interview before since I always just worked poverty jobs

[PaC-mAn8]

3rd shift alone & they give me 3 incontinent/Q2 turn/diapered patients. Dis ain't it mane.

[guyman123]

Got an interview soon. Already nervous as hell. Never had a legit interview before since I always just worked poverty jobs

Good luck, bro. You'll make it. Everyone always does.

3rd shift alone & they give me 3 incontinent/Q2 turn/diapered patients. Dis ain't it mane.

Easy. Just wait until 0600/1800 then change and turn.


































notsrs.

[PaC-mAn8]

^^ No joke, sometimes I feel like q2 turns on multiple patients is impossible. It was probably q3-q4 for me that night. Hoping I don't get a chit assignment tonight and tomorrow.

[guyman123]

I'll be up with you tonight and tomorrow, bby Two people called out sick, leaving us with four nurses.

It's going to suck dink :,(

[Rabbitw00t]

^^ No joke, sometimes I feel like q2 turns on multiple patients is impossible. It was probably q3-q4 for me that night. Hoping I don't get a chit assignment tonight and tomorrow.

A turn would literally take me 5 seconds. One person on the opposite side grabs the sheets pulling the patient over while the other throws folded pillows under the patient on the other. After 2 hours you pull the pillows out and they're now on their back. That's another turn done in 5 seconds

It sucks when you see nasty surprises while rolling. That'll ruin your 5 second plan in an instant. The hardest part is simply getting a free person for 5 seconds

[PaC-mAn8]

A turn would literally take me 5 seconds. One person on the opposite side grabs the sheets pulling the patient over while the other throws folded pillows under the patient on the other. After 2 hours you pull the pillows out and they're now on their back. That's another turn done in 5 seconds

It sucks when you see nasty surprises while rolling. That'll ruin your 5 second plan in an instant. The hardest part is simply getting a free person for 5 seconds

Literally every time I would turn a patient, they would be need to be changed..srs. Hard to move 250 lb+ dudes with another female.

[iBrooklyn]

Hello brahs, happy new years.

[Megalomaniacal]

Happy New Years guise.

full moon tonight

good luck

[StickLegs78]

Literally every time I would turn a patient, they would be need to be changed..srs. Hard to move 250 lb+ dudes with another female.

Turn teams are a good thing for patients and nurses. Big dudes just walking through the units looking to turn your patients.

[SKIN__N__BONES]

What nclex things are worth buying that are under 100 bucks? I have downloaded a few ebooks. Will be taking it in around 3 weeks.

I have all of the OPs stuff, my own notes, some other nclex basic study guides, and of course the nclex 3500 questions. Just thinking about getting a little more to study up.