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pissedlizard 11 points ago +11 / -0

Holy shit do consulting work for attorneys now. A lot got smart and hire us to go through charts for them. It’s crazy the level of incompetence since the Obama era level of doc. And nurse notes are worse, but where we find the bread and butter of mistakes. It’s great work for a semi-retired out the door doc who hates the system more than a lot of things. Because I lived what it was - and what it has become. A ripple that echoes society it seems.

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Arwyn3x 5 points ago +5 / -0

I lived what it was - and what it has become.

Sent a wave of sadness through me, there are a lot of us I think, who lived what is was and are broken hearted.

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pissedlizard 3 points ago +3 / -0

But this is where we need each other like never before, young friend. I truly believe, in my heart that Gen Z will save America. I do. You see they have a taste of it. They have not just smelled the gravy of the stew we call America, but actually get to taste it. I think when it comes down to it - and I have been to the Middle East, Maghreb, a LOT so I know what they are up against, but that stew... maybe with a good Irish bread, ya know? What we have lived will be restored. It will. We just have to hang tight, keep regrouping and never giving up. God is watching us. Our every move.

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BobBlackwood 1 point ago +1 / -0

I'm almost done with nursing school. Any advice concerning the nurses notes you've read?

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pissedlizard 2 points ago +2 / -0

Absolutely. This is gonna be long, but I truly hope it helps.

Mostly today, fortunately for nurses, most of it is all point and click. But the actual typing part - I know when a nurse fucked the case almost immediately is after checking for spelling. Spelling errors lead to provable carelessness when I get you in the deposition stage. I look first then run every word through a spell check-medical-legal grade spell check with Latin, Greek, all the bells and whistles. Fucking up the spelling is the smoke. The fire is when I start reading and comparing orders written versus orders carried out. Good thing for you - you can’t get sued. The hospitals settle nurses cases. Whatever you do, no matter how much time it takes, check your spelling. By now you had a million classes on it, right? Because of lawsuits. Next thing nurses get burned on is an example I get weekly. Nurse comes off one shift briefs nurse on next shift-and this shit happens in the ICUs of all places more than anywhere else, but the nurse will go and either not speak to the patient and document that they were awake when they thought the patient was napping and didn’t want to wake him or her. Vitals look good, looks comfortable, and maybe he was. But when someone inevitably walks in the door and the patient codes, well, are you gonna lie - and you are gonna get caught - or tell the truth? Either way you are fucked. Wake the patient up if the orders say to. Sometimes a doc may be concerned about something he or she hasn’t documented yet. Sometimes that doc wants you to see that patient visibly awake q whatever. I do it all the time in my practice practice. Just follow the orders to the letter, especially early on. Later when you get some salt you can move fast, but take your time. And in I can go on and on and on but in the interest of time my third piece of advice is always be nice to the patients family. They usually tend to drop the lawsuits - and I see it first hand - when they like the nurse if it was the nurse that fucked the case. Almost across the board. It’s always “oh I really liked him or her, let us talk to our lawyer...” and that’s sort of in a way where it ends. Be cool wi to with them. You don’t have to be an ass kiss but if you see a family and someone doesn’t have a drink or at least offered a bottle of water or something... ya know what I mean? A jello, an ice cream sandwich for the kids. Shit you have access to. It goes a long long way. Let me know if you want any more tips, I am happy to help you out!

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BobBlackwood 1 point ago +1 / -0

Holy smokes thank you for the thoughtful advice!! Very very good to know. I would have never thought that spelling would be as big of a deal.

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pissedlizard 2 points ago +2 / -0

Yes, please take the advice. I really do wish you the best in your career. Right here on this board- There are many fine doctors and other medical professionals that - although I can and will only speak for myself, I am sure anyone wouldn’t mind fielding questions. Myself included. Even the ones you may feel embarrassed about. Like “why am I doing THIS???” You know- they are saying and ordering something and I don’t get the physiology — Any. Time. Believe me when I say everyone has been there.

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Wolfebane84 1 point ago +1 / -0

In hospital someone added a zero to a dose of something I was given. (I just know it was a mistake because it felt 10x worse then when they gave it to me before) but my charts clearly say it was the same size dose. I just know it wasn't. That and no one moving me for 11 days in the ICU and the resulting sores (epidural is a wonderful thing and women no longer get to complain about the pain of childbirth if they have an epidural) All the nurses swore up and down "oh yes, we moved you ever few hours" nope immobile for 11 days in the ICU. Then....then there was the catheter incident at night and the nurse on duty ignored me and blew me off.....Nurse Judy, you should not be anywhere near the medical profession. Oh and the yanked IV's same nurse....