Posted on 05/29/2015 8:28:45 AM PDT by SeekAndFind
They’re slowly being consolidated with and eventually replaced by physician assistants.
Crap!! That should read MAs!! (I’m getting old.)
That’s what nurses are for. It’s sad that nursing has lost the respect it used to have, much like pilots, real doctors, etc.
That was a bit snarky. I can assure you that no floor nurse I know.... ever spent half their day "scribing doctors orders"....but rather "performing them". The 10yrs I spent on the floor in hospital, I RAN for the entire 12hrs...rarely got lunch or potty breaks and spent at least 1hr on computer finishing up nurse notes for the day.
Nurses are require to document every procedure performed and the condition of each patient every 2 hrs, what happened, what was said, etc. 13hrs was a good day without emergencies. I can't tell you how many times I spent more than 14hrs filling out incident reports and cleaning up after emergencies, having meetings, etc. Then you get to go home, wave at the kids, fall into bed so the process could start all over again the next day.
Though I believe every patient is important.... it's sometimes difficult to persuade every patient they aren't the only one you're taking care of. Nurse to patient ratios are not good and if someone calls in sick, you're toast. It's a tough job and not for the faint of heart.
“Start with practices that charge fees based on actual cost not inflated by government, insurance and lawyers.”
The cost is high because so many people must be treated for “free.” The cost of that treatment is spread among those who pay. “Insurance” dictates what the cost will be for “insured” patients so the excess cost there is also paid for by those who are citizens, have attachable assets and no “insurance” to protect them from being the lowest one on the chain.
No doctor can afford the liability of not having lawsuit insurance and that is probably a much higher cost than actual medical procedures. Any doctor who practices without insurance will be dead broke after the first, inevitable lawsuit.
The problem is government and laws, not medicine or “greedy” doctors.
Not meant to be snarky. I love nurses. I just remember from my youth and dating a couple what they would tell me about their day.
I was an RN for over 30 years, and even in nursing it’s more and more documentation. When I was still working, I asked the head honcho after she informed us of more paper work, just when were we suppose to have time for the patient? She was not a happy camper with my question. Anyone who starts to talk to me about nursing, I tell them to stay the hell out of nursing, you will drown in paper work, and end up with a bad back and bad feet. When I retired, back in 2004, I felt such a relief. It wasn’t the patient, or the patient care, it was the politics and endless paper work. I’ll say it again, to those who are even thinking of going into nursing, find another vocation.
There are membership practices with very low cost. Insurance is not an issue because membership excludes lawsuits. Free services are not free. They are subsidized by the gov at below cost. Medicaid does not cover the cost of the practice, factoring in reporting and billing costs.
Medicine is in chaos due absolutely to government intervention.
Obamacare is driving medical care into the basement. Costs are accelerating and care is being limited by government mandate.
That revolt is already going on. It’s called Direct Care
Practice. The patient pays a monthly fee (between 50-
175.00 monthly average) and for that gets a variety of
services: yearly physical ,minor surgery in office(removal
of skin lesions etc., other minor procedures, EKG, some lab tests. My doctor also does osteopathic adjustments under this plan. This is a transaction between doctor and patient. Neither the government or the insurance company is involved. It is truly a blessing and a throwback to the time when doctors practiced medicine, not cookbook insurance driven defense. I initially found this because I read that there were more and more doctors committing suicide. I was very distressed by that thought and that led me to seek out a physician who loves life and freedom and is not going to be forced into a life of misery - we really have to start thinking outside of the rigidly defined box that government mandated “healthcare” is and act like free people who have a say in their own destiny. Here’s a link if you are interested in direct care:
http://samaritanministries.org/member-doctors-adopt-new-model-primary-care/
Mrs. AV
Thank you!!!
You said it better than I could.
Mrs. AV, R.N.
You carefully avoided the word nurse substituting the terms Medical Assistant and scibes. An MA is a nurse. Scribes are not legally allowed to do data entry per Obamacare regs. Nor, for that matter are MA’s. The physician is the only person allowed to enter data in a patient’s online record.
As per your: ...and now some offices have scibes who enter the doctors notes into the computer. Exactly - most efficient people will delegate inefficient activities.
My docs can complete a form in seconds where entry into any electronic device requires 5x the time and they have to find a surface to place the device to type into it.
Paper means never having to say oops, sorry all your data was hacked!
Noted. Thanks.
During one of my last visits with him, I volunteered to type for him, as I could see he was having a difficult time (using the 'hunt & peck' system). He just sighed and said he needed to do this himself.
I also realized upon leaving, his time with me mostly was consumed by asking me "canned questions" never before asked ("what weapons did I/we have at home, did I feel safe at home, was I subjected to any kind of 'emotional, threatening conditions' at home," etc.) and little time on my reason for the appointment!
I received a letter from him six weeks later informing me that he was '"retiring from his practice" and thanking his "patients who had trusted him for decades with their and their family s health!"
A Medical Assistant is very different from a Registered Nurse.
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