#irazuexperiment

[doctorspork]

@irazuexperiment replied to your post “Today in clinic I saw 0 patients, did 3 prior authorizations, and...”

@doctorspork hey wait a min , docs do their own prior auths at your practice? Do you feel like that takes time away from other things?

Yes and yes. It’s a residency clinic - I don’t know if other residencies have someone else who does them (and if so, I’m very jealous), but we’ve got poor funding and poor staffing, so we do them, and they suck, and I generally spend 3x as long on the phone with someone with 0 medical training trying to explain why my patient needs this medication than I actually do with the patient.

#irazuexperiment #prior auth #insurance #residency #medblr #spork talks #replies

[half--agony--half--hope]

irazuexperiment

  MLOA

@half–agony–half–hope how do you receive leave of absence at work? Does it depend of HR offers it? Is it different than FMLA?

I have never been on FMLA so I can’t speak to how that works or is different.  At my work, if you are going to miss more than a week of work you need a doctor's note.  You being out is between you and the doctor and work can’t say anything about it.  The note doesn’t have to specify what the problem is just that the doctor says you are unable to work until a specified time.  My work has sick leave separate from vacation time and I have 6 weeks currently accrued because I have been there forever and only ever been out once before for 2 weeks.  So I will just be getting paid from that while I am off.  If I had to be gone past that then I imagine I’d have to go on some sort of disability. 

#irazuexperiment #mine

[emergency-nurse]

irazuexperiment replied to your post “Week 1 of my masters program. I’ve written 9 essays (in addition to...”

Which master’s program are you in?

Masters in Nursing Leadership and Management. It’s 100% online, so they substitute all of the face to face time with me researching and typing UNTIL MY FINGERS FALL OFF.

#irazuexperiment #my post #Nurse #nursing meme #health #Emergency Nurse #Nurblr #Nursing Student #Nursing School #Murse #Emergency Department #ER #Medicine #Emergency Medicine #Nurse Life #critical care #ICU #Intensive Care Unit #masters #NLM #nursing leadership #managemen

[doctorspork]

@ramblingandpie replied to your post “@irazuexperiment replied to your post “Today in clinic I saw 0...”

As a patient who needs a lot of prior auths... it is important and your future patients will thank you. I've had providers who clearly know what they are doing on PAs and ones who don't. When you're in a lot of pain, having to wait an extra week because the provider didn't specify a dosage of a med they previously tried? Sucks a lot. So. Hang in there.

<3

Expressing my frustration with the system that makes it so so hard in so many ways for patients to get the care they need, but I wouldn’t keep doing it if there weren’t actual people who actually stood to benefit from the million hoops I jump through.

Though I still would love to light all those hoops on fire.

#ramblingandpie #replies #medblr

[doctorspork]

@wayfaringmd replied to your post “Today in clinic I saw 0 patients, did 3 prior authorizations, and...”

Also obesity covers some screening things - screening lipids and A1Cs usually. And @irazuexperiment I do my own PAs too (though my partners don’t). I don’t have as many as they do though because you learn what will get covered and what won’t and you learn what will get a PA approved. It’s a good exercise, though in practice it does take up valuable time I don’t really have.

Yep learned that (and used it today when ordering labs).

My big gripe was that I was doing prior auths and hunting down acceptable ICD-10 codes for other residents’ patients, because that’s how our program does it (and I had twice as many to do because the resident assigned to the task the day before just...didn’t do any of them), and it was very frustrating since all of these things could’ve been avoided in the first place.

But hey, I’m learning. And telling the interns what I’ve learned so they’ll stop creating this work for me to do haha.

#wayfaringmd #replies #I did tell the interns to stop ordering lidocaine patches when they're not at the VA #bc like nowhere else covers it #just look up whatever %age lido cream or gel is covered and do that instead pleeeeease #spork talks #medblr #residency

[half--agony--half--hope]

irazuexperiment

  For the record

@half–agony–half–hope ugh how ugly what you had to deal with �� may I ask which state you work in?

I am in California.  So we do actually have mandated ratios.  The good is since the COVID patients are tele we can’t be forced to have more than 4.  Though that doesn’t at all mean mgmt hasn’t tried to get us to take some of them off tele when they are improving.  But we have refused.

The bad is because the law of course mentions nothing about COVID mgmt uses that as a reason to say it’s just like regular tele why can’t you handle it.

You know cause multiple unstable airborne iso patients is super the same as someone with new-onset a-fib.

#irazuexperiment #mine #replies