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High-pitched, wispy NPs - cr

Posted: Dec 05, 2012

My heart sinks when I get a high-pitched, wispy-voiced NP dictator. In general, though I like female practitioners, I dislike female dictators. I'll take a male voice with an accent over an NP with a little girl voice you can barely hear.

at least ya got work - Ill take it....

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I have run out of work every day for the past 3 weeks. I will take whatever whisper, high-pitched, super annoying voice you have!

Srsly, I dont think Ive worked a full 8 hours consistently - for a few years now sm

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Now, even the small chance that there is 8 hours of work available for a day, I'm finding it impossible to sit and do it anymore anyway.

It's pretty bad when you've been conditioned to have no work available that when there finally is work, you just can't sit and do it for 8 hours anymore! I'm so D-U-N.

Glad and thankful that my old ass has another career to look forward to in 2013 - I just can't take this anymore, not for the lousy pay and inconsistent work, worrying about money all the time. Forget it.

Valley Girl NPs and PAs - drive me batty, like

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gag me with a spoon

Like totally dude!! - :)

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.

Oh, I know!! - Talk Like an Adult Already

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They prattle on like 5-year-olds.

What about the ones that go "Ummm....umm..ummm, No wait; delete that" - all throughout the dictation, like they

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are reading from the chart and paying more attention to everyone around them than they are their dictation.

I have one who says - looking through the chart

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looking through the chart, looking through the chart...I think she's afraid it will hang up if she doesn't say something.

System used to hang up - if no noise, but...

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I think that's changed. And it won't happen with hospital dictation, because most of the time that's dictated in a noisy environment. Bells, whistles, washing surgical equipment, etc.

LOL @ the one who constantly says looking through the chart - nm

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nm

I have a couple - who sound like a

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cross between Betty Boop and Minnie Mouse. Blech!

I have found these dictators to be very dangerous to patient care. - sm

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Some doctors can be bad, but I have found that MOST of the NPs and PAs are very dangerous to patient care. How do they get these jobs? After listening to them make phone calls, eat, read their chart, and have consersations with others, I wonder how they cannot realize how much of our time they are wasting. I believe a company should point this out to them. For example, they took 15 minutes to dictate 1 page. This costs everyone, including them.

I am constantly correcting their mistakes. They cannot pronounce drugs, or even spell them for that matter. They simply use the patient spelling from their list. They have no clue about disease processes. They struggle to read impressions from test reports, all the while acting like these are their own words. I had one NP dictate ropinerole 250 mg twice a day in her drug list!!!! What happens when these "medical professionals" use some form of EMR and insert this stuff in the computer, and we are not there to fix it? Does anyone catch this stuff? Doctors can be as bad. Who do they blame then? Will insurance companies, pharmacies, and the patients themselves become more aware of the ridiculous and wreckless way their care is being handled? While as an MT I consider it very annoying and just part of the job, but as a patient, I find it very troubling.

Well said. I agree with that totally. - midwestmt

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I just wonder how they take care of patients? No, they cannot even do something as simple as read straight from a CT or MRI report, much less the pronunciation of the drugs, correct dosage, etc. I've seen some of the things they input into the EMR, and I just shudder! And forget about the company pointing it out to them. I work directly for a major hospital system, we just correct their dictation. I often say to myself if I were an inpatient and one of these hospitalist NPs came to see me, I would get up and walk out! (And there are residents and attendings who are just as bad!)

Yup, we catch it, we correct it, (and we of course get - blamed for it), all for 3-4 cpl. INSANE!

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They want to pay us nothing, and/or get rid of us entirely, thinking they're saving all this money. I wonder how much it has cost them already in less efficiency (doctors entering their own reports in the EMR), more mistakes, and more unhappy patients and lawsuits. These bimbos never seem to see the big picture, just the short-term, band-aid fix.

PAs, NPs, residents - if I were a hospital patient

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and any of the above came into my room to do a consult I would refuse it, in fact, refuse to converse with them at all, or they will somehow turn it into a billable consult. My insurance company pays big $ for these services, and my experience typing these folks makes me realize my health is much more important than getting them trained.

PA skills - Look at this

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I was looking up the requirements for a 28-month PA training course at one of the nation's top schools. While the undergraduate requirements are stringent (bachelor's at minimum and high GRE score), this is the requirement for terminology:

"A course in medical terminology is recommended for applicants who are not health professionals or for any applicant not confident of their ability in this area. Self-study courses are appropriate. No transcript record/grade for medical terminology is required. All applicants must pass, with a score of 75% or better, a written exam in medical terminology. A self-study course in basic medical terminology is available for download in Adobe Acrobat format from the program Web page."

So, in other words, terminology competency is only recommended, and accuracy of only 75% is required? Since PAs are doing the majority of patient care these days, and even refer "their" patients to other PAs, seems to me like their ability to use terminology might be critical. Can you imagine that a self-study course would be sufficient?

OMG. That explains a lot doesn't it? - No message

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s

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