As a patient, I really love patient portals that allow me to write out the questions I want to address during a visit and/or intake forms that ask what the one-two main issues I want to discuss at my visit are. This really helps me organize my questions and preemptively sets up that expectation before I even see my provider/keeps the appointment time-bound while also preventing the visit from seeming like my main issues aren't addressed.
@@RealWorldNP Yes! My NPs intake forms says " my main concern for todays appointment is ______. If we have time, I'd also like to discuss _______" (the new/annual form also includes expectations for what is covered in an annual exam vs a problem visit). I love it!
Yes, Kenisha! That is the only way that pre-charting can work ;) If you've got a live one *actually in the room*, you're good to go. Some people will start pre-charting the day before or at the start of the day....that's where it goes wrong.
I love your heart. I hated the “conveyor belt” feel when I worked in the PACU. I wanted to go into FNP to make a difference, but the amount of patients and time we have with them makes it feel the same way. I hate it, but I like how you said if you choose to stay longer and not to keep up with the goal of finishing your charts that day to help your patients. Thank you
So if a pt comes in with HTN, DM, Hyperlipidemia, lab review, COPD…..you only see them for 3 or 4 of those? I’m STILL struggling with this!My pt’s have so many conditions, and it’s sooooo much time charting! Help
Medicolegal Perspective this does not make sense Pt with high bp , high a1c , thyroid mass without follow up , who has wheezing and unstable gait What 3 things will you focus on ? Esp since a lot of patients are not compliant
@@Sabiqoon-w8yMaybe address all of them rather briefly, order according labs, imaging, and referrals and the ask them to come back for the most important issues for a more problem-focused visit?
The NUMBER ONE time suck for me is the technology. I spend more time rebooting the computer, waiting for the server to come back on, logging in, verifying my identity..on the phone with IT Support....at least an hour and a half just this morning...drives me nuts!!!
It's SO tough - that used to happen to me at my first job all the time. Usually when it comes to systematic change (tech upgrades, etc) I usually recommend collaborating with colleagues and making a written case (like "paper trail" with emails) to management to let them know how big of a challenge it is, so there's more impetus to change where they can/make it a priority
My practice is different. Im in specialty, cardiology, and I have to have the physician see the patient after me, adding more time. I also have to add all orders, follow ups, and walk the patient out. We are expected to see 16 per day. Which doesn’t seem like a lot compared to primary care, I suppose. But I’m struggling!
Such a great informative video!! Love all the tips and will use them in clinical. My question is can you give me a couple examples of ways to say “what brings you in today” that will guide the conversation? I’ve experienced in clinicals providers that are very stern about boundaries and time and others that will address every complaint that the patient brings up. It’s a tough spot to be in I can imagine as a provider.
This is very specific to each individual providers practice. I have found if I enter the room directing questions about the chief complaint this allow me to control the direction of the conversation. Even amongst other practitioners I've worked with in the past, this varies. Find what works for you!
@@AmeejackFor problem visits I definitely would lead with guided questions “So, you’re having a sore throat…” For annual or new patients, I still start with asking about allergies and looking at their meds.
As a patient, I really love patient portals that allow me to write out the questions I want to address during a visit and/or intake forms that ask what the one-two main issues I want to discuss at my visit are. This really helps me organize my questions and preemptively sets up that expectation before I even see my provider/keeps the appointment time-bound while also preventing the visit from seeming like my main issues aren't addressed.
So great that you have your system that works for you!
@@RealWorldNP Yes! My NPs intake forms says " my main concern for todays appointment is ______. If we have time, I'd also like to discuss _______" (the new/annual form also includes expectations for what is covered in an annual exam vs a problem visit). I love it!
@@katherinem6122hi! Did you create your own intake form?
Pre chart works for me ALL the time. I only pre chart when they are physically in clinic and been room by my MA
I´ve also found this helpful in clinic. Honestly, this still is evolving for me.
Yes, Kenisha! That is the only way that pre-charting can work ;) If you've got a live one *actually in the room*, you're good to go. Some people will start pre-charting the day before or at the start of the day....that's where it goes wrong.
I love your heart. I hated the “conveyor belt” feel when I worked in the PACU. I wanted to go into FNP to make a difference, but the amount of patients and time we have with them makes it feel the same way. I hate it, but I like how you said if you choose to stay longer and not to keep up with the goal of finishing your charts that day to help your patients. Thank you
Thank you for your kind words
This was fantastic to hear
Glad you enjoyed it.
So if a pt comes in with HTN, DM, Hyperlipidemia, lab review, COPD…..you only see them for 3 or 4 of those? I’m STILL struggling with this!My pt’s have so many conditions, and it’s sooooo much time charting! Help
Check out the timestamp at 18:00 mins. We go into great detail on how to tackle this difficult situation!
Medicolegal Perspective this does not make sense
Pt with high bp , high a1c , thyroid mass without follow up , who has wheezing and unstable gait
What 3 things will you focus on ? Esp since a lot of patients are not compliant
@@Sabiqoon-w8yMaybe address all of them rather briefly, order according labs, imaging, and referrals and the ask them to come back for the most important issues for a more problem-focused visit?
The NUMBER ONE time suck for me is the technology. I spend more time rebooting the computer, waiting for the server to come back on, logging in, verifying my identity..on the phone with IT Support....at least an hour and a half just this morning...drives me nuts!!!
It's SO tough - that used to happen to me at my first job all the time. Usually when it comes to systematic change (tech upgrades, etc) I usually recommend collaborating with colleagues and making a written case (like "paper trail" with emails) to management to let them know how big of a challenge it is, so there's more impetus to change where they can/make it a priority
My practice is different. Im in specialty, cardiology, and I have to have the physician see the patient after me, adding more time. I also have to add all orders, follow ups, and walk the patient out. We are expected to see 16 per day. Which doesn’t seem like a lot compared to primary care, I suppose. But I’m struggling!
Remember you always have to ability to make recommendations in process or clinic flow to increase your productivity.... the worse they can say is no.
Such a great informative video!! Love all the tips and will use them in clinical. My question is can you give me a couple examples of ways to say “what brings you in today” that will guide the conversation?
I’ve experienced in clinicals providers that are very stern about boundaries and time and others that will address every complaint that the patient brings up. It’s a tough spot to be in I can imagine as a provider.
This is very specific to each individual providers practice. I have found if I enter the room directing questions about the chief complaint this allow me to control the direction of the conversation. Even amongst other practitioners I've worked with in the past, this varies. Find what works for you!
@@RealWorldNP thanks so much!! That makes sense!!
@@AmeejackFor problem visits I definitely would lead with guided questions “So, you’re having a sore throat…” For annual or new patients, I still start with asking about allergies and looking at their meds.