A Blog detailing the insanity of my medical practice and the stupidity of everyday life.
Wednesday, May 9, 2018
Seen in a chart
Remember medical students: taking a good family history now includes covering test conclusions, free text, and practice management, but fortunately not retardation or cancer.
the tyranny of the tick boxes. it's come to hospice care at my agency. now I get to tick off mandatory red boxes to turn them green, update care plans that will never be read except by QA/UR/and JCAHO functionaries. Providing the compassion and presence that is essential for meeting the 'goal of care ' - comfortable death in your own bed or your own home - that's an extra. and not a reason to put in for overtime. All with the freeway traffic in the Bay area as my 'office." for the first time in a long career in nursing, I am trying to figure out how to retire before I burnout.
I think hospice was the last bastion of relative freedom from idiotic EHRs.
God help us.
ReplyDeleteAnd the sad part is, thanks to EMRs, this crap gets copied and pasted into every note from now until eternity
ReplyDeleteAnd it is almost impossible to not copy. It auto-populates into unalterable text.
ReplyDeleteMore? You want ... MORE?
ReplyDeletethe tyranny of the tick boxes. it's come to hospice care at my agency. now I get to tick off mandatory red boxes to turn them green, update care plans that will never be read except by QA/UR/and JCAHO functionaries. Providing the compassion and presence that is essential for meeting the 'goal of care ' - comfortable death in your own bed or your own home - that's an extra. and not a reason to put in for overtime. All with the freeway traffic in the Bay area as my 'office."
ReplyDeletefor the first time in a long career in nursing, I am trying to figure out how to retire before I burnout.
I think hospice was the last bastion of relative freedom from idiotic EHRs.