Hourly wage professions that are required to work on their off time

I would agree, but what specialty is she in? Hospitalists, emergency, urgent care, etc….Many factors could play into this. Also how long has she been an NP just out of curiosity.

She's fairly new, about 2 years now. Family medicine.

It's both bullshite and very common in the medical field
The only way to fix it is to become more efficient

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She needs to looks into ambient listening AI transcription. Essentially you just set the app to record when you go into a patient encounter and it listens, synthesizes, and accurately creates a note for you. We have started using it and it's a game changer. Can see 50+ person clinics in a day and be completely finished with charting when you see the last patient.

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Damn that sounds amazing, will look into it.

My wife is a salaried cardiac NP.She spends about 2 hours every night and 3-4 hours Sunday on the computer.
What she is doing is reviewing patient records for her patients and the Drs. pts to get ready for the next day.She sees 20 patients a day,sometimes more M-Th,off on Friday.
Dr sees about 40 pts M.and 40 on W.
Dr.has 4 helpers she only has 1,(check vital signs, meds)

She came home mad today,they already have her scheduled for 96 pts.next week.
I asked her about the AI transcription,she has that so she’s finished with her pt.records,for that day.
She said if she doesn’t look up pt’s records the night before she would never get done the next day.

Besides all that she calls pts if they have an abnormal test results,for a lab test,echo,etc .Dr.has a nurse to do that..Then she spends time fighting with insurance companies ,on the phone or dictating letters when IC doesn’t want to pay for meds the pt.is on.

NP for a Dr. is not all, it’s cracked up to be.When I was a ICU staff nurse,I was paid hourly and worked 84 hrs every 2 weeks.She was salaried and worked about 120 hours.If I had worked as many hrs as her with overtime I would have made same as her.
Job she has now it’s “only” about 50 hrs.a week with home work.

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My wife

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When I was a ICU staff nurse

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The lovely Mrs. Indytiger is an NP and paid an hourly wage. She spends probably 2 hours every weekeday night at home charting. In addition, she spends probably 4-5 hours on Sundays charting. She is not paid for this time. I think its horseshite. She says it is just part of the job. Am I wrong on this?

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My wife was a hourly NP and would stay late and on the clock to chart. Usually takes an extra half hour or so, but was worth it to be paid.

Just adjust your schedule and have her stay on the clock at the clinic.

Medical charting is insane. My wife is an OT and charts a similar amount of time at home. With treatment sessions scheduled every 30 min there isn’t enough time in the day to do all the charting.

I'm an NP. Only time I spend in our computer charting at home is when a friend needs something that I can electronically send in to the pharmacy. Way easier than calling and being on hold for 10-15 minutes.

I know someone who is on salary but required to work 45 hours a week. That seems so damn stupid.

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She needs to looks into ambient listening AI transcription. Essentially you just set the app to record when you go into a patient encounter and it listens, synthesizes, and accurately creates a note for you. We have started using it and it's a game changer. Can see 50+ person clinics in a day and be completely finished with charting when you see the last patient.

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Is AI use in this case a privacy violation? Buried deep in the AI terms of service is likely permission allowing the AI company to store and train AI models using the audio recording.

eta: Poster above touched on it.

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What service would you recommend or do you all use? I use otter.ai for its integration into teams but my wife would certainly benefit from something like this if they have a HIPAA compliant version.

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