Nursing documentation for medicare

I don’t even know where to start. I love being a nurse and I would never expect this to happen to me. I have never ever made a single mistake not to jinx myself… but I’ve never even received “ a slap on the wrist” over the last seven years. Never even a single medical error. This past week I made an error where I got confused towards the end of my night shift w/ contribution of the lack of doc placing actual orders in the patients chart to suffice the verbal orders he gave me and were completed during an emergency situation. Patient got the best care possible for the situation at hand, but due to the confusion of all the quick events I accidentally committed falsification documentation when I could not find what I thought would be a leftover bottle of a controlled med. I thought I would just let my charge know that it most likely got thrown out when I couldn’t find it (I work in the ER and this unfortunately happens). After doing this wrong charting.. I realize that the med had actually already been used and that’s why there is no waste to be charted… unfortunately the doctor hadn’t placed any orders and so I got gambled in my memory. I immediately reported my false documentation and wrote to pharmacy and my leadership. With all this said I now need to write a letter to the state to protect my license for my mistake. I’m terrified and again this is my first ever mistake. any advice ?

Some background about me: I’m a 24-year-old male living in the United States. I graduate in 4 weeks as a nurse. I have a good family—my mom, brother, sister, and I are very close. My father passed away when I was four, and since then, my mom dedicated herself to raising us. She instilled in us the values of perseverance, strength, and kindness, always emphasizing that there's a reward beyond this life. She often told us that we are the light, and we shine through positivity and kindness. Despite my efforts to stay positive throughout life, I'm currently feeling lost and in need of guidance.
Three years ago, I met a girl (now 22-year-old female) who was a single mom at the time. She was genuine, kind, and passionate. As I got to know her better, I learned that she was struggling, scared, and confused. She had been diagnosed with dissociative identity disorder (DID), which involves having two or more distinct personalities, usually as a result of extreme childhood trauma. I saw her different personalities as protectors and chose to focus on her genuine side. I decided to support her, believing that her disorder was not her fault, and we built a strong connection.
About a year into our relationship, her mom left her in an apartment with her child and brother to move in with her new boyfriend and her two youngest children. She had no identification papers or documentation for herself or her child, likely because her mom was receiving benefits on her behalf. She struggled to care for her baby while dealing with bedbugs from a neighboring apartment. To help, I used my savings to pay for hotel stays for her and the baby. I also spent time with the baby to give her a mental break.
My decision to leave home at night to support her caused friction with me and my mom, leading me to move out. Money became tight, and I worked 12-hour shifts at Amazon while we lived out of my car. My priority was feeding the baby, then saving for necessities. The goal was to get her and the baby proper documentation and eventually secure housing.
When winter came, we moved into a shelter once she got her papers. I used my savings for her education, helping her earn a GED and into college. I got a better-paying job and secured a position for her there too. We saved money, raised the baby, and focused on our studies.
However, just as we were accepted into a nearby college, we were rear-ended by a DUI driver going 60 mph. I was hospitalized with a neck injury, which made it difficult to work, study, or help with the baby. She became overwhelmed and sought help from the baby's father, who initially refused. She then applied for government assistance, which angered the father, prompting him to take the baby from daycare and to file for emergency custody. Although his request was denied, he kept the baby for 45 days without contact, causing us to lose our place at the shelter.
We maxed out credit cards, took out loans, and moved to a studio apartment and hired a lawyer. Despite the love we shared, the negative emotions, confusion, and pain led to frequent arguments and frustration. Financial struggles and school pressures left us feeling lost.
Two weeks ago, she fell into a deep depression and wanted to give up. She began spending most of her time on the phone with friends and on social media, which reduced our time together and communication. Recently, her aunt and uncle invited her to Texas for a vacation, where they tried to set her up with someone else. She returned upset but now wants to move to Texas for a fresh start, without me.
I offered to buy her a ticket and then block her for my own peace of mind. Is my viewpoint a bad one or am I just in a bad situation?

Hi everyone,
I'm not sure what to do. I just started a new job as a night shift Personal Support Worker (CNA in American terms). I just graduated in April of this year and this is my first official job as one.
I have had two days of "night training" and I feel like I absolutely don't know anything.
First night, I was in another area where I wouldn't be working.
Second night, I was with the "float person" and they do way different things then what I would be doing.
Also.. all the night shift workers including psw and nurses are Indian (I apologize for sounding racist) and when the talk to each other it's in their language, not English. So, I have no idea what they're saying and I'm anxious that they're talking bad about me and/or the residents we care for.
So with that I feel like I'm not getting proper training, I feel like they don't care and are just "half ass" training me. I just feel unwelcomed.
I have one more night training tonight and then on Thursday I'm on my own and that's scares me cause I literally have no idea what to do or where anything is. I try asking questions but they don't comprehend the questions I'm asking and their answers doesn't make sense.
I love working with the elderly and I wanted a night shift line, but I feel so unwelcomed and I don't know what the proper "schedule" to at night time. Like I don't know who to change and at what times, I don't know who has a urine bag that needs to be emptied, I haven't been shown how to document and many more things.
I don't know what to do! Any advice will be greatly appreciated!

Firstly, can you be fired for reporting them? If it is confidential can they still find out?
-hiring an imposter RN documented on the nurse directory as so -incompetent director who refuses to check pts or send them to hospital and calls family to make them bring them to hospital -constant med errors from one staff member and never have any repercussions -staff making false documentation, even about small things like giving a shower but they never showered the pt -coercing staff to clean up raw sewage from pipe burst and sewage back up
And a myriad of other issues.
But is any of this valid, or am I an idiot?

Denise Pilnak was a neighbor of Nicole’s. Her telephone bill shows she was on the phone from 10:25 PM and 10:28 PM. Prior to making this phone call, she and her friend noted how quiet the neighborhood was. Several minutes later between 10:33 and 10:35 PM, she testified that’s when she began to hear the sound of a barking dog, which is likely when the murders began. Allan Park testified to seeing OJ near the front door of the Rockingham estate at 10:55 PM, and his telephone records also document that. That leaves less than 25 minutes to commit the murders, drive back home, get rid of the evidence, etc.
Both Nicole and Ron had defensive wounds. Ron in particular was in hand to hand combat with whoever killed him, yet OJ had no injuries. The cut on his finger wasn’t seen by anyone who interacted with him at the airport, on the airplane ride to Chicago, nor when he immediately landed in Chicago. This includes people who got autographs from him, shook hands with him, and observed his hands. A broken glass was also found in his hotel room and it was documented he asked for a bandage at the hotel.
The FBI searched all of OJ’s and Nicole's credit card records and there was never any receipt found belonging to either of them that showed a purchase of Bruno Magli shoes. Every store that sold the shoes in the country was also searched, and they couldn't find anyone who sold him the shoes. The only proof of him owning them are the National Enquirer photos, which show him wearing suede shoes on a very rainy day. It was also found that the shoe soles that were said to be OJ's footprint were actually more popular than the prosecution maintained, the manufacturer sold the pattern to numerous shoe lines.
1.5 milliliters of OJ’s blood went missing from its vial. Thanos Peratis, the nurse who withdrew his blood, initially testified that he withdrew 8 milliliters. He took that back when only 6.5 appeared and the prosecution suggested he was mistaken. About a decade later he admitted to William Dear that he was certain he withdrew 8 millimeters because it was the amount he had drawn from patients all of his career, but he was close to retirement and had health problems so he didn’t want to cause any trouble.
The glove found at Bundy contained none of OJ’s DNA. The other glove found at Rockingham only contained his DNA in the area where Collin Yamauchi testified to spilling OJ's reference blood sample while handling it.
An identical knit cap matching the knit cap found lying on the ground next to one of the gloves was found in Nicole’s house. Those caps likely belonged to Sydney and Justin Simpson.
Two different people, John Meraz and William Blasini, encountered the Bronco at the lot where it had been impounded days after the murders. They both looked inside it for blood and testified they saw none. There was also only 1/8th of one drop of blood ever found inside it.
New York Times best selling author and journalist Stephen Singular was contacted by an anonymous source within the LAPD about the case a few weeks after the murders. He was told Mark Fuhrman made an undocumented trip to Rockingham in the early morning hours after the murders looking for evidence that would incriminate OJ. Rosa Lopez, a housekeeper for OJ’s next door neighbor, testified to hearing men’s voices coming from the yard of Rockingham in the early morning.
The source told Singular that Fuhrman used a broken piece of fence from Bundy to pick up one of the two gloves found and placed it in a blue plastic bag. Next, he was told Fuhrman removed the glove from the plastic bag and planted it at Rockingham. A broken piece of fence was eventually found at Bundy and a blue plastic bag was found at Rockingham, and both were introduced as evidence in the trial.
He was also told EDTA would be found in some of the blood evidence if tested, lab technicians had mishandled OJ’s blood samples, vials of OJ’s, Nicole’s, and Ron's blood were in possession of an LAPD detective for several hours before being booked into evidence, and that Fuhrman had been acquainted with Nicole in some way.
Singular relayed this information from the source to the defense team and was in communication with them for awhile. Pretty much all of it checked out, including an investigation conducted by the LAPD's Internal Affairs Division which revealed that Fuhrman was overheard by other LAPD officers bragging about being intimate with Nicole and seeing her boob job before she was murdered.
There were 17 fingerprints lifted from the Bundy crime scene that didn’t belong to OJ or any of the police officers involved in the case.
Brett Cantor ran a nightclub called The Dragonfly where Ron worked for him as a waitepromoter. Nicole was also a regular at the club. He was murdered a year before them in almost exactly the same way, by being stabbed repeatedly in the upper body and being nearly decapitated. Judge Ito ruled the defense team could review his case. His murder remains unsolved.
Casimir Sucharski, a friend of OJ's, was murdered alongside two female companions in his house in Florida by people with machine guns two weeks after Ron and Nicole were murdered.
Michael Nigg was friends with Ron and also worked at the Mezzaluna restaurant. He was murdered a year later in 1995 by being shot in the head after refusing to give his money to two men outside an ATM. The men who shot him didn't end up taking his money. His murder remains unsolved.
Not saying these murders are necessarily related to each other but it does make you wonder since all of these people reportedly led similar lifestyles which involved the use of cocaine. Faye Resnick, a cocaine addict, was also living with Nicole just days before the murders.
If you listen to the full 1993 911 call, OJ was mostly yelling about drugs and hookers being in the house. When police officers responded to the call, Nicole told the responding officers that OJ hadn’t hit her in four years. After the 1989 domestic violence incident, OJ added an addendum to their prenuptial agreement which stated that if he struck Nicole again, she would‘ve been entitled to a settlement of more than 5 million dollars.
OJ wasn't scheduled to be in LA during that week. He had been busy working and made a last minute decision to come back for Sydney's recital. Video taken of him afterwards shows him in a good mood, kissing his kids and the Brown’s goodbye.
Christian Reichardt spoke with OJ on the phone an hour before the murders and testified his demeanor was jovial and not indicative of a simmering murderous rage.
His telephone records also show he made phone calls trying to set up dates with a few models, one of which he told he was unattached to anyone. If he was in a jealous rage over Nicole, why was he trying to date other women?
After the bodies were discovered, Sydney told the police she heard her mommy (Nicole) fighting & crying with her best friend (Faye Resnick) on the phone earlier that night.
Sydney was planning to have a sleepover that night with one of her friends. According to family and friends who attended the recital and dinner, OJ was aware of this. Committing a murder with all those extra witnesses and the possibility of having the kids hurt or things getting out of control, in addition to having a flight to catch, doesn’t make sense.

NYS. Going to interview Home health / ALF for new grad PTA. 10 community patients, 6 ALF. $35 per hour billed and $30 ALF per hour billed. 250$ per month mileage reimbursement. Medicare part B patients. When asked about being paid by units billed, they stated most sessions take 4 units and if it doesn’t they can assign me more patients in my area or at the facility. No paid documentation, however they state it’s simple enough to do as you treat. Jobless at the moment with another interview this week with a PRN job that would have me at 3 different facilities all within the same area. What should I do?

I need to find a lawyer that is not just about the money but also about justice for my baby boy who passed away at 7 months old. The hospital for one forgot to change his breathing tube to attach tube so he constantly had pseudomonas and sepsis then one of the nurses put a tight sock on his little wrist causing a huge slice in his wrist and trying to hide it from us and forgetting to clean and treat it causing staph infection and so is much more we have photos and documentations of everything. Please tell me there is someone out there will to help us find justice for our baby boy wo should have never gone through that mistreatment.

I need to find a lawyer that is not just about the money but also about justice for my baby boy who passed away at 7 months old. The hospital for one forgot to change his breathing tube to attach tube so he constantly had pseudomonas and sepsis then one of the nurses put a tight sock on his little wrist causing a huge slice in his wrist and trying to hide it from us and forgetting to clean and treat it causing staph infection and so is much more we have photos and documentations of everything. Please tell me there is someone out there will to help us find justice for our baby boy wo should have never gone through that mistreatment.

Hi, I made a post here last week asking if y’all thought taking folic acid could have contributed to my miscarriage (I’m homozygous for C677T). Thank you all for your responses! I have started taking a prenatal with JUST methylated folate (no synthetics) because we are continuing to try to get pregnant again. I have also started taking 1 baby aspirin a day. Unfortunately, my regular OBGYN office does not know much about MTHFR, and although they did document it in my chart under “gene mutation”, I was told it wouldn’t affect pregnancy or fertility in any way. I think a reproductive endocrinologist, or “fertility specialist”, would know more about how it relates to pregnancy and fertility, but infertility is not covered by my health insurance until next February, so I probably can’t see an RE until then. That leaves me kind of doing this on my own, with only the internet and my nursing background to help me. Obviously, that comes with its own risks because I got the advice to include folic acid from a tiktok OBGYN 🙄🙄.
Anyway, I (who also suffers from severe adhd with little help from medication) saw on tiktok today about a study in which folinic acid pretty much reversed autism symptoms in multiple kids, and these kids tested positive for some kind of folate receptor antibodies that makes them unable to methylate folate, like us. ADHD is very similar to autism in many ways, so I was interested. They were saying that for these people, methylfolate was not absorbed as well as folinic acid, and when the kids started taking high doses of folinic acid, all of their severe autism symptoms disappeared! I would looooove to not have to take adhd medication, but right now my biggest focus is getting and staying pregnant. They tell women who want to conceive that taking folic acid will improve fertility, and that inadequate levels of it will diminish fertility. So, if I’m unable to convert and use folic acid, and I’m not absorbing enough methylfolate, will folinic acid improve my problems?

I had an exam on Friday and today. Both were online take-home open-book exams. Uni is aware of my diagnoses so I get 25% extra time so it was from 9am to 4.05pm to write three essays on both days, plus a 15 minute grace period to upload (4.20). On Friday I submitted at 4.21pm and today at 4.25pm. I prepared and planned on both occasions by asking the library to reserve a seat, I had paper to write and plan on, I had timers, I wore my headphones to have background music on, etc. Yet I still made the same mistake of submitting late today, and I am gutted and ashamed.
I emailed my tutor on both days as soon as I realised I was running late and would be at risk of a late submission. He replied back and said keep going. All of my issues are documented with my tutor, the nurse, my study skills tutor, and the University disability Centre.
This is my final year and all modules are weighted equally. I'm terrified I'll get a 0 and then will graduate (with this year counting fully towards my final degree) with a third or fail in which case what was even the point of coming to uni?
I got a 2.1 in my first year and 1st last year. I take antidepressant medication which has a side effect of memory loss and I told my GP a month or two ago of my concerns regarding worsening memory and brain fog, they said to wait until exams are over and see. I believe this contributed to the awful time blindness I felt in the exam; even when I set timers, it didn't feel like five minutes had gone and I had only written two lines.
I'm posting here as I am panicking and would sincerely appreciate any advice or guidance from people who have gone through something similar.
The university policies say a 0 for work submitted late but I don't know how things will work regarding mitigating circumstances. I'm so annoyed honestly. It's amazing how I've gone from being a high flyer at GCSE and A-level and not I'm worried about whether my exam will even be accepted 😭

I see loads of studies that have to do with Alzheimer's and just wanted to let people know that there are FDA-approved treatments (not yet cures) for certain types of early-onset Alzheimer's. You can read about them here https://www.alz.org/media/Documents/alzheimers-dementia-fda-approved-treatments-for-alzheimers-ts.pdf
I anticipate that some Alzheimer's may get a curative therapy in the next decade just as some cancers already have curative therapies. I also anticipate that these therapies (like current treatments) will often NOT be covered by insurance and will cost in the millions. However, they will be cheaper than (eg, nursing care.) However as you have to come up with the money right away, that may not make a difference if they're not covered.

Hey everybody! I need some advice…or just confirmation if I’m just getting ahead of myself.
I work as a Health Care Aide (equivalent of a CNA for American followers) at a cancer center in Canada. It’s a permanent/part time role with me being in 3 days a week. I work closely with one other HCA who is in full time (Monday to Friday).
This has been a dream job of mine and I’m grateful to finally land a permanent role in my organization which is extremely hard to come by…but there’s one little issue. My manager is wanting to expand the scope of practice of the HCA in the oncology world and to let us help take the load off nursing staff and to be more involved with hands on patient care. (Vitals, assessments, documentation and assisting the nurse in procedures). Initially I was struggling with on-boarding and feeling like I was not meeting my high standards to the role, but now I feel like I’m in a slump already.
Most of my days consist of stocking and ordering supplies which is part of the job, but I feel I’m not giving the full impact of helping patients and nursing staff that me and my manager talked about and from what I’m used to with working in a medicine unit. My co worker is very comfortable with doing all of the support tasks, but my manager is wanting us both to get on board with assisting patients and nursing more…I’m ready and raring to go, but I feel like I’m being held back with all of these tasks such as stocking supplies and I’m only a month in and I’m bored out of my mind! Also, the nurses seem to be reluctant to allow the HCAs to help and I feel that the consensus Is that they feel we are trying to take their jobs. How to I begin to address this?!

I (38F) am attending graduate school for 3 years in an area 6 hours from our hometown. My mother (64F) who works from home and cares for her mother will be coming with me for support. This has always been the plan from the beginning of my application process 2 years ago. My mother bought a house in the town 6 hours away and the original plan was to obviously bring my grandmother with us. Halfway into this application journey my grandmother became strictly bed bound for a myriad of reasons but mostly because she refuses PT and is uncooperative in all aspects of her care.
Her and my mother have a tumultuous relationship but my mother is the only one of her children who stepped up to deal with her in spite of her having 6 other siblings who have all turned their back. A few months ago she had a UTI, became delirious and went into a SNF to hopefully get PT to assist her in at least trying to help herself. We like this facility, it’s clean and the staff are great which is rare in the industry. She is literally dead weight and won’t even help to roll herself over in the bed when sheet changing. We have no money for nursing assistance as she is on Medicare so my mom not only works 40+ hours a week, she has to interrupt her day with changing/feeding/sheet changes all while being verbally abused by my grandmother. “This is all your fault” “ you made me like this” “god will get you” “If I could get up I would punch you in the face” “ I pray everyday that you die” . These are just a sampling of abuse that she gives out on the regular. Now, we are in a predicament because the SNF wants to convert her into long term care and file the paperwork for her to stay in our hometown. My mother has an immense feeling of guilt that even though my grandmother is verbally abusive and hates the sight of her she still feels like she “ can’t abandon her” we are also taking my grandmothers cherished cat since she can’t care for a pet. My mother feels guilty that she will never see her cat again and that no one from the family will ever go visit her. I think that we don’t have the appropriate resources to care for her and our mental health is better than being verbally abused daily. We are looking into facilities in the area we are moving to but reading the reviews aren’t too promising. I’ll also mention that she threw a fit about the mention of moving away. Are there any other options that we are missing?

tldr; diagnosed with Interstitial Pneumonia and having to wait for results of further testing. Looked up disease on Google, and now I'm afraid I have 3-14 years to live. Waiting sucks!
On Thurs. May 9, I (F46) was having some mild to moderate chest pain in the uppecentral/left part of my chest, I was winded when walking and going up and down stairs, and I had been extremely tired for about 2 weeks. The chest pain was new though. Honestly, I felt like I did when I had bilateral pneumonia during Covid. To be on the safe side, I went to Urgent Care (UC).
They do the standard check-in. No fever, chills, I haven't had a cough, BP slightly elevated (probably due to pain in chest). I very specifically asked them to do an X-ray of my lungs, because of a history of pneumonia and mild emphysema. (17 year smoker. Quit smoking August 7, 2017, the day I was diagnosed with emphysema).
They start with Covid test and EKG. Negative for Covid, and EKG showed what they referred to as an abnormality. They listened to my lungs and said they sounded clear. I asked them to please do the X-ray and I would assume responsibility for the full bill should my insurance company not pay for an "unnecessary" test. They sent me back for the X-ray (with attitude).
The Physician's Assistant (PA) seeing me was able to see on the X-ray that I did in fact have Pneumonia, but the radiologist would still need to read it. And because I had pain, she began wondering if I didn't have a Pulmonary Embolism (PE). This had officially gone beyond their scope of knowledge and abilities at UC so they sent me to the local Emergency Room (ER) to have a CT scan of my lungs.
At the ER, they repeated the EKG and tell me they're going to do blood work and do a very specific test called "D-Dimer". The Dr. said if the D-dimer was negative, she could rule out a PE without the CT scan. As I'm waiting for the results, I get a call from UC telling me that the Radiologist has read my chest X-ray and I have Interstitial Pneumonia (IP).
After 45(ish) minutes, Dr. come back in and says EKG shows nothing, blood work showed no PE. Great! All good news. I then tell doc that I had received a call from UC and they told me I have IP. Dr. pulled over a computer on wheels and typed some stuff, an X-ray pops up on the screen, she looks over it, and tells me, "follow up with your doctor within 3-5 days. The nurse will bring your discharge papers." Before she could run out of the room, I asked what IP is. She says something about the space between the cells in the lungs and air sacs... I'm by no means stupid, but I also don't have a medical degree. Sensing that she was either busy or wanted to leave, I didn't ask more questions and she left.
Leaving the hospital, I felt pretty stupid for going in, and like I was wasting their time. It was too late to make an appointment to see my Dr. so that would have to wait until the next day, Friday May 10. I called 1st thing Friday morning. They told me the earliest I could get in to see ANYONE would be Friday, May 17. Ok. I made the calls to UC and ER to make sure they forwarded all my tests and documents to my Dr.
Saturday comes and I still have this pain in my chest. I tell myself... "don't do it. Don't google Interstitial Pneumonia." I know it won't help. I busy myself with stuff for my Neices graduation party later that day. Saturday night comes... I googled it.
Oh my gosh. Words! Lung Disease. Inflammation. Scarring. Fibrosis. Autoimmune disease. My brain is reading and reeling and trying to comprehend what they wouldn't tell me... and there it was. Life expectancy after diagnosis - 3 to 14 years. Gulp.
But... I have a 14 year old daughter. My husband and I are supposed to travel after she graduates high school in 4 years. I'm only 46. I quit smoking. I eat decently. I'm physically fit. I exercise. My head was spinning. Tears were falling. God help me.
The week seemed to stretch on and on. Finally, Friday came, and my Dr. prescribed Prednisone (a steroid). She scheduled a CT scan of my lungs for Tuesday of the next week as well as a full Pulmonary Lung Function (PLF) test to immediately follow the CT. She also scheduled a follow-up with her for May 31. I told her what I saw on the internet. I told her I was afraid. She told me to stay off the internet and not to freak out until after more testing.
I know that was good advise. But it's all I could think about. I had just been told "not to think about the pink elephant" and it dominated my every waking moment. More waiting. My stress levels were higher then they had ever been. Not only am I crazy worried about this, but I'm also trying to hide my concerns from my daughter. She keeps catching me staring at her, and says "wut" like teenagers do. I just tell her she's mine to look at if I want to and laugh it off... but really I'm trying to memorize every bit of her hoping to take my memories with me if I have to go.
There's a sense of relief that comes with each appointment. I don't know why. There's no answers. Just more tests. Maybe I just feel like I'm moving in a forward motion so I feel like I'm getting somewhere. Tuesday, May 21, I went in for CT and PLF test. The PLF is extremely difficult. The tech gave me a breathing treatment in the middle of it. It helped. As I leave there that sense of relief faded as the anxiety crept back in.
We have something called "MyChart". I don't know if that's nationwide, probably... anyway, it's a patient portal. It's and online tool that we can use to look up test results, schedule appointments, see medical history... etc. I now have it downloaded and saved on the front screen of my phone. I check it every 10 minutes. Wednesday, Thursday, Friday, Saturday, Sunday, Monday... nothing! OMGOODNESS! Tuesday! CT results are on there!
Emphysematous changes. Findings suggest groundglass opacity in the posterior right costophrenic angle. Interstitial Lung Disease. What?!? I mean, what even is the patient portal for if Dr. notes read like this? And there's still nothing on the PLF test. So I called. I asked asked my Dr.s nurse if there was a general time I might expect to find my PLF test results posted on my MyChart. She did that clicking noise with her tongue and the roof of her mouth, followed by a long sigh as she proceeded to tell me, "your results will be posted when they are posted". I replied with a simple "ok" and "thank you" and hung up.
But what I really wanted to say was, "I'm sorry I bothered you! I'm fully aware that you're busy and that I am not at all the only patient. I know that hospitals and Dr.s offices are short staffed right now, because many reevaluated their life choices after Covid. I also know that I'm not even on your radar at the moment, nor do I expect to be! But a little respect and understanding could go a long way. I'm a person. I have feelings! I'm scared. I'm not just the next patient in a line of patients to be seen. I'm somebody's mom and wife and I'm going out of my mind waiting for answers. Is it too much to ask for you to be kind?! Is it too much to look into my request before spewing sarcasm through the phone? 'Your results will be posted when they're posted.' Really?!? Would it be too much to ask for you to tell me that you don't have the answers, but you'll put me in touch with someone who does... I... I... sincerely wish you better days ahead. I thank you for staying in the medical field when so many walked away. I'm genuinely sorry you're overwhelmed and don't get enough breaks or days off. I'm hoping for a relaxing vacation for you that comes sooner rather than later. I said a prayer for you, that you might find strength you didn't know you had... and, I'm sorry I bothered you."
If you read all this, wow! Thank you! I'm struggling and thought getting it all out could help... we shall see! Only 2 more days until my next appointment.

Hi everyone,
I’m a nurse currently taking Google’s Data Analytics Certificate program on Coursera. As part of the course, I’ve been learning SQL and practicing queries on BigQuery. My goal is to transition into a data analytics role within the healthcare field.
Recently, I spoke with my nurse manager about how analysis is performed at our medical center. She answered with a blank stare. All this documentation on health assessments, labs and vital signs for nothing?! We use Epic as our electronic medical record (EMR) system, but I’m not sure where all the data is actually stored and how to query it. Also which career is querying it? I dont see any job listings at my health system. for Rn data analyst?
Here are a few questions I have:
Where is data from Epic typically stored? Is it stored in a particular type of database or data warehouse? What language or tools are commonly used to perform queries on data from Epic? Since it’s not on BigQuery, I’m unsure if SQL is still applicable or if I need to learn a different language or tool. Are there any specific resources or courses you’d recommend for learning how to work with data in Epic? I appreciate any insights or guidance you can provide. Thanks in advance!

Hi everyone,
I’m a nurse currently taking Google’s Data Analytics Certificate program on Coursera. As part of the course, I’ve been learning SQL and practicing queries on BigQuery. My goal is to transition into a data analytics role within the healthcare field.
Recently, I spoke with my nurse manager about how analysis is performed at our medical center. She answered with a blank stare. All this documentation on health assessments, labs and vital signs for nothing?! We use Epic as our electronic medical record (EMR) system, but I’m not sure where all the data is actually stored and how to query it. Also which career is querying it? I dont see any job listings at my health system. for Rn data analyst?
Here are a few questions I have:
Where is data from Epic typically stored? Is it stored in a particular type of database or data warehouse? What language or tools are commonly used to perform queries on data from Epic? Since it’s not on BigQuery, I’m unsure if SQL is still applicable or if I need to learn a different language or tool. Are there any specific resources or courses you’d recommend for learning how to work with data in Epic? I appreciate any insights or guidance you can provide. Thanks in advance!

Hi everyone,
I’m a nurse currently taking Google’s Data Analytics Certificate program on Coursera. As part of the course, I’ve been learning SQL and practicing queries on BigQuery. My goal is to transition into a data analytics role within the healthcare field.
Recently, I spoke with my nurse manager about how analysis is performed at our medical center. She answered with a blank stare. All this documentation on health assessments, labs and vital signs in Epic for nothing?! We use Epic as our electronic medical record (EMR) system, but I’m not sure where all the data is actually stored and how to query it. Also which career is querying it? I dont see any job listings at my health system. for Rn data analyst?
Here are a few questions I have:
Where is data from Epic typically stored? Is it stored in a particular type of database or data warehouse? What language or tools are commonly used to perform queries on data from Epic? Since it’s not on BigQuery, I’m unsure if SQL is still applicable or if I need to learn a different language or tool. Are there any specific resources or courses you’d recommend for learning how to work with data in Epic? I appreciate any insights or guidance you can provide. Thanks in advance!

Just checked my grades. The only one back is LRAW. I found out quickly that my writing professor and I had personality conflicts; she was very condescending/rude when I asked for help so I avoided her office hours like the plague. Got a B my first semester and knew I could do better. Writing was a strength of mine in undergrad. I also used to be a nurse, where you live and die by your documentation.
I had the same writing prof this semester. I went to her office hours at least twice a week, emailed her with shorter questions, and made lots of corrections to my brief based entirely on her feedback. Somehow, I did worse (B-)!
It’s very frustrating/disheartening. Of course I find this out when I’m 3/4 done with the law review write-on note. As far as I was told at interest meetings, GPA isn’t a factor for law review at my school. This prof is not involved in law review, but my writing grade has me on the edge of saying “Screw it, what’s the point?” and not finishing my note.
I’m doing a summer clerkship at a firm and so far, my supervising attorney (the senior partner) has nothing but good things to say about the assignments I’ve done for him. This grade makes me feel like he’s just too nice to tell me I’m a sucky writer.
For the record, I have no interest in BL but would like to clerk for a judge or work in PI. I’ll be on the boards of two orgs next year.

Does anyone in this community have experience in their state using a PACE program? Illinois is starting one in June and we're trying to decide if its right for my mom.
We're applying for Medicaid now, but at the moment she is just on Medicare and the cost of PACE without Medicaid is too high, but we're pretty certain she will qualify for Medicaid. I haven't been able to find many negatives about the program so far, but I thought maybe someone in this community might have first hand experience. I guess it works as a Medicare/Medicaid replacement(?) and works as both the insurance company and the provider, but covers all the same things Medicare/Medicaid would.
It sounds too good to be true - helping keep mom at home with in-home care, transportation to and from daycare (which she already attends) + additional daycare days, coordinated care, etc. We already know we like the people that will be running the program because mom goes to the daycare center now, and we like them. She would have to move all of her care to this program - PCP, etc. But its designed to help keep people like my mom at home and out of a nursing home as long as possible, which is what my Dad and I want more than anything. Its just becoming unsustainable between the two of us with the amount of care she needs, and we're hoping this program is what we need at the right time.
Has anyone enrolled their loved-one in a program like this before?
Hugs to everyone! While I don't post, its a great comfort to be able to read and share in your experiences every day. It truly has made me feel less alone during the last few years. Thank you!!