8 Ways To Stay On Time Despite Demanding Patients

Posted by on Aug 20, 2014 in blog | Comments Off on 8 Ways To Stay On Time Despite Demanding Patients

8 Ways To Stay On Time Despite Demanding Patients

In a word: Boundaries.

Some patients need much more than you can give. They expect you to be their psychologist, doctor, nurse, financial advisor, transportation advisor, parental authority, relationship coach and life coach. It’s not the patients’ fault. Society tells them “the doctor knows everything.” And that includes you, nurse practitioner, whether you like it or not. So they expect you to wave your magic wand and solve all their problems.

I bet you’ve tried to be all those things to patients at different times, too. I know I have. But giving more than you are able is a short, well-paved road leading straight to stress and burnout.

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Do You Know How To Establish Patient Rapport In 90 Seconds?

Posted by on Aug 13, 2014 in blog | Comments Off on Do You Know How To Establish Patient Rapport In 90 Seconds?

Do You Know How To Establish Patient Rapport In 90 Seconds?

Shut up and listen.

That’s it. Just be quiet and let the patient talk, completely uninterrupted, for the first 90 seconds. I call it the 90-second rule. If you can’t handle 90, try at least 60 seconds. This regularly shaves 2 minutes OFF my entire visit time, and the patients feel better cared for and the rapport is stronger, because they feel heard.

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When You Weren’t Expecting Them To Be Expecting – 4 Immediate Actions

Posted by on Aug 8, 2014 in blog | Comments Off on When You Weren’t Expecting Them To Be Expecting – 4 Immediate Actions

When You Weren’t Expecting Them To Be Expecting – 4 Immediate Actions

“NO,” my boss almost yelled. “You are NOT allowed to refer any patients to Planned Parenthood. We don’t believe in that here.” Shocked, frustrated and bereft of support, I walked away, wondering how this could be happening.

I wanted referral information, not permission, and my boss’ response shook me. I already felt overwhelmed with my duties as a brand new NP in a Federally Qualified Health Center, but now with one more stress to deal with. Can you burn out in your first month of practice? In that moment, I believed so.

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If You Ever Missed A Diagnosis And Felt Terrible, Read This Article

Posted by on Aug 3, 2014 in blog | 2 comments

If You Ever Missed A Diagnosis And Felt Terrible, Read This Article

Cancer?!? What?!?

I kept telling the young construction worker and his wife that his resting tremor was just anxiety and his anemia.

How wrong I was.

So was the neurologist he paid over $300 in cash to see, who sent him home with a pep talk and a benzo. I resisted refilling the benzo because I felt like we were treating the wrong problem.

How right I was.

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5 Ways To Make Your To-Do List Your Friend

Posted by on Jul 24, 2014 in blog | Comments Off on 5 Ways To Make Your To-Do List Your Friend

5 Ways To Make Your To-Do List Your Friend

Do you keep a to-do list? Do you have a to-do list of to-do lists? It can get pretty overwhelming sometimes, can’t it? We NPs lead busy lives, though, and have to keep up with our responsibilities in our various roles at work, home, school, hobbies and pastimes, so we have to stay organized or we’ll drown.
You may hate your to-do list(s). I always have at least four going, and they used to be a constant reminder of how many things I should have been doing instead of guiltily relaxing

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Gratitude: A Birthday Cake With No Fat And No Calories

Posted by on Jul 15, 2014 in blog | Comments Off on Gratitude: A Birthday Cake With No Fat And No Calories

Gratitude: A Birthday Cake With No Fat And No Calories

True Story: The young Mexican-American man with Type 1 Diabetes patted the pistol on his belt and made it clear that we’d better give him what we wanted. The staff didn’t give him what he wanted, but rather politely asked him to leave immediately, and advised him that he was not welcome in this clinic again. Ever. He insisted on “discussing” the matter, but left when calling the police was mentioned.

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Right Here, Right Now

Posted by on Jul 9, 2014 in blog | 2 comments

Right Here, Right Now

“The past is a ghost, the future a dream and all we ever have is now.”

-Bill Cosby

“Yesterday is gone. Tomorrow has not yet come. We have only today. Let us begin.”

― Mother Teresa

The theme of living in the present occurs throughout the Burnout Recovery Guide, as well as many other systems of self-care and self-help. We have all heard about it, but it can be overwhelming when you already feel burned out and jaded. So what is a burnout survivor to do?

First, don’t worry about it. Sometimes self-help advice is exactly what we need to hear, and supports us in healing, but at other times we are not ready to hear it and it is just mumbo-jumbo that annoys us. That’s okay. Don’t be hard on yourself because it isn’t working for you right now. All you need to do is find out what DOES work for you right now.
– See more at: http://healthynp.com/right-right-now/#sthash.oNOjSo2W.dpuf

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Want to Increase Patient Satisfaction in Five Seconds?

Posted by on Jul 1, 2014 in blog | 3 comments

Want to Increase Patient Satisfaction in Five Seconds?

“Oh Shit!” the 747 pilot exclaims over the intercom. “Prepare for a crash landing folks, the autopilot led us astray while I wasn’t paying attention. I thought we were still at 37,000 feet, but apparently we have thirty seconds until impact. Sorry about that.” As the passengers around you begin shrieking and screaming and scrabbling around, you think to yourself “Autopilot?!? How can this have happened?” – See more at: http://healthynp.com/want-increase-patient-satisfaction-five-seconds/#sthash.64TLGJ2m.dpuf

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10 Steps to Insomnia Relief: When You Missed the Zebra… or the Horse

Posted by on Jun 24, 2014 in blog | Comments Off on 10 Steps to Insomnia Relief: When You Missed the Zebra… or the Horse

10 Steps to Insomnia Relief: When You Missed the Zebra… or the Horse

You bolt awake at 3am and realize: “I forgot to order a TB test on Patient X. I feel like such an idiot! He trusts me to know this stuff, and I missed it.” You moan and know you won’t be able to get back to sleep.

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Enjoy A Mindful “Date Night”

Posted by on Jun 18, 2014 in blog | Comments Off on Enjoy A Mindful “Date Night”

Enjoy A Mindful “Date Night”

Make a mindful “date night” with a favorite person or activity for TODAY. Even if it’s only a five-minute “date,” you will thank yourself. This “date” does not have to be with a romantic partner, though it certainly can be. It can be any person, pet or activity that brings you joy. The idea of an activity date night might seem weird to some people, so here is an example from my life:

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