To everyone:
The amount of help for me and suggestions was overwhelming. This board truly is a family to me, even if I can be quite the [censored]....at times. I apologize.
I have three major issues I would like feedback on, and I didn't want to have three different threads.
1. I have thought of hiring a NP/PA for Wednesdays only with Well child care obviously not on those days. I would, of course, still see them. The mid-level would see only acutes that day. Given I see 25 (18 minus the wcc that would be slotted elsewhere, would her/he (hereinout called her) bring in enough revenue to make it doable? It would allow me to take two vacations per year and maybe allow some paper-free nights.
2. As I make my new schedule,I am thinking that any calls after 2:30 pm get seen if there are slots. If not, we would offer slots the next day if they could wait (anything can for the most part), but if not they can go to the ED. I have NEVER done this, and find it bad medicine.
3. I have dismissed patients for acts such as being rude to my patients or a one-time egregious event. But, there was a person on here who stated he didn't put up with problem patients, because they were simply a pain all the time and made everyone miserable. What is the general concensus on patients who are always hard on us and we dread getting phone calls from them. They call at 9 am and we tell them we will get back to them about the Zantac, and they call three more times. Or my favorite, I set up an MRI for the following day, but the mother stayed outside the ED until she got the MRI that night, which, of course, was negative.
