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Re: Office Staff QuestionFrom: Douglas Krell (djkrell@ix.netcom.com)Wed Jan 17 07:21:04 2001
I have a solo private practice and employ one full time Clinical Nurse Practitioner. We see about 60 people per day between the two of us. The CNP takes care of all of her own stuff including putting her patients in the room and keeping her room stocked. She processes all her own lab work. The only thing she does NOT do is to pull and refile patient charts I have 1 full time receptionist. She is extremely well organized and does all the patient scheduling, check-in, check-out, collecting co-payments. She also opens the mail, prepares deposits, and gets the bills ready to pay, and files all statements, correspondence. She takes alot of messages and distributes them to me, my CNP or to my nurse. She prepares all time sheets for payroll. I have 1 LPN...my "nurse". She does all phone triage, surgery scheduling, insurance pre-certifications. She works 4 days per week. She answers an enormous number of patient call-in questions, medication refills etc...She has limited direct patient care responsibility and sits in an office near the lab. I have one Medical Assistant working 5 days per week. She grabs the chart when it's ready from the receptionist and takes patients to the rooms or to the bathroom for weigh-in. She records vitals, chief complaints etc.... She chaperones all exams for me. She also does most of the chart and medical record filing. She pulls charts. She collaborates with the LPN on some procedures and has easy access to her if she has any medical questions. I do all the checkwriting.
-- Douglas Krell MD FACOG
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