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Hi Everyone !!!
This June I completed my 9 months at Career Level 12 and Sub Level 3 I.e, CL 12.3 at Accenture Operations. My Annual Talent Discussion and One-on-One with People Lead is complete as of last week.
I have 3 questions now :
1. When can I expect to move to 12.2 ?
2. What is the general hike I can expect ? And when it is reflected ?
3. When will be the variable pay will be paid out ?
Can anyone here help me with this performance cycle part ? I am really confused.
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Usually you can tell. It comes with experience. But don’t always expect that someone who isn’t complaining isn’t in pain. It’s very culture dependent.
Pain is what they say it is...general rule of thumb. You can't assume they aren't experiencing pain...even someone who has sought drugs 9 times before may truly be having a concern on the 10th visit. Every single time you see someone is fresh eyes and evaluate like you've never seen them before. If you have someone who is telling you they are in pain but the pain medications aren't helping and they ask for more..again you can't assume it's seeking. Not all pain responds to narcotics. Offer other suggestions. For the love of God don't punt and pass them to pain management.. that place is horrible...they don't want or have any motivation for finding the source of pain they hand out muscle relaxers, nerve medications like lyrica, and steroid shots like tic tacs. If it's back pain and it isn't responding to narcotics, suggest Physical therapy or chiropractic care. If it's nerve pain suggest PT or acupuncture. But don't judge before you truly know ..sit and listen to them. "The narcotics we gave you didn't help and you've already had a few doses now. Tell me more about your pain and what you've tried." Then offer an alternative to narcotics.
On one hand, you want to trust your patient to be honest with their complaints and description of how they are feeling. On the other, you have to be aware of med-seekers. You do not want to deny someone who is truly in pain, but enabling someone who is either addicted to Rx pain killers are uses them recreationally is not really doing what is best for them. If they are your patient, you can keep track of how many times they come in. Prescriptions should be no-refill, requiring a healthcare provider to authorize refills. If they are doctor-shopping, be sure the prescription is on the state list so pharmacies can flag it. If your patient asks for numerous refills, discuss their "chronic pain" and see if they want to get to the root cause of the problem. If they only want the drugs, they will not be too keen on spending a day in the hospital taking tests that could indicate nothing physically wrong with them. They will realize the jig is up and most likely never darken your doorway again. They will seek their drugs from another practitioner. You can also ask them "fake" questions that they think they know how to answer to get the drugs, but if answered "correctly" would indicate a serious condition requiring immediate hospitalization or extensive tests or even biopsies to rule out cancer or some such. You do not want to run the risk of being caught up in a state sting operation to crack down on "pushers in white lab coats." Look out for your patients in need, but look out for yourself as well.
You need to ask your clinical leadership for further training. If you’re an intern as listed you’re not the prescribing clinician so someone is acting as second set of eyes and screening these situations. However, you still need to gain further experience and knowledge to understand how to better do your job if you don’t feel competent in this area. Ultimately it’s up to the provider, so, you need to know what they want you to being to them and what qualifiers are grounds for you to decline escalation. It really all depends on your clinical qualifications as well, if you’re not clinically certified at all then any situation that doesn’t have an accompanying policy needs rk be brought to the provider EVERY time as you do not have the license to justify clinical decision making. If there’s a policy then there’s a policy. Ie. policy of NO early refills no matter what, then … patient wants early refill bc their dog ate them or they got left at hotel on vaca… sorry! “I’ll send provider message for withdrawal meds and let them know what happened. Your next refill will be sent at your next 30 day appt on X date.”
Rising Star
They could be pros at faking ! Very frustrating