Some providers use an application called OpenEvidence, though I do not use it daily and still need to explore it further. At this point, I am unsure how much it can help me in a geriatric setting where I work directly within an EHR. That said, EHR systems clearly have room to incorporate more meaningful AI support. For example, I do not understand why an EHR cannot help automate tasks such as contacting the POA listed in the chart to report new orders. In the LTC setting, notifying families of new orders is typically part of the nursing workflow. In the AL setting, however, that responsibility often falls to my care coordinator, who must also document the encounter. Unfortunately, both care coordinators and assisted living staff often have less experience than ever before. In many places, RNs have been replaced by med techs, and care coordinators are being hired without the clinical background the role really demands. As a psych NP, I learned the hard way that consent from a POA or guardian must be obtained before prescribing an antipsychotic. The reality is that there is no time for a provider to personally call families when I am expected to see 30 patients a day, while also being told there is ongoing need for me because of staffing shortages. If that level of demand is expected, then compensation should reflect it enough to support life outside of work, whether that means hiring help for household responsibilities or otherwise preserving some balance. I face many obstacles in my role, and what is most frustrating is that these are not new problems. They should have been addressed by now, yet instead they seem to be getting worse.