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BostonFNP Guide 40,848 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care NP. Posts: 4,626 (61% Liked) Likes: 11,132

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  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 23

    Quote from Thankgodforativan
    Thanks to everyone who replied, but I'm done with this thread. I hoped to actually have a reasonable discussion, but I can see that just isn't possible here.
    Did you want to have a discussion about the topic or just have people validate your feelings on the issue? After all that is the purpose of ranting in the first place.

    I think we all understand the patient is frustrating; most here seem to also agree that regardless of that frustration, punishing the patient by refusing prescribed care is both unethical and malpractice.

    This patient needs long-term out-patient care; you are not going to "fix" her by refusing her morphine during her inpatient stay.

  • Feb 22

    Quote from OldDude
    Well, of course that's me but I wear a Viking Suit.
    Great now the rest of the Last Kingdom series is ruined for me.

  • Feb 21

    I am just waiting for the NETY comments to start....

  • Feb 21

    I am just waiting for the NETY comments to start....

  • Feb 21

    I agree with others, there is a common theme between these mistakes: you act without a complete order. This is either gross negligence or you are filling in blanks with your own assumptions, both of which result in you practicing dangerously out of scope.

  • Feb 21

    Quote from Cwoods
    I've read the salary posts, almost to my dismay.
    Most of the rock stars are Psyc NPs (cough Jules A cough) followed by distant ACNPs.
    My question is...WHAT THE HECK ARE THE FNPs DOING?!
    I've seen a couple of them that do well, but, seriously!
    Are there any FNPs out there that make >$150k?
    Business owners, 1099 folks, specialty peeps, anyone?!
    I am a partner in a practice. I do very well financially. More importantly, I enjoy my job/life and I have a great work-life balance.

    Remember that while having a competitive salary and knowing your worth is very important, when you are thinking about your first job, find a practice with good support where you won't be taking home work every day. Burnout, especially in primary care, is very real.

  • Feb 21

    Quote from Cwoods
    I've read the salary posts, almost to my dismay.
    Most of the rock stars are Psyc NPs (cough Jules A cough) followed by distant ACNPs.
    My question is...WHAT THE HECK ARE THE FNPs DOING?!
    I've seen a couple of them that do well, but, seriously!
    Are there any FNPs out there that make >$150k?
    Business owners, 1099 folks, specialty peeps, anyone?!
    I am a partner in a practice. I do very well financially. More importantly, I enjoy my job/life and I have a great work-life balance.

    Remember that while having a competitive salary and knowing your worth is very important, when you are thinking about your first job, find a practice with good support where you won't be taking home work every day. Burnout, especially in primary care, is very real.

  • Feb 21

    I am just waiting for the NETY comments to start....

  • Feb 21

    I agree with others, there is a common theme between these mistakes: you act without a complete order. This is either gross negligence or you are filling in blanks with your own assumptions, both of which result in you practicing dangerously out of scope.


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