Content That bebbercorn Likes

Content That bebbercorn Likes

bebbercorn, BSN 6,963 Views

"Raise your words, not voice. It is rain that grows flowers, not thunder." ― Rumi

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  • 8:12 am

    Thank you so much for the feedback. I definitely don't want to look like a job hopper, but the attitudes, lack of support, and not to mention my frayed nerves, have all taken its toll and it's time to move on. I have applied at another facility and I'm waiting to hear back from them. The nice thing is, if I get the job, I'll be working with nurses again, which I sorely miss! I just wanted to pick your brains and see what your thoughts were, I knew I could count on you. I will check back here and let you know how it all ends

  • May 26

    Welcome to AN, I see this is your first post. What state are you in? I'm in New Mexico where this is issue is a major problem. In my town, one physician was just sent to prison for over-prescribing narcotics, Allegedly 21 patient deaths due to overdoses occurred. Another report is;" prescribed a month’s supply of oxycodone to another patient after she tested positive for cocaine in a urine drug screen. She died four days later. " Source: Albuquerque Journal. Another MD also lost his license due to narcotic overprescribing.

    Just yesterday, I learned another physician in a neighboring town, his license is suspended. I called the pharmacy after a patient came in saying he needs referral to pain management doctor, and yes pharmacy stated this third doctor all refills are cancelled. Here is the link to the news story:

    Bad Request

    New Mexico has/had one of the highest narcotic prescriptions and the Board of Pharmacy requires all prescribers to have a PMP account (Prescription Monitoring Program)or they will not renew Controlled Substance Registration, and you have to check (or designate an MA) to check every patient before you write a narcotic. All narcotics are hard/paper scripts and must be hand carried, no refills and only one month supply. Pain management you should have narcotic contracts and since she tested positive for illegal drug, in NM, no more refills and you can terminate her care. Check New Mexico Nurse Practitioner Council (NMNPC.org)for info on required Non Cancer Opioid prescribing requirements. NPs have to have 50 CEUs, 15 have to be Pharmacology & 5 of those 15 are the Non-opoid prescribing credits every 2 years. You could potentially risk your license by continuing to prescribe narcotics for this patient. New Mexico has a huge meth amphetamine problem, in fact T or C (Truth or Consequences NM) has "Meth Watch" signs (yeah they look like Neighborhood Watch signs)! Also heroin is a big problem being so close to the Mexican border. The PMP program we can check other states.
    Pain Management is a specialty and some issue the cannabis cards. I work in one walk in clinic and new patients are limited to 20 tramadol, one time only until they bring in medical records, Xray & MRI results and are reviewed by the owner who is a physician.

    Here is a link: Non-Cancer Pain Management - New Mexico Nurse Practitioner Council
    Here is a link to the DEA:Questions & Answers - Issuance of Multiple Prescriptions for Schedule II Controlled Substances
    The second link check the section on the right: Cases Against Doctors

    Pain Contract usually states they will not doctor shop, they will fill only at one pharmacy and reasons they can be terminated from your clinic. The PMP allows us to check when they filled scripts and you can report them, such as your patient you would report & this alerts other prescribers so they do not issue narcotics to this person.

  • May 25

    Up to the hospital. No harm done to tell the agency to submit you.

  • May 25

    Quote from lifelearningrn
    So, a student comes into my office with her nurse pass saying, "Snowflake stepped in poo"..

    I was in a bad mood already.. so I had student go to my restroom and clean her shoe (which had no poo that I could see) in the sink and then wash her hands before sending her back to class..I left a note on her pass back to class letting teacher now that in the future she can use the hallway restroom to clean poo off of her shoes and does not need a pass to the nurse for this.

    Am I wrong for trying to nip this in the bud?? Poo on shoes is NOT a medical issue. UGG
    Were they UGGs?

  • May 23

    Quote from Depressed_RN
    to me you come off as a bully, you accuse me of exaggerating something you have no knowledge about. I am a new nurse just reaching out to others.
    Okay, but do you get what "mandated reporter" means? It means that what you are doing right now (witnessing abuse and not reporting it) is illegal. You are breaking the law right now as we speak. Which would you rather have to explain in a future interview? That you were fired because you witnessed a coworker abusing vulnerable patients and you reported it and were retaliated against? Or that you were fired because you witnessed a coworker abusing vulnerable patients and you failed to report it because you were too concerned about hanging on to your own job? Honestly, what if that old lady were YOUR mother? I'm just astonished at this whole post...

  • May 23

    Quote from pixiestudent2
    It's like an 8 hour class here... And it's a certification, not a license.
    I just meant I think the CNA Role is expanding and they aren't being phased out.
    I tend to agree. I find that the CNA role is being expanded

  • May 23

    Quote from fibroblast
    Actually medication aides have to be certified in nursing homes.
    It's like an 8 hour class here... And it's a certification, not a license.
    I just meant I think the CNA Role is expanding and they aren't being phased out.

  • May 23

    Quote from g_majied CNA,PC
    Really.... how so?
    They are now doing jobs typically held by nurses in doctor offices, school nursing, even nursing home have unlicensed medication aides.

  • May 23

    No. Not CNAs.
    I actually feel like CNAs and other unlicensed clinical staff are trying to replace nurses.

  • May 23

    Quote from kkguffey
    I have been a preceptor for many students. It is work extra work and most of us don't have the time. However, now the AANP has added to renewal that you can use preceptor hours in place of CME which I think will be very helpful for future preceptors willing to put in the work. I think I am going to open a business to help place students for those schools who don't provide one. Will let you know how it goes.
    The problem is students would still have to pay. The schools should be the one to foot the bill on this one.

  • May 23

    Quote from TFRANKLIN11
    I JUST STARTED CLINICALS . I WAS LUCKY ENOUGH TO FIND ONE FOR ADVANCED HEALTH ASSESMENT BUT AM HAVING TROUBLE FINDING ONE FOR THE NEXT SEMESTER. Pediatrics and Women's health is the worst. Does anyone know of any preceptors for Adult, pediatric and women's health in St. Louis, Missouri ?
    I do but they don't take people who write in caps.

  • May 23

    Quote from stickit34
    Students truly are wasting their time and money going to schools who do not provide clinical placements, regardless of the school's reputation.
    While that may be your opinion, some of us do not share it and find it not true. My education is from a top notch university who has been producing top quality providers since 1939.
    Quote from stickit34
    If the school is not willing to put forth the time ensuring that you are getting high-quality education through experienced preceptors, then quite honestly they're not that wonderful. They're simply making more money off of you.
    Just because a school requires the student to identify the preceptor and submit that person to the program for credentialing does not mean that the school is not ensuring the quality of the education in general or of the clinical practicum. My school has very strict policies in place to make sure that the placement is of the highest quality, and to monitor the practicum throughout. However, my school is also 1700 miles away from my hometown, and has very little if any contact with providers here, where I, through networking have extensive contact and information on what providers are here and which ones are willing and interested in precepting students. Who's more likely to know the practitioners in my town me or them?
    Also, my preceptors are not assigned to take a student regardless of their desire, they have chosen to take a student that they know and expect to be a future colleague, that in many cases they hope to hire or work with in the near future. As such, they are much more vested in the outcome of that students education and want to make sure that student becomes the quality provider they believe their patients deserve.

    Quote from stickit34
    Networking is a wonderful concept - when you're not coming with a huge amount of liability, not to mention potential loss of income due to seeing less patients amongst other situations that could occur (such as stealing mentioned before).
    This stream of consciousness is hard to decipher. Networking works wonders, both for finding preceptors and for obtaining contacts and potential job options after school. I continue to be amazed at the people who don't network and then expect to find a preceptor by basically cold calling, or the new equivalent posting on a forum or social networking site that they need a preceptor (I start tomorrow, hope you can help!)! Seriously? What makes you think that will work? Who are you other than a bunch of bits on a screen? I've had friends ask me to be their student, not because I'm that good, but because I built that network, and they want to help me. In my previous 30ish year career, I'd say I created over 1000 jobs, and most of those went to someone in my network. My company also had needs to partner with other companies or purchase services of other companies and in many cases those contracts were first discussed with people I knew in companies that I thought could deliver the services I needed. Networking is how people get jobs, and companies grow. It's how you as an individual will get what you need and how others will find you and your services for their needs.

    Quote from stickit34
    I agree with Juan completely about the loose accreditation these schools have, and unfortunately I fear the public image of the nurse practitioner may be damaged. Of course, we'd need rigorous studies to support this, but by then who knows how the nurse practitioner situation will be.
    I'm not sure what "loose accreditation" we are talking about, but since many of the top programs have shifted to this model, I would question any relationship between programs that require students to identify preceptors and "loose accreditation".

    The fact of the matter is that it is hard to find preceptors when the market is saturated with students crawling out of ever expanding programs in all disciplines (MD/DO/PA/NP). I don't have the numbers in front of me, but the growth in freshly minted members of all of these professions is on a spike due to perceived demand. All programs are stretched in their efforts to find preceptors. More and more programs are moving in this direction.

    As for it ruining the quality of the NP graduates, that is not proven. In fact, my school has been using this model since the 1990s and there has been no drop in quality of provider produced. I would argue that it is schools that lack quality oversight both in didactic systems and clinical that negatively impact the quality of a profession. That goes for B&M schools that place students in clinicals as much as it goes for online schools where the student identifies the preceptor. It goes for MD programs as much as it goes for NP programs. I will say that the newer the program, the faster the growth of the program, the more likely it is to have oversight issues, just because oversight is not inherently built into a program and can be tough to expand during a growth period.

  • May 23

    Quote from Twinmom06
    reminds me of the time I was going through infertility testing and had to go for a hystersalpingogram...the radiologist was a generalist, not a GYN radiologist and the stuck the speculum in my anus...
    I was going to "like" this but I just don't think I can....

  • May 22

    I would not go back. Remember there is always Uber.

  • May 19

    Quote from ERgirlynurse
    I was not referring to suing the hospital.
    The title of your thread is "Terminated. Pursue a Lawsuit?" Who, exactly, were you referring to suing, if not the hospital??


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