mountainaireNP

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1. Canned from the pill mill...I mean, pain clinic. Starting my own clinic, need advice!

   mountainaireNP replied to mountainaireNP's topic in Advanced

   Got my NPI number, but I understand I need numbers for Medicare and Medicaid as well. The office space I hope to get is in a fairly large town and is on the 3rd busiest street in the city, next to a chiropractor and across the street from a dentist.

2. Canned from the pill mill...I mean, pain clinic. Starting my own clinic, need advice!

   mountainaireNP replied to mountainaireNP's topic in Advanced

   I'm learning a bit here and there. From what I'm understanding,m I can get unemployment, which I think would help me buy some time while I get the clinic set up. I also hear that a lot of doctors contract their insurance claims out to companies that ...

3. Canned from the pill mill...I mean, pain clinic. Starting my own clinic, need advice!

   mountainaireNP posted a topic in Advanced

   I'm relieved, actually. I was fed up with the drama and poor oversight. I was assured it wasn't my fault, but the bottom line was they had a PA with a lot more experience. They assured me they loved me, I was great, I could always count on a stellar ...

4. Meanwhile at the pain clinic...(is it really worth it?!)

   mountainaireNP posted a topic in Advanced

   I've been there about a year. Day in and day out it's altered pee (we had started having someone go to the bathroom with them but we were losing too many people so the owners had us stop doing that.) A few weeks ago, I got a visit from an investigato...

5. Should this be grounds for dismissal? (from the pain clinic)

   mountainaireNP replied to mountainaireNP's topic in Advanced

   So...BostonFNP would you let it slide or tell her to pound sand? Yes, the old script should have been exchanged for the new script, but she knew full well she should not have filled that Percocet, especially considering the way she acted in the offic...

6. Should this be grounds for dismissal? (from the pain clinic)

   mountainaireNP posted a topic in Advanced

   Just a background before my question...I am the only provider for this pain clinic where I work. One day I had to be out of town so they brought in a substitute who turned out to be absolutrely horrible. She was rude and nasty to the patients and was...

7. Fed Up with Pain Management

   mountainaireNP replied to mountainaireNP's topic in Advanced

   We dismissed a couple more today. So, we should dismiss them after the first offense of having no metabolites? This is a new pan clinic with new staff and a medical director who isn't as involved as he should be, and we're still trying to figure thin...

8. Fed Up with Pain Management

   mountainaireNP posted a topic in Advanced

   I guess that's too bad for me, though, I can't afford to quit. The thing is, we do drug screens at each visit, and send the samples off for analysis. A large number of patients have no noroxycodone in their systems, which basically means they are sel...

9. Help me not be cynical

   mountainaireNP replied to mountainaireNP's topic in NP

   There would be a riot here if we started telling people to meditate for their pain or take Naprosyn. I agree the movement should be away from opioids, I just don't want to be around here to see it. It's so mentally draining to see these people. I ha...

10. Help me not be cynical

    mountainaireNP posted a topic in NP

    In the two weeks I've worked at the pain clinic I've come across a lot of dishonest patients, we've turned patients away after running criminal background checks that show recent trouble with the law over controlled substances. Jokers coming in tryin...

11. My first job in a pain clinic....HELP

    mountainaireNP posted a topic in NP

    After two long years I finally found a job in a pain clinic. The pay is good but there is so much I'm ashamed to say I don't know. I'm constantly trying to look things up. We've had a few instances of strange events, such as a guy who is supposed to ...

12. Please Wish Me Luck

    mountainaireNP posted a topic in NP

    Never heard a peep out of the hospital in South Carolina, and it's been a week. I think I can safely assume it's a no go. I have two interviews tomorrow, both with the State of Tennessee in the health department. I'm wondering if someone can tell me ...

13. How do you approach parents who refuse pediatric vaccines?

    mountainaireNP replied to Pachinko's topic in NP

    Vaccines seem to be overused. Just because mainstream pharma company sponsored literature suggests turning children into pin cushions doesn''t necessarily mean it's the best way. The thing to do when someone challenges your knowledge is to delve a li...

14. Adult NP seeing kids

    mountainaireNP replied to cruisin_woodward's topic in NP

    I know how you feel about going back to school. As an adult NP myself with ridiculous student loan debt the thought of going back to school makes me cringe nut that's exactly what I'm having to do, as jobs are virtually nonexistent. Wish I had some a...

15. Anxiety over in-person job interview

    mountainaireNP replied to mountainaireNP's topic in NP

    Thanks for the advice. No, I haven't done any mock interviews. It's too late for this one, maybe I could do it in the future. I have been getting professional help for many years and take medication. My husband is the one who compared us to Ma and Pa...