difficult parents

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Specializes in General.

here is one i have not encountered, the mom brings the child in for an acute appt I am not the regular provider it is a provider in a different city, mom tells me that she wants to bring the child to see me for acute appts and the other provider for well child,:eek: I explained that i did not mind seeing the child on occasion for an acute appt but really needs a continuum of care the child had been treated at another place for AOM ( an acute care), failed 1rst round of amox OK guidelines state you can retreat with amox so I hand her the RX she fused the rx states I had ordered too high of a dose, I ordered Amoxil 400/5 1.5 tsp bid the child was 35 lbs then told me that the last time she only gave 1/2 the dose because she felt the dose was to high, and still had meds left over. along with that she brought her 2 month old in worried about RSV, infant was a little congested runny nose and all andeating well active and playful but i ordered a RSV test for the 2 month old; well after telling me the dose was too high she told me she did not want to get the RSV testing done because she had things to do I documented this whole visit from beginning to end including the statements I tried to explain to the mom about doses of medicines but she just did not want to hear it from me. any one think of a better way to handle the situation. But I love my job, the teaching is the fun part and getting to know the patients and families

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Specializes in Nephrology, Cardiology, ER, ICU.

Frustrating - I'm of the sense that you can't cure stupid. However, you can document stupid. I'm especially vigilant when I have noncompliant pts.

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Specializes in Peds Urology,primary care, hem/onc.

IF this becomes a pattern for this mother, you may want to contact the other PCP that sees this child as well and compare notes. She may have documented noncompliance and playing one provider against another. I would also talk with the MD's in your practice about the mom's request to basically see two different practices. Where I have worked, that would not be allowed just for the welfare of the child. I think you did an excellent job and just document throroughly. As trauma said, you cannot fix stupid. In peds, because the actual patient does not direct their care, we have to take an extra step to advocate for the actual patient. My guess is, she does not like her other PCP either and was trying you out to see if you would do what she wanted. Good Luck!

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Specializes in General.

well today I had another parent who I just could not get info out of, this is the second time i have seen her and the 3 children today it went like this is he having a fever answer " sort of" how often is he having diarrhea " well i don't know the dad has had him " what was she put on for the UTI ' I don't know her dad took her to the er over the weekend, but i think it was the same medication I got for gonorrhea. then she said why don't you just call the pharmacy if you really need to know. I am so patient with these children but the parents I have to ask them please next time you come in and your little one is on a medication from a er Dr please don't tell me to call the pharmacy this is something you need to know in case they have a allergic reaction to it, I don't have a crystal ball i don't want one. All i ask is that you as a parent take some responsibility for your child when it comes to their health especially when i am not the regular provider you see some one else in a different town. Am I asking too much honest answers and suggestions please from the gang. I am a new PNP and trying not to step on toes and learning the ropes . But on a brighter side I had a parent who was late, normally we have them reschedule if they are late but my supervising MD had a family emergency and some of her pt's got routed to me, he was told that since I was booked I would squeeze him in and he may have a hour wait while i saw the on time patients he said that was fine he just wanted his child seen, I walked in the room started to apologize for his wait and he apologized for messing up my schedule, not a problem I said whats going on with the little fella, dad told me and i had him out in 5 minutes for a AOM dad was very pleased and I felt really good about seeing the little fella he was 7 and all of his little sisters were there asking me are you going to make him better:)

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Specializes in Nephrology, Cardiology, ER, ICU.

We do have some great days, don't we?

I mean that in a nice way!

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Specializes in Emergency, Cardiac, PAT/SPU, Urgent Care.

Np2b,

I don't think you're asking too much at all! I used to feel the same way with patients who would present to triage but didn't want to give me the info I was asking for. All they ever wanted to know was, "How long is the wait?" LOL.

I feel for ya, and it sounds like you've been handling everything very well! Kudos to you - you sound like an excellent NP. :)

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