I have made a complaint against an NP

Published

Not to the State, but to the organization. She is an FNP who comes to work in tight black jeans, lace tee shirt and stilettos.

She is 29 years old, virtually no RN experience, and thinks she knows psychiatry.

She is going to d/c various antipsychotics.

Specializes in Psychiatric and Mental Health NP (PMHNP).

Her attire is unprofessional and inappropriate for this setting and you are within your rights to complain to the proper channels.

I'm confused - why is an FNP d/c antipsychotics? Is she working in psych or is she there to attend to the physical conditions of the patients?

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Ok, I was rather upset after an FNP discontinued an antipsychotic when she was advised not to, more than once, based on the pt's psychiatric diagnosis and legal history. He did 25 years for a homicide.

When meds were d/c'd, he decompensated quickly.

The shoes really had nothing to do with it. My mistake.

If you couldn't run in them, you could maybe use them as a weapon?

And yes, there is an occasional turf war between Psych NPs and FNPs in some LTC facilities.

This too shall pass, as we say in the business.

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Specializes in Psych, Addictions, SOL (Student of Life).
5 minutes ago, Oldmahubbard said:

Ok, I was rather upset after an FNP discontinued an antipsychotic when she was advised not to, more than once, based on the pt's psychiatric diagnosis and legal history. He did 25 years for a homicide.

When meds were d/c'd, he decompensated quickly.

When I was working in the group homes the State required that we periodically take stable psych patients off their meds to "see if they still required them." The resulting decompensations were horrifying and often took months to correct. It drove me nucking futs so I left the industry and went back to working in-patient psych where such nonsense would be avoided.

Hppy

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17 minutes ago, hppygr8ful said:

When I was working in the group homes the State required that we periodically take stable psych patients off their meds to "see if they still required them."

Hppy

Not so crazy. I sometimes take stable diabetics off their insulin for the same reason.

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I think if you are going to do any of the above, medial or psych, quite a lot of research is required. Which wasn't done in this case, in fact no note at all was even written.

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Specializes in Psych, Addictions, SOL (Student of Life).
20 minutes ago, offlabel said:

Not so crazy. I sometimes take stable diabetics off their insulin for the same reason.

The standard for treatment of chronic psychosis is if a med is working to control symptoms we don't mess with it. So it would depend on if the med is being used to manage psychosis.

Hppy

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23 minutes ago, hppygr8ful said:

The standard for treatment of chronic psychosis is if a med is working to control symptoms we don't mess with it. So it would depend on if the med is being used to manage psychosis.

Hppy

Guess the sarcasm didn't come through...I'll use an emoji next time...

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Specializes in Medsurg.
1 hour ago, offlabel said:

Guess the sarcasm didn't come through...I'll use an emoji next time...

?

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On 4/3/2019 at 9:05 PM, hppygr8ful said:

I once told a new doctor who liked open toed shoes to be careful in room 12 because the patient liked to masturbate a lot and while housekeeping was trying to keep it clean she was still likely to step in a puddle of semen? She wore closed shoes after that.

That is a little more than what I would have liked to have read.

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Specializes in Primary Care, Military.
13 hours ago, Oldmahubbard said:

Ok, I was rather upset after an FNP discontinued an antipsychotic when she was advised not to, more than once, based on the pt's psychiatric diagnosis and legal history. He did 25 years for a homicide.

When meds were d/c'd, he decompensated quickly.

The shoes really had nothing to do with it. My mistake.

If you couldn't run in them, you could maybe use them as a weapon?

And yes, there is an occasional turf war between Psych NPs and FNPs in some LTC facilities.

This too shall pass, as we say in the business.

You, Sir, have not seen the skill level of some ladies in heels. I swear they could win medals in track. ? I don't generally recommend them at work either, of course. Nor do I enjoy it when those who do not regularly work with psych patients tamper with their meds, especially without reason. It's as bad as the insurance companies tampering with them.

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Specializes in Psychiatric and Mental Health NP (PMHNP).
18 hours ago, Oldmahubbard said:

Ok, I was rather upset after an FNP discontinued an antipsychotic when she was advised not to, more than once, based on the pt's psychiatric diagnosis and legal history. He did 25 years for a homicide.

When meds were d/c'd, he decompensated quickly.

The shoes really had nothing to do with it. My mistake.

If you couldn't run in them, you could maybe use them as a weapon?

And yes, there is an occasional turf war between Psych NPs and FNPs in some LTC facilities.

This too shall pass, as we say in the business.

The FNP should not d/c psych meds unless she consults with the psych provider first. You are within your rights to complain to management.

It is especially important to maintain a professional appearance when working with the mentally ill. I'm really surprised your facility does not have a dress code.

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Specializes in CRNA, Finally retired.

I'm still reeling from the idea of an instant RN, FNP even being credentialed to work in a psychiatric setting. Is this the best we can do?

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