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.
On 4/7/2019 at 9:06 AM, umbdude said:I don't think this has anything to do with gender. Lots of guys (including myself) would love to wear jeans, crocs, t-shirt, shorts, or sleeveless shirt to work.
No stilettos?! Whaaaat????!!!! ??
Maybe your pointy toe cowboy boots then...? or top hat..?
Just now, Oldmahubbard said:She doesn't know what she doesn't know. Not even close. Maybe she has gone through life on the halo effect. It's real.
Don't wear stilettos to work in case you ever have to run, people. Listen to an old lady.
Clearly you're just jealous.
/Sarcasm
On an aside, I can recognize the importance of stopping drugs where there are physiologic reasons. Eg renal or liver failure or concerning lab abnormality. But as a PCP is stop my own drugs and chat with the psych before I remove drugs others prescribed.
I know to those of us who don’t work in the milieu, one’s choice of attire and/or footwear seems irrelevant however, my clinical instructor for psych instructed us all to not get excited about wearing street clothes for the rotation because we needed to, and I quote “dress like Quakers”. She explained that low necklines and tight silhouettes on female students could be viewed as suggestive by patients who already may have difficulty understanding and picking up on social cues. She also explained not to wear ANYTHING that could be made into a weapon. No hair sticks, no cutesy badge holders made of other hospital materials, etc.-my guess is she’d flip over stilettos in the milieu.
When you add all of these things with the withdrawal of antipsychotics, this person could be putting herself and everyone who works with her at risk.
All's well that ends well. Apparently. Someone obviously talked to her about her practice (not her shoes, haha). As they should have. She called me today. We were cordial and she apologized. Hopefully it is all a learning experience and a turning point for her.
A new and overconfident NP makes me nervous.
If you are a new NP, especially if young, be aware of your image. Male or female.
It probably won't make or break you, but people do notice what you wear.
I have read many many accounts of taking a person off of antidepressants or antianxiety drugs cold turkey. The effects of the withdrawal can be devastating and mimic the original symptoms of the diagnosis. Not "decompensation", the brain is simply learning to control emotions on its own again... naturally. Best to slowly taper off the dosage.
My personal experience with cold turkey zoloft withdrawal gives me firsthand experience. After a couple of months, the withdrawal symptoms subsided and I was entirely fine and in no need of any drugs at all. Would have been better to follow my doctor's advice and ramp the dosage down to zero over a couple months.
Turns out that the doc should never have forced the garbage on me in the first place. She knew of the side effects but was emphatic that the benefit would outweigh the harm. She was wrong.
umbdude, MSN, APRN
1,228 Posts
I don't think this has anything to do with gender. Lots of guys (including myself) would love to wear jeans, crocs, t-shirt, shorts, or sleeveless shirt to work.