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NP's how are you these days?

NP   (1,767 Views | 39 Replies)

juan de la cruz has 27 years experience as a MSN, RN, NP and specializes in APRN, Adult Critical Care.

3 Followers; 8 Articles; 60,152 Profile Views; 3,998 Posts

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juan de la cruz has 27 years experience as a MSN, RN, NP and specializes in APRN, Adult Critical Care.

3 Followers; 8 Articles; 3,998 Posts; 60,152 Profile Views

22 hours ago, thinbluelineRN said:

Update from my onsite occmed clinic- my traffic has increased 3 fold. Now I'm being sent patient who have URI and cold symptoms to triage even though my company is not testing for COVID-19 or providing test kits.

That's frustrating. So where do you send them for testing if you have a suspicion? Do you send them to public health labs (through DPH)?

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KatieMI has 6 years experience as a BSN, MSN, RN and specializes in ICU, LTACH, Internal Medicine.

2 Followers; 1 Article; 2,463 Posts; 42,905 Profile Views

14 minutes ago, juan de la cruz said:

That's frustrating. So where do you send them for testing if you have a suspicion? Do you send them to public health labs (through DPH)?

Where I am, multiple urgent care clinics all send patients to  outdoor triage and testing centers associated with larger hospitals if there are any suspicions. Initially, provider's note from urgent care was enough to test, then (in approximately 24 h) there was a surge of people who had symptoms of their COPD or asthma or CHF or environmental allergy, but since they "fulfilled 2 out of 3 criteria" (cough and SOB but not fever), or were just sent there by too benevolent primary care providers  for the sake of "good customer service", the triage was reinforced and testing protocols strictly tightened. There are still not enough tests to check everyone who desires it.

Now we see quite a few folks coming in urgent care or even ER with complains on chronic joint pain and fatigue for the last X years (and other impossible to check symptoms borrowed from Google Medical School) claiming they must have "lupus or something" and wanting Plaquenil. 

 

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juan de la cruz has 27 years experience as a MSN, RN, NP and specializes in APRN, Adult Critical Care.

3 Followers; 8 Articles; 3,998 Posts; 60,152 Profile Views

3 hours ago, KatieMI said:

Now we see quite a few folks coming in urgent care or even ER with complains on chronic joint pain and fatigue for the last X years (and other impossible to check symptoms borrowed from Google Medical School) claiming they must have "lupus or something" and wanting Plaquenil. 

 

Shady! bet they are going to stockpile and sell them in the black market. Just kidding.

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thinbluelineRN is a MSN, NP and specializes in Corrections, Public Health, Occupational Medicine.

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4 hours ago, juan de la cruz said:

That's frustrating. So where do you send them for testing if you have a suspicion? Do you send them to public health labs (through DPH)?

It is very frustrating. If I sent them to PH they need to have active symptoms. If I send them to their own doctors the doctors don't wan to see them. I feel like I'm failing the patients and am not equipped with the tools to provide them services they need.

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