HarleyvQuinn MSN, RN, NP

Primary Care, Military

Mad Love

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All Content by HarleyvQuinn

  1. HarleyvQuinn

    Call out

    I know this is an older post, but being just after the holidays and all. . . I just have never understood the need of some folks to not only screw over their coworkers like this, but also blatantly...
  2. HarleyvQuinn

    Change Diagnosis

    Tread carefully. The BON in any state, let alone states like TX, are not known for their friendliness towards the nurses they oversee on even the most generic of issues. It tends to go downhill on...
  3. HarleyvQuinn

    Change Diagnosis

    I imagine they'll take it as a question of mental stability in that, if you're a danger to yourself, you may not be clear-headed enough to reliably or safely practice until cleared to do so by...
  4. HarleyvQuinn

    Change Diagnosis

    You disclosed suicidal ideation to the BON, worse so the TX BON. Even if it's not Bipolar Disorder, they have you for some form of mental illness due to suicidal ideation. That alone will keep you on...
  5. It's that OIG exclusion list we all should rightly fear. That's the one that'll get you blackballed from Medicare/Medicaid-funded places. Which is like everywhere.
  6. HarleyvQuinn

    Questions about APRN practice in NC

    You can get an initial endorsement to NC, which will have the vast majority of the paperwork done and is what takes most of the time if you submit all their requirements ahead of time. Employers often...
  7. HarleyvQuinn

    Being a nurse in Ohio with a medical marijuana card? HELP!!

    The same way I would advise strongly against a CDL Truck Driver against doing so, even if it is technically legal in their state, I would advise any license-holding medical professional against this....
  8. HarleyvQuinn

    Questions about APRN practice in NC

    Currently licensed in and working in NC. I don't have to pay for the collaborative agreement as it's through my workplace. Honestly, I wouldn't consider it micromanaging, either. We have both a...
  9. HarleyvQuinn

    Advocating for the Integrity of the ARNP

    I disagree about getting rid of FNP - it's not too broad necessarily, it's how you use it. It works great with family medicine clinics in primary care where patients want to use one clinic for their...
  10. HarleyvQuinn

    IV Phenergan Infiltration

    Reglan can also cause side effects, especially if pushed or infused too quickly. Akasthesia especially, or that feeling of "coming out of your skin" or "crawling in your skin" type of sensation. I've...
  11. HarleyvQuinn

    IV Phenergan Infiltration

    Compazine works great until you've seen someone with extrapyramidal side effects like severe torticollis from it. It caught me completely off guard when it happened to me. No thanks, I'll take...
  12. HarleyvQuinn

    Broke My HCA Contract

    HCA as a corporation are soul suckers. Do not underestimate them. There is a reason they need these contracts and need sign-on bonuses to lure in staff. Have an actual consult with an attorney to...
  13. HarleyvQuinn

    Nursing Guilt

    Haha. Never. That poor girl has been with me for almost 13 years now and is one of the best dogs I've ever raised. She was sick and needed my help and was trying to alert me. She couldn't help it hit...
  14. HarleyvQuinn

    Nursing Guilt

    I felt very blessed when my manager was graceful enough to let me be 4 hours late as a provider to the clinic when my dog woke me up by throwing up unceremoniously on me in the bed. Gave me time to...
  15. HarleyvQuinn

    3P exam

    We took the APEA version. It's not something you're necessarily supposed to ace, but they want you to be close to the national average. APEA does sell their study bank of questions for the 3P exam and...
  16. HarleyvQuinn

    Did this nurse behave unethically?

    Indeed. Meanwhile, we found out today that Medicaid has decided they'll no longer cover more than one test (such as rapid strep, COVID, or Flu) per visit to urgent care. So, just take best guess at...
  17. HarleyvQuinn

    Did this nurse behave unethically?

    Not disagreeing with you. Just not surprised given the type of facility it is. Also not surprised they didn't help move the miscarriage along. I also was witness to a similar situation where a woman...
  18. HarleyvQuinn

    Did this nurse behave unethically?

    If that's the same Mercy Medical Center I remember doing some clinicals at, it's a Catholic Hospital around the Akron-Canton area. ---- Re-read the article and yep, that's the same Catholic facility I...
  19. HarleyvQuinn

    Chronicles of a VA APRN Resident

    I wouldn't classify myself as anti-government. I just see a lot of the same wasteful practices in the VA that I saw in the military and, honestly, they should be doing far better. Trying to privatize...
  20. HarleyvQuinn

    Chronicles of a VA APRN Resident

    I commented correcting an impression that an apparently new hire had from the perspective of someone who knows the system from both sides of the coin. That's all. I work private sector and I'm not...
  21. HarleyvQuinn

    Chronicles of a VA APRN Resident

    You may also have seen the troubles he can experience in getting care. Or, problematic stereotypes that get applied to him erroneously just because he's a Vet patient with certain conditions. I did...
  22. HarleyvQuinn

    Chronicles of a VA APRN Resident

    Okay, look, I see this mess from the perspective of a Provider and a Veteran. There is a strict formulary. You cannot order the medications a Veteran may need because of that strict formulary. It...
  23. Family history is definitely a major risk factor. I've told you before that I love your posts, right? I've learned a lot from you and really relate when I read your stories about working behavioral...
  24. Ohhh my. . . Just have that one go hide under the nursing station desk with one of the RNs I knew when a patient had a seizure
  25. HarleyvQuinn

    Hospitals charging nurses $100/month for parking?

    Yeah. The last hospital I worked for started issuing parking passes and I could see the writing on the wall that eventually it'd move to pay for 'em. They hassled me a few times about registering for...