HarleyvQuinn MSN, RN, NP

Primary Care, Military

Mad Love

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All Content by HarleyvQuinn

  1. 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 discuss your options and settle up. Always be prepared...
  2. 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 her again right as she was waking me up. Poor girl...
  3. 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 get her to the vet and toss the linen in the wash. ....
  4. 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 I found them to be really helpful when studying f...
  5. 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 which potential illness is causing the symptoms and ...
  6. 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 with a very unviable pregnancy was suffering a slow...
  7. 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 remember. Not surprised it was reported.
  8. 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 certain aspects of the care has opened the ability...
  9. 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 delusional enough to think it isn't as broken as a on...
  10. 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 the vast majority of my clinicals through the VA. I ...
  11. 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 doesn't matter if what is on the formulary currently i...
  12. 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 health. 😁
  13. 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 😖🤷‍♀️🤦‍♀️
  14. 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 two for both my vehicles or threatening me with be...
  15. Don't forget situational risk factors, too. The hospital where I began my career lost a talented CRNA after a tragic case. A woman died of an infection after her c-section and the team blamed the CRNA who performed the epidural, claiming this CRNA wa...
  16. HarleyvQuinn

    Freezing At A Critical Time

    I'll never forget when I was new and in orientation, the Head Nurse and our educator (civilian CNS) came in super early one morning to pull a mock code on us. This was on a busy mother-baby unit and no prior notice that they were doing the event. How...
  17. HarleyvQuinn

    Let's share some nursing tips

    I'll add that you should use a heel warmer for infants prior to getting blood samples, especially if you're doing the newborn screening. Really helps to get the blood sample you need with less fuss. Any time you are opening the diaper of a male...
  18. HarleyvQuinn

    Math questions and weird answers

    I saw a question about the conversion of grains to milligrams on a dosage calculation test when in orientation for an ER position as an RN once and laughed. I'd been an RN for 5 years already at the time and never ran across it. It's been over 14 yea...
  19. While I find this to be a necessary topic for us to consider among our colleagues, it's also important to remember how dangerous a topic that it can be, too. Disclosing a history of depression, PTSD, or other mental illness, even if completely stable...
  20. HarleyvQuinn

    Took A Gummy Which May Or May Not Have Had THC

    This violation is a flogging by the BON with thorned whips for the first time, THEN execution for the second offense. Floggings are scheduled monthly along with board meetings. Bring your own bandages. Tight budgets and all.
  21. HarleyvQuinn

    Inability to Bill Prevents Pharmacists from Prescribing Paxlovid

    This just in: Pharmacists decline to work for free just because Insurance agencies so frequently find ways to get Physicians, PAs, and NPs to. 🤦‍♀️
  22. HarleyvQuinn

    Monkeypox...Another Pandemic?!

    I suppose, in my view, it was gaining a lot of attention because it was seen as strange that it was gaining ground in countries that it had never before all of a sudden. All after we've struggled with a difficult pandemic. A disease we do already kno...
  23. HarleyvQuinn

    Monkeypox...Another Pandemic?!

    Really? In all the news surrounding the current spread, I've heard about how it's impacting predominantly men who have sex with men constantly. I, of course, can't say that all news sources are covering it in the same way, and the phrase "your mileag...
  24. HarleyvQuinn

    Monkeypox...Another Pandemic?!

    Probably because it's not a sexually transmitted infection. It's an infection that is spread by prolonged close contact, secretions, blood, contact with the rash/skin of those infected, scratches/bites from infected animals, or consuming said animal....
  25. HarleyvQuinn

    AGNP AANP- The Dos and Don'ts

    It probably isn't a good tool to use by itself, especially if you aren't familiar with what it is exactly and how it works to make the best use of it. The APEA tools work best after spending some time researching them and implementing them into eithe...