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Power2020

Power2020

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Power2020's Latest Activity

  1. Power2020

    Board of Nursing Complaint

    Hello all, I have received a notification stating I have a complaint filled aganist me with the board of nursing. They want me to give a written statement of my perspective.. it says I misdiagnosed a patient- i dx strain when it was a fracture. Luckily patient did come back quickly and got an xray. my main question here is has anyone been through this? Should I get a lawyer ? I feel really worried and would like any feedback. thank you
  2. Power2020

    Would you stay?

    trauma yes great point - I had an expectation and that's why I have been contemplating so much about this....but in reality from an outside perspective bottom line everyone needs to do their job. period. HHNurse NP I never though about it like this....you are absolutely right. I get anxious when patients are waiting and I try to help as much as I can....and this maybe sending wrong signals and people do take advantage. The other day I had 16 patients show up within a 2 -hour time frame...it was very busy and I triaged a patient or two and am not familiar with the med reconcilation screens, so I asked the MA I need your help how do I enter these meds, and then I called again as I did not know how to edit allergies, etc. and this MA is kind of sarcastic overall agreat worker and she said "you are so needy" I mean I know she didn't mean it maliciously...but WOW I am helping you guys out...as much as I can ? and you say im' needy???!!?!? As far as attitude and how the urgent care tolerates it- yes they will.....because the main manager has their back---it's basically a culture of MA aganist provider ... (this is not an assumption, it is been proven) and if I keep complaining what is going to happen? fire all the MAs? they change ? sure maybe but for sure will have an attitude. I know I can't expect a work family I GET THAT but having a 40 hour work week with people like this is draining. I feel I am a bit insecure myself with my skills/etc. as I am working with more peds (haven't done that much) so people can sense this vulernabilty and take advantage. Now, to change jobs is something I am considering. thank you for all the input.
  3. Power2020

    FNP Made to Work Alone?

    analong if it makes you feel better- sometimes the MA you work with isn't dependable...../lazy/ you have to overlook everything they do as you cannot trust them to carry out tasks.... I am not saying stay in your current position and be happy but hopefully it helps you have a bit of a glimmer of hope until you find something else
  4. Power2020

    NP Employment Contract. I WANT TO LEAVE!

    what exactly do you not like about how the MD practices?
  5. Power2020

    Would you stay?

    egg122 very interesting gender point. I do believe that is true. kooky korky thank you for the response. Yes you are right it is a hard situation to report or not- considering the main manager has their back. easy to say report little things sure....but silent retaliation does exist. in medicine it is easy to have upset patients or make an error (something small like forgetting to send in the prescription...) and if staff don't have your back it makes your job difficult. workitinurfava I do agree that upper management (medical director) is completely aware and does not want to be involved with fighting with the manager too much. great point. problem is I went in all energetic and excited i guess with a expectation of work family? that crashed and burned fast and now I can't really get my mind off my work when I'm off.
  6. Power2020

    Would you stay?

    mike fNP thanks for the reply. I like your concrete perspective. makes me feel better. I know now never to treat anyone without a chart. egg 122- I felt she was potentially having a allergic reaction yes. and I just acted quickly i guess out of more care- this person was friendly with me, always needing someone to hear out her personal issues... she's missed about 10 days of work...and still doesn't get fired...one day we even had to shut down because she didn't show up to work. it's all taken lightly. Anyway, I will never attempt to help someone in this way again. I now know it is very wrong, yes puts company up for liability. I just go to work quietly sit down- and I avoid conversation with staff all together. I know not everyone is bad in the world (esp this medical director ) but these people I work with are not good people. I used to buy donuts/bring food, etc. now I've stopped being friendly. My previous jobs everyone was literally like family....I have never experienced a hostile work environment as this- I can just feel it and I KNOW it's because staff want autonomy. EGG112: what do you mean by male/female ? I am a female-all staff are female and the other provider is a male.
  7. Power2020

    Would you stay?

    ATomic woman thank you for the reply. this medical assistant now will not work with me. I know it's easy to say I'd be out of here which I can truly agree with although I am worried it took me 6 months to find this job- and this was through a connection within this company. another job as posted in primary care right now- which is A LOT harder medically than what I am doing on a daily basis in this job I guess I am upset that I have to leave such a great opportunity due to crappy staff...it feels like I lose out. currently I am at 70/hr - not salary. with full benefits. other jobs will be about 40/hr after the extra hours I put in at home to document etc.. (not sure if I will have good MA'S there either). My question to myself will remain- should I start complaining and risk becoming a further target in this company or just leave it all together? Is it worth It?
  8. Power2020

    Would you stay?

    oldmahubbard thank you for your post. I want to understand where your perspective is coming from. Do you believe I dont understand what ive done should never been repeated? Trust when I say I definitely will never do anything like this again. My apologies for not mentioning that directly. I guess I am worried because lets say at work I miss something? Will these MAs report me ? Thank you again.
  9. Power2020

    Would you stay?

    thank you for the input. armanix I have attempted to verbally tell the clinic manager about the ma attitude...and looks like what happened is she refuses to work with me therefore is not scheduled with me any longer... fine by me I cannot formally complain and send to chain of command as the main manager backs these MAs.... and what would I complain about? that they don't listen to me? for the most part they do...but give me attitude along the way.... they go sit in the front when discharge paperwork is printed for patient I have to go find them and get it to the patient... so if i formally complain- i bELIEVE they will silently retaliate...somehow. so is it worth it to complain or just quit? only reason I was considering the other NP behavior is I am very different from him so staff get tense as they have less autonomy in the clinic with me so therefore this causes an issue when I work. jkl33 yes I am in the middle I feel like i walk on eggshells at work daily. I feel anything I do can be complained of and I cannot relax. and the person who I gave the injection to could have set me up- did not think of that- she looked as if she was maybe having an allergic reaction- gave decadron. anyway....I really am confused at to how to move forward from this...we are in a saturated market. there is a job potentially in family practice opening althouhg I know grass isn't always greener on the other side this job has a LOT of perks- multiple days off- high pay... but I am now unhappy and don't know how long I will feel like this.
  10. Power2020

    Would you stay?

    I got written up by the medical director for treating the employee w/o checking them in- no chart. and telling them to go the emergency room- we still had 2 more hours on the shift- and so no medical assistant last 2 hours the medical assistants have attitude - one doesn't speak with me because she feels she is the provider and when initially i was working she would literally argue with me in regards to who should be seen or not...... so she wont speak- so i cant ask her to do anything as she wont communicate (typically this does not make a huge difference but it doesn't FEEL good working with staff like this) especially considering they themselves got me written up. I spoke with the medical director and he said please do not worry about it. he said it's something "he had to do". other nP- ok...so we are supposed to check in every patient... he isn't comfortable seeing young kids- so I was told there was a 8 week old that came in and they referred him to the ER WITHOUT checking him in.....so the staff won't "tell " on him for doing this.....as they feel they have autonomy the other NP sent in amoxicillin for the MAs daughter WITHOUT CHECKING HER IN -NO CHART...but he doesn't get written up ...staff has his back our is urgent care is stand alone- no ER connected. so a patient with chest pain would be fully triaged- then referred the problem is this company's management is seperate meaning the medical director manages the medical staff- which is FNPS, DOCS ETC and the other management is over the medical assistants. SO the manager over the medial assistants has their back- avoids getting them in trouble- i KNOW THIS bevause we have a medial assistant that has missed about 10 days of work and is still employed......if I were do to this...obviously I would be fired. I just feel very uncomfortable at work. I can feel the tension and I am already tense working in a "urgent" type of environment. I don't know what to do, how do I move forward?
  11. Power2020

    Would you stay?

    Hello fellow NP's So little about me- worked in family practice for 1.4 years- got laid off because of financial issues with office. now am in urgent care- and basically the staff - MA'S are horrible. there was a ma who had what i felt an allergic reaction so I gave her a decadron injection iM and told her to go the ER 5 days later I get written up. the way the company is structured is medical assistants are managed by managers of whom back up the mA's. the NPs are managed by medical director (who is a very nice person...) anyway the OTHER np I WORK WITH is very lienient in his care (nothing wrong) just different. I am a structured individual -like things orderly (to a certian extent) so I correct staff where need be. Staff like the other NP because he is not a rule follower- like doesn't check in some patients and refers them to ER without being triaged properly etc. so staff are gossiping about me -and the MA I gave the injection to got me "trouble" for helping her. so now I feel like i walk on egg shells- like im watched on my every move if i make a mistake boom i will get written up. what am i to do? any tips will help thank you
  12. Power2020

    case scenario -ER /URGENT CARE NP'S

    ok thank you- I know it sounds silly but I am walking on eggshells with this job. I am a great NP but since I am in a new job I am a bit nervous and also I have to see more pediatric patients which isn't my expertise so I am slower with them and a lot more cautious. I feel my staff aren't supportive of me and give me attitude- all MA' s are backed up by the manager. Anyone have any positive outlooks on this?
  13. Power2020

    case scenario -ER /URGENT CARE NP'S

    Urgent care ER nPs I have a clinical scenario, I work in urgent care had a patient come in for ankle pain- man about 55 y.o. BP was 197/114, 208/102 manual. pt. did not want any pain medications (prescription tylenol 3), as he doesn't take them. Discussed elevated blood pressure reading/recommend to stabalize in ER as if they drive home they may stroke out. He did not want to go so signed AMA. x-ray showed fracture- displaced-patient already left because he wanted to go home and take BP meds and come back now if this patient comes back in 2 hours to discuss the x-ray and get splint placed they would need to be checked in again as a new office visit correct? What are your thoughts
  14. Power2020

    Medical Assistants -Patient Safety

    I cannot find another job at this time- I can take rudeness-the question is do you think I Should reach out to the medical director? I have met him before- he said he was very impressed with me he is very nice but do not know him.
  15. Power2020

    Medical Assistants -Patient Safety

    Hello all NPs I need some guidance I have a great job in urgent care- problem I have is the medical assistants are lazy and do not want to work?? I have been patient/been friendly/spoken to clinic manager which went nowhere.....apparently shes buds with the MA's. Anyway I believe now the siutation is getting worse and out of hand? ' They give me attitude if I noticed they haven't asked something- i have never had this mcuh of an issue anywhere I've worked. I am contemplating to email the medical director but afriad of retaliation. Have you been through this ?
  16. Power2020

    Career and Baby!

    Wsmfp88 I appreciate your kind words. It does help me feel better that someone can relate to these worries. I know in the end things are meant to be for me and this current job I am about to start seems to be a great fit. Time will tell!
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