VivaRN

VivaRN

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All Content by VivaRN

  1. when a patient gets upset

    VivaRN posted a topic in Nurse Practitioners, NP

    Had a situation recently where I was seeing a walk-in for what was supposedly an acute problem that turned into a request for refills on pain meds. There was a note in the chart from the patient's...

  2. when a patient gets upset

    VivaRN replied to VivaRN's topic in Nurse Practitioners, NP

    Thank you all so much for your replies and advice. I've had drug seeking patients in the past, but this was the first one who kept going off about it even after I felt I had made myself clear. It...

  3. giving your email to a patient, yes or no?

    VivaRN replied to Sterren's topic in General Nursing

    No. It crosses the boundary from a professional to a personal relationship. Some would say it is ok to do this after the patient is discharged (no more nurse-patient relationship) but I would argue...

  4. Can we talk drug reps?

    VivaRN replied to carachel2's topic in Nurse Practitioners, NP

    Hmmm, I would argue that there are unbiased sources of drug information. Why not educate yourself with that vs. allowing your education to come from a potentially biased source? It might take a...

  5. Geez! Just spent over 1100.00

    VivaRN replied to adria37's topic in Nurse Practitioners, NP

    Eh, we had a choice of purchasing those items but I and many others did not. I love my stethoscope and have had it since the week before I started my BSN. It's fine. I do not have my own BP cuffs,...

  6. Over it.

    VivaRN replied to NightNurseRN's topic in General Nursing

    Healthcare has become more profit driven then it ever was before. I look at that picture of Mary Breckenridge on the horse bringing women's health to Appalachia, or Lillian Wald and the Henry Street...

  7. just because i am your moms friend don't assume that i will get meds for your child

    VivaRN replied to pedspnp's topic in Nurse Practitioners, NP

    Oh, that is scary! What if he wrote an Rx for someone who was allergic to that med, or they had some kind of crazy reaction and died? Who is following them on these meds? Maybe he likes being...

  8. I don't get it.......vent

    VivaRN replied to BCgradnurse's topic in Nurse Practitioners, NP

    I agree. I am in the same practice setting as you and the behavior that is tolerated is outrageous. I mean, I understand the struggles of the population we serve but at some point the interaction...

  9. Can we talk drug reps?

    VivaRN replied to carachel2's topic in Nurse Practitioners, NP

    There is a growing body of evidence out there: drug reps do influence the way we practice, gifts (even small gifts) create a sense of obligation, drug rep literature is biased, giving samples can...

  10. Ever Tried to get a Job outside Nursing?

    VivaRN replied to Destiny12's topic in General Nursing

    Maybe now is a good time to explore going back to

  11. Things Patients Have Taught Me NOT To Do

    VivaRN replied to Trixxy's topic in Nursing Humor

    DO NOT make "I haven't been able to see out of my eye for 2 weeks" #3 on your list of what are you here for today DO NOT whine and cry to be seen as a walk-in at the end of the day, list 100 million...

  12. NP attire

    VivaRN replied to PansyKat's topic in Nurse Practitioners, NP

    business casual + lab coat for the

  13. What primary care areas have the best variety?

    VivaRN replied to Joe NightingMale's topic in Nurse Practitioners, NP

    At my clinic we provide primary care for people with HIV/AIDS so there is all the primary care stuff along with the opportunistic infection and sick people stuff. I have yet to be bored or feel I see...

  14. scheduling and late arrivals

    VivaRN replied to pedspnp's topic in Nurse Practitioners, NP

    We have that problem as well! Though the biggest problem is that there is no policy, if a patient shows up late it is up to the individual provider whether or not to see the patient. This turns into...

  15. Lower income pts and a litigious society - vent

    VivaRN posted a topic in Nurse Practitioners, NP

    I don't know what is going on but I have had a rash of patients lately looking to sue someone in the healthcare system because they think they will get some quick money from it. I had a patient...

  16. Lower income pts and a litigious society - vent

    VivaRN replied to VivaRN's topic in Nurse Practitioners, NP

    I had one get upset the other day because our transportation resources (as articulated by the social worker) were "unacceptable." I was not quite sure how to handle that, like sorry our state doesn't...

  17. Just wondering... what would you want your kids to do for a living?

    VivaRN replied to labrador4122's topic in General Nursing

    I don't have kids just yet but I wouldn't mind if they wanted to do nursing. I was out with another nurse-friend the other night who said her problem right now is "not taking any more new jobs." We...

  18. Do you admister oxygen on your floor to a pt complaing of chest pain?

    VivaRN replied to Blackheartednurse's topic in General Nursing

    Yes. And why not? 02 is not a hard thing to initiate. If it turns out the pain was d/t something else, no harm, no

  19. ER patients falsify info...has it really come to this?

    VivaRN replied to RNYC's topic in General Nursing

    It's not just the ER. This happens in the outpatient environment as well. As a nurse practitioner I've had pts with UTI's, sputum growing out nasty stuff, abnormal paps, labs suspicious for cancer,...

  20. Patient Etiquette

    VivaRN replied to brown252's topic in General Nursing

    This thread was started in 2005, it is 5 years

  21. talking to pts about possible CA dx

    VivaRN posted a topic in Nurse Practitioners, NP

    I had a pt's labs come back suspicious for cancer, she also had a few other suspicious masses that were not completely worked up in the facility she was in before coming to me. She is chronically ill...

  22. a need to vent

    VivaRN replied to pedspnp's topic in Nurse Practitioners, NP

    You are not the first, nor will you be the last to cry at work. Act normally and I'll bet no one mentions it. Dealing with patients like that is hard for anyone, no one went into this profession...

  23. WHNP vs FNP

    VivaRN replied to momof2sweeties's topic in Student Nurse Practitioner

    I vote for FNP as well. The WHNP's I graduated with have also had a harder time finding a job (I'm an FNP). I work in the women's part of a clinic but even then I see transgendered men who identify...

  24. How do you feel about the NP "haters"?

    VivaRN replied to Purple_Scrubs's topic in Nurse Practitioners, NP

    Another agreed with the above. I have honestly never had an MD or med student respond negatively to me, we are collegial at my workplace and see each other as co-workers. C'mon, we're all here for...

  25. Now, if you saw this on a chart, what would YOU think?

    VivaRN replied to AngelfireRN's topic in General Nursing

    Could've caused an error - that arythriomycin referring to erythromycin or azithromycin? Especially when you throw messy handwriting into the