-
Non FDA medications and school
The coach and I did reiterate that point to her, he even had the handbook pulled to show her. Her response was to flaunt off with "I have a copy of the handbook, THANK YOU!". Right before she slammed out of the office. You can't win.
-
Non FDA medications and school
Many moons ago when I was a school nurse, I had this happen. A little Kinder student was brought to me along with a baggie of these brown bottles with tops like nothing I had ever seen before. The labels were hand typed, which was also odd. As I was completely out of my element, I kept the meds and called the parent. I had no idea at the time that I was about to paint a target on my back. Mom showed up and had a complete come apart. The child just 'had to have these meds' 4-5 times a day during school. Nothing would do but that. As it so happened, neither the main nor the vice principal was there that day and the acting principal was a coach. He and I tried in vain to explain to this woman why this was not possible nor yet even FEASIBLE but she was having none of it. When I called her, I had said that we had no documentation from the doctor and she brought with her a ripped off piece of notepaper and plonked it down on the principal's desk. "The doctor is out today, his secretary wrote that. It's good enough. This medicine has the energy of what she's allergic to in it. She could take the whole bottle at once and it wouldn't hurt her. I know you're ignorant. You just don't know." When she could see she was not going to get anywhere with me, she started in on the coach. And then she doubled down and said that not only was she expecting us to administer these meds, but that she was expecting them to be sent home and then brought back daily by the Kinder. When she finally realized that she was not getting anywhere, she stomped out. I didn't think any more about it until I was called into the office later that week and told I could have handled the situation better, though no one could tell me how, exactly. Further, it was listed on my yearly eval by the principal who wasn't even there. And the crowning indignity, several months later, the school secretary brought the Kinder back for a temp check and I told her I'd call mom. She refused to let me and that was the day I found out that Mom threw an even bigger fit than I was aware of and told the office staff that if they ever sent the Kinder to my health room again, she would sue the school. Over refusing to potentially harm her child. I don't miss that school. Not one bitty bit.
-
Please give me the good and bad about prior authorization
Same. And woe betide the poor patient who tries the old 'they said all you have to do is call this number'. Same for the patient who calls because the pharmacy said a PA was needed but refuses to send it to me to complete. You know, the code key for covermymeds? I used to work for a doc who flat out refused to do them at all. I'm beginning to see why. OP, it'll probably be the nursing version of working at the lost baggage counter at the airport, if I had to guess and personal experience is any indication.
-
Management Timing Nurses Pee Breaks
I had a manager once haul me into a meeting and accuse me of playing on facebook while in the bathroom because she 'was watching my green light (the 'online' indicator on Messenger?) and it lit up when I went in and off when I came out'. I lit her up and told her it was none of her business and to seek help and a hobby. Later on, one memorable day, she starts blowing up our group text with accusations of people being on facebook and consequences for the same. As I had my phone with me doing drug calculations, I ignored the texts because I was in with patients. Here she came barging in like a bull out of a chute, scared the patient half silly, and demanded I hold up my phone. She saw the calculator screen and got huffy, and then made some remark about me leaving my phone in her purse from then on. I told her right there, patient notwithstanding, that she didn't pay the bill and it wasn't her property. I gave notice about a month later and she had the audacity to act offended. I agree with the news, if you have something concrete where they admit to this. It's unconscionable.
- Things you'd LOVE to be able to tell patients, and get away with it.
-
C'Mon Now!
Back aeons ago, when I was a school nurse, they tried to tell me that being a 'Title I Aide' was part of my job description. I was expected to go into classrooms with children who were slow to read and help them with their reading. I was not allowed to bring them out with me so as to, you know, NOT DISRUPT THE CLASS and also be in my office where they didn't have to page me every time a kiddo needed me to do nursey stuff. It was a nightmare and died a quick death when I just outright refused to do it anymore. But it absolutely took me threatening to leave. I couldn't get them to back me up to the blooming parents when their kids were sick enough to go home, and parents were balking about coming to pick them up. My nursing degree didn't qualify me to make that decision. But I was qualified to teach reading.
-
Seriously?!?
We have people call and request refills and then call back to see if they've been sent scant minutes later. We get the same reaction in equal parts when we say they'll be in by the end of the day and to call the pharmacy first to see if they have it rather than blowing up our phone. Seriously, I've had the same person call for the same med 5 times in one day. It took telling them that one more call was grounds for dismissal from the practice to get them to quit. Then they called my mother.
-
Seriously?!?
On the contrary, I practice in a very rural area where old wives tales abound as far as treatment. However, MOST of my people are open and receptive to my explaining why something is not so. Ignorance I can handle. Ignorance can be taught. Ridiculousness I can handle. Just something about this one got all over me, like it wasn't enough that they had to repeatedly tell me what their 'nursing friend' said, but then to accuse me of causing the panic attack and then 'scaring them' by warning them that the meds might be spendy? If I'm such a sorry excuse for a provider, why come back? This is why I love being on my own. My old office manager would have had a field day with that one. I just handled it and went on.
-
Seriously?!?
Well, I once had one ask for a urinalysis and when it came back clear, she told me not to bother checking her ears. No UTI s/s, thought she had an otitis. Then she informed me that if you had 'infection anywhere in your body, it'd show in a UA.' Silly me, I always used an otoscope to check ears. I did good and held it together. The drug screener left a vapor trail out the back door where she could cackle in peace. I wonder if my gal and your guy were related?
-
Seriously?!?
Yep, pretty much. I can handle ignorance, but the prolonged insistence of the validity, combined with the accusation of it being my fault that the person had a panic attack because I had the gall to prescribe an antibiotic...I think after about 20 minutes of a revolving door, I just hit my tippy point. As far as social media or negative reviews, I own my own practice so I have a little more leeway and while my delivery may be a tad abrasive if my usual nice approach isn't working, people as a whole tend to understand that I'm frustrated because I'm TRYING to help. Some days are just days, lol.
-
Seriously?!?
It boggles my mind, I tend to attract a demographic that seems to thrive on it! Normally I shrug and go on, but this one has stuck with me for some reason. Probably because it was equal parts hilarious and maddening.
-
HIPAA breach
I had this happen to me once, same thing. A patient who was not accepted as a patient at the pain clinic I worked at literally Facebook stalked me and cut/copy/pasted a document together from various posts that of themselves, said nothing of import but were then pieced together to look incriminating. I was not asked to submit anything and I let the person at the Board know that I would NOT be granting them access to my Facebook page without a subpoena and my lawyer's advice. Even he said that the document 'looked weird' and that the person who filed the complaint obviously misunderstood the power of the Board because they were saying that I 'needed to be fired', like that was under their jurisdiction. Now, with my own clinic, I post about work frequently. Closings, announcements, etc. Patients will tag me or the clinic, but that originates from them. Anything else, I have written permission to post from the patient, if they request that something be posted. I agree with making inquiry to ascertain if you have legal recourse. I did and it was dealt with summarily. She still tries to contact me but is blocked. I don't play that game. I agree that asking you to submit posts is bothersome. I'd have refused unless I was directed to comply by legal counsel, but that is based on opinion. Good luck to you, hon. That's a rough thing to deal with.
-
Seriously?!?
I have about hit my limit today. I'd be very interested in hearing y'all's experiences with patients who come in spouting all manner of malarkey that makes about as much sense as a milk bucket under a bull. Case in point, a certain UTI patient who was responding well to antibiotic therapy telling me, "I just thought you'd want to know, one of my 'nursing friends' told me this was probably viral'. "Um, no, probably not, considering we are seeing improvement with antibiotics. Viruses don't tend to respond to antibiotics and viral UTIs are incredibly rare in an immunocompetent patient." "Well, he said it was probably viral and that's why it kept coming back and that ***(partner) needs to be treated too so they don't catch it." (Mind, we aren't talking about STI, just a very far gone UTI that was 3 weeks running before treatment was sought). This argument went on with her continuing to tout this 'nursing friend' and his infinite wisdom for about 20 minutes. Finally, after refuting multiple asinine claims, I had had enough. "Hon, if your 'nursing friend' told you that a UTI in a healthy patient was viral AND transmissible, he needs to contact his nursing school and ask about a refund." This was followed by telling me that the antibiotics 'gave her a panic attack' and that they had tried to call 'for days and days' without getting an answer. And was capped off by the partner telling me, "You scared us to death telling us that antibiotic might be expensive, it was only $13!" Okkkkkk, I'm sorry I tried to prepare you and you got a pleasant surprise? Anyone got any other head-scratchers?
-
Make Up Your Mind Please!!!
That drove me bonkers, I had ones waiting in the hall when I'd get there in the morning that came straight to the health room from the car because "Mom said to come see you if I didn't feel good." Ofttimes the teacher didn't even know where they were and Mom never answered the phone. Just something to say to get them to get out of the car.
-
C'Mon Now!
I have had Moms hang out in my health room for up to an hour, asking me to repeatedly take temps on their LD (with 'autoimmune disease' of indeterminate title that wasn't listed on anything we had on file) because said LD had 'overdone it at the dance recital' last pm and was now whining about 'not feeling good' and wanting to go home. Literally, an hour of, "I think she just overdid it, what do you think?" followed by me saying, "This is not my decision to make." Which is code for, don't ask me to parent your child, if you want her to go to class, then you can jolly well tell her that and be the bad guy. Mercy Pete, people.