AngelfireRN

AngelfireRN MSN, RN, APRN

med-surg, psych, ER, school nurse-CRNP

Member

All Content by AngelfireRN

  1. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    Feel better? LOL, that made my

  2. So many chiefs....

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

    I did explain my rationale, for each case. The owner/NP that is here today was just insistent that I saw the pregnant patient and refused to treat her. I maintained that it was not me, nor was it...

  3. So many chiefs....

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

    Not that I'm aware of or have been informed of. They make them, we follow them. I ran into the same problem my first week with our weight loss program. A patient did not meet the criteria to be...

  4. So many chiefs....

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

    Thank you, trauma. With unequivocal agreement between 2 providers, I though that would be enough to justify a judgement call. Apparently we were wrong. That's why I'm so glad there are 2 of us on...

  5. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "No, they didn't give you "too much oxygen and dried out your nose". They neglected to offer you a humidifier for your setup. There's a difference. No, I don't think it's a good idea to just stop...

  6. Sometimes it's hard to tell a drug seeker from a patient in pain.

    AngelfireRN replied to tiroka03's topic in General Nursing

    In my casde, it's a bit different. I'm an NP, and whereas in an inpatient setting as an RN, I was expected to medicate as directed, now it's ME giving the directions. I also just left a pain clinic,...

  7. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "If you're not going to contain your children, don't expect kid-glove treatment from me. Keep him OUT from under the sink, please, ma'am, and sit him up on the exam table so I can assess him. Your...

  8. The things people try...

    AngelfireRN posted a topic in Nurse Practitioners, NP

    So, working walk-in clinic now, and I am just astounded at the crap people pull. I shouldn't be, but I am. And with a number of people that see patients here, there's always a chance of getting...

  9. The things people try...

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

    I'm very. very conservative with controls of any kind...I never have been a fan of them, just because I know the potential for abuse. So, I've already made a name for myself in here, lol. Barring an...

  10. The things people try...

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

    I have that saved as a favorite on my computer at home. I love, love, LOVE

  11. The things people try...

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

    Nope, that was it. And yes, I did giggle all the way home. Some of them are laughable, some make you shake your head and winder, and the rare few might aggravate your TMJ. But they are

  12. The things people try...

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

    You know, you're right...I had nearly forgotton how bad it can get there, and that's where I did

  13. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    Those types...I'm sure there's a true condition or process underlying all that drama, but a rapid care is not the place to have it addressed, nor is pulling the "poor pitifuls" at a hospital. Had a...

  14. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "Nice try, sir, but it's not going to work." To the male my age who had presented 4 times in 3 weeks, wanting Lortab for his back pain (I work at a rapid care clinic, we don't treat chronic pain, and...

  15. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "Really?" And not phrased as I question, either. To the 30-something that came in complaining of dysuria, and informed me that Percocet was the only thing that would treat her UTI. Oh, and "y'all...

  16. No less than what I expected...

    AngelfireRN posted a topic in General Nursing

    I finally have had enough. If you've followed anything I've written about the nepotism-rampant place I used to work, you'll probably be as unsurprised as me. But for once, I'm done. After I eft...

  17. What's up with these nurse practitioner/DNP discussions

    AngelfireRN replied to Nolander's topic in Doctoral Nursing Degrees

    I've never used my title, and even if they DNP thing goes (in which case I am given to understand existing Nps will be grandfathered in), I doubt I use my title then. I'm not that pretentious. Just...

  18. No less than what I expected...

    AngelfireRN replied to AngelfireRN's topic in General Nursing

    Tell me about it. I have contacted the OM about it, and she is supposed to be checking into it, but since her mother is the money-holder, I'm not optimistic. The thing is, they can claim that I was...

  19. No less than what I expected...

    AngelfireRN replied to AngelfireRN's topic in General Nursing

    Today, my new clinic, when I have been all of 2 and a half weeks, gave me a more than generous Christmas bonus.m Just goes to show, there are good places to work out

  20. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    Oh, the

  21. No less than what I expected...

    AngelfireRN replied to AngelfireRN's topic in General Nursing

    I did already. You're right...I live in a 'right to work' state. Employment contracts are few and far between and rarely upheld. I have one in place now, so maybe that will help. And for the...

  22. No less than what I expected...

    AngelfireRN replied to AngelfireRN's topic in General Nursing

    I know...and I never would have presumed to ask what they were paying her. It was a totally random comment, that spun off from talking about another practice entirely. ANd part of the reason I...

  23. No less than what I expected...

    AngelfireRN replied to AngelfireRN's topic in General Nursing

    We were off the whole week of Turkey Day. We originally planned to work the Monday and Tuesday of that week, but at the last minute (literally Wednesday evening, we are open M-TH) the doc and the OM...

  24. Things you'd LOVE to be able to tell patients, and get away with it.

    AngelfireRN replied to AngelfireRN's topic in Patient, Colleague Relations

    "Back so soon?" To the patient presenting to rapid care for the second time in less than a week, c/o back pain, s/p surgical procedure. No, he hadn't followed up with either his primary or his...

  25. Question re: seeing pediatric patients

    AngelfireRN replied to Nurse SMS's topic in Emergency

    In regard to this, and with respect to the financial obligation to the non-present parent (the offshot thread was one I started, BTW, lol)...this particular patient was not insured. Nor did she have...