AngelfireRN

AngelfireRN MSN, RN, APRN

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

Member

All Content by AngelfireRN

  1. He Says/ She says, Who's in Charge?

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

    Sure seems that way. Another angle? If I leave, they will have to close the clinic. 6 people, plus Doc and Mrs. Doc will be without a job. 4 of whom have small children. Add that to abandoning...

  2. He Says/ She says, Who's in Charge?

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

    Unless it was to give them clout, I'm at a loss. Muscle? At any rate, it worked. And they know I am not happy. The only thing that saved me from completely walking out when they shut that door was...

  3. HIPAA question...

    AngelfireRN posted a topic in HIPAA Challenges

    Just a quick query, if y'all don't mind. Occasionally, if something cute or otherwise occurs during my day, I'll make mention of it on Facebook. No names, if it involves a patient. Usually gender...

  4. HIPAA question...

    AngelfireRN replied to AngelfireRN's topic in HIPAA Challenges

    Had that come up the other day...someone asked me how I could possibly 'like' BP. I didn't 'like' them, per se, but I 'liked' a post by someone who did 'like' them. It got

  5. Utterly Exhausted...

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

    Truly? Up until now, and really now since I've cooled off, I like who I work with. I like the vast majority of my patients. I like hearing how glad they are to have me back. I know it's drama, and...

  6. Utterly Exhausted...

    AngelfireRN posted a topic in Nurse Practitioners, NP

    Can I ask... How many of you work with an OM who refuses to show up for owrk, phones orders in, yet never answers calls, and is just generally unapproachable? Any advice on how to go about telling...

  7. Completely lost it today... cool heads needed, please.

    AngelfireRN posted a topic in Nurse Practitioners, NP

    Most of you are aware that the clinic I work at dispenses controlled substances. As such, we drug test and have numerous protocols in place to limit the potential for abuse. Today was sheer Hades....

  8. Agoraphobia...anyone with experience?

    AngelfireRN posted a topic in Nurse Practitioners, NP

    Greetings! I would like some input on a situation we are dealing with. Patient X has lately been denied their disability claim, because they refused to attend the court hearing for the continuation...

  9. Shocked by facial piercings at work

    AngelfireRN replied to BSNbeauty's topic in Nursing Professionalism

    Our medical assistant at my clinic has purple hair, piercings, and is covered in ink. I wouldn't trade her for anything and anyone who has an issue with her appearance is summarily dealt with. I've...

  10. Would wearing a sexy nursing outfit to a party disrespect the profession?

    AngelfireRN replied to smartnurse1982's topic in Nursing Professionalism

    I have never in my life owned a sexy nurse outfit. How DARE you sully our respected profession thus? After the struggle to be seen as more than a glorified pillow fluffer and waitress, THIS is what...

  11. You might want to avoid this recruiting company

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

    I'm an NP. I go by my first name. I am not a doctor. I don't expect to be referred to as such. In my state, calling yourself a doctor without the proper creds is frowned upon. That being said...the...

  12. Do You Report?

    AngelfireRN posted a topic in Nurse Practitioners, NP

    Any of y'all that dispense controls, if you find that your patient is doctor-hopping or seeking from multiple entities, do you report them? The reason I ask...we had one not long ago that was...

  13. Agoraphobia...anyone with experience?

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

    We drug test on a routine basis, and she is usually positive for the med. But you and I both know she could sell all but enough, take it just before her visit, and still show a positive

  14. automatic suspension for civil commitment

    AngelfireRN replied to brakke33's topic in Nurse Disabilities

    Honesty is your friend here. Explain, but don't embellish, and assure the prospective employer that you're under treatment and are following with your doc if they ask. I'm not even sure if they can...

  15. "That's not your job."

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

    I already have a second job, lol. Baby Boy can't get to Harvard Law if Mommy's a slacker! We have our MA trained now... she's in love with venipuncture. Bless her heart, if she ever leaves, I may go...

  16. "That's not your job."

    AngelfireRN posted a topic in Nurse Practitioners, NP

    This is getting to be a mantra of sorts in my house. I work in a very small clinic, and the staff is equally small. We have one gal that does our referrals, a medical assistant, a receptionist, an...

  17. Completely lost it today... cool heads needed, please.

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

    I did. After 3 repetitions of, "Ma'am, there's no need to yell.", and the subsequent barrage of swear words, that was about the time it went

  18. Completely lost it today... cool heads needed, please.

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

    I know that. I know I should not have raised my voice, and I NEVER DO. I was so embarrassed. However, the staff told me that all who heard (I was in the back of the clinic) had no complaints...just...

  19. New Nurse Practitioner in Alabama - Licensing Questions

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

    Yes, Alabama is firmly in the Stone Age with regard to midlevels. Pitiful, actually. You are required to have a job with a collaborating doc on the table before you can submit your application. And...

  20. How do you respond to a patient asking about an advertised drug.

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

    I'm with BlueDevil, if it's an appropriate treatment, I usually will let them give it a whirl. But if not, no go. Heck, I'll usually have samples. My issue is, once I explain the rationale for...

  21. Concealed Carry...as a nurse?

    AngelfireRN replied to mcknis's topic in Activism, Healthcare

    Bahahaha!

  22. Agoraphobia...anyone with experience?

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

    Exactly, and she's noncompliant with one quarter of the treatment, and resistant to the other three quarters. We always provide the info you mention upon cessation of a medication or treatment, but...

  23. Agoraphobia...anyone with experience?

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

    Ultimately, that's what we've decided to do, after much discussion. She's consistently noncompliant, which is enough to dismiss her outright, but usually ceasing the RX of controlled substances is...

  24. Agoraphobia...anyone with experience?

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

    No, she says that they don't, constantly requesting/demanding more. As far as the more frequent visits and teaching coping skills, neither Doc nor I has training in that. She's not receptive to any...

  25. Vent about scrubs

    AngelfireRN replied to NellieRN10's topic in Scrubs, Uniforms, Gear

    THIS! If I had a dollar for every person I ever worked with that didn't believe in hemming...they literally 'walked' the excess length