pedspnp

pedspnp

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All Content by pedspnp

  1. Not at same site as supervising md

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

    So I guess I should take them off my

  2. Not at same site as supervising md

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

    I do take her questions graciously, we are human and make mistakes. But this same nurse did not know what prednisone was or what the indications were or side effects, basic pharm 101, so you can see...

  3. I feel like a idiot

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

    I am waiting for the meeting, with the new md they are bringing on to replace the one who is now there. Unless management keeps their word then I am leaving. Of course it will mean no job no

  4. I feel like a idiot

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

    Oh they have had numerous meetings with him alone and as a full staff meeting with everyone in the office. They have repeatedly warned him about his behavior and treatment of not only me but others. I...

  5. I feel like a idiot

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

    Well it has been awhile since I updated. I received a call from management last week and they want me to meet with a new md they are thinking of bringing on to replace the md who is there now. He is...

  6. Not at same site as supervising md

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

    The past two days have gone great after the nurses were sat and told expectations of them things have run much better, neither one has worked with a np before me, and when they have a question they...

  7. Not at same site as supervising md

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

    well we had a big meeting last week, the nurse was told that if she had any questions about why i was doing what i was doing I would be more than happy to show her the guidelines and have her read...

  8. Not at same site as supervising md

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

    I am required to have a collaborative md. But there is a nurse who questions me about it, tells me she thinks I need to be on site with my md, told me she thought I did not have enough experience to...

  9. Staff meeting

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

    I tried explaining that to her and she said well just write the dx as tonsillitis then you don't need to do a strep test, you treat it the same. She does not get

  10. Staff meeting

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

    She has been there a year she is used to working in nursing homes doing admin. I never considered the envy

  11. Staff meeting

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

    This same md stopped my order for abx for a confirmed om because the child would puke after taking the medicine, put the child on axid for 5 days. Child comes back for 2 week f/u still has om and the...

  12. I feel like a idiot

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

    We had a office meeting they threw him under the bus, and told him either he stops his bs or he is gone also told staff they've got to start showing me the same respect and if they don't they will be...

  13. Wrong

    pedspnp posted a topic in Nurse Practitioners, NP

    What are your thoughts on letting staff giving the ok to have family members walk in and ask you to see a rash etc when not even seen in your practice and allowing people who don't work there hanging...

  14. Wrong

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

    Thanks as a new np I quite have not figured how out to draw the line in a way that does not come across as being above them, the nurses in the office have a chip on their shoulder as it is . Granted I...

  15. I feel like a idiot

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

    Thanks mike but the md in the office insisted the family file a formal complaint Long story but check my previous

  16. I feel like a idiot

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

    Thanks did not think of that will do that in the future but I am so distraught over it , even though no harm was done I am angry at myself over

  17. Wrong

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

    I think the later is a hippa violation and the first just

  18. Help! ideas on getting along with a MD who dislikes NPs

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

    The draw back is I love my pt's I work rural health where I am really needed and I took a NHSC loan repayment and to not fulfill the contract is 7100.00 a month for however many months

  19. Help! ideas on getting along with a MD who dislikes NPs

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

    Thanks I have faith in myself, this md is known for being difficult and providers have left because of him along with nursing staff. Why they keep him I don't know if it is because he brings alot of...

  20. Help! ideas on getting along with a MD who dislikes NPs

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

    i know this is a old thread but wanted to comment on what i consider a hostile work enviroment, the md in the office who is not my supervising md has lied about me, has lied to me about what a parent...

  21. How do you prescribe ABX in a retail clinic?

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

    Good

  22. How do you prescribe ABX in a retail clinic?

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

    I explain the why they don't need abx, I validate their feelings but parents can be adamant about needing a abx, and they frequently tell me well dr x always gives a abx when he has a runny...

  23. How do you prescribe ABX in a retail clinic?

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

    I don't know about great reviews. He is a difficult person to work with. He is not my supervising md but he acts like he is. Got on my case for ordering a retic count 3 weeks after starting a 15 month...

  24. How do you prescribe ABX in a retail clinic?

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

    I am known as the antibiotic nazi , I refuse to order abx unless exam indicates other wise. I have had angry parents leave and call the office to leave a message for the MD to call them, he calls and...

  25. Removal of info from charts

    pedspnp posted a topic in Nurse Practitioners, NP

    I thought it was illegal to remove pt notes etcr from a pts chart. The reasoning am asking is that one of my pt's had lab results from the nursury that tested positive on a tox screen and billing...