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Family Medicine, Tele/Cardiac, Camp
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SnowShoeRN has 10 years experience and specializes in Family Medicine, Tele/Cardiac, Camp.

Once, during an ice storm, I snowshoed to work. I also feel like I should mention that I'm bisexual. Not a lot of queer female nurses, I've found out. So I want to be visible to those who are. :) Represent. And that's about all you need to know about me.

SnowShoeRN's Latest Activity

  1. SnowShoeRN

    CVS Minute Clinic interview process

    I work for CVS MinuteClinic and would be happy to answer any questions you have! I love it there. Private message me for more info. :)
  2. SnowShoeRN

    Future plans versus the unexpected future

    Oh so very constantly. And it's been wonderful. I actually found my "here-is-where-I-will-be-in-10-years" list that I made when I graduated from nursing school 11 years ago. According to that list, I was going to get a ton of experience in ER nursing, travel the US, UK, and Australia as a traveling nurse, and end up working for the Royal Flying Doctor Service in the outback. All very cool, workable, and noble ambitions. And I could have. But, instead, many of my circumstances changed. Relationships changed. Family changed. My health changed. I grew in different ways. I did a lot more focusing on my life than I thought I would. And, professionally, ended up wearing all kind of nursing hats from med surg to ortho to cardiac to camp to pedi home care. But never ER. And I'm not living and working in the outback either. After almost a year of primary care burnout, I work at a MinuteClinic as a FNP and I absolutely love it. Life is indeed what happens when you're busy making other plans. Keep dreaming and work toward your goals. You're at a wonderful place in your life. But know that it's very possible your dreams will change too. And that's entirely okay. Welcome to nursing. :)
  3. I can't advise you from a legal standpoint, but I would personally feel very uncomfortable doing that. At my last practice, we would get drug authorization forms come in and my my supervising MD was adamantly AGAINST us signing for each other. She was of the opinion that if our name was not on the original prescription, we didn't know the pt or their circumstances to sign the authorization. And that wasn't even including schedule II's. Maybe someone here with more experience can advise? Best of luck.
  4. SnowShoeRN

    Info needed on Childhood obesity

    Based on the federal definition of health care provider shouldn't you be interviewing MD's, DO's, PA's, NP's, CNM's, etc? If so, I'd contact pediatricians, PNP's, pediatric social workers, and pediatric psychologists in your area. Not that RN's opinions aren't important, but I'd clarify that with your instructor. Or did she mean healthcare professional?
  5. SnowShoeRN

    Want to start Botox injections

    To OP, as I'm sure you're aware there are many non-cosmetic uses for Botox as well. Don't know if this is something you might be interested in doing, but you could always consider offering non-cosmetic services as well. Best of luck. :) An evidence-based review of botulinum toxin (Botox) applications in non-cosmetic head and neck conditions
  6. SnowShoeRN

    Want to start Botox injections

    Have you tried contacting derm or costmetic surgery practices in your area? You may be able to find a derm MD who would be willing to help you out...
  7. SnowShoeRN

    Why Bother Studying Workplace Bullying?

    I certainly think there is a place for your work, but I think that you need to be very careful with how your define certain things. While the behaviors that one typically encounters with lateral violence (gossiping, intimidation, gas lighting, whatever) may not fall under the dictionary's definition of bullying, they do fall under the ANA's definition. Of which you are probably aware. Lateral Violence and Bullying in Nursing I personally believe that one of the biggest problems when it comes to bullying, lateral violence, workplace violence, etc IS the ambiguous terms. It's incredibly difficult to address a topic, examine why it's happening, and work toward a solution if people (or identities) are making up their own definitions for things. I think this may pertain to people's concern about the validity of your study. Are the terms you use clearly defined enough in order to draw valid conclusions? For instance. This is not to say that things like gossip and libel and so forth *aren't* upsetting or damaging. They certainly can be. I have encountered bullying and lateral violence so severe I've quit a position because of it. And in certain circumstances, it can severely affect patient care to the point of harm. BUT... the behaviors aren't bullying. Not according to the dictionary. So, until everyone everywhere can agree on exactly what these terms mean so we can work on properly addressing the issues, we're going to have people who disagree with whether or not they are happening and the extent to which they are happening. Mix that in with people who think they are completely entitled and not saying hi is bullying and people who firmly believe that there's nothing wrong with name calling or yelling and all kinds of people in between and we just have a recipe for the continuance of workplace discord. And that's my 2 cents.
  8. SnowShoeRN

    First NP job-toxic work environment vs. newbie blues

    Loan repayment is a good reason to stay a FQHC, but keep in mind that just because you apply doesn't mean you'll get it. I was told when I interviewed that everyone who applies, has gotten it. Well, after doing a little more research I found out that wasn't true and I became one of the many who didn't end up getting it, even though my debt to income ratio was quite high. Best of luck in what you decide.
  9. SnowShoeRN

    First NP job-toxic work environment vs. newbie blues

    Your job sounds uncannily like the place I just left. Right down to the insanely high turnover. After working in a similar practice for about 9 months, my biggest takeaway was that I went into it without asking the right questions and meeting the right people. Of course, that being said, there were also a lot of surprises that I couldn't have anticipated. A lot of the challenges I faced were similar to yours - overbooking, no admin time, unavailable physician collaborators despite being told they would always be available, not knowing my numbers or what was expected of me, problematic MA's, and always overtime. While I was contracted for 40 hours a week, it wasn't unusual for me to do 50 or even 60 hours a week with the time that I ended up putting in after work and on the weekends. Working at FQHC's has it's pros and cons as I'm sure you're aware. I LOVED my patients. I loved them so hardcore and still think about them. I loved the difference I was making in their lives and even though the hours were grueling, I found my job to be very rewarding. Up to a point. I learned a ton and, in some respect, enjoyed the complexity. But you DO have to focus on only 1 or 2 issues per visit and that can be very difficult as people are often lost to follow up for months or years at a time. As time passed I did become faster and more efficient when it came to seeing patients, labs, returning phone calls, paperwork, meds etc. But as that happened, I also became more and more miserable in my personal life as my work-life balance really suffered. Of course your situation is your own, so I can't advise you one way or the other. It could be newbie blues, or it could be a toxic environment. Only you can decide if your environment is something you need to warm to or something that is just increasingly making you miserable. Have you tried speaking with your collaborating MD? What does your friend have to say about your experiences? Whatever you decide, I wish you the best.
  10. SnowShoeRN

    Maternity Question: Seizures

    Are you asking this looking for medical advice? Homework assignment? What's the context of the question? What's the patient's seizure history? Circumstances of the birth? Medication involved? Duration? Patient's history? etc? I would need more information in order to consider how to answer your question. And if you're seeking medical advice, you would do best to contact your provider. Asking for and giving medical advice is against AllNurses TOS. Best of luck.
  11. SnowShoeRN

    DEA number

    I got mine in less than a week, but I've really heard anything between 1 to 6 weeks. :/ Sorry if that's not really helpful. I hope you get it soon.
  12. I agree Laura. Thank you.
  13. I'm hoping that the nausea never progresses to vomiting! That would be awesome. And of course that it's free from complications. Thanks for your response and well wishes. :)
  14. Thank you! Me too! Fingers crossed. :)
  15. Great advice as usual TraumaRUs! Thank you. :)
  16. Hi everyone! I'm hoping you can help me with a couple of things I'm dealing with. For those who are pressed for time, I have a TL;DR at the end. I recently accepted a position at MinuteClinic and will be starting next month. Thing is, I just found out that I'm a little over 4 weeks pregnant (unexpected, but welcome) and don't know how or when I should bring this up with them or how to handle morning sickness once I start. I've been reading a few threads about the subject and don't want to screw them over, but at the same time I'm concerned that I could lose the pregnancy the 1st trimester and then disclosure would have been somewhat irrelevant. I'm considered advanced maternal age and a high risk pregnancy for a few other reasons so a miscarriage or other complications are not outside the realm of possibility. My husband and a NP friend with children seem to think that it's best to wait until I'm done with my 1st trimester since I'm not due until September anyway. But I do feel kind of crappy that I'm not letting them know now. My hours will allow for a lot of flexibility in terms of being able to make MD appointments and possibly even schedule around the worst morning sickness days. Honestly I think this will be a really good position as far as work/life balance in concerned. I just have a tendency to want to be really transparent with my employers. My second concern is that I will be starting this position at the peak of morning sickness - between 9 and 10 weeks. I'm really worried I'll be vomiting on the way into work or, God forbid, while examining a patient. For any of you who have dealt with morning sickness while seeing patients, how did you handle it? I'm a little queasy in the afternoons these days, but I know it's early yet and the full-fledged nausea hasn't yet hit. Frankly I'm really scared that my preceptor will be in the middle of showing me a computer program or I'll be giving someone an exam and then have to run to the trash can and vomit. Which while normal with pregnancy would likely appear beyond unprofessional not to mention be incredibly embarrassing. Does anyone have advice about how to disclose my pregnancy to my employers or how to handle morning sickness? Please let me know your thoughts. Thanks in advance for your help. TL;DR - I'll be starting a new job next month while 9 weeks pregnant. When should I tell my employer I'm pregnant and how do I deal with nausea (and possibly vomiting) while seeing patients? Thanks for your help.