Hello, I have accepted a primary care NP position with a VA affiliated clinic. I have been working in a nursing home providing care to residents with acute & chronic diseases for nearly 3 years...
Have you talked with any locums agencies? You could take a short term assignment in Houston or nearby region to see if you like the area before settling in permanently. I'm planning on moving to San...
Castelgates, To my defense, I had a rough week and I was fed up with the level of disrespect encountered at work. I would never address an NP (or anyone regardless of title/position) in the manner of...
Jules, I'm not fighting hard to stay in this work environment. I asked how others handled this type of experience, in hopes of learning from it and avoiding it in the future if possible. I am...
Mavrick, I have addressed each instance in a firm and assertive manner. There have been multiple occasions. I have first addressed the instances with staff, then went to unit managers, then went to...
Hello Spidey's mom, Some examples include: Confrontation on several occasions where staff raised their voices & verbalizing rude comments, refusing to follow through with my requests, gossiping,...
Hello Springchick 1. Yes. I've addressed it with them and the DON & administrator. I was reassured that they would address the situation on 2 separate occasions. It was implied that I was "too...
Hello, I have encountered several situations as a newer NP. I went into this field naively when I assumed that I would have a decent amount of respect from fellow NPs and among...
Hello all, I wondered what your experience was like when you obtained direct hours from an NP and or MD. I was in a busy primary care office and saw pts, provided my assessment findings, dx & tx...
Thanks for the input OregonGNP23!!! It's comforting to know that someone else can relate to my concerns. I was starting to question whether or not I had too high of expectations for staff & for...
Would Alk Phos be elevated in the 300s from a fx? I'm just wondering.... I'm not sure if I checked her thyroid to be honest, but good point. Na level was WNL, no s/sx overhydration. Thanks Teacher...
To pt's knowledge she never had elevated liver panel labs. No previous work up (liver function) from the hospital was sent over. The elevations in Alk Phos, ALT & AST came at a surprise and the pt...
Thanks for the input. Consulted w/ collaborating doc. Statin was d/c'd & Hep B & C panel ordered- results still pending. Pt will be d/c'd home tomorrow. PCP to f/u on Friday & our labs...
Hello all, It's me again, the newer NP stationed at the post acute care setting....Please have mercy on me, as I have another question and I need your advice!!! A resident c/o fatigue so I ran CBC...
Thank you for being so kind!!! As a new NP I second guess myself quite a bit. To make matters more complicated, I am stationed at this nursing home by myself so I don't have another NP or an MD to...