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UrgentCareRN

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  1. LOL! It's hard enough to get through the EHR med lists without a novel reported about why they are on each med! Well the story about this patient continues when I ask "if you were to get a prescription, what pharmacy would you like to use today?" (I'm still using my polite and PC nurse voice while I am about to come unglued) and she replies by listing a pharmacy in a completely different state. At this point I'm like let me break it down for you " but if you have a UTI then you are going to need a pharmacy in THIS state before it gets to your bladder (hehe...I know that was mean but I couldn't resist after tolerating so much abuse). Lol!
  2. The good: "sour trout" (sore throat of course) The bad: "my lady parts is a waterfall" The ugly: patient presents to urgent care on vacation with cc "UTI". On triage, I ask her what symptoms she is having. "Frequency for four days" Ok, any dysuria, urgency? "fREQUENCY" ok.....flank pain or fevers I humbly ask? "Look, I don't want to sound pretentious but I am about to finish nursing school and I'm quite certain I have a urinary tract infection that's not in the bladder yet!" Uh hum....I see....a UTI that's not in the bladder yet...now despite my urge to hang up my stethoscope if this is the future of nursing, I continue on and ask if she's taking any medications..."I'm taking Valtrex. It's an antiviral medicine used to treat the herpes cold sore virus. " thanks for the flipping pharmacology lesson, do you see the R freaking N specialist next to my name? LOL!
  3. I know a Christian MD that goes 3 times a year and just asked me last week if I knew any RN's that could go...are you interested? Sara Santa Barbara

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