orange_dolphin

You could file bankruptcy.

It's a control thing, in my opinion when patients or anyone exhibits that kind of behavior. They've lost control of their bodies, health, income, and who knows what else. They make themselves feel better and in some semblance of control by exerting control over something or someone, and you were their target for a while. Now that they're are allowing you to be their caregiver, have they moved onto another target? I'd be shocked if they haven't or that they won't eventually. I wouldn't take it personally.

HouTx: Thanks for replying! They will train me, so I'm not worried about not being qualified. I like to stay busy, and I'm looking for something I think I would love doing. I'm glad to hear this isn't much sitting around. I'm up for it then. This is for a wound care clinic, not divers. I think I would love working in wound care. Thanks again. I hope they call me for a second interview. Diane

Hi. I'm currently an LPN in a neurology office. Used to be in family practice for two years. I applied for a transfer for a hyperbaric technician. I had my first phone interview today. He couldn't really answer any questions because the application hasn't gone to the unit yet. Has anyone here worked as a hyperbaric technician? If so, did you enjoy it? It sounds great and would be a promotion. I've read about the job duties online. I think I would love everything about it but am wondering if there's a lot of sitting around and monitoring of the patient, and if so, for how long? That part might get a little boring if I'm sitting there for a couple of hours or are there other things to do while monitoring? Thanks for any comments or advice.

I work in a doctor's office that is owned by a company that owns several hospitals and 100s of doctor offices in my area. We were told last week that from now on, we are not to submit a request for time off until we have already found coverage for ourselves. It used to be scheduled by the supervisor who would sometimes get help from one of the other neurology offices (there are 3). They don't utilize the float pool (the float nurses travel to all the different offices to fill in for vacations, etc.) We were told it was too much trouble to get someone from another office to come to our office. There are 5 practitioners (doctors and NPs) and 5 nurses in just our office. It's a neurology office. How am I supposed to find someone else if no one in my office can do it? Do I have time? -- No. I'm going to apply for a transfer to the float pool so I don't have to worry about getting my own coverage -- I'll be the coverage. This office has a lot of problems and is short staffed and overworks a couple of us to the point we worry about our license. So, I'm going to be outta there asap. It will take about 6 months or more to transfer. Just wanted to vent and get opinions. Anyone else have to find their own coverage for time off?

Thank you for the link. I will read that thoroughly. Good idea with throwing it out, if there's any doubt.

This is not a physician-owned practice. I have the okay from the administrator not to reconstitute/prepare botox injections for migraines. She hasn't said anything about the other injections I prepare, occipital nerve blocks, trigger point injections and supraorbital nerve blocks.

It's not a physician-owned practice. It's a practice owned by a hospital. The organization has several hospitals and hundreds of doctor offices. The physician is an employee. I've already told him "I'm not allowed to" reconstitute and prepare botox injections anymore. My administrator gave me the option of not doing that. He was disappointed but not angry with me. Yesterday, for an occipital nerve block, I just said it would be a while before I would have time to draw it up, he knew I was incredibly busy, so he did it without complaint. I'm more worried about botox injections (migraine patients) than occipital nerve blocks, trigger point injections, etc. because reactions from botox are much more serious.

Thank you both. I'll no longer be drawing it up now. The reason I asked about documentation is because when I did medical transcription, the pain doctors or orthopaedic surgeons always always documented "performed under sterile technique" so thought it might be appropriate if I'm preparing injections. However, like I said, I'm not going to prepare injections anymore so it's a mute point. Thanks again.

Hi, I've been working for a neurologist/pain specialist for about 9 months now. One of my duties has been to prepare injections with depo medrol and/or marcaine, depending on what type of injection it is. During training I was never advised to document anything. The nurse here before me didn't and the nurses at the family practice who worked for doctor who was family practice and an orthopedic specialist. Should I be documenting something in the pt's chart, like "what's in the syringe and that it was prepared under aseptic technique", "syringe labeled" etc? Any advice is appreciated.

I would just continually work at a steady pace, take the highest priority job and work my way down, and what gets done gets done. What doesn't get done, isn't my problem.... it's the supervisor's problem. If I see that any patients are in jeopardy, I would let the supervisor know. If that doesn't work and the patients aren't being cared for, is there a way to go above the supervisor's head confidentially.

Have you considered looking at doctor office jobs? I went back to school and got an LNP license at age 53 and had no problem getting a job in a doctor's office, even without experience.

Every patient I have who has poor muscle tone in their triceps and loose flapping skin folds complains of serious pain and some bruising. I'm guessing the skin folds cause a pinching-type pain. I always offer to take the BP in the wrist instead, and I document that the pt could not tolerate getting it taken on the arm. I had one patient refuse to let me pump above 140, which would give an incorrect reading if she has BP higher than that. I refuse to take it incorrectly and will offer it in the wrist.

I doubt you would not get your license over this. It will probably just be a big hassle getting all the paperwork done. They have to cover their butts and document what your ticket was for, etc. If you continually receive multiple tickets over the years, that would be a different story.

I work in an an Internal Medicine office.