ovy32

Thanks! The RN said that the sutures were embedded into the skin and she had a hard time removing them so she cut each stitch on top and then on the bottom and removed them that way so it was not done in a normal fashion. I guess I will just see how it looks tomorrow.

Thanks!

An RN at work removed suture (vertical mattress) on a patient. The patient called 1.5 months after and said that she thinks she still has some sutures in (they were nonabsorbable) because while she can not see the evidence of the remaining sutures, the area of the excision is still pink/red (although looks like it's healing nicely). The MD who did the excision is going to be out of the office the whole next week and I am a new (ish) NP who just started and who is covering for MD for the first time. Would the remaining sutures be visible on the ultrasound? I spoke to the RN when I saw the patient on the schedule and she was freaking out to the point that she was in tears because the MD/surgeon is very difficult to work with. She said she was going to lose her job if she removed the sutures incorrectly and left some behind. She asked me to help her in a ny way I can. I told her that probably MD would have to do a re-excision and remove the remaining sutures (if they are, in fact, in there and not too embedded into the skin). I am just trying to figure out how to handle the whole situation. Thanks!

I would just send a brief email and say "I am sorry for coming two (five or whatever) minutes late. I can assure you this never happened to me before. I understand that you could not interview me today. Please let me know if I should still come to the third round of interviews next week." If you were truly TWO minutes late and called to let them know and she said "no, I can't interview you" I think it's unreasonable. Things happen. Even if you leave yourself some extra time, things still happen. I drove 20 miles to an interview a week or two ago, had to change three highways, was stuck in a few construction areas, was so stressed that I took a wrong highway exit. I called to let them know I was running late and came 10 or 15 minutes late, they still interviewed me and were extremely friendly. I later emailed HR person and said I liked everything about the job but would not be able to do such a long commute...

Thank you for your suggestions. I think I will look too into telemedicine. It might not be low stress but at least something I can do from home.

A friend joked that I became an RN and an NP but do not wish to work with sick people. I agree with one of the previous comments - employee health, also travel medicine, vaccines, weight management, etc. Least favorite - LTC, working with acutely sick people.

Hello, everyone! I am new to this site. I wanted to ask some advice. While in my Nurse Practitioner program (Adult/Gero), I had my first child and 1.5 years after that got pregnant with a second, so by the time I passed my certification examination and got all of my licenses I had a two year old and a baby. It's now a year since I graduated and 10 months since I passed my certification exam and I just took time off and stayed home with my kids. Sometimes I honestly wish I could just be a SAHM... talk about being ambitious! : ) But I spent so much time and money to get my degree. I decided to look for a part-time NP position in a low stress setting so I can both enjoy my children and my job. I worked at a weight management clinic as an RN and loved it but they have a full time NP and don't need another one. I also interviewed for a preventative health and wellness clinic job and got an offer but it was close to 50 hrs/week + out of town training, so I didn't take the job. Does anyone have any good suggestions about a low stress part-time NP job? Thank you!