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There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
During my time as an emergency room nurse there was always a level of frustration in regards to what patients perceived as an emergency. I always said, ''One person's emergency is not another's.'' When our fast track area was open between 11 a.m. and 11 p.m., this was less of an issue as you could funnel less acute patients through this specially ...
Over the past month I have had some very challenging
patients. I will often question, why and how did someone end up here at the
correctional facility? I believe it is better I do not know. Actually, it is
none of my business; it keeps the care unbiased and pure and it does not impact
how I treat them. If one of the inmates upsets the ...
Have you visited our blogs lately? Last week, new NPs and nurse veterans battled on the value of floor experience. Our NP & PA Student blogger Terry Clarke, currently enrolled in a fast track NP program, expressed his views on what experienced nurses have going for them and what they still have to learn. Here are a few of the comments your ...
There was a disturbing incident
that occurred a few weeks ago. I also look at this experience as an eye-opener
for me. I have long come to this realization, but it was never more evident
than when the incident happened. First, let me start off by stating, prior to my
opportunity to work in corrections, I was judgmental and biased and I ...
My contact with pain patients was extensive during my
residency in Aurora, North Carolina, a coastal town of about 400, with a
patient population compromising of retirees, commercial fisherman and
above-ground miners from a phosphate mine. I knew from that experience that
even if I never found a job as an NP, I would not choose to do pain ...
Costs for healthcare are rising. There is not a revelation in
this statement, but as providers, we have to be mindful of the dollars we use
because it affects raises. My former mentor would drive that home for me. When
I would order a test, she would ask, ''Will that test change your treatment
plan?'' And if I responded with ''no'' then she ...
There are six different physicians in my practice and thus,
six different philosophical approaches to disease treatment and management. As
a new NP, this can be somewhat frustrating. Some days I wish medicine and
nursing were a bit more algorithmic. But alas, it ain't like baking a cake, so
here's to finding the silver lining.
My new collaborative physician
started two weeks ago, and while I was missing my former collaborative
physician, I was glad the company found someone to replace her. One of the
concerns regarding my company is no inclusion of the interview process. When I considered leaving this
company, I wanted to assist in filling my upcoming vacancy. I was ...
There are several divisions to the medical department at the correctional facility, and for the most part, everyone works collaboratively. There is the medical team consisting of myself, my collaborative physician and our nurse, an LPN. Also, there are nurses, an RN and LPN, who distribute the medication, perform physicals, administer TB testing, ...