Sunday, March 01, 2015

Ramblings of A Nurse Practitioner

Often people ask me what I missed the most while I was in NP school. I would have to say my family time and my hobbies. I used to read voraciously,  but now find myself playing on Facebook and reading other people's comments on posts there rather than picking up a book and plucking myself in a cozy chair next to my husband while he watched TV.

I also didn't realize that it would continue into my career. It is what we do as providers. We sacrifice so that others can be healthier people and hopefully they listen to our advice. Unfortunately, some won't and we lose them along the way. Hard to watch at times and so hard not to just lay it all on the line and tell them what we really feel when they say that they cannot afford their meds while having a pack of cigarettes in their pockets or their nails done at the local nail salon.

My problem is that I often say what is on my mind and what I'm really thinking. I have been lucky in my career to have some pretty great patients who appreciate my candor. I've probably made a few cringe along the way but so far so good. I also stopped blogging once I got out of NP school and I realized that there aren't many of us doing it anymore due to HIPPA worries so I have to remember my Ps and Qs.

It's a sad situation in life that we can't practice medicine the way the old country docs did in the day. They were truly their towns providers and attended the same functions, went to people's home for dinner and socialized with their patients. I've had patients invite me to their functions and I've declined at times so that I don't get caught into the trap of having to attend everyone's activities.
I don't go to funerals of my patients either unless they are tied to our company as an employee. I don't do funerals well because I tend to cry and look like an idiot blubbering on the widow's shoulder when it's really her turn to grieve. I plan to have a living funeral so I can party before I go and really see who gave a crap for real. I actually thought of attending my own funeral like the great Oz behind a curtain but I probably couldn't keep my mouth shut if I heard someone say something I didn't like.

I definitely will not be stared at as I will be cremated. I am a organ and tissue donor so there won't be much left over. I hope to help as many people as possible when I go.

Strange ramblings today but I haven't written in a long while.... See ya around!

Wednesday, November 19, 2014

Am I Invisible Or What?

Just a question... How many NPs have been excluded from company parties that Docs are invited to? I would certainly hope not many. Do you get included in company meetings? This still boggles my mind considering that NPs bring in quite a lot of revenue for practices and have very high patient satisfaction scores.
Are you included in your company or do you feel like your input makes no difference?
I've heard various responses from full involvement to none. Where do you land in the spectrum? Do you feel like it matters? How would you go about changing the perceptions?

Monday, May 26, 2014

Nurse Practitioner Burnout

Why do NPs burnout? Much the same reasons as Doctors. Constant pressure to produce and keep everyone happy including patients, their family members, our bosses, our co-workers, insurance companies, and our own families. At the same time, trying not to kill anyone.
 The good thing is that has resolved itself with a job change. I just spent a long weekend at the beach and never  opened my computer to work. For the first time in 6 years...
That's not saying that I haven't taken time off, just that I've always had to open my computer and work at some point during the event. 
You need to find ways to unstress your life or both components will fall apart. Read a book for pleasure. That doesn't include trade magazines! I'm talking about a good, juicy romance novel or some trash mags and just unwind. I also watch certain television shows and don't work while I'm enjoying it. Even if it's an hour or two a week, go for a walk or try to garden. 
These tips will prevent burnout for a little while. 

Saturday, May 03, 2014

Once Again FL Is Behind The Times

Unless there is a special session, once again Florida Nurse Practitioners have been left in the Dark Ages of medicine. I have been watching the House and the Senate closely during this year's sessions. I was so hoping that this would be the year prescription authority at least would be granted. After all, we are the LAST State left! 
Really! Do you actually think that we will start running willy nilly writing narcotics for every patient who asks for them? Am I that stupid and untrained that I can't figure out who truly needs pain medications? You don't think that I can tell when patients are trying to pull a fast one? I use appropriate screening tools including online that can tell me Statewide where and when a patient has received narcotics anywhere in the State. 
Does anyone care about the delay in care? I had to wait three months at a new practice site to write for sleeping pills for well established, upstanding patients because my collaborating MD was delayed in arriving and the temp collaborator didn't want to cover until the regular one was here. 
Until patients start writing their congress and senate and demand that we become recognized as top notch competent providers, nothing will change. 
Just like this year....

Saturday, February 22, 2014

Changes in Practice Locations

Apparently, after I left my previous employer to go to Shand's Primary Care West in Lake City, I have been "just booked up, sick, or out of the office." 
I understand that the previous practice does not want to tell my patients where I went in order to try and keep them from following me. But it's pretty sad when they lie to patients and not just tell them that I've moved on. Don't they realize that it makes people mad and make them want to leave? 
I have always thought no compete clauses were stupid anyway. Adults will follow a provider if they can because they have built a relationship and trust. I can't make them follow if they don't want to. 
I will be glad when the new doctor joins the group so the advertising goes out and it all can be clarified. 
Otherwise, I've been on the longest vacation of my life?