Latest Comments by AnnieOaklyRN

Latest Comments by AnnieOaklyRN

AnnieOaklyRN, BSN, RN, EMT-P 18,167 Views

Joined Oct 24, '06. AnnieOaklyRN is a RN, Paramedic. She has 'Previously ER RN, 17 years in EMS (yes, I still love it) , IV RN 8 months!' year(s) of experience and specializes in 'IV RN, (911) Paramedic'. Posts: 1,918 (31% Liked) Likes: 1,975

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  • 1
    kristier likes this.

    Quote from Horseshoe
    That is an amazing accomplishment. I'm guessing you worked, and also received some financial aid from your college? Kudos for doing so well.

    BTW, my DH and I are paying all costs for our children's educations. Not because they are "helpless infants," but because if we did not, they would have to take out student loans. We don't qualify for financial aid, and their merit money was appreciated, but nowhere near enough to cover all expenses. When I was in college, it was possible to work part time, get scholarships, and pretty much cover your expenses. Tuition has advanced to levels such that it's no longer possible to pay for college like many in my generation did, at least if you are attending a residential college.

    We pay for our kids' education because we can do so comfortably. Since we have the money and they do not, we see it as our responsibility to do this for them. What else am I going to do with the money, buy jewelry? Another purse? A fancier car? No, I'd rather finance education.

    My Ds understand how incredibly blessed they are, and they show their appreciation for this on a regular basis. They are both in grad school, work very hard, and look forward to being productive and financially independent some day. And they are very grateful to know that they won't be buried with debt when they do graduate. They realize this is a tremendous luxury these days.

    Would you be interested in adopting a 38 year old "kid"? What's one more?

    Annie

  • 0

    Quote from AvaRose
    Yeah and rent + renter's insurance can run as little as $250 a month if I am feeling extremely frugal or maybe $500 a month if I decide to live in a slightly nicer area of the city. I'm just sleeping there so I don't see the big thrill in caring what it looks like or anything like that as long as there are 4 walls and a roof.

    WHERE??? I would like to see where you can rent a placed for even 500.00 a month!

    Annie

  • 0

    Quote from joanna73
    That's why I bought wisely. It depends what the market is like in your area. I don't want to fix anything, so I own a condo. I would be calling the handyman, rather than fix anything myself. I have only had to call once in 2 years.

    My condo fees, property tax, mortgage, insurance, and interest total 1250/ month. Rents are the same and climbing where I live.

    58 k for property tax? Not realistic. Property tax averages 1-3 k/ year for the smaller homes.

    I agree, I have never rented a place and bought a condo as soon as I was done with nursing school. It was brand new so I never had any expensive repairs in the 9 years I lived there. I think a condo purchase is a wise choice for someone who doesn't want the yard work and outside maintenance, but wants the benefits of owning a home versus renting. As I said in my original post I would have OWED taxes every year because of my income, but instead because I could deduct my property taxes, PMI, and interest payed on my mortgage I always got money back.

    Renting is great if you are unsure where you want to live, but once you are ready to settle buying is the way to go in my opinion. We have high property tax where I live, but for a modest house that equates to around 6-7k a year for property taxes, and again those are deductible on your taxes.

    Where I lived in my condo the rents were going for 1450 a month! That is how much I was paying for the condo fee, taxes, and mortgage, and if I planned on staying I would have refinanced to a lower interest rate which would have equated to paying around 1200 a month for everything, less than renting, with the benefits of tax deduction!

    Annie

  • 1
    Tweety likes this.

    Hi,

    In general nurses are not salaried and get payed hourly.

    Unfortunately, I have been making in the 80-90K range for at least the last 5 years (as a medic, not as a nurse) and have a lot of regrets about buying "toys" instead of banking money for that day I would want a house. Maybe because I assumed I would stay in my condo forever.

    Fast forward to a year ago when a mother and her child moved into the condo above me (it is a garden style and I was on the first floor, never again will that happen), and her child who was almost two would stomp across the floor NON-STOP, all day when they were home! I mean non-stop! I could no longer relax in my own home because it sounded like a two year old was going to come through my ceiling at any moment and that would start around 6 am, 5 am some weeks, and would continue until 8pm when she put him to bed. Yes, I tried drowning it out with the stereo etc, nothing worked. I kept trying to think positive and tell myself he will grow out of that stage etc etc. I bought this condo 9 years ago brand new (yes I bought a condo instead of renting, it payed off since I would have owed taxes for the past several years if I hadn't bought and was renting instead), and had put minimal work into it besides paint and routine small repairs, because, yes I was to busy wasting money on toys like a new computer every year or two, guns, ATV x2, a new car every year, a scooter, motorcycles, and lots of other crap! In March of this year I came to realization that I did not want to live in a condo any longer, as I was fed up with the noise above me (and I understood there wasn't much that could be done about it since it isn't acceptable to lock the two year old in a closet so he isn't stomping over head) and all the ridiculous rules made by all the old prudes living in the complex, you know the ones that had no life and nothing better to do than walk around the condo complex looking for rule breakers. I decided it was time to move on, so I spent a couple weeks getting rid of clutter and cleaning and put the condo on the market where it sat for a little over a month, not because it wasn't desirable for its location and layout, but because I had not spent a penny updating it. Remember I was to busy buying toys... Sigh... The rugs were old and stinky, the kitchen cabinets were just basic, counters were laminate, no back splash, you get the picture. Multiple other condos were going on the market that had updates either with wood flooring, SS appliances, granite, and they were selling much faster even when they were more money. I had spoke to my upstairs neighbor and asked her to try and be as quiet as possible when there was a showing. I went into her place and she had upgraded it to granite, SS appliances, wood floors etc. She suddenly decided oh, I think I will be a copycat and put my condo on market just because you are (which was ok because I was excited to get rid of the stomping kid even though he was cute). She put hers on the market and because she had spent money on the upgrades it sold in less than 3 days and for over asking.

    I learned my lesson at that time and realized i had made a huge mistake not sinking any money into my unit over the years. I pulled it off the market and had to pay over 5k for new flooring (something I could have easily done a few years prior when I wouldn't have been worrying about coming up with closing costs and a down payment for a new house), painted EVERY room in neutral colors and added new curtains and accessories to make it feel homey (all of this cost close to 3K on top of the flooring costs). I put it back on the market with the new flooring and paint etc, and it sold in two days, but now my savings account was quite depleted. So, here I am working 90 hour work weeks so I can rebuild my savings AND pay off the motorcycle and student loans that I could have payed off years ago if I hadn't been busy buying more things.

    The lesson here is spend your money wisely, not on toys and junk, but save that money for a home down payment, or on home improvements if you already own one, on traveling and experiences. yes, it's ok to splurge once in a while or go out to eat, but before you buy something think long and hard as to how much you really need it. Need verse want. Over the past month I have learned to control my urge to buy everything and anything I want, and only buy what is actually needed. I was spending 400.00 going out to eat every month, which is just unbelievable. I was spending even more than that on crap every month, just wasting money because I had it to waste.

    I am buying a brand new home and will now put money towards that in the future. My vehicle I plan on keeping until it is payed off at least, and then I will use it so I have a big down payment on my next vehicle and a lower my car payments. (I am a big believer buying only new vehicles and not owning a car past five years, as I feel you spend more on repairs than you would on a car payment). I won't be spending 400 plus on eating out and will no longer be able to just go to the store and pick up whatever I want when I want it, but that is ok because having a house to call my own is far more important to me, than having a bunch of nice junk that I will get bored with.

    Long story short, control your spending even though it may be the first time you will have copious amounts of money in your life. Buy only the necessities! If you are going to buy a new car don't buy the luxury model with all the bells and whistles, but the low model or the one in the middle. Another tip is MAINTAIN YOUR CREDIT, don't use the credit cards unless you can pay them off at the end of the month, even if they are interest free. Get into the habit of not having constant credit card debt. I did that several years ago and it has been the best thing, since now, if I have any amount of debt on my credit card I feel uncomfortable about it and will pay it off! Credit cards are probably the number one thing that gets people in trouble, don't fall into that trap!

    Spend responsibly!

    Annie

  • 1
    icecreamdreams likes this.

    I honestly think its terrible that some of the other posters have said that they would not start CPR at all in public! What if it was your family member or YOU?! You want people to just walk on by while your brain cells die? Unbelievable!

    Annie

  • 3

    I would continue CPR if there is no proof on paper or bracelet that the patient wants to be a DNR, especially if you are not working on someones clock! If you are in public start CPR and then let the first responders go from there, as the chance of getting someone back from CPR only is slim anyway.

    If I was on the ambulance and this occurred we would be starting resuscitation efforts and call medical control for orders to stop or continue, which ever the physician felt was appropriate. I have had this happen a couple times when they could not find the DNR and we just called the physician to get the OK to stop, especially if its obvious the patient is ill or elderly.

    Just always remember you can stop CPR, but you can't decide to start after the patents been dead for ten minutes while you argue with the family about it. What if another family member steps into the picture and says they want CPR done. To many gray areas when there is no DNR in writing, to much risk to take.

    You are protected by the good samaritan law, but only in 32 states so it depends on where you live, when offering help off duty as long as you are not getting paid or any other compensation, that includes receiving any thank you gifts etc from the patient or family.

    Could the family member try and sue you for starting CPR, absolutely, but anyone can sue you for anything at anytime. They would have to prove damages and in this case that would be minimal since you were trying to help the patient. If you do not start CPR and another family member who argues the patient was not a DRN or that the patent would have wanted everything done and you didn't initiate CPR they can easily prove damages and that you acted negligently because you did not initiate resuscitation efforts, which in this case would be the standard of care since no DRN was present, and the patient died.

    Hope that helps,

    Annie

  • 3

    Only your physicians can tell you what is appropriate as far as your diagnosis goes. We are not physicians here so we cannot tell you what is best for your elbow. Please seek a second opinion if you feel your physician is not giving you the answer you are looking for.

    ANnie

  • 2
    Nurse Leigh and BeenThere2012 like this.

    I am guessing you would feeldrastically different if you or a family member needed a new organ to survive.

    Unfortunately, in my opinion, this needs to happen, otherwise there would be many less organs to be donated and more people dying waiting.

    Think about the family on the receiving end and the patient that NEEDS the organ. Do you want to call them and say "I felt it was unethical to talk to Mr. Smith's family about donating his organs. Sorry, I just couldn't do it. So Mr. Smith's organs are getting buried/cremated instead being donated so you can live". Which conversation do you think is more unethical? The example I just gave, or the one where the trained organ procurement staff go talk with the family, in a respectful manner about donation? Which one is more productive?

    Forget about the financial for the most part, but do understand no one can work for free so the organ procurement agency HAS to charge money! Look at "charities" like March of Dimes and look at what that CEO makes before you start complaining.

    I have also read many stories about organ donation giving some families some form of purpose when a person dies unexpectedly.

    Annie

  • 0

    Quote from tootsmom313
    4 weeks at the underwriter?!?! Wow. My loan officer said it shouldn't take more than a day or two -- and he said he's even gotten answers just a few hours later! I'm hoping we get an answer sometime this afternoon. All this not knowing is giving me extreme anxiety! We are supposed to lose next Friday

    Well it's a brand new house so they had to wait for it to get to a certain percentage of completion before the appraisal. I don't think it went to underwriting for a while though, until my loan officer had all the paperwork together, as they will need to get your tax transcripts from the IRS and may have to obtain some other paperwork on their own.

    I got my committal letter today though! Here's to 30 years of debt!

    You are closing next Friday??? Hope they approve your loan and give you the clear to close soon! I think they took there time with mine since there was no hurry. Won't be able to close until 9/9!

    Good luck

    Annie

  • 0

    Would be unlikely that the patient's blood was on an ampule piece, since the nurse would draw up the medication with a clean needle and then administer it.

    Regardless we cannot advise you of what was on the ampule, only the nurse that administered the drug can. I would contact your nurse manager and go from there. We have no way of knowing what your risk is.

    Don't ever be embarrassed of an injury at work, stuff happens. I lacerated my finger opening a large ampule and needed sutures, I felt like an idiot, but of course had to report it. Be safe!

  • 0

    Goodluck tootsmom!

    I can't speak as a travel nurse, but I too am waiting for mortgage underwriting to approve my loan! They have had it for almost 4 weeks now, so I am hoping they would have rejected it by now if they were going to. i have given them everything they asked for!

    I wouldn't worry to much like the others have said, they may request something from your employer stating your job is secure or you will be offered another contract at the end of this one. I am assuming your husband works too? And as long as you can afford the mortgage payment even if you have to revert back to being a normal staff nurse and loosing that pay.

    I hope it all works out for you!! Hopefully we will both be in our new homes before we know it! I close on 9/9 (it is a new construction house so it's delayed a little), when do you guys close?

    Annie

  • 4

    I have to say that I am guessing the patient was in respiratory failure and had very high CO2 levels, which was more of what was making him or her combative. I probably would have called a code or stat team, depending on what kind of floor you have, as it sounds like this patient needed intubation more than anything! Restraints are great and may have helped at least buy the patient some time with the CPAP or BiPAP, but again sounds more like a respiratory failure patient who was already beyond that.

    When a respiratory patient starts getting restless and ripping the mask off, you better light a fire under everyones behinds, cause that is an ominous sign.

    Just out of curiosity what was the outcome? Did the doctor call you back and order a blood gas? Intubate the patient?

    Annie

  • 1
    nursingandrotties likes this.

    I know you said you cannot afford a Mac. I would wait till the end of august into september and look at Best Buy, they generally have great deals on them! They are well worth the money and will last many years, as apposed to a PC which will last much less


    You can also look on craigslist for used Macs.

    Annie

  • 0

    Hi,

    As others have said trying working while in your nursing program, it is doable, and I have worked full time through all of my degrees.

    Also there are only certain restricted circumstances where you can do a hardship withdrawal out of your 401K, that does include school, but it needs to be extenuating circumstances like you are already in a program and cannot get loans to continue the program. If you are able to get loans for school it is highly unlikely that your 401K administrator will allow you to do a hardship withdrawal. They are strict about it because they get audited every year and can acquire fines if they do not stricly follow the federal law with regards to what qualifies. Your plan administrator actually has the ultimate say in whether they will allow you the withdrawal.

    You could consider a 401K loan, which you can pay back over a five year period with interest. The interest goes back to you and it does not go on your credit report. The downside is if you leave your job that may revert the loan into a withdrawal with the same penalties and generally a loan will only allow you to take out half of the money that is in your 401 K. Also you can not withdraw the total amount for a hardship loan either, so if you have 10K in your account you will likely only get around 6 or 7 K, then there will be a 700.00 penitlity, plus 700 in taxes, PLUS you have to count it as income! By the time you are done paying all the taxes an dpenilities it will hardly be worth it!

    Just keep working!

    Annie

  • 1
    ital91 likes this.

    Just say Hi I am an RN student from whatever school. Also I would be careful, I don't think it is legal for a nursing student to take doctor orders verbally!

    Annie


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