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nurse2033 21,875 Views

Joined Jun 6, '07. Posts: 2,045 (46% Liked) Likes: 2,966

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  • Jul 29

    You need the MSN, because your BSN in effect doesn't count. There are dual MSN/MBA programs that may interest you. Just make sure the MSN has the correct accreditation.

  • Jul 29

    Stop perseverating on this. You'll be fine. Unless you clicked on something IN the chart you aren't tracked. I'm an Epic Superuser.

  • Jul 25

    It's all about being a patient advocate. Good job for standing up to the doctor when you knew your patient needed more treatment.

  • Jul 25

    He wasn't mad at you because you did anything wrong; he was mad at you because you made him do something. He was going to turf the patient and make him someone else's problem. That doctor would have been the one in the hot seat when the unstable patient coded and died on psych. So he owes you gratitude and an apology. Neither of which you are likely to get. You won't get any lifesaving awards for saving this patient's life; you'll have to make do with personal satisfaction.

    When you're a nurse, you don't have to do something wrong to get yelled at. You will get yelled at for doing the right thing, too. You'll get used to it. Meanwhile, please accept my kudos for being a conscientious and assertive nurse.

  • Jul 25

    I think they sound like a lot of things in nursing. Really vague, qualitative, and difficult to measure. The only concrete info is 'start a nationwide campaign to make nurses be healthier' and 'get revenue other than dues'. Awesome. They're going to use their resources to remind me that in addition to everything else I do, I also need to exercise and eat kale because I'm a role model for America.

  • Jul 9

    Nurses in California formed a powerful lobby back when Arnold Schwarzenegger ran for Governor. They helped him get elected and he in return signed a safe staffing bill into law. It was a big deal back when it happened. Still there are significant exclusions to the law and it only covers acute hospitals.


  • Jul 7

    Human trafficking is defined as, "the recruitment, transfer, harboring, or receipt of persons by threat or use of force, for induced commercial sex acts, and sexual servitude." This definition comes from a recent study published in the Journal of Emergency Nursing. The sex trafficking trade is here in the US. Atlanta is sometimes referred to as the "hub" of the US trade. Its a big city, with many conventions, events, things to do and it has a very busy airport where people can come and go often in a single day. CNN recently explored the sex trafficking industry in Atlanta.

    It is estimated by the Department of Justice that the profits from sex trafficking exceeds 32 billion dollars per year. The National Human Trafficking Hotline reports that they have received over 145,000 signals (including emails, calls, webform reports) since 2007 of potential sex trafficking cases. And, it occurs in every state. A lit review from the article in the Journal of Emergency Nursing provides this statistic: "87% of victimssought medical treatment during captivity without recognitionor rescue."

    How to recognize possible sex trafficking victims in YOUR ED? Its estimated that only 1% are identified when they seek emergency care as they are frequently on the move, knowledge deficit of the ED personnel, and the victim's inability to escape.

    The Emergency Nurses Association released a new study in the Journal of Emergency Nursing detailing an evidence-based project that puts a spotlight on the importance of formal education, screening, and treatment protocols for emergency department personnel to guide identification and rescue victims of human trafficking. The program tested in the study showed success with screening tools, awareness of medical red flags of human trafficking, and a silent visual notification to help victims safely ask for help.

    The Journal of Emergency Nursing study developed these guidelines for practice:

    • Screening began at the registration desk, where personnellooked for social signs of trafficking. Social signs oftrafficking include no insurance, offer to pay cash, nopersonal identification, no guardianship documentation,and a patient who is with a person who does all of thetalking.
    • If registration personnel identified a possible victimor if the patient answered yes to questions in our existingdomestic violence screening, the emergency nurse completedthe Department of Health and Human ServicesScreening Tool for Human Trafficking whichwas embedded in the electronic health record.
    • In recognition that victims may be fearful of thetrafficker overhearing a conversation, a silent visualnotification tool was implemented to notify staff of abuseor unsafe living situations.
    • Signage was located inbathrooms and instructed potential victims to place a bluedot on the specimen cup when giving a urine specimen. Ablue dot on the specimen cup triggered the use of thescreening tool by the emergency nurse.
    • To ensure patientsafety, all team members were also alerted of the blue dot,and the patient was taken to a designated safe area withinthe department for care.

    If there was a positive response to the screening, the following steps were implemented:

    • Theemergency charge nurse conducted a huddle with thephysician, security, social services, and nursing leadership.During the huddle, plans were made for further assessmentand rescue.
    • A room in the radiology department was used asa private place to interview the patient without the trafficker present because it is common practice for patients to bealone when radiographs are taken.
    • An emergency nurse andsocial worker escorted the patient to the radiology area for aprivate screening.
    • For victims younger than 18 years, areport was immediately filed with child protective services asrequired by law, and the victim received intervention.

    Safety of the victim, staff, other patients and security of the hospital campus are always paramount and protocol is followed:

    • When a potential victim was identified, securitypersonnel participated in our huddle and remained in thedepartment.
    • While health care providers ensured that thepatient received adequate medical and nursing care, securitymanaged any threats to safety and tried to detain the traffickeruntil local law enforcement arrived.
    • If the trafficker attemptedto flee the hospital, security was instructed to contact localpolice and maintain the safety of the hospital campus.

    By adding a sex trafficking screening tool to your already-existing domestic violence protocol, ED personnel can save lives.

    And...that's what we are about!

    Does your ED have a sex trafficking protocol?


    Farella C. Hidden in plain sight: identifying and responding to human trafficking in your ED. ENA Connect. 2016;40(4):4-22.

    Journal of Emergency Nursing. Implementation of Human Trafficking Education and Treatment Algorithm in the Emergency Department

    National Human Trafficking Hotline

    1 (888) 373-7888
    National Human Trafficking Resource Center

    SMS: 233733 (Text "HELP" or "INFO")
    Hours: 24 hours, 7 days a week

  • Jul 7

    You can commission into the Air Force once you complete your first enlistment. Your unit may release you before your contract ends. If you elect to receive any incentives (bonuses, kickers, etc.), you may have to repay them back for ending your contract early.

    There are some California schools that have a LVN to RN bridge program. The 68C course provides you with a transcript upon completion of the course; however, the transcript does not include grades.

    You will take the full 68C AIT even with a NREMT. NREMT is not part of the 68C curriculum.

    First, raise your GPA. I believe most CSUs BSN require a minimum of 3.0. I would try Army ROTC, direct commission then enlisting - in that order if your goal is to become an RN.

  • Jul 1

    Yes, other foreign grads have tried. I've never heard of one succeeding. My guess is that whatever 'OIC' told you that load of crap was probably some junior O-3 whose only accession/recruitment 'experience' was about 4 years of patient care on a med-surg floor. The enlisted recruiters with recruiting experience often have little knowledge of the medical world. Blind leading the blind...

    Are you a U.S. citizen? You can't commission as a nurse without that either.

    Who told you to enlist in the reserves in the first place? Even if you did have a BSN from a properly accredited school, it's not exactly easy to direct commission as an enlisted person to begin with. It's far easier to commission as a civilian RN than an enlisted member.

    As Pixie said, your only option to commission as a nurse is to get a nursing degree from a properly accredited U.S. nursing school: an MSN makes the most sense (many can be done online in as little as 32 credits). An MSN in informatics, education, or leadership/management would have no clinical hours aside from a capstone project.

  • Jun 25

    Look at the USAGPAN info: School of Nursing | US Army Graduate Program in Anesthesia Nursing | Nurse Anesthesia Programs | Army Nursing Program

    You can apply when you have the required critical care time. This is the best way to CRNA in the military. I know several people who came into the Army via direct commission as experienced civilian ICU nurses to attend the USAGPAN program.

    Pros: top notch education to a DNP without debt. Cons: you are owned by the Army, and CRNAs do deploy. If you truly want to serve, it's a great way to do so.

    There are lots of posts in this forum about USAGPAN, the search feature should provide you with lots of information. Good luck!

  • Jun 20

    This actually happened to me while I was in school. I got home, emptied my pockets, and low and behold, there was the patient's insulin. I immediately called the floor and reported the situation, then I called my instructor and told her that I had accidentally left it in my pocket, but that I had already called the floor and was on my way to bring it back. When I got to the hospital, the nurse laughed and said "we've all done this before."

    You will not get kicked out for this.

  • Jun 20

    I appreciate the responses and have taken action by reporting to the regulating entity. I knew in my heart what was right and I guess I just needed confirmation that I was doing what was in the best interest of the vulnerable parties involved. I am relieved to have this chapter in my career closed but am nervous about my future, of course. In the end I have done what is right and I will hang my hat on that.

  • Jun 16

    In the past, (25 yrs ago) I worked with a Pain Management specialist who ordered lidocaine infusions for pain management for patients with chronic pain. I am not sure if this worked for the patients or not. A patient recieving a lidocaine infusion should have continuous cardiac monitoring and be observed for signs of local anesthesia sytemic toxicity. Lidocaine or similar drugs given in a specified area or close to the nerve roots is definitely helpful. Lidocaine is a shorter acting medicine and may only be benificial for a short time period.

  • Jun 12

    I find it extremely difficult to believe that you would be placed on leave without pay for accessing the chart of a patient for which you provided care and I suspect there’s more to the story here. Were you even asked for an explanation? Did you only access the information necessary to do your job or were you reading parts of the chart that you didn’t need to read?

  • Jun 5

    Quote from audreysmagic
    Surely you all have had plenty of excellent ideas that administration decided to take a pass on.