tom7044

tom7044 has 30 years experience and specializes in Chemical Dependency, Corrections.

Latest Activity

1. Bullying or Not? Rant!

   tom7044 replied to skittlebear's topic in General Nursing

   I with keeping cool, calm and professional. Once your orientation is complete, will you possible have an opportunity to meet with the office manager and possibly this nurse and discuss simply and succinctly what your experience was like. Unfortunatel...

2. What does an addictions nurse do at work?

   tom7044 replied to marvelmom's topic in Addictions

   I work in a free standing, medical detox unit. we have patients from three to five days and see them through acute withdrawal and use mostly Valium and Suboxone (for our) opiate addicted patients. I love what I do because it is never the same. Beside...

3. Private companies that contract with county jails.. good or bad to work for..

   tom7044 replied to nd deb's topic in Correctional

   I have worked for two large Correctional Health Care companies. They all have problems like any business does. It boils down to the "Contract" which spells out what the agency expects from the company and that the company will provide. The overall go...

4. Working in addiction nursing

   tom7044 replied to Omaapecm's topic in Addictions

   I congratulate you on recognizing just how important specialty certification is. I think that having the CARN certification has opened doors for me. Through this certification I have the opportunity to serve on the Nevada State Board's Disability Ad...

5. Should mental health nursing be grouped with addictions nursing?

   tom7044 replied to hatchit's topic in Addictions

   Absolutely not is the only correct way to answer this question. Addictions Nursing is a speciality unto itself. This is established by the International Society of Addictions Nusing and Addictions Certification Board. You need some basic psych nurs...

6. VA Boarding of BSN Nurse with 10 years experience

   tom7044 replied to ohioann59's topic in Government

   The whole "Boarding" of VA nurses is not easily understood by those nurses that don't participate. The guidelines or the criteria that nurses have to meet to go from one Grade or Step to another is written in a manual , but it is so lengthy and compl...

7. Max Salary for faculty in a private college

   tom7044 replied to cherrymom's topic in Educators

   take the job

8. Management of Personalities Question

   tom7044 replied to NurseGuyBri's topic in LTC Directors

   I have been a Registered Nurse for forty years and still work full-time in an acute care setting. I have little in the was of management experience because I never want to be in the position you are currently facing. Having to deal with conflict and ...

9. Dialysis Start Time

   tom7044 replied to nurseontheway's topic in Urology

   Wonderful response; this is the type of nurse I would want as a mentorl

10. Hired by Armor Correctional Health Care

    tom7044 posted a topic in Correctional

    I was recently hired by Armor Correctional Health Care for a per-diem position at the Washoe County Detention Facility here in Reno, Nevada. I was a former employee of Corizon Correctional Health Care (Prison Health Services) at the same detention ...

11. Davita Acute Nurse Interview

    tom7044 replied to five10fevr's topic in Urology

    I am not being critical however DaVita is famous for hiring nurses for acute dialysis and offer training but often the training is with an acute dialysis staff nurse and it is so difficult to train a nurse on the job doing acute patients. Those runs ...

12. I would like to be an addiction nurse

    tom7044 replied to katiec's topic in Addictions

    I have been working with addicted clients for more than ten years. During that time I have observed one incidence when a client became violent. This was because of the client's co-occurring mental health disorder, not from the addiction issue. My rec...

13. Basic Jail Nurse Questions

    tom7044 replied to OfficerRNBSN's topic in Correctional

    As a Registered Nurse with over 20 years working in urban jail settings; mostly as an Intake Nurse or Intake Supervising Nurse with CCHP-RN certification you present a challenging and perplexing situation. The facilities I am familiar with and the la...

14. CARN Test Preparation

    tom7044 replied to dansrn's topic in Addictions

    I studied for 6 months to prepare for the CARN examination."Rudman's Questions and Answers on the CARN Examination" from the Admission test Series was not helpful. "Nursing Care of the Addicted Client" (Karen Allen)was the one reference I would recom...

15. Nurse -Patient Staffing Ratio

    tom7044 replied to fawnsternurse's topic in Addictions

    i think the general accepted staffing ratio for acute detox patients is 1 rn to 12 patients maximum if not located within an acute care facility. the state board does not mandate this ation but this is the guideline from the sbn. we staff with one r...