MunoRN 29,808 Views
Joined Nov 18, '10.
Posts: 7,501 (68% Liked)
I'm with the posters who've said talking about salary shouldn't be off the table. I don't walk around talking about it, but if conversations about equity and pay come up I'll disclose it. My point when I talk to people about it is always the same - knowledge is empowering. By knowing what people are making we're all empowered to negotiate better.
When I was a student I asked my preceptors to talk about salary with me so I could get a sense of the market rather than depending on my employer to tell me what I'm worth. The phrase, "my market research has shown me that nurses are making X," is a surprisingly effective bargaining tool. One didn't want to discuss it, and I left it at that. The other agreed with me and asked me to keep in touch. Her information helped me negotiate for better salary, and in turn letting her know the outcome of my negotiations helped her in her next renegotiation. We both benefited. My cohort also shared information on our Facebook group so that we all had access to real-time info about what people were getting offered.
I don't care if other people don't want to tell me their salary, and it's not something I drop into conversations, but in the context of helping each other out I'll tell anyone.
Does anyone actually know HIPAA? It is not against the federal policy to disclose patient location, including if they are moved to another facility or unit. You can also give a general condition of the patient. We have been puppets of hospital administration too long- follow the law, and the code of nursing ethics.
Here are some topics for professionals:
Disclosures to Family and Friends | HHS.gov
Here is the law:
OP, you mocked a mentally ill patient. You also do not know how the mother has handled him in the past. If you spoke that way to my child, my silence would be from surprise (in a terrible way), and requesting someone else would be reasonable and justified.
And before anyone here jumps me saying I must be a parent who coddles poor behavior, my children are disciplined when they are blatantly rude. If I don't feel the need to do that in front of others, you wont see it, nor should you have to. They would apologize appropriately the next time you come in the room.
Meh, if you can't beat 'em, join 'em.
"Well, the g-d Fentanyl didn't do s***, let's try some ******* Dilaudid."
I agree that you might want to talk with a financial profession about your questions ... but here is my $.02.
Some nurses don't understand the way the US tax system works. As a result, they misunderstand what happens when someone suddenly gets a paycheck that is larger than normal.
1. The "system" doesn't realize that the big paycheck is unusual for you and that you don't make that much every pay period. So it taxes that paycheck at the rate appropriate for someone who makes that much money on a regular basis. When you eventually file your tax returns, that takes care of itself as your final tax bill is calculated based on your total earnings for the year, not how much you made on your highest-grossing pay period. So it looks like "all of it went to taxes," when in fact, you'll be getting most of that extra taxes back.
2. Some people don't understand how the tax brackets work. They mistakenly believe that when you are "pushed into a higher tax bracket," that higher tax rate applies to all of your income. It doesn't. That higher rate only applies to the portion of your income that falls into the higher tax bracket. So yes, if the extra income you earn working overtime pushes you into a higher tax bracket ... that money will be taxed at the higher level. But it won't increase the taxes on the money that is in the lower tax range.
So you will never lose money by working overtime and getting paid extra. It's just that the extra money you are earning might be taxed at a higher rate.
"Nurses in white dresses with yellow satin sashes
These aren't a few of my favorite things..."
Here you go:
Epic: Organizations on the Care Everywhere Network
CL, can you please send a link to the data that proves shedding happens after vaccinations?
Range orders are allowed and encouraged by the american society of pain management nurses. They are NOT practicing medicine. some JC auditors mistakenly cite range orders as red flags, when JC itself allows for them. Please see http://www.aspmn.org/documents/Range...lished2014.pdf
If this seems like a sore spot for me, here's why; I work in an ICU that is a regional adult ECMO center, this means that every year at this time we have a whole section devoted to VV ECMO that's unofficially referred to as "flu-ville". Unlike other forms of ECMO, VV ECMO for the flu has decent outcomes in terms of survivability, although that still involves a horrific few weeks in the hospital and often a SNF stay. Our most common patients are 35-50 and otherwise healthy and I frequently hear "I don't get it, they never get sick" and "she's never needed a flu vaccine before", or just the general sentiment that someone avoiding a vaccine "to be safer".
Even this very aggressive treatment isn't foolproof, and there are few each year that transition to comfort care, typically patients around my age and with kids my age. Transitioning a 35 year old to comfort care and having their 3 and 6 year little girls come to hold mom's hand while she dies makes it much harder to just say "oh well, everyone's entitled to their own opinions", some opinions are harmful.
Thanks Katie (and again Muno) for giving us real-life examples of the risk of not getting immunized.
Regarding the film, the negative reviews are everywhere and the turnout for the film is negligible. I'm not paying money to see it and I would hesitate to watch it free just because of the frustration regarding the lies told.
"Wakefield is one of the most scorned men in the medical world" which is why this film is so frustrating.
Other studies have looked at thimerosal and its connection to autism. These studies are flawed as well because they only looked at children receiving different amounts of thimerosal, rather than comparing children who have received thimerosal to those who have not.
I don't think I caught most of the stream-of-consciousness part of the story, but why the handcuffs?
Personally I am more concerned about the dihydrogen monoxide in vaccines thhan mercury. Dihydrogen monoxide is a chemical that is readily absorbed, leads to far more deaths worldwide, is found in bleach and cancer cells, and is a byproduct of combustion engines.
Yes, but when acquiring a bankrupt hospital it has the opportunity to get better by a nurse's pov
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