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NevadaFighter 5,199 Views

Joined Feb 17, '11. Posts: 159 (28% Liked) Likes: 71

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  • Apr 16

    I am paid salary as well. It is based on an hourly rate for 40 hours. I get extra for mileage, on-call time, on-call visits. Do have really good benefits - PTO, sick time, tuition reimbursements, holidays, etc. Starting salary depends on location and somewhat, experience. I do not usually work over 40 hrs by much, and some weeks WAY under 40 hrs. Different every week. But I love the flexibility, autonomy and daily variety that home health offers. I enjoy doing visits much more than extended care/shift work ( have done both). And, I would not care to be in a facility again either. Even my weeks that are over 40 hrs - still way better than me working in a hospital.

  • Mar 10

    What you're describing is a delayed sensitivity reaction, not an IgE mediated allergic reaction. Based on the Antibiotic Stewardship programs everywhere that I've worked, this wouldn't justify a switch to another antibiotic since this doesn't signal a potential life threatening reaction, if the rash is poorly tolerated then they might add benadryl or also famotidine, but they would need to stay with that antibiotic. Rashes aren't fun, but antibiotic resistance due to misuse is a very serious problem.

  • Feb 24

    Quote from EllaBella1
    Just wait until someone rips a sock off in front of you, and you experience the wonders of dry foot flakes snowing down upon you/into your mouth/hair.
    YES. This is what gets me. Every. Single. Time.

  • Feb 18

    i work full time for Planned Parenthood now, so am not doing births.
    My changing views have evolved slowly over time, as I have become more scientifically literate and experienced in the field. I realized there was something off, when I really started to think about how strongly I valued science in most every aspect of my life, but yet was so quick to dismiss medical science in favor of prescientific and/or pseudoscientific belief systems.

    I remember one time reading on a nonvaxxing mommy message board, and seeing a conversation about chemtrails which then further devolved into anthropogenic climate change denial and mass conspiracies. That woke me up a little, enough to take a step back and wonder where, exactly, my beliefs about alternative medicine were coming from. I was a tree hugging hippy type as a teenager and a rejection of mainstream medicine fit in perfectly with my belief that natural was better. I believed that vaccines were bad, because it fit in with my world view. I believed in homeopathy because I didn't understand enough about science to realize how insane it was, and the idea of a vital force appealed to my naturalistic spirituality. I was deeply drawn to the naturalistic fallacy, and my ignorance led me to believe I actually understood the issues in a way that mainstream health care somehow did not- dunning kruger is always lurking lol.

    Here I was, defending climate science because I trust the process and understood I was laughably unqualified to fully understand the data myself... but yet I was dismissing the medical consensus because.... I really like nature? Because I don't like the idea of giving my kid a shot? Once I really became aware of that contradiction within myself, all my closely held beliefs became fair game as I became devoted to the process of scientific skepticism, and working to understand the world from a perspective far broader than my own personal bias.

    Anyway, teal deer lol. My attitude toward medicine changed as a result of my devotion to the scientific method of understanding our world, coupled with a deep desire to provide effective and compassionate care for my patients. A lot of it was just the normal process of getting wiser with age. We are all kinda dumb in our 20s. And I am sure 40 year old me will shake her head at my current self as well

  • Feb 8

    People commonly gripe about astronomical salaries that celebrities (actors, pro athletes, singers) receive. Celebrities' pay rates are regularly compared to those earned by nurses, teachers, police officers, military servicemen and women, firefighters, social workers, and so on.

    Here is my controversial view. The vast majority of people in American society are not overly preoccupied with their health, safety or welfare, which are the very facets addressed by nurses, police, soldiers, and social workers.

    Many of these same people in society bicker about taxes, yet it is tax revenue that pays for public school teachers, cops, military, social services, and the nurses who work in city, county, state and federal government.

    On the other hand, most Americans love to be entertained. The American public places an enormously high value on an optional part of life such as entertainment. The American public places a lower value on mandatory aspects of society such as public safety, healthcare, and education.

    This is evidenced by the quadrillions of dollars people collectively spend on movie theater visits, Broadway shows, cable/satellite TV, live sporting events, music, live concerts, Netflix/Hulu, and other forms of entertainment.

    Some people are so dedicated to celebrities that they know their dates of birth, filmography of film actors, discography of singers, and statistics of players on their favorite professional athletic team by pure memory. They pay big bucks to join fan clubs, obtain autographed memorabilia, and buy replica sports jerseys.

    A harsh truth is this: if the majority of people are passionate about something, that is where the money goes. Will Smith and Johnny Depp receive multimillion dollar paychecks because people willingly empty their pockets to be entertained by them. Nonetheless, people will not readily pay good money to observe a nurse conduct an assessment, or a police officer issue a citation, or a teacher prepare a lesson plan.

    Again, why do celebrities receive higher pay than nurses, cops, social workers, military, and teachers? It is because we get what we pay for. It is because the public has shown time and time again that they prefer entertainment over health and safety, as evidenced by the massive amount of money they spend on movies, music, and professional sports.

    Nobody in this questionable society of ours would spend $100 million on tickets, food, beverages, parking, and souvenirs to watch nurses or enlisted sailors at Yankee Stadium. They would, however, spend that money to watch professional ball players, or Beyonce at the concert hall, or the A-list actor at the movie theater.

    So, how much are nurses worth? Per the American public, we are worth a heck of a lot less than the quarterbacks on their favorite NFL teams.

  • Feb 6

    Quote from MrChicagoRN
    Illinois won't grant licensure except by endorsement, and only after at least 2 years clinical experience
    That is incorrect. Illinois won’t grant licensure by examination if the applicant’s program is not approved by the Board of Nursing. Programs may be approved by the BON, even if they are not accredited by the ACEN or CCNE.

    For example, Danville Community College and Highland Community College are both approved by the Illinois BON, but they are not accredited institutions. Graduates of these programs can still apply for licensure by examination. Excelsior College, on the other hand, is not approved by the Illinois BON and these graduates are only eligible for licensure by endorsement after two years of prior employment, as you stated.

  • Jan 25

    HH is not without stress, but my worst day in HH is still better than my best day in the hospital.

    I would recommend at least one year experience.

  • Jan 21

    Your CNO sounds like a turd.
    I mean I get it, you made an error, but you made an error, caught it right away, self-reported, the doc changed the order... termination just seems like a gross overreaction.

  • Jul 28 '16

    oh, and if a heroin addict says "thats not a good vein" , they are right.

  • Jul 24 '16

    While you didn't technically violate HIPAA, there is likely a policy on social media use. My nursing program guidelines as well as policy at both facilities have have worked at have a no social media policy about anything from the workplace. A simple "had a great day at work" is fine. But anything more than that would be violating policy. Double check your handbook, but to be honest, the best practice would just be to never post anything about work or patients. Even if you don't break policy, you run the risk of offending the wrong person and getting targeted because of it.

  • Jul 3 '16

    If you want hands on experience, start with an ASN program (since you have hospital experience the clinical portion will be much easier). Also, you get a chance to make connections with staff members and hospitals will already have you on file (background check, etc). Most, but not all, BSN programs have little to no patient contact and hospital experience. Remember you can put "BSN in progress" at the top of any job application, you only need to be signed up, and most places will have no problem hiring you. Some places like the VA will even pay for you to get higher degrees and special training! While you're working you can do a BSN online no problem. Hope this helps!

  • Jun 29 '16

    Oh my goodness - you've really been through the wringer.

    Throughout my career as a nurse educator, I have always relished the opportunities to conscript any specialty nurse who was relegated to 'light duty'. They provided invaluable service as subject matter experts to help develop & teach clinical courses. You could also help with the onboarding/coaching of new nurses or new grads.

    With your experience, you could add a lot of value ... maybe polishing up the chemotherapy course? developing new content on other aspects of oncology nursing? Your knowledge & expertise can make hugely valuable contributions - you're worth so much more than the ability to do physical tasks.

  • Jun 14 '16

    You might just have to leave. Even the same type of unit can be very different across different facilities.

    These are both ICU, so this is probably a bad example - but my PRN job is more aggressive about taking foleys out early and taking out central lines to prevent CLABSIs. The net result of this is constantly restarting bad PIVs and having to get up and toilet everyone. We have CNAs, but they can't be everywhere and toileting everyone themselves, so I do quite a bit of toileting my own patients. I swear to God every time I come in I have to restart at least one peripheral. They are better staffed, but it's 10X more aggravating getting up and toileting all the time and having to constantly stick people for new IVs.

    My full time job has a tendency to leave foleys in forever for accurate I&O measurements, and the same thing with central lines - they pretty much only get pulled on ICU discharge, if even then. However, my full time job is way shorter staffed and we don't have CNAs. The thing is, I would rather work with 3 ICU patients with foleys and central lines with no CNA help than I would with 2 ICU patients who both have to be toileted and have peripherals. Stuff like having to toilet people all the time is a BIG deal, IMO, because it's such a time waster. Even having CNAs doesn't help because they are nowhere to be found most of the time. I would personally rather not have to deal with CNAs.

    I haven't got the patience to work somewhere I'd have to toilet someone every 30 minutes. I work the minimum number of shifts to stay with my PRN employer and that's it. If that was my full time job, I'd be out of there. I haven't got it in me to work somewhere that I couldn't just stick a foley in for patients with urinary problems, like the little old lady example. We have too much else to do. That LOL with the urinary problems is eating up at least 50% of your shift, and if she can get up and walk, I very seriously doubt she's your sickest patient. It's just not fair to the sick patients to get our time eaten up by the healthy ones.

  • Jun 14 '16

    thats why i do peds
    never liked adult patients and never will

  • Jun 12 '16

    I want to add that I am bipolar myself. I never have & never will disclose that I am bipolar to any manager/boss. It is none of their business what medication I take or what is medically wrong with me.
    I have told my bosses that I have epilepsy & they have been fine with it. But I can only imagine what would happen if I told any bosses I am bipolar. I know it wouldn't be good.