Latest Comments by amyphee

amyphee 1,648 Views

Joined Jun 13, '05. Posts: 10 (30% Liked) Likes: 3

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  • 1
    Farawyn likes this.

    I have an interview this Friday for a school nurse position in a large, urban school district. The school nurses here cover at least 2 schools, and I don't know which schools the position is for.

    I have been an RN for 11 years, and while I have experience in a burn center for adults and kids and an ED, the majority of my work experience is psychiatric nursing (mainly adults, but also child and adolescent), including teaching psychiatric nursing clinicals. I love psychiatric nursing, but I need a change in my life right now. I have volunteered extensively at my child's school, and absolutely love being there and working with the kids.

    After reading pages and pages of posts on this site, and researching other school nursing sites, I feel unprepared for this interview. I have been told that I will be given multiple scenarios and asked to write a SOAP note on one of the scenarios. I write narrative notes on my patients every shift, but we don't use a specific format. I'm so nervous about this! Any tips and advice you seasoned school nurses could give me would be greatly appreciated. Will my psych nursing experience come in handy here? Any special areas I should study up on (concussions, IDDM, trach care, cath procedures, immunizations)?

    Thanks in advance!

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    Wow, thank you all for the input and advice. What a great coomunity! This is a for-profit company contracting with the county. I never had a good feeling about it, even though I would get to set my own hours and work within walking distance from my home. Everyone else I've talked to about this agrees that it sounds fishy, but they aren't nurses, and I wanted some professional opinions. Thank you all! The last thing I want to do is jeopardize my license, especially since I'm planning on going back to school for my masters in PMH nursing next year.

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    http://www.cnn.com/2009/CRIME/11/05/...urned.apology/

    Did anyone else see this article on CNN.com? Very sad. Of course, as a former burn nurse, I was a bit irritated when they wrote that teams of doctors do the 4-hour dressing changes on this patient. No matter how severe the burn was, unless it was in the OR, nurses did the dressing changes. Now, I could be wrong, considering I only put in 1 year on a burn unit before leaving for psych nursing, but I thought nurses or wound care specialists did the dressing changes.

  • 1
    travduck likes this.

    I agree with you all. I talked to the administrator the other day about my concerns. She said that they did have numerous protocols and that I would have to order within their formulary. She acted like it was me being uncomfortable rather than the situation she described being odd. The funny thing is, she had pretty much hired me the week before, even giving me new hire forms, even though I was waiting on a background check, salary quote, etc. Then, a few hours after our phone conversation, she called me back to say that the corporate office had asked her to interview more people, so she would have to get back to me after her interviews were complete. Everyone I've told about it said it sounded like she didn't like me questioning things. I am still very interested, and feel fine working under a good protocol. However, I'm not going to do anything I feel is unethical, especially when it is my license on the line.

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    Can anyone give me any info on working for this organization that contracts with jails?

    Thanks!

  • 0

    This is also posted in the correctional nursing thread. The position I am questioning is a psych nurse position at a jail.

    I need some advice from some experienced jail nurses. I interviewed for a position at a jail recently, and it is likely that I will be offered the job. It is for a part time psych nurse. During the interview, I was told some things about the position that bothered me. I didn't ask for clarification at the time, but I want to know if this is standard practice. This job is with a regional company that contracts with that particular jail. The administrator of the medical program told me that I will be seeing patients and determining if they need medication. She mentioned various protocols and drug formularies, but stated that I can pretty much order whatever I wanted and start administering it. I wouldn't have to wait for the MD to sign off on it, but that he would sign off on anything I ordered as long as it wasn't anything "crazy". Isn't this practicing medicine without a license? I only have a BSN and RN license. Is this standard practice at a jail? The nurse decides what the inmates need and then just gets the MD to sign off on it. Please, I am very interested in this position, but this is worrying me.

    Thanks!

  • 1
    Orca likes this.

    I need some advice from some experienced jail nurses. I interviewed for a position at a jail recently, and it is likely that I will be offered the job. It is for a part time psych nurse. During the interview, I was told some things about the position that bothered me. I didn't ask for clarification at the time, but I want to know if this is standard practice. This job is with a regional company that contracts with that particular jail. The administrator of the medical program told me that I will be seeing patients and determining if they need medication. She mentioned various protocols and drug formularies, but stated that I can pretty much order whatever I wanted and start administering it. I wouldn't have to wait for the MD to sign off on it, but that he would sign off on anything I ordered as long as it wasn't anything "crazy". Isn't this practicing medicine without a license? I only have a BSN and RN license. Is this standard practice at a jail? The nurse decides what the inmates need and then just gets the MD to sign off on it. Please, I am very interested in this position, but this is worrying me.

    Thanks!

  • 0

    Neuro or Neonatal? With either, I would go to Vanderbilt. Best opportunities for development and learning at Vanderbilt.

  • 0

    I'm a Belmont graduate. Do you already have a degree or all of the pre-reqs? If so, then it is a great program. I was enrolled in the accelerated program, but changed to the fast track program right before my third semester so I could have the summer off to work and save more money. It is almost impossible to work the full-time summer semester and do well in school.

    Belmont is a difficult program and extremely expensive. For me, I already had a degree, so it was the quickest way to start work as a nurse, plus get a BSN so I could go on to grad school rather quickly. The nurses I know who graduated from ADN programs at TSU, Motlow, and Aquinas are all wonderful, so those programs would be fine as well, if you are not needing the BSN. Belmont has a beautiful brand-new nursing building and state-of-the art labs. However, you will be paying for it.

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    New poster - frequent lurker. I took mine this morning also. 75 questions. My state (TN) doesn't participate in quick results thing, so I have to wait at least a week until I learn my fate.

    The questions were shorter than I expected. The problem was definitely with the answers.



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