whichone'spink 24,321 Views
Joined: Sep 16, '09;
Posts: 1,557 (50% Liked)
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3 year(s) of experience
So, will President Trump's executive order putting a hiring freeze on federal government jobs affect hiring for VA positions?
10 days might have been better, but we need more of this legislation in other states as well. Especially the states with more prescription drug abuse.
I make more than that as a RN, in the Upper Midwest.
I have a Santa hat, and will buy some Christmas socks to wear either on the 24th or 25th. I've got to ask my supervisor to bring out the unit Christmas decorations so I can work on it this weekend.
I'm kind of expecting more blatant racism, as a minority. Certain people feel emboldened by our new president-elect, and will now say and do things they didn't feel safe to carry out before. Expecting it from patients is one thing. What will surprise and sadden me is if colleagues start treating me badly, because they think they can get away with it. I don't think it will happen, but like I said, certain people are emboldened. I had a patient about 2 weeks ago who asked where I was from, which is not uncommon. I gave my boilerplate answer, and she said at the end "Good, at least you won't get deported". My white coworker remarked, out of her earshot, that was a bit rude. I basically told her I am expecting more of this nastiness, and to not be surprised.
I think administration is also anticipating an increase in nastiness, from and towards patients. This week, the CEO of the organization I work for sent a system-wide email basically saying we continue to honor our commitment to our core values, diversity etc, and to take the concerns of our minority patients seriously.
He has a point. Just like there is a glut of RNs, there will be a glut of NPs which will depress wages and ruin the credibility of NPs. I think you should get a degree in something else, and then go for PA. If being an independent provider is what you want without sacrificing time and money for medical school, you can easily do that without going through nursing, working a crappy nursing job for a year or two after graduation and then getting crappy education and crappy clinical experience to become a NP.
I knew by 5 years old Santa wasn't real. My parents never confirmed nor denied his existence. I guess I worked it out by myself. By 8 years old, kids should know Santa is just a construct.
Sorry, but this has struck such a deep chord. Wow, you really wouldn't keep the public safe? What if that person killed after you saw them, have you no conscience? WOW, JUST WOW.
So it begins. The every four year, post US presidential election 'I'm moving to Canada' straw of postings
Recently in my city, it came out that a suspected murderer now on trial was seen in the ER I used to work in. The nurse that cared for him later reported to the police that the patient told her he killed someone. At the time it was also found he was high on drugs, although I don't know what drugs were found in his system. To me, anything a patient says under the influence of drugs or alcohol should not be reported to the police, because it will definitely be used against them in court. I don't know if HIPAA will cover my ass, or what hospital policy is regarding this matter. But if a patient is under the influence of some mind altering substance and says they committed a crime, it's my own personal policy that I won't say anything or make a note in the chart.
Now if I find out if a patient I have is on the most wanted list, I really don't know what I'd do. Depends on my mood I guess. If the patient treats me and others like dirt, I might be angry enough to search the most wanted list. But I've not done that, even though I've had plenty of obnoxious patients. It's never occurred to me to deliberately look at the most wanted list.
As far as insurance, there might be some changes to the ACA. I do hope some things are kept, such as letting young adults stay on their parents' insurance until 26, disallowing denial of insurance for those with pre-existing conditions, and federal dollars for Medicaid expansion. For reimbursement by CMS, I don't think that will change so much. Value-based purchasing is the new thing, and I don't think it will go away. I am curious how gutting the ACA will affect our employment. Will census go down? Will there by massive layoffs?
I really feel for those who barely had insurance for 3 years and now they will lose it again.
The system before the ACA was a failure. How many people were uninsured and had no access? At least ACA made that possible for many of those uninsured. We still have a long way to go, but progress is progress.
But...in a HuffPost article written by the famed filmmaker Michael Moore back in July 2016, he accurately predicted that Donald Trump would win this presidential election. His article is interesting. The link is below.
5 Reasons Why Trump Will Win | Huffington Post
Did we get the Good or the Bad pop-up? Only time will tell where this leads. We will have to wait 4 years for a re-take....so we need to make the best of what we have.
Like I said....there were no perfect candidates on this ballot.
Speaking of ovarian torsion, this week I learnt even 7 year old girls can have ovarian torsion. It didn't take long to un-twist it though. But this poor girl will have to worry about this for the rest of her life. Every period she will have to think about if she's just having cramps or if her ovaries are twisted again.
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