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...
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...
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...
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...
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...
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...
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 ...
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 ...
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 ...
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...
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...
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...
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...