AMN74

AMN74

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About AMN74

AMN74 has 26 years experience.


Latest Activity

  1. Disclosure and mental illness

    As a nurse of almost 30 years with Bipolar, I've never disclosed to the BON, or to my employer. In my state the BON asks something to the effect of do you have any mental or physical impairments that would prevent you from doing your job? I have Bi...
  2. Look for new job or stay put?

    Do what you feel you're called to do. I would check on rate of pay in clinics vs working in the hospital. You may find that clinic pay is somewhat less than what you make in the hospital, and therefore you'd be working more hours to just make the a...
  3. Has pain scale contributed to opiate problem?

    I see several problems with pain and pain management when it comes to the "system" and for "drug seekers". First let me say that not all people that need frequent pain medication are "drug seekers" and they often get labeled that way, which is unfai...
  4. As a home health nurse, if I see that a patient needs a hoyer lift..if there is space to use/store a hoyer lift, if there are people that are teachable in the home, then I will order a hoyer lift. But I always order a PT consult to have them teach t...
  5. Every time I read about new nurses taking the boards and passing the NCLEX with 75-100 questions... I remember the NCLEX in 1988 when I graduated from nursing school. Two days of #2 led pencils circling dots on a sheet of paper. Four segments of nur...
  6. Background results before starting a job?

    At my job when you come aboard, you are required to provide addresses for the last 7 years. If you have lived out of state you are required to get finger printed. The employee can work. However, if something comes back on your background check tha...
  7. Mental Illness and Nursing

    I think it depends on the state in which you are licensed. My state BON does not require me to disclose my illness. When I renew my license it asks a couple questions like: Have you been convicted of a crime other than minor traffic violations? ; D...
  8. New nurse on the floor

    What is the difference in swallowing a med cup of pills at once or putting the pills in the tube all at once? Be aware of the meds that are DO NOT CRUSH, of course. They are all going to the same place (if it's a g tube) at the same time. I'm an O...
  9. Favorite/helpful AN phrases...

    It takes a lot of nuts to make a jar of peanut butter!
  10. Criteria for bipolar and monitoring?

    I don't know what state you live in. I take several meds for bipolar, and have for more than 15 years. I've been a nurse for more than 25 years. I have NEVER disclosed my meds to my employer or the BON. In my state, when you renew your nursing li...
  11. When to have the patient sign consent

    The consent gives the nurse/agency permission to treat the patient. Without permission, you are touching and examining the patient. This is a NO-NO. Patient or Responsible party must always give written consent before you ever lay your hands on a ...
  12. Pt has severe pain when legs elevated

    This often happens with PAD and it's generally a precursor to wounds in the lower extremities. Could your patient stand some compression to her lower extremities? Maybe start off with TED stockings or mild compression. Of course, you will want MD ...
  13. Advice on home health admissions RN

    Depending on if these patients you are admitting are for a medicare certified home health agency then you will need to be proficient in performing the OASIS assessment, this involves training to get it right!
  14. dyslexia

    I have been a nurse for 26 years. I don't think I was ever formally diagnosed with dyslexia. However, since I was a small child, I have had difficulty with transposing numbers. It was a challenge for me as a nursing student and new nurse back in t...
  15. Infernal Equinox

    Welcome back. It's good that you finally realize something has to "STOP" in your head because enough is enough. It has taken me quite a long time to realize this within myself. When I get anxious all the time, unable to sleep, racing and irrational...