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Duncan6

Duncan6

Dialysis, Diabetes Education
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Duncan6 has 21 years experience and specializes in Dialysis, Diabetes Education.

Duncan6's Latest Activity

  1. Duncan6

    Working full time

    I'm curious about this also. I currently work full- time,3-4 days a week,but am interviewing for a Mon-Fri 9-5 office job. Right now I use my days off for school work. But if I get the new job that will change. I could potentially do school work before work in the mornings and some evenings, and over the weekend, but I also have 4 teens at home and evenings and weekends are generally full. Not sure if I can swing it.
  2. Duncan6

    Salary negotiation

    I've been a RN for 24 years, and have been a charge nurse in outpt dialysis, an interim clinic manager for a short time and a certified diabetes educator. Tomorrow I am interviewing for the clinical coordinator position in the endocrinology group where I was an educator. Glassdoor had a salary range of 80-90,000, which would be great. More than I make now and it would make it worth the commute and 5 day work week. However, when I talked to the talent acquisition specialist she told me I could expect around $29/hr- which is less than I make now. I was told the physician groups don't pay as much as the in-hospital positions, which I understand, but the higher salary shouldn't have been posted on the job listing then. In your experience, do I have room to negotiate? The endocrinologist, the CRNP with the most seniority, and one of the dieticians I previously worked with are my references. So while I don't have tons of management experience, the company in one sense knows what they're getting and the quality of work I would deliver. I'm also working on my MSN. I feel like that could give me some leverage.
  3. Duncan6

    Leaving dialysis?

    @kbrn2002 Thanks for your feedback. I did talk to the NP and she was very enthusiastic and feels I would be a good fit for the position. So I'm going to apply and see what happens. The hourly raise would be great, and they do have full benefits that are better than what I have now. And I would get to work with people I can trust. That alone is huge!
  4. Duncan6

    Leaving dialysis?

    I finally landed back in outpatient dialysis 3 years ago after a 10 year break and I was so excited! Overall it has been good, I love my patients and most of my coworkers. I have a 4 minute commute and work the typical 3-4 days a week. However, the 4am start time has been much harder on me this time at 45 than when I started in dialysis as a 21 year old nurse. Our clinic is also always short staffed. Which is typical in this area. And there are The typical problems with working for one of the big 2. And our health insurance is horrible. The biggest issue is the RN with the most seniority has been very underhanded with me lately. I won't go into details now, but I feel like I have to watch my back whenever we work together now. I haven't really been looking for anything else, but recently was made aware of a position that opened up for a physician group I worked with as a diabetes educator, the same group of people that I would love to work with again. But it's a 5 day a week office job with some Saturdays and a 25 minute commute. It pays about $10/hr more and I could have a more normal sleep schedule. I'm really torn and am considering talking to the CRNP who I worked with at the physician group, but not sure if it's a good idea. Any thoughts?
  5. Duncan6

    Exposed to Covid and no isolation?

    Sorry, let me clarify- the pt ( a nursing home resident) is being sent to our covid clinic as well as her roommate who is also a pt of ours. We have a few other pts from that nursing home, and they are still at our facility- they have tested negative at this time and are reported not to have been in any close contact with the positive pt.
  6. Duncan6

    Exposed to Covid and no isolation?

    Yes, I agree, nothing is 100%. And yes, my kids could be asymptomatic as well. Generally, though, our county's rates have been very, very low and the teams are outdoors and practicing distancing, so I feel some sense of security in that aspect. Our clinic has been very diligent with wearing all PPE, keeping visitors out, disinfecting, etc. And we have sent our positive pt to our area's isolation clinic. So we're all covered there. I guess I was just surprised that it wasn't suggested we isolate or limit unnecessary contact since we were around a confirmed positive pt. Thanks for your feedback!
  7. Duncan6

    Has anyone returned to dialysis after many years?

    @Ashley_SF,BSN That's true, I was thinking about my own experience in outpatient. Inpatient vs outpatient is very different when it comes to BP maintenance and fluid removal- more options for sure!
  8. I'm an outpatient hemodialysis nurse and we just had our first patient dx with covid 19. We were informed last night by our CM and told to just monitor for symptoms. We have been diligent in use of PPE and requiring all the patients to be masked so per our CM, our risk of infection is very low. I asked if we should be isolating at all and was told no, just to monitor. So my question: I have 4 teens all in sports that are ramping up, in fact, I was at the ballfield last night when I got the call. I'm also a pastor's wife and we are socially distancing and wearing masks at church, but still around the congregation. And my parent's 50th anniversary party is in a week. We delayed the party until things calmed down, and now I'm thinking it would be best to delay again. We are just having kids and grandkids, but my parents are 76 and dad has diabetes and cardiac issues as well as some COPD. My sister in law is an RN in behavioral health and she doesn't think it's necessary that we delay since she "works around pts who don't wear masks". I'm torn since the company doesn't seem to think it's necessary to isolate, but I would hate myself if I was asymptomatic and gave it to my dad or someone else. Anyone have any thoughts on this?
  9. Duncan6

    Exposed to Covid and no isolation?

    So we just had our first patient dx with covid 19. We were informed last night by our CM and told to just monitor for symptoms. We have been diligent in use of PPE and requiring all the patients to be masked so per our CM, our risk of infection is very low. I asked if we should be isolating at all and was told no, just to monitor. So my question: I have 4 teens all in sports that are ramping up, in fact, I was at the ballfield last night when I got the call. I'm also a pastor's wife and we are socially distancing and wearing masks at church, but still around the congregation. And my parent's 50th anniversary party is in a week. We delayed the party until things calmed down, and now I'm thinking it would be best to delay again. We are just having kids and grandkids, but my parents are 76 and dad has diabetes and cardiac issues as well as some COPD. My sister in law is an RN in behavioral health and she doesn't think it's necessary that we delay since she "works around pts who don't wear masks". I'm torn since the company doesn't seem to think it's necessary to islolate, but I would hate myself if I was asymptomatic and gave it to my dad or someone else. Anyone have any thoughts on this?
  10. Duncan6

    Old Dialysis Nurse- wanting to go back

    Update: I did start in Jan. 18. I really enjoy being back! The clinic isn't perfect, and we've lost some staff recently so I'm working extra hours right now, but overall I am still really happy to be there. The charge nurse position is actually open again, but after seeing what they want the CN to do, I'm happy to stay a staff nurse for now. The actual process of hemodialysis hasn't changed in 10 years and the machines are relatively the same, so that part has been easy to come back to. The EHR programs aren't really user-friendly (at least to me) and some of the new CMS regulations have been a little harder to get used to, but I think that is anywhere you would go in healthcare. Don't get me started on Schedulewise, though; I think someone sitting in an office somewhere came up with that one.
  11. Duncan6

    Ethics: "Every minute counts..." or not?

    One other brief point: Unless things have changed, the treatment time is a physician order- cutting the tx short without an ok from the physician is then not following the physician order and could result in a lot of hot water for the nurse/tech that is doing it.
  12. Duncan6

    Ethics: "Every minute counts..." or not?

    Wow, if I'm understanding this correctly- the staff is deciding to cut treatments short for various reasons, and then making the pt sign AMA to cover themselves? I haven't been in dialysis for 10 years, but I have a previous 11 years of experience (and am starting back in January). I would have a big problem with that, too. If I recall correctly, IF there was a valid reason for terminating a tx early, it was documented clearly and the physician made aware. A pt only signed AMA if they were the one insisting on shortening their tx. Are your physicians aware of this- I'm assuming not- because any provider I have worked for insists on a full and complete tx with termination only happening in extreme cases. I do recall way back in the '90s that on Christmas Eve we would run short txs for pts with small fluid gains- but that was done with a specific physician order. Your FA needs to back you up and address this. I would also refuse to cut the tx short (in the most respectful way possible)- if the charge wants it done- she/he needs to do it and be the one documenting it. I'm sure it would be difficult to confront due to how close the staff work together, but in the long run it will hopefully be better for you and definitely better for the pts. I'm a RN who has done charge- and I can't imagine telling the other nurses or techs to cut txs! Every minute does count.
  13. Duncan6

    Old Dialysis Nurse- wanting to go back

    Still waiting... I originally applied for the charge nurse position, but they hired one of the current RN's there. They offered me the vacated staff nurse position. Which I accepted. Except- it wasn't a formal offer. The position hadn't been posted yet, so they couldn't give me anything in writing. Still waiting for them to post the job. Apparently corporate isn't a very big hurry. So my last communication with the clinical manager was that she still wants to hire me, but is still waiting for her boss and others to get approvals done so they can make the formal offer. I still don't even know what salary to expect. My potential start date is Jan. 3 when the next set of new hire classes start. Jan 3rd is the absolute latest I can start. If they can't get a formal offer done by then, I'll have to move on. Which will be disappointing, but I have to have a paycheck at some point!
  14. Duncan6

    Old Dialysis Nurse- wanting to go back

    I was just offered a position today at the dialysis clinic in my town. I've been waiting for over 3 years for a position to open up there. I had been offered another position about 30 minutes from home, but it seemed a really unstable situation, so I declined. I'll let you know how it goes once I get started!
  15. Duncan6

    Davita Star RN Program

    I was offered a staff nurse position this past Thursday. Right after getting an informal offer I received a notice that the outpatient clinic less than 2 miles from my house is hiring a charge nurse. I have wanted a position there forever, but they don't have any turnover! Seriously- nothing in probably 3 years since I've been really looking. So between the informal offer and formal offer later that night, I submitted my app. for the charge nurse job. I took a chance and called the clinic and was able to speak with the administrator who also scheduled me for an interview this last Monday. Interview went well. She said she'd let me know soon. In the meantime I've declined the other offer. I was getting a little nervous because initially they said it would be a 5am-6pm shift, then it became 4am-8pm, but hopefully there would be someone who could take the later part of the day- but it sounded really unstable. I also would have to drive over the mountain- summer it isn't bad, but in winter nothing would be plowed at 3am. So we'll see what happens- fingers crossed!
  16. Duncan6

    Davita Star RN Program

    StarBrownRN, thanks for the advice! They still haven't filled the position yet, and after further conversations with them I am still in the running. The concerns you mentioned are the same ones I have. Any company I have worked for before has had an RN as the FA. They did help on the floor- but only when they had time and if it was absolutely needed. They weren't ever scheduled on the floor unless they were maybe covering a vacation or something like that. Since they hire FAs that aren't RNs I'm sure this is just a cost saving measure. The clinic itself has been open about 4-5 years and still runs just 3 days a week with a small staff, but I'm wondering how many FAs they have gone through. I've spoken with two current FAs in my region and they say they both love it and one actually works per diem in pediatric home health. Not sure how she does that. On the other end of the spectrum I have spoken with a former coworker who was an FA and went back to working on the floor. She was absolutely burned out and hated it. I guess we'll see what happens. I'm not too optimistic that I will be offered the position, but I'm glad to have my concerns validated either way.
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