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greg in mass

greg in mass

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  1. greg in mass

    Second Degree in _____?

    I am considering getting a degree in Business to compliment my nursing degree.
  2. greg in mass

    Psychiatric Trends

    This is a good question. Unfortunately I am not sure of the answer, but I am interested on the other replies you receive. However, this trend to closing psychiatric units/hospitals is not a good sign. Where are we going to put all those clients that all need to be in a locked, controlled environment??? Are they going to be in transitional housing with little control and supervision. If they do, I hope that they protect the rest of society from the clients who cannot help themselves from doing harm to themselves or others. One thing I believe, is if they do a mass closing of many psychiatric facilities....that in the long run....we as tax payers will have to pay to have other facilities built. Would it not make more sense that to just fix up these old facilities than close them and allow them to fall apart over time due to weathering and lack of fixing up. This is a typical way of many state run facilities. It does not make sense, but because it does not make sense....this is the reason they do it. This is your good tax dollars at work. Also it shows that the people we voted for in office just are not doing their job for whatever state we live in. In addition, I hope that future of all of the medical world in the USA does not turn into Socialized Medicane as some people I have talked to. This would not be good, because other countries who have Socialized Medicane state that it does not work and that the quality of care drops dramatically.
  3. greg in mass

    frequent flyers

    Yes it does get frustrating and many staff get burned-out from the "personality disorder" clients. All clients need help, and you should not focus more energy on one client or type of client than another. The Personality disorder client (i.e. Borderline client) will demand all of your energy and the rest of the staff's energy to give them all attention, whether it be positive or negative. The reason it gets frustrating is that these clients do have an understanding on what they are doing, but like you said, they refuse to take "personal responsibility" for their actions. Other clients may not be able to express their needs to staff as well as other clients. This can be hard to determine which client needs more priority over another client during your shift. Gaining the experience comes within time. Try to ask other nurses, the treatment team, and the other staff at your facility for more insight on how to handle personality disorder clients better. You can also read up on this type of client in the DSM, the internet, other books, etc.
  4. greg in mass

    Using college career counselors

    A question for anyone who has worked as a nurse and then changed their career while still utilizing their prior nursing experience. Has anyone used a career counselor in college to help you decide which career change you can move into while still utilizing this prior nursing experience?
  5. greg in mass

    certifications

    Unfortunately I cannot answer your posting: "I was wondering if anyone has any information on CRRN, CDMS, CCCM Certifications. I am looking to get a job with an insurance company and these are required" However, this website may give some insight on one or more of these certifications. http://www.dlt.state.ri.us/webdev/donley/htm/qrc_r_r.htm I too am extremely interested in working for an insurance company in the next 2 years. Maybe you can answer some of my questions as well. 1. Do you know what the qualifications an insurance company may want (other than these certifications)? 2. Does nursing experience help one get a position and if so, which position would someone with an RN degree have a chance at attaining? 3. Currently I have been pursuing an associates degree in Business Administration. Do you know what college experience or degrees help? 4. Any idea of what the income rate is for working in an insurance company? 5. What type of insurance company should I focus my energies of pursuing? Out of curiosity, what interested you in getting a job in an insurance company? I've been working in nursing for about 10 years and have been interested in trying a change. I know that working in the insurance field with an RN degree was a possibility, so I have been having strong interests in learning more about this option. :)
  6. greg in mass

    certifications

    Unfortunately I cannot answer your posting: "I was wondering if anyone has any information on CRRN, CDMS, CCCM Certifications. I am looking to get a job with an insurance company and these are required" However, this website may give some insight on one or more of these certifications. http://www.dlt.state.ri.us/webdev/donley/htm/qrc_r_r.htm I too am extremely interested in working for an insurance company in the next 2 years. Maybe you can answer some of my questions as well. 1. Do you know what the qualifications an insurance company may want (other than these certifications)? 2. Does nursing experience help one get a position and if so, which position would someone with an RN degree have a chance at attaining? 3. Currently I have been pursuing an associates degree in Business Administration. Do you know what college experience or degrees help? 4. Any idea of what the income rate is for working in an insurance company? 5. What type of insurance company should I focus my energies of pursuing? Out of curiosity, what interested you in getting a job in an insurance company? I've been working in nursing for about 10 years and have been interested in trying a change. I know that working in the insurance field with an RN degree was a possibility, so I have been having strong interests in learning more about this option. :)
  7. greg in mass

    Where do you see yourself in 5 Years???

    After dealing with my current work stress and watching the CNN review of the nursing field, I would have to pick number 5. I am undecided on what I will do within the next 5 years. However, CNN predicts that because I am under 30 years old, there will be a 1 in 3 chance that I will leave nursing entirely.
  8. greg in mass

    Selling medical products for companies.

    Has anyone made a career change into selling medical products and/or medical equipment for a Company? If so, how did you go about getting this position and what qualifications and/or education did you need? If you do not have all the qualifations for their postion, would your company train you? :)
  9. greg in mass

    Administering Herbal Medicane Therapy

    Has anyone administered herbal medicane therapy on a daily basis to your clients in any Northeastern USA hospital? Are PCPs reluctant to prescribe herbal medicane to their clients? :)
  10. What types of qualifications and/or education does one need to get a position in QI, UR, or Risk Management? :)
  11. greg in mass

    Where do you see yourself in 5 Years???

    Where do you see yourself in 5 years??? Do you think you will... 1. Stay where you are in the same position. 2. Get more education and advance up the nursing career path. 3. Get more education and leave nursing. 4. Leave nursing regardless of education. 5. Other.
  12. greg in mass

    Maine Nurses Association votes to disaffiliate from ANA!

    Congratulations!!! I'm glad to hear that there was such a high percentage of those of you that voted against the ANA. I glad to hear such good progress. I just hope that your state union does what they say they will. ------------------
  13. greg in mass

    Need help quick!!!

    Currently my friend is out of work because of stress. She is also looking for another job, because her current one obviously believes in putting staff in unsafe situations. I am outraged over this. It definitely demonstrates such a lack of respect and humaneness to people who work in the nursing field. I will take "journeyy" advice and suggest for her to seek an attorney's advice on her situation. To all of you who have replied to my posting. Thank you for all your support and ideas. It was extremely appreciated. I will also keep you posted on the outcome. ------------------
  14. greg in mass

    PERSONALITY DISORDER/SELF ABUSE

    DBT is used in my facility, but only a few people are trained in. The downfall with this therapy is that it is designed for clients in a out-patient setting. My facility uses it in an in-patient setting and from my opinion it is not that useful. From my understanding of a Borderline Personality Disorder client, it is better to discharge them as quickly as you can out of a in-patient setting. If not, then this type of client tends to become dependant on the system and will do anything....including hurt themselves very violently....to stay in an in-patient setting. Trust me, I've seen many Borderline clients over a 8 year span. Many of these clients that do leave tend to become repeat clients that come back to the in-patient setting. What also gets to be difficult is dealing with 5 or more on a unit....while you also have 20 other clients as well. Borderline clients burn out your staff and they all want so much attention....positive or negative....it does not matter. When you have more than 1 client on your unit, they tend to be buddies often, and they also compete against one another for staff's attention. If one gets more attention than the other, then you will often see the other act out purposely to harm themselves to attain attention....and this competion continues. These type of clients tend to be on close observation often. Treatment teams try and devise special plans for these clients, which only works temporarily. These clients are well aware of what they are doing, because remember it is a personality disorder they have. They tend to split staff often and tend to lie often about staff. Sometimes their lies get staff in trouble, and they have no remorse for their actions. They cannot stand being alone....and will converse with anyone...whether they like them or not just so they can have company....and will try and do anything to get on 1:1. Many other characteristics also occur, but I could go on and on. Hopefully this gives you some insight to help. ------------------
  15. greg in mass

    Need help quick!!!

    So far administration will allow this nurse's aid to work away from this client in a capacity outside of a nurse's aid role, but this has not been finalized yet. I still do not understand why this has to go through so many obsticles till someone can assist this nurse's aid. It makes you wonder if staff have any rights at all. I still would like to know if anyone out there has any knowledge on what legal rights this nurse's aid has in this type of situation??? ------------------
  16. greg in mass

    Need help quick!!!

    Unfortunately Doc there is no orientation for this type of problem at this facility. Soon this issue will be taken up with the "powers-to-be" and there is no guarantee that it will be resolved. This situation is presenting a definite problem for this nurse's aid. I am trying to assist her in this matter, because she is a close friend of mine. Unfortunately I need some help also, because I do not know where to go from this point. This is the reason why I posted this situation on this site. A "no contact" treatment plan has been implemented. However, the client refuses to comply with it. So therefore, this nurse's aid feels as if she is being harrassed and fears another assault will occur again. Any information from anyone is extremely helpful and would be greatly appreciated....even some words of encouragement. Thank you. ------------------
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