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Silver_Rik

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  1. Central Kentucky On call pay $7.50 / hour. Call back is at 1.5X base pay plus shift differential, 2 hour minimum It's nice to pick up the extra money but it's not enough that many people are jumping at it, and it seems if you pick up a lot of call back you end up at the top of the list to be low censused home (not that I don't appreciate getting out early now and then.)
  2. It may help to confront the difficult preceptor directly. Of course be diplomatic and don’t do anything that can be seen as retaliatory against them for doing their job. During orientation in my current job I was dealing with a hostile preceptor. One day I just went up and said something like “clearly we’re not seeing eye to eye, what’s going on?” She said “I try to help you and you don’t listen to me.” She had a point, I was trying to prove I could do it all on my own and I couldn’t. I promised to listen better and pay attention to the lessons she was trying to teach. Now I’m there 2 years, and that preceptor no so long ago went out of her way to complement my work and knows I’m someone she can count on when she needs a hand. One more thing, if the worst thing is you might need to look for another job, don’t be afraid to play politics. Find the experienced coworkers who support you and line them up to speak for you to management. Talk to management and find out if the hostile coworkers have any teeth. I’ve seen several times where if you listened to the gossip buzz around the department a fellow employee was on the verge of being fired but I’m pretty sure nobody shared that opinion with management because they are still employed. Talk to your unit manager and you’ll know whether they support your success or it’s time to look for another employer.
  3. You said you recently switched to OR. Where are your preceptors and what are they doing to support you? Even as an experienced nurse in another department, you should be getting at least a 6 month orientation as a new OR nurse (at least in major OR circulating multiple service lines).
  4. I’m not a lawyer, but I don’t think that’s an issue for a jury to decide. The judge or appellate court would make the determination of whether it applies to a non advanced practice nurse. I agree that this is a distinction that probably has to be further sorted out.
  5. Not a red flag at all, just boilerplate cover your azz language: Bellarmine University cannot confirm whether its courses or programs meet requirements for professional licensure in states other than Kentucky. Prior to enrolling in a Bellarmine program, a student who does not reside in Kentucky should contact applicable licensing board(s) in the student’s home state to determine whether the program meets requirements for licensure in the state where the student resides. The issue wouldn't be that nursing degrees explicitly from Kentucky aren't recognized in some other states, but that some states may not automatically recognize nursing degrees from any other state (I.e. may require individual review of the academic program.) The BSN and graduate nursing programs at Bellarmine are all CCNE accredited. Are there states that don't recognize degrees from CCNE accredited nursing programs? Kentucky is also a Compact state. I don't know anyone who graduated from an accredited nursing program in Kentucky who couldn't get a license in any other state they wanted to practice in because their education wasn't accepted. Miami University may be a better fit, but I don't think you'll have any problem whatsoever getting licensed in any US state with a degree from Bellarmine.
  6. Not a lawyer, but my brother and my dad went to law school and I know that the basic elements of a contract are offer, acceptance, and consideration and just because they say it’s not a legally binding contract doesn’t mean a court will agree with them. Also I read recently that several law firms are aware of this trend to cut contracts and rates and are looking for plaintiffs who want to be represented in lawsuits against agencies and hospitals for breach of contract
  7. That’s not in the Bill of Rights, it’s from the declaration of Independence. Since abortion before 16-20 weeks wasn’t prosecuted in colonial America, the first state to pass an abortion law was Connecticut in 1803, and the men who wrote those documents didn’t even fully extend those rights to women or non white people it’s pretty presumptuous to insist that they intended them to apply to fetuses
  8. Again, just because TX passed a law that says you can sue for this doesn’t mean they can violate the privacy of patient medical records to find people to sue. or I should say they can violate privacy but it won’t protect them from federal law Scenario: Nosy Nursewell RN starts going into records of women seen in her employers OB/GYN practice looking for women she suspects had abortions so she can file lawsuits. Is she protected from being sued, prosecuted, fined, etc for violating HIPAA? NO.
  9. Fair enough, they are a stretch but it doesn’t mean the law authorizes snooping in your medical records. Has anyone actually brought a lawsuit yet under this law, what was their relationship to the patient?
  10. Does the TX law create an exception to the hearsay rule? If it was a criminal prosecution I would agree with you that the prosecution could subpoena the medical records. HIPAA allows that. But this is a civil lawsuit and I’m not sure whether HIPAA requires cooperation in that case. The original argument here is that SCOTUS just eliminated all protections for private health information and that’s simply untrue
  11. That’s not a necessary condition. You can volunteer the information. Example: you tell the man who impregnated you. He gets mad because he didn’t want the pregnancy terminated and sues under the TX law. You tell your sister who you know is “pro life” but trust her because it’s your sister, but she’s so mad you had an abortion that she filed a lawsuit. A person doesn’t need prior access to your medical records to file a lawsuit
  12. If someone subject to HIPAA accesses your medical records without your permission to find out you had an abortion so they can sue under Texas law they don’t have immunity to liability under federal law. It’s not my job or that of the federal government to help them figure out how to access your private health information without breaking the law. Also HIPAA doesn’t cover private citizens who aren’t employed by a covered entity, so there is a way someone could try to use thd new Texas law
  13. Just because TX law says a private citizen can sue another for having / performing an abortion does not mean they can violate HIPAA and just snoop in your medical records to find out who had an abortion
  14. You made the assertion that the Dobbs decision eliminated medical privacy. It’s not my job to prove that SCOTUS didn’t overturn HIPAA. You’re asking me to prove a negative. But I’ll try to answer: Is there literally a single expert (medical or legal) article out there that HIPAA privacy rights have been overturned.? The Court just said that privacy rights are not protected unless explicitly protected …ie by legislation.

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