Silver_Rik ASN, RN

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...

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...

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 ...

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 fur...

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 prog...

How difficult would it be for an OR circulator (2 years experience) to transfer to Cath Lab? How much orientation would they need to be able to work as a Cath lab nurse? I’ve only visited the Cath lab at my hospital once, but the set up a...

True

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 th...

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 docume...

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 l...

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?

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 r...

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...

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 governm...

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

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 (medica...

I personally hate the Dobbs ruling; but your analysis is incorrect. Her health diagnosis privacy is protected by federal law- HIPAA - the SCOTUS decision did nothing to change that.

The legislature in my state is proposing to go down this road to “solve” the problem. Remove capacity limits for nursing programs and lower the standards for nursing school instructors. Now you need a BSN to teach in an ADN program a masters is requ...

Kentucky. $7.50/hour on call pay. 1.5X time plus $3.50 shift differential, 2 hour minimum. If you live more than 30 minutes from the hospital they reimburse cost of a hotel room when on call (until recently they booked and paid for the room up front...

CNA until you start your LPN program and consider continuing to work as a CNA part time or PRN while you’re in nursing school. After you become an LPN you might look at bridging to RN I started back to school at 49. My first RN program required ...

Yes places will fire you for this but if you can prove it was due to this it’s actually one of the few reasons that isn’t legal for them to do as long as you weren’t organizing on company time. The NLRB will go in and force them to rehire you with ba...

We are getting audited pretty heavily on conducting proper timeouts. One point of emphasis is doing a new timeout before any new procedure. For example in urology if we are doing a cysto with stent placement followed by ESWL we have to timeout befor...

This makes sense, if there are any changes in personnel or position, and even without planned changes it could catch errors or unintended changes. wrong site / side surgery is super scary and our cross town affiliate hospital has had it happen i...

Did you learn to scrub on the job or attend a surgical tech program? How long have you worked in the OR? Do you see a trend away from circulators knowing / being taught to scrub?

Based on my limited experience (work in OR in two hospitals and training in a 3rd that is affiliated with one of the others) it seems true that the trend is toward circulating only. Maybe this is related to the trend toward wanting certified surgical...