All Content by NottaSpringChik
-
Private Duty Nurse NOT through a company
Don't know about that but one sticky with working for your current clients on your own could be if you signed a non-compete agreement. I just applied at an agency and that was in the on-boarding packet. It specifies not working for any one you meet through your job for a period of two years after you stop working for them.. So under the agreement, if you were on a case and the client decided to work with another agency, you would not be able to work with them through that agency.
-
Worried sick that I may have caught MRSA?
Wrong topic post.
-
Worried sick that I may have caught MRSA?
It happened to me......and it was confirmed. I'm still negative.
-
Nurse Sick and FIRED: Exploring Nursing Absenteeism
Here's what happened to me. I went to work and began experiencing symptoms of a medical emergency of my own. I called the on-call supervisor and told her I believed I was getting a detached retina and needed to go to the ER. She yelled at me that she couldn't cover for me because of xyz. She offered no solution for me, just basically it wasn't her problem. When I called I had vision but by the end of the shift I didn't. Completely detached torn retina, requiring intensive interventions, doctor appointments, surgeries, which continue many months and to this day. This has altered my life significantly. When I was in thd ER received texts telling me that because I had called off that weekend i would have to work the following weekend. I was actually scheduled anyway, the week end I had the emergency I had picked up to help out. That was my last shift as a nurse and not sure I'll ever work again. I was fairly new at that facility (SNF) and had never called out before. Picked up shifts when asked.
-
Really good article about chronic pain and the nurse's responsibility in it's management.
Oh thank you for sharing.
-
New Grad in Sacramento, CA - Requesting Advice
I think you should brighten up your resume while you do as much networking as you can. And soon as you get the number of your license apply to the positions/hospitals you want. Most positions here say "one year experience preferred" but there are a few hospitals that are hiring ADN new grads as long as they are enrolled in BSN program. Can not underestimate the power of networking also. Use all the contacts you have including your new grad cohorts to find out where the jobs are. Good Luck and enjoy.
-
National Normal Saline Shortage
Other IV medications bags projected to be affected too. Saw the notice that alternative delivery methods may need to be explored, such as IV push if feasible. Well see. Hope not.
-
Verbally abusive patient, worried I could have handled the situation better
Patients in jail may refuse care and are allowed the same privileges as any other inmate in regard to their food, exercise, etc. They receive education and special diet if desired, regular diet if desired. The down side for them is we are the manager of care so their choice is pretty much our care or no care and we will make them safe whether they want that or not. Would probably not be able to enforce a fluid restriction and it would probably be up the patient to do that for himself. We make people sign a refusal letter stating education was given concerning risks(given in the letter- disability, worsening if condition, death). Then it us on them pretty much. Bet your patient has spent at least a few nights in jail. Maybe hospital should get signed refusal documents!
-
What do you mean I'm not a REAL nurse?!?
I am a corrections nurse but am currently looking for a job in another area of nursing. Not sure where I'll end up but it most likely will not be acute care. I have run into this "real nurse" myth quite a bit. At one jail one of the deputies told the patients (inmates) I wasn't a "real nurse." This was a very small jail and not just "real nurse," I was the "only nurse." That position was difficult enough without the incredible ignorance of that particular (female) deputy. I really hope all nurses will work to dispell this notion. "Real nurses" are licensed nurses who work to promote health and safety with our very special training and knowledge wherever and in whatever setting we live.
-
Thinking about becoming WOCN
Following
-
What is the grossest thing that's happened to you???
Has to be the woman who ate her own feces and licked urine off the floor. She also pulled out her hair and smeared the feces and hair all over the window of her door, which was pretty horrifying to look at. Bath salts victim. Was insane and violent for approximately 24 days and then cleared and seemed to be a very nice person. We never told her about ALL the things she did.
-
Entertaining pt
Even parents who have money seem to get this attitude that they won't spend money on the child - that if Medicaid doesn't cover it they're not going to either. Its hard to understand. It's still their child!
-
fake illness...how to rule out real injury
Regarding giving the guy with the nausea, vomiting and diarrhea something other than gatoraid and time off. Nurse, "Actually, the doctor usually orders a full liquid diet for a few days. Do you think that might be helpful? Most people with all of the symptoms you mention are grateful for that."
-
Woman posing as a nurse for months
In my state all the licenses are on line and anyone can look at it. Says she used a hypenated name wtih the name and number of a real nurse so that might have thrown people off too. I guess no one thinks anyone would do such a thing. Would never occur to me to think someone was lying about that. Oh my gosh, being in the ICU with no training - what a nightmare!! Wonder what she was thinking!
-
"Prestige" Nursing Schools
The choice of school is a really personal issue and there are many factors, including cost, location, campus life. I think everyone should be judged on their performance and what they do to continue their personal development. Certainly each school has its deficits and strengths but when we pass NCLEX we are supposed to be able to function safely as an ENTRY LEVEL nurse. That is all, regardless. We have to be given opportunities to develop. I think sometimes the certain school and who you know will get a person opportunities and maybe someone taking another route may have to work a little longer and harder for the same opportunities.
-
How easy is it to lose a license in correctional setting?
I've heard this on hospital nursing too;and I wonder if it is true. I have my own liability insurance. I dont trust the employer that much.
-
Working with an expired license
In the future, so easy to go onto DORA and look at your own stuff. Sorry this happened to you.
-
Why Do You Love Being A Prison Nurse?
You said it all very well and agree, agree on all your points. The unit I work in does all the ETOH detox for those who are incarcerated during that time. I have a soft spot for the drunks. I know 99% will continue to drink but ending up in jail can be a catalyst to seek sobriety. I like to be a kind and supportive presence while they are detoxing. If there is an opening to talk about seeking sobriety I take it on and express my support for it to them, encourage them to go to AA even if they can not enroll in a recovery program, encourage them to "work the steps," help them to seek the possibility for life without drinking, being arrested, being ashamed. I think of my small kindness and positivity as a little drop in a big bucket - you never know when/what will fill that bucket and that person will decide to seek recovery. I know the alcoholics, in general, have so much shame. And many that are in the drunk unit for the first time don't think they need to be there; so I do education on what I am seeing that indicates withdrawal, how dangerous it is, and try to get them to think a little about their trajectory. That is just part of what I really enjoy about my job.
-
Who is planning to retire in a few years?
I already retired from one career and nursing is my second career. I love it but it is beginning to wear on me. I work in corrections, which is easier on the body than many other nursing jobs; difficult on the soul sometimes, just like all other nursing jobs. My husband really wants me to retire, but then he picks at me about paying for this and that. Adjusting to SSI is going to be difficult and I want to wait to not have any penalty - which will be in approximately 19 months. Then I can also work now and then for some additional income. I really do not want to give up nursing after working so hard for it. I have been offered to do some clinical instructing and I think I will love that, it is very part time, short term and will probably fit the allowed income level. Maybe I'll find some other thing to do like flu clinics? We'll see. Best of luck to all of you considering this great move. Again is the issue will I be productive as a retiree or just sit like a lump. I have activities I love doing and some volunteer work too so hopefully I won't be a lump.
-
Stopped at 75 question. I'm almost sure I failed
I was a good student and always did great in the HESIs. My test stopped at 75 questions and I was utterly and completely convinced I had failed in 75 questions. I remember going on a rollacoaster of emotions but finally resolving I would take again as soon as I could, be humble and work harder. I passed though. The test is designed to make you feel you have/are failing. Good Luck and soldier on!! You can try again IF you didn't pass. It'll be okay.
-
Favorite Motivational Quote
I'm getting paid by the hour.
-
How do you get meal breaks?
The company is work for has sites in many states. State law in my state requires employers to give a lunch break. So we are told we should clock out for lunch. If we are interrupted or miss lunch for some reason we're supposed to submit a form saying why we didn't have a full half hour off once we punched out or didn't punch out at all. My manager gets emails from corporate reminding this is the policy, which are forwarded. We all try to get lunch and per my state law if you're off the clock for lunch you may leave the work site and have no obligation to be available. If we don't take lunch my manager has chosen not to counsel us even if we don't fill out the forms. I have intention to take lunch but often choose not to leave the unit and grab a bite while working. I try and clock out and take lunch at least 50% of the time and I do not work when clocked out. If I did work for an emergency I would fill out the form but often if I just work through and dont clock out I dont report with the form the way I should.There's room for improvement on my part that's for sure. We should all make taking care of ourselves a priority. Why don't we I wonder! If the lunch policy was strictly enforced you bet I would be completely unavailable once I clocked out. The nurse practice act can not require you to work without pay. As long as other nurses are on duty you are not abandoning. If you are the only nurse available and state law requires a lunch you would need to be paid the entire shift and the company should get a waiver if state law requires a lunch. I've always said if there is a policy that doesn't work and managment draws a hard line be sure snd follow it EXACTLY. That is the only way to prove the policy is wrong. If everyone just creates a work around the policy will never be changed and you'll always be wrong.
- When Your Patient is an Addict...How to Deal
-
Good grief...I came up Positive
Widely-Used EtG Test for Alcohol Shown Unreliable
-
Am I right that this is nuts?
That would never happen in the jail I work in now - no civilian is allowed to be alone with any inmate, except for lawyers and then the inmate has eyes on him (out of hearing range). This facility is the safest I have ever been in. I have worked in two other facilities. One of them nurses were alone with inmates routinely, but not the ones classified as dangerous. The other jail was a small one and the security was almost non-existent. I was interviewing an accused murderer on the day he came to the facility. He was shackled to the booking bench by one leg and his arms were shackled at the wrists in front of his body but not secured to his body. I looked up at the end of the intake interview and i was totally alone. The deputy at the booking desk had slipped away and I had not noticed since I was so involved in the interview. I was sitting not far away from this guy on the bench (as I said a VERY small jail). Another time I was seeing an inmate patient (my office door was near the main desk) and when I called for the deputy to buzz him back into to his housing area, there was no one there. This guy was a new arrestee with multiple DV assault charges against him. Thankfully nothing bad ever happened there.