FlorentineRN

Call the Dean.

If you were treated for pulmonary tuberculosis in the past you should be prepared to provide medical records to establish the drugs used and your completion of treatment. DO NOT TAKE any more TB skin tests. You are going to be repeatedly positiv...

I'm sorry for your trouble. Also don't know what continental refers to here. The best advice is to get an attorney with experience in Board of Nursing issues. The attorney can then advise you about next steps such as a hearing . These laws als...

How could it possibly happen that you are being treated in this horrible manner. I know it is expensive, but I think an attorney familiar with these manners is really needed to get some sanity in he door. I’m sad this happened to you.

I would tread very carefully. These are the questions I would be asking: Do all patients receive an examination by a medical provider and is this documented? What are the diagnoses? Who mixes the IV infusions? If it doesn’t come from a pha...

If I may add to my own comments….. The device should not have been in the sink with the emesis basin. If it is a disposable instrument it should have been discarded in a sharps container at the point of use. If it is reprocessed after use, you...

It is a blood borne pathogen exposure for sure if the fluids come in contact with the skin. If the “sharp” punctured the skin it could be considered a needle stick. More important is for each blood borne pathogen exposure to be assessed ind...

I think you are in a great position to put your education to good use. So many possibilities including: quality improvement, patient safety, patient advocate, infection prevention. See if you could be on one of those committees at your current facil...

A patient in a wheelchair came into my office and asked about my family photos of little girls on my bulletin board. He placed his wheelchair between me and the door and proceeded to masturbate while looking at the photos of the girls. When I tried...

Nurse Navigator (NN)is definitely care management. The VA has these positions and they pay well. Monday-Fri schedule. For my interest, NN would be more fulfilling because you follow a patient population for their entire journey, not just inpatient. ...

I am at about retirement age so I have had time to reflect on my career. Nursing has been good to me and I think no other profession offers such diverse experiences. I absolutely hated being a nurse in an inpatient setting and I thought I had made a ...

Completely agree. I’ve seen too many NPs choose friends to be their preceptors. I think a one year internship or residency should be required for entry to practice.

I’m leaning toward a respiratory infection given his respiratory rate and breath sounds. There is no consolidation which points away from pneumonia. Lesions in mouth and cachexia could be thrush and general immunocompromise May be anemia of chroni...

NP education is a huge problem. Entry to a NP Program should be limited to RNs with previous clinical experience. No open book exams and choosing your own clinical preceptors. It may be too late though because a lot of people are upset about the e...

I had a freaky experience at a small rural ED a few years ago. I received a telephone call that my 80 year old father had fallen overboard, was injured and was being treated in a small rural ED. The location was about a 3 hour drive away. When I...

My time with my father is not tarnished. I am lucky to have him. We did an advanced directive and POA together after the events in the ED.

The Indian Health Service (IHS) moves at glacial speed. I’ve worked as a public health nurse for IHS at several locations in the past. The hiring process can take months. Don’t bother calling Human Resources. Call the DPHN (Director Public Health ...

I am undecided about the vaccine mostly because I am bothered by the many unanswered questions about the illness itself. There is a lack of clarity about the origin of this disease. The illness itself has such a bizarre range of symptoms. After do...

Congratulations! Public Health Nursing has so many options. As I complete my 39th year as an RN, I look back with pride on my career. Often public health nursing doesn’t pay as well as inpatient nursing. However, as your career progresses, you can...

I think the most appropriate outcome would be for the employee and supervisor to be required to complete the training again on reporting of suspected abuse. The facility needs to hold itself accountable for supervisory employees also not having a cle...

Ppark Congratulations on achieving your goal. Your professional and academic success must feel really great to you. I am sorry that the negative comments you received years ago were so wounding to you and that you are still reacting to it. My a...

I am sorry to hear about your injuries. You have to be careful with omitting a position from your resume. For example, to get a job at the VA you need to pass a FBI background investigation. Their applications require you to account for gaps in emp...

If the ER nurse is following precautions she has every right to continue with her private duty position. I am disturbed that you are making her feel unwelcome. Plus you can get an asymptomatic carrier tomorrow as a new admission and be none the wise...

It is an EEOC complaint for sexual harassment. You have to tell the offender that the behavior is unwanted. Then ask who is the facility EEOC officer. If they stone wall you you, make a complaint to the federal EEOC. Keep good records.

Yes, there should be several stockpile locations. Among the items stocked are N95 and ventilators. I guess I had assumed we had already deployed the stockpile and depleted the contents. It would be interesting to know the status of the stockpile.