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Paramedic,ER, House Supervisor, OR, CVOR
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RNERHOUSESUPOR specializes in Paramedic,ER, House Supervisor, OR, CVOR.

1989 Nursing Grad

RNERHOUSESUPOR's Latest Activity


    Scrub Nurse vs Scrub Techs

    Just do your best, don't get into a you vs them situation. You are only responsible for what you do, not what they tell you to do. Don't expect them to set up the case for you though. I'm an RN who learned to scrub before I learned to Circulate. I work with several RN's who were Surgical Techs before going to Nursing School. We all get along. Remember it takes two to argue. It's no fun arguing with yourself. Take an active roll in creating a learning environment. Even when you aren't scrubbing, pay attention to what happens on the field. A circulator who has experience scrubbing can anticipate some of the needs and are a real life saver at times. Rod

    Anyone Heard of Medefis?

    Forgot about this post not sure if I even read the responses. My apologies. Thank you to Tango and NedRN for their explanations. At times I think about the Independent contractor but keep going back to the same hospitals and can't afford to buy my contract or spend a year away. Rod

    Help with instruments

    If you read the name in the book it may be what it is called in the OR and it may not. I started in the OR several years ago after doing ER nursing for many years and was overwhelmed at the names and number of instruments at first. I have finally realized that there were just a few I really needed to know, depending on your speciality. Knowing where your knife is at all times, the type of handle for the various blade numbers, most of the scissors names and the differences between a mosquito, hemostat, kelly and tonsil cause the doc is always going to say "clamp". You have to decide which one depending on the case. Good luck, enjoy and don't be afraid to ask questions. Rod PS. If you get an instrument named after you in the or it's usually not a good thing. Took me a long time to find out why the Surgeon always asked for "Margarets Thing" when he really wanted a epicardial fat retractor. RL

    How hard is it to maintain consecutive jobs as a traveler?

    I would be cautious about accepting a position as staff without fully reading your employment contract, employee handbook and such with your travel agency. Most have a "non Compete" clause forbidding you from being employed at a facility without their placement. It's hit me twice. Had to skip a year at one hospital before returning with another company. Only place it worked was in Hawaii. Union maybe??

    Colorado Travel Nursing

    I worked in Denver for a HCA hospital with the companies travel division, used to be All About Staffing and now is Parallon Staffing. There is also this thing called Medifis it seems. They are a "clearing house" for travel assignments. Hospitals put their needs out to Medifis, (for a price) and Travel companies get notified about said needs (also for a price). Nurses out there wanting to work get stuck paying both of the prices in decreased wages and abilities to secure an assignment. Large companies seem to think they need more middle management to do the work they really should be doing (for there salary) and are preventing the end user of really making a living. Instead of speaking with my recruiter about a position I would like to have I have to speak to a recruiter, a compentency evaluator, a continuing education quality assurance specialist and multiple other people who I have no idea what they do or why they do it just to return to a job I have done for the past 6 winters, have been given excellent performance evaluations and am requested to return. But they can't just let me pick up where I left off, I have to go back through "orientation" wait for my computer access to be allowed, medication access and facility access to be processed. In additon, had to take two hours worth of online testing to make sure I could do the job before being submitted to a job I already had an agreement from the manager of a start date. Maybe that was a rant. Sorry. Call the hospitals in the area you are wanting to work. Ask to speak with the manager of the speciality you want to work in and ask them if they use travel nurses, what company and if they currently have a position open. You may be given an immediate interview or the cold shoulder. Cold shoulder you probably don't want to work for that person and you can cross them off the list and keep looking. I have been a travel nurse since 1989 and will travel as long as I can find work. Rod

    Can you truly save as a travel nurse?

    The old adage "The more you make the more you spend" seems to be what happens to most. Everyone lives differently. If you can save a quarter of what you make now, you will probably be able to save when you are on a travel assignment. If you live paycheck to paycheck now, you will most likely continue. It's human nature, history, education, consequences and circumstances. I have been a travel nurse most of my career. Love it. If I knew when I started what I know now I would have made different decisions. Didn't, couldn't and nor can anyone. Read (other peoples experiences), evaluate(how you may react) and plan to do what you really feel you can accomplish. If it will cause you stress, constant worry or you never feel like it's right, then it's time to reevaluate. Considering the cost of living, the price to travel from one place to another, the multiple licenses, the lack of benefits(maybe) and the sometimes stress of finding an assignment. There is a rather high overhead associated with travel nursing that you won't have if you maintain a full time position with one or two different employers. You get some of that money back in "travel reimbursements" (Same now as it was in 1989 though) and possibly housing stipends (or "free" housing), you just have to remember what someone may say is free, really isn't you are just paying for it in a different way. (Hospital pays company, company pays themselves , their staff, their rent, their expenses, your rent, your expenses and then you get the rest as your hourly wage.) And I think they call that the "Tax Advantage Plan" a way for them to pay the least amount in taxes and you to pay the most. So in answer to your question 'Can you save money as a travel nurse'? My answer is Only if you can save money with your current job, if not then probably not. Rod

    RV advice

    I agree with all NedRN wrote. If you have a permement place in addition to your RV, you "MAY" have a tax home, but most likely not it seems. Most of my initial beliefs were from speaking with Travel Company recruiters. It may have been OK back in the 1900's but not in the 2000's. Contact with a Tax Professional who works with Travel Professionals is a must. As far as finding your perfect RV, it's going to take a while. You will be drawn to the new models on the lot, they look very pretty all set up and "staged" and for the first 6 months to a year they will still look pretty good. I used my Brothers newer trailer for several months and "thought" I knew what I needed and didn't need. Spent another year looking at everything I could. Finally found a used Weekend Warrior 45 foot Toyhauler. It seemed to have everything I needed and has served me well. I am contemplating a replacement in the near future though. My tow vehicle is one I will keep for a very long time though, and it is also considered an RV. I use it for short weekend trips and overnight stays. It may not be for everyone, but most who have gone to the "dark side" will not go back to any other tow vehicle. A few that I have known have gone to a large Class A diesel pusher. So, depending on how long you plan to travel, where you think you will be working and how far you feel you might need to travel between jobs, will all need to be evaluated.Will you need additional transportation, or will you be wanting to use your " tow vehicle" for everything? You won't be making additional money having an RV, until it's paid for and is still providing you with a safe, dry and mobile home. It is nice going home every night to the same place, no matter what state it may be in. Good luck with your search. Rod

    West Palm Gardens Medical Center

    I believe you are thinking about Palm Beach Gardens Medical Center. It is part of the Tenet Health Corp. Similar to HCA. You could probably work at two HCA facilities if you wanted.

    Passed the CNOR exam

    Congrats. Did you take for yourself or at the encouragement of your employer? My problem with it is the enormous amount of CEU required to keep it up and then you have to take the test again. I don't mine continuing ed but after so many years it all seems the same thing over and over. Rod

    RV's anyone???

    If you don't know about RV living, take a short vacation using one of the rentals. If you can survive a week or two in one of those you would most likely be OK in a "full time" style. So far I have found RV parks where and when I have wanted them. In South Florida I started out using the County Park, but they have a 180 day limit. Got lucky last year and found an excellent space where I can stay as long as I want and everything fit's on my spot. Don't have to park the truck or car off site and it's still close enough to work that I can bicycle. Only issue was Wifi but I was able to get ATT to bring me a dsl line last year. Some of the bath areas could be better but mine is if fine. I'm sort of spoiled with having a lot of waste water storage so I only have to empty maybe once a month. There was a break in last winter at the park I stay. It was an empty Class A that had been sitting empty for a couple weeks while the owners were on a cruise. Don't think anything was taken but their door window was broken for awhile. I am by no means an expert in RV life but am doing OK. Heading out to my first Escapees "Escapade" tomorrow morning for a short educational experience. Rod

    Hawaii, anyone?

    Be sure you have everything in writing, are happy with your housing options and have enough money to get you there and back to the mainland. If you are used to public transportation you may do fine without a car, but if you usually are able to go when and where you want, you may want to consider working a vehicle into your plan. Do this all before you set foot on the island. I spent a year on Oahu and worked at Kapiolani in Honolulu. I also did some agency work on Maui, Hawaii and other hospitals on Oahu. It's a great experience, until you feel like you are stuck on a rock in the middle of the Pacific (Island Fever). Was there for just over 6 months before the symptoms started. Would love to go back again, but only for 6 months max. Rod

    Traveling and owning a home

    When I owned my home and traveled for a couple years. I would turn off the water, set the thermostat to it's lowest heat setting and put a light and the TV on a timer. Did that for two winters and all was well electric and gas bills were around the minimum most months. It cost a reconnect fee for the water, and internet provider, but that was less than a minimum charge every month, especially when I was on an assignment for almost 6 months. Have since sold the house and now travel with my RV. My home is where ever I park it. I always know who slept in my bed last and sat on my couch. Rod

    AS to BSN while traveling?

    If you want to do your BSN then by all means go for it. You can do it as a travel nurse or staff. I haven't seen where anyone is paid significantly more for having though. When I finished my ADN in 1989, North Dakota was trying to require a BSN for a person to be considered a Registered Nurse. I doubt the requirement will be tried again during my career. Rod

    Are travel jobs listed on more than one site?

    Check out Medifis, I posted a question about it earlier. Apparently , it's a clearing house for companies and hospitals. One job gets listed with all member companies. According to one hospital Medifis lists their open position with 1000 different companies. Rod

    San Francisco Housing

    I stayed at the Apartment Complex "Bayside Village". It was just off the Bay Bridge on the Embarccadaro (sic). That was in the early 90's though. New nice place then. First time paid extra for a studio as the place in Pacifica wasn't as nice as the recruiter made it out to be. ( was in Oakland and able to check it out before making the move across the bridge). What ever you do, make sure parking is included in your living space. Parking is at a premium in the city and was really expensive back then too. Can't remember where UCSF is located but if it's in the city it can't be too far from anything. Great place to visit, couldn't afford to live there. Rod

    Anyone travel without having a tax home?

    Contact a Tax Professional for answers on Tax Questions. They are the only one's that will defend you in case of an Audit. (unless you want to do it yourself). It really doesn't matter if you own home or pay rent. From what I understand, the place you make the most of your money is your tax home. If that happens to be where you have the house and/or pay rent or duplicate expenses then you are set. If not then you need to decide if maintaining a residence, paying State Income Taxes on the money you make out of said state is worth you calling that home. Everyone is different. Unfortunatly. I was watching something the other day about how the IRS has lost several Trillion dollars in tax evasion. People not paying their fair share in taxes. The commentor wanted the Government to Hire more tax examiners. My Idea is make the taxes simple, straight forward and fair. No deductions for the few who are able to manipulate them into windfall income for them. Do it the JCPenny way. Fair and Square. Rod