All Content by kids
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Returning MD from Treating Ebola on Modified Isolation
His "reasonable" restrictions are the same ones Kaci Hickox is refusing to abide by.
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Ebola Nursing Survey: to Quarantine or Not to Quarantine
CDC policy is CDC policy, it doesn't matter if you agree or not. Healthcare professionals don't get to pick and choose what public health or infection control policies they follow.
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Help me bring this into the public!
The CDC and her state health department are hardly "non-healthcare" people. I agree, MSF has lots of experience. They've also had at least 1 volunteer who became ill. They also don't write CDC policy. As a healthcare professional you don't get to pick and choose what public health or infection control policies you follow. She's firmly in the "Some Risk" category whether she chooses to acknowledge it or not. http://www.cdc.gov/vhf/ebola/exposure/monitoring-and-movement-of-persons-with-exposure.html#table-monitoring-movement Since I'm sure her local Board of Nursing is following this closely any White House petition is pointless. If she really cares about her future ability to do good works she'd be wise to not jeopardize her license.
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Uncomfortable waistline
You can also buy the appropriate width elastic and feed it through the drawstring casing with a safety pin, stitch the ends to gether and you're good. If you're careful you can thread it behind the drawstring so you can still tie it and no one knows the difference.
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Working RNs and the CNA are to blame for new graduate RN program shortages .
Considering the OP's location I think CNA is referring to the California Nurse's Asociation. Upper management usually blames all they can on unions.
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Michigan License?
on their main page: lara - nursing near the top of the page is the sub-section "nurse licensing forms and applications" the 8th thing on the list is the lpn & rn endorsement packet. that is all the forms and everything you need to know about getting a license in mi if you're already licensed in another state. from the looks of it it's not as simple as paying your $54 and submitting an application, mi also requires finger printing. from their website: lara - how long does it take to process my application?
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Background checks for parents
Most of your points of concern would be discovered in a routine background check. And it's doubtful at least in my area of experience that a RSO would be in a household with a child, Level 2 & 3 offenders aren't even allowed to live with their own minor children.
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Narcotics
Changing a leaky cath isn't life or death, it can wait 10 minutes. I'd have finished pulling the last couple of meds, given them, then changed the cath.
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BSN program for $18,000... does it exist??
Assuming he already has his RN: Linfield is a brick & mortar school with an online RN to BSN, it cost me around $12,000. It's located 140 miles from Madigan Army Med Center. (If it matters/helps Linfield is based in Portland, OR where there is a huge VA Med Center) https://www.linfield.edu/dce/rn-to-bsn.html Western Carolina is another brick & mortar school with an online RN to BSN and costs under $5000. Western Carolina University - RN to BSN Program No clue about Army hospitals being located within 100 miles but I assume so. If he's starting from scratch, keeping it under $18,000 you're looking at doing pre-reqs at a community college and transferring. It's going to be very difficult to do the whole package for that price. Your best bet is going to be to pick a state, find out if/where there is an Army Hospital and contact all the Universities within 100 miles to check their tuition rates and admission requirements then tailor the pre-reqs at a community college to fit them. Each State's Board of Nursing typically publishes the pass rates of the schools in their state on their website.
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Least painful injection site
And from this patient's perspective I'd rather have a more painful injection in a safer site. I've experienced nerve irritation from a DG injection, the pain can last for weeks, I'll never go through it again if it can be avoided. VG site really should be less painful because it has a lower concentration of nerves. To the OP, I realize you've been giving the injections on a regular basis for a while but I'd encourage you to review your landmarks and really think about needle placement. I know that in my own practice I've developed habits over time that stray from from the optimal technique and have to take a step back and remember how to do it the 'right' way. The antibiotics you're giving on a regular basis can be painful (even using Lido in rocephen). Just because you can inject >2cc in a site doesn't mean you have to, you might consider splitting the injection over two sites to give it more comfortably in the optimal location.
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Not sure about bipolar and declaratory order for Board of Nursing
If you were not actually diagnosed as having bipolar disorder then you do not have to fill out the declaration stating you were. If the person you spoke with truly believed you needed follow up with the psych dept NP they would have referred you and possibly followed up, telling you to call the psych dept if you want to talk to them is not a referral.
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Why did/are you getting your BSN?
I did it purely to buff my resume.
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NM jinxing my job referrals??!
It may have nothing to do with the reference from your former employer and everything to do with a terrible job market. In the last eight months I've had a dozen very positive interviews that left me with a clear impression an offer would probably be coming and nada. I have 20 years experience in the areas I'm applying and know without a doubt my references are stellar. My most recent two if I moved back home today I could be working tomorrow.
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HR lied to Unemployment!!
It's going to be very difficult to prove you didn't just up and decide to resign and worked out a typical 2 week notice. If you never saw actual termination papers from HR it's very possible that one was never forthcoming, that the manager just told you that. In that case HR is telling the truth, you quit with 2 weeks notice. Why would you up and just voluntarily quit in your situation? Who knows, people do it every day because they don't feel like working that job anymore and think it will be easy to get another one, when that doesn't happen they try to get UE. Sometimes people up and quit because they don't feel like working at all for a while and are under the mistaken belief they can draw UE. (I'm not in any way implying they you may have done this, just pointing out that it does happen.)
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How safe are these practices? Help, new grad RN in LTC
In situation 1 there is nothing wrong with the nurse not calling. The patients blood sugar was 400 not greater than 400. The patient very likely got her 10 units and had eatten something just before the blood sugar check or ate more after the insulin was given. Yes, you probably should have called the doctor not just because her CBG was 591 but also because she was feeling unwell and had an (I assume) abnormal BP. A liability to who? She's a competent adult who is choosing to be non-compliant. As long as she's not being enabled in her non-compliance by the facility (staff giving her foods and fluids outside her restrictions) and has been throughly educated on the risks she's only a liability to her self. She's a grown up, grown ups get to choose to kill themselves slowly. 2) It was a screw up that neuro checks weren't started. You most certainly can call a doctor in the middle of the night for orders if the patient condition warrants it. 3) Not ok at all, report it to management but expect that you're either ignored of experience fallout from the staff you reported.
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Maybe I Shouldn't Have Asked This...
Many if not most facilities have a policy that bars employees from discussing their wages with other employees. In a round about way you asked her what she makes (or made as a new hired) it's not something she could discuss "in general" as her only knowledge is likely personal. And really. it is rude to ask anyone how much money they make. This is a question that you should ask of the facility HR department, they may be willing to give you an approximate salary range for the position. Something you'll want to keep in mind is that any number they disclose to you is not guarantee that they would pay you that amount. I'd take let the LPN know that you realize you put her in an uncomfortable position with your question and apologize.
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Odd looking stethoscope
You can buy it as a 'Trio' that comes with adult, ped and neo heads. It is an excellent scope for adults but I prefer my Littman Cardio III for kiddos.
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Handling the "R" word
I think MUCH less of people when I hear them use 'the R word' offensively, I think less of anyone when I hear them use any pejorative. To me it's as foul as any ethnic slur.
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How is the job market for nursing where you live?
1) Alabama 2) BSN with 20 years experience. 3) I'm on my 4th (and final) federal extension of my unemployment benefits. Jobs are so scarce where I am that unemployment no longer requires I look for a job, they have confirmed I have active applications with every single healthcare employer within 50 miles. I'm so, glad I left two long term jobs that I loved and where I was respected, to move across country when my husbands job relocated. That nursing is recession proof or that you can find a job anywhere is a joke.
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Do you have family members who are nurses?
I'm a special snowflake, none of the poll choices fit my answer. My mom was a RN (as was an Aunt). It only influenced my career choice in that my mom told me she'd pay my rent if I went to nursing school rather than becoming a teacher. I was a single parent with 3 kids 6 and under. Her paying my rent meant I only had to work 40 hours a week instead of 60-80 to support us. So I changed majors.
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dilemma regarding antipsychotics
To put it simply, if you don't agree with the standard treatment modalities utilized by a specialty, it's NOT a "good fit" no matter how much you want it to be. Going to work in psych nursing when you're not comfortable administering anti-psychotics makes a as much sense as going to work in an abortion clinic when you oppose abortion. As for the reliability of the source you linked you need to consider the source that posted it: http://psychrights.org/index.htm From their home page: And you need to look at the background of the author. Robert Whittaker is a writer with ZERO health care training or education or even research for that matter. He is very well known for his blogs, books and articles against modern psychiatric treatment. http://en.wikipedia.org/wiki/Robert_Whitaker_(author)
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I'm tired of it!
I'm probably in the minority but I really don't want anyone messing with my beeping anything. If it's beeing there is a reason for it. Someone wandering in doesn't know that the feeding pump is beeping simply because I forgot to hit 'run' after doing meds or that it was paused because I intended to stop it due to a displaced or clogged tube. Or that a beeping IV pump was a dose titration that now needs adjusted.
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Education of nurses
One of the things I've struggled to grasp (and my instructors were no help) is how improving my "professional performance" make me more professional than my ADN counterparts? Our job descriptions and assignments; assessment and clinical skills are exactly the same, how my additional year of education make me the 'better' nurse? How does my extra year of education make me better at the backbone and very essence of nursing: patient care? Don't apologize for my BSN program, I throughly enjoyed it even if it didn't do much more than reinforce what I already knew and was applying. More importantly, it provided me with the three little letters hiring managers have decided they want. I have compared the length and costs of ADN vs. BSN programs in my area. The BSN requites 90 prerequisite credits vs. 60 for an ADN. Carrying comparable credit loads each quarter and attending year round (as the BSN programs require) the ADN takes a full year less than a BSN. The costs for the nursing programs alone is THREE times the cost of the ADN, in a State with what I consider very affordable tuition costs. Even if the prerequisites for a BSN are done at a community college you're still looking at as much as $48,000 vs. $10,000 in just tuition. That alone puts acquiring a BSN as a first degree out of the hands of most anyone not fortunate financially or willing to go into tens of thousands of dollars in debt. http://www.nursing.uw.edu/sites/default/files/files/BSN-Grid.pdf http://www.clark.edu/admissions_fin_aid/admissions/tuition.php http://www.ohsu.edu/xd/education/schools/school-of-nursing/admissions/tuition-fees/upload/Tuition-Sheet-2012_2013.pdf http://www.pcc.edu/resources/tuition-fees/ If we keep upping the bar for entry into the profession and elevating ourselves away from the bedside who exactly will be actually caring for our patients.
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Help with attaching documents on online apps!
Unfortunately most likely what you saw is what they will but I'm pretty sure HR departments are used to wonky formats happening. Assuming you're using Word some ways I've found to circumvent the issue are to: (I'm going to assume you know how to copy/paste and rename files...if not, let me know). 1) Make a copy of your resume and rename it changing ONLY the letters to the RIGHT of the to doc You'll get a pop up saying that changing the format may make it unreadable, click 'Yes', you're sure you want to do that. Now double click and it should open in Word. Clean up the formatting then click 'Save' NOT Save as You now have a cleanly formatted version of your resume in .doc format. 2) No need to make a copy of your resume for this one, you'll be uploading it but not changing it: Use a free pdf converter to make a copy of your resume in pdf format. I've used both Online PDF Converter and Word to PDF Converter – 100% Free recently without any problems. Something else you may want to take a few minutes and do is convert your resume to a .txt file, as archaic as it is I've encountered some employers who still want that format. Open Notepad on your computer, now copy and paste your resume from Word into Notepad. From there you'll be able to clean up any formatting and weird symbols (any bullets, etc used in word don't translate into .txt) When you're done select 'save' and name it. All my resumes files are named using my first initial and last name, the only thing that is different is the extension: .doc, .docx, .pdf, .txt. Another 'cheat' I use is to create a master list of all the information that goes in an application in .txt format so I can copy & paste it into the online app. It's especially helpful for those little boxes where they want you to describe the job duties (that are listed so well on your resume). Those boxes usually have a character limit so it helps to have that info all typed out succinctly to just C&P in...no reason to set yourself up to run out of room or make a typo where you can't spell check.
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Port-a-cath question
I'll defer to others with regard to sterile gloves because I've worked under policies that differed. I will say though that the cap should be removed before drawing blood and replaced with a new, sterile one, afterward.