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tnbutterfly BSN, RN

Content/Community Director @ allnurses

As the Community Director, I'm here to help make your time here enjoyable. Please contact me if I can help you. I'd love to hear from you.


Content by tnbutterfly

  1. I was reading through my various nursing news feeds this morning and "Hints from Heloise" popped up. I wondered why Heloise was in a Nursing news feed so I clicked on the link. A man who was a recent patient was appalled by the lack of nurses. So he wrote the following letter to Heloise. Henry P. in Atlanta Heloise did not post a response. As a nurse, how would you respond to this former patient? At least he gets the point that "there just are far too many patients for the limited number of nurses available." If we get enough responses, I'll send them to Heloise and tell her these represent the voices of nurses across the US. It might be helpful for all of you to post what state you are in so Heloise will see that we are a good representation of the best nurses in the USA. You could also post your years of experience and whatever else you want to post. Let's give Heloise and the public the hint that if you want to hear the voice of real nurses, ask the nurses at allnurses.com.
  2. Four Authors Will Split a Total Cash Value of $600 We apologize for the delay in announcing the results, but we've been so busy with getting the new site up and running that announcing the top 10 for the article contest had to wait. There were so many great articles submitted for the Winter contest in October, November, and December. A big thank you to all who submitted the articles as well as those who read, liked, and/or commented. If you are one of the first timers for submitting an article, I hope you will continue to write more articles. It is a tough job to select 10 top articles. The top 10 articles are listed in below. We are counting on our readers to help select the Top 4 Winners. Each winning author will receive $150, so please help us with your votes. Use the poll above to vote for your 4 favorite articles. You may select up to 4 articles. You must be a registered member to vote. The top articles in no particular order are: Considering CRNA School? The Bravest Thing I’ve Ever Done Shared Governance Leadership: 10 Lessons Thoughts on being an old nurse in a new place My Illness Led Me to a New Passion and New Career In the Blink of an Eye: My Traumatic Brain Injury: A Three-Part Series Failed AANP twice and finally Passed 11/20/2018 How Not to be the New Grad Everyone Hates Passing nclex after failing!!! Who is in Charge Here If you are reading this as a guest and would like to vote for your top four articles, Join Today. It just takes a few minutes to register and create a free account with allnurses.com. Enjoy reading and voting for your TOP 4 ARTICLES.
  3. tnbutterfly

    2019 Nursing Salary Survey

    In February 2018, almost 17,000 members and readers in the United States and Canada holding an active nursing license participated in our allnurses online salary survey. The data was shared with readers via several interactive images. The results were surprising to some as they were able to compare not only the salaries across the states and Canada, but also the purchasing power based on cost of living, taxes, etc. It's now time for the 2019 Salary Survey and we hope you will participate. Participate In Our Nursing Salary Survey The survey will only take 5 minutes to complete. Salary is a definite factor for those looking for a job. It also plays a big factor in retaining nurses. But there are other factors that may impact retention rates even more. Work environment, safe nurse-patient staffing ratios, and job satisfaction may be more important to the nurse who is trying to decide whether or not to leave. In the 2017 Salary Survey, in order to look at nursing shortages across the country, we obtained data regarding nurses leaving the workforce: why and when. In 2018 we obtained detailed information about nurse/patient staffing ratios. This year, in addition to obtaining salary data, we are again seeking information about nurse/patient staffing ratios. Have they improved, gotten worse, or remained the same as last year? We are also going to look at career satisfaction as well as job satisfaction. How have the changes over the years affected your outlook on the Nursing profession now and in years to come? Your feedback is important. Join thousands of nurses who will be providing updated information about salaries, staffing ratios, and career and job satisfaction. Share this survey with all the nurses in your network. The more participants we have, the louder our voice. Your participation in this survey is important. The more questions you answer, the more complete our data will be. This online survey takes about 5 minutes or less to complete. If you hold an active nursing license and live/work in the United States, U.S. territories, or Canadian Provinces, we would like for you to participate in this year's nursing salary survey. Please answer the questions as they relate to your primary nursing job. If you have more than one nursing job, you may fill out an additional survey using a different IP address. WE WANT YOUR INPUT! If you have trouble completing the survey, please post here.
  4. tnbutterfly

    Celebrate Certified Nurses Day - March 19

    The American Association of Critical-Care Nurses and the AACN Certification Corporation are teaming up with healthcare organizations and hospitals across the country to recognize and celebrate certified nurses for their professionalism, leadership, and commitment to excellence in patient care. To honor and celebrate Certified Nurses Day, several critical care and progressive care nurse were asked by AACN to describe the extensive and diverse benefits of certification. Read a few of the stated benefits below. Validation “What I value most about my certification is the opportunities it’s opened up for me – the respect that I receive from my nursing and non-nursing peers, and the changes I’ve been able to make to the nursing practice at my current and previous organizations. I am a better practitioner because of my certifications,” said Sam Merchant, MBA, BSN, RN, CCRN, PCCN, NE-BC, RN-BC, Progressive Care Unit, University Health System, San Antonio. Excellence “Besides personal satisfaction and a sense of accomplishment, certification validated all of the knowledge and experience I’ve gained working in the ICU for almost 10 years. My certification has made me a more confident nurse, knowing what I’ve been doing for my patients is aligned with national guidelines and standards for excellence in patient care,” said Erica McCartney, BSN, RN, CCRN-CMC, ICU/IMCU resource RN, Swedish Medical Center, Edmonds, Washington. Career Advancement “Certification opened doors for me by allowing my supervisors to trust me enough to teach competencies and mentor new nurses. My supervisors trusted my nursing and clinical judgment enough for me to become a valued resource on our cardiac unit. Certification allowed me the opportunity to climb our clinical nurse ladder, which also provided an additional monetary component,” said Kendra Armstrong, MSN, RN, ACNPC-AG, PCCN, acute care nurse practitioner, Phoebe Putney Memorial Hospital, Albany, Georgia. Pride “Being certified is a validation of my commitment, experience and clinical expertise. I am proud to work along with my fellow certified nurses every day. It is a constant reminder and reassurance to our patients and family members that they are receiving the highest quality care. Certified nurses are determined professionals who invest in their professional and personal growth – they inspire me to be the best,” said Sherley John, MSN, RN, CCRN, clinical nurse, Neurosurgical ICU, North Shore University Hospital, Manhasset, New York. Congratulations and a big thank you to all certified nurses. You deserve to feel very proud! To read more about Certified Nurses Day, please see the complete AACN Press Release. Also view the video below of an interview with Karen Kesten, DNP, APRN.
  5. tnbutterfly

    2019 Nursing Salary Survey

    Congratulations, new nurse. Thanks for participating. The way you answered it is fine.
  6. tnbutterfly

    More Than Sixty Employees Fired for Alleged HIPAA Violations

    Moved to Nursing News for more visibility and responses.
  7. tnbutterfly

    Allnurses Clubs

    Types of Clubs You Can Create Public - Everyone can see the club and its posts, and can participate without joining. No self-promotion. Must abide by the Terms of Service. Open - Everyone can see the club and its posts, but only members can participate. Everyone can join. No self-promotion. Must abide by the Terms of Service. Closed - Everyone can see the club and who's in it, but only members can see posts and participate. Users need to ask a leader to join. Self-promotion allowed. Must abide by the Terms of Service. Private - Only members can find the club and see its posts. Users need to be invited by a leader to join. Self-promotion allowed. Must abide by the Terms of Service. Read Only - Everyone can see the club and its posts, but only members can participate. Users need to be invited by a leader to join. No self-promotion. Must abide by the Terms of Service. Club Ownership Clubs are created and maintained by their owner. Owners have the right to: Add Forum (for topics) / Calendar (for events) Invite/Accept Members Select Club leaders Moderate Discussions Remove Unsolicited Messages Edit Club Settings Groups Allowed to Create Clubs: Platinum Members Innovators Guides/Staff Club Rules All Clubs must abide by the allnurses’ Terms of Service If PUBLIC/OPEN/READ ONLY (posts visible to all members), TOS applies. No self-promotion. If PRIVATE/CLOSED, only the owner and its members can see the post. TOS applies. Self-promotion allowed. DISCLAIMER: Staff have access to all Clubs. Rules subject to change at the discretion of allnurses to protect the interest of the members and the community. If you have questions about clubs, please feel free to post below or contact one of the Admins and we will be happy to assist you. Coming Soon Tutorials and How To’s Additional Options to promote Club or Own Services/Site (Free and Paid Options) Current Clubs More available soon... https://allnurses.com/clubs/ Link to Clubs can be found in the What's Happening block in sidebar. If on mobile, the What's Happening block can be found at the bottom of page.
  8. Many of you enjoyed the perks of the Pro and Ad Light memberships in the past. To express our appreciation, we are gifting all previous active Pro and Ad Light members with a FREE 6-month Platinum Membership (expires July 31st). Thank You For Supporting allnurses.com! All previous recurring charges were terminated. Please check your Paypal account to make sure you have not received any charges since the new site was launched in January. The New Platinum Membership Benefits: No Ads Faster Page Load Times Priority Support in Platinum Forum Platinum Badge Name Color Change Enhanced Member HoverCard Signature Enabled Unlimited Clubs (Start your own Public, Private, Open, or Closed Club) Unlimited Private Messages Unlimited Name Changes Increased Likes/Reactions Per Day (100 vs 25) Extended Edit Time (24 hours vs 15 minutes) Help keep the site free. Discounted Profile Advertisement (Personal Profile Only)* Discounted Clubs Advertisement (Personal Clubs Only)* * coming soon More features will be available FREE to Platinum Members in the next few months... How to Get a Platinum Membership Our new annual Platinum Membership is now being offered at a low annual introductory price of $50 with a $40 annual renewal fee. There is also the option to get a 3-year membership for $100.00 Want More Options? Upgrade Today! Platinum Membership Upgrade
  9. tnbutterfly

    vaughn act

    RaDonda's last name is Vaught and not Vaughn.
  10. A group of nurses plans to appear in their scrubs at Vaught's arraignment hearing on February 20th show their support. Included in this group is Janie Harvey Garner, founder of Show Me Your Stethoscope. For those who are interested in showing their support by attending the arraignment, here are the details: When? Wednesday, February 20 @ 9:00 AM Where? Justice A. A. Birch Building 408 2nd Ave N, Court Room 6D Nashville, TN 37201 Judge: Jennifer Smith What is Arraignment? Once the accused is represented by counsel, the more formal part of the arraignment, the reading of the charges, takes place. The accused is expected to enter a plea: usually guilty, not guilty, or no contest. The no-contest plea means that the accused is not admitting guilt but will not contest the charges. What is the verdict going to be??? In the following video, Janie Harvey Garner talks more about the arraignment process. Related content: Nurse Gives Lethal Dose of Vecuronium Instead of Versed Nurse Charged With Homicide Nurses Call the Governor of Tennessee
  11. tnbutterfly

    MGH ABSN Summer 2019

    Hi everyone. Did you know you can create a MGH ABSN Summer 2019 Club here on allnurses? Take a look at the allnurses Club information here . Let me know if you have any questions.
  12. tnbutterfly

    2019 Nursing Salary Survey

    Thank you for your input. Everyone will eventually leave nursing. If you have no plans in the near future, then 16+ years is the right choice. And if you plan on staying in nursing until you retire, then selecting retirement is the right choice. Ambulatory Care is a choice for Primary Nursing Specialty. (Question #5) Question #15 is aimed at getting data on nurse-patient ratios in clinical areas in the hospital that are the focus of current safe staffing legislation before the state and national house and senate committees. We asked this same question last year and will use the responses from this year's survey to see if any progress has been made in moving toward safer staffing. Not every question will apply to everyone who takes the survey. Therefore, not every question requires an answer. An asterisk has been placed beside those questions requiring a response. I hope this clarifies things for you and others.
  13. Part 1 of the 2018 allnurses Salary Survey Results contains the demographics of the more than 16,800 nurse participants. In Part 2, we looked at the staffing conditions and nurse-patient ratios of the workplaces of the participants compared to some recommended nurse-patient ratios by clinical area. Part 3 addressed data that will have an effect on the nursing shortage by looking at when and why nurses are leaving the workforce. While all of the above-mentioned data is definitely of interest, most people are even more interested in finding out just how much nurses are making. The salary figures found in the interactive images below are based on data received from almost 17,000 respondents who were asked to submit salaries as reported to the IRS. They do not take into consideration cost of living indexes, which can greatly affect the value of the salaries including the resulting purchasing power. In a future article, we will provide adjusted salaries that do account for the cost of living, taxes, etc. I think you will find those figures very interesting. Below are the results, provided in interactive charts that will allow you to customize your search. Several filters (State, Degree, License, Gender, Years of Experience, Specialty, Age) have been added. Be sure to click on the filters as they will affect the range of figures shown. You can use the filters to dig deeper into the data to see why some figures are higher or lower than expected. For example, just looking at the chart for Average Annual Pay by Degree for Full Time Employees, you will see that the average salary for Diploma Degree nurses is higher than ADN/ASN and BSN nurses. If you change the filters for a more customized view to the following - Highest Nursing Degree (Diploma) and Active Nursing License (RN), you will see that 75% of Diploma Nurses have more than 21 years of experience with 41% having over 35 years of experience. 66% of these nurses are over 50 years old. Way to go Diploma nurses!! These nurses deserve all of our respect. You can also see what specialties pay the highest salaries, which states pay the highest and lowest salaries, and more. But remember, these figures do not take into account the cost of living expenses which must be factored in. We will explore those figures in Part 5 of the Survey Results. Play around with the filters. After you review the results, please feel free to post your questions and comments below. Let us know what trends and other interesting facts you uncover. We can all learn from input from others. I almost forgot... Be sure to look at the map. As you hover over the states and Canadian Provinces, you will see the average annual full time salary for hourly and salaried employees. To see additional Salary Survey Results, go to: 2018 Nursing Salary Survey Results Part 1 - Demographics Safe Staffing: How Does Your Workplace Stack Up? 2018 Salary Survey Results Part 2 When and Why Nurses are Leaving the Workforce - 2018 Salary Survey Results Part 3 Purchasing Power of Nurses Across the U.S. - 2018 Salary Survey Results Part 5
  14. Just to be clear, none of the allnurses Admins have posted their opinion regarding the RaDonda Vaught case. We are just providing coverage and updated links to the latest news and videos. Members are welcome to disagree as long as they respectfully express their opinions.
  15. UPDATE In this video, Janie Garner from ShowMe Your Stethoscope who attended the arraignment gives an account of the proceedings as well as a recap of the situation. A couple of things stand out: The TN BON has not taken any disciplinary measures against RaDonda's license The ANA posted a statement on their website which includes the following: RaDonda Vaught Pleads Not Guilty
  16. In the news today following the arraignment, it was stated that the TN BON, after a nine-month long investigation, found no reason to take disciplinary action against RaDonda’s license. I will be posting another video in this thread that gives more information about this. Merging this discussion with another thread about the arraignment was started yesterday.
  17. tnbutterfly

    2019 Nursing Salary Survey

    The survey will be open for 3 or 4 weeks so people can participate and share their information. After the survey is closed, it will take a few weeks to analyze the data. The results will be rolled out via articles addressing various aspects of the data. While you are waiting for the 2019 results, you can view the 2018 results. 2018 Nursing Salary Survey Results Part 1 - Demographics Safe Staffing: How Does Your Workplace Stack Up? 2018 Salary Survey Results Part 2 When and Why Nurses are Leaving the Workforce - 2018 allnurses Salary Survey Results Part 3 How Much Do Nurses Make? - 2018 allnurses Salary Survey Results Part 4 Purchasing Power of Nurses Across the U.S. - 2018 Salary Survey Part 5
  18. tnbutterfly

    When Nurses Make Fatal Mistakes

    Bumping this article back up in light of the current case involving a nurse being charged with reckless homicide as the result of a fatal medication error.
  19. UPDATE About 3 dozen nurses showed up at the arraignment wearing scrubs. Radonda introduced her supporters stating, "This is my family." Vaught entered a not guilty plea and is already out on bail. News sources reported that $43,000 has been raised for her legal defense.
  20. tnbutterfly

    2019 Nursing Salary Survey

    Congratulations, new RN!!!!! Your post made me SMILE.
  21. tnbutterfly

    Trigger Warning!

    Sounds like a good opportunity for someone to sell Trigger Warning T-shirts.
  22. tnbutterfly

    Atrial Fibrillation, Strokes and the WATCHMAN Implant

    I was very excited to hear about this product from a friend/nurse at my church who works with Boston Scientific. I was diagnosed with Paroxysmal A-fib when I was in my 30's. It took a while for a diagnosis since I was back in sinus rhythm before they could catch it on EKG. I experience this so infrequently and have always converted in the hospital without cardioversion...except for once. I have been on Flecainide and ASA for years. My cardiologist wanted me on Coumadin, however, I was very reluctant to do that since I also was diagnosed with mild Von Willebrand disease and have experienced marathon nosebleeds and bruising. I tried it for a few months, but the INR window for me was so narrow and I was anxious the entire time. Finally, after much thought, I told the cardiologist that I was stopping the Coumadin as I felt the risk for bleeding outweighed the benefit of anticoagulation and since my episodes were so infrequent. I can always tell when I am in A-fib. The last episode was 6 years ago. I know I may not always know when I am in A-fib unless it is extended in duration and am at higher risk for stroke. But I still am concerned about taking an anticoagulant. So hearing about this product gives me hope that this may be an alternative for me. At least I will explore this option.
  23. tnbutterfly

    Nurses Call the Governor of Tennessee

    The allnurses press release mentioned above contains the link to the original discussion as well as the follow-up thread containing the poll and the discussion.
  24. tnbutterfly

    Nurses Call the Governor of Tennessee

    You can't just send a link to the poll. The only link available for sharing is the link to the thread. That is what Beth shared. But I agree, the Governor, the DA, and the public need to read the discussion that is occurring on allnurses.
  25. tnbutterfly

    Nurses Call the Governor of Tennessee

    FYI...allnurses published a short Press Release this past Thursday about this story and the resulting discussion occurring on allnurses. Feel free to share this press release. Breaking Coverage of Nurse Indicted on Charges of Reckless Homicide While we may not all agree on the exact punishment that the nurse should receive, I am so glad that all who have posted on allnurses about this topic have been very respectful in engaging in a conversation that should be shared with the public. There are many possible underlying mitigating circumstances that definitely need to be discussed. And there is much to learn from this devastating case.