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Salesman217's Latest Activity

  1. Salesman217

    Latest in cardiac event monitoring

    ZIO-PATCH!!! That's it!!! Thanks Juan!!!
  2. Salesman217

    Latest in cardiac event monitoring

    So I accidentally came across the next generation in cardiac even monitoring, but now i can't remember the name of it. It's like a holter monitor but it's smaller and without the wires. I saw a note about it in out records system and then by happenstance I had a BP check with a patient who was wearing one. It was taped to his chest (not taped but adhesive came with the device). It does 30 day monitoring I believe. Does anyone know the name of this thing?
  3. Today in a meeting, my nurse manager said that d/t medicare compensation changes, the private hospitals in our area (Cleveland Clinic, University Hospitals) are laying off LPNs from the bedside, that all bedside nurses would be RNs. I'm an RN in the VA hospital, but my wife teaches an NCLEX review course for both LPNs and RNs and she would be interested in this information. She stated this, not in the context of the rumors we've been hearing forever, but stated it as a fact. Anybody else hear about this?
  4. Salesman217

    I am a new LVN. I have a question about a word

    Dialysis??? Who knows... Why don't you call your education department. Or better yet, go back to that manager and say "excuse me, I didn't understand wth you were talking about when you asked me about the diaphresis(???) class. Could you spell it so I can go look it up?". The quickest way to kill a patient is to act like you know something (for fear of embarrassment) when you don't know. My wife is an MSN/Nurse Midwife of over 20 years currently working on her PhD in education with a nursing focus. She now teaches an NCLEX review course, so she knows EVERYTHING. I'm an RN of 5 years with an associates degree. It always surprises me a little and I'm proud of her for this but whenever I say a word that she doesn't know, she always says without hesistation "what does that mean, I've never heard that word". And this is not only clinical terms but just words in general conversation. So the moral of the story is: if you don't know, you better ask somebody... somebody there at your own facility.
  5. I did not get a marketing position job. I spoke with a few nurses who knew something about it who emphasized the pressure that is put upon you for keeping the census up. I ended up working in psych for a year then I got a daytime job in primary care with the VA hospital which still carries with it some case manager type duties, but only about half as much as with the home care gig. I still experience the same phenomena of shining in patient interaction stuff and struggling with administrative stuff. But in this case it's manageable to the point where I can catch in an extra 4 to 5 hours a week if I get behind. As a bonus, the job is 730a to 4p, M-F so family life doesn't suffer. In sales, jobs vary from those heavy in client education and service to those that require you to be a "closer" (meet quotas, close deals, hit your numbers). Think about if both of those ideas as you research and interview for those marketing positions. Good luck in your pursuit of the right job for you.
  6. Salesman217

    ...ICU ...good idea??

    Like everyone says, it depends. I went into an ICU right out of school. But I was old (40) so not much scared me, and my personality is really laid back. Also, the hospital I worked at was really low acuity. It was about a year before I had a patient in an acute life threatening situation who was not 150 years old (in other words, if they die, it's not such a great tragedy in the global sense of things although they can be 250 and it still be a great tragedy for the family). This chick was 27 with a family and had some mysterious respiratory stuff going on. Really scary because she almost died. At that point I had been there a year so I was competent enough to know how to confer with other nurses and how to communicate effectively with docs at 3am. Nights if better if you go because you get alot of support because there's alot of down time. Our orientation was only 3 months.
  7. I jumped out of the frying pan and into the fire with a move from the ICU to Home Care. The ICU was cool. I worked with really, really good people and the money was OK except management gets on the "we gotta reduce overtime" kick. The problem was the hours, 7a to 730p or 7p to 730a. Didn't matter. . I got two kids in their senior year in high school and one in the 6th grade and trying to schedule to be there for their extracurriculars was hit and miss at best. If I had to work on one of those days, I was gonna miss the event. Plus, feeling like a zombie ALL THE TIME was getting really old. So I got a job as a home care case manager. I do visits. I gotta do about 6 a day to make 50K. 7 to 9 to get ahead financially. That's not the problem. It's the administrative stuff. Now I don't know if its done like this everywhere, but the administrative stuff is a freaking nightmare. The job follows you home. You can't get it done, or get it off your mind. To put it in perspective, my ICU orientation was 3 months, and it was 90% clinical. The orientation for this job was 3 months, and it was 90% administrative. This form, that form, send this note, send that paperwork. UGH!!! Of course this is not an indictment on the job. It's about what's a good fit... FOR ME!!! Both at the ICU and in my current job, I get rave reviews about my "bedside manner" with my patients, with family members, and even with how I interact with other staff. But paperwork stuff is not only not my forte, it is my achilles heel. So now I went from managing and charting on 2 patients for 12 hours at a time to managing what will eventually be 40 to 50 patients AND ALL THEIR FREAKIN' PAPERWORK 24 -7. So I'm pondering my hatred for my job (the administrative part) and realizing that I'm really good at dealing with, educating, and interacting with people, and really bad at remembering managing all kinds of mindnumbing secretrial details. So I wish out loud "Man!!! If I can find a job I where I could just deal with people, I'd be in heaven!!!" So get on the 'net and find THIS job description... The Hospital Nurse Liaison is the primary marketing representative to hospitals, physicians on a hospital staff, and long-term care facilities located on a hospital campus. He or She will provide education to hospital staff, physicians, patients, and patient families about XYZ Hospice services and the admission process as well as work with hospital staff to identify and plan care for patients who qualify for hospice. You must be an R.N. with two years experience with a proven track record demonstrating client relations and education skills, honesty, character, a sense of humor, love and compassion and the ability to play well with others. So my question is, do any of you guys have experience with these type of positions? I've always been a "Howard Cosell" of whatever I've been involved with... In other words, I can talk about it 100 times better than I can do it. I've worked most of my adult life as a salesman and got into nursing two years ago. Help a brutha out!!!
  8. With all the old people in FL, I'm sure you can get an LPN job somewhere. It's just that the range of practice options going forward are infinitely broader with an RN. I can understand how you feel having to maintain a family and go to school at the same time. That's why I was 39 when I entered nursing school. It's tough. When I went to nursing school, my three boys were homeschooled (15, 14, and 8). We had crashed financially in November 2005 and moved from NC to OH. We moved in with my mom and my wife stayed in NC so it was just us guys. Anyway, I was looking at nursing schools early in the year in 2006. All the community college RN programs had 2 year waiting lists for LPN and three year waiting lists for RN. Someone told me about a private LPN school in my city. I called them and they had openings for the class starting September 2006, so I settled on that option. But in April, a friend told me that he heard that Bryant and Stratton started a nursing program. I went and spoke with them and it was indeed a new RN program. They were expensive as hell but they agreed to accept my 20 year old college credits (the rule was 10 years) which put me start to finish graduating in 16 months. Since they were a private career college, they didn't have summers off and you could start during any semester (three 4 month semesters per year). So I started the very next month, May 2006 and graduated August 2007 (one month after I would have been graduating from LPN school). I was in their 2nd graduating class. The first was 4 months earlier. They were not accredited at the time, but were approved by the state to grant degrees so my degree was good to get hired in OH even though at the time, my credits wouldn't transfer to another school. They have since become accredited (they had to graduate a class and go through the accreditation process) and now my credits can transfer anywhere. So what I learned was, Generally, the private schools, though more expensive, didn't have waiting lists, or had very short ones (like 1 or 2 semesters versus 2 or 3 years at the community colleges) Even though the private schools were more expensive, financial aid and student loans still covered all the expenses. There was financial help available from other sources (I got $10,000 CASH from a hospital WHILE I WAS IN SCHOOL for a 2yr commitment AFTER graduation) There were government job placement programs that provided money for school as well (a few students i knew took advantage but you had to go BEFORE you started school so I missed out on that money) Anyway, everyone's circumstances are different. Things worked out for me. Up here in OH, there's a private school that has both LPN and RN. For whatever reason, people who go through that program can finish their RN later without it taking an inordinate amount of time as compared to going back to other schools later. All I can say is, explore all your options. Here's an 8 page list from the Florida BON, of all the nursing programs in FL (you are in FL right?) http://www.doh.state.fl.us/mqa/nursing/lst_trainingprograms.pdf Good luck and God bless.
  9. Go to RN school. I got my RN in 16 months (my school's program was 20 months but I had previous college). I know so many LPNs who want to go back and get their RN and it ends up taking them almost as long to get their RN as if they'd never been to school. And I know LPNs who, through experience, know 10 times as much as I do about nursing. LPN jobs are drying up except for in nursing homes. Getting your RN increases your options exponentially. Just my
  10. Salesman217

    Ohio online license renewal

    So I went to renew online at the Ohio BON site. I click the link get a window asking me for a username and password. ??? Where do I get that from? There's no option to register. Was it in the renewal letter that I got several months back? Help! Salesman
  11. My hospital started (trying) to cut overtime blaming it on the economy. They just made it a pain in the neck to sign up for OT. I was in ICU (just started in Home Health) and the hospital started covering for ICU shortages by sending non critical care floor nurses down to the Unit (can you say unsafe?) who would spend all shift asking questions. Nobody had a problem helping them out, but that's BS as far as management is concerned. In the mean time, they'd call you in to cover early in the week and then call you off near the end of the week because you were in OT. I know. I know. They've got to save money.... Well they're one nurse shorter on their staff. Gotta have my OT.
  12. Salesman217

    Calling all HH Nurses, roll call

    Hey y'all, New to HH. I've been a nurse for about 18 months. Just left the ICU to go into HH. Hopefully the daytime hours and perpetual busy-ness of HH will work better for me than 7P to 7A in God's waiting room.
  13. Salesman217

    ohio state independent provider pay

    hey calmcool1, How does one go about becoming an independent provider? I'm in OH and would like to look into it. Thanks.
  14. Salesman217

    Sex Discrimination or not?

    Why do people think males are sexual predators? Did you ever watch "To Catch a Predator"? Not a lot of females getting caught now are there? Am I saying that males can't do L&D effectively? No. But when a women is feeling distressed and vulnerable does it really help to have some strange dude staring at her privates? I wouldn't mind working in L&D. It's the happy place. But why force my desire to work in a particular area when my very prescence may make the patient uncomfortable. I think we go to far with this "any gender can do anything" idea. Men don't stop being men when they put on the uniform. They just subvert that part of themselves for the few minutes it takes to provide intimate care. L&D nursing is nothing but intimate care. I for one think men should stay out except in the case when no females are available. As far as the male OB/GYN argument, I think this is just another case where women got screwed (no pun intended). Women had been delivering babies for thousands of years and now here comes men claiming women are too dumb to go to medical school or deliver babies so that they can get paid six figures for doing what women have been doing for eons for little or no pay. I think men delivering babies is ludicrous.
  15. Salesman217

    Any Cleveland Clinic Nurses out there

    Sure deal. PM me at your leisure. I work in an elephant graveyard ICU at a regional CCF hospital. MICU I suppose but we see post-op stuff as well. Nothing fancy. We see post endoarterectomies, thoracotomies with chest tubes, that sort of thing. But like I said, mostly we see 80+ year olds with Hx of CHF, COPD, CAD, DM, PAD, CVA, etc., etc., ad nauseum. We see alot of mech vents as well. It's odd that we see a person younger than 70 unless it's due to medical issues related to chronic drug or ETOH abuse or either a really heavy person with respiratory issues. In other words, we're not a trauma center. As far as the mothership lady, I had heard of her. Her book was all the buzz where I work for a day or two. I might get around to reading it. I read Nursing Against the Odds. Interesting. But I don't know if I'm into anything but voting with my feet if it comes to that. Right now, I'm pretty satisfied with my pay and working conditions. But what do I know? I'm a newbie.
  16. Salesman217

    Making Room for "Dr. Nurse"

    I think docs and nurses have spent way too much time and energy convincing themselves that they operate in different realms. They say medicine is about illness and nursing is about human response to illness. What kind of semantic twisting gobbledy-gook is that? Nursing is the hands on practice of medicine. If we wanted to we could look at nursing as a sort of medical apprenticeship. We nurses certainly learn a lot from docs. And if docs spent as much time with patients during their education as we do during our practice they'd be a lot better practioners for it. Since ADNs like myself are practicing alongside BSNs and getting the same pay as if we know the same thing then perhaps it's time to put some more umph into the BSN degree. Why not retool the BSN to make it a premed degree (or at least make that an option) where they take biochemstry and higher level pharm or whatever pre-meds study? If nurses want to practice like docs the let them become docs. Why does all this healing practice have to be so segregated? Let's lump us all together. This artificial wall between docs and nurses is not based on any sound objective reality about the difference in what docs and nurses do. It's based on the old gender role seperation of the past that said women were not smart enough to be docs but they could be docs handmaidens. How about nurses as docs assistants and de facto apprentices? Then you have a vast pool of individuals already in the medical profession who might move on to higher levels of practice. As it stands now, if a nurse decides to become a doc they're looked at like they are somehow switching to the dark side. Why are there both there NPs and PAs? PAs exist because men without the time, money, or ambition to pursue an MD choose to attain to a mid level medical profession without having to do "women's work" (nursing). NPs exist so nurses can attain to a higher level of medical practice without abandoning the sisterhood. If you asked me it's nuts. Here's my suggestion: Level 1: current ADN would be - Medical Rehab Technician I - MRT1 Level 2: current BSN would be - Medical Rehab Technician II - MRT2 Level 3: current NP/PA would be - Medical Master - MM - Your primary care providers Level 4: current MD/DNP would be - Medical Doctor - all of whom would be specialists including specialists in nursing who would be experts on developing and improving the delivery of direct cares That's just some preliminary rethinking of the situation. My ultimate point is that the idea that docs and nurses are not both in the same line of work is ludicrous. Let's start merging the profession. Giving BSNs a pre-med track option would be a good start.