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Nurse Giving Conscious Sedation Without Licensed MD Order
OMG. No. Don't do that. You know there are always risks. It should be easy enough for the physician to have a friend or colleague cover for him. You have a masters, they'll come right after you if anything happens -allergic reaction to the medicine, patient has a stroke, patient sues because they're not happy with the procedure. Just tell them you are taking a vacation until the doc is legal again. There are sooo many jobs out there. It's not like you're easily replaceable.
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Working Too Long In One Place, My Boss Wants Me To Sign Contract
I'm a travel nurse. I have stayed the limit at my current location, but due to family issues I wanted to stay one more assignment. My boss wrote up a non temporary contract. A nurse I work with said I should not take it because the IRS will consider me a resident and tax the stipends that I received as income for the whole year. Is she correct? Also- I'd really love some reviews of these online CPAs that work with travel nurses. Has anyone worked with travelnursetax or traveltax?
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Detox nursing is sucking the life out of me
I have been a psych and detox nurse for 7 years. I don't feel that way. I have had patients abuse the system, lie, manipulate, walk out the door after getting fed/sleep/subutex. That doesnt bother me. This is the behavior of addicts, I figure its very hard for them, and they're here. It's a start. Just like psych, you have to realize that they are not well, and don't take it personally. On the other hand, you really should get some clinical experience as a nurse before you let yourself get lazy with behavioral health. ? Nows the time, the hospitals really really need nurses. Put in some applications.
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When Will the Nursing Shortage Be Over?
I am contributing to the nursing shortage myself. It's not because I feel underpaid, on the contrary. I've been working with a local healthcare agency, the owner is just wonderful. I choose my hours. I love my current psych assignment. My coworkers are the best. I cant be mandated. Nobody ever dies. My clients don't have COVID (Although they do sometimes have head lice..so there's that). Still, I have been choosing to work only 24 hours a week because, well, my bills are small and I value life. a side note; the mental health techs at the 'nonprofit' facility I contract to are only making $11 an hour. One of my techs had been punched by a client twice this week. I wonder why he keeps coming in? It makes me appreciate how fortunate I am to be a nurse.
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When Will the Nursing Shortage Be Over?
I’m certain that the shortage was caused by all those sweet private nurse jobs at every company- sit on your butt and take temps as employees come in, as well as all the vaccine clinics that popped up. Fun, fun ? I did very well with travel nursing because of the shortage. Now, the good travel jobs have dried up. I think it’s about over.
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Are hospitals in NJ allowed to record patients in their room?
According to HIPAA, security cameras are not permitted in areas where people have a “reasonable expectation of privacy” such as patients bedrooms. That would cover all of the United States. However, I've worked with patients who had cameras in their room with their knowledge and consent- mostly to monitor for seizure activity.
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Transitioning to psych/mental health nursing
Wow that is some change, NICU to psych? I've seen a lot of "new grad" psych jobs, so I'm sure those same facilities would hire you and provide an orientation. They'll be glad to have you.
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Are bras contraband?
Same here, we allow bras without underwire, we offer to remove the underwire or place it in their locker until they're discharged.
- Fired (Wrongfully?) And It Hurts
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Glen Beck's hospital experience
I'm looking back at this charmingly polite argument over a political talk show host ? Ahhh, those were the days.
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CEU's for Psychiatric and Mental Health certification
I renewed my nurseCE4less.com membership to complete the 30 hours of mental health CEUs required for the PMH-BC(I only had 20), they have a great selection at a reasonable annual price. However, when signing up for the exam, I decided to join APNA for the exam discount (the membership is $135 a year, but the exam discount is $175 at the time of this writing), and realized they actually have quite a few free mental health CEUs on their website- more than the 10 hours I needed.
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Clinical rotation
I am in my final semester and recently did a clinical rotation in hemodialysis, I really enjoyed it too, actually. It was right after I had rotation on the renal floor so I thought Id know what was going on, but no. That machine is pretty complicated. Id recommend any students heading to dialysis to read up on how it works beforehand (Davita and the kidney foundation are great resources, the American Nephrology Nurses Association actually has free training modules on their website). The nurses there were great, my preceptor came from med surg so she had plenty of experience. But really, the care we provided was standard acute nursing care-med admin, lab draws, vital monitoring, dressing changes, proving comfort etc, the only additional training you would need is how to run the machine. Once you learn that, you have yourself a nice job with 2 pleasant sleepy patients. Most of the time, she did have this one patient$68,000 a year who's vitals were all over the place, and she was continually readjusting the pressure, so there's critical thinking involved here. But it's not a bad gig for $68,000 a year.
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Student Nurse take on ED rotation
I am a bridge student, I graduate in May, I have no hospital experience. I've recently preceptored in the emergency department. ED rotation was so exciting, unpredictable, and fast paced. I know its not always fun and exciting, but the ED nurses had a solid broad knowledge of, well, everything we've learned, and I'd imagine they are always learning new things. They are confident and quick thinking and really know what they're doing. Plus, an ED nurse around here makes around $70k, which is a lot more than I'm making now. It was very heartening to me to learn that my preceptor graduated from my school just 3 years ago. We do have a StaRN program here that provides training and preceptorship to new grads who want to go right into ED, but the nurse I worked with transferred after a year in med surg. Oh and as a side note, to emphasize how fun ED nurses are, the Journal of Emergency Nursing is actually interesting! I wish I'd known about that before I did this evidenced based project (presentation tomorrow, bleh), and ena.org has events and education and even free CEUs if your a member. Bottom line, I love emergency department nursing.
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How do new grad Nurses that don't have BSN manage to survive this job market ?
I graduate in May and they are just throwing job offers at me here in Ocala, Florida. And let me tell you, the job market here isn't stellar, and we have 3 nursing schools in town. Many places that say you need to have a BSN will let you work on it while you work for them. I'm going to start on mine through WGU.
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Critical Thinking: you have it or you don't. Agree or disagree?
I define critical thinking as the ability to make the best educated guess based on the knowledge you have. I'm pretty sure nursing school the NCLEX thins out the non-critical thinkers. After that, it's just a matter of experience. I think you continue to develop critical thinking throughout your career though, it becomes easier with use.