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Meriwhen ASN, BSN, RN

Psych Sheep RN
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  1. Meriwhen

    Force to change unit in the middle of shift

    Yes, it can happen. Legal action won't get you anywhere, alas. Unless you're lucky enough to have it specifically written into a contract that you are never ever ever to float to another unit. Neither will reporting them to the BON. Because if your employer floats you to a unit that you are unfamiliar with and you don't feel comfortable with taking on patients there, the BON puts it on YOU to refuse what you feel is an unsafe assignment. The BON doesn't care if you'll be fired as a result of refusing.
  2. Meriwhen

    Interview..what to do?

    This, because what have you got to lose? The worst that will happen is that they will say No, which is pretty much the same thing as if you didn't go to the interview. So things can't get any worse. And you never know--they may be able to work around your vacation...or your vacation may actually sync well with their start date... Best of luck!
  3. Meriwhen

    First time in my life that I feel like a failure

    Look at it this way: if being an RN is what you want to do and you need to retake this class to do it, then retake this class. At least you'll know what to expect from it this time around, and you should have an idea of where you were weak so you can address those areas.
  4. Meriwhen

    Emailing an old job back

    Conact him. The worst thing that will happen is that he'll tell you No...which is pretty much where you are if you don't contact him at all. So what have you got to lose? Best of luck!
  5. Meriwhen

    HIPAA violation and future employment opportunities

    In the 1990s, before HIPAA had come to be, my mother had been hospitalized in some small-town hospital about 150 miles away from where I currently was. According to my dad, she didn't want me or my sister to know she was in the hospital. I was able to call the hospital and without so much more than telling them who I was (and not having to prove it in any way), was able to speak to her providers and get a detailed update on her condition and treatment...despite her not wanting me to know. Those days are long gone. Now nurses get fired, fined, and disciplined for doing far less than that. Like it or not, they're not kidding around when it comes to HIPAA.
  6. Meriwhen

    HIPAA violation and future employment opportunities

    1. Consider this a lesson learned the hard way. Next time, do not access your friend's PHI without her having signed a ROI authorizing providers to discuss her care with you, and even then, you getting this information through the proper channels, i.e., from her providers and not by clicking in her EMR. 2. This may or may not be reported to your state BON. We have no way of knowing that. Rest assured that if it is reported to the BON, you will know about it as the BON will let you know they are investigating. If that happens, I strongly suggest you have an attorney to help you as the BON is not the nurse's friend...and yes, disciplinary action is public knowledge. You would need a lawyer to help minimize the damage. 3. Whether you are sacked or resign first, the fact is that future employers may still learn about this when they contact this employer to verify your employment. That is because, contrary to popular rumor, employers are not just limited to sharing only dates of employment and rehire status when it comes to verifying your employment. With a few exceptions that are covered by some state laws, employers can share any thing about your employment there provided that it is fact. You are/were being investigated for a HIPAA violation--that is a fact. That can be shared with the next employer if they chose to do so. And don't forget the unofficial word-of-mouth, because nursing is a small world. You'd be surprised who knows who and where. And it's no violation for someone at your old job to tell their friend at your potential new job about this nurse they just fired for looking in her friend's EMR... I sincerely wish you the best of luck in getting past this.
  7. Meriwhen

    Would you call in sick?

    If you are too tired to provide safe nursing care, then IMO call out. However, this needs to be an exception and not the rule. You need to address the underlying problems here: a 12 hour shift plus a 4 hour commute. There's 16 hours minimum of your day taken up. Add in the fact that shifts (and commutes) are often longer than that means that you're only getting 6 hours or so to live the rest of day out: eating, sleeping, fun, etc. Do you really want to keep going like this? CAN you? Only you can decide that. Perhaps this is perfectly doable to you for the long-term and this is just a rare blip of fatigue. Or perhaps you are starting to realize that you might have bit off more than you can chew. Again, only you know that answer. Though FYI, the "exhausted" excuse will only work so many times before they decide that perhaps they should replace you with a nurse who doesn't spend 1/6 of her day commuting. So be careful playing that excuse card. Best of luck whatever you decide.
  8. Meriwhen

    New Grad with Some Job Choices

    If you have an official job offer (i.e., one in writing from HR) from Job B and can financially swing waiting until January, then IMO take Job B. Otherwise, don't turn down a guaranteed job offer (i.e., Job A) based on a verbal promise from Job B that may or may not materialize into a bona fide job. You can find plenty of threads here from posters who were verbally offered a job, but no job offer from HR ever came and so they were left with nothing. In this job market, that is not a risk you should be willing to take. Best of luck whatever you decide.
  9. Meriwhen

    Best shoes for 12 hours

    I wear running shoes. I also wear inserts because I have high arches.
  10. Not every psych patient that walks through my doors is continent, and no, this isn't just limited to med-psych. The incidence of toileting patients may be lower than on your average medical floor, but it's a very real possibility. So scratch psych tech off of that list. Patient sitter...well, we don't expect them to help with that patient's care--their job is to watch the patient like a hawk, stop them from doing anything unsafe, and let us know ASAP if there's an issue. Though a lot of the sitters we have in our place will help pitch in if the patient they are sitting needs some toileting, we don't demand that they do. So that one is a "maybe." Could go either way, really. Unit clerk: now there's the one job that doesn't involve bodily fluids. Not usually anyway--remember, nothing is ever really normal in psych.
  11. Meriwhen

    New Grad Residency

    Depends on the programs. AFAIK, most new grad residencies will take new grad RNs of any variety (diploma, ADN, BSN). However, competition for these residency slots is very fierce and not having a BSN can put you at a disadvantage. That being said, one of our most recent new grads is an ADN so it's not impossible. And I agree with other posters: one of the things being worse than a new grad is being an old new grad because soon you will no longer be eligible for a lot of new grad residencies and positions. So you better start applying for any residency ASAP. You also better start applying for any RN position ASAP as well, even if it's not quite your desired specialty/schedule. Any RN experience is better than no RN experience, and no one says your first RN job is forever. The longer you hold out for your dream job, the greater the risks you run.
  12. Meriwhen

    Resignation, What To Do With Accrued PTO??

    Call HR and see what your options are. But keep in mind that many places will not let you take PTO while you are working your notice. Best of luck at the new job!
  13. Meriwhen

    Holding voluntary patients - illegally?

    No offense was ever taken, no worries :) But it was kind of surreal because after years of answering questions from non-psych nurses about how things work in psych--and you'd be surprised (or probably not) at how many non-psych nurses do have a "prisoners"-ish mentality about psych patients--here I am asking about how some of the things work on the non-psych side.
  14. Meriwhen

    Holding voluntary patients - illegally?

    You know, I just realized that it's usually ME saying this to people, not the other way round :LOL:
  15. Meriwhen

    Holding voluntary patients - illegally?

    I never said they were prisoners. I just didn't know if there were any differences in how these things worked in a non-psychiatric setting. It may seem a silly question to you, but remember that 98% of my nursing has been in psych settings. I'm used to working in the "it's a whole other ballgame" world. And I've learned that essentially, there's not really that much difference.
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