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nicurn001

nicurn001

Psych , Peds ,Nicu
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nicurn001 specializes in Psych , Peds ,Nicu.

nicurn001's Latest Activity

  1. nicurn001

    HELP! NRP Questions

    Airway always in neonates . As an aside if in your position , were you feel you are having a problem with one question , rather than struggle with it for a several hours , try substituting the other answers , because although the answer may look wrong , however much you check the texts , it's the answer the examiner wants that matters .Some times we can only see what we want to see and not what the examiner wants , NB this is meant only as helpful advise , NO criticism intended .
  2. nicurn001

    Medication 20% Rule.

    I agree with MunoRN 's math . It appears that by adding another layer of calculation , another layer of risk is being added , with no apparent gain . Sorry to say but too large a number of nurses appear to be numerically challenged , it is better to find a way to reduce the complexity of a calculation to reduce the risk of miscalculation .
  3. nicurn001

    Nursing Unions: Pros and Cons

    Asking someone to become a representative in the circumstances described above , is simply a response to someone who has shown enough initiative to at least interact with their union , they are saying if you are interested in change why not join us and try to make that change occur . Many nurses in unions seem to forget it is not a disembodied entity that comes in like a knight in shining armor 9 or if you are anti union , some bedraggled vagabond on a dying donkey :-) ), but that they are members and they are the union so if they were active it could better represent their wishes .
  4. nicurn001

    Top 10 Reasons Against Unions

    I think that what Jean Marie may be an outlier , but the point is that in some areas of the country nurses are harrassed by their employers by mandated extra shifts , these shifts are not staffed because the admin. refuses to employ enough nurses to cover the regular number of patients that hospital has ( I understand that emergencies lead to unexpected staffing needs , but here we are talking of regular / frequent mandating of staff ) , these employers tend to be in areas where unions are not active (conclusion drawn , from the many threads , which have touched upon this topic on AL , through the years ).
  5. nicurn001

    Top 10 Reasons Against Unions

    I think mene19 is a nom de guerre and that this contributor has a axe to grind , from the only other contribution they have made on allnurses , the violence they reference was based on an incident 20 years ago !, what relevance that has to do with present circumstances I don't know .If that if the only occurence of violence that can be referenced it shows their case is spurious , if nurses and their unions were so violent you should be able to find many examples to reference . It is a waste of time to debate this person because they have started this their second thread as an agent provocateur , simply to get a reaction . Although on one thing I partially both unions (and in non unionized facillities ) management should respond to nurses queries we HR policies and work place related / personel matters .
  6. nicurn001

    To be, or not to be, that is the question.

    Look at the states nursing associations , to see if they do collective bargaining or look at the NNU site , which I believe has links re. organizing . I can't swim so I don't float .
  7. nicurn001

    To be, or not to be, that is the question.

    Why not work to get the union you prefer , our employer had enterred an agreement with a union , we nurses looked at this decided we did not wish to join a non specific union , contacted a RN only union , they took the necessary steps to get upon an election and we voted them in.
  8. nicurn001

    To be, or not to be, that is the question.

    GitanoRN puts it well , I view my membership of a union as an insurance against the changability of management , most of the time many can get along well with their facilities management , but when managements ethos changes , or even your floor manager changes , you can suddenly find yourself vulnerable without any support system to reduce your vulnerability , that is when a strong active union is valuable to you . There have been many threads on AN which have debunked the idea that because you are a good nurse who is well networked with management , this secures your position , unfortunately that is not true ,once managemnt decides you are superfluous you will be out of there if you are not covered by a union contract .
  9. nicurn001

    To all "medical coverage is a privilege" folks:

    to me the obsession with other peoples lifestyle choice is simply a cover / justification of avoiding paying for insurance , which works in healthcare financing as in other fields by spreading the risk between a large group in order to cover the liability incurred by any claimant ,in all fields of insurance you could blame the poor choices / actions of a claimant to justify your wish not to pay your premium . we can debate this as much as you wish but from my perspective , you will never accept that those who choose not to be insured are a greater problem than those who play the system , because those that choose to be uninsured are also making me pay for their healthcare , but hiding behind a faux moral outrage about those others who get healthcare without paying for it !
  10. nicurn001

    To all "medical coverage is a privilege" folks:

    In my contributions to this thread I keep coming back to two points and as highlighted by the last few responses they have not been answered by those who view healthcare as a priveledge :- a) what are you going to do for people who CANNOT pay for their care due to unavoidable circumstance , NOT poor lifestyle choices . b)How are you going to get those who CHOOSE not to buy health care insurance or have inadequate financial resources to self insure , to pay their bills .( this is the group the individual mandate is aimed at , it is an attempt to ensure personal / individual responsibility is met ) . It would be interesting to see how those who view healthcare as a priveledge would address these issues , rather than see them ***** footing around the reality that appears they would prefer people to die rather than give them healthcare they cannot pay for .
  11. nicurn001

    To all "medical coverage is a privilege" folks:

    Sigh ! we all get the concept of fee for service and personal responsibility . Surely you get the reality that there will always be those who cannot finance those services , what would you have done to them ? . If you give them care how is it to be financed , so that the providers do not go bankrupt , or do you advocate simply witholding care to all who do not have the finances or access to finances ( usually through insurance )to pay for their care?.
  12. nicurn001

    When calling in are you asked "what's wrong with you"

    I am not sure it is Hippa but I thought it was illegal to ask an employee why they are calling in sick . I know when I get a note from my physician they only put illness in as the reason for being off work .
  13. nicurn001

    To all "medical coverage is a privilege" folks:

    rkealy , I have in the past been accussed of looking at the world with rose tinted glasses , that is what you are doing , you are looking back to the time before the present insurance / taxation finaced model of healthcare existed , if it had been as good as you envision there would have been no desire in the populace for it to have been replaced .The free market in combination with charitable care was never able to provide care for all who NEEDED healthcare , so people were dying , or bankrupting their families to pay for their healthcare .I do not expect all to have the same amenities in the healthcare they recieve but feel that all who can afford to should be paying into the system to finance healthcare . We come at this probably from opposite wings of the political spectrum , but lets accept that ALL who can afford to finance their own healthcare ( whether from their own savings or insurance ) should do so , those who have valid reasons for being unable to finance their healthcare should still have access to needed care . As an aside do you feel the same about all insurance ie. it raises the prices of meeting the cost of covering the liability insured ? , and you don't like paying for the poor decisions / actions of others of others ?.Are you self insured for vehicular risks , damage to your home etc.?.
  14. nicurn001

    To all "medical coverage is a privilege" folks:

    I would guess in the usual way, when a patient is told they are fit for discharge , they are discharged in the same manner as they are now .Honestly I to am not trying to be a smart -alec either , however healthcare is financed I would have thought the discharge procedure would be unchanged .
  15. nicurn001

    To all "medical coverage is a privilege" folks:

    The thread is titled :- To all "medical coverage is a priveledge " folks , The OP posed a question which boils down to the one I reiterated above , what would those who believe medical coverage is a priveledge do to those who cannot / will not buy health insurance .So far in this thread that question remains unanswered. As I see it the alternatives are withold treatment , fund treatment by the present system ( combination of private and taxpayer ) ,or have charities cover the uninsured ( though I think it highly unlikely charities would be able to cover all the needs . While it is perfectly OK for the " medical coverage is a priveledge " folks to have that opinion , they need to answer the question of what to do about the uninsured , because if we continue with the present system of healthcare funding the tax payer will always have to cover these cost or watch the providers go bankrupt and /or people dying on the streets due to lack of care .
  16. nicurn001

    To all "medical coverage is a privilege" folks:

    You answerred the problem re. the national deficit and how you feel the national deficit should be addressed . You did not answer the question I posed of what is to be done to finance the care of the uninsured ( whether they are uninsured because they do not have the ability to pay for insurance or they choose to be uninsured [ those who have the financial resources to be insured but choose not to get insurance and place their risk upon us]). This is the question any health care refoRm has to address , because while we try to rely upon a private healthcare financing system there will always be those who will be unable or unwilling to pay for insurance , will we provide or withold care to them ?.
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