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RN1989

RN1989

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  1. RN1989

    Major in nursing, minor in legal studies

    You will need clinical nursing experience before you can transition into a job such as this. If you don't get the clinical time, you will not have the knowledge necessary to do that type of job.
  2. i received the following email exchange and was asked to post here for other nurses/lncs to see. an ad appeared in nurseweek asking "tired of nursing?" and promoting an lnc course as a way to get away from practicing nursing. as experienced lncs know, this type of work is often more difficult than direct pt care and you must have a solid nursing/healthcare foundation before attempting lnc work. lnc work is not for people running from a job that they hate and looking for just any old job that get them away from the bedside. you really have to enjoy the aspects of lnc work to be able to perform it well and have the perseverance to remain in the field. i have seen many nurses come and go in the last year who thought that being an lnc was an easy job to transition into. it is not. the ana has accepted lnc as being a specialty of nursing. reputable lnc courses require an active, unrestricted rn license to be able to even enroll in the courses there are various credentials out there and there are several that also require active rn license r/t the title "nurse" being restricted in several states to only persons holding an active nursing license. this subject is sparking debate in the lnc world. is being an lnc really practicing nursing? the laws require expert witnesses to be currently practicing in the clinical setting and/or practicing at the time of the issue of the lawsuit. some of these tes call themselves lncs. but what about behind the scenes lnc? are they really nurses? and if so, who do lncs answer to? the bon? the aba? some other entity? the originator of the email is an lnc and wanted more people to see that this attorney states that lnc work is not practicing nursing. it is an interesting exchange. i have edited some portions of it due to content. i will leave it to the readers to decide. sir / madam: i am both surprised and appalled by the heading of the 20% page advertisement your firm has published on page 33 of the february 2009 mountain west edition of nurseweek. tired of nursing? if you do not think legal nurse consulting is nursing, what exactly do you think it is? in your attempt to exploit the disillusionments of many professional nurses who might be facing professional burnout or other professional hurdles, you have managed to insult most, if not all, practicing legal nurse consultants, and i would imagine most legal nurse consultant "wannabes", who are proud to be identified as professional nurses and who are acutely cognizant of precisely "who" and "what" they are. i plan to share your insulting ad with as many world wide web legal nurse consultant and professional nursing forums as will be humanly possible. i will encourage everyone who reads your ad and my adjoining commentary to likewise share the same within their networks. i fully expect (and hope) that your short-sighted marketing ploy will ultimately prove to be far more detrimental to your cause than it will prove to be beneficial. you owe a retraction and an apology to all legal nurse consultants and professional nurses everywhere. ms. rooney’s e-mail response your "surprise" is clearly based upon your lack of knowledge and training. legal nurse consulting is not a specialty of nursing. legal nurse consultants do not practice under the nurse practice act. legal nurse consulting is a specialty of law firms that specialize in handling complex medical malpractice cases. you are offended by the fact that nurses are "burnt" out. then look to your field of nursing and seek to make legislative changes that allow nurses to control their own profession. good nurses are placed in dangerous situations everyday. why don't you direct your ire towards the real problem....the exploitation of nurses is done by hospitals, nursing homes and home health agencies everyday. listen to the nurses and you will hear their stories of fear and concern for patients safety. yet, nurses are understaffed, and given untenable patient assignments that create stress and concern for good nurses. the legal nurse consultants graduating from this program are soaring with great results. our goal is to give nurses not just the best legal training in the country, but to empower them to become six figure entrepreneurs. why? nurse deserve it! why don't you re-consider your typical negative mindset that is conducive for keeping nurses down. your approach for nurses is that nurses need to "shut-up" and take what's dished out. i say nurses should speak up and let people like you listen to them...they are tired! nurses deserve so much more. donna l. rooney, esq.
  3. RN1989

    Doing what's right even if it ends a friendship.

    You will NOT look like a jerk! You are so awesome! It takes a lot of courage to do what you did, particularly when you are not in a large facility where you can duck under the radar. If people think you were wrong and are ugly to you - they obviously are not the ethical professionals they claim to be. I have noticed that so many people are doing things and don't even realize that what they are doing is illegal or unethical. They compromise in one thing, then another, and before they know it, their sense of right and wrong is so distorted that they believe they are doing people a favor. Hang in there and keep fighting for what is right! As a Christian, I believe that the road to heaven is narrow and difficult to follow - and I remind myself of that when I am in situations such as yours. Feel good that you did not compromise just because it was convenient.
  4. RN1989

    $39/hr???

    Most facilities don't have a time period for something like that, compared to switching units. But there must be an open slot for you to take on another shift or day, etc. And often times there must be someone to replace you on that shift as well, as all weekends can sometimes be difficult to get a replacement.
  5. RN1989

    My First Subpoena

    +++++
  6. RN1989

    My First Subpoena

    Any advice YOU feel like giving this poster has nothing to do with MY specific experiences. You are free to give any advice you wish, whether it contradicts someone else or not. I don't desire to get into specifics with you regarding my personal experiences. If you disagree with me - fine. But I'm not in the mood to give you any specifics just so you can tailor your comments to my comments and start down a different road on this thread because you don't agree. Some threads just are not worth getting into passionate discussions over.
  7. RN1989

    I want out of this mess

    Obviously nursing IS like this, or there would not be many posts on allnurses telling tales of this very nature. Perhaps you have not experienced it - but it is becoming the norm and no longer the exception. I have yet to see any employer give an employee the orientation they demanded, as you are telling this novice to do. It is unlikely that a new nurse would be able to know what a "proper" orientation is, since she has no experience. If she were to come up with her own idea of orientation, with no idea whether it would be feasible or not, she likely would never get a job if she walked in demanding it. New employees are terminated quickly for making demands unless they have an iron clad contract. While I am a person who is willing to document the unsafe/unsuitable conditions - I have also lost jobs/been unable to get jobs because of this. A new nurse needs to get experience and likely cannot risk termination or never being hired by being so forthright at this time. There are times it is better to walk away and live to fight another day, than bring to light all the ugliness that is healthcare - that the employers don't want to see anyway.
  8. RN1989

    Soon to be nursing student seeking advice.

    PCA/PCT is the name hospitals use for an untrained, unlicensed person that does CNA work. Working in a hospital/NH will give you more experience as far as the technical skills of caring for people's ADLs (activities of daily living - feeding, bathing, changing linens, peri-care, etc) as well as prioritizing. Psych attendants do not generally do all that a CNA would do. They are often left in even more dangerous staffing situations than a CNA would be - particularly at state facilities. You should be looking at speaking with financial aid counselors. There may scholarships you don't know about aimed at more mature college students.
  9. RN1989

    I want out of this mess

    You will find this type of situation repeated all over the country every day. You need to be very selective when you choose a job to be sure that you don't get in over your head and feel the need to keep quiting. This is real life, not nursing school.
  10. RN1989

    Less than forthright recruiter

    I've never heard of any "stipend" doing agency work. I'd want more info on all that, how it works, where does this thing come from? Considering that the last agency I worked for paid $26/hr at a horrible hospital.....I might go to to work for an agency that paid $35!
  11. RN1989

    Considering the Milazzo course Some questions.

    I have obtained some of the materials from other courses. While I found one book for the course to have good information in it and is a good reference book - I don't think that anyone could take that course and be ready to jump right in writing reports, etc. IMO, the VMI course has better examples, case studies for you to complete, compared to the other courses I"ve seen. I personally think it would be difficult for the average hospital nurse without training in professional writing and running a business to be able to take those other courses and feel like they were ready to do this type of work. Having a mentor available through VMI is also a big plus. I don't think you are limiting yourself at all, from what I have experienced. Not every course has the step-by-step instruction needed to do this job. Something I am noticing in newer LNCs is that they ARE having a hard time adjusting to working so autonomously. They are accustomed to the immediate feedback that they get from their patients/docs/fellow staff. With this work - you may have to be seeking their feedback without it being given spontaneously. If it was good, they might just run with it and give you another case when one comes in later. If they didn't like your work, they might ream you out but they also might write off the fee and just never use you again. Do what you need to feel prepared.
  12. While I think Jolie has some good ideas, I still don't have a belief myself of how to fix this mess. Various hospitals that I have worked for, always had policies in place that had the bottom line numbers for surgeries, etc. for private pay patients. And the cost was significantly lower than what the insurance companies were charged and what the insurance company would pay. Now I have a friend without insurance who is being charged MORE than what they charge the insurance companies. The explanation given was that the insurance companies won't pay the actual cost of the services, so they increase the private pay rates to make up for losing money on insured patients! The hospital is also billing her a special charge because her physician rents office space/equipment from the hospital. Most MDs, dentists, veterinarians, and other professionals set their fees to help cover the cost of things like rent/equipment. Or they consider it an overhead cost as a part of doing business. I think it is really bad form to have someone bill you a separate fee and then let you know that it is to pay your rent! Not sure of an absolute answer, but it is going to be hell trying to get there.
  13. Ours is way more than a measly $1K to keep it affordable. Such is the nature of healthcare today.
  14. RN1989

    My First Subpoena

    Yes, anything you take with you could be called into question (depending on what answers you give in questioning, if someone sees you with "something" they think they can use against you) and you could have to produce it - even normal purse contents. Trial testimony is like a deposition - except there are a few more people. Since you have been through depo - you have a good idea of what will happen and what you need to do to remain calm and answer questions succinctly and professionally. No, it does not look good to make a nurse look bad in front of a jury. I think you will do just fine!
  15. RN1989

    Have you had to do anything morally wrong?

    Here in the US, insurance fraud is a big problem for many nurses. I have been asked to give treatments to pts that did not need them, simply because they were more expensive. I have friends who were told to lie about the care the patients needed in order to get insurance money. I have been instructed to not report abuse and neglect - partly because it would have made the facility look bad that it wasn't reported sooner, and also because the pt would no longer receive treatment at that facility if the person was removed from their home and placed into state custody - which would decrease the amount of money coming in to the facility. I have been instructed to disregard the nurse practice act in various ways to save money and/or keep a pt alive because someone without proper education was given care of a pt. You'd be surprised at all the sneaky things that employers due to try to involve US nurses in schemes that are not on the up and up. There are times that the nurses don't even realize what is happening because it is is so sneaky and seemingly normal.
  16. RN1989

    My First Subpoena

    The opposing side will always try to make you look bad. If they didn't - they could get sued for malpractice. Don't take anything with you except ID and anything they tell you to bring. Anything you take with you could be subject to being shown to everyone. I've seen some stuff that was seemingly innocuous in someone's pocket be used against them. Be calm. Wait a few seconds before responding to questions. That lets attorneys have time to object to any questions. It also gives you time to comprehend what they are asking and to formulate a coherent answer. If you are confused, unsure of exactly what is being asked, ask them to repeat the question. Don't get angry. They may try to bait you. Once you get it into your head that they are SUPPOSED to do this, because it is in the best interest of the attorney's clients, it is easier to chill and not let them rattle you. Relax and you will do fine. I was deposed once for a suit against a doc. At the time I thought it was the worst thing in the world. Turns out - it was a piece of cake compared to other things that have happened to me since then.
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