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8mpg

8mpg

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8mpg's Latest Activity

  1. 8mpg

    Venting online.

    The thought would be causing fear of incompetent healthcare professionals . I think it is far stretched but with our court systems these days, you never know. A completely non-HIPAA or identifying a facility shouldnt be a big deal in my mind. Also, by typing anything on the internet, you can almost guarantee you are identifying yourself. Your IP address is easily reversed. Posting from home would be a dead giveaway if the board were ever upset and were to subpoena allnurses.com for IP information.
  2. 8mpg

    Venting online.

    I see lots of people here vent and I think this is a great place to do it, lots of support etc. The question I have is the legalities of expressing work situations and how a board of nursing may interpret it. The Texas BON says: "unprofessional or dishonorable conduct that, in the board's opinion, is likely to deceive, defraud,or injure a patient or the public;" While I dont think venting necessarily will cause harm to a patient or public, could the board say that venting our frustrations would be considered deceiving the public. I know this is far stretched but a discussion I was having a work with a co-worker who was worried that it could be.
  3. Well, I have 2 job offers at the moment and wondering what you guys think would be the better option as far as experience for CRNA school. I have 2 years general ICU experience at this time. University does lots of transplants (kidney/liver) and with that comes lots of CRRT. Outside of that, they get lots of pulmonary cases The Leve 2 Trauma ICU is a larger facility (twice that of the University) and does the obvious trauma. They get a mix of car wrecks, to high and low level falls, etc. Both seem to have advantages and disadvantages as far as benefits, location, etc. The two are really a wash as far as those things. Im trying to find where I will get the best experience when I decide to further my education. CRNA school has been a big motivation to me and a big reason I got into nursing. The biggest hold back was simply the not working for 2 years, pulling loans, etc. After a few smart moves, we landed with some great land equity. If we are able to sell in the next year or two, we will have a paid off house and have enough cash to pay off all schooling cash, and I believe live on. The fiance will continue working. Relieving the financial stress will allow for my original dream to possibly come true. Thus, Im looking for the best experience to accomplish getting into school.
  4. Well, I have two job offers on the table and Im really not sure which to take. I have 2 years ICU experience in a general ICU that ranges from med/surg to open hearts. We do a little of everything but neuro. Im really torn between the two offers as they both are great opportunities. The job offers I have are: University hospital - main ICU which is med/surg. They do kidney/liver transplants and lots of pulmonary. 450 bed hospital Positives - paid holidays (12 (8) hour days a year I believe), state benefits (free medical insurance for employee only), state retirement pension (have to contribute 6% and they match 6%). Negatives - slightly less pay, drive is 25 miles which is currently 8 miles further than the other hospital (potentially 15 miles further if we build a new house on our property) 5 days of call per quarter (I know this is next to nothing) Other hospital - Trauma ICU (level 2 though sometimes they take patients that should have been level 1). Connected to the OR with trauma surgeons on all the time. They do neuro (no experience though happy to learn). The hospital is 800 beds. Positives - little more pay, 20 miles from me currently which is a shorter drive (which may be 15 miles closer than the other hospital if we build a new house on our property). Benefits are good. Magnet status Negatives - they occasionally triple (while downgrading patients). This department has more swings in census which leads to being pushed back or being put on call at times. Both hospitals have great reputations. I know nurses that work at both and say they feel rewarded and that their voices are heard. Both have multiple nurses with 20+ year careers at that hospital.
  5. I must be thankful for attentive nurses like you with your long tenure of experience. You have figured out the inner fiscal workings of hospital networks nationwide. With your keen fiscal sense, you have single handedly uncovered one of the biggest healthcare frauds among us. In your extensive 5 months of medsurg nursing you have been able to adequately research and conclude (through 3 blind samples of hospitals nationwide) the general consensus and accurate representation of all the hospitals in the US that the average training is 6 weeks. Through your excellent deductive reasoning you have found that a hospital cannot spend "thousands" of dollars on training employees and that you are a prime example of how $6000+ does not equate to "thousands" of dollars in training. Through your extensive knowledge of healthcare insurance and premiums you have concluded that the average healthcare policy is based on that of yourself (28ish year old) and that every person out there can have a healthcare policy for $500 or less a month. You have also concluded that it makes more sense for healthcare (may as well broaden it to all industries) that it makes more sense to pay hyper-inflated prices for healthcare premiums for their employees to third party insurance companies to have a greater deduction. Im sure your reasoning is it is much better to pay $100 rather than $50 for a product so you can eliminate the $14 in tax savings. I guess Romney should have given another $5M to charity to save $450,000. We should not think about other stipulations that corporations must pay for their employees such as income tax contributions, employment tax, 401k contributions, PTO, life insurance, etc. These are not raw costs of having a new hire employee and they should not be considered. We should also exclude liability of untrained nurses. Thank you for your excellent research study and definitive conclusion that hospitals cannot spend much money on training new graduates. You have greatly excelled in your 5 month tenure and should be CNO by next week.
  6. lol... Ignorant seems correct. Again, your single instance at your hospital with your single age and health status is simply bogus. Please look into many hospitals such as Parkland which has an amazing education system in which some departments get 6 months of straight classroom education then orientation to the unit. You are simply arguing to be correct. You do not want to take any information given to you by people who have been a nurse longer than you (18 months?) with a little more experience in these areas. Again with your first job, you need to realize every situation is not yours. Until you let your guard down and listen to some others insight, you will simply bang your head against the wall arguing a mute point.
  7. Im sorry to say it but there are many times that it is better to do nothing. As a previous EMT and having been on accident scenes, it is often better people not get involved and allow the properly trained people handle the situation. Many nurses dont know that holding Cspine is important. They feel like they need to get someone out of the car. Causing a person to become para/quadriplegic due to ignorance is not a good idea. Many jump into a situation without regard to scene safety. Many nurses while intentions are good, may not have emergency training. I can tell you from seeing how often out own nursing staff freezes during a code.
  8. I feel like there is a lot of ignorance by the original poster and he just wants to be right. To take yourself and compare it to the rest of the nursing population is not a good idea. Just because you are a healthy 28 year old, that doesnt mean every other nurse is. My fiance is 27 and her previous policy that went Cobra while switching jobs was $800/month. Her current employer pays $700/month and she pays nothing out of pocket. Cobra insurance numbers are not made up. Your example of 6 weeks of training is a very low figure. My hospital does 10-12 weeks for most new grads in easier departments such as med/surg. Our critical care staff is 16-20 weeks. They also have to farm out some of their education to other hospitals as they dont have the full critical care educators in house. Combined with turn over rates, healthcare, 401k, taxes, etc. the company can spend $15-20k easy.
  9. 8mpg

    Weird, but missing my old state's nurses union!

    Im sorry you feel that way. I work with 3 nurses from California in my small ICU and they all say they are much better off here. One gal just moved here and said she paid $10k in state taxes last year on top of all the FICA, SS, Medicare, etc PLUS sales tax. Her take home income was around the 50% mark after all deductions including union dues. Im not sure where you are in Texas but a gallon of milk is no where near $4 a gallon. Im payin $2.50. Parts of california just topped $5 per gallon if you didnt see that in the newspaper where the state government switched early to winter grade fuel to make it cheaper. I just paid $3.35/gal. Also, when houses are soooo expensive in California they entertain 60 year mortgages and interest only mortgages, this is not something done in Texas due to the low cost of living. Yes, we have the same basic federally mandated taxes. We do have sales tax but we do not pay property tax on top of it. Paying state tax and 9.75% sales tax in California can eat you up.
  10. 8mpg

    Weird, but missing my old state's nurses union!

    You dont need a union..you need a staff with a backbone. Many hospitals have nurse practice councils, staffing effectiveness groups, etc that must be used for good purpose. Track the days and problems on paper. Have your evidence and paper trail. Complaining among your coworkers doesnt get anything fixed. I am like the poster above where we run bare minimum staff with total patient care (we draw our own labs, baths, etc) and we do just fine. If we have to triple once and a while we work together. There are much worse things out there at other hospitals where you start tripled. Check into your state employment laws. Im not sure about Ohio, but in TX its overtime after 40hrs. So we are scheduled 3 12's and will get 8 hours of overtime if we worked a 4th day. It usually is more due to the fact we never work 12 hours it ends up being 12.5-13 depending on how long report takes. Im not sure why you need a tech with 2 patients most of the time. You cannot compare any California pay to most places in the US as they pay insanely high due to extreme costs of living. Also, you dump your money into the union from every paycheck. Also in California you pay state tax, sales tax, federal income tax, social security, medicare, etc. Im sure the difference in pay is made up by not paying the California insane tax. Oh, and to give you a little context, midwest states and states like Oklahoma have RN's making $17-18/hr. These nurses will triple all day long in ICU, take 7-8 on medsurg, 4-5 REAL PCU with cardiac drips. So make sure you think about it when you say how horrible your job is.
  11. My simple answer is... if you dont know what you are doing, dont do anything
  12. 8mpg

    New Grads in DFW...what are you earning?

    grades shouldnt ever be considered. I have friends that prove high grades does not mean good nurse.
  13. 8mpg

    New Grad Pay in Texas?

    DFW area HCA faciltiy was $22.85 new grad. $3.30 night dif, $4 weekend (something like that)
  14. 8mpg

    RN or LVN

    I woudlnt ever get my LVN. RN is the only way to go. LVNs are underpaid, overworked and work many jobs people dont really want (nursing home, ltac, etc).
  15. 8mpg

    How do you handle an admission?

    Pain never killed anyone...Not saying you should not treat it, but you should know their vitals before giving dilaudid. Dont need a slightly hypotensive patient come crashing down because you didnt pay attention. Admissions are not a big deal and most people freak out over them for no reason. Get the settled, vitals, assessment, then history. Unless there are some crazy stat orders, I wouldnt worry too much about them on a med/surg floor. A quick glance wouldnt hurt before the patient gets to you. At shift change, (we change at 7) if the patient comes after 6, settle the patient, get vitals and see if they need something. Oncoming shift will do admit history and assessment.
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