mom35

1 to 20 to 40 pts with an lvn to pass meds, an between 4 to 6 pnas.

How may I find out if I am on the list???

Hi All! I am looking to take a break from the floor and curious as to what a Quality Management Consultant nurse for Aetna does.

AWESOME!!!!!

I appreciate these responses! I am thankful to only be monitored and not disciplined. I am grateful that I was placed in the mental health track for a year, minimum. I am very thankful for my advocate too!!! My advocate really has assisted me in navigating through the program!

Hello, after 4.5 years in psychiatric inpatient nursing, I am making a change to dialysis with Fresenius clinic. I would love to hear about this type of nursing and would love to hear about experience with Fresenius! Grateful!!!!

You know the more I read these posts, the more I believe that being an R.N. means we are being judged for simply being human beings, and it is really upsetting! I was lucky in that I am on the Mental Health track of tpapn. So is having anxiety and MDD something that an R.N. cannot have? I read these posts about people drinking while off and I think, "so is no nurse suppose to ever drink". I understand that if the drinking goes beyond a rare social occassion, if the drinking is a problem. But honestly, it seems that another R.N. just has to hypothesize that another is "acting different" while on shift, and even without evidence we are thrown in the program! My god this is frightening! After I told my psychiatrist that I was in tpapn she told me it would be hard for me to find a position. The next visit with her, she told me that she felt I did not need to be in tpapn and that she had other patients in it for ridiculous reasons. She told me that nurses are being disciplined for being human, for having disabilities. So where is our justice!? The more I read the stories, the more angry I get! How do we make changes?? How do we get to become human?!!!

Short re-cap... I was placed on TPAPN Mental Health Track. I will be on it with a minimum of one year and six months monitoring at work. In March TPAPN gave me permission to go back to work. I went to several interviews without luck. Finally, about one week Fresenius Dialysis clinic gave me an offer even though they know I am on TPAPN. The clinical manager told me she had hired TPAPN before. I am grateful that I do not have to pay for tests every week as I have read how much more hectic the substance abuse route is. I thought I would never find someone willing to hire me on the program. So, anyone having difficulty with job placement, know that Fresenius (at least in DFW), will hire. Good Luck to us all.

I just found out today that I will be on the tpapn mental health track and not the substance abuse track. So I will not have any narcotic giving restrictions and no testing. This bit of news gives me some relief because it is one year in legnth.

Also, what about cigarettes? Are they to be avoided?

I thought my doctor's comment was rude. It literally felt like someone was twisting my gut. My case worker said I can find a position. The support here has lifted my spirits greatly. The anxiety I have had starting this program plus with my hospital closing and not working and some other changes in my life, I have spent the past month in a perpetual state of feeling defeated, anxious, depressed, helpless and hopeless. I am glad and grateful to everyone here. I feel alive again. I feel like fighting the good fight. It is a relief.

I need all the help I can get especially finding a job. I was working in psych but that hospital closed on Feb 16. Now I am starting tpapn and my eval has been done and my case worker will be getting back to me with details. On my last visit to my psychiatrist, just last Tuesday, she told me it would be nearly impossible to find a job on tpapn. I panicked when she told me that. My thought was "I will never work as a nurse again". It made me literally ill.

Thanks so much.

Thank you so much. Your words help me.

Hello All, I have been an RN since 2011. Last April I was prescribed Klonopin for severe anxiety. I made a bad decision and took an extra pill at work on my shift. It was too strong and I almost passed out and had to go to er. I was fired and reported to bon. I also reported myself. I am now about to begin TPAPN and I am terrified. It is expensive and I am afraid I will miss something or not send something in on time. Mostly I am concerned about finding a job while on this. What do I say at the interview? Do I tell them that I am on TPAPN at the interview? Who the heck will hire me hearing that? I am terrified my nursing career is over. Please give some feedback. I appreciate everyone.

I was fired from my psych rn position after three years due to I took an extra klonopin, my prescription, at work and fainted. I told my supervisor what I had done. They tested me and the test came back negative. They fired me. I understand . My ex employer referred me to tpapn. My question: if I withdraw from tpapn, what is the board likely to do? I kbow no one can say for sure but anyone with similiar situation and outcome?

I don't know that it is the ACA. I just don't know why when we are usually packed this time of year, we are down in the teens as opposed to over 40. The other closest hospital is three hours away, I don't think we have much competition. I am not blaming ACA, I am just trying to figure out what might be going on. I guess I need to hurry and relocate back home to the big city, I will be leaving in February anyway!

Something odd is going on at my hospital. I work on a (formerly busy) med/surge floor but lately they are cancelling nurses and putting them on call left and right. We usually work 4 12 hour shifts per week but lately many of us are lucky to get 2 nights per week. Our census is eerily low. This time last year we were packed, all rooms full and it usually doesn't slow down until Spring. So I feel like something ominous is approaching. Could this be from the new healthcare? I know that the doctor that is the main driving admitter to our hospital is always complaining about the new healthcare and he has really dropped back on admitting. This is killing the nursing staff financially-I am very worried! Anyone else with the same at their hospital?

He very well could have, I didn't think of that.

I have not been on here in a long time. But I am in distress and need advice/input. I started my nursing career two years ago on a med/surge floor. I love what I do, but last night terrified me. I had a patient that was 58y. multiple issues/drug user and he said he was in pain. I tried giving him lortab and he refused. During the day they were giving him dilaudid and that is what he wanted, but doc d/c'd it. Instead doc wrote for 40mg Demerol sivp. also give promethazine 12.5 mg. sivp. So pt said he would take the Demerol. So I gave the Demerol 40 mg. /.08ml. diluted in at least 8 cc of saline and pushed for two minutes. Slowly flushed that for two minutes and then gave promethazine diluted in at least 8cc saline slowly for two minutes and then flushed slowly two minutes. pt was okay. continued passing meds to my other six patients and get a call from the tele tech that my patient hr going down. I ran to room/called for help/could not arouse him. started cpr/gave narcan/the team was there by then... they intubated and sent him to ICU. I thought we were not going to get him back. His face was blue, I was so terrified. I have never had my patient code. The doctor asked me if I gave the Demerol too fast and I told him no and how I administered. What could have happened? I am so upset for my patient and I have cried and cried because he is my responsibility. I did what I was suppose to do, didn't I? They let me leave from shift early, I am so upset for him. He never has any family visiting him and he lives in a nursing home. That poor man, I hope he does not pass. What did I do wrong?

I am an anxious individual to begin with, and the anxiety when I started was tremendous! Somewhere around my fifth or six month I stopped getting nauseated and the terror prior to my shift began to lessen. Now it will be one year on Nov. 17th and I have so much more confidence and have even received some acolades (spelling?) at work for doing a good job! I love my patients and even though most of them speak spanish and I speak very little, I am able to relate to them how much they mean to me and I let them know that I will do the best I can to take great care of them. I sit in the hall at a computer on wheels so that when my pts. light goes off I can hot-tail it in there and they appreciate not having to wait five minutes for their calls to get a response! When you are at work, put your heart and soul into it. Live it, breath it! I think if you are fully present not just physically but mentally and emotionally it really helps! It will get better!!

I dont want to work off the clock, but I am afraid of being terminated if I stay over and finish charting. We have been told many times we must clock out one hour after end of shift, no exceptions. We take up to seven patients per med surge shift-12 hrs. Usually the hr post shift is enough to finish my charting, however sometimes it is not. Especially when I have discharged, got admissions and still 7 pt per shift. Sometimes it takes more than one hour post shift and management says we can not stay clocked in past 8am. It is upsetting to me

Yes, even though most of us at my hospital do it, it is exhausting! I dont really mind four days, but the five is very tiring. I just dont know how the rn's I work with do it! Many of them are over 40, not that it is old, and work five twelve hour days and only two days per week off, and usually not even two days off in a row!! One rn worked six days and when they started putting her on call she went prn somewhere else to keep up that six 12 hr per week . I am really considering telling boss that I would like to work three one week and then four the next. If we dont tell him, he automatically schedules us for five each week!!

Yes it is. Nurses where I work, in Eagle Pass Texas at Fort Duncan do it all the time regularly. In fact most of them work five 12 hr shifts. Myself, I prefer to only work 4 but most of the time my boss schedules everyone for five. It is common for us, and only if you are on orientation will the boss schedule 3 days only. We are usually perpetually short-staffed hence the five day per week schedules.

My hospital of employment puts us on call. It is when we are scheduled to work and the census is low so they dont need as many nurses as are scheduled. They call and tell us we are "on call", and if they need us, usually before midnight, I work night shift, they call and we go in. If they dont need us, they dont call by midnight and we are off and do not get paid. I have seen people refuse to be put on call and work anyway, usually I am scheduled five days so I dont mind being put on call once and awhile.