Accolay

Haven't been back in a while. Anything come to fruition while I was gone? Any internet oracle's prophecies come true about the current administration?

Why would it seem to seem that? The full thought was "seemingly trivial." As in seems trivial to whoever jacked that zofran. Not to me. I'm not going to put job or license on the line for 3$ or $300.

I voted. That's what I did to stop this. That was the only thing within my circle of influence to do. Trump is the smoke and mirrors of single issue voters and social issues to get us peons to argue with each other to distract about what's really going on: the ultrasuperrich getting what they want. Zero taxes, kings of their own personal fiefdoms. Recessions are good things when you have the means to buy the stock market at a deep discount and property can be gobbled up cheaply. The people cheering all of this on who don't have the foresight to see the problems and suffering that will be created will only care when it touches them personally. And I hope it touches them really hard. Remember this: we tried to warn you.

Yeah, probably depends on how that BON views ethics violations for RNs in this particular state. Zofran isn't controlled, but it was theft. Businesses, at least, tend to look down on that. Never worth losing your source of income and good standing for a seemingly trivial amount of hospital property.

I don't know if that's true, but it sure sounds good. There's nothing wrong with taking a break from hard stuff for a while, but it sounds like you just did that. Why not buckle down and do the more challenging job? Learn. Grow. Move forward.

I think medical insurance sucks. I think the stories of people who have to ration their insulin sucks- especially since it costs pennies per dose. I hope that Martin Shkreli and those like him find a nice place in hell. I think it sucks that people forgo medical care due to costs- especially when they have to let their problems get so bad they come in really sick. I think a businesses that only provides catastrophic medical insurance coverage to its employees is hot garbage. Also ties into businesses that don't provide PTO and make their employees work when they are sick (and make other people sick), or they don't pay enough and people can't afford to take an unpaid day off. And the jobs that make people get a doctors note for missing a day or two of work like they're ten years old? Really? And that's just insurance. Don't get me started on politicians denying healthcare. Having a healthy populace is integral for a successful nation.

Well... I'm late to the party on this. I hope your decision went well. For anyone else: All I know of the working establishment is hearsay from other RNs who have worked there: it's easy and boring- you give meds and chart. I hear they have a team for everything: IV team, bladder scanner team etc. They have a union, get paid well enough probably. Mayo seems like a well-oiled machine and is Doctor and research centered. If you have an weird medical issue it's the place for you. They have in the past, maybe present?) given care to a lot of celebrities and ultrarich people there. But it's not the Mayo of 30 years ago which is good and bad. Their leadership seems like your basic corporate goobers. See their Supreme Court case from 2011. See the last CEOs statement on not wanting to care for poor people I.e. prioritizing private pay patients over Medicare and Medicaid pts from 2017. Also see their opposition to state nursing staffing mandates from 2023. They're a magnet hospital if that floats your boat. I guess they're a Level one trauma center. I'm told they're the number one hospital in the nation. Rochester is OK if you like small (mid size?) town mid-west life. If you like more amenities head north. A quick apartment search has rents that seem high to live in Rochester, but I guess that's the way of the world these days. Minnesota is currently a well-run state with a lot to offer, but only ever one election away from the opposite and will probably get the shaft economically from the current Federal administration.

The new company is saying that nurse notes aren't required or aren't necessary? As in you could write a note but you don't have to or you shouldn't write a note? Nursing notes aren't important until something goes wrong and you get sued two years later and can't remember any circumstances.

I do remember that movie. I also remember The Terminator. Neither ended up well for the humans. I think AI will start to dictate some if not most of the physician plan with the insurance companies/medicare/medicaid: if pt has X we should do Y. Insurance companies will only pay for what the AI says is the best practice/best way to help this patient. Which could be really good and really bad. I also think AI will real-time audit your charting.

I have so many questions/thoughts: What part of the country does this nurse work? Does she work full time as in 40 hours per week? How long has she been working as a nurse? Where does she work- hospital? nursing home? Kids are expensive, that's why a lot of people have decided not to have them. Corporations are greedy. A lot of that "inflation" we're experiencing was just them raising prices because they can. I'd like to see their budget and where their money is going. Survey says that what's left of the middle class in America is not good at holding onto cash.

I don't think this is unethical. If you are able to keep work and personal stuff separate then you'll be OK.

I'm right there with you. I'm trying to figure out if I should stay or if I should go. I don't see a lot of good on the horizon for nursing in general or where I work. My department used to have certain experience requirements for hiring RNs but now have instead gone to the pulse check method of hiring because we're short staffed. Nursing skills translate to basically any type of work, so we've got that going for us.

I'm biased- I work in a hospital represented by a union and have for the entirety of my nursing career. We have a strong union. My comment here is going to sound like I'm trying to recruit you. I'm pro union but wish it wasn't necessary. Besides, there are other things I could do with the money used for union dues. But I think it is necessary- I don't like paying taxes either, but it's how the world works. What I have experienced is that with the union you know exactly what you're going to get- the contract is there so both the employee and employer know what is expected and there is no mystery with compensation, benefits or discipline. The only reason the debate about unions exists is because companies have used consultants and the PR industry to sow the seeds of doubt inserting magical thinking such as "I'm a free individual American citizen, I can bargain for myself and do better than these schleps without having to pay for these expensive union dues" and Americans end up accepting worse compensation and benefits as Americans have for over 40 years now. I have heard some (not many) complain about the union where I work, mostly it's about the union not doing enough or the monthly fee we pay for representation. Those people have not considered all the history of benefits the hospital wanted to decrease or remove. The question I ask is if they've ever participated in the union- ever been to a meeting? They never have. I know many good nurses who had problems with a bad manager and would have been fired if not for the union. Regarding the union dues, we have received much more compensation in the form of raises- I view the dues as a wash. Direct benefits of the union in the time I've worked here, among other things in our contract: -wouldn't have bargained for raises I.e. either not gotten any or much much less. -they would have given us garbage medical insurance -we would easily be mandated for shifts -we would have worse or no differential pay. -the pay in our area with good union representation has actually helped raise the pay in the surrounding areas without good union representation. -removes discrimination in pay. Doesn't matter your age, sex, ethnicity, no favoritism, yada yada yada. The pay chart is right there. Unions depend on participation of their members or at least agreement on what they bargain. If you live somewhere where people have bought into the idea that unions are a bad deal, it's the only thing that would make me think twice about working in a union.

I usually address MDs by Dr. Surname until they correct me because you can't go wrong and no need for a conversation with everyone about what they want to be called. Generally, I use profanity among people I know- lets not pretend the naughty words aren't conversational speech these days for a lot of people. Otherwise I keep it more professional though I have come under some circumstances where things are absolutely ****** and I will say so. I have on occasion used profanity with patients, but as a quote of what they just said I.e pt screaming in the hall "where is my ******* hat?!" I walk up to the patient and say calmly, "I don't know where your "******* hat is, sir." On the two or so occasions I've done this these out-of-control patients are taken back, took a pause, and calmed down because these were the sneaky, manipulative types who seemed to think that their use of profanity would make nurses wilt.

I don't make new year's resolutions. If you want change, do it now- don't wait until the arbitrary date of January 1st.