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nicole109

nicole109

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  1. nicole109

    A Nurse I work with is faking their CCRN credentials

    I agree--I think you need to be professional about it...It seems to me that there might be some bad blood between you and this other nurse if you are going this far out of your way to get her fired. Especially when it doesn't really pertain to you. Do I agree with what she is doing? Of course not, but would I be spending all of my time checking the website to see if she passed? Nope...if you really want to do something about it though, you shouldn't want to stand behind closed doors and hide your identity though--you do need to own up to yourself, otherwise you are no better than she is...both are childish games.
  2. nicole109

    shift differential and qualifying for mortgage

    My mortgage broker used my w-2 and my last 2 months of pay stubs--this included my shift differentials which were huge because I was working weekend option night shift (almost $10 of shift differentials)--that was the pre-approval package that he sent away for me to qualify for my real mortgage--then I had him bring me back down to reality--and do a mock up because the number that he provided me based on my "shift differential salary" was clearly outrageous, so the mock up included only my base pay, and those were the houses that I actually looked at. I didn't look at anything out of my price range, so that I didn't get house envy--it took me 2 years, 2 realtors and probably over 500 houses before I found the right one, and I'm tickled pink & more importantly VERY comfortable making my mortgage payment. I understand now though that it's becoming harder and harder to get a mortgage, so adding in your differential might give you that little bit extra that you are looking for--but seriously, be careful & if you haven't already, seek out some serious financial advice before buying a house (especially if this is your first), because you don't want to get in over your head--good luck!! House hunting is FUN =)
  3. I can see both sides here--and I'm certainly one of those people who will read something once and get all bent out of shape and then read it again and go well...wait a minute, maybe it wasn't worth all of that and sheepishly walk away--LOL! I certainly think that between nursing and teaching (because I'm a nurse and my best friend of 20 years is a teacher) are probably 2 of the most thankless jobs out there...and while I'm certainly not in nursing for the money--I do appreciate the fact that when I graduated college, I walked into my bosses office (because I was already working in a hospital) and I said, here's my degree and my RN license...and she said, sign here...this is your new pay rate, and it was almost $30 an hour. I know it's not that simple now, new grads would practically beg, borrow & steal to be able to get a job that easily--but the point is that for some, it has been that easy, and history has repeated itself, and there should come a time again where it will be that easy. Teaching on the other hand, not so much--I still know of people that graduated from college 4 years ago that are working as substitutes day to day, not knowing if they are going to work tomorrow. And even the teachers that are in good schools, aren't making the money that I am making. Teaching also doesn't offer near the flexibility that nursing does. I think we've all gone into our said profession for different reasons, and we all know that life and work isn't perfect. It is what you make of it...I've often times wondered if there isn't something else out there that would make me happier...but it always comes back to nursing for me...I don't think that this writer meant to be offensive, I think he was trying to compare apples to apples--two very thankless professions--one that is paid a little bit better than the other--both very underpaid =)
  4. nicole109

    Opinions and Experiences with Patient Restraints?

    If there is an inmate on your floor, there should also be a police officer or a correctional officer with that inmate, and they keep the key. The nurse doesn't get the key, because they aren't law enforcement, and have not been trained to use handcuffs (yes you have to be trained). Also, for safety purposes--if that nurse that is holding the key walks away from that inmate for even a second...imagine how long it could take you to find him/her if you had to unlock the patient for something, whereas the officer is right there (or should be). The handcuff key is also a part of their uniform, if they gave it away to a nurse, that would be the equivalent of them giving their gun away. In my district (my ex husband was a cop), the rules were laid out very simply: inmate for a patient, you also have an officer boarding in that room...they get a private room unless there are two inmates on the floor, then you can have 2 inmates and one officer. At the very minimum, they have to have one limb secured to the bed at all times with a shackle or hand cuff. No visitors allowed. And all obstacles must be removed from the room that weren't necessary, so the room was stripped of everything except the bed, the chair for the officer to sit in, and the bedside table. The chair where the officer was sitting had to be positioned in a manner that the officer could visualize both the door and the inmate without any obstructions. Our hospital required of the officer that the inmate be unshackled every 2 hours and re-shackled onto a different limb to allow for mobility. We also continue to follow standard protocol for restraints (toileting, checking for breakdown, etc)...All facilities should have a protocol on how to handle inmates on their floors--and they should be accompanied by a member of law enforcement...just because they are no longer within the confines of the prison walls, does not mean that they are not still in custody--so I imagine that those "goons" are probably well versed in getting an inmate in and out of handcuffs.
  5. nicole109

    John hopkins hospital and starting salary

    As one of the other posters said, Bayview is VERY different from JHH--as are all the other facilities in the Hopkins systems. I came from Bayview, and when I left there about a year ago, I was making $28 and some change as a full time day shift nurse. When I did weekend option days, I was making $31 an hour. Most of the units at Bayview you can work either straight days or straight nights, and you are hourly, not salaried...so it's 36 hours per week--all 12 hour shifts, and anything over 40 hours is paid at time and half. They do have weekend option day and weekend option nights, and I think the differential for weekend option nights is about $9 more than your base salary. I can't remember what new grad pay was...but it couldn't have been much less than $28, because I had only been a nurse for 3 years when I left. There are other hospitals that pay better in the area--but the benefits that all the Hopkins hospitals offer are superior to that of what you will get anywhere else, and you are really working for the name...
  6. nicole109

    Do I need Insurance?

    In order to determine who is involved in a case or not...both attorneys involved in the case do what is called "discovery", where they attempt to discover the facts--this holds true in all types of law. During this process, they subpoena ALL of said patients medical records. As medical records come into the office, they are reviewed and collated into chronological order and reviewed by a nurse that works for the attorney. They are then scoured for EVERY SINGLE name, and a list is compiled for safe keeping. The records are then sent out to other medical professionals, also called "experts" in the case and they are reviewed. It is at that time, that the attorney, nurse and expert decide if any of the extraneous names need to be brought in for deposition or questioning. None of these people are privy to any information about who has what insurance, etc. If your name is anywhere on a medical record, there is a possibility that you could be implicated in a case somewhere. A good attorney will subpoena EVERY SINGLE medical record that exists all the way back to birth records if they still exist to help defend or prosecute his/her case. Nobody knows or cares how much money you have backing you...if you don't feel that you need insurance--by all means, don't waste your $100 per year--but if your license is ever on the line...I hope that you don't come back to these message boards looking for advice...because you've already gotten it--
  7. nicole109

    Do I need Insurance?

    Insurance is a heated debate, and yes, you are in part covered by your employer--however, as a previous poster mentioned, you are only covered for the time that you were employed...so if a suit is filed after you leave, and you are involved, you will no longer be covered. Something to think about--and yes, you will still be implicated, regardless of whether or not you have insurance...money is money, and they don't care where it comes from. (how do I know this? prior to my nursing career--I paid my way through college as a paralegal for a medical malpractice firm, and I saw quite a few nurses regret not having their own malpractice insurance). Something else to think about is the fact that if a suit were to arise and you are still employed with your employer, you are going to be represented by your employers attorney, who I'd be willing to bet is not going to be concerned with your future, only the future of your employer (who in most cases is a hospital). They will do just about anything to settle the case, regardless of what that might do to your license, they are NOT going to be looking out for your best interest, like your own personal attorney might be. Thirdly--if you are a nurse that has really done something wrong, like a nurse that I once worked with, she was let go of just before a suit was filed against our hospital--so the hospital no longer had to cover her. She had no insurance...The hospital settled with the family, the nurse was still sued. I work in an employment at will state, so they didn't "need" a reason to dissolve her job. For $50-$100 per year...I too, would never work a day without my malpractice insurance...I'm pretty sure my premiums are cheaper than what it costs me to renew my license each year...just a few things to think about...
  8. nicole109

    Changing schedule and not telling me

    Do you guys have self-scheduling, so that you can access the schedule online from any computer? That would alleviate the neccessity of having to call someone? And I second everyone else in saying that I would call the person making the schedule or the manager directly...if not, you will end up running into a he said/she said mess...
  9. nicole109

    Brightstar home health care.......???

    Ditto to the above, I think I wrote or responded to a post about them before. I met a business person at an office about a PRN job for this company, he had no idea what a nurse did on a normal day--I politely left and never looked back, they called back several times after that asking if I was still interested, luckily for me...my CPR was due to be renewed about a month after my "interview" so shortly after that, they stopped calling...
  10. The first time that I teared up in front of a family, I was doing a home hospice rotation, and we walked in as the patient was taking her last few breaths--it was only a matter of minutes. The nurse that I was with had been seeing this patient for a few months, and she was stone faced. I got teary eyed, but I wasn't bawling--the nurse went back and told her supervisor what had happened, and her supervisor called my instructor and asked that I be "spoken to" to ensure that I was emotionally ready for this clinical experience, as my behavior was "inappropriate". I will NEVER forget that...and I have spent many hours since then at the bedside with patients and families since then during their final moments, and if it moves me to tears, then it moves me--like so many have already said--we are only human, and the day that I stop 'feeling' is the day I start worrying about my own well being...
  11. nicole109

    What have you done without a Dr. order???

    I agree--I don't think that this is very smart--I will just say that I think that some of the things that the OP mentioned, you may actually have orders for and not even realize it. In the hospital that I came from, we had standing orders for a patient experiencing respiratory distress to get an ABG or for O2, etc...while we were notifying the MD. Because, a prudent nurse wouldn't watch a patient turn blue while they waited an hour for an MD to call them back to okay the ABG and resulting cascade of orders...
  12. nicole109

    Skin prep on open areas...

    Despite your best efforts to speak with the DON, the facility is going to do what they want...what you need to do, to cover your own behind is to DOCUMENT like crazy...make sure that you document everything that you are assessing, and who (MD and nurse alike) that you are speaking with, and what orders you are getting and putting into place. Reference P&P in your notes if you have to. But make sure that your documentation displays the facts at hand and clearly demonstrates your efforts to save the patients skin.
  13. nicole109

    Calvert Memorial/ Civista or St. Mary's Hospital?

    I grew up in Southern MD, and have been a patient many a times at Civista, formerly PMH way back when! I made the gruesome commute to Baltimore from LaPlata, happily bypassing Civista, Southern MD, all the DC Hospitals, BWMedical, and everything in between for about 2+ years before moving to Baltimore--if that tells you anything. If you want trauma, or exposure, then you need to get out of Southern MD...you need to get yourself into DC or Baltimore, I know the job market is tough, but that's where you are going to find the action. That being said...I have had encounters (within the last month) family members as patients at Civista, and I have to say that since UMD has taken over, I have seen huge changes. For a small town hospital, coming from the "doc in a box" it was once known as, and you would literally have to kill me before sending me there (knowing what I know now), it's come a long way, and the staff there was quite responsive and attentive. I don't have much knowledge about St. Mary's or Calvert--but I do know that St. Mary's is now a MedStar Hospital, and they have huge buy-outs in both DC and Baltimore, so, again there are connections there--if you can get your foot in the door it may be easier for you to make your way up the food chain later as you would be an 'internal bid' into other jobs later in the bigger hospitals. Good luck =)
  14. nicole109

    patients family photographing your badge?

    if you can't photograph a patient without their written consent, they shouldn't be photographing you (or your badge) without your written consent...i would start handing the family the consent forms, then see what they say =)
  15. nicole109

    Fluid restrictions vs Patient rights

    This is interesting--and I've never really thought about it from this angle, I've had patients before drinking out of the toilet, etc. to get to water...it's really sad when you think about it. But when you think about the things that we do, to get them away from the fluids...in order to enforce a doctors order for meds, we rarely go through the same hoops...if a patient refuses a medication, even if it's for something important, blood pressure, diabetes, a diuretic, etc...we document, and move on...sure, we may go back and ask the patient again if they want to take the med...but I've never gone and gotten AMA paperwork or a bed alarm over a Metoprolol...just interesting
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