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Hello, TVCCRN No matter what the technology is today. It takes one patient to have a complication that may cost his or her life. Then the policies will change to prevent any type of mishap again. Therefore, caution is always on the side of the nurse and assumption is on the side of those who wants to rush the patient out.

Hello, Kmach http://www.microsoft.com/technet/itsolutions/cits/iwp/cda/hl7cda02.mspx scroll down the page and you will see a description of a SOAP. http://www.nso.com/newsletters/advisor/2004_fall/documentation.php SOOOAAP in the above link. http://www.marshall.edu/commdis/formsetc/soap-notes.doc I hope these links will help you. Buttons

Hello, Mathew It is funny you said "Maybe it is a "guy" thing, but I didn't know what area I wanted to work within so the PA model fit me." I have heard that phrase by PAs (some) who are males. Not sure the correct meaning. Is the correct meaning if the males perfer an occupation that allows for flexability and variety than one that does not provide those elements? Help me out here. I believe that times are changing for NPs to obtain more of a flexabiity and variety as well. The thing that bothers me most is the NPs must return to school to learn about another area to practice in and to recieve more initials behind their name. Oh, there are several physicians will accept you as you are package and train you into the position. I cannot wait till I locate them...just joking. Back in the past, FNPs were floating around and not enough jobs for them in that specific area. Now, the spaces are available due to the medical school students, residencies, interns are not allow to work over a certain amount of hours during the week. The doors are open for NPs and the surplus of FNPs from the past to apply. It was tough for the FNPs and now it is competive as well for a spot with the FNPs from the past, today and PAs. I know several NPs that work in pain clinics, ers, family practice, cardiac, psyche, holistic, cardiothoracic, public health, long term care facilities, assisted living, corporations, generalist (pennslyvania hospital on walnut), wills eye, and etc. So the field is opening up and giving better days, hours and hopefully better pay scale. I do not believe that NPs should be under the Board of nursing in their states. If medical hires you than you are under medical and given the appropriate benefits as PA. The BON should not have any say about your salary period and training as well....it is medical's problem. I cannot stand that at all. Therefore, as time comes and goes, the opporturnities will be there for NPs as well. Buttons

Hello, I would like to know what is important to you? I believe you have to go where your heart is as one person said in their post. There are numerous of reasons why people select a choice. I do not believe it is motivated by money 90% of the time at all. I believe people inquire about the finance of the careers to meet the bills and to have money for retirement. I believe you need to know what is going to work for you in the future a nurse or a pa. You have to know what can you give into the career and what you can receive from the career as well. I believe medicine is a career that will demand a lot work, devotion, time, compassion (depending on the job title), giving and respect. As my one friend told me, " I choose to be a CardiologynPhysician because this is my number one devotion in life. Everything is second in my life and third and etc. Whoever I am going to be in a relationship will have to understand my long hours and devotion. I will be making great money, however, take the hours I will be spending and the money I earn will be less than the money offer to me. I do not care if I die single as long I am doing my job as a cardiac physician." She is a very good cardiology physician and she is working at the hospital of her selection. Not everyone is like her and you may feel it is going over the top. Well, she has the characteristics and mental attitutide to be the best cardiologist. Therefore, she is working each day to become better than yesterday. You have to find what is best for you and your personality. You need to decide how you would like to see your future? and what you want out of your career? Do you want the family, house, and the dog "spot"? or Do you want to be a workoholic? or both? You need to be able to balance life, career, education and relationships no matter what you choose. It is all about you and no one else...unless you are marry than it is about the family and you. I have heard so many reasons why people chose nursing from I want to give back to someone for the care I received during my illness, I need to get out of a bad relationship and this will help my family and myself to stand on our feet, and from the money. Regardless of the reason/s, it is a career and it will remove you from a past of negative to the present of positive as long as you respect it. As long you can be devote to your choice and attend school without an unbalance in your life...go for it. Just make sure you do what is asked by the instructors, study every night and day, be prepare for classes and tests, give your best during clinicals, do not act like a know-it-all or a rebal and never quit ...then you will become whatever you choose as a career. By the way, a patient does not care what your grades were in the courses, they want to see the RN or the PA-C, MSN behind your name that is tailor onto your jacket. Patients want someone that care about them, illness, treatments and be respectful to them. Therefore, your choice is on you and how you want to proceed in life, no one else will walk into your shoes and it will be your learning experience in life. Have a great weekend and Go steelers.

To get the student to think and to research the literature/internet. It is a great assignment for her. She will do well with the assignment. Buttons

Hello, Well, global nursing a very important issue these days. I do not want to spoil or ruin your opporturnity of finding the answers. I can give you a huge hint ....look at the nursing shortage in the USA and what is being done to meet the demand. In addition, here is a link to one of my favorite search engine..... http://www.answers.com Have you search the internet and the library? Good Luck. Buttons

Hello, All Krissy, do not lower yourself to this woman. Obviously, she has a personality of an angry bull. She just is expressing herself and using projection mechanism on you. She is upset because the times have now change and she was not given the opportunities as they are given out today. Her gripe is with the nursing board. Use psychology on her. I would say please express your concerns and I understand you are feeling angry of the rules and changes in the nursing career. Tell us how would you resolve this issue? Do you feel threaten of the new changes in nursing? Is change hard for you to accept? How can I help you? or How can we help you through this difficult time? I would not belittle her in my responses to her or argue with her. I would put on my psyche sweat suit and hit the timer. I would not get swallow into her issues or concerns. I would address her with caution and speak clearly to her. In addition, I would take her negativity and use it as my energy to do well in my classes and think positive each day. Therefore, you know that you cannot feed into her negativity because it will hinder your goals as a student and to be a psyche np. Buttons

Hello, Everyone I would not place a female into a room with a male unless it was her husband or family member. I would tell the female of the policy prior of her in the room with a male. She would have the choice of acceptancing of the room assignment or rejecting the room assignment. Also, I would tell a male as well of the policy and etc. I have a problem with the cohabitate in a hospital. I believe there will be some negative reactions and incidences with this procedure. For example, a young male and female in the same room, the female ends up pregnant and the parents would want to sue. Hmm, Nah, cannot picture and I would not accepted the responsibility for any incident that may occur by placing a male and female in the same room. Nah, I would not take part in this procedure without CYA. I would have everyone sign paper/s giving consent, understanding the policy, Clear from any mind alterating medication, policy (sign off) and to report any incidents as soon as possilbe. No way I will be sitting a court room because a hospital policy by someone who thought about the ideal and greedy for money. Nah, no way. buttons

Hello, Rayrae & Everyone Rayrae, You did the correct steps. You always assess the situation prior to administrator a pain medication. I worked at a private facility for the mental, physical, and emotional handicapped individuals in the state of PA. Also, I am a bevhavior modification specialist and a crisis manager at the facility. I had learned how to communicate with the nonverbal individuals by learning sign language and the usage of a communication board as well. In addition, the parent, caretaker or an individual who works with the patient know the patient like the back of their hand. Always try to utilize those individuals in your assessment. I do not know if every hospital have communication boards and sign language interpreters for individuals who are hearing impair and nonverbal individuals. I am not sure if nurses know how to communicate with nonverbals and hearing impair individuals. The hospital should provide those items and give short sign languages classes to all medical personal. This would enhance the knowledge and working skills with the nonverbal. Therefore, the hospital would be able to prevent any miscommunication, misinterpreting and wrongful diagnosis/treatment to these individuals. It is not hard to show a nonverbal pain scale and allow them to point at a face that represent their pain. If you do not have one then draw one. It is not hard, to take your middle finger downward and the others upward, point to areas of the body and make a face of pain and watch the patient nod "yes" or make sound when you point at the part of the body. In addition, making a comunication board is very easy to produce. In conclusion, I feel that each nurse and medical peronnel should learn sign language because the value if priceless. Also, you will be able to speak with trach as well. The hospital should consider of having an interpreter on board for these patients. Therefore, the hospitals are not providing the services and deny them a way to communicate to others. Yes, I am a patient adovacator for all patients and especially for those types of patients. I have seen a lot of misdiagnosis by the medical personnel. For example, A patient came in confused and combative. Patient was in a lot of pain from broken ribs, face contusions, and stomach lacerations. They sedated the patient and intubated for a week. He went to surgery, treatment applied and care. He continue to way his hands around and the nurse thought the patient was psychotic and called the dr. The dr. gave an order of Haldol. Well, you know the patient was really out of it. The nurse was happy and the psyche eval will be given later. In addition, they tied the hands of the indivuals to the bed. The next day, I walked in the room and I was wondering wwhat was going on. I read the chart and asked the nurse. She told me I could have the patient because he was a behavioral patient by waving his hands. I went back in the room and released one hand and then the other. He was signing that his leg was hurting bad. I told the nurse he is deaf and his hands waving was his signing. She was OMG and called the DR. He came up and they asked me how did i know? I told I know sign language. Therefore, was the patient mistreated?, Was the medical personnel neglectful? How would you had handle the situation? Would you learn sign and the use of the communication board? The outcome the patient was treated appropriate and the hospital made a quiet deal alleged by the lawyer who represented the patient. We all assume that we will have walkies and talkies all and nothing else. Well, it is not true, hearing impairs and handicapped individuals are not coming to health care facilities. Buttons

Hello, Thank you for the clarification of their roles. I figure the medical assistants are coast effective compare to a LPN and RN. It is strange the tilte of nurse for medical assistants. Thank You, Buttons

Hello, All I am not sure it this a joke or not.:chuckle We were speaking to a medical assistant from Texas and they are called "Nurses". In addition, they give shots, pass out medications and do vitals. Therefore, medical assistants are called "nurses" in Texas. I never heard medical assistants called "nurses". I thought they could work in the office, do vitals and place the patients in the room. I never knew medical assistants could replace nurses. Would someone please clarified with me about this controverisal issues? Thank you, Buttons

Hello, All I would like to know what does a CNS do in the acute and non- acute settings? Are CNS independant like a NP and PA? Are CNS a brdige between the NPs and PAs? What are their responsibilities? Will CNS take jobs from the NPs and PAs? What is the CNS education level? Most important of all, can they work independant to a physician and a NP? Thank you, for your assistance and helping me to understand their job role and functions as a CNS. Buttons:)

Hello, all If the ultrasound shows a dvt in the leg. It depends on the philosophy of the physician and if he decides to place you on herparin IV or not. One physician may say we do not treat the small dvts in the legs and another might say he will treat it. If you are taking birth controls discontinue them as soon as possible and inform your physician you were on them. That is a very important piece of the puzzle. Do not be scare at all the ultrasound is wil show your arteries in a red color and veins in blue color. You can actually watch the test. Sometimes they will explain things to you and if they do not ask them too. Depending what they find and the physician you may be on heparin and wean off to coumadin. Then a blood test is require for the PTT level while you on heparin...remember the test is PTT is for heparin and they will want you at a specific level. They will determine when to wean you off heparin and give you coumadin for a certain time. You will have to go to the lab for a pt to check your level and your INR. There is a range the doctor would like for you to be in...the PT is four coumadin and it is how many seconds your blood clot and the INR level will keep you above the 2.0 level for theraupetic range to keep your blood thin. You do not want to to be below 2.0 because that is normal. You want to to be thin to prevent any clots to form. Now do not jump the gun till you have all the facts first and ask questions about the dvt, the location, how come no chest xrays? and etc. Remember you cannot have a large amount of Vitamin k because it is the antidotic to coumadin. Therefore, if you have salad be consist and not too much dark green and leafy veggies. This is premature till you receive the ultra sound and the doctor tells you the findings. Just take one step at a time and do now worry about work. Work will survive believe me. So relax and go to your ultrasound. Emm, Thecommuter your physician si not true about the age thing. I received my first dvt at the age of 27. Therefore, you need a physician that will listen to you and take actions. You might want to think about it and want to be heard. Have a great day, Buttons

Hello, Yes, 99 is the cleanest patient and she loved her bed bath. The water was change several of times and I had two basins (one for bathing and one for rinse). Nurs should be able to take credit for her foleys and 99 did you tell her the wrong procedure? Have a great day and evening, Buttons

Hello, As we know the expense for the equipment for patients are little to none. Well, as we went through school we were taught if a piece of equipment falls on the floor or becomes dirty, throw it away and get another one. Do you wonder who will be charge for careless mistakes of equipment? Well, a nursing student used five foleys for the procedure of placing a foley. Now, would you think the student should had study or practice on the manaquin a little more? Do you remember if you had any mishaps in nursing school you would love to share with everyone? I went through fifty disposal wash cloths cause the person was not clean and I was afraid of receiving a failing mark for bed bath. Ok, please contribute to the post of the mishaps in nurisng school. Thank you, Buttons

Hello, All Since we are speaking about labels that a vet tech cannot call herself a RN in the USA because it is protected. However, those who live outside the USA can earn the certification that calls them a RN. Now, my question is the following and please think about this before replying. Is it all right for a nurse practitioner earning her doctrine be called a "doctor"? Is doctor protected in the USA as well? So, you are a nurse practitioner, you have earn your doctrine and you are call DR. such such. Is this all right? I do not see why we need all of these labels to prove who we are in this profession. We are so worry about others and what they are doing. However, we are not concern that we do not receive the correct salary for the labels we earn. We are not concern how the patients will interpret the Dr. label for nurse practitioner. In addition, we are not concern about weakness we have in our profession and not willing to resolve it. Lastly, we are more concern of a vet calling herself an inappropriate name in the USA. I just do not get it. We are willing to fight for the label and not for the rights we deserve as a profession. Just my two cents.... Buttons

Hello, All Barefoot, Do not worry about the ignorance of your coworkers. They just jealous and immature. They may feel you do not fit in their little network of non-working and alleged fasle statements to the patients. Since you do not, they are going to say things to make you feel that you are not wanted and to try to make you quit. You have handle every remark beautifully and she or they cannot come back with a remrk. Basically, you have shut them up and they see you as a strong person as well as knowledgable. You are a better nurse and woman than them. It is a mind game many nurses play with each other. Not sure, why it occurs but it does. One day coming will be her day by others saying things to her. Remember comes to those who treat others badly. Therefore, do not give into those immature women who are suppose to be nurses that take care of others. In addition, they will be caught doing those things that you have mention and that will be thier jobs. They will learn the hard way and too bad you do not have a nurse manager that can catch them in the act. If I was a nurse manager, I would come in at all hours of the day and nights to what everyone is doing. Then if I caught them or it has been reported to me of the behaviors on the shift by those who are abusing their duties as a nurse....suspensions, transfers, and a lot of conferences prior to the harsh restrictions. Those types of nurses gives the nursing career as a negative and ignorant appearance. Keep up the great replies to them and hang in their cause that is their goal to have you to depart. Do not give into their ignorance and do not allow them to take your inner powers and strength from you. If it continue, then I would hold a meeting with the people involve and tell them a thing or two in a positive way. If that does not work then speak to the nurse manger about thier behavior and ignorant. Do not allow them to controll as you work each day to meet the goals of your patients. Therefore, do not take their crap and contue your great psychology remarks and they will know not to mess with you. Have a great day, Buttons

Hello, A correction in my post, as I stated above. My Friend, WHo is a Dr. Vet. Says the first two years they spent in classess with medical students then the next four years her studies were in animal courses. Now, if they take a certified test and they called them RNs the bone is with the certification of Veterinary not with the nurse. I just do not see why it is so important to pick a bone over this topic. The Veterinay Nurses are not taking our jobs from us and neverthless taking money or our patients. Which I would love to hand over several of my patients to make my load lighter. She is working our pets and not in our fields. We are paying them big time money for them to tell us our pets has fleas, or ear mites, to cut our pets nails, assist the dr with surgical proceedures and etc. Ok, I give lets call out the NCLEX-RN police and make an arrest on the veterinary nurses in this country and other countries. Because other vet. nurses are coming over and has the same job titles and will say the same. Do you think they will go to court and spend 10/20 years in state prision? Or do You think the lawyers make a deal of 5/10 with patrole in 2 years and house arrest for a year? I have to keep watching this thread. I just think this funny, as RNs we have other battles that need attention than what a vet. nurse is calling herself. If her certification says Vet. register nurse than what can be done? Nothing at all. Why waste the time on this and we need to address matters suchs a patient caseloads, nurses working numerous of overtime without a break, nurses not receiving recognition as a profession, oh salaries that is a huge problem and etc. Why not discuss those issues and get angry enough to fight for what we deserves as nurses? As nurses we worry about who has more labels behind their names and if someone else has them. If it will make you feel better to call or write to the dr. vet about his employee calling herself a RN than go for it. You do not need anyone's approval to take action about vet. nurse is stealing the orotection RN label. Do not be surprise it the Dr. Vet responses and state she is according to her ceritificate. I hope you do correspond with the Dr. Vet and we can see how the Vet. Nurse obtain her creditials. I would like to hear the results. Please do so and everyone can be happy and understand the results. Then everyone and including myself can move on to other important issues as nurses. Good luck with your correspondance and please post the result of your communication with the Dr. Vet.

Hello, The Veterinary registered nurse has to go to college and take a test to become certified. Do a google search let me do the honors of the colleges in the united states that offer it. Wow University of Penn in Philadelphia offers a degree in Veterinary Nursing. Hmm I would love to see you take the University of Penn...my money is on Penn. current Issue of Bellwether The George D. Widener Hospital New Bolton Center Veterinary Nursing Promotional Scale The Widener Hospital of the University of Pennsylvania has a promotion scale in place for veterinary nurses. The scale is based on skills and varies depending on department. Placement of external applicants within the scale depends on past experience and skills. The hiring officer will evaluate past experience that is not comparable to a university setting and the individual will be placed in the appropriate level. Employees who reclassify will be eligible for a salary increase. Vet Tech A - Entry level, no prior experience in veterinary medicine, certified or graduate of an AVMA-accredited veterinary technology program and eligible for certification Vet Tech B- 1 yr experience, certified Vet Tech C- 3 yrs experience, certified Vet Tech D- 5 yrs experience, certified, successful completion of exam for entrance to a NAVTA approved academy (if applicable in department). Vet Tech E - 7 yrs experience, certified In addition to regular full time salaries, nurses who work evening shift receive a 20% shift differential, and nurses who work midnight shift earn 30% shift differential. http://www.aavsb.org/VTNE/2006%20Candidate%20Information%20Booklet_withcover.pdf this is the veterinary national exmanation booklet. The nurse is working with a vet docor of animals. please let it go cause the label of nurseis is an umbrella term. Othe counrties have been using for years. In addition, i donotwant you to think only nurses can use the title cause itis not True.

Hello, The Veterinary registered nurse has to go to college and take a test to become certified. Do a google search let me do the honors of the colleges in the united states that offer it. Wow University of Penn in Philadelphia offers a degree in Veterinary Nursing. Hmm I would love to see you take the University of Penn...my money is on Penn. current Issue of Bellwether The George D. Widener Hospital New Bolton Center Veterinary Nursing Promotional Scale The Widener Hospital of the University of Pennsylvania has a promotion scale in place for veterinary nurses. The scale is based on skills and varies depending on department. Placement of external applicants within the scale depends on past experience and skills. The hiring officer will evaluate past experience that is not comparable to a university setting and the individual will be placed in the appropriate level. Employees who reclassify will be eligible for a salary increase. Vet Tech A – Entry level, no prior experience in veterinary medicine, certified or graduate of an AVMA-accredited veterinary technology program and eligible for certification Vet Tech B- 1 yr experience, certified Vet Tech C- 3 yrs experience, certified Vet Tech D- 5 yrs experience, certified, successful completion of exam for entrance to a NAVTA approved academy (if applicable in department). Vet Tech E - 7 yrs experience, certified In addition to regular full time salaries, nurses who work evening shift receive a 20% shift differential, and nurses who work midnight shift earn 30% shift differential. http://www.aavsb.org/VTNE/2006%20Candidate%20Information%20Booklet_withcover.pdf this is the veterinary national exmanation booklet. The nurse is working with a vet docor of animals. please let it go cause the label of nurseis is an umbrella term. Othe counrties have been using for years. In addition, i donotwant you to think only nurses can use the title cause itis not True.

Hello, All I do not know why everyone is so upset about other professions that use the name Nurses. Do you know the vet Dr.s are real human drs first and then go on to learn about animals? I do not see the physicians in the uproar of it. Nevertheless, going to write a letter to the Vet's office and communication the improperness of a vet tech calling themselves nurses. Get over there because paramedics believe they are better than nurses. It is a lable that describe what they do with the animals. I foud out in ohio there is a vet nursing school for equinas. Wow, I am excitted to know that this is a true concept. Oh here is something I found on the internet: Job Article: Veterinary Nurse Job Family: Environment, Animals and Plants Further Details Veterinary nurses work with veterinary surgeons to provide medical and surgical nursing care for animals. They usually work with domestic pets such as dogs, cats and rabbits. In some jobs, they care for the health of farm and zoo animals or horses. Their job is extremely varied, but their main work involves nursing duties such as: holding animals and keeping them calm while the vet examines and treats them giving injections and drugs (under supervision) collecting blood, urine and other samples maintaining levels of anaesthetic and handing instruments to the vet during operations. Veterinary nurses work between 35 to 40 hours a week. This includes weekend and on-call duties. They usually work indoors, in all parts of the practice, including reception, consulting rooms, the operating theatre, radiography department and hospital kennels. Veterinary nurses start on around £10,000, while senior veterinary nurses can earn from £18,000 upwards. A veterinary nurse should: have a strong but unsentimental interest in animals be physically fit and free from allergies to animals be interested in sciences, particularly biology. There are around 5,300 Royal College of Veterinary Surgeons (RCVS) qualified veterinary nurses in the UK. Most work with vets in general practice. Veterinary nurses also work in veterinary hospitals and university veterinary schools. A smaller number work in equine (horse) care clinics, research centres and zoos. Veterinary nurses usually train through the RCVS Veterinary Nurse Training Scheme. To enrol on the scheme they need at least five GCSEs/S grades (A-C/1-3), one in English language, and two in science subjects, one of which can be maths, or equivalent qualifications. Applicants must also either have full-time paid employment at an RCVS-approved Training Practice or be enrolled on a higher education-based veterinary nursing course. There are no fixed upper age limits. Many people start in this work after gaining other kinds of experience of working with animals. They are generally required to meet the same entry qualifications as above. In general practice, veterinary nurses can become head nurses or practice managers. http://www.connexions-direct.com (I am not going to write the rest too long, you will be able to find like I did) Guess what they are nurses with our precious animals and I am glad they are not techs. I know my two little children (kittens) are safe in the hands of them and they know how to help them. It is a label, they do not take care of humans at all. Please we should pick and chose the coorect battle to fight in. Too bad you do not write to your peers and tell them to chose a nursing association to be involve in. So, we can fight for our rights in health care and received recognition and the correct salary. Instead of being cheesy ove a vet tech. Therefore, place your angry on the subject of joining nursing associations and begin the march on washington, DC. My two cents. Have a great evening.

Hello, All I believe C. WIcks was a brain to spend three hours a week in for a class. She must have a bionic memory and quicker than lighteining. I was giving her a tip of approval and clapping for her accomplishment. C. WIcks is the super hero for homework...I would pay for her to do my homework....lol.

Hello, All Happy New Year. Jerry, I would suggest for you to discuss it with your family physician or the physician or the person that diagnosis you. No one on this site cannot provide you a list meications that control the s/s of ADD/ADH. if someone one did not know your medical hx and it can place the person in a lawsuit and you are practicing outside your licensure. I would suggest for you to read information provided by the intennet as well as communicate your concerns with your physician accucrate and updated information. on the issues.

Hello, All Happy New Year to everyone and I hope you ae not sufferring from the celebration too much. I think some of the posts are informative for people to understand another culture. On the other hand, I feel that a class is needed to provide sensitivity to culture, religon, sexual orientation, ethnicity, financial, and other. Why does the nursing profession show ignorance or prejudice or a better word insensivity to those nurses or patients that are not like them? Can anyone tell me? I have heard so many opinions and judgements in the nursing profession. And the attitudes and negative should stop as soon as possible. Numerous of the nurses have never face prejudice or ignorance in their life. However, nurses can express it as quick as a blink. I thought as a nurse no judgements, assumptions, prejudice or negative activity are shown on the job so to speak. The nurses are neutral and treat everyone with respect, honesty and caring. Where has it gone? I do not understand it at all. I believe nurses need to attend a sensitivity classes as a profession. We really do not take cultural classes as a requirement and we should due to the variety of population we face each day. I will not throw needless syringes at anyone or place tape on the hairy part of the arm and pull it off. Because it will not reolve a thing. Education is the key and learning from each other and our patients. Not assuming or making judgements or placing our values on another and/or saying negative things about our patients and co-workers. Therefore, Sensitivity classes should be place in the academics for nurses and educating patients and coworkers. I must say that as an ex correctional nurse, the gays/lesbians were never separated from other inmates. I think that show was OZ and not in our place. Everyone is interacting with everyone. If you are place in seclusion than you are section 302, behavioral problems, child sex offender as well as raping an eldery and the courts order it. Therefore, not all prision isolate alternative life styles and everyone repected each other no matter what. Have a great New Years day!

Hello All, I would like to say that HIPPA was develop for patient's rights for privacy due to the abuse by insurance companies, medical personnel and others seeking medical records of the patients. In addition, HIPPA has terminated the discussions of patient's medical illness and history in public places by the medical personnel. Therefore, HIPPA has been effective, decrease the exposure of medical history and illness of a patient and the violation of HIPPA will cost the individuals or companies or hospital a fee as well as other penalties. Should the employees have rights and protection as the patients? Yes, employees have rights and privacy just like a patient. The Federal law protects the employee’s when they are terminated, suspended or place on probation. The employers such as a hospital, clinic, or the work place of a nurse, doctor or medical team (including the axillaries departments) are not allow to give out information for future employers. The law prevents any type of negative discussion of an ex-employee from obtaining another employer. Therefore, the Federal government are protecting the past employee history from future employers and a violation can be given to the employer for giving out information beyond the dates of employee. Yes, I know there are violations that are hazards to the patients and to the person who is involve. Those violations will be to the next level of the chain command. The violation can reach the board of certification and the court system. Then you can read the nurse's quarterly new letters because they do not believe in privacy or rights of a nurse. Some states have numerous of people listed and feel to read them. If you feel you have the right to know about the employee than read your quarterly nursing news. Please make yourself comfortable as you read it, think of this would you treat this nurse fairly as a co-worker? How would you feel if your name appears on the quarterly nurse news letter? I know I would be embarrass, angry, mad, and violated. Personally, I feel that is a violation of the rights and privacy a nurse and it is unacceptable. Until someone challenges it will remain for nurses to read. I believe by posting these violations it will cause prejudice against the violators in the future for employment and co-workers. For instance, if someone was using drugs from the hospital, reported to the BON, a suspension of license, rehabilitation, re-entry, continuous community out patient services, restriction of obtaining narcotics for patients, supervision on the floor, unannounced urinary testing, and lastly, if violated again than termination of licensure. Therefore, this person has to work extra hard for their right to work as a nurse again and to have another chance in their career. In conclusion, the right to know of another's termination as well as voluntarily termination is not anyone's business. The employer should be given updates, improvement of critical thinking and clinical skills, and discussing the areas of concerns every two weeks. However, no one wants to attend a meeting on their time as well as on boring issues. Then again, everyone would show up for gossips, rumors and negativity against a coworker. This is totally wrong for anyone to contribute to negative. I understand some people would like to prevent the error the person had made and to learn through her mistake. In my opinion, the employer should had taken care of the problem way before it lead to a termination of an employee. Therefore, allow the ex employer deal with her problems and the departure from the employer to grieve with family or friends. I hope I explained this issue clearly and precise for each person to understand the violators have rights just like patients. Thanks....for the time,