movealong

Sounds professional, but caring. Smile when you talk. They'll probably ask you some triage questions...

Intellicare also has nurses doing disease management from home. They will be hiring soon, if not now for the disease side of their business. You may have to go into one of their office sites for training.

I worked for Kaiser for 13 years, both in their hospitals and clinics. Best jobs I ever had. It's been 8 years ago, so I don't know how they are now. I left because I relocated and there were no Kaisers here. The nurses tend to stay a long time usually, because of the benefits. So you get to know everyone. Almost a big family. When I left after 13 years, I was only 1/2 up the senority list!!!!! I even moved from San Diego to LA at one point, and transferred from one Kaiser facility to another. I was able to bring my senority and everything along with me, didn't lose anything. They are union, and I believe it's still a closed shop. Which was fine with me. The many benefits were great.

I do telephone triage from home. But starting next month, I'll switch to disease management, still from home, just a different division of the same company. Look under the telephone triager section board here. I posted lots about my job there.

It helped me to be an LPN first. I was totally comfortable with giving patient care, totally at home in a hospital setting. I was familiar with drugs, and medical procedures. How could that not help? My instructors knew it too. I didn't walk into patient's rooms tentatively, or have trouble with speaking to them. I already knew how to organize my work load, deal with other depts and so on. You can be bored with the routine assignments. My instructors pushed me towards more diffucult patients, which helped me grow.

I'll be relocating soon. I won't get any help with any relocation fees because I work for a company that has us work from home. So I can take my job with me. My salary stays the same no matter where I chose to resettle. But it's worth it to me to keep my job. I love working from home. Look on the bright side. We have a profession that allows us to move around freely and find a job in a new area. Many just aren't so lucky these days.

MLK has a rep for sure. Their trauma dept handles lots of gunshots and stabbing wounds. Very very rough.

Here's a link that where yo can punch in your salary for where you live and then compare it to where you want to move. http://houseandhome.msn.com/pickaplace/comparecities.aspx?FS=WY&selFS=WY&selTS=NV&selFC=0&selTC=2&PFC=St.%20Louis&PTC=Carson&EarningFromCity=50000&PFS=MO&PTS=NV It compares alot of different factors as well: schools, crime, climate...

Ideally, your preceptor should be helping you and directing you to making decisions on your own. You should be talking over any certain situation and discuss it in a way that involves a decision making process based on the factors at hand. I feel I'm not being clear. What I am trying to say, is rather than your preceptor telling you "yes" or "no" to a question about a certain aspect of care, she should be asking you questions that lead you down a path to a decision, where you get to see the logic behind it, what reasons and factors are used. If you learn that process, the next time the same question (or a similair question) comes up, you will know the process on how to arrive at a decision yourself. That's what teaching is. It's been my own personal experience that nobody learns well if they are made to feel inadequate. That is most certainly what precepting is not supposed to be about.

I don't think I would drive that far. Just depends on the job: Is it really that great? Will you gain some really wonderful skills in an area of nursing that may lead you to the smae type job one day closer to home? Then maybe. It's alot of time out of one's life. This may be kind of unpopular here, but I don't think it's great to drive so far for other reasons. It's not the cost of gas, but the fact that I would be using so much of it, would it be morally responsible ( for me)?

http://www.fda.gov/cber/vaccine/thimerosal.htm#intro

I do have some work that would fall under "take home" but I'm sure it's not on the level of what teachers do. I have to take classes for my CEU's to keep my licenses up. Those are done online. But I do get paid for time I put in on them. Also, because of my particular job, we get new clients, and often have some training in regards on these new clients. I work from home to start with anyway. I try very hard to keep work separate from homelife. It can be diffucult at times. Because I work from home, at times I believe my employer thinks it's okay to call me at home at any time. It's not. I don't want to hear from them on my day off or once I sign off for the day.

AS GB syndrome: In 1976, vaccination with the swine flu vaccine was associated with getting GBS. Several studies have been done to evaluate if other flu vaccines since 1976 were associated with GBS. Only one of the studies showed an association. That study suggested that one person out of 1 million vaccinated persons may be at risk of GBS associated with the vaccine.

Yes, thimerosal free flu vaccines are available. "Today, with the exception of some influenza vaccine, none of the vaccines used to protect preschool children against 12 infectious diseases contain thimerosal as a preservative."

The CDC and the WHO formulates the flu vaccine every year, targeting the 3 main strains that they think will be the most prevelant that year. They have a success rate of >90% in this. The flu vaccine will not shorten the course of the flu if you get it. It's not designed to do that. Nor does it provide protection from every flu strain, again, it's not designed for that, just the 3 strains it was formulated for. I'm very surprised to read some of the comments here, where this knowledge seems to be lacking. This year's vaccine protects against: A/Fujian, A/New Caledonia, B/Shanghai strains. As for the question of the vaccine and thimerosal: Thimerosal is a very effective preservative that has been used since the 1930s to prevent contamination in some multi-dose vials of vaccines (preservatives are not required for vaccines in single dose vials). Thimerosal contains approximately 49% ethylmercury. There is no convincing evidence of harm caused by the low doses of thimerosal in vaccines, except for minor reactions like redness and swelling at the injection site. However, in July 1999 the Public Health Service (PHS) agencies, the American Academy of Pediatrics (AAP), and vaccine manufacturers agreed that thimerosal should be reduced or eliminated in vaccines as a precautionary measure. Today, with the exception of some flu vaccines, none of the vaccines used in the U.S. to protect preschool children against 12 infectious diseases contain thimerosal as a preservative AND: Influenza vaccine is currently available both with thimerosal as a preservative and preservative-free. For the 2004-05 influenza season, it is likely that 6-8 million doses of inactivated influenza vaccine without thimerosal as a preservative will be available. AND: A study of influenza vaccination examining over 2,000 pregnant women demonstrated no adverse fetal effects associated with influenza vaccine. Case reports and limited studies indicate that pregnancy can increase the risk for serious medical complications of influenza. One study found that out of every 10,000 women in their third trimester of pregnancy during an average flu season, 25 will be hospitalized for flu related complications. Additionally, influenza-associated excess deaths among pregnant women have been documented during influenza pandemics. Because pregnant women are at increased risk for influenza-related complications and because a substantial safety margin has been incorporated into the health guidance values for organic mercury exposure, the benefits of influenza vaccine with reduced or standard thimerosal content outweighs the theoretical risk, if any, of thimerosal. Of course each person has the right to make their own decision about receiving the flu vaccine. I personally got them every year when I was in hospitals and clinics. I am fairly sure the thimerosal free flu vaccines are safe, of course, for those with thimerosal allergies.