sa48sh

I am licensed in 3 states, Fl. Ca. NY. I have a home in Florida, but currently am staying in NY for personal reasons. I am going to work here per-deim for a few months. I have to have malpractice insurance according to the agency that is hiring me. How do I comply with NY insurance req. when my legal residence is Fl. Does anyone know an insurance co. that covers you if you work in one state and live in another?

I'm not sure what your question is....I received a license in California in 2006 by endorsement (reciprocity)..My initial license was in Florida which I keep active. As long as you have a valid license in any state, you can apply for endorsement to other states. Each state you are applying to will have their own requirements.Some are compact states and will accept you to work based on your current license if it is also a compact state. Some are walk thru states like California which allows you to show up with a valid license from another state, get your fingerprints and pay the fee and leave with a temp license that day.....California, though takes a long time verifying your license to what ever state you are going to...they do NOT use NURSYS system for verification and they charge 2x's the price to verify your license to the state you are going to. I am trying to get a NY license right now and the only hold up is California. California does it all thru the mail with a check.....I waited 2 weeks after I mailed it to them and they said they "just got it" ....then another 2 to 6 weeks (which it has been 4 already) before they process it to the state you are going to. As for New Mexico's requirements..go to their web site and scroll down to "License by Endorsement"...there is a 10 page application in PDF that explains exactly what you need. If you don't understand something, send an email to the board and they will explain it to you. Good Luck.

Still working on that thesis?. I/m's will do what ever they haveto to cover up . In general, I/m's will hide the fact that there has been any kind of conflict going on even if it involves an injury.They have a code which will not allow them to"squeel" on each other. Fact. An inmate will say, I need a bandaid. "For what?". I have a sore on my foot. "Where is it, show me". Well it's not really on my foot, it's on my groin and I don't want to show it to you. "Oh, officer, this inmate needs a little private time over in that corner with your back to us"......Well, actually, it's my cell partner that needs the bandaid, he has a cut foot...."Oh officer, you need to check on this i/m's cell partner, I think he may be banged up a bit..... FACT: the I/m's cell partner was beaten with a lock in a sock and has an evulsion wound over the eyebrow.......See why it pays to keep plugging away?.......

Oh yeah CPR......numerous times, none successful.

1. No orientation (agency) 2. Self-defense? LOL 3. Lock myself in the ER, flood the floor with water and let it run under the door. Stand on the gurney with the paddles in my hands, C/v turned on ready for 300 joules? What was the 4th question LOL.....

Not only are the job descriptions different from state to state , but also from facility to facility. I have an HST(Health Service Tech) working with me that came from the military. There they must let them do anything, or so he says....While I have seen other nurses let him do lots of things which I personally think do not come under his job description or (license?, do HST's even HAVE licenses?)..One day on MY watch, he was seen treating a patient. I blew a fuse, went to the administrator and said, "I don't care WHAT others let him do, NOT when I'm in charge.........There's still no REAL list of what an HST can do.....meantime....I"M not takin ANY CHANCES. BTW this HST "thinks" he's a nurse...........

RN Looking to travel corrections with an LPN friend. We're interested in April. Finding a company now would help us prepare by applying for license to the states that they usually travel

Check your State or the Federal Labor Laws. I think this nurse may have a case against the hospital. If you are not compensated for your lunch none of that time belongs to your employer.They can't tell you you must be available or anything else. You may do with it what you wish, go where you wish. If there's an expectation that you will be available for emergencies, then you must be paid for your lunch. We were paid for our 1/2 hr. lunch because we were not allowed to leave the facility. If we're not allowed to leave and do what we want then we're still essentially under the thumb of our employer.......Tell your nurse she should sue to be compensated for all the 1/2 hrs. breaks she has been there unallowed to leave and not been compensated for. That is the law in Florida. Read your state's carefully, but I do believe the Federal Labor Act states the same thing. If you have to work an 8 1/2 hr shift to get paid for 8, then that 1/2 hr is YOURS to do with as you wish. If you are not allowed to leave work, or do as you wish, or are expected to cover emergencies then the employer must pay you for your time...................Our place,after the lawsuit, changed our shifts from 6.45am 7am and 315pm to 3pm.Report of course is a hurried deal but then that was our facilities choice. They want total say so. We get a 1/2 hr for lunch but can't leave and must be available if needed.(btw, we can step out and smoke or put our heads on the picnic table as long as nothing is going on and we're available if needed) Combining 15 min breaks(which btw are not guaranteed by law) is up to the employer. We're not allowed to combine our break times. Sheesh! and then they wonder why there's a nursing shortage!!!!

Cutenurse is right. Houses are going like hotcakes in Florida. If the seller is stalling she may be waiting for you to get mad and cancel the contract so she can get more money for it. As mentioned, have your realtor have $$ held in escarow, or clean it up yourself if you really want the house at the asking price. My daughter tried to buy a house 3 years ago and every time she put in a bid (asking price mind you, not lower price) she got turned down, usually 2 or 3 days later. "Sorry, the seller says she already has a buyer, we weren't fast enough" Seems people in the know would offer a few hundred more. That happened to her 7 times until she offered a few hundred more. And that was 3 years ago. Things are worse now........Good Luck

I think I posted quite a bit in another thread. I'll try to find it. Would be a good way to "pay back the state" for student loans IF the medical dept. in your state prisons are actually run by the state and not a private agency. Some county jails count as state retirement so maybe they would count towards your debt also.......here's the link to another thread. https://allnurses.com/forums/showthread.php?t=113882 Aw Heck, just read em' all. You'll pick up quite a bit of info. Sashi

Delorus, Sorry I'm a year late but I was just reviewing some of my past posts and saw this..In Florida DOC our pharmacy tech's may prepare meds(as in fill a prescription) only under the direct supervision of the pharmacist. Now our meds may come pre-packaged for the day(since they did away with a pharmacist in each prison). I can assume that these unit dose pre-packaged meds may even be put together by a med-tech under the supervision of a pharmacist(or at least one that takes responsibility for the med-tech). ALL meds MUST BE LABELED as to NAME(generic and trade)& dosage when they come from the pharmacutical company. I couldn't imagine getting pills without identification printed on the bottle and then have to look up a picture of them in a book........that sounds like a pharmacists responsibility......besides with so many generic brands out there, the PDR couldn't possibly picture all of them. As a matter of fact it doesn't.When I pass pills, whether I get them from a bottle or a punch out card, there is a label on it that says it was filled by a pharmacist, and his name is on there. I couldn't imagine standing by watching a pharmacy tech cruise around a "Picture book" and decide what it is. If he/she then handed it to me to give to an inmate, I'd refuse. In this state if you get caught with pills in a cup or bottle or envelope and it's not labeled as to exactly what's in there (Med&dosage) you're in BIG trouble. And the label has to be put on by the pharmacist.Even the nurses are not allowed to put pills in an empty bottle and stick a label on it. That's called dispensing and is not part of our nurse practice act. Life has become soooo confusing about who's allowed to do what anymore but whenever I'm in doubt, I refuse. MY nurse practice act says I must refuse. As far as I'm concerned, and according to the Fl. Nurse practice Act, If I pour them, I must administer them. If you poured them, I'm not giving them..... I'll bet pre-pouring for someone else is against every State's nurse practice act....It is your personaly responsibility to know the boundaries of your scope of practice. Even if your boss tells you to do something, if it goes beyond the scope of your practice(as noted in your state's nurse practice act) you are held responsible. And believe me honey, it's done all the time. "My supervisor said to do it this way." NUH, UH" she says at the hearing, " didn't even know they were doing that".

I'm lmao. I have a few of my own ways. A WHOLE BOX of ammonia ampules, broken and held in a couple of 4x4's over the nose and mouth snuggly, usually brings em' around eventually, though some can hold their breath quite a while. Chest pain in 21y/o body builders get what we now call the ***** test(can't reveal the name cause it's mine). After doing a thorough assessement following our protocols,(during wich they appropriately wince a few times when I look directly at them, no other s/s of pain or God forbid cardiac decomp) I get to the part where I tell them, with great concern on my face, "O.K. this is really important. I need you to tell me when I press on your chest if it hurts more when I press in or when I let go" . You can smell the burning. Eyes are darting back and forth. :innerconf ("OMG, I didn't know she was gonna ask me that, I don't know which one to pick") Now there's evidence of REAL discomfort :rotfl: >>helps with a diagnosis of Costochondritis, IN or OUT.. hmmm. :rotfl: The ones that really slay me though are the psychs. They've been playing that game since the first time they got in trouble when they were 11 and Momma found out she could get a check because her boy was "different". They laugh like crazy after the shrink walks away from their cell. :chuckle The rest of the night they're perfect. I say"you ain't crazy, you're just lazy" and they laugh :yeahthat: , "Prove it lady" they say. I swear I'm thinking about telling the next shift that the little green men and the voices came out of the inmates cell and spent the rest of the night torturing me.:chair:....Wonder if I can get a check too!! Ya Gotta Love Em******Job Security******

LOL, many years ago some bleeding heart liberals decided that many inmates lived a life of crime because they were UGLY!! So a program was set up to give the worst of them plastic surgery on their faces to correct big ugly noses and other facial abnormalities in the hopes they would not re-offend. Results???? Lots of pretty bank robbers and muggers.......LOL........ On the subject of Dandruff and acne? This is what I tell them. "As far as I'm concerned, I don't see dandruff, I see a few normal flakes and I'm not going to treat anything I dont see." Same thing with acne.....a few pimples is not acne, I don't treat non-existant or perceived conditions. Luckily our CHO feels the same way. Sniffles? unless there is some other co-existing sx's like fever or s/s of infection, we don't treat. Education and a small dose of sympathy(Like I ever get sympathy when I have the sniffles) is all they get. Oh yeah and a $4.00 charge for the advice..........

That's just what I'd like to do. I'm trying to collect a list of agencies that travel corrections. Although I'd love to make it to NY(family reasons) 1st, I'd like to travel several other places too just for fun.I work for a temp agency now and they do have a travel division but currently I travel 170 miles a day round trip to and from work....It's killin me.... I'm giving the agency I work for a chance to see if they can find me a travel contract in NY but also am looking around to see who else could fill my requests. If you don't mind could you send me an email or PM of who you work for? I'd be happy to use your name so you could get the referal.........I've never traveled before, but I'm ready..............................................Sashi

I'm ASSuming(and we all know where that gets you), that it would be easier to go from state to state(compact that is) than to apply to and wait for and pay for licenses in each state you wanted to go to. Like right now, I'm looking for a correctional travel assignment. I don't care where. IF one should suddenly come open AND(assuming again) that I was compact and they were compact, wouldn't it be quicker and easier to get working on the contract right away? My biggest dilema is that as I wait for something to open, and I'm usnsure as to where it will be, I'm only licensed in my state. I'd like to be able to say for instance, I'm available to work in any of these 5, or 6, or 12 states if you come up with something. I sure don't want to spend the time and money picking out say 4 states I'd like to go to, getting licensed, wait for a position and then get a call for a different state and have to hurry up and get THAT one. Mind you now this is all only theory because I've never applied to another state for licensure, but I have gone to some of the BON's web sites and it appears that I could grow old and grey waiting for my license to hurry up and come through. My guess is that once a spot opens someone already licensed in that state would be able to take it right away, while I would have to apply and wait.Maybe I'm wrong. I know that there are only about 11 or so states that are compact now, but that would sure open up a lot more opportunities for me to say"YES" immediately to a contract and just pack up and go. Anyway, a national license would be wonderful.

Tony, are you speaking of our local hospital? I don't know but I have a few friends that work there, I can find out, but it does differ with specialty and experience. Nurses I knew back when we were making $4.20 an hour at the hospital are now making $30 something. They stayed, I didn't. Are you here in our area now or just thinking about coming? I'm from NYC originally, but got my nursing degree and license here. Corrections is my specialty....

Anybody have the inside scoop as to what is holding up Florida from becoming a compact state? I've been a nurse here for 27 years and never thought about it before. Now I'd like to do some travel nursing and it would be so much easier if Fl. was compact. Does anyone know if it's ever been discussed? What would it take to get the ball rolling?:roll

For any of you Correctional nurses working in a prison, do any of your facilities use travelers? If so can you tell me which facilities and who are the travel agencies being used? Are your nurses happy with their companies? Sure would appreciate any info. Been Correctional nurse for 18 years (nurse for 27).Prison only. Jail (yuck)....

Hi Trama Lady. I've worked in 'corrections for 18 years and LOVE LOVE LOVE it. There is a great difference between City/county jails and State prisons. I worked in a jail for a year. Tooooo transient!!! You don't get a chance to even get a grasp on your patient before he bonds out, only to return months later after being to court and sentenced. If he's going to Sate prison then again he's(or she's) only there a short time and gone again. Mulitply that by 1200 inmates and it's chaos. I've worked mostly in prison. Different from prison to prison. It might be a huge medical prison, then it is much like a hospital. It could be a reception center(1st stop after jail) also transient as most are then assigned to their permenant camp. I've worked a reception center once(whew). I worked a male max for 15 years (loved it till the privates took over and ruined it)I now work at a juvenile state prison.(mostly 17-24y/o's)..We operate much like a clinic with appointments for chronic care, triaging and seeing sick calls., dealing with emergencies(assaults, rapes, injuries, cardiac and resp arrests, routine immunizations, diabetic care and anything else that comes up). Lots of autonomy which is what I like. Each prison has different demographics and size so each is individualized. Great opportunity to utilize and hone every skill you can imagine. Attitudes can be contageous and can lead to unsafe judgements about I/M's complaints so be ever on gurard of assuming or generalizing. Stick with proven assessment skills. Assuming someone is not "complaining in the right way",and therefore must be feigning, can be a deadly mistake. Be prepared for a change in your psyche, being exposed to many sociopaths takes it's toll on your outlook on life.I left after my 1st year because I didn't like how my thinking was going(they must be lying, their lips are moving, what's their ulterior motive? I discovered though that once a cucumber becomes a pickle it can never be a cucumber again. I just had to deal with my attitude and outlook and not let it affect the care I give, so I went back. Fellow staff become like family but don't fall into the habit of making your fellow workers your only social contacts. Their perspectives also begin to get very negative.All in all I love the fact that I have enough time to give quality care to all my patients. Hope this helps some..........

..."Holy Cow"." Batman", Robin said, "your face looks like you just saw a ghost. Could it be the"......

Hurrah! Judgment is EXACTLY what we are required to do when assessing a patient. But that's not ALL! We may write(as with the old SOAP notes) what the patient SAYS about his pain, but as educated professionals it is also our job to use the O: and A: parts of an assessement. Although pain is subjective and subject to personal pararmeters, observation can tell a lot. Severe abdominal pain without guarding, is suspect. I work in a juvenile prison and I have seen some academy award winning performances. Everything from Migraines, to schizophrenic episodes. Narcotics are not the only thing being sought.(although we don't have any narcotics in the place) Sometimes its a night out of the cell and in the nice airconditioned med dept. You must be a medical detective. For the patients sake, your license's sake, and for the preservation of that deep down quality that brought us to nursing in the first place. That means a VERY thorough evaluation of any complaints of pain. I've developed a few tricks up my sleeves over the years such as having the I/M wait in the waiting room and observing him on close circuit, thumbing through brochures,lying flat on the bench etc. HOWEVER, and I do mean HOWEVER, after my THOROUGH evaluation, the I/M is refered to the doctor, and specific tests are performed to R/O any pathology.Maybe a rectal(often when getting a signed consent for that, the I/m has a spontaneous and miraculous recovery). Denial of pain med or whatever the I/M is seeking is based on FACT. We will send an I/M to the local ED for a CT, Xray, stat labs or whatever is called for before JUDGING that he is feigning. Judgments not jumping to conclusions. Usually our judgements are correct and there is NO pathology. But on more than one occasions I have been greatfull that our Docs get all their facts together before calling their bluff....Proper investigation before condemnation. Isn't that how it's supposed to be? I am lucky that I work in an enviornment that is conducive to rendering the best possible care available. I am never in fear that I might be party to a negligence lawsuit. I will say I have personally misjudged a c/o pain (but kept THAT to myself) and found out after careful examination and proper referal that there WAS a serious problem.

A DishNetwork. They tuned in and listened to messages from outerspace and realized I wasn't crazy, I really was hearing aliens talking. They immediately put me on a gurney and.........

In Florida Med-Tech's are not allowed to pass pills (or pour them for that matter). Even our pharmacy tech's, who are a lot more familiar with meds and dosages,are not allowed to pour or prepare pills unless they are under the"direct" supervision of the Pharmacist. Speaking of "direct supervision". I have yet to figure out how that saves employees. If I were to have to 'directly supervise' another employee, that's exactly what I would do. I'd watch each and every pill that was poured and handed to the IM. Now PLESAE!!!!!!!!tell me how that's gonna help if you're short handed already. Maybe "they" think you'll just let the med-tech pour and pass the meds and sign off the appropriate papers while you're busy doing something else? I don't think I'd leave but I certainly would follow the letter of the law."direclly" supervising."sorry I'm busy now supervising the med-tech for whom I am responsible if a mistake is made". It's time for us to put our foots down!!! Just because there's a nursing shortage(and don't get me started on THAT subject) dosen't mean that we have to accpt every lame-brained idea 'they' come up with. Contact your Board of Nursing and get a copy of the Nurse Practice Act in your state. Review it VERY carefully.

At the prison where I work in Florida we use NP's as physicians. They diagnose,treat and prescribe. We also use PA's who have less authority,and must have all their work co-signed by a physician. I'm not sure about the saleries but I believe our PA makes 78,000 a year. We have no NP's now but have in the past. No one has applied.