All Content by 42pines
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Two-Headed Snake Bully Nurse
There is no such thing as an anonymous text. In most states (state law is pertinent) harassment is a crime. In some cases even one nasty text, if it should interfere with your career, for instance, is enough. (Again, the level which the harassment must rise to is controlled by state law). Especially if it continues, contact a lawyer. The lawyer will subpoena the owner of the phone and the sender will be charged with a crime. I would find such a text so distressing, I'd quit that job for fear of what the sender will do next, for instance, set you up on the job... Scary and nasty.
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Job searching while under investigation
I have used [email protected] and allisontaylor.com over the past decade. https://www.checkyourreference.com/reference-checking-services-for-job-seekers/ They were not that expensive, but a recent glance notes it's about $80. Both reference checkers did a professional job. It was worth it. Some references unexpectedly gave me a glowing reference and others had factual errors. A phone call to HR got that fixed right away. Had I not fixed that error I might have been perceived as not being truthful, so it was worth it.
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Fact or Fiction? Masking and CO2 Dangers
A bit of fact and a bit of fiction. Depending upon the type of mask you have greater resistance to inhalation/exhalation. There is also a certain amount of “dead space,” in which air breathed out will get “trapped.” I like the article “Respiratory consequences of N95-type Mask usage in pregnant healthcare workers—a controlled clinical study.” (https://dx.doi.org/10.1186%2Fs13756-015-0086-z) The mask used appears to have a larger tidal volume potential than most masks, including N95 respirators, indicating to me a likely “worst case scenario.” Wearing an N95 increased the “work” of breathing. There is an increase of CO2 in the “left-over” air in the dead-space of the mask after each exhalation, but no significant change in the overall incoming (inspiration) of either O2 or CO2. During exercise maternal heart rate increased “from 89 ± 1.8 to 107 ± 1.9 beats/min.” From this we can see that, at least for pregnant women, when exercising, they experience a greater workload is indicated in the increased heart rate. Interestingly the subjects did not reach a statistical subjective increase that would indicate “I’m having to work harder to breathe.” “There were no differences in finger-tip capillary oxygen saturation levels with the mask and without the mask.” Conclusions: “While there is a substantial negative change in TV, VE and the VO2 and VCO2 exchanged, there was no impact of breathing through N95 mask materials, to finger-tip oxygen saturation, maternal or fetal heart rate and no drive to increase BF in pregnancy compared to breathing ambient air at the level of exercise in our study. This study shows important descriptive findings of changes to respiratory physiology with mask use, which do not appear to have sufficient significant clinical impact based on the parameters monitored, that had been deliberately kept within the normal ranges to ensure safety of the subjects.” My take is with an N95 you will work harder to breath but your O2 sat will remain unchanged in healthy, fit subjects. The authors suggest caution for third-trimester pregnant women working with N95 masks due to the increased work effort. I would extend that to those who might experience any sort of respiratory issues, not because of reduced oxygen saturation levels, nor due to increased CO2 but simply because if a worker has to repeatedly lift 25lb boxes all day, and has no difficulty doing so, then adding 5lbs to the load is unlikely to produce anything more than increased breathing rate and increased caloric consumption, in short work that’s a bit harder. If that worker struggles or comes close to struggling to lift that same 25-pound load repeatedly each day, then it would not be wise to subject them to an increased 5-lb load. So, do masks cause some danger by CO2? This study says no, even though this study shows that wearing an N95 does make one work harder. As for asbestos, the “clearance,” generally is to utilize a leaf-blower inside the building for some minutes thus raising the worst-case scenario of left-over asbestos, while the air is being sampled. That sample is analyzed with TEM or visible light microscopy, actually counting fibers per liter of air in this worst-case scenario. Clearance is not obtained until the fiber load is lower than ambient (outdoor) air, thus it was not necessary to wear any respirator after abatement.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
My goal has been achieved. NH BON dismissed "the complaint." (Note: The complaint was two letter of complaints with over 30 itemized complaints). See attached image at bottom. I'm happy to share who I am, should someone need to contact me but it seems to me that we're not supposed to post items that give personal details, thus the redaction. I won't bore readers with an itemized list of complaints. However they included allegation of sexual impropriety, as well as cognitive and physical impairment and drug use plus a lot of others. This set of complaints has been under investigation by the Attorney General's Enforcement Division now for two years. The complaint(s) (two letters consisting of 32 allegations) were written by two RNs and an LPN and sent to the owner of the facility. What is fascinating is that a complaint sent to the BON is protected against a defamation lawsuit by what is called "absolute" privelidge. In this case the complaints were given to the owner of the entity I was administer for. This too is subject to a "conditional" privelidge, (but not an "absolute privelidge) however, that privelidge can be overturned in a defamation lawsuit if malice can be proven with "clear and convincing" evidence. Thirty-two complaints, investigated by the Office of Attorney General, and ALL dismissed--think there might be provable defamation because of malice? I think so, and I will attempt to prove just that.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
I got kicked out of my BSN because I had 31 complaints, it's that simple. The college determined that I could not be allowed to complete the Capstone with the complaints pending. And pray tell, please, would you be a bit more specific in the way that I should interact with others, I am open to suggestion. And within some months the Sword of Damoclese (the 31 complaints) shall be resolved, or at least I hope so, and when that happens I do intend to share the outcome here on this thread. However, just looking at a few of your posts and seeing: “I sincerely apologize for offending you.” “Well... my post was mostly a joke.” “I'm burnt out yo.” I suspect that at least one of us ought to look at the way we interact with others, and by the way, feel free to try do do the same with the many posts that I've submitted here. Here's an article that I wrote so that you and the others that think I'm a scam can take a peek... Anyone want to peruse that and perhaps say, "well, obviously it's just an assignment?" "12,242 Views" and nobody complained on that one..., or any of the others... Just something to think about.
- Covid Vaccine Given Too High On Arm
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Covid Vaccine Given Too High On Arm
Good point, however, I'd say "blame Walgreens" for they are the person who hired the "injector." They are the ones who are responsible for competency and are required to have employees prove competency and/or be trained. Too high and you can end up with long-term damage of a SIRVA type, too low and the injection hits the Radial nerve and possibly say goodbye to the use of that arm---possibly forever. The "ask the tech" to point is a good idea as long as they wipe the spot with alcohol...
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
And just maybe you are jumping to conclusions. Consider that I have been thrown out of my BSN program with only a capstone to go, because of the complaints. Loss of my educational goals, loss of my job and income, and you're "annoyed." It's so easy on the Internet to bully, and guess what--you just did it. I call you an a "mean" and rude post. Just imagine that you were in my shoes? Knocked out of nursing, knocked out of the final capstone class in a BSN program. Think about it FolksbTrippin
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ADN or BSN?
A wise decision! Normally I'd have said "go for the ADN," and let your employer pay for the next two years to get the BSN. However, you wrote: "I get super anxious and have really bad test anxiety." Others have posted that the ADN is unlikely to be less stressful and I too am inclined to think it'll be more stressful. Many ADN programs will toss you out in the blink of an eye, whereas most BSN programs will simply let you re-take classes. Be easy on yourself, it'll pay when NCLEX time arises.
- I am under investigation by BON. Ethical question: Share or not share with potential employers?
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Oddly, I haven't received notifications that there were responses to my thread. I just came here to post an article which admin may or may not accept. It will be my second article. For those who feel duped, all I can say, is it's quite real. Eventually when the BON gets off their butts and determines my fate, I shall share that with all of you. It just hit a full two-years. Two years! I call that lateral violence within nursing--The BON has a responsibility (IMHO) to deal with my fate in less than two years. Also, I just came across an absolute idea job. Occupational Health with a pharmacy manufacturer who is making drugs using technology that was used by a prior employer. I had absolutely everything that they could want, right down to will you accept $50- an hour. I explained the complaints with my Contract Agent and she said, "your license is unencumbered, go for it." Then (my home state is a pact state) so I could pop right into the job but had to apply in the state I'd be working. So I started the application. And there it was: "Has this nurse ever been investigated by your Board? 2. Has this nurse incurred any disciplinary proceedings in your state, or is any action pending? Result: Offer revoked. This is not the first job application where I felt hired--only to end up with dead air, well, now I know why.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@Susie2310 I'll agree, and I'll disagree. Rather than reiterate my grounds, I'll use the following sources. As you can see, by these two sources, it is a privilege, and it is also a right, and it is also "property." And, if it's property a nurse's license and the nurse is protected both by her state Constitution and by the Federal Constitution. "What you may not know that once granted, the license is considered “property” under the state and federal constitutions and therefore protected from unfounded removal from the person by the government. In this way, the license is a “right”. However, because the license is granted by the state and its board of nursing, it is a “right” that is not without limits. A nurse licensee must practice nursing within the bounds of the nurse practice act and its rules as well as within the ethical codes applicable to the profession. When this does not occur, the nurse licensee may be disciplined by the state board of nursing. In this way, then, the license to practice nursing is also a “privilege”, which means one’s nursing practice and personal conduct can be called into question if the act and rules or ethical codes are allegedly violated." https://www.cphins.com/what-rights-do-nurses-have-when-appearing-before-the-board-of-nursing/#:~:text=What you may not know,license is a “right”. "A nursing license is a credential granted by an individual state. Most states require that healthcare practitioners with direct patient contact be licensed. Each individual state has the sole authority to license health care practitioners in their jurisdiction. A license confers a legal property right to the holder. Consequently, the license can not be taken away from the practitioner without due process. Legally speaking due process includes the right to a hearing and access to the courts in a proceeding to remove a legal right." See http://aam.govst.edu/projects/scomer/student_page1.html#:~:text=A nursing license is a,property right to the holder. People's eyes roll when someone mentions "Constitution" yet its applicable here. For instance my state (and most, if not all others) any citizen has a right to a "speedy trial" (uh, we're now at 22 months here, and we aren't even close to any hearing, or any resolve--does that sound right?) They nurse that has been charged has a right to know what charges are pending, clearly and in an understandable way. (That hasn't been done here). Additionally no citizen is "compelled to furnish evidence against themselves," yet I am told by my BON that I must sort though these "sort of" allegations and respond, as though I know which ones are actual charges, and which are simple opinions? My opinion is that the BON is acting as a bully. As nasty as the situation that I'm in is, it's rather fascinating. I am intrigued as to the outcome, though I wish they'd hurry up, as I'd like to finish my Capstone BSN course.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@rzyzzy You seem to have a progressive BON. Anyone with half a brain can see that what I'm going through is a witch hunt. The problem is that nobody on the BON has bothered to fully read my answer to the charges. You are correct about the license is a "property," an important concept, echoed in this excellent article (it's about Florida, which is a progressive state for nurse rights, but it's one that I suggest any nurse read) file:///C:/Users/X-3-20/Zotero/storage/S3CK4UA9/board-of-nursing-legal-advice.html Later retaliation for unsubstantiated complaints, I agree, would be unethical, even illegal. The problem is that nowadays employers (remember over the past 15 years, every employer that I've had is a Fortune 500 corporation. The even do a social media profile search on you (mine is squeaky clean) but if a third-party "checker" does that, I'm sure that each would have a check-box labeled "complaint pending." If that box is checked, that's it, I'm quietly removed from consideration and no information will ever be found by me that was done. Like age discrimination, there's a lot of it, but it's hard to prove and being knocked out of consideration would be harder to prove--probably impossible. The most hurtful thing that this has done was that it knocked me out of a BSN program with only a Capstone course left. And I mean knocked out, one course to go and even my school email is closed. My bad far asking if I could do a Capstone with pending complaints. I think I need to relax my ethical standards.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Thanks @rzyzzy I now realize that since the majority agree with you I should have done just that and now, that's what I'm doing. Still, I've checked and my target state will tell any employer (and it took only a few minutes to get my own information) that I have a charge "pending" and "the date the complaint was made." Twenty-three months stuck in a sort of Limbo.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@hannabanana Yes, I intend to continue nursing. I have only a Capstone course to finish a BSN (with a cum 3.9+) and expect to move on to attain a Master's. I'm curious, why "pro counseling?" It'd be quite a far stretch to point to that list and say it's witness tampering. Yes, I cannot say actual names/places and so on, but the list is benign.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@magellanA student, applying for a license is entirely different from checking an existing license. Yes, it takes a long time for BON to process and complete the RN, or other nurse license. Checking the license of any nurse is simple and fast: Search for [state name] "check a nursing license." Every state has an online presence. Enter just the last name and in most states you'll find it, though you might find, for instance, in California, dozens, so having a first name useful. If the nurse you are searching for has any actions, censure, probation, agreements, there will be a note attached showing that action and its terms. For instance in my state you will see, under the license (when you look it up) two sections: "Discipline Information," and "Board Actions." Looking up a friend’s license that I know had an allegation of wrongdoing in the past, I see nothing under Discipline Information. But, under Board action there is a .pdf which, when downloaded, is a six-page document titled “Settlement Agreement.” In this case the nurse was assessed a $500 file and required to complete 6 hours of Continuing Nursing Education. Looking up a friend’s license that I know had an allegation of wrongdoing in the past I see nothing under Discipline Information. But, under Board action there is a .pdf which, when downloaded, is a six-page document titled “Settlement Agreement.” In this case the nurse was assessed a $500 file and required to complete 6 hours of Continuing Nursing Education.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@magellan Bravo! You hit the nail on the head. You win a stuffed bear. The equation is all wrong. You see this, and others here see this, and so would the BON if they actually read both the complaint and my "answer" to the complaint. Sadly,@magellan I must take back the stuffed bear. Look at the time between your "Yes, the employer can verify" and this post." That is exactly how long it takes to ascertain if a nurse has an action pending. Yes, it took about two minutes. MA Board of Nursing is (617) 973-0900. Call them, ask: "If I have the name and other information about a nurse licensed in Massachusetts , how long does it take to find out if there is an action pending? The answer was: "I can do that right now... Feel free to try, they won't mind. And yes, MA is one of the states that I would look to work as a nurse, and have worked as an RN before.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@TheMoonisMyLantern Technically, you are correct. Searching for “can your nursing license be checked for pending complaints” It did not take long to find, the answer, at least in some states, as I was once told, is “yes.” “During the Board's investigation and complaint resolution process, details of a complaint are not made public except for the existence of the complaint pending and the date it was filed.” Therefore at least in this state, Massachusetts, an employer CAN find if there are complaints pending. See: https://www.mass.gov/service-details/what-you-need-to-know-if-a-complaint-is-filed-against-your-license A wise employer would always check for pending complaints. A wise employer would never tell the applicant why they only got “dead air,” about that job.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@susie2310 I agree with you. However, you and I are a minority. For 22 months I have abided and shared the pending investigation. Last week though, the investigator from the Attorney General's office commented: "your license is intact and you do not have to share that with an employer." I thought this very interesting and it came about from a comment I made, that must have made its way back to the AG's office. If I hired someone who had one pending complaint I'd be very unhapppy. @jadedcpn I told my advisor and asked if I could do a Capstone that was research based rather than at a facility, and the hammer dropped. Even my email account was revoked. *sigh* @Magellin Agreed. Neither my employer (the Contract company) for the facility owner bothered to investigate, never even asked, just an abrupt at 5pm: "Leave and never return." You are correct the equation is not right. Sadly though the BON, nor the AG's office has really bothered to look at the charges closely or my response. Thus the "guilty till proven innocent."
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
The reality is that I shall get out of it with license intact. Consider, no harm. No complaint by patient or family. No allegation of negligence, no medication error of any significance, no drugs, no alcohol, no theft, no faking signatures, in short, nothing major. Therefore, like most, the worst will be a slap on the wrist, maybe "shall take a course on documentation." For most, this would be ho hum, but for the level of job that I seek (upper management) literally "any" infraction is likely to affect my employment options, as that sort of addendum to your license lasts forever. The terrible part is being knocked out of college, unable to finish the last course, the Capstone. Then, unable to proceed to attaining a Master's degree, this has knocked two years out of my best nursing years of my career. What is interesting is that BONs are quasi-judicial entities. Courts are loathe to ever interfere with them. However, there is one way that the Courts will intervene and that is when a Plaintiff attacks the BONs validity of evidence. So, whatever evidence they can amass--it had better be rock solid. It'll make a good article, someday.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Ha! You were young then Davey, you've learned not to say things to hastily these days, not that it matters, since you're retired. It does sound similar. In this case I believe that the Contractors had a vested interest in having me gone. The place had tons of problems and one by one I negated them, removing the "reason" that the place had to be shut down. But shutting the facility was politically unpopular. With me gone, the Contractors kept their job, there's a decent motive. The LPN is a weird one though, an extremely vitriolic letter of complaint including allegations that I was cognitively impaired. After sending $1600 the PsyD stated: "no evidence of cognitive impairment." I haven't a clue as to why the LPN literally attacked me, maybe I'll never know.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
@TheMoonisMyLantern Interestingly there are "two" employers, since I was contracted. My contract employer sold me to the entity that owned the place I worked for. More interestingly neither was vindictive at all. The complaint was lodged by a contractor who had never even worked with me. Additionally, in what seems a pig pile fashion, the other "complaint" was by an LPN that I had just hired, and who had worked with me a whopping fifteen minutes, sum total. These two complained to the owner of the entity that I worked for. The owner simply "echoed" these two complaints to the BON. What really is fascinating is that ANY one can create any complaint to the BON and you cannot sue them for defamation, as that is privileged. Unless you can prove actual malice a complainant to the board is immune to legal action. Yet in this case, the complaint was not to the BON but to the owner, who, without investigation, believed the allegations. The two allegators (yeah, I know) thus stand without absolute immunity and may find themselves in very, very deep water, if I can get past the BON with zero actions against my license--my goal.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Leader25, if I discussed identifiable facts, yes, there could be an issue, however, you can't even figure out where I am. I'm careful with what I say for now. "Speak with BON as to what you are expected to do" Do that and it's very simple, they will say: "Plead guilty to everything and anything." Many do just that, they just lay under the bus's wheels. Interestingly though if you go to your BON's website and review finalized cases, you'll see that most are simple and most complaints are well-founded on facts. This one isn't. I'll won't be found guilty on any charge excepting maybe a documenting one, after all, every nurse could be found guilty on that, if you press hard enough. It's a nasty, nasty ride on the way to innocence though. If nothing else, I hope readers realize that the BON is not a nurses friend. Try reading this for a bit of the reality that you'll face if you ever run into a complaint with the BON, it's a really great article: https://www.thehealthlawfirm.com/resources/health-law-articles-and-documents/board-of-nursing-legal-advice.html As for video? Huh? I think you're referring to Magellin's post which is very off-base. No video anywhere, not an issue.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Nope, nobody died. No patient, nor family had any complaint. And no, Davey Do, I'm not a troll, which you can see if you look at my record here. @Hoosier_RN You wrote: "I've filled out applications that ask about license ever or currently suspended or under investigation." I've run into this. One headhunter told me: "There is a way that an employer can find out if your license is under investigation." I don't know if that is true for some states, but not for other states. And I don't have a lawyer. I attempted to hire one but there was a conflict of interest (there were two who complained, one was a contractor) as one was in some way a client, or maybe had been, lawyers don't explain. Then I found another lawyer, who seemed excellent, and all of a sudden, "uh oh, I can't represent you, as there is a conflict of interest." (Same issue with the same contractor). Yes, that's odd, and makes me wonder what's up with that--maybe that contractor is a "repeat offender?" So I looked and found another lawyer, again a specialist lawyer. I gave the lawyer a $2500 retainer and they started working on an answer to the complaint. A month went by, and just before the deadline, they sent me a copy. It was pathetic, full of inaccuracies (including some totally erroneous "facts," and poorly written. I fired the lawyer, then found that I had rung up a $12,500 bill. The lawyer kept my retainer and "waived" the rest. My case has been "elevated" to my state's Attorney General's (AG) office. I was pestered by an attorney investigator to give them carte blanche access to all medical records--all, including childhood records. It was evident that the "cognitive impairment" was now the issue. I objected but stated I was willing to let them ask my doctor (or prior doctor) "in your opinion is (my name) cognitively competent to be an RN." Over and over that attorney demanded carte blanche access and over and over I repeated that I was willing to let them ask the above sentence. Well, the doctor queried said he'd have to have a neurocognitive exam to be conclusive. Then Covid hit, and all I got was dead air. I knew that such investigations take about a year, so after 16 months I contacted the AG and said, "c'mon you are trampling my civil rights and Covid really is not much of an excuse as most, if not all investigation could be done from a home office. That hit home and what had happened was that the lawyer investigating me no longer works for the AG, I was "lost." I was promptly contacted by a doctor who wanted to do an interview, who supposedly specialized in addiction but also in cognitive issues. OK, I thought, and did a two-hour Zoom interview. The outcome: "You must go and have a neurocognitive exam." "Why," I asked. "Because the AG is concerned, your response was 28 pages." Yes, 28 complaints, one page for each complaint, and based on that the AG thinks I'm cognitively impaired." Btw, the cost for such an exam is $1,600. "So, I'm being forced to spend $1,600 for this exam?" The answer: "Well, no, I'm not forcing you to do anything." "OK," I responded, "You're not 'forcing' me but if I refuse, I never get my job back?" Yup. So I drove an hour, spent 5 hours with a PsyD. The outcome was a multi-page (lots of test results) and the statement: "“There is no evidence of cognitive impairment at a level that would predict significant difficulties functioning as a nurse.” Recently I was told by the addiction doctor (no, I have no issues with addition, nor were any alleged) that other than the "cognitive concern," I was not under investigation. Yet, recently a new Attorney Investigator contacted me, telling me, "You can work as a nurse." Also telling me I am under investigation. But now, what, exactly am I being investigated for? I intend to write to the AG and ask them to please enumerate exactly what I am being investigated for, allegation by allegation, specifically. If this was not so devastatingly painful, it'd be comic. The real kicker in all this was that two weeks after I was fired, the place closed, permanently. In the meantime, I've plenty of time on my hands to finish my BSN but the college has banned me from doing my final capstone course because of the pending complaint. @brandy1017 I think that is sage advice. @Davey Do You are correct. I have seen some lose their license but it's rare. Excepting severe violations the norm is probation, education, substance treatment and usually the nurse has a valid license again. In my case though, even a minor chastisement, let's say for documenting improperly will show up FOREVER, for all to see. At my level of nursing any issue, no matter how minor will get me passed over. I'm at the top of my subspecialty having worked now for a number of major corporations (a few were GM & GE). I've been told by headhunters that any negativity related to my licenses will knock me out of a high-level job. So, I'll fight. Thanks again to all who contributed.
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I am under investigation by BON. Ethical question: Share or not share with potential employers?
Thank you all for your thoughts. It's clear that contrary to my sense of ethics most believe that staying quiet and not sharing that the complaints exist with a potential employer is necessary. I'll have to review my sense of ethics. It's a real, and rather horrible scenario, not a troll post. Davey Do's post hit the nail on the head. The action is a vendetta, not against me per se, but rather to put two others in a better economic position. For those who think I'm a troll, it might be wise to look at the person, in this case: https://allnurses.com/profile/411679-42pines/ For those who jumped on the pile of "he's a troll," well, frankly, you've been fooled, and turned into a sort of bully for believing that so easily. Such action is common enough in nursing, I'm sad to say. Most to not realize that simply said: Your BON is not your friend and may become a terrible enemy. Most do not realize that having insurance will help in the slightest and hiring a lawyer, except in the simplest of cases will also not help, unless you have $50k or more to spend. I've written one article here, and when the dust settles I'll write another, about this. In the meantime the following article is the best I've found so far about a BON complaint, it might surprise you. See: WHAT EVERY NURSE REALLY NEEDS TO KNOW ABOUT LEGAL ADVICE FROM THE BOARD OF NURSING https://www.thehealthlawfirm.com/resources/health-law-articles-and-documents/board-of-nursing-legal-advice.html I recommend all nurses read that one.