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Rnis

Rnis

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Content by Rnis

  1. Rnis

    DEA, should employer pay?

    My work pays for it. They have someone who manages this. I forgot mine was up for renewal and they sent an email reminding me to either pay it and submit it for reimbursement or authorize them to renew it for me . This does not come amount of my CME money.
  2. I don't but i do teach nursing clinical on occasion for a local college so I still find myself in the hospital in that function.
  3. Rnis

    PAs Do Not Like Us

    I work with a lot of PAs, and thankfully we are all supportive and acknowledge different training structure but similar function and universal goal of providing quality care that is found in EBP. The only guff I get is related to the fact we don't have to take re-certification exams. Just want to add the sentiment of others that we had multi-disciplinary educators in my program. A pharmacist from the pharmacology program taught our pharmacy class. My advanced path instructor also taught the course to med students. I came out well prepared. I have had a few students from chamberlain and purdue and was a little worried given their for profit structure and the reputation of churning out graduates, but students were great and well prepared . I think this inner fighting is in poor taste and is not helpful to advancing our profession.
  4. Rnis

    Dumb Newbie

    Good luck to you! I think it is common for nursing students to consider their clinical experience "unpaid RN" work. But to be honest, it's not even close. You have the patient's RN and your instructor watching over you like a hawk and typically you are taking on very little of the typical RN load and responsibility. I would highly recommend getting experience as a registered nurse. Typically you can work part time during most FNP programs. Good luck!
  5. Rnis

    Do not understand scheduling issue

    This is our scheduling practice where I work. We do not work on RVUs so the expectation is that Dr. 's can take patients off our schedule and they get to fill first. Thankfully they usually take complex patients that they know better and it makes more sense for them to see. We are still held to RVU goals and fill rates...but since it doesn't effect our pay right now (that is changing) that is the law of the land. My concern is that it will be hard to change the culture when our pay is RVU based in the future.
  6. Rnis

    Nursing Salary Survey 2014

    Geographic location = Madison, Wi Pay rate = 34 dollars and hour base pay In which area / specialty do you work? = medical/surgical What type of license do you have ( RN or LPN)? RN BSN since 2010 What type of degree and/or certification do you have? BSN How many years of experience do you have? 3 Are you full-time, part-time, or casual / per diem / PRN status? Part-time What shift do you work? 12-hour shifts Do you receive any shift differential? yes when i am on nights or weekends its about 3 dollars an hour for each...i mostly work days Are you a manager or supervisor? Nope
  7. Rnis

    inpatient hospice/ advice

    Hello, I was offered an inpatient hospice position today. It seems like a nice place and they have a decent amount of acuity. They do have an occasional pt that receives the occasional blood tranfusion ect.. but not a lot of iv's , antibiotics...ect.... My question is I would like to accept this job and work there for a few years but eventually i would like to 'experience' acute care as well. do you think that working here would 'lock me out' of getting a job in acute care in the future. also what is the classification of inpatient hospice... can i try and sell that acute care experience? I got to spend a shift there and it seemed like the patients had similar needs to my med-surgical pts if not more minus the continuous antibiotics most had on med surg. Im a new grad. thx. Sarah
  8. Rnis

    is this a common thing with OVERTIME

    its bad business, not sure why they would do that
  9. Actually comfort care is EOL care, (which is my speciality) and i don't think you do from your post but asking family to educate on that just because they are in the health care field is unprofessional and inappropriate. most drs have very little training in pallative care so just because someone has a MD behind their name does not make them an appropriate 'teacher" . If you don't think you know enough go to conferences , seminiars and even trainings put on at work. and i ditto the advice....... no crying in front of co-workers.
  10. Rnis

    Question about shift differentials

    the differential is 2 for nights and 3.5 for weekends so on the weekends i make 5.5 in differentials for the night portion of my shift. (i work twelves) for the first four hours i make the pm differential.
  11. Rnis

    About PA's comments to RN

    absolutely I agree. I would never judge a profession as a whole by the poor behavior of one member of that group. I also agree that there is definitely a unique and valuable role for us all .
  12. Rnis

    add future employer on facebook?

    NO! it makes it easy for everyone you work with to find you and know your business
  13. Rnis

    Just a thought

    I think that is why i try not to take short cuts....i think its good to feel that pressure .
  14. Rnis

    What do I do? Roaches, no heat...

    ditto call social services
  15. Rnis

    Problems with therapy staff......?????

    also i would talk to your supervisor because her behavior is inappropriate.
  16. Rnis

    Problems with therapy staff......?????

    definitely set limits also she really has no business asking about the fluid intake i would just site hippa and move on.
  17. Rnis

    Minimum level of experience for FNP

    good luck! i think you don't need to be and can't be and expert on everything but a few years of clinical experience will support you greatly
  18. Rnis

    Drug Test & IV Therapy

    when you take a drug test you tell them what your on and if you test positive you provide prescrips
  19. Rnis

    Med error in nursing school!

    The reason med errors and incident reports are reported is so that we can learn from them, it sounds like yo have.
  20. I have not had any exposures, until earlier this week , they ended up testing the source and the source was clear . I assumed i was fine and then i got a call from the public health dept she starts talking and said "im responsible for calling all people that have hcv" I was confused and then said "im sorry are you saying i have hepatitis C?" then she kind of stutters and said 'well we don't really know, you tested positive for the antibody but your pcr did not detect the virus" she couldn't answer any of my questions and the few she did when i looked it up she was wrong. So i called the facility that had done the testing . they apologized profusely for the health department calling me and they hadn't called yet because they were still figuring out what to do with my test. The hiv/hcv drs at the office felt that I didn't need any further follow up but the public health dept said i do(which i do) so they got in this tug of war, thus the blindsiding phone call. I guess im still confused . MY pcr is negative and my antibodies are positive. so the clinic is going to do a riba to rule out the possibility of a false positive. the health dept lady told me its not a false positive and that this would not 'rule out' anything and that i have most likely been exposed. the clinic said a false positive is a definate possibility. My question is with worst case scenario and i come back riba positive , i first of all have no clue where i was exposed. I donated blood about 10 months ago and they never contacted me so this must be fairly recent?. but they said that i will have to have a pcr in 6 months and if that is negative then i don't have the virus anymore. What im reading is that even if im pcr negative a 2nd time the virus can still be in my liver hiding and doing damage. shouldn't i still be doing follow ups?
  21. Rnis

    tested unexpectedly positive for anti-hcv

    Thanks...my primary dr is on vacation. I am going to be offered with an infectious disease consult if i come back riba positive and they said that if wanted to i could have the consult even if i was negative. so i will eventually get to speak with a specialist once the results come back but im kind of up a creek of uncertainty in the mean time. My situation is a little more complicated in that im also pregnant also editing to add that there is no more additional testing i can do at this time, i have to wait six months for the next pcr.
  22. Rnis

    Precepting a role transition student

    I was in a similar program and by the end I took all of the pts. the nurse looked over my shoulder when she felt it was necessary and double checked by charting but for the most part i was on my own. My last rotation was in a pacu so i would have up to four pts in recovery (vitals Q 15 minutes ect) she always sat in my first time doing discharge instructions on a procedure and always went over my instructions before i went in there to given them to make sure i had altered them correctly (dept or specific dr policy was different somtimes than the computer printouts ) .
  23. Rnis

    references...who do you pick?

    So im a new grad. I have been working of 6 months. My goal is to stick it out to the year mark but i won't lie i look at the classifieds daily. when the time comes that i actually start applying who do i use as references? i work with about 3 to 4 other Rns but that is it and some arent very articulate.(im on a night shift) who do you use for professional references? is it always co-workers? On my first round i used instructors. and preceptors so a year out they probably won't be a great idea.
  24. Rnis

    inpatient hospice/ advice

    Thanks all! nervousnelly, I think your plan is brilliant and will be a great assest in landing you a job. good luck!
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