luvche

Oh, yeah. I would definitely be open to interning. Yes, the peels I am wanting to do are the superficial. Such as the light ones that are offered with some facials at regular salon/spas.

Hmmmmm, if I got my aesthetician license, and didn't advertise my RN credentials, maybe. Ugh. This will probably end up being a phon cal. To both the BON and cosmotology board. It totally sucks that I see non medical people do things like botox parties, and work independently at salons but as soon as you have "RN" you are limited! I would think the "RN" would make for safer independent practice. But, again, when I was a medical assistant, I could do things that an RN could not do (or could not do without a doctor on premesis)

So what about these salons that do the superficial chem peels. I know they don't have physicians. Is it the fact that I have an RN license that now makes it need an order? It is a gray area on that, I think. Because there are peels you can buy without being a physician. What I want to do is be able to provide independant aesthetic services in a family member's salon.

GrrlRN, I also found that. But it addresses specifically laser hair removal and micropigmentation. As far as chemical peels: would it be considered medication. If so, then who is doing these peels in beauty salons? Because I am sure a physician isnt there. I know some deep peels require doctors. But I am not speaking of those. I looked on the board of cosmotology's website and aesthetician licensing did not specify peels or microdermabrasion. . The question is, also: as an aesthetician, could I do these things with just further training.....whereas. doing them as a nurse, would I need a doctor's order (jkind of like how I could do things as a mediccal assistant if it was ok with the doctor....without an official orddr, but as a nurse it would violate the practice act). Excuse my cruddy typing, this website makes my phone all funky!

So if anyone could point me in the right directio: I am an RN. For 10 years I have done everything from Oncology to Psych. I would like to learn how to do chemical peels and the like. Not for a full time career, but just for side work. I am in Oklahoma, and the aesthetician schools around here don't seem to be what I need (they don't teach you to do peels and laser work, etc). So A)what am I looking for in the way of classes? B)I can't find any info online about Oklahoma licensing requirements to do those things (only info on cosmotology and aesthetician licenses that don't include any of the above. C). I can't find anything on the BON website on if RNs can do this, and if so what kind of training is needed. I don't see medical aesthetics schools here. Any info would help! Thanks!

In July of 2009, I turned myself into the Peer program. Not as noble as it sounds, as I knew I was going to be reported for working while impaired (which ultimately was showing in my work). I valued my career even more than my family and was a work-a-holic. Which is part of the reason my normally social drinking grew into an addiction. I thought this was the end of the world. I lived for almost 3 years scared I would not be able to afford a drug test, or IOP, or house payment. I never found a traditional nursing job while in peer, but I got creative and found a medical assisting job where they eventually agreed to invent a position for me that met my requirements (though my pay stayed the same as a medical assistant). I was delayed for 6 months due to issues that were out of my control (be careful who and where you work for is my only advice). But as of last week I F-I-N-A-L-L-Y made it through. Even just a few days later, I have opportunities I never thought of or thought I would have again. The "end" was really a beginning. It was a tough lesson. But I just knew I had to make it. I can't afford to, and have no desire to return to school to be anything else. At all costs I had to stick with it and keep my license. You can do it. I thought this time would never come! But it does. Keep the faith!

I was going to ask why it might affect your status in IPN also. in my state, we have peer. They don't care about your job if it is non-nursing. They don't need reports or anything from them. They only care about monthly evaluations, job reports and write-ups if you are working in a nurse capacity. So anything that happens at a non-nursing job is not their business nor do they hear about it.

In our Peer program where I am, we have to do a minimum of 1 year supervised nursing (once approved to go back to work) with 6 consecutive months of that time handling/having access to narcotics/controlled substances. If we choose a nursing job that does not have narcotics on the premises, we have to have a minimum of 2 years supervised nursing AND finish out the full 5 year contract (instead of 2 years).

It may not help, but perhaps a statement from you physician or a drug/alcohol counselor or psychiatrist as to their opinion of your place in your recovery so far, your ability to work as a nurse, and other info like that.

When they made me cease practice again and get a psych eval, I told them "I am pregnant and can't even afford enough food for myself.". They said "In order to get well you may have to make sacrifices. You might have to give things up and live in a trailor if that's what it takes. OK, 1) I was pregnant and could only afford to eat 1-2 times a day. 2) I live in a cheap apartment.....I CAN'T EVEN AFFORD A TRAILOR! Because then i'd have to pay gas, electric, water, lot fee...etc For them to give THAT reply when i told them I was only getting 1-2 meals a day is wrong on so many levels. Especially since my eval was sparked over, basically, me being ill, moody, and hormonal during severe morning sickness! Our committees have 1 RN, 1 addiction counselor, and one person in recovery as well as our case worker. I guess my case worker used to be a nurse investigator. So I would think there is a little bias there. I agree, it should not be punitive. How is that helpful to anyone? Now they are embarrassing people who want help, too!

Yeah, well, at the end of that quote is an unwritten "Unless you are on the Peer committee...". The constant living in fear of doing something "wrong" in their eyes. Answering a question "wrong". it's not an unfounded fear, either. I got pregnant and was very morning sick for 2 months straight. 24-7. The constant sickness made me irritable, anxious, and not myself (DUH! Pregnancy and hormones). They made me cease nursing practice again, and go pay hundreds of dollars for a psych eval. Had it not been for that, and it taking months to get my nursing practice back (due to the red-tape of it all), I'd already been out months ago. Frustrating. I know it's better then the alternative.....but I am wondering if the future participants can now say it is better than the alternative. being that now, it's public record just like going through the board would be.

You will love THIS then: someone I know knew a nurse that ended up being disciplined by the board. Because s/he was once in peer, the peer records NOW became un-confidential and sent to the board. It was now considered "exhibits" in her/his board hearing and therefore, can be seen by the public when the nurses discpline record is clicked on. By records I mean even down to the nurses first application to peer where s/he writes personal thoughts and insights about her/himself and people in her/his life. So not only is that out there....but the people s/he wrote about, too! I don;t see where THAT is legal. But now lets humiliate those that go get help before it gets to the board! Confidentiality is why I chose to get help. I fear I may not have done so had I joined after this new rule where "peer" is next to you name!

As of a couple months ago, anyone who joins the Peer program in Oklahoma has a denotation online that shows they are in Peer when their license is looked up. This is something the public can see. Those who were already in it are grandfathered out of this stipulation (thank God! So it's not by my name....I get out in a month or 2!) They still show, on the home page of the Peer program, that it is a confidential program, and participation is confidential as long as you abide by your contract. My question is: how can they still say it's confidential when it is now listed publicly when you enroll? Also, would you think this would decrease the likelihood of some nurses of self reporting to peer? If so, do you think this dangerously increases a chance of an impaired nurse NOT trying to get help willfully and possibly continuing to work until they hurt someone or are caught? I think it makes for an interesting discussion. Because in the past, no one knew as long as you went in voluntarily. Not the board, not the public. Just need-to-know basis when you went back to supervised work.....

Where I used to work, they always treated Ultram as a controlled substance and it had to be counted. Even way back in 2004 when I started there. I can see, now, where this extra precaution was a good one! It was always kept in a drawer that could NOT be closed without a count being put in once opened.

Um...we have to call everyday, 365/24/7. Yes.....we get chosen on weekends, too. I have not yet heard of any of my fellow nurses being tested on Sunday. But we have had some Saturdays. We didn't used to hear of anyone getting picked on any weekend until the lab that does the actual testing went from Labcore to CRL. But Firstlab is our administrator and always has been. They not only started testing on Saturdays...but I notice that if you forget to call now, you seem to get picked for testing 2 days later.(after your missed call)

The Pyxis we had would not let you close a narc drawer after opening without first putting in a count. We could not simply "cancel" it. It is not helpful now, but in the future, I would advise always count ANY controlled med drawer upon opening it for ANY reason. Even if it is cancelled.

Well, this is my goal in the next year. I have done it before. Only to California. I loved it. So, my question is, where are the BEST states for travel nurses? Who is currently a traveler/former traveler? Also, what are some good companies (I used to work for American Mobile and prefer to try someone else and NON-affiliated companies). Which is hard because it seems like they are now affiliated with everyone! A year or less is really not long when it comes to planning for this. But I am ready to get out there again! All thoughts and input would be great! Thanks!

probably not. if it were ETG, it usually says so. I know the Oklahoma PEER does not do ETG. Just the alcohol that comes with the regular testing. The opted never to do ETG a few years back. This is because it is NOT recommended to be used as a substance abuse testing tool. At least by some mental health organization. Can't even remember where I read that. This is because it is too sensitive, it determines that someone drank a few days ago (which may not be violation of some agencies policies) and it can detect alcohol from contact with other sources (in extracts, hand sanitizers, hairspray, mouthwash, etc) and doesn't differentiate. Of course, that doesn't deter some IPN programs from utilizing it. However, it will usually SPECIFY etg.

I used to never have to worry about dilutes. I could pee no matter what. Now, I am nursing a newborn. I don't hydrate as I should, so I only pee once or twice a day....the rest is keeping my milk supply up for my baby. SO, when I DO drink enough water to keep my supply up AND be able to pee.....it is VERY pale. I have been so afraid of getting dilutes. But, like I said, with breastfeeding taking up all my extra fluids...in order to be able to pee on a day I am called (since I usually only have to go in the morning and evening) I have to drink so much it turns the urine pale. Grrrr. No: A doctor saying I have to drink that much water is NOT considered sufficient. Yes, we have determined nothing is wrong with my kidneys that is causing me to only urinate once or twice a day. It's just all going to my child. I stress every time I get selected now, and am so glad I only have a couple months left. Because supplementing with formula or giving up breastfeeding totally is NOT an option for me, just because It keeps me from peeing normally. Nope. Just stressful

I can tell you that my supervisor at my job used to run one of the nurse support groups. This supervisor speaks on a monthly basis with nurse support group facilitators all over the state. MANY of them have expressed concern to her about the increasing power IPNs and PEER committees are wielding over the participants. They all agree it is getting to the point of BEYOND what they should be doing. Also, that there are no checks and balances to stop them .Grievances go right to the people in charge of these entities....and they are usually the ones on the committee. She says these people who are under contract to treat and follow participants are at loss on how to stop this and fix it. Really, all we can do is write the senators of our states. But (this supervisor suggested) wait until AFTER you are out of PEER/IPN. Also, my nurse support group leader says to try to sit on the committee once we are eligible. The best way to make changes is to be in the inside. Especially as someone with experience as a participant!

Sorry, but if the choices are losing my home, and not being able to feed my son or picketing, then I guess I'd be proud to be a scab and take care of my family than strike and lose everything. Some nurses (myself included) make good money.....but still live paycheck to paycheck due to circumstances and curve balls life has thrown at them. Especially single parent nurses. So taking a lower paying non-nursing job during a strike would not keep us fed and seltered. Some are lucky enough to have a savings or a spouse. Some could care less if they end up living in a car with their family (scruples are more important than some people's family I guess, fine). But providing for my son is first and foremost to me. I am sure I am not the only one who would make that choice.

I know where you are. I remember signing my agreement (minimal 2 years, but can be up to 5). I have 6 months left (God willing). It was/is a hard, long road. But i made it a year and a half. It doesn't seem so long now.....but when I had 2 years ahead of me it did. I hated (I STILL hate) being told "one day at a time" and "just pray" and "give it to your higher power". I DO....but these are all still legitimate worries! And sometimes you have to let yourself worry. I scraped by working at Sprint, walmart, Denny's. Finally got creative and became a lab tech at a medical research office. Now, two days a week the let me do RN duties. For no extra pay. BUT.....it helps me meet my supervised RN requirement AND they don't have to pay an agency nurse the few times a week they need one. Win win. Sort of. I am scraping by. paycheck to paycheck. I am constantly using my overdraft. I have no luxuries. only the bare minimums. As long as I can continuously borrow, make partial payments, use overdraft, and fenagel every week....I will plod along and eventually know that once i am done....i can get a "real" nursing job again. It happens. It's not easy. I wont tell you to take it one day at a time. BUT.....I have learned how to slowly let go and use that strategy! Good luck!

Have you tried American Mobile? They may not pay as high as some travel agencies....but they have MANY contracts, good benefits...and when I last worked there, you got free PRIVATE housing (I noticed quite a few of the better paying places made you share and you had a co-pay if you wanted private. Or, some anyway, used a hotel). Just a thought if you haven't checked them out.

In our peer we may not be in a role to supervise other nurses, make schedules, or make hiring/firing decisions. However, I hae seen a peer nurse, near the end of their term, be able to be charge nurse. So i assume he got special permission. being he was a few months away from completing

They say they do now know what happened to the drug screen? But you took it in a facility that, I assume, has a CLIA approved lab (at least). They have to document that you took it and the lab that ran it must have the results. You need to go where you took the test and get the results yourself on paper. Unfortunately, legal counsel would be a huge help to you....but I, also, would not be able to afford it. I would imagine that if it went to investigations with the board, they would ask the results of the screen done that day. I don't think you can be reported for not riding with your supervisor....but who knows, stranger things have happened. Wish i could be of more help