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NightNurse876

NightNurse876

Utilization Management; Case Management
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NightNurse876 specializes in Utilization Management; Case Management.

NightNurse876's Latest Activity

  1. NightNurse876

    Florida Multistate License Timeline

    Thanks. It's in my wallet I think but I took a photo of it same time. We will see. I'm hopeful that it'll com through this week.
  2. NightNurse876

    Florida Multistate License Timeline

    How did they notify you? Gosh, all I have from my live scan is the confirmation code, nothing else. Which number are you calling?
  3. NightNurse876

    Florida Multistate License Timeline

    I submitted my application on June 2nd for the multistate license upgrade and completed the background check same day. I also complete the renewal for my Florida license. I received my Florida license within a week but the multistate application just says open. And then there is a section to upload documents. What documents, I dont know. Does anyone have experience with this process? It says ut may take up to 30 days but the FAQ is lacking in information and the is no contact information to refer questions to. I just had a background check for work to get EMR access for one of my facilities so I know that's not the delay and I have confirmation the bank grounded check was completed. Any info would help! It's now day 21.
  4. NightNurse876

    Random drug tests

    oh California, California...never been there, sounds ...interesting, lol!! There are lots of people wishing bad luck on this poor guy...sucks horribly. My mom would say stop putting your goat mouth on people children...hehe! OP nope, no positive from second hand. And you take the risks you are confortable with. Yea pot is illegal but we arent discussing legality. There are lots of posts with statements that I think are obvious considerations that the OP may have already contemplated and will deal with his way. Lots of judging here. Sounds like some ppl were deprived of a lil toke...may losen them up a bit, lol. Not trying to offend anyone but I do see lots of preaching and finger pointing that is backed up by a whole lot of assumptions and no attention to the details of the question posed...but I find on AN its hard to stay on topic... Loser and idiot aren't nice...just because YOU would feel that way about yourself or you live in a community that name calls that way... Thats why people aren't open about things...pot, sexuality, religion, shoot being pregnant....just afraid their co-workers will judge and finger point and label....a shame you can't even go on AN to ask questions or vent without the same things happening...can't escape the "that was dumb, and anyone can track you down and find you and rip your license away." But hey this is America...land of the most fearful free people... ready to give up all opinions, outlooks and liberities for what big brother says. OP do your thing, CYA bc I'm sure you know the potential consequences... then, move your family member to California. Just boought my ticket, lol j/k!!!
  5. First is airway... then breathing... ventimask? non rebreather?.... no change...no hep. Document ()send labs this whole time.
  6. NightNurse876

    Is Nursing as Stressful as Nursing School?

    MORE STRESSFUL!!! Nursing school did not prepare me for all the things I would face in the real world of nursing. I am not sure if I knew it was like this if I would have accepted a job an hour plus from my family. If you have a great support system then it helps. Having someone who is a nurse that is close to you helps...that means at least one person understands your problems. I worked Medsurg my first year in nursing....8 patients was the norm, 9 a good amount of the time, 10 once. Even remote telemetry patients with phone calls from the tele monitor tech about SVT, etc. (what to do! call the doc? give IVP meds that we arent supposed to give on MedSurg, but you can on tele?) I now work ICU, 2 patients, 3 once. Been here in critical care since October, productve in ICU since May. I run just as much as if I had 8 though....just rough sometimes but getting the bed experience for the same kind of slave labor...iho. But if you love it, go for it...
  7. NightNurse876

    Not many Black/African American nurses working in the ICU's

    I do think I do things differently, but that's me as a whole generally, it just comes oout in my more. Thanks for that, but I would hope a family having an ICU experienced wouldn't feel that way. And I'll take a gamble and say they do feel supported and not managed, evidenced by the amount of food we get. Furthermore, I dont see why it would be a "black" thing, in regards to me work ethic. And I've only experienced nurses have moments of feeling burdened but there isn't a truely overtly "family managing" nurse in my unit.
  8. NightNurse876

    Not many Black/African American nurses working in the ICU's

    Specifically to your post kcrncen: My opinion from what I read from the posts is that it's not about the power you have it's about the power of PR and customer service as a tool for your employer...and that in some places they prefer a certain look. For you it was a diffferent experience with your patient population...hear me out and again just my opinion...lol! I mean where I work there's a RT that will go down the hall and say "That black family is aweful," and he will say it to me as if he's not looking at a lil brown girl. But with families that are just as bad that look like him he will say "That family is aweful" When he said it my immediate thought was "why the distinction?" But me personally I try to forgive him bc there is no way he realizes what he's saying...even if he thinks he does. And it's hard bc I had to forgive him again today in my car when I thought about the same thing...lol, obviously that experience is still a work in progress But generally, I think: Everyone will have some kind of discriminatory experience. I get looked at consistently by my ICU patients families like I don't know a thing. I've had people ask me: Are you a RN; Are you a student; Where are you from; Where did you go to school; How long have you been a nurse.... And almost everytime when I see them in the hallway when I'm coming in for another shift after taking care of their family member they are asking me if I'm their nurse that night. I have had a family question my qualifications to my manager and by morning when I said goodbye as I passed her husband in the hallway he said "Thank you. God bless you." Days later when I saw them on the SDU they asked me if I was their nurse (diff unit and I work nights, this was 0745 on my way out). Their faces sank when I said no and that I was actually just finishing my shift. My point is some one will always be the minority. Their will always be a norm for a certain town, city, state. An expectation of what "their nurse" looks like, and yes it's unspoken because it tabu to discuss. If you know your clients and the comunity you target with your PR and you are in it to make money, you have a certain "face" for your brand, your company. Maybe because of the type of applicants you get or the exceptional quality of the employee who is not the typical expected "face" then you have a diversified mix but it doesn't change what people expect to see. Again unspoken but if you can honestly sit and think and say that it's the way of the world, then invite me to your bubble, I want in! And by the way, I am 25....I look 12, barely 100lbs, Jamaican with what society affectionately calls "dreadlocks" and I will be renewing my license for the first time this month, I worked a year medsurg almosts, got into critical care, did 2 months orientation and productive time in ICU stepdown and 4 months ICU orientation and have now been productive in ICU for a month an a half. And the fact is compared to my co-workers that have been doing ICU 35 years I know I dont know a thing...they joke about getting manually wedges, when yea I can get a wedge pressure but if my monitor/bedside machine wont do it I can't do what they can do. But that doesn't mean that I'm alone and can't ask for help and ensure my patient gets the best care I can give them. I'm jealous I want what's in these "seasoned" nurse's brains. I wanna be the best at what I do. But no matter what I look like or my passion or what my work ethic is, anyone can doubt me. And I do go home and fuss about it sometimes but when I go back and I see the relief on my families faces that they believe their family member will be taken care of, and even if things go wrong, that I will do my best, it's worth it and I can live with that right now. Some people can't do that, and I can't fault a soul. I don't have to deal with their real feelings or thoughts, just my own...
  9. NightNurse876

    Are you a nurse with "alternative" spiritual beliefs?

    To each their own...however Most religious symbols are pagan symbols, taken from the conquered/converted groups so that they can maintain something familiar to them before these people came with warth to convert in the name of their 'God'...no? It is hard to say what is disrespectful when the true history and origin of these things are quieted in light of the dominant religious gospel or what have you. I dont have a religion, I have a relationship with the creator (whatever the world names him/her). My view is kind of based in perception. No one outside of you can have an effect on you because you dont know what their true intention was only how you felt about it. I control my reaction to things so if some one does something I don't like, I try to think about why I don't like it, and forgive them. I might need to forgive a situation a few times but its a work in progress undoing all these years of conditioning and ego. I don't think a particular religion can help me with that... but that's just me.
  10. NightNurse876

    Looking for Advice-New Grad, 8 patients?

    wow...memories! I've lived that life. Had 10 patients once in my life...in 2011 btw no lpns or anything like that. A floor of 30 patients with 3 RNs... Most nights it was 4 RNs 8 patients a piece, 2 CNAs but 1 gets taken bc we need a sitter and no secretary. It's crazy bc now that I'm training on days I still have the habit of putting in my own orders. I'm in Critical care now, just finished a rotation on an ICU step down unit and now I'm doing my ICU orientation. I'm glad I had the crazy medsurg experience I had and at times I'm still running as if I have 8. That was the norm for my hospital tho. The girls on my old floor say the staffing has been WAY better lately so they have had 5-6 maybe 7 some nights. But yea, that 8 patient thing was my life for almost a year. Most nights I wanted to start with 8 bc if I started with 6 thats 2 admits and trust me, the DID come, lol. And I can laugh now bc it made me get my multi tasking and charting and time management pretty good for being a pretty new RN. Bottom line, depending on your acuities it's not safe but I've seen many great nurses cranked out of the floor I can from so I guess what I'm saying is boot camp can pay off...
  11. NightNurse876

    St. Marys Medical Center

    Did u take/get a job at St Mary's?
  12. it was a "voluntary" contract meaning if u dont sign then no job offer...after 6months with no job and no other bites the "smart" thing becomes to suck it up. The contract is binding with respect to the agreed upon terms. I get nuthing but they can fire me any time they want AND if the fire me for a reason...which they have to have a reason....I must pay back the amount the came up with and possibly my wages. i hate it but I need my experience and as sucky as the work environment is the hospital has a lot going for it so it'll look good on my resume... hell at 8 months in i was charge nurse...no matter the reason I can now put that on my resume... All I can honestly say is I did not think it was like this in the world of nursing... its freaking depressing... its a freaking gloomy way to start my career...
  13. NightNurse876

    New Grads: Lets take action together!!!!

    I totally understand your want to petition. Some of the above posts remind me of the nurses I work with....like to take the slaps in the face for fear of losing a job or hoping that staying positive equates to employment. The staffing ratios are totally unsafe so nurses are needed! Even tough there are freezes the nurses that do have work are glorified SLAVES...I've had 10 patients on night shift, yes medsurg but some can't turn themselves, are AMS and fall risks, want pain meds round the clock, and then MD ***** at you for calling them at 4am (sorry Dr this hospital is open 24hrs, dont be on call if you dont want to be called/paged) I switched critical care and witness them pushing RNs on stepdown to 4pts and ICU RN's to 3. How is that safe?!? Nowadays if you dont know someone who can get you in, and are lucky enough to find work you are stuck with a 2 to 3 year contract which leaves you paying the hospital back $5,000-10,000 when they didn't give you a sign on bonus in the first place. Unfortunately the society we live in just watches and shakes their head in hopes they dont have to deal with it. Kudos to you for wanting to be pro-active. I am employed but I will help however I can, just let me know how.
  14. NightNurse876

    I am an RN and I have Osetogenesis Imperfecta

    Thanks, I added the OI description to my post. Bless you to no ened, 33 years of nursing> I hope Iwill be able to continue to care for my patients in critical care and eventually open a wellness center to teach people how to LIVE, rare diseases or not...nowadays people dont have that basic knowledge. Yes it will reduce hospital admission etc so ess nursing jobs for all but hey, I'd rather prevent and issue than fix it...even though I love my role in fixing people :redpinkhe
  15. Its funny when I am at work and I say to a MD, "I have OI." and they say "...and ur a NURSE?!" OI is not necessarily a death sentence. Yes OI plagues my family but we have type I, so we have normal height (I'm 5' 4 1/2", my dad who also has OI is 5' 11") and relatively few fractures (I've had roughly 15-20, I've heard of babies days old with fxs in the 50's). I've been looking for persons like myself, who are active, would love to be more active and are in search of information. There isn't a lot out there in terms of information and as health care professionals we have to create this body of knowledge, especially since we have first hand experience. Any information about personal experiences whether it be a patient you have cared for our your own family member. Let's help build the knowledge base to help people who are affected and the OI babies that are yet to come! Osteogenesis Imperfecta (OI) is a genetic bone disorder characterized by fragile bones that break easily. It is also known as “brittle bone disease.” The term literally means “bone that is imperfectly made from the beginning of life.” A person is born with this disorder and is affected throughout his or her life time.
  16. Its funny when I am at work and I say to a MD, "I have OI." and they say "...and ur a NURSE?!" OI is not necessarily a death sentence. Yes OI plagues my family but we have type I, so we have normal height (I'm 5' 4 1/2", my dad who also has OI is 5' 11") and relatively few fractures (I've had roughly 15-20, I've heard of babies days old with fxs in the 50's). I've been looking for persons like myself, who are active, would love to be more active and are in search of information. There isn't a lot out there in terms of information and as health care professionals we have to create this body of knowledge, especially since we have first hand experience. Any information about personal experiences whether it be a patient you have cared for our your own family member. Let's help build the knowledge base to help people who are affected and the OI babies that are yet to come! Osteogenesis Imperfecta (OI) is a genetic bone disorder characterized by fragile bones that break easily. It is also known as “brittle bone disease.” The term literally means “bone that is imperfectly made from the beginning of life.” A person is born with this disorder and is affected throughout his or her life time.