talrico

I had the same "ick" feeling! Why on earth would a hospice nurse not view a comfortable death as a acceptable outcome??

I hope it was a resident physician and not just a patient who requested this! Ha!

Though reasonable, the policy actually states that a patient without a face to face assessment within an hour must be released from restraints. The trouble is really that we have no residents on call within the facility that we are allowed to call. Of course if this problem does arise, I will be calling absolutely everyone from the NM to the MD to the Nurse Supervisor of the hospital.

Do you have to have a special membership for a PM? Because I don't think I've gotten anything. But I just might not know how to access them. EDIT: figured it out.

Aha! We are of the same mind. I am looking to expand my skill set beyond psych. Unfortunately, you have to work a full year at my hospital (which is sort of the biggest game in town and my state) before switching units but I already have my license in NY (not my home state) and recently acquired one in SC (also not my home state) which is a compact state. I have submitted several new applications as of today, so hopefully something will blow back.

I am inclined to agree. What worries me is how little it seems to concern them. They seem content to dismiss the issue simply because it hasn't actually been a problem up to this point. But again, I think it's probably because it does not pose a direct risk to their licenses, but ours. Maybe it's neurotic, but I feel compelled to be a little more proactive.

I do NOT have my own malpractice insurance, but I've just applied for it through NSO (thanks for the recommendation). I should be approved by tomorrow, which is when I go back to work again, so I'll call them tomorrow and ask for their advice. I'm WAY too young and new to this to take these unnecessary risks.

Learning a second language is an asset in any job market, particularly Spanish, but it will give you a good deal more consideration in certain locales. In New York City, for example, you can take a fluency test, and provided you do well on it, you can pretty well take your pick of positions. I'm in the process of doing the same, though I've never been very good at learning languages so it's taking me some time.

Part of the problem is that my boss, the Nurse Manager, has explained this is our unit's policy (even acknowledging that it contradicts broader hospital policy) and it was put forth by the director (the person above her). I'm not sure to what extent their licenses are actually on the line here though and I am afraid to rely on them to back me if I followed these instructs and something happened. It also isn't documented explicitly anywhere (though I got her to reiterate it in an e-mail response to me, so I have that at least). I suppose I'll talk to the other night shift nurses and see if they are concerned too.

Hey folks, I'm a relatively new nurse (RN for almost a year) and I'm currently working in the psychiatric field. I recently became concerned because I've been asked to do something that explicitly goes against hospital policy. Hospital policy states that an RN has the authority to initiate behavioral restraints if the patient is at risk of harming his/herself or others. The policy further states that a physician must assess the patient "face to face" within one hour of the restraints being applied and write an order. Here's where the problem comes in: our particular unit, despite being part of a large hospital system, contracts outside doctors who are not completely available all the time. They must be paged at night and frequently do not respond to pages. In many cases, even if a page is returned, the doctor would probably be unlikely to arrive to the unit within an hour. My nurse manager has instructed me that the physicians will not be coming in to conduct the face to face assessment and that a rotating schedule of nurse managers will come to conduct the assessment. I am not sure if this is outside of the scope of practice (or against the law) but it certainly is a direct violation of hospital policy. I'm worried about punitive action being taken against me if I bring this issue up with her again. I contacted the state board of nursing and they said to try to address the issue through my hospital standards group, but I'm concerned for what I should do in the meantime. Does anyone have any thoughts or advice on this topic??

I love psych, but I would also love to expand my horizons a bit. Wouldn't mind doing pretty much anything else. I just filled out a few applications to East Cooper in the ED, Med-Surg., and Surgical Services! Let's hope I hear back soon!

I've gotten to the end of my endorsement paperwork and I wanted to get a sense of how the job market is in the Lowcountry, particularly in the Charleston area. I'm a charge nurse on my unit, have my BSN and have one year of psychiatric experience. Decent prospects or not? Are there any hospitals that are definitely not hiring?

Thank you! For my part I figured out what part of the problem was. I was using the Google Chrome browser and at the end of the .pdf application is a button that says "Online Application" but nothing would happen when I clicked it. When I attempted to open it with Internet Explorer however, it would link me to: https://verify.llronline.com/NewApps/LogIn.aspx?ReturnUrl=%2fNewApps%2fApplicationChooser.aspx Which is where you fill MOST of it out online.

I currently have a NYS license and want to get my SC license through endorsement. I'm having a little trouble figuring out how to apply for endorsement online through the website. I click on the link "License by Endorsement Online Application" but it just links to a PDF... it looks the same as the "License by Endorsement Application." Can I actually complete the entire application online or do I have to print it out and send it in? Where do I pay? And do I really have to go get fingerprinted?!

I had this same issue in NYC as well. I graduated last August and I attempted for five months to find a job in the city or even remotely nearby with 100+ applications I never got a call back. Eventually, I decided I'd just remain in my own state and got a job offer within the month. I'm still hoping to move to the city but does anyone have any idea how much experience is enough to reattempt the move? I'm already a charge nurse at a teaching hopsital/level-1 trauma center if that helps to sell me at all.