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justashooter

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  1. there is no autonomy in nursing. nursing is not a "profession". it is a service occupation, just like working at McDonalds. nursing schools like to teach that nursing is a profession, but in reality it is just complying with standard of care and practice, and doctor's orders.
  2. grow a pair, sister. seriously, you are 21, inexperienced, untainted, and working in a field that will taint you. nursing homes are the bottom of the barrel. they hired cheap and inexperienced labour like you as charge, yes?. get thee to a top flight hospital as soon as you have RN. in the meantime, suck it up and get thicker skin.
  3. agreed that lots of female instructors and floor nurses will regard/report any male as aggressive if they don't like them personally. it's the golden ticket to getting rid of someone that makes them uncomfortable (in any way) or makes them feel inadequate. accusing a male of aggression is like accusing them of child Media distributing. it's the kiss of death. truth is not important. the accusation is all that matters. welcome to nursing, a female dominated environment...
  4. another person who values their own comfort over patient safety. the worst kind of nurse is a person who wants to stand there and direct others to do work...
  5. if you have appropriate credentials and can get liscensed by the board of nursing in your state then you can work as a J2. you should start things by applying for the 765. in the waiting time have your degree and foreign liscense evaluated/translated: CGFNS International â€" Global Credibility in Credentials Evaluation discuss the process of obtaining a state liscence with the board of nursing in your state, and go from there. be aware that there is a glut of nurses in some areas right now. look into the local labor market and speak with some local hiring managers before you decide that nursing is the right job for you. people with RN degrees are hired into many different fields these days.
  6. you sound like a more assertive person that would not be happy in anything less than an autonomous role. if so, nursing below the MSN level is not for you. i entered nursing school after a long career in engineering and came to the same conclusion at the same moment in the educational process. my advice? finish and claim the degree and then enter into something that will bring you autonomy. i am back in engineering as a contracting consultant. my days are mine, my deals are mine, and my future is mine. you should have your own, as well.
  7. what you need to be in clinicals depends on the character of your instructor and the floor nurses that you are working with. if you cannot adapt to their comfort level then you are toast. this gets tricky, and sometimes every relationship is an individual one. your gut instinct to lie like a snake in low grass is spot on, in general. if you turn up the volume now you will become a target. nursing students are a dis-empowered group dominated by nurses, a slightly less dis-empowered group. get used to recieveing anger you did not earn.
  8. coming into nursing from an engineering background i must say that during clinicals i was among the better educated students both in general, and in terms of the human physiology and nursing/medical practice. my answers were consistently more in depth and complete than most of my fellow students, who were either much younger than me, or were coming out of less challenging careers. that was just the way it was. men typically take on bigger challenges than women, and typically advance in learning and practice due to the willingness to take risk. yes virginia, men are different from women.
  9. OB is a special place, and the floor nurses can be very territorial there. in my case, the floors were lifers on gravy duty and didn't want ANY students on the floor to rock their pleasure boat. the CNA on OB were just as bad as the RN. some spurious complaints were made by the same floor nurse about 3 people in our 8 student clinical group that were patently false, but could not be countered. as a result the instructor was paranoid. that being said, backstabbing and false accusations by floor nurses on other units did occur on occasion. i chalk it up to unhappy floor nurses and borderline personality issues.
  10. sounds like it is now easier than when i took it.
  11. I take adderall and xanax. I was taken to the hospital a toxicology screen was done and my prescriptions came up in my urine. Also they came up in the toxicology report. When I recieved the report my levels were way below what the report showed. In a nut shell based on the report I did not take any of my prescribed medications the way I was not suppose to. this comment is contradictory to your later conclusion, and is prolly the issue that the case is based on. are you saying that the report showed levels that would result in impairment? if so you have to beat the evidence with contradictory evidence.
  12. WAG you are getting less than 60K? the thing is, we are in a depression right now, and have been for your entire working carreer. the only way to leverage up in such times is the same used in better times. you need to hop from job to job every 2-4 years. each time you do you should get 10-20% differential, and may top out within 3-4 moves making 130-150% of what your more "loyal" classmate is making at the same job they graduated into. abandonment is the most powerful tool we have in any relationship, whether business or personal. to use it best, you "kill the chicken to show the monkey" (shā jī xià hóu, in chinese pinyin). leave an unimportant job on your own terms and clearly for personal advancement and growth and HR people in later, more important jobs will know that you are not to be low balled.
  13. Psych NP usually work in hospital, either in crisis units (72 hour detention), outpatient maintinance (sometimes involving addictions), or in inpatient settings (mental hospitals or wings). PNP may do assessments, establish treatment plans, prescribe medications (in PA yes, some other states only under an MD supervision), run therapy groups (usually an RN does this), etc. The dress code is usually business dress with an optional lab coat, a doctorate is compensated higher and may have more responsible positions, such as unit director (in a small unit), private practice is another animal but possible (depending on insurance compensation requirements), and your real job may be dayshift, or it may be nights, sitting at a desk and filing reports so that your unit can get paid. psychiatry is the study of the mind as a functional machine from a medical perspective. we all know that the medical condition of the rest of the body, and the individual and group psychology influencing a case study will directly affect psych diagnosis and treatment, so someone practicing in any of the 3 fields is always well served by a thorough understanding of the other perspectives. study the entire human experience before monkeying with any one factor of it, especially a factor that involves prescribing powerful psychoactive drugs that may have varied affect from client to client, and may either ameliorate a problem, or exacerbate it to the point of violent death (most recent suicides and recent mass murders involve changing levels of prescribed antidepressants). in short, this is serious stuff. don't take it lightly. the actual pay scale is 90-110K in PA facilities. there is an ever increasing demand for NP of all kind in penna. NP are cheaper than MD specialists that all being said, I, personally, do not believe that NP Psych at a masters level should have psychoactive prescriptive powers (but they do in PA), and I do not believe that such should have diagnostic abilities or be allowed to create treatment plans. the human mind is a complicated machine, and there are already too many amateurs fiddling with disturbed and imbalanced minds out there. let's face it. treatment of physical disorders of the mind is the highest level of medicine. treatment of the body is OK for a 26 year old NP with 3 years of clinical experience, but treatment of the mind is better done by an MD Psychiatrist with a doctor's understanding of body chemistry and the related neurologic process that nurses just don't have, even at NP level.
  14. J-2 visitors may request work authorization from United States Citizenship and Immigration Services (USCIS) by submitting form I-765. Adjudication typically takes between 3 and 5 months. If approved, an Employment Authorization Document (EAD) will be issued, authorizing the J-2 visitor for employment for a period of up to one year. Applications for additional employment authorization may be submitted annually until the end of the J-2's status
  15. studies have shown that sexual preference affects risk analysis directly. the questions are valid. and yes, you can get HIV through normal lady partsl intercourse, but this is not anywhere near as likely as through receptive anal intercourse. the only circumstance in which the lady partsl intercourse risk is clinically significant is in populations that have an endemic exposure to a modifying factor. the classic modifier is malarial exposure, hence the widespread AIDS in Sub Saharan Central Africa. in short, despite the whitewashing to the contrary, in the USA HIV is very much a male homosexual or IV drug user disease.

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