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Response to Company's Constant Contact After Ghosting Me as a New Nurse
They most likely got your info from the state's BON. They just send out blast emails. I get them too and have never applied to one of their facilities.
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SNF vs dialysis
Agreed. I can only speak to my experience with Fresenius. The clinic in my small hometown (literally 3 minutes from my house) was an absolute nightmare. It was probably the most unwelcoming environment I have ever worked in. This was long after I finished my state's program so that wasn't an issue. The staff there was just toxic, belittling, and passive/aggressive. The Fresenius clinic 30 minutes from my home was completely different...like night and day.
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Recovery & Monitoring Program (RAMP)
Yes, these programs are corrupt. If you asked the average person about the fairness of these programs, they would probably state that they sound fair. In fact, many would probably state the nurse should lose their license for good. No one wants a drunk/impaired nurse taking care of them or their loved ones. Therein lies the problem. These programs know this and, I'm sure over many years, have morphed into what they are-money grabs under the guise of "protecting the public". Our legislators know this and that's probably why they won't even entertain the idea of acting upon the complaints. I hate to be a fly in the ointment, but I don't see things changing anytime soon.
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Yes, working remote with no direct patient care is worth it
I literally applied to every remote nurse position on Indeed. I started working from home back in 2020 and COVID did work in my favor because there was a huge need for triage nurses...and there still is. Once you land a WFH position, it's usually easier to get other remote positions. Just be careful and research any company that responds to you because, unfortunately, there are some scammers posting some enticing looking "jobs" knowing that so many nurses are wanting work from home.
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PA licensed RN's and LPN's can apply for Compact License effective July 7, 2025
I'm not sure how other states do it, but when Indiana became a compact state I had to apply for the compact license which required answering a few questions and getting fingerprinted. The compact license is a separate license here. The fee was $25 and I pay $25 for my compact license at renewal.
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Poll: Have you been assaulted on the job?
30 years of nursing. I have been punched in the jaw by a confused elderly man, bitten by a woman who wasn't confused, shoved by a guy who wasn't confused when I was helping him untangle his IV tubing. I was grazed on the head by a flying telemetry box (those things are solid and left a dent in the wall) from a lady having a thyroid storm. Groped and pinched by multiple male patients. Had my hair pulled multiple times. The ones who are truly sick and confused didn't really bother me. It's the ones who knew better and were just being jerks.
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Calling all MA RN's
I don't believe MA is part of the compact just yet..it's still awaiting implementation. Either way, one must reside in a compact state to obtain a compact license. Unfortunately, you can't live in a non-compact state and then gain licensure in a compact state and use that state to gain a compact license.
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Yes, working remote with no direct patient care is worth it
I agree. I love working from home! I have worked off and on from home since 2020 but full time for the last 18 months. I do remote patient monitoring and I ABSOLUTELY LOVE IT!! After 25 years of bedside and other patient/family facing positions I can't imagine ever leaving this job! I have a compact license and they do require several of the non-compact licenses, but my company pays for them. I did take a rather large pay cut from bedside but I have no stress with this position and I get health insurance and PTO. I found all of my remote positions on INDEED. Just keep applying!
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Help!! Should I use NSO attorney to fight BON Charge
I assume you have NSO as your liability insurance provider? I carry insurance through them as well. Knock on wood I've never had to use it. I'm not sure what the process is but I would start with contacting NSO and explaining the situation. I'm not sure if they have lawyers that they work directly with in your state that they recommend or if you just retain your own that they cover the cost of. I would start with contacting NSO first. Either way, you are going to need a lawyer familiar with nurse licensure issues to help you protect your license.
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Scared!!Arrested for shoplifting. Advice?
I would definitely seek out an attorney who is well versed in criminal AND administrative law to help navigate both the legal and nurse licensure systems.
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How do people even make it through the monitoring program?
My issue was alcohol. I ate whatever I wanted, used alcohol based hand sanitizer, hair spray, hair dye, I used whatever cleaning products I wanted to use. I did not use mouth wash with alcohol but then I never did before monitoring. Honestly, the only thing that I changed for monitoring was I didn't drink alcohol. It's a pain but it's really not that complex. Make sure you read your monitoring agreement thoroughly and follow it to a T.
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RN supervisor put on LPN med cart, feels disrespected
Unfortunately, this sounds typical of many LTC facilities. They lure you in with what sounds like a supervisor's position when what they really need are floor nurses. This sounds like a poorly staffed facility doing anything they can to get staff in the door. I would find the DON/Administrator or the hiring manager and get a better picture of what the expectations are. I'm sure you probably signed a job description for the Nurse Supervisor's position and probably somewhere in there it states you would fill in on the floor as needed...well here ya go...welcome to the floor! It could be that they are training you on the different units "just in case" you need to serve in that role but I get the feeling you will be pushing a med cart far more often than being a supervisor.
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Reverse no show no call
I would move along. You can be assured that was a preview of their communication style and lack of professionalism. That's unacceptable.
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Using Dreams
Yes. I have had similar dreams. My most recent dream was of myself caring for an entire 30 room hallway of med/surg patients and I hadn't even started the assessments or meds when I opened another door and found there was another 30 rooms I was responsible for. Very stressful. I also have drinking dreams where I wake up feeling awful.
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Disclosure of Recovery
I would not disclose. Not everyone is recovery friendly. Telling them may invite much closer and unnecessary scrutiny. Just go on with your fabulous sober self.