tom7044

I with keeping cool, calm and professional. Once your orientation is complete, will you possible have an opportunity to meet with the office manager and possibly this nurse and discuss simply and succinctly what your experience was like. Unfortunatel...

I work in a free standing, medical detox unit. we have patients from three to five days and see them through acute withdrawal and use mostly Valium and Suboxone (for our) opiate addicted patients. I love what I do because it is never the same. Beside...

I have worked for two large Correctional Health Care companies. They all have problems like any business does. It boils down to the "Contract" which spells out what the agency expects from the company and that the company will provide. The overall go...

I congratulate you on recognizing just how important specialty certification is. I think that having the CARN certification has opened doors for me. Through this certification I have the opportunity to serve on the Nevada State Board's Disability Ad...

Absolutely not is the only correct way to answer this question. Addictions Nursing is a speciality unto itself. This is established by the International Society of Addictions Nusing and Addictions Certification Board. You need some basic psych nurs...

The whole "Boarding" of VA nurses is not easily understood by those nurses that don't participate. The guidelines or the criteria that nurses have to meet to go from one Grade or Step to another is written in a manual , but it is so lengthy and compl...

I was recently hired by Armor Correctional Health Care for a per-diem position at the Washoe County Detention Facility here in Reno, Nevada. I was a former employee of Corizon Correctional Health Care (Prison Health Services) at the same detention ...

take the job

I have been a Registered Nurse for forty years and still work full-time in an acute care setting. I have little in the was of management experience because I never want to be in the position you are currently facing. Having to deal with conflict and ...

Wonderful response; this is the type of nurse I would want as a mentorl

I am not being critical however DaVita is famous for hiring nurses for acute dialysis and offer training but often the training is with an acute dialysis staff nurse and it is so difficult to train a nurse on the job doing acute patients. Those runs ...

I have been working with addicted clients for more than ten years. During that time I have observed one incidence when a client became violent. This was because of the client's co-occurring mental health disorder, not from the addiction issue. My rec...

As a Registered Nurse with over 20 years working in urban jail settings; mostly as an Intake Nurse or Intake Supervising Nurse with CCHP-RN certification you present a challenging and perplexing situation. The facilities I am familiar with and the la...

I studied for 6 months to prepare for the CARN examination."Rudman's Questions and Answers on the CARN Examination" from the Admission test Series was not helpful. "Nursing Care of the Addicted Client" (Karen Allen)was the one reference I would recom...

i think the general accepted staffing ratio for acute detox patients is 1 rn to 12 patients maximum if not located within an acute care facility. the state board does not mandate this ation but this is the guideline from the sbn. we staff with one r...

this would seem like a simple response but it is by far more complicated than i can explain. i have been involved in addictions nursing since 1987. currently i work in a free standing detoxification center but have had years of experience working on ...

by far, phenergan (promethazine hcl); at my place of employment we can choose between compazine, ondansetron (zofran) and promethazine hcl. i generally use phenergan po or im for these patients that are having severe nausea and vomiting from withdraw...

i had a similar experience. the nurse interviewing me was reading her constant flow of e-mails and asking me questions at the same time. it was frustrating and distracting. i got the job but will never forget how difficult it was to "put my best foot...

you will look great for your interview. you are wearing pants,i know but please wear some type of hosiery . this always makes an impression on me. i see women dressed expensively and have on expensive shoes but have put bear feet into their shoes. g...

i don't know about missouri, but here in nevada, one dui would not keep you from getting a nursing license. if you are an rn and were on call or on your way to work and arrested for dui, that is a definite violation of the nurse practice act, and yo...

i remember very well what the "nursing school jitters" were like and the waiting to know was i was going to get into the nursing school . very stressful. my generic program was a three year diploma program in florida the year i applied there were ove...

i want to encourage you to go ahead and get the adn degree with the intention of getting a bsn at some point in the not too distant future. i received excellent training a an adn nurse and got a job in an icu at night as my first job experience. this...

You are most welcome anything I can share with you in the future please let me know.

[color=#a52a2a]​this type of demanding almost impossible assignment is becoming more and more the usual because of the money involved in health care and rn salaries. the philosophy has become "do more with less or get out"

No, as long as you do not attempt to color the recovery of your patients with your own.