Jump to content
MunoRN

MunoRN

Registered User
advertisement

Content by MunoRN

  1. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    There's no current proposal to transition to socialized healthcare, there has been a push for reform based on universal coverage, by expanding medicare to those under 65 or to some form of a single-payer system. Socialized healthcare refers to a system where both the coverage and healthcare delivery are government run, such as the VA or the NHS. The UK doesn't just pay less for healthcare, they arguably pay to little, at about only one-third of what we pay per capita. I haven't heard any proposals to cut our healthcare funding to that extreme degree. What's been proposed is reduce our healthcare spending through reduced overhead costs of insurance administration, more preventative care spending which reduces more expensive acute care spending, and to better control healthcare inflation, all of which already know can be achieved by switching to a single payer system. The NNU is appropriately advocating for nurses and the nursing profession by lobbying for a core concept of nursing; that health issues should be dealt with proactively instead of reactively, and that the availability of healthcare should be equitable, that's not a democrat or republican nurse thing, it's just a nurse thing.
  2. MunoRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    I'm not sure your generalization really works as I am neither young nor socialist, I'm fiscally conservative which is why I'm all for reforming our system to universal coverage / single payer. I'm not sure what the "different" problems you're referring to with "socialized" medicine, but paying far less for superior healthcare is a problem I'd like to have. One of the biggest costs our current system produces is that it focuses on paying for the result of a lack of prevention and primary care, rather than paying for the much cheaper preventative care instead. We pay about 2/3 of our healthcare spending towards acute care and about 1/3 towards preventing the need for that acute care, countries with better healthcare measures than ours, and yet pay a third to a half of what we do flip that ratio, spending about 2/3 of their spending on preventative and primary care, which is a fraction of the cost of the acute care it prevents. It's not really possible to move towards more of a focus on primary and preventative care without ensuring access to it. I'm all for not have to "foot the bill for everything under the sun", so what healthcare services should we no longer provide?
  3. MunoRN

    Does your employer charge you for PTO?

    I've frequently heard nurses complain about not having an option, this is the first complaint I've heard because it is an option to cash-out of benefits. It's up to the employee to ensure they are aware of the terms of job offer, and the employee can't assume a quoted hourly rate includes PTO since no state requires that PTO be provided for hourly employees. I get that it's a bummer to think you're getting $35 an hour plus some undefined amount of benefits, but $32 with benefits for a new grad in LTC is nothing to sneeze at.
  4. MunoRN

    Does your employer charge you for PTO?

    Benefits are included in the OP's scenario, but the OP also has the option to opt-out of the benefits and take the value of the benefits as cash instead.
  5. MunoRN

    hospital observation stay

    Facilities aren't actually free to designate a patient as inpatient vs observation (outpatient) as they wish, these are strictly defined designation by MDS regulations. If you're coding a patient as having come directly from an inpatient admission, but was never coded as an inpatient, that would be a false claim.
  6. There's no reason to be taking opiates for pain more than 2 weeks out from foot surgery, so it shouldn't be an issue, but Ohio appears to define inappropriate use of prescription medications while practicing as just being when clear impairment is present. Keep in mind though that impairment also impairs you ability to self-evaluate if you're impaired, and any errors you might make, even if they might have occurred without taking the medication, could potentially be attributed to the medication by your employer and reported to the BON.
  7. MunoRN

    Angry and need to vent

    I think a lot of the frustration with these folks comes from the repetitive self-destruction that they often exhibit, which seems nonsensical if the point of getting high is for pleasure. I don't think that's why the vast majority of people who use harmful drugs, particularly meth and heroine or cocaine/crack and heroine use these drugs, it appears to be most often used as a way of self medicating for psychiatric disorders, particularly bipolar. So many if not most of these drug users are 'seeking' treatment of their disease process, just like a heart failure patient 'seeks' diuretics.
  8. MunoRN

    Does your employer charge you for PTO?

    That's for family coverage, the employee contribution was $60 biweekly just a few years ago. The average employer-provided family coverage is about $20,000 per year which is about what my plan costs, I pay about 70% of that and my employer contributes the other 30%.
  9. MunoRN

    Does your employer charge you for PTO?

    Your employer is going to figure out what overall compensation they need to provide to be competitive, that same compensation can then by given to you through a number of different ways; all direct compensation with no employer contributed benefits, or the employer may partly contribute to benefits which then decreases your 'cash' compensation, or the employer may completely pay for your benefits which then decreases your cash compensation even further. But all of these provide you with the same compensation overall.
  10. MunoRN

    Does your employer charge you for PTO?

    Your employer provides PTO, I think you're confusing the option to cash-out the PTO for meaning they are charging you if you don't chose to do that. PTO pay is calculated as part of your total pay for all jobs, regardless of employer. You seem to be saying you want the same base pay you would get by opting out of PTO but with the PTO, maybe I'm misunderstanding.
  11. MunoRN

    Does your employer charge you for PTO?

    Your employer provides PTO, I think you're confusing the option to cash-out the PTO for meaning they are charging you if you don't chose to do that. PTO pay is calculated as part of your total pay for all jobs, regardless of employer. Same goes for health insurance, it's something that costs the employer and/or you a lot of money, it wouldn't make sense to expect a benefit that costs a lot of money without also expecting that to be offset with your hourly pay.
  12. MunoRN

    Does your employer charge you for PTO?

    How are you defining "great benefits"?
  13. MunoRN

    Does your employer charge you for PTO?

    If you opt of benefits that your employer contributes to, then you save the amount that would be deducted from your paycheck but lose the amount the employer contributes on your behalf.
  14. MunoRN

    Alzheimers mention

    Socioeconomic status (SES) is associated with how likely you are to be diagnosed with Alzheimer's, not just the severity of symptoms. If the lower incidence of Alzheimer's diagnosis was found in the lower SES group then that could be attributed to under surveillance, but the lower rate of Alzheimer's exists in those more likely to be assessed for Alzheimer's. One could argue that the prevalence of Alzheimer's is the same in all SES groups, it's just that symptoms of those in higher SES groups are below the diagnostic threshold for Alzheimer's, but using diagnosis as the measure of prevalence, individuals in higher SES groups are less likely to have Alzheimer's, not just less likely to have more severe symptoms.
  15. MunoRN

    Alzheimers mention

    I referenced that article as an example of where insurance coverage inequality didn't explain the socioeconomic variation in Alzheimer's incidence (the study was in the UK). While access to healthcare based on coverage may play some direct role, it's likely also a concomitant factor; the socioeconomic factors that predict risk for Alzheimer's are the same factors that predict your likelihood of having insurance or being able to pay out-of-pocket for an expensive medication. It's the same premise as if you were to find that the more likely someone is to own a car that costs more than $100,000, the less likely they are to develop Alzheimer's. It's not the $100,000 can that's preventing the Alzheimer's, it's that the ability to own an expensive car goes along with the same factors that make you less likely to develop Alzheimer's. In this case, the medication Enbrel is the $100,000 car.
  16. MunoRN

    Does your employer charge you for PTO?

    It sounds as though you have the option to still get a paycheck when you take time off by banking that money with the employer. This probably isn't particularly useful to most people, unless you're the type of person who spends money as soon as you have it, this would ensure that you can still pay your bills if you take a couple of weeks off. As for the benefits, there aren't many places left where the employer pays the full cost of benefits, typically what a job with benefits means these days is that you get to pay into the employer's group insurance plan, I pay $1200 per month for instance, and that's in addition to what my employer contributes.
  17. MunoRN

    hospital observation stay

    At least for my facility that's considered an admission from the community since the patient was never admitted to the hospital. There is no "duration of stay" in a non-admitted patient.
  18. MunoRN

    Narc Mistake.. Freaking out

    On the bright side of things, Adderall is definitely not a narcotic, it is however a controlled substance which is what you probably meant. At every place I've worked you're free to go in and resolve a missing med, such as one left secured but unresolved in the Pyxis. While this is sort of a pain in the butt to deal with this on a day off, the piece of mind it brings is usually well worth the off-time spent dealing with it.
  19. MunoRN

    Clinical resource nurse

    What you're describing is what used to be called a Clinical Nurse Specialist (CNS) which is a masters prepared nurse. It sounds like the posting is for a CNS but without the proper degree level.
  20. MunoRN

    Alzheimers mention

    The reasons for disparities in Alzheimer's incidence based on socioeconomic factors isn't completely understood, but the differences are pretty clear. It appears at least partly due to differences in insurance coverage and the resulting access to healthcare, but it's not all due to insurance inequality since the difference can also be found in places with relatively equal access to healthcare. https://www.alzheimersanddementia.com/article/S1552-5260(17)32972-2/fulltext
  21. MunoRN

    Alzheimers mention

    I haven't seen that any scientists or researchers disagree on a scientific basis, researchers in the research department of Pfizer have lobbied for research funding on the basis of securing more funding for their department, but they have made no scientific argument for the potential of Enbrel to treat Alzheimer's.
  22. MunoRN

    Got Written Up, Cant Stop Thinking About It

    As for the process of report, definitions of patient abandonment vary slightly from state to state, but in my state if the nurse who is transferring care to another nurse doesn't confirm that the receiving nurse has received and understood report prior to transferring care, then the nurse handing the patient off has committed patient abandonment.
  23. MunoRN

    Got Written Up, Cant Stop Thinking About It

    I'm not clear why you were written up, particularly if you're the one who recognized the faulty order and triggered the correction of the order.
  24. MunoRN

    Alzheimers mention

    I'm always happy to join the anti-Big-Pharma bandwagon, but this isn't a story of a legitimate complaint against Big-Pharma. There's no reliable evidence whatsoever that Enbrel prevents Alzheimer's. A review of insurance claims found that those who take Enbrel are less likely to be diagnosed with Alzheimer's later in life, but it's not a result of taking Enbrel, it's that those who are of the socioeconomic status that can obtain Enbrel coverage are also of the socioeconomic status that we already know as a decreased likelihood of Alzheimer's. Having insurance that covers Enbrel, or the ability to pay out-of-pocket for it, reflects a socioeconomic status associated with lower Alzheimer's risk, it's not the drug itself. The effect of TNF inhibitors like Enbrel is already well studied (for more than 20 years now) and what we've learned is that increased TNF levels are a symptom of Alzheimer's, not a cause that can be modified to decrease the potential for Alzheimer's. It's fair to say that Pfizer didn't pursue Alzheimer's clinical trials of Enbrel for financial reasons, but that financial reason was that there is no scientific basis for thinking these trials would be of any benefit.
  25. MunoRN

    PICU to adult ICU as a traveler

    I would check with your travel nursing agency to see what they require, typically they require a year or more in same unit you'll be picking up a contract for. Keep in mind all you'll get when starting your assignment is a one-shift orientation (or less). So while it's completely possible to make the transition from PICUs to ICUs in general, a travel assignment assumes you have extensive experience in that particular area.
×