zephyr9

Frustrated by difficulty of resolving issues with them. After being on hold for two hours, I just got disconnected. I need PA BON to verify my licensure to NY BON. The state of NY has a form to verify out of state licensure. They do not offer an option to receive electronic verification! It says in the PA BON portal instructions that you can request electronic verification once your search results for your own license come up, that you will have an option to request verification to be sent electronically. I saw no such option. The "print" and "bell"notification icons do not work. I would just send and email the form to the PA BON, but it says no paper requests and that if sent they will be returned. Also, I cannot find anywhere what the fee is for verification of licensure to out of state BON's. I will drive to Harrisburg to resolve this, but not sure if they are staffed or if it is a drop box only situation.

Thank you! Much food for thought. I received an offer from the desired job and rescinded my acceptance of the first job. It is with concern that I read this. I hope I have not made myself ineligible for rehire.

Thanks guys. Grumpy, I read they should start putting out vaccines by mid Dec. You're right Davey, I am gonna try it. At this point in life, ya gotta take the shots when you get a chance. JKL: and if they give me the boot, I will take my toys and go back to the *** show I came from!

So, to cut to the chase. I was offered a position in a specialty that I have no experience in--without an interview! It is on a cardiac floor...and I have worked in psych for the past few years. The most medical experience I have was five years ago, a year on a rehab floor. I spoke to the manager only briefly; she called me about a week after I applied. She said she liked a psych background, saw it as an asset. Stated that it would be a three month orientation, get me right into ACLS, bim-bam-boom....they need someone asap. She said someone would call me back to schedule an interview, that the nurses on the unit participate in the interview when possible...but noone called me. After about a week the manager started leaving me messages, which I now avoided because I had accepted another position in my psych hospital. About the 4th time she called me, I finally answered. She said brightly, "An email has been sent to your work and personal emails." I said crisply, OK, thanks, I'll check it out! Thinking, yeh, woulda been nice.... Buuut, I open the email and blink---blink--there is an offer of employment on a telemetry unit. I am stunned. I called the manager immediately and gushed like a kid. Thank you! I said. She said, Are you accepting? I said, Uhhhh, wellll, I kind of tentatively accepted, ah, well, ah, OK, did accept another---but---I want it...! She said, "Why don't you think about it over the holiday weekend." I gushed some more, "Oh, I can't think about it THAT long, I don't want to do that to the other manager...." Stupid. I was really thrilled though! Now here I am early on Black Friday, nursing managers everywhere at home asleep...psyching myself out to try to gracefully withdraw my acceptance of the job at my hospital to accept this telemetry job at this other hospital in the same system. My first impression: This is a wonderful gift from the coronavirus fairy! The hospitals are in a state of flux during the pandemic and are loosening up their hiring practices a little. Yeah, makes sense, right? I have coveted a job on a cardiac unit for so long. Jump on this golden opportunity! Yet, I'm having trouble wrapping my head around it. It's a nice hospital, good reputation, in a great system in a huge city, but not the main campus, a smaller campus with a small town vibe. The manager stated that her unit had nine COVID patients currently. (According to our systemwide census, that whole campus has about 50 COVIDs, as opposed to our main which has over 100 currently). I get it that many experienced RNs are out making bank on crisis assisgnments, but it is hard to imagine that they are so hard up that they are hiring a psych nurse to a tele unit---STAT. And not only that, I am 52 years old, she must have gathered that from my resume if she really looked at it. How does it make financial sense for them to hire me? Is there some fast and dirty management practice of hiring quick when in need, than offloading once the crisis is over? Worried about a half-assed orientation....everyone in jeopardy...I mean, how bad does it have to be to hire an RN sight unseen with no experience and no interview????? Should I be suspicious? I love the hospital I already work at. I am by no means desperate for a job. But the allure of a long-desired chance to work in telemetry is powerful enough for me to charge into a *** show and give it all I've got in exchange for them giving me a fighting chance. The email was from HR at the other hospital, a conditional offer of employment, 120 day probation, discussion of start date if I accept. Again, NO interview transpired. What do you think?

Could some critical care or pulmonology folks weigh in on this? I have asthma and COPD. There have been some employees at my job who tested positive, but I was not exposed to them directly. I take all precautions.

Thanks Viva I can't imagine HR wanting to approve my disability. How do you approach it? I am trying so hard to hang on, hoping my medication starts to work, to avoid going inpatient. So great that you received support at your job, ertoclinics. Any advice you can offer is appreciated. Do they have guidelines for approving a disability claim? Do I have to have a trail of failed treatments?

The manager doesnt find out any information? I don't understand the process, and not sure who to ask. Isn't the employer the one who has to approve the disability? Ironic, working in mental health...and that the stigma here is so strong.

My depression has become so severe it's affecting me at work. Cognitively, I am shot. I need inpatient and to use my disability benefits for time off. I am scared. I work in psych and my hospital is the only psych inpatient, full coverage, in my insurance's network. I will have to pay money I really don't have to go out of network, far out of town, away from colleagues. And I am afraid my manager and coworkers will know I am out for mental issues. They will figure it out. I feel like I would be kissing my job goodbye.

Extended acute. I work in a 24 bed extended acute psych unit, extended meaning the patients stay for months, sometimes even years. Often times their illness is such that they're never going to get any better than a certain point, they are 99% people with severe psychosis. The the long length of stay is due to the wait for beds in appropriate residential settings for them, since they're not able to care for themselves independently. What's great about this job is that I get to know them very well, get to see them over time through their full range of presentations, get to build trust with (most of) them. They get care more tailored to their needs here, and great care is taken to find appropriate permanent placements for them before discharge. There are only three extended acute units in my entire ( huge) US city, so our patients often have waited for months on regular acute psych floors for a bed here.

I work in a UHS facility in a big city. We are chronically understaffed for MHTs and occasionally RNs. I frequently imagine what it could be like if we were adequately resourced. I understand what you are going through. I am running continually the whole time I am there. It has gotten a little easier for me because I deal with the patients better. The managers are good and there are a lot of good staff. But I don't see it changing. I don't know what the root of the problem with the staffing is. They hire people but they don't stay. For me it's like, 5% great shifts, 85% so-so (just gotta get thru it) shifts, and 10% **** (I got to get out of this place) shifts. Many have been total crapshows and one or two have been traumatic. All in all I feel an increased sense of competency. There is a lot of room for improvement at this place. I admire many of the people who stick around there.

Yeah, good advice. Looks like it might be allright. Turns out it wasn't the internship they got a hit on, it was when I was a student nurse at the hospital in 2011. Turns out the other facility I did the internship at wasn't yet in their network, so the internship is therefore none of their concern. I spoke to HR at the old job. She was very nice and although she didn't directly answer my question about my eligibility for rehire, I hope that our short conversation will prompt her memory that I am a pretty nice person...fwiw. She said she hopes I am doing better now and that she will take care of the form as soon as she gets it. In the form, I just stated the truth, that I did not appropriately resign from the position, therefore may not be eligible for rehire, and that at the time of my LOA, I was in good standing to my knowledge. So fingers crossed, looks like it might turn out allright. Valuable learning experience either way.

I could use some advice! I accepted an offer from a great system last week. This job took a long time to get. I first applied two years ago, finally got a call in Jan, interviewed twice and waited a month for the offer. I have positive references from my last several employers. NOW, I get two worrisome emails, four days before orientation starts. 1. An email from the Reference Checking Company that they are "having trouble getting a reference from "Former Employer Hospital", and they need me to fill in the attached release form and fax it to them, pronto. The form has checkboxes for me, the former employee, to specify whether I resigned in good standing, was terminated, resigned in lieu of termination, or was laid off. Then there is a section for the previous employer to confirm or deny what I stated. Backstory: This was my first job out of school. I was there a year and I stopped working there a little more than a year ago. I resigned from full time and I do recall getting a letter of acceptance for per diem. However, at the time I resigned from FT, I was taking a LOA to have a surgery. My recovery time was longer than expected. I was depressed and just, never went back. I never went to Occ Health to be cleared to return to work. I didin't formally resign. I didn't receive notice of termination either. I wish I had handled it differently. 2. I also got an email from HR of the new job, asking for me to call her tomorrow. That she has to put me in the system, but first, she needs to know if, by any chancem I ever did an internship at their Main Hospital. Backstory: No, I never did an internship in the main hospital but I did do one in one of the other facilities in the system and it was a total fail. It is not on my resume. I answered "No," that I have never been employed in that system, because it was an unpaid internship, not a job. It was a fail because I did not perform well, e.g, lateness, and just not fitting in, d/t overwork and lack of life balance. This was four years ago. If asked, it is likely that the person in charge of that internship would give a very poor reference. Other than those two things, my other work references are strong. I have one year at my current job and got a good reference, as well as two other agency jobs prior to this. I should have managed things much differently for the internship and leaving that first job. Oh well, live and learn. So now what? Whan I call HR tomorrow, should I tell her about the internship, AND fully disclose that I unprofessionally flaked off from aforementioned job? Should I say I was terminated on the form? Of course I must be honest. Just, HOW to. It is a slippery slope. I don't want to lose the offer! Thanks.

That is a great idea. As a patient myself, I am always interested in the results of the depression and anxiety questionnaires I fill out every few months when it's time for my therapist to update my care plan. It doesn't tell me much more than how I score on a depression and anxiety scale, comparatively between the date I filled the last one out and today. What might be cool would be an app that can track people's symptoms, medications, and behaviors (both self care and symptomatic ones) and the app could give them a visual representations of their progress, like graph trends in their mood states, for example. People could correlate their lifestyle activities and medication usage with improvements and declines in their symptoms.

What a great story. I love it that you were able to be part of their lives like that over time and help them like that. Thanks so much for sharing it.

I went through the same thing in the beginning. I graduated in 2015 May, and while I got offers for attractive hospital positions in other areas, it took me 9 months to land a job here in Philadelphia. It was in a SNF for Holy Redeemer Health System. I got work through an agency when I got injured and even though it wasn't the nursing job I wanted, it put money in my pocket. Good money actually. Don't knock agency work, they can put you in low pressure jobs that can hold you till you get that job you want. Now that I have a year experience, I get a million recruiters calling and emailing offering work every time I submit an application on a job site. You will get your job and this waiting game will be ancient history!