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zephyr9's Latest Activity

  1. 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?
  2. 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.
  3. zephyr9

    What do you think are some of the best places to work in psych?

    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.
  4. zephyr9

    will it get any better?

    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.
  5. zephyr9

    I'm on a SLippery Reference SLope. Dense reading.

    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.
  6. 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.
  7. zephyr9

    Mental Health App

    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.
  8. zephyr9

    Why did she do this to me?

    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.
  9. I found some great resources in other research nursing threads but still would love to hear more!
  10. zephyr9

    Philly area jobs

    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!
  11. Hey yall, I am about to start a job helping a startup get their new technology launched. They need a nurse to comply with their client's IRB's directive to have a licensed healthcare provider onsite during their testing. They are also enlisting the services of an outside IRB. They want to be super, super safe, set THE standard for safety for their subjects. From what I understand I will be doing pretesting interviews, teaching and informed consents. I don't know much about this role beyond that. They are three people and I will be the fourth. It seems like it has the potential to grow big, fast. They said they are looking for someone "entrepreneurial." They don't have a nurse to train me. I have never been in this sort of role before. It is a fabulous opportunity for the right person, and I will do my best to be the right person. I bring about a year of licensed RN experience in a SNF to the table. Relevant, I don't know. Advice, suggestions, shared experience or resources appreciated, anything that may help me prepare for the position. I am particularly interested in overviews of data organization systems, and how you can begin with something small with the anticipation of growth. Thanks!
  12. zephyr9

    Nurses with Mental Illness

    RNDynamic, hell yeah I have, I really empathize with you. I felt isolated throughout most of nursing school because my baseline struggles with depression were exacerbated by a devastating family situation which was some of the long term fallout of choices I made in an addiction which I stopped feeding 9 years ago. It was very isolating; everyone at school or clinical would be joking and laughing and I just couldn't feel it because I was so overwhelmed and worried about these family members. I agree that coworker should be coworkers and to save the vulnerable stuff for tried and true friends. In school I did confide my past and current struggles with about three individuals, and was lucky enough that there was no backlash from that, but I suspect the information did find its way into other ears. I did feel stigmatized because I WAS aloof, standoffish, and probably my distress was visible at times. I felt that trouble was written all over me. I was out of the loop. Nobody went out of their way to be supportive or to ask how things were going People want to be where the fun is, and this puzzled me in a bunch of aspiring nurses...I guess I thought nurses were warmer and more sensitive than average. Nurses are just people as varied as any other group. On the other hand, one of the students I confided in, someone younger than me, looks up to me as a mentor with the utmost respect. I will never share any sensitive personal information at work. I also am building a "normal" life to draw upon where I am able to relate more to "normal" life experiences. Having my first job and growing into the work will be a rite of passage into "normalcy" for me after an insane past, which I have been preparing for during years of school and private duty work. I am banking on that. I am in touch with my assets and learning to focus more on them than my defects. Viva, I can appreciate your contributions to AN more after your above post. Out of the "noise" but still in the game, still giving!
  13. HeatherMaizy: they asked me about my medical history AND my medications. I could have declined to answer? Do I say, "I am not required by law to answer that? Re: keeping Medicaid for extended period: I was under the impression that I would immediately lose my medical insurance. I got a lot of looking into to do. Jen: They are prohibited from asking, yet they all do it? Every application asks. I will check out eeoc.gov. THanks.
  14. OVR is the Office of Vocational Rehabilitation. There are offices in all 50 states. They help people with disabilities get into the work force. You don't have to be ON disability to use the services, but you do have to meet certain requirements to receive the services. They have assessment and evaluation services, training programs, can provide or help fund vocational training or college, and physical accomodations to help you become employable, job search training, and placement services if they have leads that fit your needs. It is not a quick thing, it is a process. I went to an orientation today, the first step in getting OVR services, and left with my assigned counselor's business card and was told, "If you don't hear from her within 30 days, call her."
  15. zephyr9

    Nurse who has an eating disorder

    I'm glad you asked this, I have asked myself this question too. I imagine myself in a psychiatric setting. I have empathy and understanding for days and have thought about how I will keep this in its proper place to avoid the pitfall that SafetyCoach mentioned. Boundaries, protocol, teamwork. I know that my having common life experiences with some patients doesn't take the place of studying the literature, standards and therapeutic techniques and learning how to safely communicate with patients, navigate the role and manage the delivery of care.
  16. I agree. I didn't accept the position, it was difficult to turn down...I would not have knocked it based just on this assessment of the role, but there were logistical issues with distance from my home. I have to find something closer to home. Aspiring 42, it must be a unique setup if you recognize the description. It was so hard to decline, I think it would have been a valuable experience not to mention job in hand. It's tough getting a job in the big city, the search goes on.

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