RNChristy

Just FYI After researching and emailing my state's BON, I found out that you also have to find out from the other state's BON to see if this is beyond the scope of their Nurse Practice Act. After reviewing the other state's Nurse Practice Act and emailing the other state, I found that is was beyond the scope due to not having licensure in their state for the work that I would be doing. Per the Nurse Practice Acts (and depending on the state), a nurse may not have to have that state's licensure depending on the situation. So even if your state says it may alright, definitely check with the state in which you would be practicing. Christy

I work for an insurance company doing telephonic Disease Management and was informed that we nurses would be outreaching to patients in another state. After researching and emailing my state's BON, I found out that you also have to find out from the other state's BON to see if this is beyond the scope of their Nurse Practice Act. After reviewing the other state's Nurse Practice Act and emailing the other state, I found that is was beyond the scope due to not having licensure in their state for the work that I would be doing. Per the Nurse Practice Acts (may be different in each state), there may be times that a nurse can practice temporarily in that state without a license. So even if your state says it may alright, definitely check with the state in which you would be practicing. Christy

I had posted this a couple months ago in the Case Management Forum but only recieved one reply and would like to hear other responses and opinions. I was wondering if of my fellow Case/ Disease Managers have ever encountered this. I work for an insurance company working as a Disease Case Manager and I have a question regarding a member that lives out of the state that I have my license. This member has his policy with my state's plan and has retired to another state, for which I do not have a license. Would doing education with this member telephonically be outside my scope of practice due to not having a license from where the member resides? Thanks, Christy

May 10 by RNChristy A member since Jun '11 - from 'South Florida'. RNChristy has '12' year(s) of nursing experience and specializes in 'Telemetry, ICU/CCU, Specials, CM/DM'. Posts: 60 Likes: 55 Awards: I was wondering if any of my fellow Case/ Disease Managers have ever encountered this. I work for an insurance company working as a Disease Case Manager and I have a question regarding a member that lives out of the state for which I have my license. This member has his policy with my state's plan and has retired to another state. Would doing education with this member telephonically be outside my scope of practice due to not having a license from where the member resides? Thanks, Christy

My husband works 24 hour on, 48 hours off and now I work M-F days. But for many years, I worked 12 hour shifts on the days that he was off due to having kids at home. We are still happily married after 22 years with not one major fight in our relationship. It does seem to work when you have a little time to yourself but I also think you have to have a strong friendship and relationship to make it work. It can be done!

Alright, I'm curious too.

I have not ever seen that used as an acronym either. At the facility that I used to work at, we used Stedman's dictionary. Any abbreviation had to be in there if we were going to use it. At the insurance company that I work at now, we also have a standard list. If an acronym is being used in a facility, it should be standard where the other nurses there at least know what it means.

In the hospital that I worked in FL, if the patient was DNR or Hospice, the nursing supervisor could pronounce. If it was a code, the Doctor would pronounce. If it was deemed to be a ME case, the ME was called. We never called EMS to pronounce, just the family, admitting physicians (sometimes the consults also) and funeral home. The only time that I could think that the PD would be contacted is if foul play was suspected. I never had to call the PD at all.

I live in Fla. and if I remember right, the first time for renewal, you do not need any CEUs. It has been a while for me though. Check with BON. I agree with others about CE Broker. Your CEUs are recorded there for you and the state to see. There are many CEU pages online. I personally use CEUFast.com and the courses are approved for Florida. Good luck!!

I don't think you did anything wrong at all. I probably would have let HR know that the rudeness and unprofessionalism deterred me from completing the process too.

I think for Interventional Radiology, ICU experience is needed. You also have to be experienced with conscious/moderate sedation. When I did Interventional Radiology, I would also have ICU patients that I would need to help transport and take care of in the room without the ICU nurse. They do not stay for the case with you. My hospital did not allow a nurse do IR without ICu experience. I personally believe it would be better for you to get the ICU experience first. Good luck!!

Thanks for the link. I was unaware of any associates degree for PA. I wonder if the PAs that I know wish they would have just had to do the Associates degree.

The only PAs that I know are Masters prepared.

I have never heard of any PA program that is only an associates degree program. It it always a Master's Degree from what I know. Christy

I agree with not putting clinical experience on a resume. Like others have said the exception may be if there is a special preceptorship; otherwise, most employers will know that you have completed the clinical rotations if you have received your RN license. Christy

Why are you giving any medication IM that is even 3ml, much less 5 ml to someone. That is too large of a dose to be given in any IM location at one time.

NOT a HIPAA violation. No PHI mentioned. But I do agree these things should not be mentioned on Facebook or any other blog in detail.

MRSA, VRE, C.diff. Many, many healthcare workers DO NOT wash their hands in between patients unfortunately. Many things can be prevented with wearing gloves to spread transmission. I still believe gloves protect the patient and healthcare worker. This may not be as necessary if everyone washed their hands after each patient. Christy

Yes, but what the healthcare workers that don't always wash their hands??? We still have to protect the patient, as well as ourselves. Gloves are used for this reason and should always be used when there is any chance of encounter with bodily fluids.

I have also pulled the finger off the glove to feel the vein many, many times; however, when I go to stick, I always put a new glove on. This older nurse may have known more about the patient, but the gloves are worn to also protect the patients from whatever the nurse may have on her hands, IMO. OP, always carry extra gloves with you to protect yourself and the patient. Christy

I agree with following the chain of command and reporting this behavior, as it is unacceptable. Hopefully, the new director will see these nurses for what they are and make changes to keep the good nurses and get rid of the bad. If nothing changes, I would definitely be looking for another place of employment. Good luck!!! Christy

I cannot believe a doctor would treat a patient like that. I feel sorry for his patients. I, personally, would have written that doctor up and sent it to administration (which I've done before for other reasons and a couple doctors were not allowed to practice at our hospital anymore). This should not be tolerated!!!!

Any vaccinations that I have ever given or my kids received were always IM also. Has that changed?

Anytime that I did trach care with a patient with a productive cough, I always at least wore gloves, goggles and a mask. This did not matter whether the patient had HIV or not. I feel that this is the proper PPE needed. Christy