tippeny

tippeny

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All Content by tippeny

  1. Scope of Practice in Federal Facility?

    tippeny replied to Julia sears's topic in Government, Military

    Thank you for the reply. This is a Military Treatment Facility (MTF) not VA. There seems to be a lot of confusion and no one seems to have any answers where I

  2. Do you simethicone?

    tippeny posted a topic in Gastroenterology

    Our GI doc likes to use a Simethicone rinse to get rid of bubbles in the colon. He will tell the GI tech how much, but I am looking for something written that recommends a specific concentration of...

  3. Do you have an SOP for patients who vagal?

    tippeny posted a topic in Ambulatory Care, Clinic

    The specialty clinic that I work in is overhauling how we treat patients who vagal in the clinic. We see derm, GYN, and GI patients and have at least 2 or 3 patients each week who vagal after minor...

  4. GS LPN-to-RN

    tippeny posted a topic in Government, Military

    I manage a section at a military clinic and I have a wonderful LPN who would like to go to school to earn their RN degree. Does anyone know of any programs out there that would allow a nurse to earn...

  5. DOD Civilian Pay (How does it work?)

    tippeny replied to MyNameIsJeff's topic in Government, Military

    I'm no sure how the ADN to BSN will affect things, but the step increases are automatic in the GS system. The first couple of increases are yearly, then they go to every 2 years, then to every 3...

  6. How do you know when to let a new employee go?

    tippeny posted a topic in Nurse Management

    I am relatively new to the management side of things. I have a new(er) employee who is still in a probationary period and they are just not picking things up very quickly. We are in a clinic setting...

  7. Room turn over times

    tippeny replied to Gi rn acm's topic in Gastroenterology

    I would also think that 5 minutes is super fast in regards to infection control as well. That doesn’t allow much to time wipe down the room/equipment and allow for an adequate dwell and drying time...

  8. Post procedure phone call from nursing

    tippeny replied to KneKno's topic in Gastroenterology

    I work in an outpatient clinic and we do routine colonoscopies and EGDs. I don’t have a specific script, but we have a checklist for our follow-up calls. Basically we are asking if they are...

  9. Probationary Period for New Empolyees

    tippeny posted a topic in Government, Military

    Hoping someone on here could answer a general question regarding the probationary period of new government empolyees. If a nurse has previously held a gov job and completed their probationary period,...

  10. How do you know when to let a new employee go?

    tippeny replied to tippeny's topic in Nurse Management

    Thank you for all of the comments. They really are helpful. I have engaged senior leadership as well as HR, so everyone is aware. I have had a sit down with the employee to let them know of the...

  11. Endoscopy Center without RN in procedure room ??

    tippeny replied to hatfieldrocks's topic in Gastroenterology

    I work with a gastroenterologist who only does Colons & EGDs. We mostly use conscious sedation as our patients are typically healthy. For the less healthy folks (high BMI, cardiac problems, PTSD,...

  12. Rapid response in the clinic

    tippeny replied to Gamecock RN's topic in Ambulatory Care, Clinic

    We do have a RRT where I work but it doesn't seem at ALL efficient to me! They overhead page- sometimes code purple, sometimes Rapid Response, sometimes code BLUE!!- but the response time is very...

  13. Is school nursing stressful?

    tippeny replied to blueindigo79's topic in School

    Stressful? Absolutely! Worth it? Absolutely! My experience as a school nurse was that there was a fairly steep learning curve the first year- just like any new job. But like the previous posters said,...

  14. Delegation of Diabetic Care

    tippeny replied to JoyMomNurse's topic in School

    You didn't mention what kind of school you are at (or did I miss it?) When I was at my middle school, the kids were fairly independent. They could work calculations, dial up insulin (all had pens or...

  15. Inappropriate to ask teachers to stop sending kids after a certain time?

    tippeny replied to Scorchednurse's topic in School

    Our middle school did send and email and told the teachers at the beginning of the year during a staff meeting that the Health Room hours were from 9:00-3:00 (school was open from 8:45-3:25). We...

  16. Problems changing specialty after school nursing

    tippeny replied to blueindigo79's topic in School

    I, unfortunately, just left school nursing for financial reasons and had no problem returning to a clinical position. I am not doing bedside however- I am working in a multi-specialty clinic a as an...

  17. GS nurse pay scale

    tippeny posted a topic in Government, Military

    I have recently been hired as an RN at a military hospital. I am in the GS service and am a GS 0610-11. I am looking for the locality pay scale for nurses. The salary I was offered doesn't line up...

  18. GS nurse pay scale

    tippeny replied to tippeny's topic in Government, Military

    I just started 2 weeks ago at my clinic and the nurses there said that in 2013 about half of the staff was furloughed when they came to work. They did receive back pay for the time they were...

  19. GS nurse pay scale

    tippeny replied to tippeny's topic in Government, Military

    Thanks! I haven't seen that pay calculator before. It is quoting me the same as the OPM website- which doesn't match what I was offered. Hmmm. I'll have to find time to go to the HR department and ask...

  20. Is a government job worth it?

    tippeny replied to imanfnp's topic in Nurse Practitioners, NP

    You mentioned that you didn't know much about the Thrift Savings Plan (TSP). You are enrolled at 3% personal contributions, pre-tax. Your employer will match 4%; so you will have a total of 7%...

  21. Average salary

    tippeny replied to RN100%'s topic in School

    We make a little over $47k a year and we are not paid what the teachers make. We are paid by the county health department and have virtually no benefits as we are considered contract employees. And...

  22. Type II Diabetic students

    tippeny posted a topic in School

    I have my first Type II Diabetic at my middle school as of this morning. We have plenty of Type I's (6 of them) but I haven't had any experience with the Type II in the school setting. So I have a...

  23. Immunization Compliance

    tippeny replied to RNTexas13's topic in School

    Thank you for the information regarding students affected by Harvey. I am in Maryland but we have a student that transferred here from Houston b/c the family lost everything and now she/he lives with...

  24. "I'm Dizzy"

    tippeny replied to GdBSN's topic in School

    I am in a middle school and we will check temp, HR and BP. Of course a lot of the kids haven't eaten or had much to drink that day, which is frustrating because our school has free breakfast for...

  25. Best nursing job for a returning to workforce mom

    tippeny replied to jplcp's topic in Nursing Career

    Good for you for wanting to jump back in and put your nursing skills to use! I have only been a nurse for 3 1/2 years (career changer w/a family) and have recently made the switch from bedside nursing...