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SineQuaNon MSN, RN, NP

ED, Family Practice, Home Health
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SineQuaNon has 13 years experience as a MSN, RN, NP and specializes in ED, Family Practice, Home Health.

SineQuaNon's Latest Activity

  1. SineQuaNon

    Possible Jobs for new grad with probation?

    Long term care, home health are both areas where I was able to get employed with a felony record and active probation. I always used to joke that the thing I looked for most in an employer was desperation. I was always very upfront about my issues. I think it was quite obvious I'd moved past them as well. After getting my foot in the door things really took off and many opportunities opened up for me. Something will give, hang in there and good luck.
  2. SineQuaNon

    How I inform interested employers of my past.

    I'm in New Mexico. And I was just offered a pediatric NP position at a clinic. I'm off probation and have been for a bit but I was still able to get a job while on it. Try LTC, home health. That's where I was able to get my foot back in the door.
  3. SineQuaNon

    What happens if narcan doesn't work?

    Is it an opioid overdose? Could it be a benzo or something else that won't react to Narcan?
  4. SineQuaNon

    How I inform interested employers of my past.

    Because I have a felony for prescription fraud, I feel it's best to get it out in the open as soon as possible so that I don't waste their time or mine. When they run the background check they will find out about it for sure. And I was a horrible addict. But now I'm not. I don't really want to downplay it because I've come so far. And I didn't choose to get help, that decision was made for me when I got caught. But I think you're right, depending on the circumstances saying less may be better.
  5. SineQuaNon

    ADN vs BSN Nurses' Competency

    I said the same thing in a previous comment. People keep saying an ADN is a 2 year degree!?!?!? As if! Seriously the ONLY difference between an ADN and a BSN is a few theory courses. And I can tell you as a Master's prepared NP-C. I don't remember a damn thing about any of those theory classes. The OP seems to not realize that the 2 years of prereqs and general ed classes she took in her 4 year school are still required of the ADN, they just don't get any credit for them. I do believe that ADNs should get BSNs, but only because they've spent 4 years in school studying to be a nurse so they may as well get credit for it.
  6. SineQuaNon

    RN homecare service startup

    I actually want to provide service to DOL certified patients. Those who used to work in uranium mines or at Los Alamos and have radiation exposure. There is no billing through Medicare, just the Department of Labor. After we get our Tax ID # the next step is to register with the state. I have to disagree with it not being the time to start....this is one of the few industries that will continue to need employees. People don't stop needing help/services just because of the pandemic. In fact, they are probably more in need than usual because so many of the accessory industries aren't able to provide backup. For instance the oxygen company is no longer delivering oxygen (can you believe that!?) so nurses have been having to retrieve them for homebound patients. It's a bit overwhelming as my business partner and I don't even know what we don't know at this point. We actually already have patients who are approved by the DOL and are willing to move to our company when we start it......just what exactly we need to do to get to that place is unknown. I'd encourage you to move forward with your plans. With the elderly not being able to, or not wanting to, leave their homes I feel the market for having an NP do home visits is really not right now. You've actually just given me an idea as I am an NP myself.
  7. SineQuaNon

    RN homecare service startup

    I realize you posted some time ago but I am also interested in starting my own Home Health business. I actually applied for my LLC last week. Also, FYI, NPs do not work under the license of an MD. We have and work under our own licenses. Depending on thee state they can even open and run their own clinic with no MD oversite. Have you moved forward at all with your business idea?
  8. SineQuaNon

    As an LPN, I can't help but feel like I'm not a "real nurse"

    I think you should try to do an LPN to RN bridge. Not because I don't think LPNs are awesome, you are! My aunt was an LPN her entire career and I've had many LPNs guide and mentor me over the years. But I think you deserve the pay and recognition of your skills that is just harder to come by as an LPN. You were smart to get your LPN first. If you play your cards right you can get your employers to pay for you to get your RN and you won't incur nearly the debt I did. There is more education that comes with the RN that I believe may become helpful, particularly if you want to move out of LTC. And, at least where I live, RNs make about $15 more per hour than LPNs. That works out to $30,000 more per year. Over a lifetime that really adds up.
  9. SineQuaNon

    How I inform interested employers of my past.

    Every time I still feel as if my heart jumps into my throat but I just take a big swallow and go ahead and do it anyway. I think there are more than we realize, both among nurses and the general population. I'm so glad active addiction is no longer a part of my life.
  10. SineQuaNon

    Any advice for a disabled nurse?

    I find that university associated hospitals are sometimes more accepting. That said, don't mention your disability until the in-person interview, if you feel you can perform the duties of your job with reasonable accommodation. There's no point in shooting yourself in the foot if you've found it to be a non-starter until now. Often once people can see you, they see you as a real person and are willing to make accommodations they may not have been willing to do beforehand. I'm not quite in the same boat but I have a felony, which obviously gives people pause. I do disclose quite early but if I can have them meet me in person so I can tell them in person first, or send them an email, I find I often do get the interview and even the job offer!
  11. SineQuaNon

    Nurse Practitioner Safer than bedside nursing?

    I've found being an NP to be much safer than being an RN. But then I was an ER RN and moved into family practice as an NP. Easier, safer, more respect and more money. No one has ever tried to throw a punch at me or throw urine on me in the clinic. That was a weekly occurrence in the ED.
  12. It will show up on past discipline in Nursys. Just assume it can be seen. I'm always upfront about it. Better not to surprise people.
  13. Hi All! I thought I would share with you all my basic form response when I get an email or call of interest about a job I've applied for. So far it has worked really well for me and I'm actually turning down offers whilst looking for the perfect fit. " Hello, Thanks for your interest in scheduling an interview. I can make myself available, but before we schedule, I want to inform you that I have a felony. I realize this a a deal breaker for some employers. Many years ago I was a horrible drug addict and I did not make it out of that time in my life without legal repercussions. But, to be honest, I personally am OK with it because it was those repercussions that helped me get clean. And if a felony is the price for this life I have now, it was more than worth it. As horrible, debasing, and humiliating as that time of my life was, it has honestly made me a better person. Kinder, more empathetic, and more humble. There is no one in my life that isn't aware of my past and I'm blessed to have a number of professional contacts who know my skill set and would unhesitatingly recommend me. But! I completely understand if this is a hard stop for you. Regardless, thank you for your consideration and have a lovely day. SineQuaNon" Literally everyone I've sent this to has responded that they still want to go ahead with the interview.
  14. SineQuaNon

    Quitting HCA after 5 months

    Get a lawyer. I think you could get out of the training fee. My understanding is that most employment contracts are largely unenforceable. But a cheap consult with a lawyer would be worth it. Pay them a bit more to write a strongly worded letter about the lack of patient safety, how you feared for your license and left so you wouldn't kill someone due to unsafe patient loads and I think they'd forget about that 4K. Also, that you apparently tried to pay it a few times and they refused should also work in your favor.
  15. SineQuaNon

    ADN vs BSN Nurses' Competency

    The reality is that with all the prerequisites an ADN degree is essentially a BSN missing a few theory courses. I had a bachelor's in another field and entered a direct entry MSN program. The first 15 months were spent getting my RN, the next 15 getting my MSN. I essentially got a certificate RN and with my bachelor's made me eligible for my MSN. To be eligible for the program I had to take two years of prerequisites, just like ADNs do. They don't start the program from 0. In a BSN program all your prerequisites are included under the banner of the BSN. The reality is an ADN nurse spends 4 years in school for a 2 year degree. There is no practical difference at all. And the idea that statistics in a 2 year college is easier than stats at a four year college is laughable. Usually they are taught with the same book from the same curriculum. But if you want to feel superior, by all means go ahead. Someday some ADN nurse is going to save your hide with her knowledge. I do agree that they should eliminate the ADN, but only because you spend 4 years getting it and it is essentially equal to the BSN.
  16. MDS would hit the bill for sure. You'd be in an office and never have to deal with patients. But if you're halfway done with an NP degree why not switch to Clinical Nurse Specialist? The first year between the two disciplines is the same so switching would be easy. Many, many non-patient, advanced and well-paying options as a CNS.

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