SineQuaNon

SineQuaNon MSN, RN, NP

ED, Family Practice, Home Health

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All Content by SineQuaNon

  1. 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....
  2. 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...
  3. 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.
  4. Difficult doc

    It's time to fight fire with fire. A lot of these types of arrogant assholes simply will not respect you until you ramp the dialog up a notch. I recall a memorable conversation with a doc where I ended up saying "Hey! ***! You DO NOT speak to me in t...
  5. Negligent Charge or Endure?

    I would be very clear with her. If she says she has to work on staffing while you have a patient with acute respiratory issues that you need help with, your response should be "I'm sorry but that won't work for me. I need your help now in the best in...
  6. Any nurses had arthroscopic knee surgery?

    I had surgery and they cleaned up my meniscus. It is just now beginning to feel better and it's been six months. And I don't know if the surgery had any effect or if it was just time that did it. If you can ramp up the PT I would try that first.
  7. New grad overwhelmed

    I think it's going to be a madhouse for bit. Eventually you will get a system down and will find ways to maximize your time. In the beginning you will constantly forget things or just not organize well. For instance, go and deliver the AM meds and fo...
  8. 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?
  9. 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 add...
  10. 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 ...
  11. 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...
  12. 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...
  13. 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 ...
  14. 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...
  15. 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 sh...
  16. 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. Th...
  17. 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 abou...
  18. 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 gett...
  19. 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...
  20. Filing a report as a mandated reporter

    I always tell my employees that "It's not your job to investigate or decided if the claim of abuse is justified. It is only your duty to report it." And if I ever even have the slightest HINT that something is amiss, I report. Because the consequence...
  21. Practicing in another state than where you got your NP

    Many states also have compact licensure agreements. For instance, if you're licensed in New Mexico you can also practice in Colorado, Arizona, and Utah without having to endorse.
  22. Felony conviction/ OIG list

    See about working in home health as an independent contractor. I work for Giving Home Healthcare and they hired me with a felony for prescription fraud. When I called to ask about the job...or any job I apply for....I tell them about the felony right...
  23. NP in recovery

    Hi Suz9081, I'm also an NP in recovery. I live in NM but was originally licensed in Cali, which has revoked my license. I worked as a nurse for a while and have recently become licensed as an NP again and am looking for work. I was able to get back i...
  24. How to help coworker with substance abuse

    As an addict myself, she needs to be told to self report to the board. Or to quit or take a leave of absence to deal with her addiction or YOU will report her to the board. Probably the best way to handle it. She could not be using....but she likely ...
  25. My patient an addict or does he actually need it?

    Hmmm. Yes these types of patients are annoying but there really isn't much you can do about it except bring the ordered meds when requested. A doctor ordered the medications after doing an assessment. Even people with legitimate pain develop toleranc...