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Naturally Brilliant BSN, RN

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  1. Naturally Brilliant

    Should I not work overtime hours if I'm a salaried Exempt employee?

    Okay, I found out the answer! I do get overtime pay after 80 hours. Since my schedule is built in for 84 hours every two weeks, I get time-and-a-half for the extra 4 hours each paycheck. Anything over 80 hours gets time-and-a-half. So it's good if I want to do overtime! I'm likely going to quit my NP program in the coming days, so it'll be good for me to work extra at this new job anyway and bank in some money. I'll have to take a look at my upcoming paycheck to find out what the pay looks like
  2. Naturally Brilliant

    Should I not work overtime hours if I'm a salaried Exempt employee?

    No, not necessarily. There are many exceptions to both FLSA and the state laws. For instance, my state of Texas banned mandatory overtime years ago. My institution has an exemption for hospital settings operating on a 24-hour basis.
  3. Naturally Brilliant

    Should I not work overtime hours if I'm a salaried Exempt employee?

    I get state benefits, which are quite nice. I'm just asking how overtime pay works if you're an Exempt employee.
  4. I took an RN job with a state agency that has classified me as an Exempt employee, which (I think) means my salary is divided up into semi-monthly paychecks and I get paid that. I work in Texas, if that helps. I've always worked at private-sector employers, which meant that if I went over forty hour a week, I got paid time-and-a-half for those excess hours. That always made logical sense to me. At this new job, I always thought that if you were an Exempt employee you don't get overtime pay, just something called Comp Time (which I'm assuming is just like PTO) instead. But the HR representative at my job said that state law made an exception for nurses, so we would get overtime pay unless we specifically asked HR for Comp Time instead. She also said that overtime was calculated over a two-week (80 hour) period, rather than 40 hours each week. This is pretty relevant to me, since my new job entails me working 3 12-hour shifts one week and then 4 12-hour shifts that following week (a total of 84 hours bi-weekly). So I'm working 4 hours overtime. Does this mean I'm going to get time-and-a-half for those extra 4 hours? Or is it a terrible idea to pick up extra shifts and is my pay going to be diluted if I work extra and get the same salary rate each check?
  5. I live in Texas, and I'm in a Psych NP program. I've always thought about joining the military someday, and I was curious if there were any options in terms of Reserves or National Guard for joining as a Psych NP. Thank you!
  6. Naturally Brilliant

    How do Prescriptive Authority Agreements work in Texas?

    I'm a Texan in NP school, and since my state isn't a full-practice authority state, I understand that NPs here have to basically get a "delegation" (not really a delegation) from a Texas physician in order to prescribe medications, and also do quality improvement projects and meet with the doc once a month for 3 years. Sorry if I'm a bit iffy on the details. How does the process work out? Do you have to pay money out of your own pocket for it?
  7. Any specific hospitals or clinics you think is great in terms of pay, clinical knowledge development, institutional prestige, or patient reviews?
  8. Naturally Brilliant

    Nurse Practitioner Residencies

    How so? In what aspects should we be judicious about? What isn't (or wasn't) working for you?
  9. Naturally Brilliant

    Texas Children's investigates RN for social media HIPAA violation

    So where's the HIPPA violation? From the post that I read she said she treated a measles patient. Doesn't name the kid or show any specific identifying information about him. I'm a dialysis nurse, and today I treated a patient with end-stage renal disease. Does that mean this post right here is a HIPPA violation too?
  10. Naturally Brilliant

    Midwestern State (MWSU) Fall 2018 NP (FNP + PMHNP) programs

    So has anyone here received any emails or any communication on how we're supposed to access our courses for this semester that we registered for? I believe our first day of class is on Saturday
  11. Naturally Brilliant

    Tell me about your week in Acute dialysis.

    I wish I had more support during machine troubleshooting issues or complications. I have a little bit of anxiety when it's my third patient of the day - and that means nobody is there at the hospital to help me - and I have a fistula I can't access. I'm worried that someday I won't be able to access it and the patient won't get dialysis at all. And another time, this patient kept on moving so their arterial/venous line pressures were in the high 200s, so I was mere inches away from the machine and stressed out for hours on end ready to lower the blood flow rate and expand the parameters to avoid the dreaded alarm. Heck, I ended up getting air into the venous chamber after I pushed Epo into the arterial chamber, so now I'm too scared to give IV push meds like Epo into the circuit unless it's like the last thirty minutes or so. I'm deathly afraid I'll clog up the machine again.
  12. Naturally Brilliant

    Tell me about your week in Acute dialysis.

    Thanks! What's up with y'all not taking breaks, though? I always just take a lunch break either between my 1st and 2nd, or my 2nd and 3rd, patients. If the patients get dialyzed later, then too bad so sad. I'm not going to end up getting bad headaches, dizzy, and downright ill not having eaten or having taken a break between dialyzing patients. And if any company were against giving breaks, I don't have a clue how they'd retain employees.
  13. Naturally Brilliant

    Tell me about your week in Acute dialysis.

    Oh wow, you guys have some real horror stories for lengthy days! At my company as a full-time acutes nurse I do three shifts in a day (meaning three patients). I'm still relatively new to dialysis, only been in it for about 5 months (~2-3 months all by myself), so the whole process takes a long time. I feel like I spend half my time either setting up machines, breaking down machines, or paperwork and charting, rather than actually dialyzing the patients. For three patients, I'm at the hospital for 17-18 hours. Some of the night-shift floor nurses will see me, and they'll be shocked that I'm still there! lol When my days are just that long, and I'm getting out at 2:30 am, it's best that my work days are spaced out, otherwise I'm on like 3 hours of sleep before I have to do a whole 'nother 3-patient-day all over again. But the flip-side is that if my days are spaced out (let's say Monday-Wednesday-Friday) then my days off are spent catching up on sleep and getting ready to go back to work the next day. So it's starting to feel like work is taking over my life. All in all, dialyzing is relatively straightforward (though not easy per se). I'm not a big fan of the schedule, though. When I worked in ICU, I worked all three of my nights in a row (Friday night/Saturday night/Sunday night) to get the differential monies, as well as to have four days off. Sure, the Sunday nights suuucked because I'd feel tired, but at least when I was off I knew I could spend some time mentally away from work. So I don't know how this'll play out longer term. *shrugs* Right now the pay's great, I run into overtime without really trying, and management isn't pressuring me to get done faster, so I'm adjusting where I'm at. If it physically or mentally becomes too much down the road, though, I could switch to part-time or re-evaluate how I feel about dialysis. We'll see :-)
  14. Naturally Brilliant

    Too ugly to be a nurse..?!?

    ... This has to be one of the oddest AllNurses posts I've ever read. You're going to school to become a nurse, not Trump's next wife. You're entering a respectable profession that utilizes your critical thinking skills and a Herculean level of time management skills. I look worse than Shrek, and that's NEVER kept me from getting an RN job that I aspired to. Just focus on being competent at your license and at your job description. That's it.
  15. Naturally Brilliant

    When and Why Nurses Are Leaving the Workforce - 2018 Salary Survey Part 3

    I've read online that big companies like HCA are encouraging their older nurse workers to take call-center-style jobs to remain in the workforce. I think it remains to be seen how effective that is.