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boywithacoin

boywithacoin

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  1. boywithacoin

    I forgot to return blood to the bloodbank

    OP, please keep us posted.
  2. boywithacoin

    new night shift nurse always tired on days off

    I'm a night owl anyway, so I maintain my NOC schedule all the time, unless I'm off for an extended period of time or have to be up during the day for something. Switching to a day schedule is really hard on me, and I end up, like you, feeling like I'm sleeping all the time, day and night. Some of my younger coworkers can flip flop back and forth, but it's easy enough for me to just structure my life to a night-time schedule. That being said, supposedly anchoring sleep is very useful for shift workers in making sure they're getting enough quality sleep. You can google it, but basically, it's where you make sure that you're sleeping at the same 3-4 hour time period every day, regardless of whether you're working. So, for example, maybe you sleep from 0800-11000 every day, even on your days off. so your work days could look like sleeping 0800-1600, and your days off look like sleeping 0100-1100. I don't know, I require a lot of sleep regardless of night or day sleeping. Give me 9 hours at least, please.
  3. boywithacoin

    VA pay/ benefits or Pediatric Emergency Dept RN

    Vastly different populations, I'd say each requiring that you really want to work with said populations. Do you have experience with either of them, or have a sense of which you would prefer? I never knew I would enjoy working with vets until I worked with them, but I love it. I also thought I would enjoy working with kids until I had my peds rotation and hated it. In general, I love working at the VA, and the pension is nice. The benefits over time are great. But if you feel like you would enjoy the pediactric ED better, and it's more in line with what you plan to do later, it may be worth doing even if it means less pay/fewer benefits.
  4. boywithacoin

    LPN to RN options in Oregon

    Assuming you're wanting to stay in the Portland area, a quick Google search shows me that Mt. Hood CC offers an LPN to RN program. Admission Details
  5. boywithacoin

    VA Portland OR Interview and onboarding

    Well, if you want to stay with psych, I know that our psych unit has really been in need of nurses!
  6. boywithacoin

    VA Portland OR Interview and onboarding

    What position did you apply for? If it's med-surg, you'll usually interview with all the nurse managers from the med-surg floors. Basic interview questions (strengths and weaknesses, etc.), one or two situational questions (you walk in and find a patient xyz...). I don't know what the interviews for other areas are like. Once you've interviewed, if one of the NMs selects you, you'll get a provisional offer, and at that point you'll get fingerprinted, do E-QIP (background check), and await the nursing board to determine where to start you. With six years of experience, you'll surely be a nurse II, so then it's just a matter of what step they'll put you at. You may have seen this already, but in case not, here is a link to the title 38 pay scales (nurses fall under title 38 vs general scale like other federal employees): https://www.va.gov/OHRM/Pay/ Expect the entire process from interview to start date to take at least 3 months. It can take awhile for the background check (especially if any of your references are on vacation) and the credentialing part can also take some time. Good luck! I love working at the VA.
  7. boywithacoin

    Is the VA a good place to work?

    Where are you getting this information about pensions? VA employees (including RNs) get access to FERS, which a 3-tiered retirement plan that includes a pension ("basic benefit") if you stay long enough to be vested. One of the tiers, TSP, which is the 401k equivalent, has the lowest management fees out there, and your contributions can be matched up to 5%. Over the long run, the VA benefits beat a lot of what's out there.
  8. boywithacoin

    Guidance and insight moving from AZ to OR with young family

    Agreed with Klone. The COL in the Portland metro area will probably be a big jump from what you're used to in AZ. Eugene is nice, a fairly easy drive to the coast or to Portland, and can feel either city or country depending on where you're at/where you go. Still relatively affordable place to live to boot. I haven't been to Bend since I was a kid, so can't comment on it.
  9. boywithacoin

    Nurse preceptor - incentive pay?

    my facility is federal...we get no incentive pay for precepting students or orienting new nurses, and I work on a dedicated education unit, so we act as the clinical instructors for the students. I think they used to pay incentives, but recently got caught and it's not allowed. so...now they're trying to arrange a luncheon or something. and I mean, I never turn down free food, so...
  10. boywithacoin

    Is it legal for your boss to dictate where you poop?

    there are two staff bathrooms on my floor. one is in the middle of the hallway and folks hardly use it. the other is RIGHT next to the NM's office. that's the official unofficial poop bathroom. she's just gotta deal.
  11. boywithacoin

    Are you discerning with your "likes"?

    I "like" comments that I generally agree with. I am a casual AN user, and not a frequent "liker" but I often find myself "liking" your comments, Klone, because I genuinely like what you say! Also, I feel drawn to fellow Oregonians.
  12. boywithacoin

    OHSU ER job prospects

    I don't know if the listing is still active, but there was recently some openings in the ED at the VA hospital, which is attached to OHSU and uses OHSU residents/interns.
  13. boywithacoin

    Does it matter which FNP school I pick?

    For what it's worth, when I requested info about the NP program at USC, I received an email back that they are not yet approved to admit Oregon residents. I assume, due in part, to the fact that practitioners in Oregon can operate independently while in Cali NPs have to have a physician supervisor (such is my understanding? I dunno, I went to undergrad in CA, but am from/work in OR). This was back in June, so maybe things have changed in 5 months.
  14. boywithacoin

    Working with a bad back, light duty?? Opinions welcome

    I am relatively young and have chronic back issues also. My MRI was a mess of issues. I have done chiropractic, PT, steroid tapers (no injections yet), regular stretches, etc. I generally have a few weeks to months out of the year where I'm having pain so bad, I have to alter what I'm doing at work. Mostly that just means negotiating with the CNAs to help me out a bit more. The thing that helps me the most on an ongoing basis is pool exercise. I'm talking aqua aerobics with little old ladies who think I'm a high schooler. If I am going to the pool at least a couple times a week, I maintain my baseline of minimal pain a lot better. That said, my plan has been to go back to school in a few years to kind of change directions. Currently in med-surg, planning to pursue more education and head towards primary care/research. Partly because that's what I'm interested in, partly because I don't want to ruin my back more. Good luck!
  15. boywithacoin

    Meds

    Narcotics are controlled substances. Changing counts/dates in your pyxis or whatever med management system should not be happening for any med, but it matters more with controlled substances because those counts are generally regularly audited to make sure they're not being diverted. At my work, there are multiple accountability reports each day to be sure that a) the number of narcs pulled matches the number of narcs given b) any waste was properly documented and witnessed c) narcotics pulled were given in an appropriate timeframe. So changing dates can mess with the daily accountability process.
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