FolksBtrippin

"Since the date of your last application, have you been or are you currently being treated or on medication for bipolar disorder, schizophrenia, paranoia, psychotic disorder, substance abuse, depression (excluding situational or reactive depression) or any other mental or emotional illness?" ADHD doesn't fit under this in my opinion, and I would say that you never had to disclose it. But since you did choose to disclose it, it would be hard to argue the case for not updating. And I personally wouldn't want to give the board a reason to treat me badly because they will do it with no reason anyway. The board will not miss a chance to be petty. For those considering whether they should disclose, I would discourage it on the grounds that such requirements are wrong, toxic for our profession, counterproductive to health and a bad example.

I found this study that suggests that gel polish nails have a greater bacterial burden after hand hygiene: Hewlett AL, Hohenberger H, Murphy CN, Helget L, Hausmann H, Lyden E, Fey PD, Hicks R. Evaluation of the bacterial burden of gel nails, standard nail polish, and natural nails on the hands of health care workers. Am J Infect Control. 2018 Dec;46(12):1356-1359. doi: 10.1016/j.ajic.2018.05.022. Epub 2018 Jul 6. PMID: 30509357. I also saw another one that suggested that gel polish didn't hold greater bacterial burden when using alcohol based hand rub. Arreba P, Iglesias J, Ríos J ... Gel nail polish does not have a negative impact on the nail bacterial burden nor on the quality of hand hygiene with an alcohol-based hand rub Journal of Hospital Infection, 2024; 157, 40-44 That one didn't investigate hand washing though. It makes sense to me that the increased bacterial burden could result from not washing your hands as vigorously as you would if you weren't trying to preserve your manicure, and also not seeing dirt under your nails. But that's speculation.

In front of everyone you say, "I want to speak with you privately" exactly like that and with no extra words. If she doesn't immediately make time to do that by either giving you a time or doing it right then and there, you say it firmly in front of everyone "Don't ever put your hands on me again." Then you walk away and leave no space for further discussion. If that doesn't improve how people treat you, then you need to go to HR.

It makes sense that she would be transferred out of the group home for refusing to share BG values. OP what is your role with the facility?

Thanks for the update! Best of luck to you in your job search!

It was the patient's time to die, a time each one of us will eventually come to. I don't think it was unprofessional of you to cry in front of the family. If my person's nurse cried, I would feel validated and comforted by her compassion.

The OP question was not "should we copy and paste notes?” The answer to that question is no. It was "should I report this person who I suspected copy and pasted a note?” and the answer is also no, unless it is your job to audit the notes. You don't know what she did or whether it was accurate.

Have you ever missed a PIV before? How did you feel about it then? How did you get past those feelings? How do you respond when someone you are teaching misses a PIV? How do you respond when your coworkers miss a PIV? I want to validate that you felt humiliated by the rad techs' behavior. I also want to ask you how you know they meant to poke fun or bully? Is there any other possible motive? I don't think about keeping my skills on point, I think about being a lifelong learner. I've noticed that the best learners do things until they get them right and waste no time criticizing themselves for doing it wrong. I used to teach yoga. When I taught children a balancing pose they would fall out of it a thousand times and never once say "I'm bad at this" they would just keep doing it until they got it right. Adults would fall one time and say "I'm bad at this.” I try to be like the child.

What do you mean by potentially dangerous situations?

So glad you found a position! Just be open-minded, and soak everything up. Documentation is something that can get overwhelming for home health nurses, so make sure you get advice from your preceptor about how to handle that aspect. After you've done home health for a year you can transition to hospice, or you may decide to do infusions or specialize in something, like trachs. Good luck!

It's a scam if they want your social security card, drivers license, passport before you interview on site and know that it's a real job. They shouldn't need that stuff before you accept a position. There are plenty of legit recruiters with Indian accents.

Definitely consult a contract lawyer. Laws on non-competes vary from state to state, and they are not always enforceable. For example, a non-compete may not be valid if it does not allow you to work for another company in the area. It may only be about opening your own competing practice. Would it be okay with you if that were the case? It's important to clarify what your specific non-compete actually means.

When I worked in child adolescent psych, we always had kids sign their treatment plans, it's about buy-in, and involving the child in their care. One really good question for the child is "is there anything on this plan that you think I need to add or take away?” Usually kids say no. But sometimes they have a goal for themselves, and it's really important to include that in a way that can be framed as a healthy goal for the child. Even a pretty negative statement can be reframed as a healthy goal. Example "I hate my parents" can be reframed as a goal to "improve family relationships" which can have interventions such as family therapy, interpersonal skills groups, etc. Some things they don't have a choice about, for example, going to school is on every treatment plan, they need to go to school. (We had teachers on the unit for school). Of course, you should ask your manager or educator what they mean by "legal" but my understanding is that psych units have to include the patient in treatment planning to be in compliance with regulations.

I was offered a job that had something like that in the contract. It was $15 per hour during orientation. I called to say that it was not acceptable, and they apologized and said that they don't actually do that and it was an old contract that needed to be updated. Call the hiring manager and find out if you can get this changed. Good luck!

It may help you to know that feeling like you did something wrong is a common reaction to being assaulted. It may come from a need to feel like the world makes sense or that everything happens for a reason. It may be your brain trying to figure out how to keep it from happening again. If you get some justice in this situation, you may feel better. For example, if the CNA is fired, you may find that you stop feeling like you did something wrong. If not, you will find another way to resolve the internal conflict that came from being assaulted in the workplace.