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Spinmass

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  1. Good for you! Sounds like it was a toxic culture in 2003 and is still a toxic culture. Good luck on your job search!
  2. Jeff, are you done the cape? I'm in Northeast CT and we are basically giving away jobs through Northeast CT and Worcester. However, I just heard from a friend the other day that an ED position in the Framingham area was offering a relative new grad 57/hr.
  3. I have never seen graduation regalia worn for nurse pinning. Pinning is the ceremonial culmination of transferring from a student to a nurse and I would imagine that most programs want that to be relatively uniform among the students. Whereas graduation is the culmination of an academic career for a certain degree and students who have earned honors etc. should be celebrated for the accomplishment. Now, if you are taking individual pictures separate from the the group pinning then I would say by all means wear the regalia if you are not going to commencement. Just my 2cents.
  4. When I transitioned from OP to IP dialysis, I was also befuddled by the lack of heparin orders. Four years later and I have had very few times that it would have been beneficial. In those instances, I am able to flush the system, add to the goal and continue without issue. Now I am of the opinion that we actually over heparinize patients in the OP setting in order to reduce alarms and avoid constant monitoring of the system. Don't get me wrong, it makes sense to avoid losing systems from both a patient safety and cost standpoint. We do typically lock our CVC's with heparin, although we are slowly transitioning to tegos end caps and saline locks.
  5. I am an RN in inpatient dialysis and PMHNP student. Typically I rock the OR scrubs.... Purely because I can wear street clothes to the hospital, throw on scrubs get my work done and change out and be clean(er) again. I have access to a shower if I need it as well. I never understood why anybody in dialysis, where we use a ton of bleach, would want to invest in fashion scrubs.
  6. I can't imagine a reason that you would not want to remove the air prior to administering the medication. Realistically if you are administering IV through the HD machine any air is just going to get caught in the chamber, however a large enough bubble could cause an air detector alarm and the ensuing PIA to clear the air. If it is going SQ than it stands to reason that you would not want to add air to the administration.
  7. Make sure you consult a tax attorney knowledgeable in foreign remote work. It can be done but you need to consider what kind of visa you have when visiting and if the host country will let you work and what business structure, tax implications may be incurred.
  8. I have NSO. I have never had to use it and hope I never have to. I am about to add a second policy as a student NP. It is short money for peace of mind.
  9. I have always said that every job and profession has its *** and it just a matter of which *** you want to deal with. I work in inpatient dialysis and you could not pay me enough to be a floor nurse or ICU nurse. I became a nurse after a 15 year career in which I became disenfranchised with the system. Nursing has been excellent for me, however I could easily see if being miserable for some. Before you bail, give some other nursing jobs a chance. Look outside the hospital, you will find an entirely different nursing field. It seems that schools preach that you need to work in a hospital to be a "real nurse" and that simply isn't true.
  10. I wear Merrell shoes and swear by them. I have flat, wide feet and find that they provide the best overall support. Typically my Merrell's last about a year. I have several pairs but for bedside I wear the Jungle Moc.
  11. An FQHC is an incredibly vulnerable population to be spreading misinformation to. That nurse should have a license review by the BON... It is one thing to no get vaccinated (dumb I know) it is a complete different game to jeopardize the health and safety of a large group of people through misinformation as an HC provider.
  12. When I first started in the clinic, I was usually unencumbered with 5 PCT each with 1:3 assignment. However at times when it got short, I would have a 3 patient assignment and 4 techs with me. I have always thought of OP dialysis as factory dialysis, get them in, get them out with as minimal manpower as possible. Hence why I am now in IP dialysis and love it.
  13. I am from MA and now live in CT right on the MA border and also never thought it would happen. I am glad that practicing in MA will be an option when I am done with school.
  14. As I was researching my DNP options, it did seem to me that overall CRNA programs are a better breed of program. They all seem to be more squared away and sticking to a core set of standards. With that said, I found a PMHNP program that appears to have very high standards and rigorous entrance requirements. Plenty of NP programs are popping up at for profit online only programs with little to no entrance requirements except the ability to pay the tuition. I do think that this is watering down the quality of some NP's but it is what you make of it to some extent and it what you put into it. The scope of practice is wildly different and I am not sure that you can adequately decide which type of program to attend until you have worked in or around both environments. Good luck with school and your future endeavors. The great thing about nursing is our options are so broad
  15. I live on a lake, I fish everyday in the Summer. I have no qualms about it. I don't hunt because it is not my cup of tea but I work with several nurses, male and female that routinely hunt. I do enjoy foxhunting but in my part of the country its all drag hunting and the hounds are not actually chasing the fox.

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