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ICRN2008 BSN, RN

Infection Preventionist/ Occ Health
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ICRN2008 has 5 years experience as a BSN, RN and specializes in Infection Preventionist/ Occ Health.

BS, MT(ASCP), BSN, CIC, COHN-S

ICRN2008's Latest Activity

  1. When I was hired on in my organization, healthcare and 850 employees, I was the only one in my department and I also have responsibility for infection control. Since then my work has grown to 2 main hospital and 4 outpatient locations. I have brought on one part-time clerk and 1 RN in my department, responsible for all policies, budgets, finding vendors and negotiating prices and services, training new staff, committee leadership and representation, and basic day to day operations of the department. I know that I am being significantly underpaid, at least according to salary.com and the annual AAOHN survey. I have been in the position over 3 years and more than demonstrated my value to the division and the organization as a whole, as demonstrated by feedback from my administrator. I am salaried and thus exempt from overtime, and put in well over 40 hours every week. How would you recommend that I open the discussion about a promotion and my salary? I am currently in the same salary range as a floor RN in my organization but I feel that this is inappropriate given my level of responsibility.
  2. ICRN2008

    What do you do?

    I currently work in occupational health and I am responsible for the following: Writing policies and procedures for my department Writing protocols for others in the department Designing systems for documentation and retention of employee health files Worker's compensation and OSHA log Assist with administration of FMLA and work comp Primary responsibility for temporary light duty and ADA accommodation programs Immunizations and TB testing First aid and triage of injured workers Education of staff and managers re: employee health topics (ie. bloodborne pathogens, FMLA, etc, etc). Absentee tracking, especially with regards to infectious diseases in conjunction with my role in infection control Also, many day to day tasks such as ordering medications and vaccines, attending trainings for state infectious disease reporting, immunization registry, serving as a liason to the health department, work comp company, contracted occupational health clinics and local ERs where our employees go for their pre-employment physicals and injury care. A lot of what I do is understanding both the clinical and legal aspects of a situation and making a good judgement with both in mind, as well as many administrative tasks such as policy writing, budgets, etc. I do not recommend this as a job for a new graduate because you really have to have a good nursing knowledge base, plus understand the legal aspects and be able to hold your ground in cases that can in rare circumstances become unpleasant (especially with regard to FMLA, short-term disability and work comp). You'll work very closely with the Human Resources department, so you'll also have to develop a good relationship with them. In some cases, you'll report to a human resources director who does not necessarily have a medical background. The rewarding aspects are working with employees, helping to better their health, putting forth new safety initiatives that really make a difference, and being able to work with a relatively well population during business hours (generally 8-5 Monday - Friday)
  3. ICRN2008

    Documenting an IV insertion?

    We had stickers printed out on our unit because of a new IV initiative. It includes date, time, number of attempts, 22 ga or whatever, how IV was secured (statlock, tegaderm, etc), flushes easily and good blood return check, and RN signature. Sticker gets put into the progress notes.
  4. ICRN2008

    Volume in 1 unit of blood?

    You are correct. The most commonly used anticoagulant/preservative is CPDA-1, which contains citrate, phosphate, dextrose, and adenine. This extends the shelf-life of a unit of PRBCs to approx. 120 days.
  5. ICRN2008

    Differences (Educative/Clinical) between NP & PA

    This was my major consideration in going back to school to be an NP instead of a PA. Many PA programs require that you quit your job to complete the program, and this was not an option for my husband and I because of our mortgage, etc. Going the NP route is taking longer (1 year prerequisites, 16 months BSN, 1 year of nursing, and then 2 years of grad school for NP). However, I am able to work and pay my bills in the meantime. I was only 24 years old when I started, so time wasn't a major consideration for me. I never took into consideration whether being an NP was better than a PA or vice versa, because everyone I've talked to has told me that either route would get me to my goal. I believe that both NPs and PAs are excellent clinicians (I have experience with both), and it is in our best interest to work together to promote our mutual interests.
  6. ICRN2008

    What are your nursing goals?

    I plan to work in a cardiac stepdown or telemetry unit when I graduate, and also start grad school as soon as possible. I hope eventually to work as an NP in cardiology or infectious disease.
  7. ICRN2008

    What's The Weirdest Name You've Heard A Patient Name Her Baby?

    A friend of a friend is named Akene (a-kee-nae) Freechild. I'm not exactly sure about the spelling of her first name. I think the "Freechild" part came because neither of her parents wanted to give her their last name.
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