Tigerlily8

Yes, apparently this remote service is much cheaper than our on-call physicians.

In my opinion, the OB was overly critical of you. This was your first shift off orientation and a new specialty for you! You can expect to need a lot of support from your teammates for the next year. I know next to nothing about "birthin babies " but it sounds like a team sport to me.

Yes, I agree that it is a huge waste of resources. I don't know what the answer is, other than getting involved in community efforts to reduce homelessness. These people are just trying to survive. What a shame. The

Hi, I have a few questions for the nursing universe. The acute care psychiatric facility at which I am employed has recently started using a remote service to obtain physician orders. They are using unlicensed personnel to communicate electronically with physicians in order to obtain admission orders. I was originally told that an RN would complete the general health history section but the information would be transcribed and sent to the "teledoc" for orders. Yesterday, they started having unlicensed personnel (MHTs) perform the health history, request orders electronically. I am concerned that this is a scope of practice issue and the average MHT is not familiar with medications. What does everyone else think?

Hi! Have you considered being more strategic in scheduling your shifts? Most facilities pay time and a half for legal holidays but it is unlikely that your Mother's holiday falls on a legal holiday. So maximize your holiday pay, then take time off to spend with your family and friends.

Hi, That would make anyone anxious and in fact may be an intentional tactic. I think over time getting "called on the carpet " will become more routine to you. All you can do is perform your job to the best of your ability, know your organization's policies and adhere to them and ask for advice from your supervisors.

I have no idea as I am still in school. If I were you, I would definitely research the topic and consult an attorney with expertise in this area.

It’s been several years but as I recall, while in TPAPN I did have a few dilute specimens. I believe I rectified the problem by always carrying protein bars and having a meal or protein bar before going to the lab. I did not need to restrict my fluid intake at all.

Please recognize that this individual does not have your best interests in mind. I recommend that you enroll in school, follow your dreams and decrease your contact with this toxic individual.

Hi, I was delighted to read your question for Beth. I am 65 years old and enrolled in a PMHNP program so you will not be alone. If this is what you want to do you should do it! I take 1 class at a time and pay in full so no student loans necessary. It’s expensive but manageable. The coursework is mentally stimulating and I am so glad I have embarked on this journey. Keep us posted!

Let us hear from you again, give us an update on your progress. You are not alone. Most of us on this forum have been in a similar situation.

I concur with the previous post. Don’t let them know that you are a nurse. Depending on state law, the hospital staff may be mandated to report. I am glad you are getting help and I wish you the best.

I recommend you avoid Walden University like the plague. They only want your money and are highly unethical.

Hi, I am a TPAPN survivor. While I was in the program and desperately trying to find a job, any job I started becoming more and more anxious during interviews because I had to explain my situation. My anxiety increased with every interview. Finally, I obtained an RX for propranolol which helped. Hang in there, and feel free to PM me as well.

Thanks for your suggestions. Did you mean report her to Twitter?