nursesunny

Hi there! I have been a licensed and practicing NP in California since 2021. I worked full time as well as part time at a telehealth agency (student loans are a killer!) but because of that I have met the 4600 hour requirement to apply for my NP 103 in California to practice in a setting with at least one physician. When I tried to apply I got an error that says I might have a similar application open, my license may be delinquent or canceled (none of that is true). In the language it says 3 years of full time practice OR 4600 hours. Has anyone else had this happen? I am thinking it is because I haven't been licensed for 3 years yet but that shouldn't matter since I have met the requirement. It doesn't say and, it specifically says or... Thanks in advance for any input! FYI, I have contacted the board but no response as of yet. error message copied and pasted below Error § "You are unable to proceed with this application at this time. This may be due to one of the following reasons: 1.A similar open application exists. 2.The license is cancelled. 3.The license is delinquent. Please contact the Board if you received this message in error. The information for your board can be found at http://www.dca.ca.gov/about_dca/entities.shtml."

I think nurses need the same recovery and/or quarantine times as everyone else. I understand that there is need but running me ragged post exposure is going to impact my ability to fight off the virus and will also make me more ill over the long term (if I do contract the virus). I don't know why everyone's health is a priority EXCEPT nurses' health. Reminds me of when I was having my last baby and had questions asked of me about what should be done on the floor I worked on (what would you do with mr. X, where do we keep the extra whatever).

And then there are the mutations...."sure it will work....we think"

Thank you for your input.

ok, I am asking because we have a disciplinary process at my place of employment as the director of nursing I report to the Chief Nurse Executive. We (CNE and myself) have made some clinical judgment calls regarding discipline, training, or need for improvement in emergency response which an HR representative is now stating (and it is also in policy) that we need to bring poor performance to the CEO who will then determine the level of disciplinary action (or lack thereof). The issue is these are clinical encounters and the nuances of patient care don't always translate well...Also...the CEO hates nursing and did a huge project on reducing nursing overtime, so any chance she gets she throws nursing under the bus and my nurses with it. I am asking for legal precedent so I can go into the meeting armed with actual facts and deter this line of future second guessing of every move I make. She is new and will likely be here just a short time but in the meanwhile my nurses are getting hammered by someone who has no ability to make clinical judgment but in our policy it states it is her right to do so. We have a CNE and CME but the opinion of the CNE is not being considered and is being consistently overridden.

I have a question. I practice in CA and have a new CEO (business degree) I am wondering how much clinical decision making this CEO should or shouldn't have with regard to nursing actions. Is there a legal requirement for clinical oversight to be from nursing? I am having issues with a HR person wanting me to have the CEO make decisions on if/when nursing practice was acceptable. thank you in advance for any help.

I don't care one bit. Innocent or guilty doesn't impact my ability or will to participate in healing. I am not invested in the punishment aspect of prison because that isn't my job it is the job of the court. I know the care exceeds what is available to the community 100%.....because I moonlight there so am well aware of the disparity of care

I second this 1000 times....

If I don't have an order for 1mg, I can't give 1mg....

The question for me is the time. If you are required to contract for 2 years in your current offers I would decline. You don't want to feel you are stuck in something you don't love as your very first job. Yes, compromise is important, but when you have an opportunity to shoot for the stars and you let it pass you by for ease you will always wonder "what if" and it will tarnish your appreciation of your current job offers (even if they are great you won't see it). Instead take a job with no commitment and wait it out....that is what I would do, but you should take that advice with a grain of salt.

Don't even get me started on free lunches in the cafeteria to the doctors making $300K+/yr and housekeeping staff paying $10 for a sandwich....

Actually "Racial discrimination occurs when an individual is subjected to unequal treatment because of their actual or perceived race." Which is not specific to minority individuals as your introduction states. I just thought I would correct this since anyone can be subject to racial discrimination. Most legal protections are specific to protected groups but that does not always mean discrimination is limited based on this factor. Racial Discrimination - FindLaw

Some places make the manager interview X number of qualified candidates before he/she can officially offer the position to someone they already know they want to hire (CNA who went to RN school who already works there, etc.). I know I drove 10 hours...yes, you read that right, to interview for a position (couldn't get a flight with times that worked with my job and the interview) I later learned was already promised to another nurse. The CEO and CNE looked bored during my interview, it was awful.

I was a 1st Lt in the USAF going to my new squadron for my first official day after my initial basic officer training. My radio alarm clock went off and they were broadcasting about the first tower, the second hadn't been hit yet. I sat on my couch preparing to start a career I would literally risk my life for and watched as the second plane hit and thought. Day 1 and already in the midst of a new war. I wasn't a nurse then...it was surreal.

Interesting question. I actually had a very different, and not so different, conversation with a coworker. She informed me that black patients prefer black nursing staff "there is just stuff they understand about me that "other people" wouldn't." While I took her at her word I wondered about the reception for such requests and if they would be honored or even considered valid if it came from a white patient. Now, she didn't report her views as racist but there was a clear preference for a certain race, feeling the care provided would be superior based simply on race alone, supposing there would be a similarity of circumstance or experience. I wasn't offended but it is irritating to know that despite your best efforts you will never "measure up" because you don't share a skin color. Before anyone goes saying "now you know how it feels" ummmm...I went to high school on a native american reservation...I am pretty sure I know what it is like to be in the minority, treated as an outsider, judged by the color of my skin, etc.

"I have the bag of sand, quickly open the door and I will exchange the bag for the golden idol. You with me Indy?" "No way man, no crummy gift shop credit is worth this."

You are a new grad and will learn more in the maximum security prison...Hands down...

Although the job protection goes two ways...you also have to work with people the prison can't fire who would have been gone a long time ago in the private sector...I totally second the no call off thing...When I worked ICU we got called off all of the time, now I know my vacation hours will really be vacation!!!! YAY

"After I obtain my BSN, is there any doctorate or masters program where I would benefit from the experience of government nursing/correctional nursing?" Well...any experience is useful in rounding you out as a nurse...nothing specific to corrections although my PMHNP studies are highly relevant. "Those of you with experience who have been doing this for a long time, where has correctional nursing or government nursing led you?" I have wonderful opportunities and love my job. My team provides medical support for CA inmates fighting wildfires. I have job offers regularly but that is in part because I maintain per diem work at an acute care hospital. "What doors has it opened for you, compared to acute care, critical care, or bedside nursing?" I was the ADA at Kaiser's mental health in downtown LA for a while but went back to prison nursing because the retirement is better, less demanding, less stress, higher income....etc. Nice thing is I have 4 job offers as a mental health provider once my PMHNP and certs are complete, mostly through my state work. "I know some graduate nursing programs require a certain number of med-surg experience, and I suppose that correctional nursing doesn't count in that regard." Don't sell correctional nursing short. I worked at a maximum security prison where I regularly responded to overdoses, stabbings, cardioverted a patient in our triage and treatment area (with a physician of course) IV insertion, IV medication administration, mental health crisis intervention, primary care, telemedicine...make the most of your chosen career and people will see it in your diversity of experience.

LOL...marijuana smells AWFUL and comes out through a users pores for a long time so I think noting smell as an issue with tobacco is funny...I don't smoke either MJ or cigarettes, I just got a laugh out of it.

Hmmmm...no individual needs a gun? When I call for help because a homeless guy says "how about I break in your house @##!$" and it takes the Sheriff 7 hours to get to my house I feel like I need a gun. When 17 teens try to stop my car as I drive down a residential street with my 5 year old in the car, I feel like I need a gun, when I work in mental health and prison and need to provide for the safety of my family again....I feel like having a gun makes us safer. Am I scared? Nope because I have a Mastiff and a shotgun. I learned gun safety in the service and am a responsible person but we are letting all of our criminals out of jail due to overcrowding and with the abysmal response time and really lackadaisical attitude of the law enforcement in my area (lady assaulted getting gas blocks from me yesterday, man shot to death while working at the grocery store a few weeks ago just blocks away, jewelry store said guy was smashing cabinets and locked inside by security system took cops 1. hours to arrive) I feel better protecting my family myself...you want to make AR15s illegal...fine by me...want to make it harder to get a gun....no problem but try and take it all together, you better step up your empowerment of police and their accountability for my safety.

hahahaha.....Sorry...my patients come in filthy, not always because of homelessness but many are placed on psychiatric hold because they are gravely disabled. I can't imagine the other patients having to endure the smells that would be present if we didn't wash the clothes, but because of the length of stay, outdoor time, and need to attend groups, I think street clothes are the right choice.

As seen in the movie "Alien" Ronald's acidic spit eroded his hands to nubs....Annette, stood completely still hoping, like the tyrannosaurus rex, Ronald's vision was based on movement. If she had just remembered to put out the goat none of this would be happening!!!

Nope this isn't PRN or Per Diem....this is on call. Where I work I get $7/hr to be on call if I am called in or not so a little kiss for the inconvenience but to get paid nothing?? No thanks.