Lunah

As long as you are working in Alabama and/or Texas with a compact license from another state, yes - no issues. If you are trying to endorse a license from another state into Alabama or Texas, then your RN education at Excelsior will come under the same scrutiny anyway - it doesn't matter if you are endorsing a compact license or not, you still have to meet the state's requirements for licensure to obtain a license in that state.

You should consult your attorney, we can't give you legal advice. TAANA is a nurse-attorney organization that may be of use to you. Things like this can definitely impact your license, I don't have personal experience to share but I know friends who have both kept their license and who have lost licenses in neighboring states from you under similar circumstances. Best of luck!

Definitely run this by your management - they should be able to speak to the particulars of your role. However, in appeals we could always refer to clinical guidelines or standards of care where treatments were concerned.

Clarify with your employer if your role is considered "patient facing" or not. But really, I would bet your role is not patient facing and you probably only need a license in your state of residence. You could also run this past the Texas BON.

I just loved her spirit. ? I was so glad to have met her here and carried that on to Facebook too. I am going to miss her wit and wisdom!

Clinical documentation integrity.

I just started a CDI position with a hospital. Hiring managers in CDI typically look for at least 5 years of experience in the acute care setting, but that is not written in stone. I have more than 11 years of ED/trauma and almost 5 years in clinical appeals. Very excited about this role! I would encourage you to apply even if you don't meet all the requirements. Hospitals hiring for CDI tend to provide thorough training to those without CDI experience. Good luck!

I did an ED nursing fellowship at a level 1 in our hospital system when I was a new nurse in 2008. We used online learning modules from from the Emergency Nurses Associatiation (ENA) and also had classroom training with the hospital and specialty educators. I would look at some of the CCRN prep courses and online leaning from critical care nursing professional bodies - they likely have things you can adapt, no need to reinvent the wheel!

OP, then this is where you should remain for now - at the bedside, honing your RN skills. I am sure as a longtime CNA in the same facility you would do much better in the ADON role than a new grad who just walked into the place for the first time six months ago, but you'd be doing yourself a disservice to take on the administrative role at this point.

I thought the same thing! LOL

Well I don't work triage (not since the ER, anyway), but I have been working from home since 2019. My tips are: have a separate workspace. Leave that workspace when you are done with work and don't return to it until it's time to work again. (I realize this is dependent on the size of your home.) Take your breaks - and get away from the computer during them. Set alarms to remind yourself to stand and stretch. If you can get a sit-to-stand desk, even better. Set boundaries with friends and family to maintain your workspace/time integrity. Just because you are home doesn't mean you aren't working! I also make it a habit to shower daily and get dressed in clean clothes. I know that sounds obvious, but people tend to let things slide. ? I do sometimes just put on fresh jammies after I shower as my work clothing, but hey! LOL.

Wow. That is... weird.

Are you saying that you have not reported this to the board yet? I think these are typically case by case, and it's just going to depend on your BON and situation. I think you might want to check with your school because there could be issues with where you are supposed to be doing clinicals - they usually do a background check for clinicals, and this could be a hiccup before you even get to the point of NCLEX application. Are you up for license renewal? You may want to check out TAANA dot org and find a nurse attorney, or at least an attorney who has experience with BONs. It sounds like you are doing all the right things. Good luck!!

I am so sorry for your loss. I have heard that NSAIDs can cause false positives on urine drug screens, but I am not sure about oral swabs. But I would advise you to read your student handbook as it might have information on what to expect for next steps. Best of luck to you!

Don't forget to see if your employer provides tuition reimbursement, and what the stipulations are for using it. Some schools also provide discounts for nurses employed at certain facilities or healthcare systems, too. Good luck!!

You must have some degree as you are a commissioned officer. What is your degree in? You cannot "switch out" if you are not a nurse - you can only branch transfer (potentially, and based on recruiting mission) if you are an RN with a BSN. Nursing school is usually a full-time endeavor. My advice would be to work on any science pre-reqs while you serve out your contract, then use your GI Bill for nursing school when your current ADSO is complete. There are also ROTC programs that can help pave your way back in, but it all depends on the nurse corps numbers/need at the time. Good luck!

I think I did, but that was like 15 years ago, LOL. But I taught in this program as well, and I had students who went on vacation. I would recommend reaching out to your professor, but I am pretty sure the policy remains that assignments and posts can only be submitted for full credit the actual week that they are due. I would just work ahead and have whatever is due that week prepped and ready to post or submit prior to your vacation, then submit it as soon as possible for the week - I am sure you will have internet available in Iceland at some point. I think one week is totally doable. Good luck!

If I recall correctly, this has to be coordinated through the GBON. Have you contacted them?

My escape country is New Zealand. ? Or Spain, I can actually become a citizen due to my heritage - I just have to learn Spanish. Haha. We somehow keep ending up in states so red they are maroon! The next move in 2025 will be our choice instead of directed by the physician match process. ?

You're not wrong. Back in the 90s when I was very active in the pagan community, there were some folks we called "fundamentapagans." They were so over the top!

https://www.excelsior.edu/costs-and-financing/

Possibly. And if the in-utero death wasn't apparent until heading for an emergent c-section, those are often done under general anesthesia. This whole thing is just heartbreaking.

The hospital claims that the baby died in utero before the decapitation. The whole thing is just so horrific. ? https://www.nbcnews.com/news/nbcblk/doctors-weigh-georgia-couples-baby-decapitation-rcna99869

It's a military ED. Whole 'nother ball of wax. You don't even have to see people who aren't beneficiaries after those patients receive an MSE, you can just show them the door if they don't have TRICARE. A lot of bases are closed (after a fashion) and ERs won't even receive patients not affiliated with the military. Every now and then you might get an on-base contractor or AAFES employee who gets injured on post, but otherwise, it's pretty run-of-the-mill stuff. OP, I wouldn't be comfortable with no lab services if you didn't have access to at least a couple of units of uncrossmatched blood in the ED. That with some iSTATs would probably be okay - worked fine in Afghanistan. We were the lab and the x-ray techs and the pharmacists too. LOL.

I hated it when we sent people home due to low census. My philosophy was always to staff at a certain minimum and just accept it if things got "q word" for a bit. Because sending people home early always brings the pain.