jdub6

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All Content by jdub6

  1. jdub6

    Nurse Sues for Lunch Breaks

    But failing to provide a break is not the same as deducting pay for a break that was actually not taken for an hourly employee. Many hospitals/ltc/whatever automatically deduct for breaks after...
  2. jdub6

    To Get A Sponsor or Not

    I also have found that a sponsor is usually not required in the actual contract. However many treatment providers, case managers and AA/NA members will say you are not compliant with a 12 step...
  3. jdub6

    Substances to avoid

    To the OP and those in that situation who are scared starting out this is the best i can say: First off if you have made it this far you have overcome a lot and likely have the grit to do this....
  4. jdub6

    Substances to avoid

    Although i didn't have a problem in close to six years, like the OP and several others i have seen literature on etg tests with positive results (not technically FALSE positive as the substance they...
  5. jdub6

    Nicotene test

    Not necessarily. I recently took one for pre employment in a hospital and they didn't tell me. I just happened to notice something about it in the directions for the lab tech. However, i believe...
  6. At least one or two states have tried random drug testing of welfare recipients under the thought that those who use drugs shouldn't get welfare and there is a strong public conception that many...
  7. jdub6

    Am I a bad nurse???

    You are a new nurse, but some of these mistakes could be bad for your career and cause bad outcomes. You are in a workplace with little or no formal education program, no nurse preceptor and...
  8. jdub6

    Getting your insurance to pay for drug tests

    My insurance refused to pay because they were ordered as a condition of employment and to prove compliance with a contract and not for any acute medical reason. It's worth a try-get the receipts and...
  9. I was able to get modifications- i had the narcotic restriction lifted 3 months early withletters of support from my treatment team basically saying my inability to get a job with that restriction (it...
  10. Agreed. The only thing i will say different is that i remember well being unemployed for months, interview after interview ending with no job...at that point I was desperate enough that i really...
  11. jdub6

    Conversing with parents in NICU

    OP, i feel for you! I started out in peds though not nicu and am kind and even funny but reserved . Know that this is a skill that comes with time in nursing in general. During my assessment if i...
  12. jdub6

    Tips?

    Someone recently posted on a thread to someone who got their first job in monitoring to be sure they found a 24 hour testing site in case they had to work late. That made me think of my own...
  13. jdub6

    Need to vent!

    I remember so many times feeling that the financial burden made recovery so much harder. I still feel that way sometimes. My monitoring was a five year contract but the actual contact was delayed so...
  14. RNdynamic the first two responses to RiskManagers quotes are contradictory- the first part of the sentence addresses substance abuse- you isolate that and state someone may have other issues- the rest...
  15. Also i know for a fact that HAVEN advises disclosing during the interview. I do know one person who did wait until the offer and she was hired by both LTC jobs she applied to but i know many who...
  16. Having direct experience with HAVEN i know that this is not true. First off the employer at a minimum is expected to file quarterly reports, yes, but that is not the end of their responsibility....
  17. jdub6

    Disrespectful patient

    This is a great response to the OP. As i said before i feel the OP and others in her situation is at a great disadvantage as more and more psych/ behavioral issues come to med surg floors but the...
  18. jdub6

    Disrespectful patient

    To be fair to the OP (and i agree this wasn't appropriate behavior on the part of the nurse) i have worked for 3 systems, none of which have provided any kind of psych training for inpatient med/ surg...
  19. Not to totally derail this thread but... Actually if you look at the literature there has been a huge renewed interest in Ketamine for conscious sedation in humans, especially in pre hospital and...
  20. jdub6

    Someone in my charts....

    When i was the senior staffperson on a small unit working with new or agency nurses i would often skin all the charts, just to make sure nothing is missed by someone who might not know all our...
  21. jdub6

    Why did they use the call bell?

    Oh lord. Well off the top of my head... 1. (18:45) pts daughter who is spending the night at bedside: "i wanted to let you know i think my dad will be needing a pain pill around 9." 2. (Also a...
  22. jdub6

    AMA discharges

    Just wondering what everyone's workplace policies are regarding AMA discharges- I'm wondering mostly about acute inpatients but also ED or SNF or psych. My hospital does not provide any...
  23. jdub6

    AMA discharges

    YES. This is what i mean. It feels like it would just be better for everyone to provide the best treatment for home and maybe or probably get better, than to give nothing and have them more than...
  24. jdub6

    AMA discharges

    I am not offended but no i have been a nurse in several settings for 10 years so i do not consider myself new. Nor am i naive to the reasons MANY of these pts leave. However i have known a few who...
  25. jdub6

    Nurses Who Smoke Marijuana

    No. I have lived in cities which have decriminalization mj. You got a 25$ fine for possession- much like a speeding ticket. No record unless you don't