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Bob Loblaw

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  1. Bob Loblaw

    Is it legal for your boss to dictate where you poop?

    I consider it part of the social contract to minimize ones unpleasantness upon others. It sounds like that workplace had workable solution to air quality issues. We all must work together and in a community one makes sacrifices to be accommodating. Yes America is home of the free but it is better to be polite. Wanton poopers, microwaving leftover fish dinner eaters, too much perfume wearers, stinky shoe wearers who leave their shoes in the locker room, poopers who leave residue on the bowl. Lets all think of those who we work with and be courteous. I did work with some one who would only poop at work "on company time". First 20 minutes of shift every day, like clockwork.
  2. Bob Loblaw

    Good online NP school for a non nursing bachelors degree

    At one time when I heard NP I knew it meant someone with several years RN experience that was on top of their game and went back to school. Now, not so much so especially with the direct entry programs. Someone I work with was stating there is someone in his NP that was direct entry and graduate @ 22 y/o with no previous experience. I got nothing against youth but if your going to work on me, you gotta have been around the block once or twice and seen some stuff. Schooling is one thing and experience something totally different. I'll take experience over schooling any day of the week. Don't get me going on the plethora of online only NP programs always attempting to be the shortest. When Medical schools are online only, then I'll by into NP schools being online only. NP's want to do what docs do, they gotta know what doc's know. My lawyer didn't go to online only school, neither did my account. I'm old school and simply not buying on-line only for truly important professions.
  3. Bob Loblaw

    this is why I want to call off on my last day

    I have found in life the best course is to always take the high road. Don't let them drag you down to their level or give them the satisfaction.
  4. Bob Loblaw

    Is leaving before hurricane abandonment?

    If they require critical staff to be there during a hurricane I make the assumption it is a hurricane proof (is there is such a thing) facility. If it is, they should allow critical staff to bring families in for shelter if they are unable to evacuate such as single parent, special needs family member etc. If it is not a hurricane proof facility it should have been already evacuated and is moot point. Sounds to me it is not the individual's failure to plan in this event more the facility's. Hurricanes and earthquakes different thing- its all about the timing and preparedness. My facility has volunteer list for disaster planning knowing their will be staff through no fault of their own unable to come in. It is unrealistic to ask people to abandon their own families in crisis if they are "jammed up" sure everyone should have some sort of plan but ask any general what happens to their perfect battle plan when the first bullet is fired.
  5. Bob Loblaw

    Re wrapping splints?

    My kid has been out of school for years but they had a policy- anything your kid has that the nurse needs to know about has to come with a note and instruction. They took the onus off the school nurse and put it back on the parents where it belongs.
  6. Bob Loblaw

    Leaving nursing job after 2 months

    I guess it depends on where you live. RN's where I work will leave during orientation as they have already gotten another job. Doesn't matter new grad or seasoned hand. If you stay 2 years 10k bonus. I can leave today and next week get a better job. Everything is supply and demand. There's someone orientating now and its here 4th job from graduating a little over a year ago- each one pays more.
  7. Best Jobs for the Future 2
  8. Bob Loblaw

    Leaving nursing job after 2 months

    I would set up an appointment with the manager of the research job to see if you even meet their requirements. If you do and its something you want to do and in the same facility speak with your manager and HR. The facility wont be loosing out on your orientation in you if its the same company. But its best for you and your PT's if your heart really isn't in it to move on. Sometimes things don't work out- that's life. We have people that don't complete orientation many times "its not what i thought it was going to be"
  9. Bob Loblaw

    Travel nurse without the travel?

    The only way I know to pay the right amount of taxes if for them to prove to me I owe more. There are tax friendly states and there are tax unfriendly states, whatever anyone decides to do is their own business, not yours. I'm not going to get into an argument about taxes, its like politics and religion, sounds like you like paying taxes and I don't. I'm still waiting for the President to release his taxes and to find out which state he is a tax resident of NY and NYC or FL (tax free). I remember George Busch SR had a tax address of an empty lot in TX (tax free) while he basically lived in ME (tax brutal)- that's right I forgot that's just a loop hole, that's acceptable.
  10. Bob Loblaw

    Travel nurse without the travel?

    As with all things in life let your conscience be your guide. The difference between working people and rich people is, working people are taught they need to pay taxes, the rich are taught you don't need to pay taxes. Don't use a mailbox forwarding company in tax free states because they are always on the IRS list for suspect addresses.
  11. Bob Loblaw

    Time to remove the "nurse" in APN?

    Below quoted from another post on this site. I believe the concern is a race to the easiest and fastest, but title of this thread is: should nurse be removed from NP. If there are NP's that don't need nursing experience, don't do what nurses do, and some provided evidence based information that actually experienced RN's are sub-par to non-experienced when it comes to NP then maybe its time. In my book to be a duck you have to look like a duck, sound like a duck and act like a duck, if you don't you're a bird of a different feather. Take an MD or DO license- everyone knows exactly what it takes to get those- there is standardization. I have yet to see an online medical school, if its good enough for NP's it should be good enough for doc's, yes? I've been at work with people using notes, books, asking the doc, and the internet to take NP exams at online schools. What I do know about life is all will be judged by the weakest link of the chain. NP's from all-online schools will be held equal to those of Ivy league schools- right, wrong, or indifferent This is a story about how I got accepted to a big name online for-profit: A phone number kept calling me incessantly for weeks... I finally answered, prepared for my usual, "I'm on the no-call list so please remove me from your call list." It was a rep from some school I hadn't heard of, but apparently I'd filled out some webform. Had I? OK... "are you good to go in my state? Well, I'm not interested but... OK I'll look at your application." I'd filled out the whole application in about 10 minutes while on the phone with the rep with 6 questions: "Where do I submit my references information?" "Where do I submit my CV?" "Transcripts?" "What are the application essay guidelines?" "What is the interview like?" "Is there an application fee?" The answers were: "we don't need references, no CV, only transcripts for your BSN (not the other 5 schools), no essay, no interview, no fees." I almost asked if they were a real school or if this was some kind of joke, but I played along because I was thoroughly amused. I sent one transcript, worth $5 for my amusement. Then I hit the internet to learn about this school. I learned the school is a for-profit. Oh..... now it makes sense! I learned Walden doesn't have a physical campus, only office buildings that house the servers, executives, and recruiters (aka admissions advisors). Perusing threads on this forum only darkened the reputation. Yet, they are accredited by HLC and CCNE. 36 hours later I received my acceptance email. I declined. The admissions advisor started leaving me voicemails implying I must have clicked on the wrong button... I could still change my mind. I wrote him an email politely informing him I'd declined. He left me another voicemail that was distinctly aggravated. I'm not opposed to the idea of online programs, but there have to be standards because a profession is perceived and regulated by its lowest common denominator. This selection process for lowest common denominator in NP education is a joke. No entry standards lets in good students too, but don't filter the subpar. It implies the standards once in the program won't be high either. The bar for admission should be higher than a RN license, a pulse, and the ability to sign off on student loans. This is a story about how I got accepted to a big name online for-profit: A phone number kept calling me incessantly for weeks... I finally answered, prepared for my usual, "I'm on the no-call list so please remove me from your call list." It was a rep from some school I hadn't heard of, but apparently I'd filled out some webform. Had I? OK... "are you good to go in my state? Well, I'm not interested but... OK I'll look at your application." I'd filled out the whole application in about 10 minutes while on the phone with the rep with 6 questions: "Where do I submit my references information?" "Where do I submit my CV?" "Transcripts?" "What are the application essay guidelines?" "What is the interview like?" "Is there an application fee?" The answers were: "we don't need references, no CV, only transcripts for your BSN (not the other 5 schools), no essay, no interview, no fees." I almost asked if they were a real school or if this was some kind of joke, but I played along because I was thoroughly amused. I sent one transcript, worth $5 for my amusement. Then I hit the internet to learn about this school. I learned the school is a for-profit. Oh..... now it makes sense! I learned Walden doesn't have a physical campus, only office buildings that house the servers, executives, and recruiters (aka admissions advisors). Perusing threads on this forum only darkened the reputation. Yet, they are accredited by HLC and CCNE. 36 hours later I received my acceptance email. I declined. The admissions advisor started leaving me voicemails implying I must have clicked on the wrong button... I could still change my mind. I wrote him an email politely informing him I'd declined. He left me another voicemail that was distinctly aggravated. I'm not opposed to the idea of online programs, but there have to be standards because a profession is perceived and regulated by its lowest common denominator. This selection process for lowest common denominator in NP education is a joke. No entry standards lets in good students too, but don't filter the subpar. It implies the standards once in the program won't be high either. The bar for admission should be higher than a RN license, a pulse, and the ability to sign off on student loans.
  12. There are also Associate Degree PA programs and online ADN to FNP programs. Is there actually a baseline educational limit? Or is a race to the shortest? What I know about practitioners, no matter what they dangle behind their name: word of mouth reputation, but I'm in the profession- I know who I would want to work on me and mine and who I wouldn't. If you were a regular Joe Bloe on the street sounds like a crapshoot. "I do feel, too, that NP education should be purged from excessive amount of nursing theory, "role development", paper writing and other fluff and get a hefty additional amount of clinical knowledge." I feel this way about RN school also. 60 page care plans are a thing of the past. Nursing diagnosis-what? Call a diabetic a diabetic- even though that is a medical diagnosis.
  13. Bob Loblaw

    Time to remove the "nurse" in APN?

    This is how I look at it: 1. NP's use medical diagnoses, not nursing diagnoses that take 20 different ways and paragraphs ( ie failure to... or inablity to..) to say the patient is a diabetic. 2. They sign birth and death certificates 3. I have never heard a hospitalist NP or service on-call NP say, wait till I check with a doc- they give medical orders 4. They prescribe medications and perform medical procedures 5. They act independently and open their own practice 6. They can admit patients to hospitals 7. They do doc to doc reports- they don't call to do a nurse to nurse It all came to me one day when a direct entry NP student was doing some required RN clinical time, she was appreciative but wasn't really interested because- guess, come on, you know what she said: "if I wanted to be a nurse I would have gone to nursing school." Maybe NP's will end up with their own hospitals like DO's before they were embraced by MD's as equals. I am wondering if hospitals charge less if they are cared for by an NP than a doc? So somewhere along the line NP's branched into there own thing, which I believe is much more in common than different with medicine than nursing
  14. Bob Loblaw

    EKG Resources

    Everyone in the medical field has some paramedic friends. I'd hook up with them- some of em are brilliant with quick accurate interpretation. One of the local FD's has a class for medics and they invite us ED Rn's to go. The small nuances they go over is well worth the time. Each dept, or station depending on the size, has 1 EKG guru that is always spot on and I have never found one that wasn't enthused about helping others.
  15. Bob Loblaw

    Time to remove the "nurse" in APN?

    I just copied this from another posting.... Hello all, I was hoping someone had some good suggestions for EKG resources??? I will be starting my first NP job in a few months, which is a Cardiology clinic position. My program did not require me to learn how to read EKG. I have a few mo months so I am wanting to prepare. I have ACLS and i have taken an arrhythmia course in the past, so I have basic understanding of some things; however, i want to be more prepared than what i feel now, Thanks!
  16. Bob Loblaw

    Time to remove the "nurse" in APN?

    Direct entry NP with no previous experience. True online programs that only require a 2 week campus visit. They all meet the NP requirements. I work with one RN graduating from NP school and she has a 22 y/o in her class that had no previous experience who will be out in the world this semester. I got an email the other day- some site must have sold my address, not sayin nothin- online only ADN to NP without having to stop @ BSN and collect $200. I honestly don't know why anyone would go to RN school anymore. There are Associate Degree PA schools in FL (it was located in my "medical campus" was how I know)- when I tell PA's that they tell me I'm full of crap and must be MA or some-other eieio alphabet medical profession. We go to the website and they are shocked they spent so much time and money when 2 years is all you need to be a PA. The problem with PA's is there is no national standard- EMS addressed that problem by National Registry, if you want to be NR you have to do approved course and CEH hours to renew. Its always up to the state you live in to license you but more and more states and employers are deferring to NR. NR also makes it soooo much easier to receive reciprocity if you move.