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Years in Healthcare

  1. Hello I have been having an issue with nursa app. It keeps loading, but wont allow me to login everytime I opened the app. It work just fine when you use a browser or desktop. Anyone also have the same issue too?
  2. So I had a shift recently at a facility that had about 5 COVID residents. Myself and another girl also from NURSA were assigned to those rooms. Not a big deal I’ve been caring for COVID patients/residents since it started. One of those residents had pressed their call light. So I asked the girl if she could come help me. She said yes and we proceeded to get all the PPE on. She however did not put the n95 or face shield on. We entered the room the resident stated that she wants everybody to be wearing the n95 and face shield. Which shouldn’t be an issue. This girl began stating well it’s fine than almost started to argue with the resident stating well I think it’s should be my choice. Me being anti conflict tried to offer going out to get her the necessary items. A which point she said well I will just leave than and proceeded to rip of the gown and leave meanwhile the resident began crying out of frustration. Now isn’t it protocol we follow what the facility rules are for a COVID outbreak? This has really been bothering me that someone could act like that and be a CNA caring for residents.
  3. Hosted by Krishna Floisand, Community Manager Check out this week's Q&A session hosted by Krishna Floisand, Community Manager. Addressing questions and concerns from users in regard to the scope of practice for RNs and LPNs, hospital shift opportunities, drug screen requirements, payment processing, shift availability, and the use of the community platform for user interaction and support. Browse through the questions and transcript below. Have feedback on this session? Want to suggest future group coaching topics? Let us know! Questions Answered Q1: Can I pick up LPN shifts as an RN? Q2: How can I pick up hospital shifts? Q3: Why don't I get shifts when trying to pick up? Q4: Does Nursa Upload my Background Check? Q5: Can I use my patient care technician certificate certification to work as a nursing assistant? Q6: Will I get a paper check for my first check or will it be sent to my direct deposit information submitted? Q7: When and how often will I get paid for my shifts? Q8: Why can I only see certain shifts by friends see more, am I blacklisted? Q9: What is in the Community? Transcript Welcome back to this week's weekly Q&A. We got some good questions here, but before we jump into it, my name is Krishna. I work here at our Nursa HQ as our Community Manager. I manage our community platform at communitynurse.com. And I also am working to, as our community efforts are relatively new, I'm looking to kind of how we can best engage with our clinicians to learn to help each other learn like what resources are needed, how can we facilitate, you guys connect with each other and learning from each other there, especially as we grow to now more than 20 states. So getting big, and who better to share their knowledge than you guys? So I'm gonna be going through and answering a few of the questions we got here. If you have any comments or questions or further questions or if I didn't specify enough, please feel free to comment below. I'll post this replay in the community later and I'll send it out. 1️⃣ [00:01:12] Alright, so I've got a few questions here, and I'll, I'll just go ahead and get started. One question I've seen is "Why has Nursa stopped RNs from picking up LPN shifts yet it's in our scope of practice, unlike vice versa, it's rare to find RN shifts posted here in Arizona. Very rare. I wish you could revisit that policy. Whoever picks first and is given a shift takes it as long as everyone remains in their scope of practice." So this is a lot to kind of unpack here because it does vary state by state, right? Scope of practice. But generally speaking, an LPN license is gonna be, that scope of practice is within the larger RN scope of practice. This not wrong in saying this is common knowledge and in the app there's been an update because there was issues with people being able to request shifts that they weren't qualified for. So there's been further restrictions on who can request certain shifts. So like you have to request the shift that your license is uploaded for. So if you have an LPN license feel free to upload it and now you will be able to request RN and LPN shifts in there. So you're only able to request what you have a license uploaded for RN. You still may be able to see it within the app and this is a recent change that now you can't request those shifts that you're seeing there. And so if you want to work these shifts, you're definitely able to contact the facility and let them know that you're available for that shift. 2️⃣ [00:03:25] Okay, the next question I have, we actually have quite a few questions about hospital shifts. So we have more and more coming, especially across a few different states, but primarily right now in Utah and Colorado. So right now in Utah, it looks like we have PICU and pediatrics specialties in there, and in Colorado, we have ICU Med Surg ER, although I believe ICU has been filled. But some are in more need of Med Surg and ER needs in Colorado. And these are open to RNs and CNAs there. The only thing with the hospital shifts is you do need a lot of recent experience and is kind of more of an onboarding experience than for the regular long-term shift. For long-term care shifts you can just upload your license and a few credentials and you're good to go to pick up a shift, I mean that evening. Whereas when it comes to the hospital shifts, there's a little bit more, some more requirements that we do require a view and some more extensive experience there. I know someone was asking about OR circulator per diem shifts currently we do not have them right now, but we are looking to expand what we offer when it comes to hospital shifts. If you are interested in those like let us know. I can, I'll probably drop the hospital information below if you're interested in learning about those hospital shifts in Colorado or Utah right now. And Utah I believe it's just RNs and Colorado is CNAs and RNs who are able to pick up hospital shifts. Pick Up Hospital Shifts 3️⃣ [00:05:40] Another question, "Why don't I get shifts when I pick up?" I always get answers like sorry this shift was picked up by someone else or answers like that. It really comes down to the fact that we have a lot of people that really want to work on apps like this, which is great, that's great for us, that's great news. But then it comes down to we have the clinicians but the facility sometimes and in the climate right now. So we need to grow our facility base now that we have our clinician base. When it comes to facilities, a lot of times depending on the market, some of the new places haven't even heard of us. So them understanding what our product is and how it works, that is a task in of itself there. So that's when we kind of rely on some of our clinicians on the ground to kind of get our name out there to recommend us. There are also some other markets where people are trying to move away from using contractors or per diem. They're trying to hire on to be fully staffed with W2 right there. So they could be worried about getting fully staffed maybe they haven't heard of us or it can also come down to clinician quality. Maybe they have like a really poor experience with a clinician from an agency or a platform like ours and are turned off by the idea or leadership is telling them to get the agency PRN worker contractors out of their building. So we're really working hard in these communities to kind of build up a positive, you know, awareness of our brand of what we offer, you know like those last term shifts or those last-minute shifts and kind of building a good brand, you know, building up the clinician quality, building up the reliability of clinicians and also building up the reliability of the facilities, right? Making sure that they're communicating what's expected on a shift. Making sure they're posting shifts, they know how to work through the app, they know how to complete shift reports on time, and they know how to do certain things. So it's also a matter of training the staff to use the app and to use the app in the best way so that it creates a better experience for everyone, right? 4️⃣ [00:09:21] And if this is for a specific area, I'd love to know what specific areas, but "how do I put my drug screen on my profile and do you order it for us?" So yes and no, this is kind of a two-part question because I wasn't sure on the state or type of shifts. So if you're going through the process of becoming of working shifts at a hospital, so those Intermountain the Colorado hospital shifts, yes we process it and upload it. In Illinois, we do the PPN drug screen for you and upload it because we can verify it and we can upload it to your profile. So if you're doing hospital or PPN shifts, then yes, if you're going through that process we do put your screen on your drug screen on your profile and upload it for you. However, if you're in those other areas of long-term care, so not in Illinois, not hospital, we do not, there's not currently a process that we are able to upload outside drug screen to your profile because we currently don't have a third party that will run and do these drug screens. If a facility does request it, because it does happen sometimes you would have to complete it independently and be in charge of making sure that emailing it to that facility and saying like yes I do have my drug screen, I can just email it to you, here are my results. So there's a lot of things around drug screens as they're becoming a little more, they're becoming a bigger part of the conversation now so and more to come on like different kind of credentials and things like that. So this is a good question. So if you work hospital or PPN, yes we order it and put it on your profile. So if you have any questions about that, please contact our support team or your contacts there if you are working with someone from the hospital staff or someone from Chicago. 5️⃣ [00:11:55] Another question is "Can I use my patient care technician certificate certification to work as a nursing assistant?" And so this is kind of going off the LPN/RN question as well. Currently, the app does not support the PCT certifications right now there is some talk of potentially having that right now. But currently, we have RN, LPN, CNA, Caregivers in certain states, and QMAPs in certain states and I know there's also talk of med techs in a bunch of certain states being moved up from credentials to a license on the healthcare license section. So currently those are the ones that are kinda mainly in the conversation right now. We were curious we had someone who was curious if the individual who asked this question was interested in dialysis patient care technician shifts. One of our area managers has the experience and he'd like to talk about that a little bit more, especially in his area. So if you're the person who asked this question we'd love to chat a little bit more about that and learn about what your experience has been and potentially what it could be. 6️⃣ [00:13:27] Let's see, next question. Will I get a paper check for my first check or will it be sent to my direct deposit information submitted? So as long as you, so you will not get a paper check, it will be going to the direct deposit information that you set up in your wallet section. So you'll just click on that menu in the top left corner and like, and it'll go down to wallet, click into the wallet and make sure that all your direct deposit tax information is completed and make sure wallet information is up to date. I would even complete this before you even start requesting shifts just to make sure that you're getting all the information in there and you're being paid on your own time because if your wallet and information aren't in there or it's incorrect, that will definitely delay your payments. Okay, I think we have another question about payments. 7️⃣ [00:14:16] It was asking about once we work, when would we get paid? So currently right now we're, since we're still new, this is kind of a question, it's an evolving question right now. So right now we pay twice weekly and we're working towards faster payment methods. Some people may already be experiencing this with some of our Nursa Direct things but how it works right now is it really depends on when the shift reports are completed. So there's this cool that I'll throw it down to below this question, but we have like one that's a pay schedule. I know this little chart can be kind of annoying but it just helps you to know when you be getting paid depending on when your shift reports have been completed. So for example, let's say you worked a shift Saturday, okay? And then both shift reports were done by Sunday night before midnight at 2359. Nursa would process that payment on Monday and you'd get paid and it would be processed to your bank however long it takes you to get processed to your bank. So probably by Wednesday, it would get processed to your bank if, your shift reports are done before Monday at 2359. So Monday at midnight the process. So then that shifts down to now the nurse will process those payments Wednesday and then you'd get 'em to your bank Friday and the same thing is done if it's verified by Tuesday at midnight and then it will change when it goes to Wednesday. We only process payments Monday and Wednesday so you miss the Wednesday one. So it's gonna be processed the following Monday and it will get posted to your bank Wednesday. So Thursday, same thing Thursday, Friday, Saturday, same thing. As long as the shift reports were done by Saturday at midnight it would get processed that next Monday and then posted to your bank Wednesday. It's kind of confusing. I know and you know we've had a lot of different kinds of feedback on the twice versus the once weekly pay but hopefully, we can have some good faster options that are coming to you soon there and if, and see the link below if you do have any more questions on that. Okay, let's see. Yours and Facility’s Shift Reports Completed by Nursa Processes Payment Posted to Your Bank by Sunday by 23:59 Monday Wednesday Monday by 23:59 Wednesday Friday Tuesday by 23:59 Wednesday Friday Wednesday by 23:59 Monday (following) Wednesday (following) Thursday by 23:59 Monday Wednesday Friday by 23:59 Monday Wednesday Saturday by 23:59 Monday Wednesday 8️⃣ [00:16:57] Once someone's asked why can I only see certain shifts by friends see more, am I blacklisted? For this question I'd love to know more about maybe the location or the person I, it would be would have to be look into their account specifically. But it also is how the algorithm works. Maybe you've worked different shifts than your friends have worked, so maybe they're not, they're not able, you guys, the algorithm's just feeding you different kinds of shifts too. Maybe it's, depending on where you're at, there's a lot of factors that the algorithm takes into account that may change, right? What's shown to you versus not. You can also do try the shift share button option. If you go to the shift and scroll down, there's like the shift share option and seeing if you're able to pull it up. I mean because there is the possibility that they can remove, they can block the clinician from seeing shifts from their facility. So if you feel like this is the case potentially, but it usually is only happening in super dire cases. And then also you know, unfortunately is the importance of having a good experience or leaving of being a good experience. Having a good experience at a facility. So that would be the only really way that they would you, they would not be able to see that shift is if they did remove you from being able to see shifts from their facility or request or remove that. But that's really more a case by case basis there. If you're concerned about that, like please call in and we can maybe give you some more information there. 9️⃣ [00:19:11] Alright, let's check if there are any more questions. I think we've covered most of them for this week. But I really wanted to take a moment to walk you through our community platform and show you what's inside, what it's all about, and how we plan to use it moving forward. So, let's see if I can share my screen here. There we go! Now you should be able to see the community platform. It's a pretty neat place. You can do quite a few things here. If you're part of the community, don't hesitate to ask questions, interact with your fellow clinicians, and make connections. I'll be here every week to respond to your queries. You can also explore different topics, search for specific ones, and find community members to connect with. Feel free to send messages to other members if you want to discuss shifts or have questions about the app. This community is all about bringing you together, helping you learn from each other, and growing together. There are loads of topics with valuable information, and I'll be diving in more and more to engage with you all. We're planning some exciting things for the community as it continues to evolve, so stay tuned! If you have more questions or if there's anything specific you'd like to know, just drop it here, and I'll do my best to provide you with the answers you need. Portland Facebook Group (expanding to Pacific Northwest Clinicians) Illinois Facebook Group Interested in helping create your own local group? Interest Form
  4. 🤝 The goal of our community standards is to uphold a safe, professional, and productive space. PRN Nursing can be tough, so let's make it a little easier together. 💜 Constructive Engagement We all have our opinions, and we certainly don’t need to agree on everything. Make sure you’re adding to a conversation constructively and promoting a culture of grace and gratitude. 💜 No Promotions, spamming, or soliciting Maintain an ad-free environment; Steer clear of promotions and spam. We also ask that support discussions belong in designated support channels. 💜 Prioritize Privacy Protect your and others' identities; refrain from sharing identifying information and business information beyond the community. 💜 Support your perspective If expressing an opinion, acknowledge it as such. For factual claims, referencing reliable sources is appreciated. A few tips: Search first. You may find your question has already been answered or discussed. This helps us all keep existing discussions thriving and new topics fresh. Be organized. Try your best to post in the correct forum. If a post doesn’t feel right, report it! We want everyone to feel safe to speak out. Contribute. This community is better because you’re here. Speak up – because you have great things to say! Something not working right? Got a great idea? Let us know by emailing us at community@nursa.com. Thank you for helping us maintain an inviting community. Please note, we reserve the right to remove discussion threads and comments that violate our guidelines or have the intent to violate our guidelines. If we see repeated violations, we reserve the right to remove a member. Up Next: Meet your Community Manager 👉
  5. Hello! I am glad you joined us in this community space. We believe we can be our best when we learn from each other. This is your one-stop destination for sharing professional advice, inspiration, news, and recommendations about working local PRN shifts. We want you to feel comfortable here so I (Krishna, your Community Manager 💃) will take your on your welcoming journey through our community and show you the ropes. How to get started Become familiar with our Code of Conduct Learn how to Manage your Nursa App Account OR Community Account Understand each space and its purpose Bookmark our resource page for a rainy day Introduce yourself and tell us more about you journey 🍭 If you want to make your first week sweeter: Introduce yourself to the community RSVP to the next event Jump into discussions with other healthcare professionals like yourself We’re excited to be your partner, support and advocate. If you ever have questions, feel free to reach out to community@nursa.com. Up Next: Code of Conduct 👉
  6. A common question is asking about badges as a PRN or an "agency" caregiver. As Nursa is a 1099 staffing platform, we currently are not offering badges to clinicians. In full transparency, there can be some red tape around not providing a uniform for clinicians contracted through Nursa, BUT we do have a fellow clinician Faith Harvey who has an Etsy store and makes customized badges. Go check her store out! You can also read her story here: https://nursa.com/blog/spotlight-on-faith-harvey
  7. What is Getting Started Fridays? Every Friday we will highlight a Nursa feature and it will include a description, relevant support pages, videos, blogs, and related community content. The goal of this weekly series is to help users find resources related to the topic. Important note: for urgent questions please contact our Support Team. Getting Started Fridays | June 30, 2023 Before you are able to view shifts, you will need to enter a valid license. RN and LPN/LVN license will be auto-verified by Nursys.com and CNA license are state regulated. This means, that depending on your state, they could be verified automatically or take 3-4 business days. Nursa current has shifts for CNA, RN, LPN/LVN! Also locally Nursa accepts Certified Caregivers in AZ and QMAP in Colorado. Got that license uploaded now? You are able to start those requests! Make sure to fill up your profile with more credentials. More tips coming next week 👋 If you are looking for other license types or types of shifts, let us know below! More on uploading your license:
  8. When going into facilities act as if you are an actual employee not just passing thru. Assess your patients take care of there needs not put them off. We maybe be there for the hours but there are actual people there who will actually be depending on our care for them. Be attentive and no patient needs you more the the one in front of you. Then move on too the next. Remember the opportunity is a two way street the facility needs us and we need the hrs. Charting is how the make their money and able to call staff in. So chart your skill charting creating pay and more hours for Agency to work
  9. Who is This Intruder Called Schizophrenia? Schizophrenia: a word that carries mystery, confusion, and misconceptions. It is an intruder that affects the mind, altering perception and reality. But who is this intruder called schizophrenia? Let's delve into the depths of this complex mental disorder that affects millions of lives worldwide. Unveiling the Enigma: Schizophrenia is not a split personality or a mere figment of imagination. It is a chronic brain disorder that disrupts the way a person thinks, feels, and behaves. This condition can manifest in various ways, making it a perplexing and challenging disorder to understand. The Intruder's Impact: Schizophrenia can strike anyone, regardless of age, gender, or background. It often emerges in early adulthood, affecting individuals during their prime years. Its symptoms can be divided into positive and negative categories. Positive symptoms include hallucinations, delusions, and disorganized speech, while negative symptoms involve social withdrawal, reduced emotional expression, and diminished motivation. Understanding the Intruder's Origins: The exact cause of schizophrenia remains unknown, but researchers believe it stems from a combination of genetic, environmental, and neurochemical factors. Studies have shown that imbalances in neurotransmitters, such as dopamine and glutamate, play a role in the disorder's development. Shattering the Stigma: Sadly, stigma and misconceptions surrounding schizophrenia persist. It is crucial to debunk myths and promote understanding. People living with schizophrenia deserve empathy, support, and access to proper treatment. With appropriate interventions, including medication, therapy, and community support, individuals with schizophrenia can lead fulfilling lives. Empowering Through Education: Education is key to combatting the intruder. By spreading awareness about schizophrenia, we can foster compassion, reduce discrimination, and encourage early intervention. The more we understand this complex disorder, the better equipped we are to provide the necessary support and care for those affected. Embracing Hope: While schizophrenia presents significant challenges, it is essential to remember that recovery and managing symptoms are possible. With advancements in medical research and ongoing support, individuals with schizophrenia can lead meaningful lives, pursue their dreams, and contribute to society. Schizophrenia may be an intruder, but it does not define the entirety of a person's life. By unraveling the mysteries surrounding this disorder, we can cultivate a society that embraces compassion, understanding, and support for those living with schizophrenia. Together, let us challenge the stigma, empower individuals, and pave the way towards a brighter future.
  10. Come learn how to get scheduled for hospital orientation and shifts in Denver at our live virtual Q&A this Friday @ 11 AM! Click here for details! 💜 If you have any questions you want us to address, feel free to drop them here prior to tomorrow so we can make sure to get to them during the Q&A!
  11. Hi! I’m a newbie 🙂 I’m located in South Florida. I’m excited to start. Any tips would be greatly appreciated 😊
  12. How do you navigate difficult conversations with hospital administration that may be difficult to work with, or struggle seeing nurses' perspectives?
  13. Thought this TikTok was interesting and relatable.
  14. Hey there, I was wondering how I can get jobs on this app? I have tried getting a couple and have been denied over and over. Any suggestions?
  15. Starting today, 10/1/22 you can cancel a shift up to 3 times in 30 day period before getting suspended. It's a very bitter sweet feeling for me, that was the number one thing I loved about Nursa. That really separated Nursa from other platforms. They hold their clinicians accountable. (No I didn't cancel my shift, to find out was talking with another Nursa teamate then called Nursa support my self.)
  16. Clinicians are always faced with the constant fear of losing their license... has there even been a time you thought in the moment you were going to lose it? What happened?
  17. Guest

    Safety tips

    What are your top safety tips you do on shift to avoid making mistakes? How do you prevent errors? Let's share and help each other be our best clinician selves. For me I always liked to try to stay organized so as not to mix up patients when you have so much going on.
  18. NURSES!!! I reallllyyyy NEED YOUR INPUT! Us nurses are struggling to feel heard/valued at the hospital I'm currently at. What do hospitals you work at do (if applicable, lol) that help you and other nurses feel heard/valued?? Something that I've heard of is shared governance, tuition reimbursement, or career development courses. Thoughts??
  19. Do you guys have any resources for help with resumes? tips or tricks to make myself more appealing for picking up shifts?
  20. Working as a nurse can be really difficult, let alone as a hospital nurse... so why do you stay? I'll go first: the flexibility with having a family. Nursa has given that to me!
  21. Does anyone else keep an extra pair of scrubs in their car so if they get dirty on shift or just to have a handy pair?? I ALWAYS keep an extra pair of scrubs on me 🙈 What are some other items you keep handy on you?
  22. HOSPITAL NEWBIES! What can be the scariest/most intimidating thing for you when you are working at a new hospital??
  23. Guest

    Stuff you MUST know

    Ive been working agency most of my 25 year career as a lpn and a cna prior to that. I have come to know there are a handful of MUST knows to be successful as visiting staff... 1. where is the bathroom 2. what are the codes for: A. Getting out the door B. Getting back in the door C. Dirty utility room D. Central supply 3. the address where you are (if calling 911, they always ask...even though Im sure they can trace the call) As a nurse, I will start my medpass in the narcotic book. I will flag all the scheduled pain pills and look over the prn...when was the last time they got one and when can they have it next. I always have my smile on as part if my uniform. A smile can do so much.
  24. Hey guys! I am a CNA and I would love to know your guys tips and ticks on finding a good facility to pick up at and what you look for before you request shifts.. Any help would be great!
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