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2009 has been an interesting year to say the least already for me. I have had two cases in the last month where I went into painstaking detail, counseling, and advising with nurse clients about their cases and the both nurses did a 180 and did exactly the opposite of what I recommended.
I was surprised in both cases, I was disappointed, however I recognize what my role is in a license defense case. As the attorney, my role is represent a nurse and counsel and advise a nurse on his or her options and provide my opinions and experience. The case belongs to the client not the attorney and the license at issue belongs to the client not the attorney.
However in both cases the nurses realized immediately, "I made a wrong turn" which will impact their cases.To what extent the 180 will impact their cases remains to be seen.
Hint: If you hire an attorney to represent, counsel, and advise you in a license matter, listen to your attorney and if you have questions, comments, or concerns about the advice given then talk to your attorney. A license defense attorney has experience handling these types of cases and can provide you a range of scenarios.
If you don't trust the advice the attorney is giving you, then you need to hire another attorney.
Don't go all "willy nilly" and do a 180 because you can't take it back and it may adversely impact your case and your license.
I like cnn.com and I usually visit the site at least a few times a week.
The video aboves comments about a mother and wife who because of the economy is working as a stripper and will work as stripper until she completes nursing school. You heard me, she is working as a stripper while she completes nursing school. I am not sure where this student nurse is in the program, whether she is taking prereqs or actually admitted into a nursing program and taking clinicals but when I heard this on the video, my heart sank.
To each his or her own and I guess you do what you have to do to make it but my concern is what the general public thinks when you hear "I am a stripper and I am in nursing school." What do you think?
Maybe I am just showing my age on this one (37 y/o but reared by Baptist grandmothers so I have a tendency to act "old" I have been told) but the thought of her being a stripper and going to nursing school struck me as offensive. What do you think?
I am not judging this women but again what does this say to you as nurse?
Nursing can be a means to an end, a calling, or live long pursuit depending on the person, but this brings me back to my post from several months ago, Is Nursing for Everyone Who Wants to be a Nurse?
You've worked hard to obtain your healthcare license and are therefore, very protective of it. Certain actions such as drug use, negligence or criminal actions can cause it to be suspended or revoked. But what does the government have to say about it when it comes to filing your taxes? According to an article published in this month's Healthcare Traveler Magazine, there are some states which pursue action against healthcare providers for failure to file state tax returns or which continue to have a delinquent status in payment of a tax liability. If you file your taxes and/or pay any money owed on a timely basis then you will not be affected. But if you have not filed last year's return or are considered delinquent with a tax owed to the state your license may be at risk. If you have an outstanding liability to which you have not contacted the state to set up a payment plan you are considered to be in delinquent status. The article states that currently the states of Louisiana, Oklahoma and Kansas were found to aggressively review tax filing delinquencies and payments not entered into a repayment plan and cross reference that information with healthcare licenses. All other states have this ability as well. The article brought up one last concern which addresses whether state licensing boards have the ability to cross reference information such as license renewals with tax filings? Since this information is easily accessible to state agencies, the answer is yes, they do and may do so at their discretion. Obviously no one likes the government's ability to intrude on our lives, yet filing and paying taxes are a necessary evil and we all must do our part to keep up with this responsibility.
If you are new to travel nursing or even if you've been traveling for a few years, the following are some tax tips geared towards you:
Its never too late to start keeping organized records for filing next year's return. First and foremost, keep good records. There is nothing more frustrating that having to sift through piles of misshapen receipts.
Good record keeping will be to your benefit not only at tax time but if you are ever audited. A travel file system which will store paperwork, receipts, etc. is also extremely helpful. Its also a good idea to keep a separate folder for each travel assignment.
Keep a log tracking your vehicle mileage as well a log tracking all of your travel expenses. You should record the mileage on your vehicle on December 31 so that you have an ending point for the year (and a starting point for the following tax year) as you will need to know the total mileage put on your vehicle. Record the mileage for all business trips from starting to end point.
When maintaining a log, its best to record the place, time and purpose of each assignment. Keep all receipts in regards to lodging, tolls, air fares, parking, etc. Also be sure to record any travel between your assignment and home and from temporary residences to your work site. As for vehicle expenses, most people benefit by using the standard mileage deduction rate as stated by the IRS regulations.
Keep receipts for general business expenses such as uniforms, licensing fees, dues, seminar expenses, etc. Communications services such as cell phones, internet, and/or pagers are deductible to the extent of which you use it towards your business. Also keep track of expenses related to the upkeep of your home while away on assignment that you would otherwise not pay for (i.e. lawn maintenance).
I file and pay my taxes faithfully. It is not worth the criminal, license, and professional headaches to not file or not pay. An Ohio attorney was disciplined (public reprimand) for tax liens this year. I will make the dreaded trip to see my accountant here soon because April 15th is approaching.
I renewed my license online this morning and paid the $65.00 fee. I have plenty of CE certificates, that's one nice thing about attending alot of conferences.
Don't wait until the last minute to renew your Ohio RN license this year. The deadline for renewal is August 31, 2009 and I will post something on this blog every month until renewal and I will do a countdown the week of August 31, 2009 related to renewing your Ohio RN license and if you are a APRN, renewing your COA and CTP.
The Ohio Nurses Association in March 16th correspondence sent to all ONA members discusses the National Federation of Nurses, which will be another RN national nursing union.
This is a convention year at ONA, the convention is this fall and I am planning to run for office as delegate from my district nurses association (Southwestern Ohio Nurses Association) to the ONA convention. I am running for one elected office, as a Center for American Nurses delegate from the Ohio Nurses Association.
Being in Independence, Ohio for three days will also provide me with time to touch base and meet with my clients in the Cleveland, Youngstown, and Akron areas.
This convention is going to be off the chain, off the rack, and off the hook. If you don't know what all this slang means, email me off the blog.
I am sure that I will have to "drink coffee and take No-doz" (I am just kidding) to keep up with all the action this year. I will be blogging and tweeting from Convention this year (not that you are interested anyway).
I have not seen the founding documents for the new National Federation of Nurses but I was told by someone that there will be very little turnover with officers the way the docs are written for 5-10 years.
What is it about nursing unions and positions of power within the nursing unions? Why don't union leaders like to turn over the helm and the strings of power to others? You can't be that narcissistic to believe that only you as the "chosen one" can run, manage, and lead the masses, can you? You are not Neo, from the Matrix.
This is an issue with nursing unions. Individuals in elected positions of power keep the same individuals in these positions of power (whether as paid staff or volunteers or a mixture of both) year after year after year whether its through the union constitution, bylaws, bylaws changes, etc. Continuity of management or leadership is one thing, but appointing yourself or a select few as royalty in what is functionally a democratic oligarchy while singing "this is a democracy" and screaming "give me liberty, give me yet another national RN union, or give me organizational death" is another. http://en.wikipedia.org/wiki/Oligarchy
Its like stale air in a vehicle full of ornery grade school boys (I have nephews in the 1st, 2nd, and 3rd grades); at some point you have to open a window to allow fresh air to circulate.
These continuing nursing education activities were approved by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Approval valid through 3/17/2011.
No Commercial Support has been provided for this program.
Vested Interest Statement
LaTonia Denise Wright is an attorney with Law Office of LaTonia Denise Wright, LLC.In this capacity she represents, counsels, and advises nurses in licensure and professional practice matters in Ohio, Kentucky, and Indiana.The material presented by Ms. Wright will presented in a neutral and balanced fashion.
My question to you is does it matter in the big picture way of speaking whether we have a DNP or PhD or other terminal degrees in nursing when there are still multiple levels of entry into the practice of nursing (ASN, diploma, BSN, MSN)?
Do you think the profession should focus on terminal degrees, entry level to practice, or both?
I received a phone call from a nurse who is representing herself before a State Nursing Board. The nurse submitted a statement and met with Nursing Board staff for an investigative meeting and submitted additional information to the Nursing Board.
The Nursing Board is proposing action against the license and the nurse is very upset and is considering attorney representation.
If you are going to retain an attorney to represent you in any matter, do it at the beginning if at all possible. You are not necessarily saving yourself money by retaining an attorney later in the case.
It is difficult to be objective when you are representing yourself in a Nursing Board matter. Your emotions start flowing and you assume a "I didn't do anything wrong, I am a good nurse" posture. That may to true to a certain extent but the complaint and the investigation are still pending and must be resolved.
I asked this nurse, did you consider having attorney representation when you received correspondence from the Board? The answer was, why would I need representation at that point, I thought I could handle it.
And handle it the nurse has as the Board is proposing action against the license and the nurse has not had any representation, counseling, or advising on the process and procedure and the attending issues in these cases.
I know money is tight but your license is your livelihood and if you are involved in a State Nursing Board investigation, you should consider having attorney representation.
What is a few thousand dollars in legal fees compared to your lifetime earnings as a RN, LPN, or APRN?
Self representation is a right in country and you can call my office or the office of another license defense attorney and yell "Give me Liberty or Give me Death" into the phone.
The question is not can you represent yourself because of course you can represent yourself in any civil, criminal, or administrative matter. Is it in your best interest to represent yourself?
This is a renewal year and because its renewal time,my law firm is offering Ohio nursing law and rules CE programs (Category A) for nurses.
1. If you live in the Greater Cincinnati, Ohio area, you can register to attend one or more of the four 1.0 contact hour Ohio nursing law, Category A programs being offered each and every week in May 2009; http://www.peeradvocacyforimpairednurses.com/workshops.html. Contact Jack Stem by phone or email to register.
2. I am available to present the one or more of the 1.0 contact hour Category A, Ohio nursing law programs (which are pending review and approval by the Ohio Nurses Association) at your facility. See this brochure. Download NursingLawandorderCEprograms.
I had a consultation with a nursing student and future NCLEX-PN applicant this morning who commented on this article and that employers are going to think all nurses with criminal convictions are not worthy of hire (which of course isn't true).
There are three very interesting article in the March 2009 journal pertaining to criminal background checks, convictions, and nursing licensure.
See this original research article, which is available to all nurses for downloading and CE credit. Download 37
Do you want to know what is at-will employment and what it means for you as an Ohio nurse in the workplace?
The nurse alleged causes of action for breach of implied contract, breach of the duty of good faith and fair dealing, breach of fiduciary duty, negligent infliction of emotional distress, and intentional infliction of emotional distress. A motion for summary judgment was entered for the defendants.