Latest Comments by rearviewmirror

rearviewmirror, BSN, RN 4,849 Views

Joined: Mar 2, '15; Posts: 189 (58% Liked) ; Likes: 421
Specialty: ER

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  • 2
    nursel56 and wannabeny like this.

    Your question is difficult because the term Luxury is very subjective. If you live within the realm of reality, and expect nice life, personally if I were you, I would not live in NY or CA.

  • 0

    Thanks for inputs everyone. While I realize the importance of needing to think through it well before getting into, I also am encouraged by NPs who enjoy what they do now, though he/she did not like bedside RN job necessarily.

    It is true of what many of you said. NP and RN is clearly, VERY VERY different role. One is a provider, and the other is not. I think in that alone, the whole ball game changes. I won't be spending time drawing up dilaudid and priming 50cc bag of NS with phenergan or 50 mg benadryl because patient says "Oh, I have to have that with my dilaudid because of _____," or running around to bring somebody warm blanket or a sandwich (nothing wrong with that innately, just not what I want to do in my 40s) @Armanix asked if I won't find demanding patients and RNs paging, etc stressful. No, because I will be calling shots, and I have right to say "NO" if I find it consistent with my practice principals and clinical expertise. From my experience, patients tend to act in whatsoever manner they please with RNs and ancillary practitioners (LVN, CNA, RT, radiology tech, phlebotomist, etc) but in general, they respect providers, including NPs and PAs, because they are seen as "oh, this guy/gal can diagnose and prescribe, and can order stuff." I do not want to work in the hospital anyway (aka Cronies. INC), so if I can afford it, I would work in clinic or under specialist to learn the ropes, so hospital administration is hopefully not something I encounter. Yes, clinics or urgent cares, and wherever else can have corrupt people, but that's comparing hundreds of them to a couple. I don't think there's anything wrong with RNs calling me to ask what to do. That's what providers are for, and if position of leadership, challenges and decision-making is merely annoying, I don't see why someone would want to be a provider in the first place.

    Like many said, being RN and NP is very different thing. In my notion, one works and works and works, while the other gets to think, use the brain, diagnose, prescribe, order, etc and perform in similar role as a doctor, though not in completely the same role of course. I am not saying that RNs can't use their brains, but the minute and de-humaning works (like realizing that you graduated Bachelors and is literally spreading cheeks to wipe a rectum), delivery-boying, errand-running, hotel-resorting and restaurant-servicing, are far different than working as provider. Those are just my thoughts.

  • 0

    I titled this cautious ask: since basically I am addressing multitude of providers, so I wanted to be respectful. I hope this question does not meet you with hostility since I wanted your honest input.

    I left the bedside because I hated it. I just could not see myself doing hard labor all day and being treated like crap by administrators and patients alike, to see my education turned into sandwich delivery boy and narcotic pusher for HCAPS. So I left bedside for insurance job.

    Now being bored out of my mind and doing mindless computer work for few years, I reignited my previous desire to continue my education for APRN, which would provide diagnostic and prescriptive authority that would expand my ability as clinician very widely. I had wanted to work as NP under a specialist to learn and use my skills in useful manner at work and outside work and grow in expertise. If there are any providers here who had similar distaste for bedside, yet decided to continue the path of NP, what has been your experience?

  • 0

    Utilization management or case management (sometimes these two are separate or synonymous. Depends on the company).
    You can also try informatics, but likely not since those require MSN.
    More realistic transition is UR/CM since you can at least interview for those if you have hospital experience. Make sure you prioritize working for commercial or non-hospital organizations (i.e insurance companies such as Aetna, Cigna, BCBS) if you hate hospital cronies and bureaucrats.

  • 4
    broughden, Sammie7, LovingLife123, and 1 other like this.

    What is wrong with wanting to wear gloves? When I was in the ED, there were lots of people from the hood, so there would be lots of scabies, lice, etc issues and that include their belongings. It appears that most here disagree with the preceptor because by wearing gloves, one way or another, you are "discriminating," which is a big no no now days, and hurting someone's feelings or what have you. Just narrowing down someone's desire to wear gloves whatever the situation be into either ignorance and fear seems pretty narrow-minded to me too.

    I didn't study infectious disease or science of contagion or disease but at the end of the day, it's my safety and well-being and my family that is at stake. I am not denying the humanity of HIV patients, or any patients as I would treat them the same as someone with different disease, as I would wear gloves into all rooms. And if THAT offends yal...... oh well, I shrug and go on my day.

  • 3
    ivyleaf, MJ-ED, and Leader25 like this.

    Still hate it, but would never go back to hospital.

    I am very jaded and very much hate nursing career (or the healthcare field in all spectrum including the hospital's business system and the crooks in it), so I don't have any nice things to say about nursing in general other than it brings in income. I am in UR now and just sit around reviewing cases. I can tolerate it much better now since I don't have to talk to patients like I had to in the ED. I would like to eventually move away from healthcare completely and do something else.

  • 0

    Quote from not.done.yet
    The RN degree is pretty useless outside of nursing. You may consider going into medical equipment sales or pharmaceutical sales. Case management maybe. Education if you are interested in getting your MSN.
    Yeah, unfortunately that appears to be the case. Lol, I can't imagine applying for most of these jobs with bsn.

  • 0

    When I started out nursing, it took me 6 months to find out that bedside was not where I belonged.

    Luckily after few years, I landed a UR job in insurance company, and since spending 2 years there, I found out that healthcare is not where I belonged.

    I HATE healthcare, and it kind of stinks since there are so many fields out there, but I am not sure which one I can take since I have nursing background.

    Lots of pay and little work? Sign me up. Just kidding. What are some different career fields desk job RN can take?

    I take any suggestions. I think I will be happier processing chicken for Tyson than do limitless reviews day in and day out.

  • 1
    mt9891 likes this.

    I work currently at Insurance UR department, reviewing cases based on medical necessity. I barely paid any dues at the bed-side compared to other RNs in this area, but man oh man I am happy to made that escape.

    Location: North Texas
    Experience: 5 yrs (1.5 medsurg + 1.5 ER + 2 UR)
    Specialty: UR department/private insurance
    Facility: corporate/business office cubicle.
    Base Pay: $68000/year, comes to be about $32/hr
    Differentials: normal hours and holidays, weekends LOL. I don't need to work nights or weekends and that's good nuff'
    OT: No such thing. Salary-based, but don't take work home ever.

  • 8
    h00tyh00t, Orion81RN, canoehead, and 5 others like this.

    I am surprised they haven't made you guys lick the floor clean. When I used to work in the ER, we had to clean the rooms and wipe the bed and make new bed regularly because there was no way for house keeping to keep up. I am sure it's nothing new anywhere else. On the contrary, I don't even clean my keyboards at work.

  • 7

    Quote from Been there,done that
    "I usually hate patient care."
    Ambulatory surgery, pre-op, and pacu all require hands on care.

    You have experience in UM. You have your pick of work from home positions.... UM, UR, disease management, etc.

    I do not find UM intense, I am sitting on my tookas at home and thpatient no hurry. I work banker's hours. Certainly, a case may come back to haunt you, but after 5 PM .. I'm done.
    Oh I meant to specify I hate acute care, you know, lifting + 250lb, changing pans or wiping, running amok, dealing with family, dealing with ER patients faking seizure, dealing with people demanding dilaudid, doing compressions while being expected to chart at the same time, having to wheel people because they magically can't walk anymore once they come to the hospital, enabling helplessness, etc.

    I am totally fine with interacting with people who are not acutely sick and are able to walk, talk like regular person. Again I'm not trying to be mean here, but just what I went through and what I know about myself. Thanks

  • 2
    xoemmylouox and BSNbeauty like this.

    Thank you, I read previous threads about this, and amb surgery, pre-op, pacu seems to be good options. Of course, difficulty between jobs will vary by the facility and available resources, but as long as it's not acutely sick people (like ER or ICU), and most of people can walk in and out themselves, that would be fine.

  • 2
    BSNbeauty and Zyprexa like this.

    After hopping between 5-6 jobs in last few yrs, and finally saying good bye to patient care, I spent 1.5 yrs at utilization management job, stuck in a cubicle and having to worry about cases that come back to haunt the next day. It never felt like in the hospital where you can leave with sense of freedom after your shift.

    I want to go back to the clinical setting, but it is difficult considering that I usually hate patient care. I don't mean to be ugly about it, but I really do not enjoy seeing patients in acute care setting (medsurg or ER or ICU).

    What are some jobs that an introvert who does not like acute care can do to enjoy? Preferably less intense, more relaxed, no crazy hours?

  • 6
    cleback, canoehead, matcha-cat, and 3 others like this.

    Supply and demand... sad but true. Nurses are dime a dozen to management, so they are okay with putting the nurses through crap and abuse, but providers, not so much. Many other factors engage in it though. Your own personality to say no to patients' crap, demographics, socioecomomics, education levels, geography of the clientele at hospital you work at, years of experience and amount of confidence you have, and lastly... people just suck for no reason many times. There are decent human beings, and there are crappy human beings regardless of all those that I mentioned above.

    Best advise I had for myself was don't work at direct care as RN, go back only as provider if I want to.

  • 0

    Well I am glad I got out of bedside and been doing UR for some time. I don't regret leaving the patient care one bit. One of the best perks of UR is you don't talk to patients. I do miss not working 4/7 days a week and able to go out to enjoy the sun when I know everyone else is at work. If I return to clinical side, probably be a provider.

    Patient care sucks... and it wasn't anything but the patient that made it suck for me. So... good luck to you.