Latest Comments by rearviewmirror

rearviewmirror, BSN, RN 4,078 Views

Joined Mar 2, '15 - from 'TX'. Posts: 180 (58% Liked) Likes: 404

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  • 7
    Orion81, canoehead, AJJKRN, and 4 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 prnqday 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
    prnqday 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?

  • 5

    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.

  • 0

    not endorsing attitude about complaining without offering solutions.. but it's a different matter when the disatisfaction is in nursing is mostly caused by things that are outside their/our control, such as staffing, adequate resource, and again staffing. Those are universal as we know problem in nursing and hospital systems in general, and the administration does nothing to tackle that problem in most places because keeping bare minimum to get by in staffing means more money for everyone. I was lucky enough to get out, but I am sure many won't find a cushy job in nursing unless you get into admin.

    I guess you can form a strike and walk out, or have the hosptial become unionized, but that brings another problem. I am not in hospital so I don't care about unions, but personally seeing how disgusting administration is to nurses and employees, I rather have something that's equally problematic to administration to fight it... at least we can stick it up in them.

  • 1
    AliNajaCat likes this.

    Not much way around it... exposure and repetition. It's better if you are in environment that has higher frequency of chaos and critical situations, like ER and ICU (i.e codes, trauma, stemi, stroke, etc). I remember pooping bricks while doing cpr, fresh in ED. I was new in ED from floor. Once got adjusted to it, was eating granola bars and yogurt at nursing station while EMS and triage poured in. Exposure and repetition. At some point, you stop caring, because you know you can handle it.

  • 0

    I work at TPA, in my limited opinion, CM and UM are vastly different at least in insurance, non-hospital setting (in hospital CM would do everything including UM part). Since you mentioned UM, I take it that you mean as in people who review clinicals and review for medical necessity; also personally I think working for insurance UM is better than hospital; they seem over-loaded at all times.

    What did you say or do during the interview?

  • 0

    So true about equipments... remember having fancy hoyer lift but not a single time in the ed was it ever used... seriously no one has time for that. I remember having backache all the time, now that I sit most of the part of my job, I don't feel that much longer. I've been in Texas and rarely in any other states. People here are pretty big.

  • 0

    Quote from Bottomed out
    My problem, I lost interest due a very negative environment. That turned me off and I went back to ICU. Once I walked away 6 other exp nurses did over the next month. L&D nurses have crap personalities and little clinical knowledge of disease processes from my experience.
    Ex- ED nurse, can relate... but then you're ICU so you probably hate ED too lol

  • 1
    michiganRN5 likes this.

    I work at UM at TPA, not CM but nonetheless a happy desk jockey; UM has way less patient/member interaction, reason I chose the job.

    General input regarding UHC from other coworkers has been less than optimal as well. Usually somewhere along the line of unappreciated, insurance is crappy, micro-managed. Never worked there myself so can't say personally though. I think, however, that it's hard sometimes to discern whether the fault is in the employer or the employee sometimes.... unless you get in and experience it yourself. Work-at-home is really a nice option though. Heard good things about Aetna from others, but haven't worked there either ha.

  • 3

    Quote from Bottomed out
    So you're 25 with 3 daughters in nursing school? I find that hard to believe.

    I know plenty of 100k jobs. One is California prison.

    Probably best to change their career if they won't work in a prison. I would advise them to work in a field dominated by men not women.
    I think he meant 25 year experienced RN, that would clinically correlate the most in this situation... but it is possible that he enrolled 1 yr old, 2 yr old, and 3 yr old daughters to online program at some college with 3 letter acronyms... They would respectively be around 5-7 of age when they become RNs, this is compliant to Bond of Nungthing in all 50 states including Somalia.

  • 1
    ICUman likes this.

    Floatpool (resource RN) + Night + Weekends + few OT here and there = easily exceed 100k. Easy.

    That's my friend's situation in DFW in TX, and you can live really well with 100k in TX in my opinion. I work at salary position at a desk, but I much rather prefer to make less now and maybe climb up the corporate ladder than to work at a humiliating job where I can't people what's wrong is wrong, and just take in all the crap they throw at you. Couldn't do that for money.

  • 0

    hey, it happens to everyone, and I know it doesn't help to say this but be glad it was insulin not some other seriuos stuff that could kill patient (not that insulin can't but at least hypogly is easy to spot and treat with D50, relatively speaking... relatively) just make sure to check BS before you give insulin from now on and re-check with high-attention meds like insulin, heparin, critical drips, etc. you will get over it and do well.


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