LadyMonteCarlo

LadyMonteCarlo has 30+ years experience.

Latest Activity

1. Position morphing into more care managment, less triage

   LadyMonteCarlo replied to FLO4Life's topic in Ambulatory

   I am a phone triage nurse for a very busy cardiology practice. If triage you want, then, you will definitely get in cardiology. We have a very high acuity level. Yes, managed care especially for the chronically unstable CHF patients, B/P issues o...

2. Is money everything in this profession?

   LadyMonteCarlo replied to WhyNurse's topic in General Nursing

   I think that most of us older nurses originally got into this business because #1 We like to help people in need of care, #2 We would be able to find a job, #3 The rewards of seeing a gravely ill person recovering, etc. Money was never in the top 3 ...

3. Calling codes

   LadyMonteCarlo replied to Momma1RN's topic in Med-Surg

   From the description it does not sound like a "code" situation, but rather a urgent response situation. There is a 4 hour window of opportunity for stroke symptoms to be treated with the clot busting drugs. Yes, time is of the essence, but if the p...

4. Health Coach United Health Group

   LadyMonteCarlo posted a topic in Case Management

   I applied for a position with WellMed / Optum via United Health Group in Texas. The advertised position is for Health Coach. Perhaps I have been a nurse for way too long, but to me a health coach assists chronically ill patients manage their diseas...

5. Just when I decided it's time to find another job...

   LadyMonteCarlo posted a topic in Cardiac

   I work in a cardiology clinic and have been there for more than 10 years. It does seem that after a long period the powers that be just seem to take you for granted, just feel no love and you seem to be invisible when it comes to raises (haven't had...

6. Decrease in volume of Cath Lab cases?

   LadyMonteCarlo replied to harley007's topic in Cardiac

   Insurance deductibles and overall coverage is holding up a lot of procedures. Wonder how many of the emergent STEMI cases had positive nuclear studies and did not schedule a cath? In any event, it does seem cath cases fluctuate and just when you be...

7. Maxin nsg per diem

   LadyMonteCarlo replied to rdsxfnrn's topic in Private Duty

   One thing I forgot to mention that all nurses considering taking to plunge with Maxim should be aware of, there are some things they won't tell you for sure. I am in Austin, Texas and when I accepted my first assignment with Maxim it was working in a...

8. Flippin burgers at Mickey D's might not be so bad...

   LadyMonteCarlo replied to ahintonRN's topic in New Nurse

   We have all been there many times over. One thing I have certainly learned over my 30 year career is that sticking it out and hoping things will get better just won't happen, unfortunately. Considering leaving the profession because of your current c...

9. Maxin nsg per diem

   LadyMonteCarlo replied to rdsxfnrn's topic in Private Duty

   Maxim picks up posted resume's from Monster and Careerbuilder, etc. Then, they start "cold calling" nurses. I mean they call like a debt collector would call -- everyday, sometimes several times a day. No need to be flattered about the call, they ...

10. Sharing prescriptions of non narcotic medications

    LadyMonteCarlo posted a topic in General Nursing

    If you work in a doctor's office you know that you are the one that writes the prescriptions, fills out all of the disability paper work, etc., and the doctor simply signs on the dotted line. I would like to throw out this scenario that happened rece...

11. Self cast removal?

    LadyMonteCarlo posted a topic in Orthopaedic

    We had an elderly dementia patient in an assisted living facility with a wrist fracture that slipped his cast off of his arm. Obviously the swelling had subsided enough to allow this self removal. Slipped off as easily as a glove. What would be the b...

12. Giving proper notice. What would you do?

    LadyMonteCarlo replied to LadyMonteCarlo's topic in Geriatric

    This company has no probationary period. Once hired your theirs and they are yours. However, I am in Texas and their handbook does state that they are an "at will employer" which means either party may break ties at anytime for any reason with or w...

13. Giving proper notice. What would you do?

    LadyMonteCarlo posted a topic in Geriatric

    I have been a nurse for 27 years and have always given proper notice when I left a position. However, I signed on as a Resident Services Director for an assisted living facility about 3 months ago. Before I accepted the position I was told "what a co...

14. When staff accuse resident's of being racist?

    LadyMonteCarlo posted a topic in Geriatric

    It was reported to me recently that one of my staff has voiced concern in more than one instance of resident's on their unit being racist. Now mind you this is a special care unit with dementia and Alzheimer's residents. My immediate thoughts on this...

15. What's It All About, ALFie?--Help and Support for Assisted Living Nurses

    LadyMonteCarlo replied to VivaLasViejas's topic in Geriatric

    If you would like to try LTC I would go with SNF rather than ALF. New nurses are not ideal for AL due to lack of experience. It takes a very healthy knowledge base that can only be gained with years of experience to properly assess and care for AL ...