jensfbay 3,283 Views
Joined Oct 19, '06.
Posts: 56 (5% Liked)
Interesting dilemna you have as I was in the same boat a few years ago as you are now. I've been a BSN-prepared RN for nearly 2 decades & wasn't really clear on what direction I wanted to go. I knew I wanted a master's degree but I too wasn't sure which degree I wanted to pursue.
What I did was invest some time to assess my interests and my strengths . I used a variety of tools to accomplish this including a book called "What color is your Parachute" , which I used to focus in on my strengths, interests and future goals. I'm so glad I invested that time and energy into a thorough self-assessment because it paid off in a big way. Ultimately, I decided to earn my master's degree in Occupational Therapy and I'm so glad I did.
Now, I work for myself and am building a lucrative business using my combined nursing and OT skills. So my suggestion to you would be to:
1) Gain some nursing experience in a community, inpatient or other clinical setting.Not only will you master your critical thinking skills, you'll also find out what you like & don't like.
2) Take your time & do your own self-asssessment. If you jump into a master's program too quickly, you'll lose focus & become lost. No one hires anyone who doesn't know what they want (and trust me, I've done some hiring & I can tell you that I've never hired anyone that didn't have a vision or focus).
3) Use online tools or visit a career center to determine your interests. While I was taking my pre-requisites for my master's program, I took advantage of the career center on campus & used their tools to narrow-down my focus of interests. That decision was one of the best ones by far as it truly helped me see myself from an objective angle.
Best of luck to you! Just take your time with this decision as it can be a costly one if you jump into something you end up not enjoying.
I am all Per-diem.
As far as benefits: do the math, on paper, and compare apples to apples.
Full time: First figure out how many days a year you really have to work. If your shift is 3 12's for example. Add up all your sick/vacation/personal days. in my case, that's a total of 5 weeks a year, meaning I have to work 47 weeks a year. Whether I take, or accrue, all this time is irrelevant- averaged out, I have to show up 47 weeks, and get paid for 52.
Using round numbers, if I get paid $20 an hour, I get paid $37440 a year, plus insurance. If there are any retirement benfits, fix a dollar value to them, and add that as well.
Assuming I only work the required 47 weeks at time and a half (that is what some per diems pay), i will earn $50,760. If I want to "accrue" time, I'll work more than 47 weeks a year, just as if I was salaried.
This gives me over $13,000 a year to make up for insurance and any other "benefits" the hospital might give.
Depending on the finances, per-diem can work out well. Job security is another issue. You may need to find several per-diems to keep busy. You will also have fluctuations in pay. If your life is based on borrowing money, then making monthly payments, per-diem might be nerve wracking.
Works out fine for me.
I love my per diem job, the money is great and its so nice not to be sucked into the politics, but I also have one that provides insurance etc. Keep in mind that health benefits, vacation, sick time etc. can account for around 30% of your wages so that adds some points to your regular job.
I love per diem. Although I don't have the benefits with full time, I have an increased hourly wage which makes up for the loss in my situation.
I love what RNKittyKat said. I do have multiple PRN jobs (3 total), so if one slows down, then I pick up more shifts at another. I may work FT in the future once my kids are older, I would like to try another area of nursing, but will not accept a transfer without the appropriate training and that usually requires FT employment.
For now, per diem is great for me.
Have you considered part time? With some exceptions, part time employees collect full time basic benefits.
I work per diem. I make sure I put a sum away for retirement. I have insurance from another source but it's not as good. I love my independence. Nursing isn't the center of my life anymore. Now life includes nursing. My health is better. Relationships have improved. It's great if you can swing it.
It's a question of which you value more. Flexibility in schedule, more free time when you want it and economic security.
Economic security goes beyond just health care insurance. There are all sorts of other economic considerations such as paid time off, base level of income, retirement benefits. etc. PRN during economic slowdown can also be dicey in the amount of hours you would be able to get.
That said it really is a personal choice based on your unique situation and which you value more.
In my opinion, that is not a good idea. For the kids, maybe...but only until they are in school. Otherwise you would never be doing anything together because weekends would be the only time you could due to school. As for now, you are saying your husband is off on weekends, and you want to work all of them? So no family time (mom, dad, and the kids together)? That would likely hurt your marriage. And don't think spending an hour with your husband when he comes home from work during the week is going to make up for entire weekends. You would surely miss too much. There is no way I would ever work weekends because I have a daughter in school all week and my husband is only off 2 weekends a month and works every single other day. So our days together are precious and no job is worth my family time.
15 months doesn't seem like THAT long of a time. Especially since you've kept everything current. Keeping CCRN current means you've been up to date on your CEUs too.
Per diem sounds just right for you. I'm sure the hospitals will value your experience. I also recommend hooking up with the local AACN chapter for networking and job referrals. Good luck!
I took off almost 2 years after having a baby and just got hired per diem in L&D (my previous speciality).
I also wanted per diem for the flexibility. I'm excited!
All my certifications, such as acls, bls, pals, and rn license, ccrn are current. Do any of you happen to have suggestions re books, online classe, etc. that will help me brush up on my skills?
My suggestion is to show that you kept up-to-date with your skills even though you have been away from the bedside. Make sure all your certifications are current. Do continuing education classes and showcase them in your resume.
Good Luck! You can do it!!
I'm amazed by how many blatantly negative opinions people on this site have about nursing (although working in a nursing home I can't blame you for feeling how you do).
Keep in mind though, all of you who hate the job, that it is your experience. Some of us love the job. Arguably this is either because our personalities were more compatible with it or we just had better places of employment, but either way it's a subjective opinion. So please, instead of saying "nursing sucks" and the like, just say it didn't work for you for whatever reason.
For me personally, it was one of the best decisions I've ever made.
To the OP, good luck to you. Sorry you had such a terrible experience in a potentially wonderful field.
the ur nurse works for the business side of the health industry. it is the ur nurses responsibility to ensure that the facility is going to be paid for the services that the facility is going to provide and that the patient does not receive more service than they are entitled to. in order to do this the ur nurse has to be very well aware of the medicare and medicaid rules of reimbursement for services and the various rules of the different medical insurance companies for reimbursement (payment for services rendered to a patient). some ur nurses work for one insurance company exclusively. others work for a facility like an acute hospital and must be aware of the reimbursement policies of many different insurance companies. if they know that medicare or an insurance company is not going to pay for certain services it is the ur nurses responsibility to make that known to the patient's physician and the patient before the services are given so there is no misunderstanding about who is going to pay for the service and exactly what services are going to be allowed. there are very strict federal laws about this. hospital ur nurses are commonly used to screen for medicare services. the reason is because medicare, unlike medical insurance companies, does not pre-approve medical procedures. the facility is presumed to know what medicare will and will not cover. the ur nurse's job was born when drgs (diagnostic related groups), the way acute hospitals are paid for medicare patients, came into being as a way to avoid over utilization of services provided to the patient beyond what medicare was going to pay for. in other words, it is an accounting strategy to help facilities not overspend accidentally.
here are but some of the differences/similarities of cns/np:
nps practice in many settings from primary to specialty health care. concentrations include adult, family, gerontological, pediatric, neonatal, acute care, women's health, psychiatric/mental health as well as other specialties.
multifaceted specialist role: cnss are expert clinicians, consultants, educators, researchers, and collaborators. cns specializations are available in a variety of clinical areas including med/surg, gerontology, parent-child, community health, acute care, trauma, mental health, and others.
the theoretical base of np education is an integration of nursing theories and models. np practice is holistic with an emphasis on health promotion and disease prevention and is supported by evidence-based knowledge. family dynamics, social issues, as well as physical symptoms are addressed. advanced health assessment and an understanding of disease pathophysiology are the foundations of the np role. nps are certified in specialty areas consistent with educational preparation.
cnss are experts in a defined area of knowledge and are certified in a particular clinical specialty. cnss obtain a graduate degree which includes coursework in advanced scientific concepts, advanced health assessment, advanced pathophysiology, research methodologies and program planning. the cns must also be skilled in budgeting and case management.
in addition to providing direct patient care, nurse practitioners are educators, researchers, consultants, case managers, and activists. new roles continue to emerge.
cns nursing practice is research-based; cnss promote scientific inquiry in clinical practice by utilizing current research findings and by conducting and facilitating nursing research.
cnss provide direct and indirect care traditionally on an inpatient basis; however, many cnss may practice in a variety of settings including the hospital, ambulatory care clinics, private practice, long-term care facilities and community settings.
np and cns - rx privileges
view this article from medscape regarding the opportunities in advanced practice nursing;
you might need to register, but free site.
Why don't you look up "health psychology" programs and see if that is what you're looking for? I don't know if an MPH is exactly what you want.
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