jlynn2303 3,945 Views
Joined May 15, '09.
Posts: 103 (17% Liked)
Geeze, scanning too fast and misread it as How many NP's does it take to diagnose a patient? I thought it was a joke, like how many politicians does it take to screw in a light bulb! Actually, I think I like mine better. So- what do you think? How many NPs does it take to dx a pt? 3? One to see the patient, one to comb through ICD-10 and one to argue with the insurance company? Make that two to argue!
Hi, I am about 9 months into the 2.5 year FNP program at Indiana Wesleyan and I feel like I am repeating high school and undergrad. In the last nine months we have covered the three branches of government and their duties (high school civics), how to use APA citations (undergrad) and I am now in a six week class on how to write a literature review (undergrad). I should not have to repeat high school and bachelor level work in grad school. I have learned nothing new, and nothing I will use in actual nursing practice. We only get 8 weeks for advanced pharmacology! Six weeks on how to write a lit review and 8 for pharmacology?! Give me something that I will actually use! Advanced wound care, 16 weeks of pharm, extra path but stop wasting my time on junk like how to write an op-ed. Seriously?! Are these things actually going to be on boards? You know, if I am ever in the ICU, the first thing I want to know about the nurse is can she use APA citation correctly? We only get 4 weeks on physical assessment.
I ended up here because my NP recommended the program and I like her. Are all FNP programs like this?
I am in it. How is it going? I started Nov 2015.
Hi! Good to hear from another admitted student! I am just starting what looks to be a challenging stretch- biostats to pharm to advanced path...but honestly at least it is pertinent, unlike writing about the three branches of the federal government. Man. I wish we could spend more time in school on stuff we actually need- like stuff we will actually USE in the job! I am worried about biostats which I am starting TODAY. I set it up to work part time, as the older I get the more I value my sanity!! Any way you can work 12s? Pay some stuff off before then?
I don't know but it is one of the things I like least about nursing. I have not found it everywhere I have worked as a nurse, but I gave run into it a lot more here than in other professions in which I have worked. It reminds me of Junior High sometimes. Maddening.
I thought so too! Makes sense to me, but, no. When I worked for hospice and had a lot of local patients, I could not get paid at all for mileage a lot of days. In this job, (HH) I can easily drive 85 miles to my first patient, 85 home, and maybe 10-15 miles from pt to pt in that area. So, from this they will subtract 42 miles off the top, then pay me .25 cents per mile for the rest. I checked the IRS site and in order to claim mileage from home to my first patient, I have to have a dedicated home office - my desk is now my dedicated home office space! I would be eating a huge chunk of my mileage expense otherwise. I lived close to the office for hospice - 2.5 miles, but I am an hour and a half from my current office.
They subtract 21 miles commute to work and 21 miles from work. The last place I worked it was 18 miles each way. My commute was 2.5 miles, so I had to wat the rest of the mileage.
Hi, just starting in HH and looking for apps that would allow me to track number of visits per day, oncall days/pay, total mileage, business expenses, etc. This agency pays .25 per mile and subtracts 42 miles per day that they consider to/from work. I want to track to see if there is a better way to do my taxes.
I have been hunting, so far haven't seen anything specific that would allow me to track number of visits, on call pay etc. It sure eould make my life easier though!
Any thoughts appreciated! Thanks in advance!
Hi, I am slated to start in Nov 2015, but have concerns that they are so vague about the financial aid. What has your experience been? I have never heard of a school that does not reveal financial aid umtil AFTER classes start. I don't want to be blindsided after I am alreay in and owe money.
Hi, I have been a nurse about 5 years, and have done mostly hospice with some LTC (about a year) and chronic dialysis (about 6 months), with hospice being the most recent. I am worried that I have forgotten a lot of things I will need.
Any suggestions as to what to review?
Do you think it is better to start on 3rd shift or first? Or a mix?
While the hours in hospice were veeeerrry long, with a lot of on call, they were not 12hrs on my feet. Any suggestions to help the transition for my back and legs?! Lol.
Do you know anyone who has graduated and passed the licensing exam? How hard was it to set up your clinicals? What is the eval process re: clinicals? Did you have to pay your clinical instructors?
Get organized! That's true for all nursing. There's a lot of paperwork/documentation in hospice, to the point that sometimes it feels like all I do is do paper/computer work.
The nurses at my for-profit hospice are now required to have marketing territories on top of our other duties. We are responsible for getting the facilities to give us admissions. We are supposed to be sales people. If I had wanted to be a marketer, if I had thought i had the talent, personality or ability to be a marketer or a sales person, I would have gotten my MBA, not my RN. I am terrible at selling things. None of the nurses has any clue what we are supposed to be doing except bringing in admissions. Our marketing person no longer does this. They took the facilities and doctors from her and gave them to us. We have had no training. Today we were shown a chart that listed (among other things) facilities where once upon a time we had an admission, but where we do not currently have any patients (most are contracted with another hospice). No instruction, nothing. Just the implication that the nurses are supposed to convince the building to give us admissions. they keep raising our expected/target census, even though we were not meeting the old census expectations, and have never, except for a brief period where a bunch of people who were not appropriate, were admitted (they later had to be taken off.). We stay around the same census we have been at since we opened several years ago, but that is not good enough.
Has anyone else had to do this?
I am not sure how to describe this, and am considering what to do. There is a nurse at our hospice who has a long history of coming into conflict with coworkers, filing complaints, and what is worse, saying that patients are complaining. Various nurses have left the agency because of her, others refuse to talk to her on the phone (which is how we report) unless someone else was also on the line, she has filed complaints against management, trashes the other nurses to each other and the doctors - I have never seen anything like it in all my days. She typically has a target, a particular nurse that she is going after and trying to get into trouble. She works weekends only, and we all dread Monday morning report. I have watched it go through one nurse after another. Well, apparently, it is my turn. What is even odder is that she told one of the aides that she thinks I am out to get her!?? I am not the one filing grievances. This other employee, who used to be very close to the nurse in question, went so far as to call her paranoid. She lied and said I refused to go out (fortunately, no one believed her) when she called me for a vigil. This was not true. What I said was 'let me know what you need' since I didn't know who else she had talked to.
I don't deal well with with people who are so vindictive and malicious. It always leaves me at a loss. Can't we just work together to take good care of our patients? Isn't this job stressful enough? I don't care to live that way, so it would never occur to me to do that to someone else. But now it is affecting my employment record. My question is this - she has now done this to so many nurses, surely a pattern could be proved? Wouldn't it be weird if there is one nurse involved in almost every single grievance or complaint over multiple years? I am kicking around the idea of consulting a lawyer, but am not even sure what this would be called. Everyone is afraid of this woman (including management - she files grievances on them as well), and multiple nurses have left the agency entirely because of her.
So, what kind of lawyer might address these questions? Labor? What is this called? Any input appreciated!
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