nfahren05

nfahren05 has 18 years experience and specializes in Pediatrics, PICU, CM, DM.

Latest Activity

1. Real work from home nursing careers or scams?

   nfahren05 replied to JAChicago's topic in Career Support

   You will not be able to make a full time paycheck at first, it takes time to build a business of any type so be realistic about the time involved and the barriers to entry. Do some market research in your area before you invest your money and time. I...

2. Degree over Experience?

   nfahren05 replied to tnbutterfly - Mary's topic in General Nursing

   I went the ADN route, and eventually added the BSN because my hospital decided that they wanted to insist on this to continue with them. They didn't do much to help, and even made it difficult for me to get the extra clinical experience, but I eventu...

3. I don’t want to work extra!

   nfahren05 replied to missnursingstudent19's topic in General Nursing

   No, doubles would not typically be an issue, but you will be asked to come in on off days. CM also works 7 days per week, and holidays (24/7 in some larger facilities).

4. Forgot To Renew ?

   nfahren05 replied to Forgetfulandtired's topic in General Nursing

   It happens. I did that once years ago, and had to work as a nurse tech for a few weeks while things got sorted out. Expensive lesson, and I took much ribbing from my co-workers, but not the end of the world or my career. Just let your manager know, a...

5. Feeling Stupid As a New RN

   nfahren05 replied to BabyTurtle2k11's topic in General Nursing

   Realize that no one starts out being able to "handle anything that's thrown at them." Most get there eventually, but it takes time and experience. At this point, if you are able to handle a full, or close to full, assignment on a "good" day when ther...

6. R.N. debating to pursue BSN

   nfahren05 replied to Martinezrn84's topic in General Nursing

   I would consider it, but I would also not spend a great deal of money on it. There are a lot of for-profit schools out there offering programs at top dollar, but it's hard to get a return on investment for the BSN (particularly for those who already ...

7. What nursing legislation would you like to see created/passed?

   nfahren05 replied to ka1991's topic in Arizona

   Would like to see mandated clerical/unit secretary support on all intensive care units 24/7/365. No way to enter routine orders for labs, consults, answer phones, etc., and manage 2 critical patients at the same time. Preferably would like to see thi...

8. Ageism in Nursing

   nfahren05 replied to Nurse Beth's topic in Nurse Beth

   Overall, while ageism is certainly a factor, I think that nurses (at least bedside nurses) are somewhat protected by the demand for their skills and the relatively high median age of registered nurses in the marketplace. One problem, however, is that...

9. What You Need To Know About Older Nurses: Myths and Realities

   nfahren05 replied to J.Adderton's topic in General Nursing

   There are a lot of older (55+) nurses dropping out of clinical positions because the hospitals won't step away from the 12 hours shift requirement. We are losing a whole generation of experience because many nurses are feeling too tired at the end of...

10. BSN is a joke

    nfahren05 replied to nurseguy22's topic in General Nursing

    I wouldn't say that the BSN is useless, because it does add some depth beyond the ASN, but given the choice between a BSN and an RN with a specialty certification, I'd take the certified nurse in a heartbeat. The BSN really doesn't do much in the way...

11. WHERE do I begin?!

    nfahren05 replied to Allie_G's topic in Case Management

    I found that it helped to know a fair amount about the US healthcare system and payer structures before that first interview for a CM position as a non-CM candidate. If you didn't have such a course in your BSN program (and most don't have sufficient...

12. Math requirement for RNs?

    nfahren05 replied to llg's topic in General Nursing

    I can't remember any time when I had to do drug calculations without a calculator so arithmetic ability is less critical than the ability to do the dimensional analysis needed to set up the mg/kg equation to figure out the missing variable. Nowadays ...

13. Considering Nurse Review position

    nfahren05 replied to Road2CNO's topic in Case Management

    Most insurance company positions are either concurrent utilization review or pre-certification, some are retrospective reviews. It's not clear from your comments which you were considering, but since the concurrent review is most common, will deal wi...

14. Is managed Medicaid the worst of CM?

    nfahren05 replied to Joe NightingMale's topic in Case Management

    Managed Medicaid is one of the most challenging areas of case management, and (due to Medicaid reimbursement,) it's one with the highest ratios of nurse case managers to members. I've done hospital case management, commercial telephonic case manageme...

15. Can you work as a staff nurse as an NP?

    nfahren05 replied to GinaCat's topic in NP Students

    I am worried that if allowed- I would be liable for a physician error that went unnoticed. Can I become a staff nurse and continue working as a floor RN? You are already liable for physician errors as a staff nurse, but only to the extent that you sh...