pebblebeach BSN, RN

pebblebeach has 7 years experience as a BSN, RN and specializes in Orthopedics.

Latest Activity

1. The avalanche of prior authorizations

   pebblebeach replied to pebblebeach's topic in Ambulatory

   Update since my original post: I left this job - for a few reasons, but a huge reason was that they DID end up hiring someone specifically for this task to handle prior auths - an experienced LPN who was excellent - patients were getting PAs/appeals...

2. The avalanche of prior authorizations

   pebblebeach posted a topic in Ambulatory

   Hi clinic RNs, I was previously a bedside nurse who transitioned to clinic life. We deal with a lot of patients on biologics (humira, etc.). The biggest learning curve for me coming from bedside is the barrage of insurance denials, prior authorizatio...

3. Preceptor is SO BAD!

   pebblebeach replied to Guest606's topic in General Nursing

   Don't you feel though that only two shifts is a little bit of a knee jerk reaction to having a different preceptor than the new grad anticipated? My preceptor had a very different nursing style than what mine ultimately is (or what I thought a nurse ...

4. Preceptor is SO BAD!

   pebblebeach replied to Guest606's topic in General Nursing

   When I worked nights I had an alarm set on my phone to take my birth control pill, Lexapro, etc. Now wondering how many new nurses I've traumatized with "She took her Lexapro right IN FRONT OF ME!" ? Sorry not sorry, barely have time to eat a full lu...

5. Social Media and Doxxing - Your Thoughts???

   pebblebeach replied to traumaRUs's topic in General Nursing

   I have posted a couple photos from work (on a private social media account) with zero mention of patients - just positive reflections ... i.e. on my one year anniversary as a nurse, a selfie of my good friend and I in the break room. I go by the rule...

6. My Preceptee concerns me

   pebblebeach replied to RNZZ27's topic in Educators

   "This student nurse recently forgot how to prime and hang IV bags and even scan them in." Just defending the slower learners over here in the cheap seats... ? This is a pretty advanced skill for a new student nurse. What is muscle memory to us is br...

7. Wastefulness in healthcare

   pebblebeach replied to Emergent's topic in General Nursing

   I completely agree with all of this, but if there are no spare films available to you except for in the kits, what else do you do? I wish more of the individual supplies in our kits (right now blood culture bags and port access trays come to mind) le...

8. Nurses with bipolar or anxiety/depression

   pebblebeach replied to freckles23's topic in Disabilities

   I feel you. It took me years in therapy to stop comparing myself to others' issues, i.e. "well my childhood was fine, my parents are great, I've never been abused," etc. etc. It's my belief now after a lot of self-work that every single one of us has...

9. Nurses with bipolar or anxiety/depression

   pebblebeach replied to freckles23's topic in Disabilities

   Yes. I wouldn't worry so much about the label (bipolar vs. "just anxious") right now. All feelings -- annoyance, hopelessness, flat -- can be "normal," the deviation is how loud the volume is on those emotions. For me, without help, the volume is on...

10. Adjusting to NIGHT SHIFTS advice??

    pebblebeach replied to nurse.sierra's topic in General Nursing

    Agreed. I have the positive attitude part down and I continue to work on good habits. I've definitely heard of instances where RNs bring in a doctor's note to get out of night shift after a v. short time on nights. In contrast ... my coworker with si...

11. Adjusting to NIGHT SHIFTS advice??

    pebblebeach replied to nurse.sierra's topic in General Nursing

    It wasn't my intention to scare -- I'm sorry! I just wanted to be honest about my experience, as nights is not for everyone. I have had to find solutions to the nausea, mental health, etc. and as long as I am consistent, I know I will survive night s...

12. Adjusting to NIGHT SHIFTS advice??

    pebblebeach replied to nurse.sierra's topic in General Nursing

    Congrats on the gig! I started out in a new grad orientation program too, and we started out on nights. I have always been very sensitive to sleep, and my psychologist strongly advised me to not go on night shift, but it really wasn't a choice. So I...

13. new nurse /gaslighting

    pebblebeach replied to hopern84's topic in Relations

    GREAT movie ?

14. New Grad RN: Neuro ICU vs BMT residency

    pebblebeach replied to pebblebeach's topic in General Specialties

    Thanks, Kareegansee! I will definitely keep my options open, and plan to keep in touch with the Neuro ICU director (we're only a couple floors apart at the facility). I see you're in the SICU, is that where you started out as a nurse?

15. New Grad in Onco/Heme/BMT Unit.

    pebblebeach replied to kmichellex's topic in Oncology

    I'm about to start a BMT residency and this post was super, super helpful, especially the patient education resources. Thank you! edit: oops, that was supposed to be a reply to buckeye nurse RN