Thanks to Medicare changes...My Job Was Just Eliminated - page 5

by AllynaBerry 12,055 Views | 44 Comments

It was Tuesday, 3:20 PM. The phone on my desk rang and I saw the extension was "1961" I knew. This was it! Our Chief Nurse wanted to meet with me in Nursing Administration. The ride down the elevator and the walk... Read More


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    "6. While my position was not responsible for the final retrospective review and submission of data, it was my job to make sure that the sample would meet criteria once the medical records were selected for retrospective review. By that time, any window of opportunity to accurately reflect the care that had been given was closed. The redundancy that you mentioned could be perceived as such by those who have never actually been involved in concurrent auditing and prevention of "fallouts."

    As a person who has reviewed charts for SCIP since the program began, you missed the boat. You do not need the redundancy, you need systems in place. Order sets ( and those who choose not to use them report them to the chief). Charting IV abx, I have never seen anything BUT IV abx given, so the charts only have IV medications printed on the form. I have passed validation many many times.
    sauconyrunner and NRSKarenRN like this.
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    Consider applying for any nursing jobs that are "coders". They review the patients chart's and work with the doctors based on the ICD-9 coding to maximize reimbursement by making sure every possible diagnosis is written by the dr in the chart. I'm not sure what these jobs are called I imagine every place is different.

    In my experience, nurses in admin and education do not have "secure" jobs. They can be fired at any time and frequently are for a variety of reasons usually cost cutting and politics, you need as many friends as you can get in higher admin to safeguard your job! I suspect age discrimination also factors in as the older nurse has a higher wage, plus most likelly higher healthcare costs. I would caution anyone in admin, etc to build up a good emergency fund just in case. I think it is easier to layoff admin then floor nurses that are doing the day to day work. But regardless, it can happen to anyone of us, and as we get older we are at increased risk of job less whether by layoff or due to poor health, so we all should take the time to create an emergency fund just in case. Don't depend just on your 403 because if you have to access it before you are 59 1/2 you will be penalized. So max out your Roth IRA that can be used without tax or penalty as part of your overall emergency savings! Also severance pay is a negotiable benefit. It would be good to have a lawyer available to help you in advance of a layoff. If anyone knows a good book about negotiating settlements and workers rights in the event of a firing or layoff please share. It's always better to be prepared than caught off guard in order to get the maximize benefits and severance package possible, including outplacement assistance!
    Last edit by brandy1017 on Jun 13, '12
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    Healthcare has declined, especially when your bosses try to cover up the lack of a good care plan for a patient by blaming the nurse he could have seriously injured. He needs his medications changed and he should have stayed at the hospital longer so he could have been evaluated better. He was in and out in less than ten hours. Go figure.
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    "BSN in '10( meaning 2010)" No, this means that ADN grads will have ten years to get their BSN from graduation, I think this is a topic that is still being pushed, but I have not kept up with it since leaving academia.
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    Quote from kcmylorn
    HazelLPN- Hat's off to you- age 78 and still doing clinical nursing. They sure don't build nurses like they used to!!!!
    I work as a substitute assistant school nurse about once every two weeks during the school year, and often I only do half days and I consider it volunteer work. I help out the regular school nurse sometimes, but most often I work with special needs students who require skilled nursing care. None of these kiddos are the least bit sick or unstable. I do a little nursing here and there, but most of what I do is just enjoy the young people. Its very little responsibility and a lot of fun. Not much different from the little old lady who volunteers at the hospital, really except I may give a med, a g tube feed, help change a few diapers, suction a trach and then call it a day and go home feeling good that I'm still helping people and I'm not ready to be put out to pasture just yet.

    To the original poster, you might want to consider training to be a school nurse. Its not physically demanding, the hours are great,some places the money isn't bad... but there is alot of work involved as you may be the only health care professional that some of the kids who live in poverty see on a regular basis. Look into it. Older people can reinvent themselves. An ex L&D RN would be perfect for an urban high school as you will do a lot of OB nursing....

    Thank you for the compliment and best to you,

    Mrs H.
    aknottedyarn likes this.


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