Dear Nurse Beth,
I have been in nursing for 32 years , LPN to ADN now BSN for 8 years . I have worked in various settings . I am a Team lead Case manager for an insurance company. I don’t really feel like I'm nursing . I want interactions with patients but do not want to do bedside nsg. I hate home health and dialysis. Any suggestions on what I could do ? I don't have any special certifications.
Dear Needs Suggestions,
Here's a few ideas just to get you going :
Telephone Triage? How about Palliative Care in the hospital? It's very interactive, but not bedside.
Or Case Management? Again, you talk to patients and families, coordinate care, but don't actually provide care.
Nursing clinical instructor? Take nursing students into the clinical setting? It would depend on how long ago your clinical experience was, but first semester should be easy to handle.
Hospitals are developing new non-clinical positions all the time to adapt to different requirements. Read your local hospitals’ job boards for postings.
An example is Chart Review Specialist where nurses review charts in real time to ensure that documentation meets reimbursement criteria. You are on the unit and have patient contact, but again, are not providing direct care.
I work in psych and I don't consider that bedside. I am not trying to offend anyone if I do. It is not easy work by any means. I don't work in a hospital. Working as a psych nurse is the best choice I could have ever made and after I get my pre-med degree (yes, I am going back to school), I am forging ahead to become a psychiatric MD. I find myself looking up patients diagnosis and conditions on my spare time at home (it is that interesting to me). I see a lot of older women working in this area of nursing but the issue you may run into that you mentioned is not having to get your BSN. I actually just finished mine today, thank the high heavens. I did it in 5 semesters. Location may make a difference as to if you need to have it or not. I didn't need it to work in a hospital in the city that I once had. Maybe some places in the country aren't asking for it, I am not sure. I have gotten to the point since it is an option for me that it is best for me to get out of nursing because I need to make more money and have more control in what happens to the patients. I don't want to be an NP because the pay just doesn't do it for me. I work hard and I want to make more than enough. Good luck!, and I hope things work out for you.
Last edit by Workitinurfava on May 5