Rehabilitation Nursing: A Specialty In Its Own Right - page 2

Rehabilitation nursing is a fast-paced specialty that involves helping patients and their families deal with short-term, progressive, or long-term impediments and disabilities in ways that... Read More

  1. Visit  TheCommuter profile page
    2
    Quote from mmc51264
    I didn't know there was specific certification for Rehab nurses. I am working in a Rehab facility attached to LTC. I love it. I was going to look into the Gerontology specialty, but now have a new view. Thanks!!!!!
    Yes, the certification for rehab nurses (CRRN) definitely exists, and nurses at my workplace who have this certification receive a pay raise and are promoted to the level of 'CRRN.'
    LadyFree28 and mmc51264 like this.
  2. Visit  TheCommuter profile page
    2
    Quote from BrendaCRRN
    DOES ANYONE VALUE REHAB CERTIFICATION? DOES ANYONE VALUE EXPERIENCE?
    My place of employment, a freestanding rehabilitation hospital, gives all CRRNs a pay raise and promotes them. In addition, nurses who have many years of experience receive a significantly higher rate of pay per the HR wage grid. So, to answer your question, some facilities still do value certification and experience.
    LadyFree28 and Wise Woman RN like this.
  3. Visit  Wise Woman RN profile page
    0
    Quote from BrendaCRRN
    I am A CRRN who worked on a rehab unit and I was dismayed to find that the Hospital I worked at seemed to value the specialty of Rehab nursing less and less. In 1987, when I started there, we were a closed unit and no other nurses floated in or floated out. When Iowa health System took over our hospital in 1995' things began to change. We were floating out to other units and even worse' non-rehab nurses were floating in. Many of these nurses felt that rehab was beneath them and were not expected to do any of our rehab paperwork, such as FIMs scoring or to attend patient staffings. Most did not know proper transfer techniques and were used to their patients being in bed all day. In 2010 there were 3 CRRNs on the Rehab unit. Now there are none. In an effort to decrease payroll costs, they fired 2 of us last year. We both suspect that it was because we had been there many years and were both near the top of the pay scale. Our certifications seemed to have no value for management. It is sad that Hospitals are allowed to fire good nurses that have certifications and many years of experience, in order to hire new grads at a lower rate of pay, but as they reminded us, we were "at will employees". At present I am hunting for a job, but a 58 year old that has been fired is not seen as a good catch. I know whatever job I find will not pay near what I was making. DOES ANYONE VALUE REHAB CERTIFICATION? DOES ANYONE VALUE EXPERIENCE?
    The same thing is happening to the rehab unit I worked at for many years. The nurses and aides who float in don't want to be there, don't do the required charting, don't have the specialized knowledge.
    I was fired two weeks ago, and now, at my great age, I have no insurance, and am not quite able to get social security, and who will hire me?? I have been certified since 95, keep up with my CEUs, but I think the only place I will be able to work will be one of the stores that has "greeters." Sad and scary. Good luck to you in your search..
  4. Visit  Wise Woman RN profile page
    0
    Quote from BrendaCRRN
    I am A CRRN who worked on a rehab unit and I was dismayed to find that the Hospital I worked at seemed to value the specialty of Rehab nursing less and less. In 1987, when I started there, we were a closed unit and no other nurses floated in or floated out. When Iowa health System took over our hospital in 1995' things began to change. We were floating out to other units and even worse' non-rehab nurses were floating in. Many of these nurses felt that rehab was beneath them and were not expected to do any of our rehab paperwork, such as FIMs scoring or to attend patient staffings. Most did not know proper transfer techniques and were used to their patients being in bed all day. In 2010 there were 3 CRRNs on the Rehab unit. Now there are none. In an effort to decrease payroll costs, they fired 2 of us last year. We both suspect that it was because we had been there many years and were both near the top of the pay scale. Our certifications seemed to have no value for management. It is sad that Hospitals are allowed to fire good nurses that have certifications and many years of experience, in order to hire new grads at a lower rate of pay, but as they reminded us, we were "at will employees". At present I am hunting for a job, but a 58 year old that has been fired is not seen as a good catch. I know whatever job I find will not pay near what I was making. DOES ANYONE VALUE REHAB CERTIFICATION? DOES ANYONE VALUE EXPERIENCE?
    <br>
    <br>
    Same thing happened to me. We were a closed unit, no floats, we did a good job with the patients.<br>
    It does seem like other nurses look down on us, they don't realize that we have to use every bit as much of our nursing expertise as they do, and perhaps more. I am a CRRN, have been for 15 years, and in an irf, you can get patients that slide down that slippery slope to being critical fast. I loved my job, though. The actual rehab nursing part, working with patients and families to achieve their goal of going home. It bothers me that some of the nurses in the other parts of the hospital don't seem to realize that rehab nurses are really excellent nurses, and we actually do care for the biophysical and psychosocial aspects of the patients.. Our unit got a new manager, and I am the first one that was fired. I'm 61,have been working in rehab for all 20 years of my career. We had started getting floats in, they didn't wan't to be there, so they would pass meds, and daily assessments, but no teaching, no answering lights, really, no giving the other nurses a hand.. then they would go to the manager and say how mean we were.. <br>
    so, I am getting unemployment, and I am going to download the form from EEOC and file an age discrimination suit. Lacking a joyful feeling is not a good reason to fire someone. And now I have no insurance. Cobra is so expensive, I will probably have to go live in a discarded washing machine box.<br>
    Or, with all of our experience, you could come over and we could start our own business.. what do you think??? The too much experience thing, it gets in the way when someone wants the nurse to ignore policy. the old bags know better,they don't go quietly into that good night.. Hey, you could probably go get my old job.. there's an opening now.. LOL nightime rambling. but it's all true.
    Last edit by Wise Woman RN on Oct 22, '12 : Reason: corrected the incoherencies
  5. Visit  Nikkinism70s profile page
    0
    So are these same skills used on the rehab floor in the hospital?
  6. Visit  LadyFree28 profile page
    3
    Quote from Nikkinism70s
    So are these same skills used on the rehab floor in the hospital?


    Rehab nursing happens in hospitals, freestanding hospitals, and LTC; the specialty has it's own criteria and skills that are transferrable.
  7. Visit  TheCommuter profile page
    1
    Quote from Nikkinism70s
    So are these same skills used on the rehab floor in the hospital?
    Some acute care hospitals and teaching hospitals have acute rehab floors.

    Rehab units can also be found in freestanding acute rehab hospitals and in nursing homes. Generally, nursing home rehab is subacute.
    Mahogany Queen likes this.
  8. Visit  rockthom0512 profile page
    0
    My first job as an RN will be in rehab nursing. I will be starting on July 7th. I am a bit nervous because I am a new grad. I am looking forward to the challenge, however, I am afraid that I won't be able to handle to workload. The supervisor that hired me, assured me that I could handle the position and that my years of experience as a CNA, should help somewhat; I hope she's right! Any advice to help ease my anxiety???
  9. Visit  TheCommuter profile page
    0
    Quote from rockthom0512
    My first job as an RN will be in rehab nursing. I will be starting on July 7th. I am a bit nervous because I am a new grad. I am looking forward to the challenge, however, I am afraid that I won't be able to handle to workload. The supervisor that hired me, assured me that I could handle the position and that my years of experience as a CNA, should help somewhat; I hope she's right! Any advice to help ease my anxiety???
    First of all, is this SNF/LTC nursing home rehab, or is it hospital acute rehab?

    Congratulations on the job!
  10. Visit  rockthom0512 profile page
    0
    Quote from TheCommuter
    First of all, is this SNF/LTC nursing home rehab, or is it hospital acute rehab?

    Congratulations on the job!
    Thank you! It is at an acute rehab hospital.
  11. Visit  TheCommuter profile page
    3
    Quote from rockthom0512
    Any advice to help ease my anxiety???
    I also work at a freestanding acute rehab hospital.

    Regular issues at the rehab hospital where I work include falls, DVT from prolonged immobility, skin breakdown (a.k.a. pressure ulcers), urinary tract infections, bladder training, bowel programs, incontinence, and patient satisfaction issues.

    Our patient population is a mixed bag of mostly CVAs, CHF exacerbation, debility secondary to pneumonia, MS, COPD exacerbation, Parkinson's, obstructive sleep apnea, orthopedic cases (knee and hip arthroplasty), limb amputations secondary to uncontrolled diabetes or wet gangrene, spinal cord injury (paraplegia and quadriplegia), fractures secondary to falls, and trauma secondary to motor vehicle accidents.

    We administer plenty of medications for pain, anxiety, diabetes, CHF, HTN, MS, Parkinson's, dementia, hypothyroidism, atrial fibrillation, elevated cholesterol, COPD, constipation, enlarged prostate, urinary retention, antivirals, antibiotics, muscle relaxants, antispasmotics, and much more.


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