Latest Comments by LeavingTeaching4RN

LeavingTeaching4RN 7,024 Views

Joined: Oct 26, '07; Posts: 470 (28% Liked) ; Likes: 215

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  • 2
    KimberlyRN89 and miranda819 like this.

    You will learn new skills. However, I no longer fill comfortable starting IVs, but I was never great at that skill anyway. I don't know anyone who leaves bedside nursing and wants to return though. There is a CM in my department, who is in NP school. You will continue to have clinicals in school. Also, as a CM, you are assessing patients constantly. I am still a nurse. I still assess and diagnose people even in the grocery store.

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    Definitely, without a doubt, Broward College. It is a difficult program and some of the instructors are very challenging. However, my co-workers, who are NOVA, Barry and UM graduates, make the same amount as I do with my ASN from BCC. The only difference is I am not in debt. In fact, I received a hospital scholarship, which paid my $6,000 tuition.

    You do not need to factor in the cost of the RN-BSN program as indicated in the earlier post. Your employer will pay for your BSN or reimburse you!

    As far as selling your dreams short, no one will care that you received an ASN first. BC is very popular and the program has a great reputation. Employers say BC graduates perform better on the floor as new grads because the program has over 1,000 clinical hours.

    Also, I don't want to be a debbie downer, but many people get into nursing and do not like it. Many of my coworkers have returned to school for degrees in other areas. Save your tuition money in case you find yourself in a PharmD program in a few years!

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    I have an interview scheduled with a managed care company. I am not sure how to explain why I am trying to leave my current case management position where I have only worked a few months.

    My position before this one, I worked full-time for about a year, but i stayed on per-diem. So, I have been employed there for about 18 months.

    I am concerned about looking like a job hopper. I have a legitimate explanation for changing from the first position, but not from my current position.

    Also, I am not sure what to say when asked why I want to move to managed care.

    The truth is managed care companies in my area pay better than hospital positions and I could earn $6,000-$10,000 more annually.

    Also, I am tired of fighting with these physicians who are horrible utilizers and keep patients in the hospital forever. I really want to discuss the plan of care with them, issue a denial, and move on.

    Please advise.

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    I am an acute care case manager, which means I am an RN case manager in a hospital. My role is to make sure we get paid. I review charts to ensure patient's meet inpatient criteria, to identify and prevent delays in treatment, and request discharge orders from physicians when patients no longer need to be inpatient. I work with a social worker and together we arrange for patients to transfer to lower levels of care (SNF, LTAC, ALF) and home with home health care or necessary DME. We ensure patients are discharged to the appropriate level of care and with necessary services to prevent readmission, which lowers our reimbursement.

    Everything handled in the case management department comes back to getting the money. We are there to maximize our payment/reimbursement and to ensure the hospital adheres to medicare/medicaid (CMS) guidelines and follows our contracts with managed care companies.

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    Not quite. I mean the competency exams.

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    I would like to apply to a few agencies in the South Florida Area. I have been off the floor for about 9 months. I am reviewing NCLEX materials. Any advice or study tips for the agency pre-employment testing? What topics should I focus on? I am a neuro-tele nurse.

  • 0

    Quote from JJJTWEETY
    This post is mainly for anyone who graduated from nursing school. I'm currently attending Broward College and working 32 hours per week (Thurs-Sun/11-7 shift). Any advise on how to balance work, school, studying, & clinicals? I'm struggling and beginning to look elsewhere (mainly online programs). I don't know what to do. Any advise would be greatly appreciated.

    If at all possible, stop working 32 hours per week!! This is a full time program. It is very difficult especiallt if you work!

  • 2

    I miss teaching as well, especially the bell, the vacations, the lightbulb moments, and getting home every day in time for Oprah!!

  • 0

    Hello Alllnurses,

    Where can I find information about the job outlook for psych nurse practitioners? The schools in my area have closed admission to their Psych NP programs, which makes me nervous about the job market.

    Also, any recommendations as to how I can find a Psych NP to gain a greater understanding of the field? I have tried the apna.org website, but to no avail.

    Thanks a lot!

  • 0

    I wish I only had to read 50 pages a week in nursing school. That's less than 10 pages a day. My first exam in nursing school covered over 900 pages of text!! Seriously, I counted them!

  • 2
    Moogie and Nascar nurse like this.

    Quote from Nascar nurse
    Oh you grammar/spelling police people always intimidate the hell out of me. It's funny because I never seem to see my own mistakes despite proof reading, but I always see the other guys mistake. (For example I see a mistake in both of your posts).

    Posted with "love" as I admire both of you greatly and always love to read what you both have to say.
    You don't catch your own mistakes because when you proofread your own writing less than 24hours after you wrote it, you usually read what you think you wrote not what you actually wrote.

  • 9

    Quote from vondutchess
    I am sorry to hear about your struggles, however I think you should be happy that you even have a job. Many of us new grads still can't find employment - so suck it up and know that there will be 500 new grads willing to take your place should you decide to quit. Hang in there, you can do it.

    This is the prevailing theme at my place of employment. Well, at least we have a job!!! This attitude drives me crazy and explains why nurses are at the bottom of the totem pole. I swear, even the maintanance man at my job can discipline nurses. Nursing was a second, well 3rd, career for me. I am most taken back about how nurses allow themselves to be mistreated. "Well, at least we have a job!!" So, what if the job is toxic and sucking the life out of you.

  • 1
    Nola009 likes this.

    Quote from ADtoRN
    I want to thank you all for your postings. It's comforting to know that there are other nurses out there that can relate.

    I will stick it out for a year and see where that will takes me. I have considered going to EAP but I'm not sure how much of a help that would be.

    But thank you all for listening =)
    Please try EAP. Speaking with a therapist can only help. If you aren't happy with the first person you speak with, try someone else. You don't have to struggle alone. Also, it makes me feel better when I use my employee benefits. As hard as you work, make them pay for something.

  • 0

    Quote from LA_StudentNurse
    Leaving, you should become a nursing teacher. There is such a need
    I don't have enough experience. But, if I make it through, I will definately consider it!

  • 0

    My expenses as an RN are not even worth mentioning when comparing them to my out of pocket expenses as a teacher. As a teacher, I spent a lot of money on supplies, incentives, cloths, food, etc for my students. As a nurse, I purchased a pencil bag, pens, sharpies, a pill crusher, a pill cutter, a Littman stethoscope, a pen light, a hemastat, bandage scissors... Probably less than $200. Some of this items I have had since nursing school. So, it is not like in the classroom where you are constantly replenishing supplies. Those trips to the Dollar Tree really added up. Scrubs are definately cheaper than professional attire and they are washable. As a side bar, I really miss teaching. For me, the grass is not greener on the other side.


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