Latest Comments by QTBabyNurse

QTBabyNurse, BSN 5,303 Views

Joined: Mar 9, '05; Posts: 136 (22% Liked) ; Likes: 54
RN-Obstetrics/Case Management/MIS/Quality; from US
Specialty: 18 year(s) of experience in Obstetrics/Case Management/MIS/Quality

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    Quote from SaraLTayRN
    Crazy story ...

    The interview went great. I was given the unofficial offer and began all of the paperwork, etc. Then a week later I receive a bland email from the Administrator sent at 0100 in the morning saying I was not selected. I was shocked because none of it made sense. I called my HR contact, no answer so I left a message. I also sent an email to my HR contact, very polite, just explaining my disappointment and I did say how shocked I was since we were clearly on the path to employment. I have never gotten any kind of response from them.

    I honestly believe I was blacklisted so to speak. My mom is the Executive Director for another competing hospice in the same area. All of the management staff for the hospice I applied to knows my mom and sees her as a competitor. It was right after they found out who my mom is (someone who used to work at my mom's hospice recognized me) that I got that email.

    As of right now I cannot work for my mom's company per their policy. Who is going to hire their competitor's daughter? So I feel like I have no hope with any other companies. I should have known this would happen, but I guess I forgot how well known my mom is in this area. I truly had no ill intentions to share information. My mom wants me to be a hospice nurse and she is full of integrity, we already discussed that we would not talk about work other than the generic.

    The only light right now is that my mom
    is trying to get her company to make an exception and hire me. She is so far up in the company that I will have many bosses in between her and I. So far it is looking like it might happen except that there is currently no on call opening.
    Sorry that happened to you! Best of luck in the future...keep us posted!

  • 0

    Quote from SaraLTayRN
    Thank you for the great info. I also have young kids and I think that this position would allow me to be around for them as much as humanly possible while still being a working mom. Right now I work three 12 hour shifts a week, two of which are day shift and one that is night shift.

    I agree about the salary. I have to have a salary position because I have to have a certain income every month in order to contribute to supporting my family. I could never go to a job that is pay per visit because it would be way too stressful not knowing what my income would be from paycheck to paycheck. They did tell me on the phone that it is salary, but I will know more tomorrow. I also will definitely ask about triage, I wouldn't have thought about. Thanks again!!!
    Just curious.....What did you decide to do?

  • 4
    GM2RN, Rose_Queen, Ruby Vee, and 1 other like this.

    Quote from Slhengy
    Nurses do eat their young in my opinion. It's one of the reasons why I left the bedside and I see it quite often in my rounding on the units. Not sure why they do it.....I just know that it happens. My daughter told me recently that when she transferred from the Ortho floor that she was on for years to a Mom/Baby unit that the nurses were a lot more critical of each other and back stabbing. They weren't competing for any advancements....they were just mean people. I find that very sad and perhaps this thread will prompt people to think before they speak and be aware of how they treat people in general.
    I have found through many years in the nursing profession, that nurses will find whatever it is they expect to find.

    Here's a quote to remember "When you change the way you look at things, the things you look at change."--Dr. Wayne Dyer

    This may be helpful to you and your daughter moving forward.

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    Sadly, no good deed ever goes unpunished!

  • 0

    Quote from Slhengy
    I don't think you are understanding what I am telling you. It's not just my hospital....its EVERY hospital. For example, all HCA hospitals in the country are reducing their staff because ALL metrics are going to be pulled out of the electronic record. Once that happens, there won't be a need for physical chart abstractors, regardless of whether you work at Q-Centrix or a hospital. Outsourcing will go away. It's not a stable field to "enter" into.

    I would stay put if I felt that there was a future and advancement in Quality. I wouldn't throw away six years if I wasn't absolutely sure that the position is projected to change and/or diminish based on interoperability standards coming from CMS and TJC.
    I hear what you have been saying and Q-Centrix has positioned itself to evolve with the changes that are coming down the pike. I'm not concerned one bit that my job will be phased out. I'm in quite a bit of a different situation than a lone quality coordinator at one hospital would be.

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    Quote from Slhengy
    You can believe what you want but being certified by the Office of the National Coordinator for Health Information (HITECH Act), I am telling you that chart abstracting is going away. I have seen both the 5 year and 10 year plan of the ONC. I have also been in Quality abstracting for 6 years and it is going to be reduced to crunching data that is coming out of the medical records. Only a matter of time.
    I can understand your fear because you work for ONE facility. In my position, I am an extension of the quality department for MANY hospitals that have found it more cost effective to outsource their data abstraction. That is why Q-Centrix is experiencing tremendous growth. Hospitals are looking for ways to cut costs and staffing is their biggest expense.

    Your hospital may have chosen to discontinue abstracting topped out measures, however some hospitals have chosen to continue to abstract for core measures that have become voluntary.

    There is a wide variety out there for what hospitals are choosing to abstract In order to meet their quality objectives. It's a growing field for sure!

    Sorry your specific position is being weeded out. Good thing you're pursuing education...sounds like you need a change.

  • 0

    Quote from Slhengy
    It's ALL going to be pulled out electronically. Not just Core Measures. Once Interoperability hits, it's all going to come out of the medical record. I am a Health IT Nurse as well and I have seen what the government has in mind for all medical records coming from every doctors office, clinic and hospital in the country. That's why I am going back to school. BTW.....we use Q-Centrix to abstract our Core Measures. Do you know why? Because they did away with SCIP, HF, PN, etc. so we didn't need as many Coordinators. We had 5 and now we are down to just me. The writing is on the wall.
    I work for Q-Centrix and trust me when I say this is not going away. We have a remarkably busy company that is only growing day by day!

  • 0

    Quote from Slhengy
    It's a dead end job though. Eventually CMS will pull all data out of EMRs electronically and there will be no need for abstractors or concurrent reviewers. You get your foot in the door and then the work is gone. I would try to get into Case Management before Quality.
    While this may be somewhat true for Core Measure data abstraction, it is far from true for other types of data abstraction such as Get with the Guidelines and other registries. Hospitals are utilizing these more and more and the information is not pulled electronically. It is all done manually.

  • 1
    jessimee likes this.

    Data abstractors review patients' medical records to locate specific bits of documentationon order to answer questions in a vendor tool that are related to core measures (AMI, VTE, Stroke, Perinatal,etc).

    Some hospitals also review medical records for more specific medical registries such as Get With The Guidelines Stroke or Heart Failure. These abstractions are quite involved.

    It takes someone who is able to find their way easily through the medical record as well as the ability to decider very specific instruction guidelines for answering each data element question. It helps to know classification of medications as well.

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    I work for a company called Q-Centrix and do Core Measures abstraction as well as some Registry abstraction. You can apply on their website.

  • 0

    Good luck with your presentation!

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    Tamghis likes this.

    I did Nova Southeastern's RN-BSN online program and really liked it. I had graduated with an ADN from a community college and if I would've done an RN-BSN through one of the state universities, I would've had to take a bunch of pre-reqs first. With Nova, they didn't require that. So I finished the program really quickly. Yes, it was a bit more expensive but if you figure in that I saved time and money by not taking all those pre-reqs, it was almost a "wash". Nova offers different scholarships for financial aid than you can get if you go to a state university.

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    I did Nova Southeastern's online RN-BSN and really liked the program a lot! Took me about a year to complete and they accepted my ADN as most of the prereqs so I only needed to take Sociology and that was all.

  • 0

    First of all, I really liked working for Lee Memorial Health Systems. I worked for them over a couple years and the pay and the benefits were very good I thought. The nursing staff was very friendly to each other also.

    I've also done some PRN work for a few different hospitals through the years. Sarasota Memorial was one of them and honestly I didn't care for them too much. They are a magnet hospital and maybe that is why but some of the staff there seemed to be on a power trip and liked to feel they could micromanage other RN's. Being on different magnet councils was one of the methods the employees can choose to participate in to be able to advance and some seem to think they were better than others because of being on said "councils". Too much drama/politics for me.

    On to Fawcett Memorial and Peace River (now Bayfront Port Charlotte). I did PRN work for both of these facilities. Fawcett was very nice with good benefits and the nursing staff was friendly. Peace River was horrid and I would stay clear of them at all costs. Now, that being said, they have recently been taken over by CHS (they were HMA). Maybe that'll change things but I doubt it. They have been horrible for quite some time.

    Lastly, DeSoto Memorial is my favorite of any of the hospitals named. The staff is friendly, the patients (many of whom are migrants) are grateful and you really feel like you're making a difference in their lives. The downside is that the hospital has been in financial difficulty for many years and when census is down, you will be required to take your turn in being called off and having to use your PTO's to subsidize your hours. You will learn to do more with less. Your unit won't necessarily have the "latest and greatest" equipment but everyone you work with will have the patients' best interest at heart and that's something money cannot buy.

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    LadyFree28 likes this.

    Quote from tsm007
    I'm not going to go into too much details because this is a public forum, but my boss clearly does not have the same take as you folks on expectations. Another lousy day, but I worked my butt off to get through nursing school. I'm dealing with a little bit of gossipy coworkers too! I got a good plan for moving forward and in the near future plan to share my tips for success! If I'm anything I'm persistent! Thanks for the encouragement.
    Don't get involved in the soap opera of gossipy co-workers. Stay clear of that drama...it will do you nothing but harm.


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