SummerGarden

SummerGarden BSN, MSN, RN

ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr

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All Content by SummerGarden

  1. Do I like Case Management

    SummerGarden replied to GRounded1's topic in Case Management

    L8RRN, I think it is great you work in a capacity where you do not do both discharge planning and admissions.... I did not know that there was such a thing in the hospital setting until your post! :)...

  2. mgmt and pre employment drug screen

    SummerGarden replied to Ozymandia's topic in Nurse Management

    Most pre-employment drug screens require you to fill out paper work that includes listing all prescribed medications, dose, and frequency. So, if you pop-positive, it will make sense. Proof of Rx...

  3. Insurance Haters

    SummerGarden replied to gonzoRN's topic in Case Management

    GonzoRN, I have not worked for an insurance company, but I do give bad news to patients regarding insurance coverage and I know what you mean and how you feel. It is hard to be the face of a...

  4. an 'easier' specialty

    SummerGarden replied to rearviewmirror's topic in Emergency

    That is the problem others are pointing out, it is not respectful to say/write what you wrote with or without experience. Especially since it is not true! If it were true, people would not be...

  5. WHY... DME air matress not approved for stage 4 coccyx wound?.

    SummerGarden replied to CenterIce's topic in Home Health

    Um, no, the air mattress is covered. The provider either did not understand or did not want to do the paper

  6. Informal leader promoted to formal role.

    SummerGarden replied to Anna Flaxis's topic in Nurse Management

    Not to be mean, but people with the personality trait you have written do not last long. In fact, I know of two who have quit my facility in the past 4 months. If you really want to make a career...

  7. Post Assistant Nurse Manager Interview

    SummerGarden replied to special1rn's topic in Nurse Management

    ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ Yes! You will grow fast if you allow the challenge to push you in a direction you have never been before without running the other way. The job is not for...

  8. Pay shock

    SummerGarden replied to bethymaester's topic in General Nursing

    Well, said! I have tried to explain this to people for years when I was living in the South!!! Making cheap pay as a nurse in many of those states does not compare well with the cost of living....

  9. Transferring to another level of care

    SummerGarden replied to RN010101's topic in Case Management

    Is this homework? When trying to discharge a patient to a LTAC be sure to tell him/her about the good news of their discharge from the hospital setting and up-sale the LTAC's ability to continue to...

  10. Post Assistant Nurse Manager Interview

    SummerGarden replied to special1rn's topic in Nurse Management

    I work day shifts too!! :) I pick up all three shifts where I work as extras... :) In fact, I just completed a day shift... Today I accepted a patient while running the floor. I did not take the...

  11. Post Assistant Nurse Manager Interview

    SummerGarden replied to special1rn's topic in Nurse Management

    True! Under most circumstances this is appropriate.... However, on clinical floors it can happen even if it does not happen daily..... Last week a manager (department manager) accepted a few...

  12. Post Assistant Nurse Manager Interview

    SummerGarden replied to special1rn's topic in Nurse Management

    Very good!!! I had/have the same approach, which is why I am not apart of the turnover rate. :) ANMs are leaders. We also have direct reports, which ultimately will make a big difference in whether...

  13. Post Assistant Nurse Manager Interview

    SummerGarden replied to special1rn's topic in Nurse Management

    Yes, OP when short, yes, this is normal... And the 80% administrative thing is not accurate. We are expected to be Staff RNs, PCTs, Transporters, Charge RNs, Nurse Managers, and Administrators all...

  14. Retention/Morale

    SummerGarden replied to ltcnurse01's topic in Nurse Management

    In addition to the above, you might want to round on your staff often (all of them, even the ones with whom you do not think you have anything in common) and make the other managers/supervisors do the...

  15. Moved up to Nurse Manager

    SummerGarden replied to LaDivaRN's topic in Nurse Management

    Where I work this is still happening!!! Our retention rate is bad! On another note: OP: I your management experience as a nurse manager and is it recent? If not, that can make a difference. After...

  16. Care Plan ideas for quarterly visits

    SummerGarden replied to vickidt's topic in Case Management

    The goals should be patient centered and not nursing centered. So, the goal is the patient's goal. If the patient does not have a the ability to make decisions, then the goal is the guardian's...

  17. Assistant Nurse Manager

    SummerGarden replied to special1rn's topic in Nurse Management

    OK... if the fear does not go away after you get the job, discuss this with your manager... Maybe he/she can provide you with needed supports that will help you transition well to alleviate your...

  18. Assistant Nurse Manager

    SummerGarden replied to special1rn's topic in Nurse Management

    I work on a few Medical Surgical and Cardiac units as an ANM (My department is big plus I cover other floors when needed). I have the background as a Staff RN on a variety of floors to include...

  19. I dream of nursing leadership...

    SummerGarden replied to GVNurse09's topic in Nurse Management

    In addition to the above (all good stuff), do not forget to market yourself! Basically let everyone know in your life (family, friends, whomever) and at work (yes, even the haters need to know) that...

  20. Check-In 2015 Spring New Nurse Managers

    SummerGarden posted a topic in Nurse Management

    Checking-in to see how everyone is doing. Has anyone been assigned to projects? My department has a few I am eye-calling. Have any of you written your performance goals yet? I am still working on...

  21. Nurse Manager Salary

    SummerGarden replied to EatYourVeggies's topic in Nurse Management

    I understand not allowing managers to pick up hours as a Staff RN or as front-line staff for political reasons, but what about as a House Sup? Where I work only mangers of my facility or other...

  22. Diversity in Nursing Leadership

    SummerGarden replied to chappco's topic in Nurse Management

    I worked for hospital that had your problem in an urban setting too, specifically the ED. The leadership of that hospital found that the a small group of Caucasians (largely from the South and...

  23. Diversity in Nursing Leadership

    SummerGarden replied to chappco's topic in Nurse Management

    Oh, I see.... Unfortunately, no profession is that evolved; too many candidates are qualified based upon merit. Our profession as well as others will select candidates based upon merit to some degree...

  24. UM (insurance) vs inpatient hospital CM

    SummerGarden replied to BayRNBSN's topic in Case Management

    OP: I know a nurse that worked as a CM in the hospital setting for many years (decades) then transitioned to insurance for the same hospital (a provider group) then returned to the hospital...

  25. Diversity in Nursing Leadership

    SummerGarden replied to chappco's topic in Nurse Management

    I agree with the above two posters. The first poster makes an excellent point... I have lived and worked in both Rural and Urban America and although I tried to be very open minded and optimistic...