Star35

Thank you!

My experience: 2 years nursing home, 2 years medsurg, 1 year outpatient hemodialysis. I started the Hemodialysis job because of the location and work life balance. However, I'm feeling like I can't do this forever. In my heart of hearts, I really feel like I would enjoy wound care. I was the Skin Care Champion under the direction of the hospital's Wound Care Nurse during my time in the hospital. I really enjoyed my experience. Did I shoot myself in the foot by leaving the hospital where I was gaining experience in wound care? Can I just get certification online? Does that include clinical hours? Can I reach out to a wound care nurse at a hospital near me to precept? How available are wound care nurse jobs?

Thank you! That's very helpful.

I've been considering seeking a position at a doctor's office for some time now . . . I guess my motivation is to get away for the unrealistic expectations I feel like I've been experiencing most of my time as an RN (maybe it's just the reality of a career in healthcare these days?) Anywho . . . My background. . . RN, BSN. Nursing Home for 2 years. MedSurgTele 2 years. Hemodialysis Outpatient 1 year currently. Nursing Home: sucked. MedSurgTele: good knowledge base/experience, but I wanted a specialty and better work/life balance. Hemodialsis: I feel like I'm just running a production line and I hate the whole wake up at 4 am and work for 14-15hours. And of course, unrealistic expectations. I want to try the Monday-Friday 9-5, no holidays/weekends/nights. No life or death situations. Develop a rapport with physicians and patients. I've perused the threads here. Seems like I'm getting a pretty similar sequence here of rooming the patient, vital signs, chief complaint, lab work, prior authorizations (?), and telephone triage. My concerns: Prior Authorizations (I don't know what these are but I'm going to assume) Is this basically filling out paperwork in order for the doctor order medications? Like, proof that it's medically necessary in order for insurance to cover it? If that's the case, does it make you feel like glorified secretaries? (I mean no offense here. Please. I just want real, honest feedback. Emphasis on "feel like.") Telephone Triage: This may be my weakness. I'm so used to just saying: "I don't know. Let me ask the doctor." Like, how available are the doctors in the offices? I feel like your critical thinking has to be strong here. How was it for you starting out in a doctor's office and a patient called with a medical concern? How confident were you in handling that situation? Any feedback would be great here. Thanks!