pabby

What company do you work for?

Does anyone have any tips on how to use one's Nursing experience to work from home? I'm a Med/Surg RN with 30 years of bedside experience as well as 8 years of experience in Electronic Medical Record development. I've been a case manager for homecare. I've worked with my hospital's Case Management department doing denial reversals with a 50% success rate. So how do I take one or all of these things and turn them into a great work from home career?

i would agree with this. [color=#ffa500] [color=#ffa500]it doesn't seem to be fair to you to add stress to what sounds like an already stressful situation. it also isn't fair to a child to bring it into a situation where one of the parents may not be quite ready to care for the child.

i generally tell people that doctors and nurses are trained to do different jobs and that we work as a team, much like a baseball team. everyone isn't the pitcher, but the pitcher wouldn't be able to do his job without the rest of the teammates.

since you indicate that this is not unusual behavior for this physician, i would probably write him up. [color=#ffa500]i have no problem with anyone asking a patient the same questions i may have already asked. perhaps they will discern something different from the patient's response than i have. perhaps the patient will elaborate more to someone else, which may give us some info we need to better treat the patient. [color=#ffa500]what is not acceptable is for any employee to make a disparaging remark about any other employee's abilities to a patient or their family, and that is what this physician did. he undermined the nurse's professionalism, and he cast doubt and therefore fear into the patient and his family by indicating that perhaps their safety was at risk due to staff incompetence. i don't care why he may have been doing it...to deflect from how long it took him to appear, because he is a bad communicator, whatever. as another poster said, i have neither the time nor the inclination to teach a 40+ year old adult how to behave. [color=#ffa500]your hospital needs to know that this physician is negatively impacting patients' perceptions of their facility. it is a risk management and a public relations issue. as another poster pointed out...one mistake or even onbe thing that they think is a mistake, or one thing that they don't like, and what is the first thing they are going to think? "well, dr.plankton said he didn't trust the nurses here". he has planted the seed. and that is not good.

well, isn't this something!!!!!!!!! [color=#ffa500] [color=#ffa500]as fas as what diseases he may have been subjected to, i would think that the stomach acid would pretty quickly kill pretty much anything that may have been in there. give the pediatrician a call. [color=#ffa500] [color=#ffa500]as far as what to do??? the first thing i'd do is talk to my kid. what's the deal with this other kid? is this his typical behavior? is he always in trouble? does he do stuff like this a lot? is he a nice kid or an idiot? is he your son's buddy? is there rivalry between them? have there been other incidents with other kids? [color=#ffa500] [color=#ffa500]we are talking about high school kids here, right? yes, they should have more common sense, but sometimes they don't. realistically, high school boys can be gross. they can be incredibly stupid, no matter how "book smart" they are. sometimes, common sense isn't so common among high schoolers. i think before i crucified this kid, i'd get the story on him and see what's what. [color=#ffa500] [color=#ffa500]as far as the school...well, why would you go in there with guns blazing, unless you have had many bad experiences with how administration has handled things in the past? obviously, if that has been the case, then do what you feel you have to do. but i would say that i would calmly contact the principal, make an appointment, discuss the situation and give them the chance to do something before you start calling lawyers etc. i mean, i know i hate it when a patient starts off with the statement "i am prepared to sue you and this hospital if anything happens" when they have just been admitted and we have just met. [color=#ffa500] [color=#ffa500]of course, if this is habitual behavior with this kid and the school has a history of not responding, then i'd go in there much more strongly. i don't know though...if the kid just did something stupid i'd probably make sure he understood how stupid he was, but i don't think i'd have hima rrested etc. if he's essentially a good kid. if bad behavior is habitual with thekid, then i think i'd insist he get help as part of my discussions with the school.

i have been a nurse for a lot of years, and there are rewards and drawbacks to it, just like any other profession. [color=#ffa500] [color=#ffa500]it should not be a profession that you choose just for the money. the money certainly decent, and i have always made enough money to allow me to live my life the way i choose to live it, so that's fine. [color=#ffa500] [color=#ffa500]there are days when i feel like the most frustrated, underappreciated person on the planet. but then there are days whe i feel like i have helped soeone in the most wonderful ways imaginable. [color=#ffa500] [color=#ffa500]nursing is one of the few professions where you are given the gift of seeing life at its beginnig, and at its end. you are invited into peoples' lives at some of the best and worst times, and the impact you can make is unimaginable. [color=#ffa500] [color=#ffa500]it is a calling. there is an art and a science to nursing. it takes someone special to be able to do it, enjoy it, and excel at it.

i have said: "if i had a nickel for every time someone said that to me, i wouldn't have to work anymore". (not a recommended response) [color=#ffa500]"get in line. if there's anything left by the time they get to you, you can have it". (again, not a recommended response) [color=#ffa500]"do you really want to go to all that trouble to get my 9 year old car?" (once again, not a recommended response) [color=#ffa500]"well, i am sure you will do what you feel is the right thing to do". (better response...a bit more neutral) [color=#ffa500]"what seems to be your problem? perhaps we can fix it." (truthfully, i don't like to use this one too often, because it makes them think that the suing threat works) the bottom line is that, as another poster said, they threaten to sue out of a sense of powerlessness over their situation, their life, their health. anyone can sue...it's whether or not they will win, or actaully be able to make a case, that is the issue. "reasonable and prudent" care is the goal...do that, and you should be fine.

no one is attacking, but if you were an employter, would you hire someone who has had 30 jobs in 6 years? [color=#ffa500] [color=#ffa500]you have a unique situation, and i wish you well with it, but a prospective emploer's first concern is for his/her company. your work history is a difficult one to get around, and very tough to explain. [color=#ffa500]best of luck.

your options are somewhat more limited as an lpn, so getting an rn license may be the ticket to mor eoptions for you. [color=#ffa500] [color=#ffa500]however, think long and hard about nursing as a career choice. you want to care directly for patients, but have physical limitations that don't allow you to do that. that would mean that you would probably need ot be some sort of an administrative-type nurse, for example in an insurance company. that would pay you decent money, and allow you to use your nursing education, but wouldn't give you the patient contact you crave, yet patient contact, other than of the hand-holding sort, either causes you physical discomfort due to your back issues or you don't like doing the "goopy" stuff. patient contact exposes you to "goopy" stuff...they are sick, they are "goopy"...that's why they are patients!!!!!! [color=#ffa500] [color=#ffa500]your anxiety issues may be another stumbling block...patients, no matter what setting you encounter them in...depend on you, the nurse, to be calm, in control, in charge. they depend on you to be the one who knows what's going on, who knows what to do. [color=#ffa500] [color=#ffa500]med/surg or hospital nursing isn't for everyone, that's for sure. but nursing is also more than holding someone's hand and speaking gently to them.

Because it gives you a good general exposure to many things.