carebear01

I know that sepsis can cause lactic acidosis but what about diverticulitis without SIRS? If so, can you please explain to me how it causes lactic acidosis?

Hello, I am a new to CDI. Although we use a software program to help look up codes, I am wondering if anyone has found it beneficial to own a copy of the ICD-10 manual for reference? I just don’t want to spend over $100 if it will not be useful.

Thank you!

Yes, I would consider doing another WFH position but it would be a position where I am not tethered to the phone all day. All of our calls are recorded and our manager listens to our recordings (not all of them obviously). I have younger kids at home so when I go to break in the evening, they want to play outside, play a card game, make food etc even though my husband is home. It can be kinda exhausting because sometimes you just want to clear your head. I have way less autonomy then I did as a nurse on the floor. All of our charting is audited by our manager. That was a very big adjustment. There are many other factors that made me decide that this is not the job for me so I am so happy to be leaving.

I wish it were that simple. Lots of calls coming in for stat transfers ie strokes, brain bleed, trauma, etc. All our calls our recorded and our manager receives statistics on how long we take to answer a call, etc. I get tired of working at the bare minimum, that’s all. Reminds me of working on the floor when I would try to take a poo in the bathroom and the phone keeps ringing because bed 210 is due for his pain medicine in 5 minutes. Sometimes you just want a decent break.

If I was planning on staying longer, I might have invested in a Bluetooth headset. I think the real frustration is that I shouldn’t have to work like that. I shouldn’t have to take a Bluetooth headset with me when I go to the bathroom. I was speaking to a nurse today who was going to be receiving a patient and I could hear something crunching in the background. I told her that I didn’t mean to interrupt her break and she said, “Oh sorry, if you heard me eating a cookie real quick. No break for me today”. Of course we both chuckled but is not the first time I have spoken to a nurse who didn’t get their break or answered my call when they were on the toilet. A coworker of mine just hopped on the phone line on her day off to help relieve us for a break so thankfully I did not have to use the bucket or eat at my desk while working today ?

Seriously. I started a WFH job months ago as a transfer/admission nurse which is staffed at bare minimum. We are short today (again) and I will be my myself for four hours due to a call in. Last time I worked (we were short as usual), I sat at my desk for 12 hours straight without going to the bathroom or getting a break. So I have a bucket and wipes next me to in case the phone lines are off the hook today. The good thing is is that I have six more shifts left in this department and I’m gone. I realized early on in this job that it wasn’t the type of working environment that I wanted to deal with day in and day out. I deserve much better than this. What I’m trying to say is don’t settle for less.

How are you liking it so far?

I was offered a job as a PPS coordinator in the hospital. I have some knowledge of the job since I used to work in rehab and had to complete irf-pai assessments qshift. Our average census is around 18. Just wondering if anyone here has any experience with this position? What are the pros/cons? Is the work very difficult? Do you like what you do?

I was offered a job as a PPS coordinator in the hospital. I have some knowledge of the job since I used to work in rehab and had to complete irf-pai assessments qshift. Our average census is around 18. Just wondering if anyone here has any experience with this position? What are the pros/cons? Is the work very difficult? Do you like what you do?

I’m looking at applying for a position as a rehab liaison/intake coordinator in the hospital. Basically, I would follow possible candidates in the hospitals, talk to patient/family to see if they would be interested in our inpatient rehab program, work with insurance to get approval, etc. I’m curious if anyone here does that type of job and do you like it? What are the pros/cons?

I’m thinking about applying for a position as a District Nurse. From the looks of things, I would be overseeing the entire school district, creating health plans, making sure the health aids are trained, covid monitoring, etc. I don’t have pediatric experience but I worked on a trauma floor for ten years (had patients as young as 14 sometimes). Anyone have any experience as a district nurse? What does your day to day look like? Pros/cons of the job?

OK thank you. You are absolutely correct.

I started a remote job in March working in bed desk. I work 36 hours a week from 11a to 11p. While I am glad that I made the move away from bedside, there are a lot of negative aspects about the job (rotating shifts to fill in needs, holidays, weekends, angry doctors, incoming stroke calls so you need to hustle to find a bed, rushed lunch breaks, etc). The hardest thing for me though is that I’m not able to see my school aged kids as much anymore. I’ve missed out on my daughter’s talent show, baseball games, helping with homework, etc. The Summer won’t be so bad because they are out of school so we’ll be able to spend a lot of time together on my days off, but come this next school year, I want an 8 hour day shift job working part time or contingent. Should I give my boss a heads up that I will stay for the Summer but let her know she might want to post a position closer to the fall so they can get someone in to start orientation? Or do I just put in my two weeks in the fall without any warning (this would leave the department short and having to pick up extra hours which makes me feel bad cause they are all so nice).

What did you hate about it?

I started off working 3-11 when my kids were that age and it was perfect! The shift starts off really busy but then slows down between 7-11. Sometimes I would stop at the grocery store after work if we were in need of stuff.

Gosh, there were so many reasons both professional and personal. Professional reasons were the nurse:patient ratios, short staffing, difficult patients/families, management, physical demands, inadequate pay, unit politics, and not feeling appreciated by management. Personal reasons were that I was tired of working every other weekend and holiday. I also felt that I wanted to expand my experience. But most importantly, being a bedside nurse was affecting me in a negative way. I am worthy to find a place that treats me well and appreciates my hard work. I feel an overwhelming sense that I made the right decision. Maybe slightly dramatic, but I feel at peace now.

I don’t know how I did it. Hell, I don’t know how there are bedside nurses that have put in 20, 30 or 40 years. I guess I did what I had to do when my kids were babies. It was the best way to work around my husband’s schedule. Now that they are getting a little older, I felt it was the perfect time to leave. I hope you find something that works for you as well.

I will be working as a transfer/admissions nurse. Basically, it is similar to a bed desk nurse except I will be transferring patients from one hospital to another if they need a higher level of care and such. I will be working from home, although there is always a slight chance that we will move back into the office. I feel so blessed to have come across this position and I’m looking forward to starting a new journey.

My 15+ years at the bedside is coming to an end in less than one week. I feel a sense of relief that this nightmare will soon be over for me. I start a new job in a few weeks and I’m never looking back. I’m excited to start a new chapter of my life.

Thank you so much! I was able to find out some more information by talking to the manager. The description you gave was on point. I both excited and nervous to try something new. All I know is bedside nursing.

Hello! I’m looking to apply for a position as a admissions/transfers RN. From the job description, it looks like I will be helping to facilitate transfers between our hospitals, etc. So far the job is fully remote with 12 hr shifts. I’m looking to see if there are any admissions/transfer nurses out there so you could give me some insight into your job. What do your day look like? Are you on the phone with doctors all day, or do you use texting/emails?

There is nothing in the job description to indicate that I might be required to help out of the floor. During the worst part of the pandemic, none of the non-bedside/desk job nurses (that I personally know) were pulled away from their job to do bedside care. That would be a good question for me to ask in an interview though. And would I be OK with it? Only if there was some type of external/internal disaster where they needed all hands on deck.

I’ve been looking for a non-bedside job for a bit. I came across a position for a Case Manager in the ED 2-12 hour shifts a week in the afternoon. I know what CM’s do on the floors, but how to they operate in the ED? If there are any CM’s who can give me some insight, and the pros/cons of the job I would greatly appreciate it!

I’ve been looking for a non-bedside job for a bit. I came across a position for a Case Manager in the ED 2-12 hour shifts a week in the afternoon. I know what CM’s do on the floors, but how to they operate in the ED? If there are any CM’s who can give me some insight, and the pros/cons of the job I would greatly appreciate it!