3rdcareerRN

3rdcareerRN specializes in Mostly: Occup Health; ER; Informatics.

Latest Activity

1. Have interview Friday...

   3rdcareerRN replied to HippyDippyLPN's topic in Occupational Health

   Hurrah! Occ health can vary more than many specialties, depending on what the client needs -- anything from urgent care to OSHA-regulated medical surveillance to wellness programs to safety programs,...

2. Time management?

   3rdcareerRN replied to pipersjo's topic in Ambulatory Care, Clinic

   Try systems analysis, instead of educating: Determine the highest-value person or job role, whether it is by salary or impact on the rest of the clinic. Sometimes fixing reception/check-in -- the...

3. Adding more letters?

   3rdcareerRN replied to occrn21's topic in Occupational Health

   I agree with prior post, that COHN is a must-have and in many positions, the spiro/fit-test/audio training and certificates are a must-have/must-get-upon-hiring. Coming from the ER, I looked at CEN...

4. Utilization Review?

   3rdcareerRN replied to GoingCoastalRNCCRN's topic in Case Management

   " CCNs- certified cubicle nurses" -- that's great! I agree that doing the onsite chart reviews (such as for HEDIS QI/QA) is a good intro to seeing medical records and the patient encounter in a...

5. Blood draws

   3rdcareerRN replied to Jenni811's topic in General Nursing

   A phlebotomist can successfully use a 23- or even 25-gauge needle. I myself often use a 23-gauge butterfly and have never had lab reject my specimens due to hemolysis. If there is evidence-based...

6. Which specialties have 3 pts/nurse or less?

   3rdcareerRN replied to RPN_2012's topic in General Nursing

   Occupational health. Most often 1:1 or sometimes 1:2, with time to actually do teaching and focused care. Although... there was that chemical exposure incident, when it was 1:45. One then learns the...

7. Wildest lab values you've ever seen?

   3rdcareerRN replied to nerdtonurse?'s topic in General Nursing

   Ambulatory clinic patient w/ triglycerides of >2500. Blood looked like thick

8. New grad occupational health help

   3rdcareerRN replied to JStarr's topic in Nursing Career

   A key problem I see with a new grad choosing occ health is the lack of preceptorship for learning those common hands-on skills that are needed in all clinical nursing positions. Whatever you learned...

9. Nursing the old fashioned way

   3rdcareerRN replied to Scarlette Wings's topic in General Nursing

   Gosh, I worked in 2006 at a Midwestern US hospital where we used all these: - Gerichair with locking tray - Posey vests - Gomco suction - Kardexes (in addition to Meditech online charting -and- paper...

10. I called in today, no I mean ..I called Out! / huh??

    3rdcareerRN replied to cecilsgirl's topic in General Nursing

    South Midwest: "Call in" / "pop" / "peaCAHn" (pecan) Fond memories of my grandfather asking "Y'all want a sodee

11. Truth behind lifting patients

    3rdcareerRN replied to dnnc52's topic in General Nursing

    Let me introduce a little bit of science into the discussion, by quoting a research representative: "...The risk of musculoskeletal disorders resulting from patient handling results from the high...

12. Eye splash

    3rdcareerRN replied to trinitystar78's topic in General Nursing

    They will not mind...in fact, they are required to provide them to affected employees free of charge by Federal regulation! (OSHA Standard:...

13. Coding visitors?

    3rdcareerRN replied to blondy2061h's topic in General Nursing

    Kudos for thinking! What I like to see nurses here and at work do is recognize what might happen, because then they can plan a better response than whatever their immediate reaction would be....

14. Happier With Your Second Career?

    3rdcareerRN replied to morphed's topic in General Nursing

    I have very similar responses to this other poster, except #8 (I have much worse benefits/security as a nurse, a worse work schedule, less than half the pay as my prior two careers, but am usually...

15. Do RN's need special training to read PPD tests?

    3rdcareerRN replied to SarahM2011's topic in General Nursing

    Whether RNs need special training appears to be an entity-specific or geography-specific policy. However, the Centers for Disease Control offers free training here:...