newnicurn

I interviewed for a telephonic case manger position. No experience with case management. The manager said the case load was about of 150 patients. She quickly stated that they were weighted. Being that I never did any case management I had no follow up questions. After I spoke to a friend with experience she said that was a lot. She currently has 65 patients that she sees and her company wants her to double that. All I know is that these are NICU infants that followed for the first year of life after discharge. So I don't know any context to the 150. I believe its nothing ridiculous like 150 people a day or a week. Its hard to research because the company if fairly new. Most people discuss average caseloads of 20-30, but they different then my case. Is this a crazy caseload or what? What are the average caseloads for telephonic case mangers, insurance company case mangers?

I am relocating to get into OR fellowship program because the few in my area are super competive. I am a BSN trained RN of 9 years. There is a community college that has a periop program in my area. Hospitals are so deseprate for OR nurses a few will accept graduates of the program. Talk to the places your applying to see if they willing to accept you after the program.

I have a panel interview this week for an OR position & I want to thank you for giving be such a wonderful description of what you do. For those who say OR nurses don't do as much as others your wrong. Each specialty stresses certain skills and neglect others. Standards change from facility and area of the country you work in. I am a NICU nurse that started as a adult med surg nurse. I placed foley catheters and did CBI's all the time. Ask me how to do that now. My med surg floor didn't have ventilators, insulin drips, or central venous monitoring. That's all I do all the time in the NICU. I was a real nurse than and am one now. I care for a premature population their normal range vitals are low and I never learned that in school. Just because something doesn't fit your view doesn't doesn't mean its not real nursing.

When I worked on a med surg floor a nursing school classmate was pulled from the ICU. He told everyone what he wouldn't do, what assignments he wouldn't take ect. We were shocked but the charge nurse accommodated him. I even heard him say he is a nurse he doesn't clean up poop. He wasn't like that is school. When I graduated in "05 they were giving nursing jobs away like candy during the shortage. I saw too many people who were there for the income and not the patients. I was the one tired and coming home late because I helped my patients and your patients and everyone's patients but no one would help me. In my young carrer of 9 years I have chronically burnt out. I've tried different instuitions, and floors and I just don't know this is for me. The think is I'm good at it I'm a patient advocate, a charge nurse, advise physicians, care for my patients well, educate families. But no matter how much time off I sigh at the though of working. Your right I see so many uneducated, inexperience people making six figures, having regular hours, delegating all their responsibilities working out of the bedside and making decisions that effect me. I just want to grind my teeth. We have a clinical manger of the woman's and children's building and none of us know what she does all day. She's been their for a couple years now. They give her a job to do when we are busy. Can you call and ask staff can they do overtime? Can you hand out papers during the inservice? She only has those duties because she walks around asking if she can help. She purposely eats lunch with staff so we know her face. But she has a masters... and less clinical experience them me. She is a second career nurse. Sigh

I think there are many causes for nurses getting master degrees. The field itself promotes masters and the new DNP degree hard. It's like you are a traitor to nursing if you don't get one. There is still the misconceptions that nurses are uneducated puppets of doctors: the masters is a tool of worth for some. Magnet hospitals push staff to get it quickly. Some are really burned out and believe the hype that a masters will give you the pay you deserve away from the bedside. And lastly, self gratification. Now why these nurses are collecting multiple masters I don't know. I knew several senior nurses that had MPH, MSN, and ME d's but worked the floors. They had sick relatives and needed the flexibly while working. I am getting a MSN and possibly a MPH myself. However I am only getting a MPH after working in a new field. I am thinking of a career change, but put so much time and effort in the MSN, I will complete it. If I can get a job somewhere else and I like it then I'll do MPA. I personally looked on LinkedIn and searched for people with the job title I wanted. They had MBA's and MPA's but received them mid-career. I think the mistakes nurses make is to get the degree before the job. How do you even know you will like what your new training will present to you. But our field is like that. You apply for a license after completing a diploma, ADN, or BSN. You can not be a NP without a MSN. So I guess your colleagues apply this logical to their master's collections.

I am a Nicu nurse and there are ped hospitals with transport positions. One states it is a 2 person team. I don't know if I can handle that. 2 other teams come to my hospital but its at least 4 people. How I can do a 2 person team every day I don't know. I'm glad you like it.

In my area they want MSN's for ADN programs the few that will accept BSN's want you to comit to getting a MSN in a certain time period. It depends on where you live and work. Maybe if you try staff development they will accept BSN. There are online programs that let you get a certificate or take only a few courses to get a MSN instead of the whole program.

I'm sorry I have no advice for you. I am currently in a MSN nursing education program. We have a choice of staff development or faculty role. I am leaning to staff develop for that very reason. I am taking patho now & its killing me. (finial on Thursday yes!) I feel more lost now than in undergrad. I would not feel comofortable teaching it. The first question from a student would break me out in tears and hives. Maybe I could fake it in a online class. Good look to you. P.S. I got additional text because my required one & its study guide was useless. (Understanding patho by Porth) Try these: understanding pathophysiology and study guide by Sue E. Huether RN PhD and Kathryn L. McCance RN PhD. Pathophysiology made incredibly easy by Lippincott. These text broke it done simply. My instructor is not a nurse he is a MD teaching the MSN program. I think that has a lot to do with my difficulty. He doesn't provide study guides or anything. I think if you give study guides for the students that will help you as well as them get on track and understand better. Hope this helps.

I have similar question. I am a experienced nurse that is looking for a full time job. I am pursing my masters in nursing education and have taken 18 credits in the education track already. There is a position with the school district for a College Readiness Coordinator. It seems like I would put programs in place to help at risk kids (administrative) but not work with them one on one. I want to apply but I wonder what I can say in my cover letter to get me an interview. They asked for a bachelors degree, they didn't specify in what. I have a BSN.

I think I have to become a travel nurse. That still is not a guartee. But there are a lot of children's hospitals in CA. I could work in my speciality (NICU) see if I like it then apply for a pediatric position out there.

When I graduated in '05 they were handing out jobs. I got a job in med surg (I know I could have got anything else) but quickly learned it wasn't for me. Almost 1 1/2 years in I finally got a job in the NICU. I went from days to nights for this specialty. As a seasoned nurse of 9 years I want OR and days. I can't handle consistent nights. My first job rotated you only if the was a need. I did 3 night shifts in all of my 15 months. I have been charge, I worked with EMR and paper flow sheets, I did go-lives, I precepted, resourced, went to high risk deliveries, did staffing, delegated to assistants and worked in only RN units. I even paid for my resume to be done over professionally. You would think people would be beating down my door. Thought about travel nursing but most jobs are 13 weeks of nights. I was telling a friend I think I was mislead about nursing. I became nurse to help people but I feel so burned out. I learned in this field if you don't stand up for yourself they will walk all over you. Sorry I'm venting too.

The author of what color is your parachute talks about this. How most jobs are not posted and how networking is best. As a shy introvert this is very hard! Networking would also help me to get a recommendation for a nursing fellowship in grad school sigh

Definitely my problem. I took a job in another facility because it was my only offer even though it was the same thing. Though I'd have better opportunities. Ha! It was like my unit on steroids. I could have just stayed were I was, have better control of my schedule and get paid more. If you get interviews that ask why do you want to leave your specialty? I even paid to have my resume perfessionally done to get a interview for something else. Thinking of relocating. sigh

How was it? I am an experienced nurse from PA trying to get into the OR with no luck. Was actually thinking of relocating.

I have applied to Inova Alexandria, Fairfax and Loudon hospitals. I have 9 years experience as a nurse in med/surg and NICU. I really want to be an OR nurse but in Philadelphia you have to have OR/perioperative experience. I have my BSN, working on my MSN online. My question is: What is the pay rate for an experienced nurse in Inova? I see vastly different salary estimates from $26/ hour new grads - 91000 a year roughly 43.75 /hour. I would have to relocate and with cost of living being high I was looking for room to rent. Not my first choice. But if I'm looking at that low... Mind you I made $26 as a new grad while living with my folks. Any experienced nurses who relocated or didn't start their nursing career in Inova advise would be helpful