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  1. MagsMom

    CNA Bonus Plan

    We recently put an incentive plan in place to decrease turnover and increase investment in the work. We give incentives every quarter - monthly is too soon to make it meaningful for long term commitment and yearly is too long for someone to wait to make it a reality. It is hard to determine what you would measure since I am not in that environment - but a few things that might be comparable are - attendance (including lates and early leaves), customer service (through quality surveys by patients) and professionalism (we audit performance each quarter) - as I said this might not translate to your setting but since we have implemented the program we have seen far fewer missed days of work and better attitudes. Hope that helps.
  2. MagsMom

    Staffing for Call Center Nursing

    Can anyone share the staffing models used at their call center? I would like to move in a direction of having a "core group" with set schedules and then fill in part time nurses around these core nurses. Suggestions? Ideas? I would appreciate any feedback
  3. MagsMom

    Hospital enforcing "Incidental Overtime"?

    Seems like this is a convenient way to not given raises/bonus....
  4. MagsMom

    Higher Paid Nursing Jobs

    It depends on what you are interested in. I have done research for many years and that always paid more than bedside- now with my research background I have moved into a quality role. I absolutely love what I do and am getting a lot of experience in different areas based on the project. For example, the project I am currently working on allows me to collaborate with risk management, our provider group leadership, and a contracted insurance company. I think you have to network. In fact, that is the way I have gotten my last 2 jobs, both of which I was "hired" before it was posted.
  5. MagsMom

    Triage protocols

    I do triage in my job - my population are older adults and adults with multiple chronic/complex conditions. I use the telephone triage book by Briggs. It is very complete and easy to use. For protocols that are not found in Briggs - and are common concerns (mostly my renal and liver patients) I have standard protocols that have been designed and approved by our specialist. Hope this helps - I love doing telephone triage.
  6. I work in a system that uses the PCMH model. I am a patient navigator and work closely with clinic care managers. The clinic care managers pay range is between 45k-65k. My role range is 55k-75k. PCMH seems like a new concept to some areas but it is really just getting back to basics!
  7. MagsMom

    Allowing Corpsman to Become Nurses

    I think that they should be allowed to take NCLEX-RN exam based on a certain number of years. In addition the military could formalize training to equate to nursing school requirements (in curriculum). Some of the for profit schools offering nursing degrees don't require some of the pre-reqs mentioned in previous posts so that should not be an issue. I do think that serving in the military should come with special privileges - and I would be all in favor of making this one of them.
  8. MagsMom

    How did you start out?

    Klone, where are you going to do the Masters program? That sounds interesting! I started out by working in a lab doing when I was in college - when the benchwork went clinical I was the only one proficient enough in english to consent patients!
  9. No I don't think it would be useful. I agree that it would be more beneficial to work in research and then take SOCRA or ACRP. SOCRA, I think, has a history in oncology so it might be more applicable - (and cheaper) but either certification works.
  10. MagsMom

    Thinking about going back to the hospital

    There are some options with less stress - you can try case management or utilization review in the hospital. It will be similar work but your day will be over when you go home. If you live near an academic university you can always try research - that is an area that could use your skills and you would get some patient care. That might be a good way to "ease" back in to the hospital setting. I have also noticed alot of jobs lately for compliance and documentation specialist. These would both be good for your skill set and another avenue to get your foot back in the hospital. Some new jobs that are being created at a rapid pace are Care managers, transitions specialists, and inpatient specialist. I would look at some of these options as well - you really need to look to see what is available in your area. I know the job market is tight but my job became hostile a few months ago - I applied for everything and was pleasantly suprised at how many options I came away with.
  11. MagsMom

    Need Advice - job offer

    I verbally accepted a job offer that won't start until beginning of June. In the meantime (as in Thursday), I was offered a job that pay 17k more per year and is more flexible. It was a job I applied for over a month ago and actually did not think I was in the running for - it took a long time for them to complete the interview process because the hiring person went out on emergency FMLA. I am having a hard time trying to figure out how I am going to tell the very nice people who offered me the first job and I accepted. I feel like I will be going back on my word - suggestions on how to let them know I have changed my mind. Another thing is I kind of convinced this dept to hire me because I didn't really have the qualifications they were looking for and I think that is why I feel so bad about this.
  12. In the hospital I work in - informatics specialist are really the nurses who show an aptitude. Very few of them actually have a degree in informatics.
  13. MagsMom

    need advice

    I would just say that it is not working out the way you planned. Short and simple. You need to do what is best for you and your family. It is unfortunate that you are in this siutation but I doubt an employer would feel a sense of guilt if they decided you were not a fit after orientation.
  14. MagsMom

    PhD Public Health

    A PhD in public health will help get a job in an academic setting - in my opinion, I think your years of experience as an RN count more for job promotion (outside of teaching) compared to a PhD. Nursing is like most fields - your experience, who you know, and being at the right place at the right time matter a lot more than a degree. I know two people who are over 50 getting PhDs in nursing - they are both CNM and are doing the PhD to be able to slow down their practice time and spend more time teaching in a University masters program. As far as combining the MBA - most of the nurses I know with an MBA do more managerial type of work. One person runs the operating rooms at a large community hospital in the Southeast, one is the director of research, and another nurse I know with an MBA is a service line manager. I can't see how a PhD would help them nor can I think of how you would combine what seems to me to be very different perspectives on healthcare. Your interest in prevention and health promotion is great- but these kind of jobs don't tend to pay very much and are often filled by people with bachelors degrees in Health Education (at least at our state health department). I do have a friend who is in charge of the immunization program. She has a MPH and has worked for the State Health Dept for 12 years. She has held her current position for 3 years. She makes about 48K per year. How difficult or easy it is to get into a PhD program in public health depends on the school and probably the pool of applicants they have for that year and where your research interests are.
  15. MagsMom

    Starting Salaries for NP's in Major Cities Across the US

    The NHSC is not cutting back on nurse practitioners - it was a big part of additional funding in the new healthcare affordability act. I heard it from Mary Wakefield who is head of HRSA. This is great news....Here is a quote from her speech: Our National Health Service Corps places primary care providers in underserved areas for at least two years in exchange for paying down their student loans. Earlier this month, we announced that the number of NHSC clinicians had reached 10,000, almost three times the number when President Obama took office. I’m really excited to say that with the Obama Administration’s unprecedented support, the number of nurse practitioners in the Corps has more than doubled to 1,667, and more than 200 nurse midwives are Corps members.