Boog'sCRRN246 RN

It's certainly enough to at least apply. It all depends on the culture of the company you are applying to whether they feel you have enough relevant experience. My department (hospital-based your) used to have LPNs doing Utilization Review; now the r...

Since you don't seem to be a new nurse, I would recommend looking into a Utilization Review position. I haven't physically taken care of a patient in over three years, but we do ensure that they are taken care of financially, which is a huge thing. T...

Currently, there is no specific nursing certification for Utilization Review/Management. My department recognizes the ACM-RN and CCM certifications once you've worked in the specialty for 1-2 years.

I think you missed the part where the OP stated they had three years of ED experience and at least some Outpatient experience. For my department, Utilization Management, that would be enough to at least get an interview. I also wouldn't have reinforc...

I second the Utilization Management suggestion. I'm regional supervisor over three hospitals in my health system and have not had to deal with a patient/patient's family in almost three years. We do make decisions that affect patients, but we are par...

I don't understand this either. In the last two weeks, my hospital removed the mask requirement for those who had not gotten the flu shot and told everyone else if they were not involved in direct pt care and seen wearing a mask that they should "be ...

Look for positions on acute inpatient rehab units if you're interested in Rehab nursing. Most are hospital-based, but some are free-standing also. It's the best of both worlds - you deal with acute issues [trachs, TPN, tube feedings, etc], but your p...

I wouldn't include Utilization Review, case management, or home health in the list of jobs where one would have no on-call, no weekends, and no holidays, especially if those jobs are hospital-based. I'm currently at work, on a Saturday, doing Utiliza...

What happens when you have a brain injury patient that requires a 1:1 sitter? Does the tech get pulled to sit with the patient leaving you to fend for yourself with the rest of the patients? Brain injury patients can be extremely unpredictable; throw...

Do they not offer repeat CPEs anymore? I graduated from this school and when I attended the policy was if you failed a skill during CPEs, you got a chance to repeat whatever skill you failed, plus perform two new additional skills, different from wha...

It's weird to me that there are still hospitals that allow hand-written doctors' orders. At my hospital, orders are all electronic and the doctors are strongly encouraged to enter their own orders. This left such a small amount of work for our HUCs t...

When I was a Rehab floor nurse, my co-worker was floated to...wait for it...the CATH LAB and expected to fully take over the duties of the off-going nurse.

This job is about so much more than just clinical skills. It also encompasses the "boring" and "political" side of nursing - paperwork, insurance auths, Medicare/Medicaid regulations, etc. Would you feel comfortable denying a patient for admission to...

And who paid you to come on here and attack everyone who offered opinions you didn't like? Also, you are sorely mistaken if you think people go into nursing because they are "money hungry." That is just laughable. Education is one of the ONLY busine...

I thought of that after I posted

Is she really concerned about her aspirating, or is she trying to hasten death? Sorry for my crudeness, but this daughter has to be aware that keeping her mom NPO without an alternative route for nutrition will result in death. In my experience, when...

Our EVS staff complained to their manager that they were overwhelmed with their duties. So now, if I want the floor of my office swept or mopped or the garbage taken out, I have to do it myself. I also had to go out and buy a Swiffer mop, broom, and ...

We got a hand-held, battery-operated fan. The fan blades have an LED panel that lights up with the company motto, but the motto is too long, so the fan dies before you can see the whole thing. My co-worker and I also got to chase the ice cream cart d...

In my experience, and possibly due to where I am located, traveling for recreation is thought of as frivolous and if you're not working yourself to death six to seven days per week, you're not contributing to society. I feel like this is an underlyin...

Stockholm Syndrome. Look into it.

Reducing blood pressure with antihypertensives in an acute ischemic stroke decreases perfusion of brain tissue surrounding the area of initial insult. Reducing BP reduces the MAP, which can result in a larger area of ischemia. Sedatives are typically...

So I will admit that I do not have a clue as to your actual question, but from looking at their website myself, I am seeing an extensive list of requirements, one being that nurses have THREE years of relevant experience, including one year of manage...

Even if you are just on the unit doing CNA duties, you run the risk of being cornered by a JC surveyor and asked questions for which you will likely not know the answers. Count yourself lucky - most hospital employees don't even want to be around for...

I think your hospital may be grossly misinterpreting what an AMA discharge should be. Even though the patient is discharging AMA, you still want a SAFE discharge. Just letting them sign a paper and be on their way is setting everyone up for failure a...

I'd definitely take pay in lieu of sunshine and tourists. It's not at all what it is cracked up to be.