clhankin67

I left hospital nursing out of frustration of being pulled from the bedside with all of the bright ideas everyone came up with. Additional forms, more frequent computer charting, with computers only at the desk available, nothing near the patient r...

I always ran the Lipids primary thru pump into central line port. The Lipids ran on a seperate pump, but was piggybacked into the Lipids at the final port that was proximal to the patient, but distal to the filter. I used silk tape and clearly labl...

I am a manager for a Managed Care Company. Per the Medicare Benefit Policy Manual, Chaper 6, Section 20.6, Outpatient Observation Services Effective 07/01/09 : "Observation care is a well-defined set of specific, clinically appropriate services, whi...

I am a manager for a Medicare HMO. I have 20 Nurses that are direct reports and they perform daily onsite reviews at hospitals and Skilled Nursing Facilities. They gather clinical and psychosocial information on the member's, and then give a brief ...

You are truly in a difficult situation. I agree that Standards of Care should be universal, and I find this LVN's appalling. I was an LPN for many years before becoming an RN. I took every CE opp that presented itself, knew all of the Unit and Fac...

Sorry to hear that. Having been blind sided myself in the past I can understand how you are feeling. I agree with the filing of unemployment and clarifying your severence pay and benefits. I also recommend networking, post your resume on Monster, ...

I am a Manager at a Medicare Advantage plan and we have transitioned all of our Field Nursing Staff from UR Nurses to Case Managers as we wanted them to view the members Holistically and not just view them as IQ, MR, or CMS criteria.

I want to applaud the "stare" technique. I have used it myself for most of my career. It is useful not only with obnoxious fellow nurses, but with rude physicians, patient family members, etc. Now I don't recommend the Jack Nicholson from The Shin...

As a Regional Inpatient Manager who is currently reading dozens of resumes at the moment I confess that I tend to skim for key words and phrases. Bullet points make the resume too long. I want to look at one page, brief synopsis of each position, an...

I started fresh out of nursing school in a Tele/Med/Surg unit and know it was the best thing for me. I was able to get the basics, as well as Cardiac and Pulmonary. You sometimes have patients that are acutely ill, but there are no unit beds availa...

Coding is very important if you are wanting to transition into UR, billing, and certain other positions. I would recommend a classroom coding class if you are unfamiliar with coding. Good luck.

I was an LPN for 16 years. I had 3 general Ed courses and 5 nursing courses. It took about 2 years including clinicals and boards, but I really had to focus.

I graduated this past year. It allowed me to be promoted to a management position within only a few months. I would recommend this program if you are disciplined, focused, and a self learner. I found many useful links here, and by googling on the Int...

I became a Case Manager in a smaller hospital while an LPN. I also went on to work at 3 seperate insurance companies as an LPN. I applied for positions that required an RN Licensure, but allowed my experience to speak for itself. I am now an RN an...

How sad, the staff at York were awesome!

I have been a hospital case manager, and am now a Field case manager for an insurance company. I enjoy both sides. The challenge as a Hospital Case Manager is to understand the various insurance, medicare, and medicaid rules/regs. Also, being cau...

Yes, if you are a Florida Licensed LPN and pass the Excelsior Bridge program the Florida Board of Nursing will currently allow you to sit for your boards. This is always subject to change, I do recommend that you do your research prior to enrolling ...

West Central Florida would tell me you are in the Pinellas/Pasco/Hernando county areas. LPN's are utilized here in LTC, SNF and rehab facilities. You will have difficulty being hired to one of the hospitals as a brand new LPN, unless you try workin...

It is an unfortunate reality for LPN's. I have worked most of my nursing career in Florida. As an LPN I have been laid off, phased out, and had hours cut at several hospitals over the years. The reason was always the same "we are going to a primar...

"Damn I was just being thankful for this thread because it gave me an epiphany but it seems to me that being judgmental and sarcastic override being supportive and giving helpful advice especially to us newbies." Dear Sunnydaysss, I think you may be ...

In reference to Lauramae 18's comment about new grads, and where they start...... I was fortunate enough to start on Tele, and it was the best well-rounded training I received! You get everything there, more so today than 18 years ago. Take every c...

Thank you for the clarification, I did not know that!

Utilized the CPNE video from Excelsior. Great help! Shows exactly how the instructors want you to perform in lab and clinicals. Also, David's CPNEX blogspot on the web. All of his video blogs were great! and free! Also read thru other people's e...

I was in the second group at York, it was perfect for me. Smaller hospital, staff was pleasant, not overly hustle and bustle. In reference to the CPNE message board at EC....I found them to be distracting. The best info I received was from the EC...

Just graduated with my ASN at Excelsior and sat for my Boards on Saturday. State of Florida required my transcripts from Excelsior be sent after my graduation date. If you are an active/licensed LPN here in Florida, they will accept your Excelsior ...