ivyleaf

did you end up taking the position? I think it's an HCA hospital, right?

yes, definitely possible depending on # years experience. are you looking for a travel position or staff? from my understanding some of the best paying hospitals in boston are BWH, mgh (just got a raise), BMC. MGH has good ratios

exciting, congrats on the interviews! depends what you're more interested in. case management you will still be in touch with patients/families, where you won't in informatics. which do you prefer? I would think more about what you are looking for in a position (tasks, environment--office for informatics vs. floor for CM), 5 year goals, day to day routines of the positions.

some ideas/thoughts: utilization review, clinical documentation improvement/cdi, case manager for insurance company doing either your or chronic disease management, telephone triage, homecare -- depends what your interests are.

I was a float nurse in a clinic group and spent almost a year in rheumatology. It depends if you have an infusion clinic that you will be working as part of. My day was split mostly between rooming patients (height/weight/vitals/chief complaint/med review), giving injections/teaching how to do injections, assisting MD with injection/aspiration (setting up equipment, sometimes handing stuff, packaging samples to bring to the lab) and responding to phone and email patient questions. also did some work on prior authorizations. rheum drugs are expensive and there are a lot of PAs involved, and paperwork for med approvals. I would sometimes help out in the infusion clinic as well.

I think it is recommended to use chemo grade gloves to admin methotrexate. I think if you are wearing those, it should be fine- but always good to look @ a reputable online source and/or ask OB.

Psych units in "general"/regular hospitals should use EMRs. Salem hospital/north shore medical center in salem does, is hiring, and recently expanded their units. I would think Carney and St Elizabeth's would have EMRs Tufts Medical center has a psych unit BWH Faulkner, MGH, BIDMC, McLean in Belmont I am not sure about the Arbour facilities I love on the North shore in MA

these positions are extremely competitive. there are a ton of nursing schools in/around boston. usually the people who get these positions either already work at the facilities, or are doing their clinical rotations there. I wouldnt limit your applications just to new grad residencies, unless the postings say experience is required. I would definitely look outside of boston proper-- some hospitals that are less "popular" but hiring: St elizabeth's, Carney, Melrose wakefield, lawrence general, lowell general, salem hospital/north shore medical center (part of partners-mgh).

I would suggest LTC/rehab or LTAC as a step towards acute care. Another option would be getting a psych position in a general/"regular" hospital and transferring to a medical unit after a year. I have seen both work.

I'd consider having someone take a look at your resume. I see a lot of MDS positions in long term care. Also case management-- outpatient and long term care/rehab specifically. Home health, primary care/clinic/urgent care, behavioral health/psych, phone triage.

dId either of you end up working in CDI? Would love to know more!

Im interested in coding auditor positions. I know there are free online programs (saw a bunch mentioned in a previous post). Are there are more formal courses you would suggest for getting your CPC or CCS? Any tips for breaking into coding?

OP, any luck?

I would try working as an RN in a clinic before going for your NP. A lot of people think they will like it, and end up not finding it's a great fit. I thought I might wanted to do primary care as an NP myself, until I worked in primary care as a nurse.

Short answer: definitely no regrets. Long answer: My last job was as a float nurse (both direct patient care and case management) for an outpatient clinic group. 2 years ago I started a job as an outpatient case manager & manager for medicaid members w/behavioral health issues. My job was originally in the office, but due to COVID I have been 95% remote since late March. I love it. I am an introvert though, like to manage my own time/plan my day, have my own space, minimal interruptions. If you are very social/extroverted it may be difficult. Cons: in the time of covid at least, you don't leave your house much. Absolutely no regrets, im hoping to stay mostly remote in the future

agreed. I am in similar situation to OP. wish I had done med surg but 13 years in with a 9-5 job it is hard thinking about going to med surg ... having that experience does open many doors

have you done any shadowing? or better, work in the clinical setting you're interested in as a nursing assistant? I would STRONGLY recommend doing this before jumping into a new career

Is your end goal as FNP to work in outpatient primary care/internal medicine? Do you want to see equal # of adults and peds, or more one than the other? If you want to do more pedi, and you have no pedi experience; the GI clinic might be a better choice.

IF the ED has a lot of psych/substance abuse patients, and no separate "psych ED" nurses, they will be more interested

I am watching this now, super interesting

OP: did you end up changing to hospital case management?

40 patients sounds like WAY too many for acute care!! I have only heard of hospital case managers having between 10-25 patients!!

Everything the previous poster said. Start applying.

BMC has a new grad program. Beth israel hires new grads into their 'clinical nurse 1' positions. MGH is almost impossible to get into if you don't work there as a CNA. I have heard of new grads getting into Brigham and womens as well. Also the steward facilities are worth a try (carney in dorchester, st Elizabeths in brighton). Also spaulding hospital- they have an acute rehab in boston/charlestown, and a LTAC (vents, drips, tele) in cambridge.

Yes but im not familiar w CA. In MA facilities will often take new grads into psych since there is such a need and most folks want to go into med/surg.