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Genista BSN, RN

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  1. Genista

    Public health nurse mom

    Hi cc_RN- That's a tough situation. Is it possible for your husband/partner to stay home and care for the kids during the day while you are working? Since you are the breadwinner, can he change jobs and work alternate shift? Maybe you can overlap shifts, and hire a nanny? I understand the dilemma you are in. It's a difficult one. I hope you can find a comfortable solution!
  2. Good luck!!
  3. Very touching on many levels. Thanks for sharing. (I did get something in my eye).
  4. Genista

    How do you like your job?

    I love public health! I am a visiting PHN for pregnant moms and moms of small children. I am in the office some of the time, and some of the time at people's homes. I also go to many networking/education events to help coordinate care. I worked in the hospital for over 10 years, and I don't miss floor nursing at all ( I do have some good memories there, but the bad was far outweighing the good for me, which is why I had to leave). I always loved education and prevention, so public health is just a wonderful fit for me! As the previous post mentioned, there are lots of different roles in public health. In my local health dept, there are PHN that work with the elderly, some that case manage critically ill kids, some that manage foster care children, infectious disease PHN, and others.Maybe you could shadow a PHN if you want to see what it looks like. I Love it!! Good luck :-) PS- I did take a massive paycut for this job, but I am at a point where I was willing to do that for the payoff of a job that I love
  5. Genista

    Hoping for an Interview/Seeking any advice

    Hi Souapril- I think it took a couple weeks to get the letter in the mail saying my application was received, and maybe another 2 weeks before I was called to interview. It was a slooooow process, but worth the wait. Good luck to you!
  6. Genista

    Hoping for an Interview/Seeking any advice

    Hi sourapril. I did get the job & I love it! Thanks for asking.
  7. Genista

    Anyone work in MSSP?

    Hi I am interested in public health nurses who work visiting the elderly at home. How is the workload? Curious as to if the workload is very heavy, as I am considering a job in this area. I hear there are tight deadlines, and so am now wondering if it is a very stressful area to work in due to deadlines and workload/regulations. I'm very organized, but wonder if the workload is manageable or not? Caseload is 200ish. Any feedback on this area is appreciated.
  8. Genista

    After Nursing: Is There Life Out There?

    Sorry for the situation you are in, Viva. I hope it all works out for you. If not, I wanted to suggest Telephone Triage. You have to have solid clinical experience to do it well, and you have that. It's easy on the body , but still stressful mentally. Can work part part time to full time and decent pay. Also, you mentioned Hospice. One of the Hospices in my area has dayshift 8a-5p, rotating weekend position with no on-call. So, you never know...maybe this would work for you if you found the right position? Sending well wishes to you.
  9. Genista

    New grad, please Help with med surg organization!!

    To the OP- One thing that I copied as a new grad from another RN was the idea of an hourly "to do" list/timeline in addition to the "brain sheet" (I incorporated it into my "brain" sheet). I would write in each hour for my shift (I work pms), and then fill in when meds or treatments were due for my current shift. Something like this...I would put the room number of the patient and an "X" by the room if they had more than one medication due at that time). Example below is an hourly example of a pm shift starting at 1500 (3 pm): 1500-Rm 222x, Rm 232x 1600-Rm 243 1700-Rm 222 accucheck 1800-Rm 222 TPN 1900-Rm 228x 2000-Dressing change Rm 222 2100-Rm 222x and accucheck, Rm 232x, Rm 243x, RM 252x 2200-Lab draw Rm 232 2300- The beauty of this, was you are able to see where the bulk of your medpass is when the shift first starts and work around that. I would cross off the room number as I finished the med pass/treatment, etc. If there are certain hours in your shift where there are few meds/treatments, you can utilize this to plan for as needed tasks that you hope to complete...i.e. ambulating a patient, some teaching you want to do, maybe a PICC line dressing change is due, or whatever else needs to be done. You're working around med times, but also can write in reminders such as if you need to check the result of a lab draw (ie. a vanco level, etc) or a timed draw, etc. I found it very helpful to keep me on track, especially when there are so many distractions.
  10. I am interested in this, too. Actually, I see many RN jobs that request coding experience as part of the required job qualifications. Examples would be nurse auditor/coder, utilization review, and even case management. There are quite a few other posts here on allnurses about coding. I am thinking maybe to try an online course to get my feet wet and see what options open up. Good luck to you, coopher12.
  11. Genista

    Do hospice nurses usually get benefits?

    Both home health and hospice in my area provide benefits the same as any other RN job. The only ones that do not tend to be per diem or very part time positions. But for some part time and all full time positions, they usually offer benefits.You may wish to contact the employer in question if this is unclear when you see a job posting. Good luck.
  12. Genista

    Day shift or night shift - Which do you prefer? Why?

    I work pm shift (swing shift). It's nice if you have small kids at home. I am home with the kids in the morning to afternoon. Husband watches the kids at night while I work. The shift differential also helps us out a bit. I'm able to take kids to doctor's appt, haircuts, go shopping, etc before I go to work. The down side is I do get home late, and sometimes that means 5-6 hrs of sleep for that day.
  13. Genista

    Future Shortage in Bedside Nurses

    I'm a BSN/RN. I actually like bedside nursing. However, after over 10 years in acute care, I am really, really done with it. It's not the job itself that burned me out, but the ridiculous expectations and diminishing support. I felt like the floors where disorganized, chaotic. I would have too much on my plate to do a good job and often it felt borderline on unsafe. That is why I don't want to work at the bedside. It does not matter how high the acuity goes...you will NOT get extra help on med/surg floors. You always seem to be "working short," and there are always new and ridiculous new tasks to do. If the workload was realistic, and I had someone to delegate to...someone to help, well, maybe I would go back. I never wanted to be a manager. However, I always wanted to make a difference in helping achieve positive outcomes. Med/surg feels like a battle ground these days. High stress. I want to help people, but not at the extreme expense of my own health.All jobs have stress, but bedside nursing can really wear on you. High fives to all of you who are still there, working hard and taking good care of your patients.
  14. Genista

    Offered my second nursing position

    I paid $400/mo out of pocket for my entire family to be covered by the plan. Copays extra.This was in an acute care setting, unionized staff. The insurance was sliding scale based on hours worked. I paid more because I was part time. Full timers paid less...much less (maybe half that). Congrats on the job offer. Hope you enjoy the new job!
  15. Genista

    Anyone a member of National Nurses United?

    Did you contact them? I would send an email to let them know you haven't received any materials yet. Not sure why it is taking so long. People are human, and things happen. Let them know you are still waiting. Good luck.
  16. Genista

    Should I bring treats on my last day of work?

    My experience has been that treats are always appreciated. :-) Enjoy your last day!