Been there,done that ASN, RN

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All Content by Been there,done that

  1. Been there,done that

    Hospital Utilization Review Question

    Coming from the payor point of view, I don't want any attachments. I want the clinical information that supports the need for admission. In my case, it is InterQual. Just give me the info that meets...
  2. Been there,done that

    How to handle lazy CNA's?

    Stop considering her as a "friend". Stop asking her "nicely" and giving her a depressed look when she refuses. Report this behavior, each and every time to the charge nurse. CNA's are required to work...
  3. Been there,done that

    Always looking for my niche/happiness

    Jobs are not designed to make you happy. You have had four fabulous opportunities, in four years, no less. Niches take time to find. If hands on with patients is what you want, consider home health...
  4. Been there,done that

    New nurse.. Just want to quit everything..

    You are not working for the assisted living facility, you are running it for the for-profit company. This arrangement is unheard of in the business. Quit now and report the unsafe practice to the...
  5. Been there,done that

    Is it customary where you work to recheck BPs manually?

    P&P will vary by facility. Before performing any intervention that resulted from a parameter obtained by a machine... I verified that parameter with my human skills. Machines fail all the time....
  6. Been there,done that

    Is this a normal patient load for one nurse?

    You work at a for profit facility that is milking insurance and medicare to maximize their $$$. This is no longer about YOU. In order to boost their bottom line, they are minimizing staffing,...
  7. Been there,done that

    My Mom passed away. Did I do the right thing?

    Your mother was in the process of dying, you took excellent care of her. Don't beat yourself up over the details. I have been there, done that. Time to let yourself grieve.
  8. Been there,done that

    New job not what i was expecting

    As you have made a huge career change and moved across the country.... perhaps you should tailor yourself to the orientation, instead of expecting the facility to tailor the orientation to you. It's...
  9. Been there,done that

    Question regarding resignation

    So, OP could give them her minimum availability. If they schedule her, she could call off. This is a ridiculous power play on the agency's part. OP needs to end
  10. Been there,done that

    Question regarding resignation

    As you are PRN.. what difference does it make? You work as needed. The agency cannot schedule you in
  11. Been there,done that

    Really hard choice

    "im asking for advice. What would you do if you were in my spot." No one can answer that question but you. Personally, when my father was declining, I chose to take time off to be his caregiver....
  12. Been there,done that

    Kiss My Nursing Dream Goodbye?

    You are 18 years old. Way too soon to kiss ANY dream goodbye. These are questions for your academic advisor. Completing your nursing pre- reqs at a community college is an excellent plan. Take deep...
  13. Been there,done that

    travel nursing help...please

    You will need to do your own research on travel agencies. Apply with 3 of them and compare and contrast offers. Make sure your contract includes travel pay to get back home. Know the safety of the...
  14. Been there,done that

    Sleeping on job?

    File a complaint with the
  15. Been there,done that

    Break contract in order to have healthier and safer life?

    You have unusual circumstances, and it sounds like the hospital is not living up to their end of the bargain by not giving you full time hours. Have a lawyer look at the contract before you negotiate....
  16. Been there,done that

    Is nursing REALLY that difficult?

    Yes, it's really that bad. Whining is not the same thing as expressing issues and concerns. Be respectful to those of us in the profession. You are romanticizing the profession. You will not have...
  17. Been there,done that

    Will I get kicked out of nursing school?

    I presume it would be up to your program. If you get kicked out, they should kick out your instructor. You are in school to learn, not double check licensed nurses you are SUPPOSED to be learning...
  18. Been there,done that

    Dealing with a dirty old man

    I was a bedside nurse for almost 30 years. Think I heard inappropriate comments 2 or 3 times. You would deal with it, as you saw fit at the time. You would not "hand them over" to someone else. I...
  19. Been there,done that

    Advice on where to go from med-surg?

    SICU and med- surg would combine towards that golden one year of experience. You could consider another transfer within your facility.. or go somewhere else. I agree nights are an additional stress...
  20. Been there,done that

    Call it a hunch.

    You have excellent observational skills. In this case, you did all you could do by reporting your observation. You assisted as well as you could. Take this as a lesson for your future nursing...
  21. Been there,done that

    Thinking about jumping ship, need perspective

    Time to rethink. You have 3 years of RN experience. That opens many doors for you. You don't need higher education or anti-depressants. You need to market yourself. I have a ASN. I work for an...
  22. Been there,done that

    Made a 75 anatomy 1 dropping anatomy 2

    Please clarify. Are you saying you had a C in Anatomy I, retook to it, and now still have a C going? Whatever, I would not take the advice of a teacher, you need to work it out with your academic...
  23. Been there,done that

    Need advice

    Who is paying you to provide care for your grandparents? The main issue here, is who is your
  24. Been there,done that

    Charge Nurse

    You will be told to assume charge nurse duties, when the needs of the unit require you to do so. Your job description will state " and other duties as required". You will not have a choice. Charge is...
  25. Been there,done that

    Is it worth paying for RN resume?

    I am very good at writing and my resume looked good. It was quite the task though. I was getting interviews and calls with it, but when I had it professionally done I received a lot more attention....