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HealthyNurse

HealthyNurse

Functional Medicine, Holistic Nutrition
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HealthyNurse has 9 years experience and specializes in Functional Medicine, Holistic Nutrition.

HealthyNurse's Latest Activity

  1. HealthyNurse

    Help! How to get an interview with Humana!

    I'd love to know the same thing! I'm in the same boat--qualified for the position, but I can't get an interview!
  2. HealthyNurse

    Any nurse bloggers?

    I'm a nurse blogger :) I don't think I'm allowed to post my blog, but feel free to PM me.
  3. HealthyNurse

    Opinions on Arcadia Home Care

    Does anyone work for this home care agency? Can you share your experience? The position I'm considering is a Clinical Services Supervisor role. Thank you!
  4. HealthyNurse

    Experienced nurse- Career Advice

    Hello everyone! I'm looking for some feedback on what is an extremely difficult career decision for me. I've been working as a Medicare surveyor in my specialty area (home health and hospice) for the past 3 years. I absolutely love my job! Before getting this position, I never would have imagined saying that about a nursing-related job. I genuinely enjoy the work and the benefits are unprecedented (home office when not on survey, 13 paid holidays OFF, tons of vacation time, etc). It's a cushy government job and I'm not afraid to admit it! The problem is that I've been wanting to move to Florida for quite some time. I have no family in the state where I live and I never wanted to move here years ago when I married my now ex-husband. I've been trying to get out since our divorce 5 years ago, but life has gotten in the way. It would be wonderful to think that I could just transfer my position to something similar in Florida, but unfortunately, it doesn't work like that. I'd be taking a $25,000 pay cut and I can't afford that. I've been interviewing and searching for the right position and I finally thought I found it working in staff education in a hospice. It's a job similar to one that I've had in the past, so I would be fairly comfortable with it, although it's not something that I would *love* like the job I have now. Unfortunately, when I was given the job offer, I was also told that the hospice will soon be moving their main office location and it would be about an hour commute from where my family lives and where I would also want to live. On top of that, the job also requires about 50% travel, which is not something that I want. I'm willing to do some travel, but I wasn't expecting as extensive travel as this apparently requires. My dilemma is that I feel like I'm running out of options for reputable companies in my field. I don't know if I should continue to hold out or just go for it and worry about finding a different job later if I find that I don't like the commute or travel. I'm most worried about the long commute, as I used to have an hour commute to work and it about killed me. Thoughts?
  5. HealthyNurse

    Breaking Free From Nursing

    I've been a nurse for almost 8 years. That's not long in the grand scheme of things, but it's long enough to have experienced this profession. I've been known to say, "One of the greatest things about nursing is that there are so many different ways to be a nurse." And believe me, I've been a nurse in many different ways. I've tried hard to make this career into something that I enjoy. I worked in ER, med-surg, and home health before going back to get my master's degree in health care administration. I found patient care to be far too stressful for someone who truly cares about the quality of care that is being delivered. Either you settle for mediocrity or you drive yourself to the brink of insanity. I experienced the latter until I eventually decided that something had to change. I've found working in administration to be much more preferable, but it is still wrought with problems and it is far from being a career that I'm excited about. I'm finally ready to admit to myself that nursing is the problem. It's just not the career that I thought it would be or that I've tried so desperately to make it into. No matter what capacity of nursing work that you do, it is a thankless job. The mentality of "a nurse is a nurse is a nurse" is pervasive and there isn't an employer out there that truly values a nurse for the unique skills or knowledge that he/she may have. Anyway, I could go on and on about the many reasons why I want to get out of nursing, but the main point of this post is that I've finally made a decision. I struggled for years with this decision, but recently it seems so clear. I'm about to turn 30 years old and there is no way that I'm going to waste the rest of my life in this profession. I don't know exactly what I'm going to do yet (part of the reason why I've struggled for so long), but I know that I'm going to do it and I will be successful. I will get out. Best of luck to those of you who may be struggling with the same decision.
  6. HealthyNurse

    Tampa Bay area- Salary

    I'm curious about the low salary offers I've received in the Tampa bay area. I'm relocating from another state and I expected the pay to be a bit lower, but some of the offers I've received are downright shocking. I'm a master's-prepared nurse looking for administrative positions in my field (home health and hospice). I have 8 years of experience and I'm getting offers in the low $50,000s and upper 60,000s. Does this sound about right? Thanks for any input.
  7. HealthyNurse

    Just how do we find preceptors?

    I would never feel comfortable asking my family physician to help with a preceptor placement. It's embarrassing that this is happening in the NP field and it gives physicians a legitimate reason to question the quality of care provided by NPs. This is why I advocate for limiting online NP programs. I understand it is also happening with brick and mortar schools, but only because there is so much competition and because a precedent has now been set and students are buying into it. In order for the NP profession to be successful long-term, we need to take some lessons from physicians. They very carefully limit entry into the field.
  8. HealthyNurse

    What is your opinion on getting the flu shot?

    Even "preservative-free" flu shots are full of toxins. Thimersol is not the only concern. Check out this link to learn what is really in a flu vaccine: Vaccine Ingredients Calculator As far as effectiveness of the flu shot, there have been no conclusive studies that show the flu shot is effective at preventing the flu or complications from the flu. Look up the Cochrane reviews on flu vaccinations. Studies that do demonstrate effectiveness are suspect because the research is conducted by the pharmaceutical companies, which obviously have a vested interest in selling flu vaccines. From the Cochrane review: "Studies funded from public sources were significantly less likely to report conclusions favorable to the vaccines. The review showed that reliable evidence on influenza vaccines is thin but there is evidence of widespread manipulation of conclusions and spurious notoriety of the studies. The content and conclusions of this review should be interpreted in light of this finding."
  9. HealthyNurse

    Fraud

    I work for the government as a health care surveyor. Unfortunately, CMS (Centers for Medicare and Medicaid Services) turns a blind eye to fraud. We do have avenues of reporting fraud to the OIG, but CMS actively encourages us not to get too involved. When we do report to the OIG, it takes a lot to get them interested (the fraud has to be a certain type and hit a certain threshold in the millions of dollars). I don't mean to discourage you, but that's the reality of it.
  10. Hello fellow nurse entrepreneurs! I've recently switched my business site to a self-hosted Wordpress.org site and I am so lost!!! Does anyone have a recommendation for a reasonably priced Wordpress site developer? Thanks!
  11. HealthyNurse

    Can a nurse start a hospice?

    Hello! I work for the government and hospice agencies are one of the provider types that I'm responsible for surveying (regulating). Hospice is highly regulated and as stated above, you would not be able to work independently, even as an NP. There is no such thing as an independent hospice provider. You would need an entire team of individuals (the interdisciplinary team). One of those must be a physician- a mid-level provider cannot be substituted. The IDT has to include a registered nurse, physician, social worker, spiritual counselor, and bereavement counselor. There is sometimes some overlap (often a social worker can act as the spiritual/bereavement counselor, if qualified). With hospice, you also have to have volunteers and provide hospice aide/homemaker services, in addition to the core services listed above. There are many, many rules regulating hospice care, so I would suggest that you get quite a bit of experience before deciding to start a hospice agency. Good luck in your future career!
  12. Hi Tiffany! I think you should first get focused in exactly what your goals are. It won't help you to randomly get certifications if you don't know what you want to do with it. They are many ways to be a nurse "in business". Before you spend money on certifications, make sure that it is necessary for that field or you feel that it will really make you more marketable. As far as the DON position, how does that fit into your overall career goals? It sounds like a great opportunity, but do you have experience in home health? If not, I would be wary about taking on a leadership position in a new company, which you may be expected to help grow. It's difficult to help a new business to succeed if you don't know anything about the industry. Good luck to you!
  13. HealthyNurse

    Any holistic/integrative NPs?

    Are there any NPs here that practice in a holistic/integrative/alternative medicine setting? I'm thinking about doing a post-master's FNP program, but I'm wondering about the feasibility of getting a job that allows practice with an alternative medicine focus. I've been very torn for quite some time now between going to medical school or NP school. If I decide to do either, my goal is to practice more holistically than the conventional allopathic model. I would love to connect with NPs that currently practice this way. Thanks!
  14. Even if you have RN experience by the time that you graduate as an NP, that does not completely prepare you to be a fully functioning NP upon graduation. The role of the NP is much different from that of the RN. I believe you would be better served by getting NP experience in a setting in which you have a lot of support. And then venture out on your own after a year or two. As far as picking a specialty that is more conducive to self employment, I think you would be better off to choose what you are most interested in. If you have a passion, it is much easier to invest the time and energy into a business idea. You also want to look into the laws in your state for independent NP practice. I can't speak much to that, but I know it could affect what type of independent practice you can have. Being self-employed is rewarding, but it is also very challenging. Even if you have a great service to sell, it takes a lot of time and effort to get your name out there and get people interested in your service. It is NOT as easy as "build it and they will come". That's another reason why you may want to consider getting NP experience before starting your own business. What will make your service so special that a patient will choose to go to you rather than someone else? If you have no prior NP experience, that will not be a great selling point. I am not trying to discourage you because I think that self-employment is a wonderful option in nursing and I think the profession would be much better overall if more nurses went this route...but it's just something for you to consider. Job security with self employment comes as you become more established. And it takes time, sometimes A LOT of time, to build up a business. The best way to do it is to have a full-time job and start the business on a part-time basis. As your business grows, you can decrease your working hours at your full-time job (ideally) until you are ready to take the plunge and go into your business full-time.
  15. My understanding is that an independent nurse contractor is able to bill Medicare/Medicaid for services. A self-employed nurse may be an independent nurse contractor or not, depending on what services they are offering and if they want to or are able to bill Medicare for services. So, it really depends on what you envision yourself doing. Could you be a little more specific? If you are a new grad, either RN or NP, it would not be wise to go out on your own (especially doing direct patient care) without getting some experience somewhere. To do so would endanger your new nursing license and open yourself up to huge liability. Nursing school does not come close to preparing you for the real world...
  16. HealthyNurse

    Well, it is what it is. Just a revelation.

    What "few different areas" have you tried? Are they all in acute care or have you explored areas outside of acute care? If I would have given up on nursing based on the hospital jobs that I had, I would never have found a job that I absolutely love. I felt just like you when I had 3 years of experience...wanting to leave nursing and feeling like it was a horrible career choice for me. The key thing is to take action and not just sit back knowing that you are unhappy, but afraid to make changes (as so many nurses are). I found job outside of acute care in home health. Home health was a great niche for me and I really enjoyed it. However, I eventually figured out that I would be a lot happier not doing any patient care. There are SO many opportunities in nursing. You just have to be willing to search for them or invest in some additional training and education.
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