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Case Management
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NCRN2010 has 20 years experience as a BSN, RN and specializes in Case Management.

NCRN2010's Latest Activity

  1. NCRN2010

    Case management/Insurance work?

    I work at one of the top insurance companies as a Nurse Case Manager. I started off working on the 24 hour nurse triage line. Mostly the experience they are looking for is med/surg, ER, triage. I would recommend finding a position you're interested in and tweak your resume to match the requirements as much as possible without being dishonest. Have your skills align with the requirements. Most larger companies are scanning resumes looking for keywords and an actual person does not see it unless it passes the keyword test. Before I got my current position I applied for every position that I was remotely qualified for. It took me a couple of years to get any call. Fortunately I got the first position I interviewed for. It is extremely competitive, even once you have your foot in the door. I understand your frustration with the mental and physical abuse you are subjected to at the bedside. That old saying "The grass is always greener" is applicable here. Sitting at home in your pajamas talking to your patients all day may sound like a dream job to someone that has never done it, but it is hard and challenging in ways you have never imagined. Think about every action and every word you do and say throughout the day. Now imagine all of that being recorded and monitored. Also, every minute of your work day is monitored and tracked. The pay at my company is excellent. There is a high turnover in some teams because management can be brutal at times. I miss doing bedside nursing and seeing my patients face to face. You have to learn to depend more on listening to what the patient says instead of what you can visualize. If the pay wasn't so good I would have left years ago. I don't mean to be discouraging but wanting to just be as honest as possible here. Please let me know if I can provide any additional information.
  2. NCRN2010

    Called off too many times?

    Although this may sound harsh, I totally agree with Kooky Korky. Nurses are held to a higher standard on many things. If you were working in an office job in a clerical position it might be fine to call out because your cat got run over or you fell on the ice trying to get to your car, but if you are a nurse, you need to show up! Absenteeism causes extra stress on your colleagues therefore creating a less than ideal situation for patients. Before I became a nurse I would call out for any little reason. That changed when I took on the responsibility and care of patients. I have held my attendance to such a high regard that I probably was bordering on negligent parenting. Being a nurse is not a job. It is who you are.
  3. NCRN2010

    RN. To Me Means Real Nurse.

    The title of this article caught my eye and for a split second it made me defensive. This defensive reaction encouraged me to read the article. This is a wonderfully written article and in no way belittles the important role that all nurses have in healthcare. My personal journey in nursing began in the supply department in a rural hospital. I witnessed the compassion and professional attitudes of the nurses and I was in awe. From my exposure at that rural hospital I was motivated to pursue my CNA, LPN, RN, and BSN. I possess more knowledge than the person I was working in the supply department, but I am fundamentally the same caring, empathetic, loving person, regardless of the initials after my name. It is impossible to teach someone the necessary personal characteristics it takes to be a nurse. It isn't a job, it is who I am. My precepting experiences as a student were for the most part pleasant. I didn't experience hostility towards me. If I did I was too oblivious to notice. In my career working side by side other nurses and witnessing the interactions of student and preceptor, I am embarrassed and ashamed of many of my co-workers. I love the role of preceptor. I view it as an investment in the nursing profession. The nurses I train may be the nurses taking care of me one day.
  4. NCRN2010

    ADHD/Anxiety issues at clinicals

    I experience these same symptoms at work and at clinicals when in school. Talk to your doctor about your meds. Maybe you need them increased, or changed. Don't give up. Also, I have learned several great relaxation techniques that have worked wonders. Your therapist should be able to help you out with that. Anxiety produces more anxiety. It is a terrible thing. No one can relate unless they have experienced this type of debilitating anxiety. Good luck to you.
  5. NCRN2010

    Has anyone ever seen this done before?

    I totally understand where you are coming from. Usually when you wash a wound, soap would be used as well, possibly eradicated any pathogens found in the tap water or spigot. Also, using ones own facilities is much different than water from a facility that has sick people in and out all day long, possibly contaminating the faucet. I'm not saying what she did was wrong or right, I have just never seen it done before. It would not be something I would have done. Whats ironic to me is in the beginning days of my nursing career, I vividly remember being chastised for taking a culture swab out of the package and holding for the provider to use. The provider told me it was now contaminated just by exposing it to room air and made me discard the swab and get a new one...
  6. NCRN2010

    Has anyone ever seen this done before?

    Actually, no the provider was a female ARNP. Had been a nurse for 15-20 years. Critical care, L&D, and med/surg. I was surprised at what she did. I expected more from her.
  7. NCRN2010

    Relocating to Winston-Salem or Greensboro

    Wages in NC are comparable to that of FL. The good thing is the cost of living in much less. There is alot of opportunities for nurses in the piedmont. I live just outside of Greensboro and I love it here. Was born and raised in Naples, FL. Have been living in NC for about 8 years now. Like most areas, LTC pays the best, hospital is probably about the lowest. Good luck to you. Let me know if you need anymore info.
  8. NCRN2010

    Tell me your favorite things about being an RN!

    Having been a LPN for 10 years, my favorite part of being an RN is getting the respect I should have been getting all along.
  9. So last week I was assisting one of the providers at my employment and witnessed something I have never seen before. The patient we were caring for had a large leg wound. The provider wanted to culture the wound. So I prepared the patient and the room. The provider comes in and takes the swab of the culture and runs in under water from the faucet. She stated "I always get a better sample if the swab is wet first". Is this an accepted practice? Seems to me the culture swab would be contaminated from the tap water, and therefore the culture would not only be from the wound, but whatever else was lurking in the spigot, :sofahider and the city water.:barf02:Has anyone else witnessed this?

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