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Content by Mijourney

  1. I am interested in obtaining more information about the MSN program in Tuscaloosa. I have the following questions for those who know the program: 1. What UA MSN program would you recommend for those of us who simply want an advanced nursing degree? 2. Are the online courses more difficult than the face-to-face courses? 3. What is the typical nursing professor like? 4. Do you feel that these professors have your best interest at heart? 5. In hindsight, did you feel that you made the right decision in chosing an MSN education at UA? 6. Do you feel that you were adequately prepared to perform as an advanced practice nurse by the Capstone School of Nursing? 7. How difficult was it to find a position in your chosen specialty after graduation?
  2. Mijourney

    Yikes I'm Getting Old!

    You know what? I'm actually grateful for being at an age that I can sit back and appreciate life and its many wisdoms. I can only wish that the wisdom that I have now, I could have had 20 years ago. But hey, life is a journey and growing in wisdom is what it is about. My hats off to those of you who have incorporated exercise and especially strength training into your daily routine. I wish you health, strength and longevity.
  3. Mijourney

    Nurses: Oppression Can Stop With You

    Very relevant article. Unfortunately, many nurses come from a unwholesome foundation and environment into the discipline or profession depressed and oppressed. Managers at every level exploit this to their advantage. It's much like leaders of a country, whether political or non-political, exploiting the masses to their benefit. Recognize if your leaders are also unwholesome and dysfunctional, then things will be chaotic. The silver lining in this is that there are good-hearted nurses out there willing to do their best for the best outcome of the patient and family and their co-workers or subordinates. All is not completely lost. Nursing should hold these shining examples up as often as possible. They're out there.
  4. Mijourney

    The 'De-Skilling' Of Nursing

    Actually Asystole, the MSN model seems to be similar to the physician model of education. Most MSN programs do the theory prior to the practicum. Usually, the practicum is done last in the MSN program. Generally, this practicum is a real world experience.
  5. Mijourney

    The 'De-Skilling' Of Nursing

    Brandon, I agree with you that nursing school typically does not provide real world experience. However, at least in my state to my knowledge, one is not required to have prior nursing experience to become a nurse-particularly at the ADN, BSN, or MSN levels. In fact, as I write, there are people entering the nursing profession that have no intention of "wiping butt" beyond their schooling. They seek to go into administration or specialize in non-physical contact areas. It's all about getting that buck for many people who enter nursing. Even though most bedside nurses do not feel they're getting well-compensated, nursing does provide a decent wage and some measure of security depending on where you work and who is in top management. To mitigate any problems with your step by step recommendation, nursing could go back to the days of old when nurses worked as "techs" in between semesters (back then it was a source of free help; I would not recommend no pay today) or nursing internship programs could be established.
  6. Mijourney

    The 'De-Skilling' Of Nursing

    Many nurses may not want to take on the responsibility of independent billing when they learn what they may face. Independent billing still would entail adding to our skill and knowledge set as I pointed out earlier in a post. To bill for services, you would have to know about clinical code sets and reimbursement; you would have to make sure that you are performing evidence-based practice to prevent being overly scrutinized by third party auditors; you would need to know a third party payer's policies, and I can tell you Medicare/Medicaid is very complex; you would need to be willing to talk with third party payers and auditors when they deny your services; your documention would need to be stepped up several notches in order to meet the criteria for payment from third party payers and demonstrate quality care; your malpractice insurance rates would skyrocket; you would become even more exposed to litigation. Is this something you think the average RN or LPN at the bedside could deal with or afford? Would the current scope of practice for LPN/LVNs and RNs warrant these additional headaches? I realize the scope of practice varies from state to state. I stand by my mantra that standardization is one way to address the conflicts that nurses face. Yes, let's grandfather whoever needs to be grandfathered, but we need unification through standardization.
  7. Mijourney

    The 'De-Skilling' Of Nursing

    Great article! Many good points. It's not clear to me that nursing is necessarily being de-skilled. It's just that we need to continually update our skill sets. As other posters have pointed out, what nurses do today, physicians use to do. In many cases, nurses have invaded other discipline's territory as it were and become the bain of that other discipline's existence. Health care facilities are in the money making business, for-profit or not, and if they deem their reimbursement levels to be too low to pay wages and benefits for licensed workers then unfortunately caregivers and our patients suffer. I do agree with some of the assessments that point out that nurses may need to make an effort to become independent practitioners while providing care at the bedside. I think those of us with graduate nursing degrees can make that case as long as the scope of practice supports it. Some nurses feel that the problem of de-skilling is as a result of too much focus on enhancing the educational requirements for nurses. I contend that the fact that our profession is so fragmented is the cause of much of our agony. We have unlicensed nurses, ranging from CNAs to RMAs, as well as licensed nurses, RNs and LPNs. Practically anyone calls him/herself a nurse, but you don't hear much of that with therapy or pharmacy. So, I contend (I know darts will be thrown in my direction) that part of the problem with de-skilling lies with us not accepting that we need to standardize nursing educational requirements. That will partly solve the nurse educator shortage as well as the de-skilling problem. Alright, let me have it!
  8. Mijourney

    Angels with a broken wing

    The article simply concluded what we all knew. Some of the people who go into the nursing profession or even what may be called the "helping" professions are not quality people or "people persons" as it were. Nursing, since that is what I know, is a very stressful job especially for those providing direct care. Those who provide treatment and/or care need to be caring, compassionate and passionate about what they do for others. Having wrote that, I find that even in administrative jobs, there is horizontal and vertical violence. And it's because we have people in these roles who are carrying a lot of personal baggage, are control freaks, or are not quality people or all three. The office politics can be overbearing at times and I just have to pray that I get through the day without going insane. My recommendation for facing a hostile work place is to meditate before going to work each day and pray that your response to others no matter what they do will be positive. Or, at least don't lash out at the haters because believe me they will one day have to account for their actions.
  9. Mijourney

    Your Input is Needed

    I'd like to know about the following topics: Regions of the country favorable for NIs NIs relationship with other members of the informatics team or IT-in particular, the relationship between NIs and physician informaticists Barriers preventing NIs from performing their work Roles that NI can serve in (can a NI be a CIO, for instance) The impact of accrediting agencies like The Joint Commission on an NI's work (are NI's directly involved in surveys) Typical hours of work for newbie NI vs those in the field five years or longer I don't know if my topics make sense or are bloggable, but I am hoping you can do something with them.
  10. Mijourney

    Productivity in NI

    So, serving as a NI is more like being a project manager? Is that correct?
  11. Mijourney

    Should I run away screaming?

    50 cases is fairly steep when you think about having to study each case, the call itself, and all the documentation you have to do for the case. I've never done weekend case management in the corporate setting so I'm only taking my best shot. You will have to ultlmately decide. For a twelve hour shift, you will have about 24 minutes for each case. For an eight hour shift, 16 minutes each case. That may be doable because some cases will require more time than others. However, this does not count breaks and etc. With the UR portion, navigating the insurance company's phone system or web system can be a pain. Again, you will have to decide if you want to give it a try. If you were hoping to work just the weekends, it may be worth a shot just to see how it goes.
  12. I am looking at an in-state university program for an MSN in informatics. The costs seem to be more reasonable than private institutions.
  13. Mijourney

    2010 HIMSS Virtual Conference

    Did anyone attend the HIMSS VCE? I'd never been to one and thought it was great. Alot of interesting subject matter was presented. The only thing I was disappointed about was that I did not win a prize. The next VCE I believe is in June 2011. Hopefully, it will be even better. I think the virtual forum is wonderful for those of us who can't travel.
  14. Mijourney

    2010 HIMSS Virtual Conference

    HIMSS Virtual Conference & Expo You have a little less than a month left to register and review the site. Hope this helps.
  15. Mijourney

    HIMSS 2011 in Orlando, FL

    No, I do not plan to attend either the HIMSS conference in Orlando or the ANIA-Caring conference in Las Vegas. Traveling, especially on planes, is not my strong suit unless I can drive within a reasonable distance to a conference. I am looking forward to these conferences coming back to the southeastern section of the country.
  16. Mijourney

    nursing case management admistrator certification

    Hi again, Helen. You did not indicate where you got your info from. However, I do find that the center for case management has answers to many of your questions @ http://www.cfcm.com/resources/certification.asp.
  17. Hi everyone. I would like to know your opinion regarding which online nursing program would be the most advantageous to attend. Walden University or University of Phoenix or a state-run university system. Does the type of school matter when you're at the graduate level? What are the pros and cons for attending either type of school?
  18. Mijourney

    New grad jobs in healthcare consulting

    I agree with 2dogs. Not to criticize you personally, but it is beyond me why an employer would hire someone fresh out of school into a role that requires experience as a bedside nurse. The stamina and endurance of nurses today at the bedside is proving to be very limited. I know bedside nursing is very challenging. I did it for a number of years prior to getting into the administrative aspects. But many people that go into nursing today hope they don't ever have to take care of a sick patient and their family. That saddens me. You will be a stronger, more effective, and enduring case manager with the bedside experience. In my experience, med-surg telemetry gives you the best bang for your buck, as it were. That floor gives you a variety of everything that will help you with general or specific roles in case management. Best wishes.
  19. Mijourney

    nursing case management admistrator certification

    Hi Helen. The website that you found out about the case management administrator certification should give you a description as well as employment roles for those who hold this type of certification. If you found out about the certification via another resource, check back with that resource.
  20. Mijourney

    CCM vs. ACM

    To my understanding, there are several varieties of case management certifications out there. The most prevalent one is the CCM. The CCM tends to be generalized being skewed towards workman's comp, insurance, and consultancy. The ACM is strictly hospital-based. You also have the ANCC-based CM certificaton which is for nurses only as well as other lesser known certifications. Personally, I would rather have a highly recognized certification that allows me to work in a variety of roles and not be limited to one area. I think a nurse should look outside of the box, if possible. Having wrote that, employers are going to require what they feel is advantageous for them. As long as they are willing to pay for the exam and subsequent recertifications, I'd go for it.
  21. Mijourney

    Benefits of RHIA Credential?

    Go to AHIMA Home - American Health Information Management Association if you have not already and review that website. From what I understand HIM is just as involved in ARRA funding for training of new professionals as any other discipline. Some of their focus are the EHR, e-health, HIEs as well as HIT. In fact, I've noticed a growing number of these professionals getting additional certification through HIMSS. They are typically seen as nothing more than medical records specialists but they are trying to get beyond that thus the name change to health information management. Nursing informatics and healthcare informatics are different. It depends on whose body of knowledge you want to incorporate with what you have and know now. Best wishes.
  22. Mijourney

    2010 HIMSS Virtual Conference

    Because health informatics incorporates all disciplines including nursing and because nurses need to be familiar with technology, I feel the VCE would be beneficial to students. I noted that one of the keynote speakers for the conference was a nurse. There were topics that addressed issues that are near and dear to nurses such as patient safety and quality. The coordinators for the VCE have it set up whereby attendees can listen to missed presentations today so in a little while I plan to go into the site and listen. It's absolutely marvelous to me.
  23. Mijourney

    medical informatics vs. nursing

    Well, here goes. Medical informatics more relates to physician practice and the like. Nursing informatics is based on nursing practice, classifications, terminology and so on. You have other disciplines that have incorporated informatics such as public health, pharmacy, health information management, as well as nursing. I wouldn't get too caught up in the differences at this point because each day there is something new in the world of informatics that brings them closer to each other. You can become a nurse and decide later on that you want to pursue a master's degree in health informatics. Some schools have programs where you can pursue health management and a concentration in health informatics or maybe even nursing informatics. Other opinions?
  24. Mijourney

    medical informatics vs. nursing

    I'd go for the RN if nursing is where your heart lies. Once you get that RN under your belt and get bedside experience for several years or more, it's downhill from there (meaning opportunites may open for you). If you read previous threads you'll notice the same theme that you will need nursing experience to perform proficiently in nursing informatics. To get into informatics, I have noticed that more often than not, an experienced nurse would become involved in a informatics related project. So, I think getting your nursing experience, then assessing whether you would like health IT and would be a competent, knowledgeable, and skilled performer in it is where you need to go. The master's level after that should be your aim. Other opinions?