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pa_rn2012's Latest Activity

  1. pa_rn2012

    On Call Questions

    I'm trying to figure out if being a 7 on 7 off on call hospice nurse would benefit me more than being an RNCM and I have a ton of questions. Right now as an RNCM we get paid salary for our work week and then extra for just being on-call and we get paid mileage reimbursement, and additional money for admissions, routine, and death visits when we're on-call. I am confused as to whether I'd be getting paid more, less, or equally as much being full time on-call instead. It definitely seems like a better work life balance and I like the fact of having a whole week off, but would this be like a nightshift job where I have to stay up all night and sleep during the day or could I go to bed like a normal person and then just get woken up like I do now? How exhausting is it to do it that way? Do the nurses that do this job also have a 2nd job to make up for a lesser paycheck? On-call would be during after business hours and on weekends. I don't think there's a backup person and I think I'd be triaging and doing the visits, unless I'm wrong. Is that too much to be doing; should there be a back up and triage nurse as well? Do you still get all the additional money if you're on-call if you have to go out? Is there extra money called for the triage part of on-call? Is there a certain flat rate that you are paid or is it a special on-call rate? Do you still get paid mileage? Are there any additional benefits to being an 7 on 7 off nurse besides having an entire week off and does that truly happen or do you still have times when the company will call you into work on your weeks off? Are there negatives that I should be aware of? A lot of nurses seem to rave about doing this instead of being an RNCM. Thanks for the input in advance!
  2. pa_rn2012

    End of Life Doula

    I'm trying to find out if anyone can recommend a good end of life doula certification program. I've found a couple websites online but I don't want to waste my time or money on a program that is mediocre at best. Some of the sites I've seen include IAP career college, Intl End of Life Doula Assoc, Lifespan Doulas, and University of Vermont has a certification program. Any recommendations? Thank you!!
  3. pa_rn2012

    Hospice questions

    I'm very new to hospice. I'm wondering if anyone knows of any resources that can help me learn my job better. Also, I'm wondering what the protocol is for going out to pronounce during a major snow storm/state of emergency. I understand it needs to be done in a timely manner and I certainly want to be respectful and responsible but I'm also concerned about my own safety trying to get to the patient. Any advice would be greatly appreciated!
  4. pa_rn2012

    Changing roles in same department

    I have a bit of a dilemma that I need some clarity with. I just started a job a month ago in a department I really like. I'm happy but feel this isn't my dream job. I like the hiring manager, the job in general, the role is challenging and so far I like the people I work with. All positive things. However, there is a salary position that just opened up a few weeks ago and I just saw the ad tonight for the same department I'm working in and it is my dream job. I'd be working with the same people just in a different role. My question is do I try to pursue this being I've only been employed for a month? This new job is exactly what I want to do and the direction I want to take in my career. I feel like I possess all the qualifications and I don't believe there is a time stipulation for changing roles especially if it's in my same department I already work in. I just dont know how to bring this up or if I should just keep my mouth shut to my hiring manager but I'm really excited this opportunity became available. Is it wrong to sit down with my manager to discuss this? I dont even know what I'd say. Any guidance would be much appreciated.
  5. pa_rn2012

    For all INFP personality types only

    Hi there. I'm an INFP. I've struggled with finding my niche in nursing since day one. I've read more than once being a nurse is not a good career choice for INFPs and yet here we are in the field of nursing. I started off on a PCU (step down telemetry unit). I lasted maybe a little over a year and then decided to try working on a short stay surgical unit doing pre-op and pacu. I've been doing that now since summer 2014. I'm feeling stagnant, bored and want to go another direction. I'm headed back to school and I'm looking into hospice. I agree with some of the other replies on here. Floor nursing is not for me. I'd like to get my BSN and go into a non-clinical direction maybe case manager, nurse navigator, patient advocate, patient education...the problem I'm running into is not having my BSN. Have any other INFPS tried hospice nursing? Do you find it rewarding? Thanks.
  6. pa_rn2012

    Calling All Nurse Managers/Clinical Directors

    I'm brand new to being a clinical director, just started the end of June. I am having issues figuring out the administrative ends of things in PA for a stand alone ASC. I know I need to set up different login's and accounts to do reporting but I'm not sure exactly what to do. Can anyone help me? So far, I know about the state board and PSRS but I haven't been able to contact them yet and I'm honestly not even sure who to contact or how. I'm assuming I'll have to do something with CMS for medicare possibly and the DOH. Again, I have no idea who to contact or how to set up all of this. The last clinical director just left me high and dry with absolutely no direction on how to transfer anything from her to myself. Any help would be greatly appreciated because I'm trying to do this all by myself. Thank you in advance!
  7. pa_rn2012

    Help - Need A Meaningful Job

    I'm going to have to do a lot more research on becoming a diabetic educator in order to make an informed decision. I really appreciate the feedback. Thanks all.
  8. pa_rn2012

    Help - Need A Meaningful Job

    Of course its in the very early stages but I'm looking into something along the lines of teaching or patient education. Maybe with nutrition or another area. I'm having a difficult time trying to find a demand where I live for this sort of thing. I'm going to keep pressing on and researching though. Hopefully something will come up eventually. I know I have to stay in nursing. Going back to school really isn't an option right now. The problem is I don't have a BSN or any other degree. I only have a nursing diploma so this is going to be a very challenging uphill battle to find something within my scope. Especially since I've only done PCU and ambulatory surgery during my career.
  9. pa_rn2012

    Patient Educator/Health Educator

    I am interested in becoming a patient educator or health educator. Unfortunately, I only have a diploma in nursing. I really don't have the time or financial means to go back for another degree right now. However, I don't know if certification is enough. Also, it doesn't seem like there is much of a demand in Pennsylvania for this. I have been surfing the web for keywords and I'm not really having any luck. Does anyone have any experience with this area of nursing? Does anyone have any ideas on what to search for or if this is even possible for me? I've done the hospital thing; was on med/surg and now I've mostly been in ambulatory surgery for most of my career. I'm looking to explore a new avenue of nursing and this is very appealing to me. I seem to be very good at teaching patients.
  10. pa_rn2012

    Nutrition certification/education for nurses

    I am very interested in obtaining certification in nutrition as a rn. However, I only have my diploma in nursing. Is there a program for someone without a bachelor's? I'm sorry if it was already answered. I looked on the clinical nutrition certification board website but was confused as to what courses I'd need. I'm not sure there's much of a demand where I live either so I wonder if I should even pursue this. Im near reading pa. Also how hard would it be to transition to a registered dietician from registered nurse. Maybe that would open up more doors for me. Any thoughts? Thanks!
  11. pa_rn2012

    Help - Need A Meaningful Job

    I want to thank everyone for their input. I've stumbled across something on my own and I'm very excited about the opportunity! Take care :-)
  12. pa_rn2012

    Help - Need A Meaningful Job

  13. pa_rn2012

    Help - Need A Meaningful Job

    I don't believe that mentality at all. Self fulfillment is an important part of life to me. If someone is unhappy with their line of work or their job or their life in general, they should make an effort to change it and move onto whatever makes them happy. I understand that not every single day will be all peaches and cream but if you're miserable and make other people miserable because of your misery (misery loves company) than you're barking up the wrong tree and you need to figure out why and follow your heart. That's where I'm at now. I know I'm not happy. I also know the grass isn't always greener. But one thing I am sure of is that in order to get through life you need to make constant adjustments, learn from experiences, use all of your god given talents and skills and hopefully become a better person along the way.
  14. pa_rn2012

    Help - Need A Meaningful Job

    I'll definitely look into hospice as a possibility. I feel very passionately that if you love what you do, you never work a day in your life. I know other people think that work is work and its never going to be fulfilling or a wonderful experience but I feel much differently. I just haven't found my passion in my career yet. I feel like I could be doing so much more and making such a huge difference and impact in people's lives if I could only discover my true calling as a nurse. Hopefully that makes sense.
  15. pa_rn2012

    Help - Need A Meaningful Job

    I've been in nursing since 2012. I've been absolutely miserable with the jobs I've had and I think I finally figured out why. Today I had a very meaningful and fulfilling patient interaction day. So I started wondering what jobs out there would allow me to feel fulfilled on a daily basis so I'm not so miserable all the time. Does anyone know some kind of job within nursing that has meaning and purpose? I got into nursing to make a difference and help people. I haven't been doing that for five years and it's tearing me apart. I am so compassionate, caring and love spending a lot of time with my patients and trying to make them have the best experience possible. Are there any jobs out there that checks all the boxes I'm looking for?