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Tele/Interventional/Non-Invasive Cardiology
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CardiacRNLA has 5 years experience as a BSN and specializes in Tele/Interventional/Non-Invasive Cardiology.

CardiacRNLA's Latest Activity

  1. CardiacRNLA

    Starting pay for new in hospital case manager

    I just got hired on and I am salaried. $65k. I’m still on the fence about case management. Lol.
  2. CardiacRNLA

    Can I get Fired?

    Precisely. I’m not saying the OP didn’t do something incorrect. But my word, accusing him/her of embezzlement and not meeting the standards of professional nursing? Over someone starting an IV on his/herself? I guess I should have my license taken away and made to do a perp walk when I drank juices and ate pudding from the nutrition room.
  3. It’s funny you say that. I actually had a similar conversation with HR. I’m in a new position and I had to learn stress echos. When I had less than 2 weeks of training (I really only shadowed a couple), the only other trained RN called out. Mind you, I have no signed competencies to demonstrate my capabilities or back me up. Beyond that, I did not have confidence I could competently or safely conduct these tests with such little training. Also, there was no trained nurse to assist me. My manager did NOT want to cancel patients and just wanted me to “figure it out.” When I spoke about it with HR, I asked her a hypothetical, “if you were my patient and I said, hi I’m your nurse who has only done this for less than 2 weeks, I don’t have any documentation of competency in this procedure and I’m not confident in doing this. Do you still want me to do this?” Her response proved my point went over her head. She said “that’s not something you could ever say to a patient, that’s inappropriate.” Mind you, I didn’t actually say that. But the point was missed on her and obviously she thinks it’s an rn’s job to defend poor management decisions.
  4. CardiacRNLA

    My IV Skills are Terrible!!!

    So I’ve been a nurse for 5 years. And my IV insertion skills are horrific. I was an inpatient nurse for 3.5 years, but I always wheeled and dealed with other nurses to insert my IVs. And now I’m been in an outpatient setting for almost a year. Now ive been moved to a position (still outpatient) where I need to insert IVs every day. At first I wasn’t getting a couple, Now I’ve just been missing. It makes me feel like I’m not gonna make it in this position. Should I take a course? Not really sure what I can do. My confidence is tanking. Any ideas on how to better my skills and calm my nerves?! Any ideas ( other than keep trying lol) would be appreciated? Thanks!
  5. CardiacRNLA

    Are Patients Cared for Equally? Challenges of the VIP Patient

    I work at a clinic associated with a hospital that is known as the "hospital to the stars." I really hate the VIP concept. Most of the patients, because it is in a wealthy area, think of nursing staff as "the help." There have been plenty of racist and sexist commentary. Staff is supposed to just deal with it because both the doctors and their patients think of themselves as celebrities. It actually made me miss the "unwashed masses" (sarcasm here) who I felt I was actually helping. I am not saying rich people don't deserve quality care, but the sense of entitlement, elitism and classism is gross. And this facility actually makes a name for itself based on these attitudes. it is really disgusting. I miss feeling like work was for the greater good as opposed to the privleged.
  6. CardiacRNLA

    Cardiac Clinic not challenging

    I am working at a cardiology clinic outpatient for a prestigious organization. I'm getting paid a great salary. But this position isn't what I thought. I thought maybe I'd do some wound checks, be cross trained to do echos/stress tests, some in-depth patient education. But no, basically I room patients, confirm medications are correct, pretty much a few computer clicks and move on to rooming the next patient. An MA or even non-medical person could do my job. I'm grateful to get paid for such a job, but I feel like I'm not using my cardiology experience or other nursing skills. I can't leave my clinic. Just wondering if maybe I should take a second job that uses more in depth skills. I realize not all clinics are like this, but it just seems like a waste of skilled RNs. The RNs don't even have cardiac experience. I'm the only one! Any thoughts?
  7. CardiacRNLA

    Can you go from the clinic back to the hospital?

    Thank you! I know it will be tough. The clinic is part of Cedars-Sinai so I was hoping maybe I would have an "in" since I would be an internal employee. My other thought was to perhaps pick up a per-diem role somewhere else to keep my skills up. Thanks for the comment!
  8. Okay, so I just got hired to a great position at an outpatient cardiology clinic. However Im thinking about going back into the hospital setting in the next few years if I decide to NP school. Simply because I can make clinicals and 2 or 3 12s Work better. Is it difficult to get back into acute care once in the clinic setting? Just wondering if anyone has had the experience. But that's a ways off! I'm lookjng forward to the clinic setting!
  9. CardiacRNLA

    RN Case Manager? What does this mean in Home Health?

    Thank you so much! This was really informative. I like the flexibility and freedom. But I am worried about the autonomy lol. There are certain clinical conditions I don't have much experience with. Also I have been out of the workplace for 8 months and takes a bit to get back into "nurse mode." I have read the forums and it seems like new HH nurses are working extremely long days to start. I don't want to be working 50 hours+ a week. I have a lot to consider. The position I have been offered is full-time. Is it reasonable to ask to shadow or for per-diem? I need to get back to work but I don't want to fail. Do you know anything about Encompass Health? That's the agency. Again, thanks so much!
  10. Hello All, I am a little confused. I interviewed for an RN Case Manager job for Home Health. I am used to a case manager that has no direct patient care. But it seems like in HH this means something different. I have no HH experience and I am very anxious about it. How does that role differ from an HH nurse that isn't a CM? It seems like the CM role (at least for this company) does patient care while shouldering the administrative duties (OASIS, ROC, discharges, etc)? I would be teamed with an LPN would be doing the ongoing visits. What are the challenges? Is home health worth it? I am very anxious to transition from acute care to home health. I have heard lots of horror stories. So I am not sure what to think. Also, how can someone advance his/her career in home health? Any advice would be appreciated!
  11. CardiacRNLA

    Can Acute Care NPs work in Outpatient Specialty Clinics?

    Thank you so much for your informative reply!
  12. Hello All, I'm an RN who is in an Acute Care NP program. I had to take a year off(!) due to lack of preceptors. At the time, acute care seemed the way to go, but now I am having doubts because of how crazy acute care has been for me as an RN. Perhaps it is different as an NP? Anywhoo, I'm just wondering if I can Acute NPs work in specialty clinics like a cardiology clinic or pulmonology clinic? I am fully aware ACNPs cannot do primary care. For the Acute Care NPs out there, how do you compare the stress/workload of being an NP in the hospital versus an acute care RN? Do you have more job satisfaction? I didn't do primary care because I was not interested in children or women's health (no offense). I certainly wouldn't mind being in the hospital. Floor nursing is grueling but I am worried that the responsibility of being an acute care NP would be worse than the stress of floor nursing. Can any Acute Care NPs give any guidance? Thanks in advance!
  13. CardiacRNLA

    Do nurses get away with nurse brutality

    My thought, exactly!
  14. CardiacRNLA

    Not Everyone is meant/wants to be a leader!

    Hi Klone, I think you are misinterpreting my post. Or if it comes off as bashing, I promise it isn't. I am not saying there is anything wrong with someone who wants to be a leader. I am saying there is this push to MAKE everyone a leader or leading some committee. I woul certainly say I am a "leader" in my own way on my floor. I participate in practice council, bring up issues with my managers when we need them, etc. I would like to think people value my opinion and experience on the floor. In my world, that makes me a leader (of some sort). I just think there is this push, not just in nursing, to make EVERYONE a leader. I don't need a title or role. Perhaps, I am just averse to it LOL. I have been asked, well not charge nurse (I am far too anxious). But I have been asked to precept or be practice council chair, and I just don't want the extra responsbility. I am sure that sounds awful to some. Maybe my mind will change :) But thanks for the post :)
  15. This is not really a rant...just random musings. Why does every nursing organization want to push every floor nurse to be charge, a nurse leader or running the practice council? I know this isn't unique to nursing. You see articles all the time "Traits of Leaders" or "How to be a Leader." Job interviews constantly ask, "have you done charge?" "have you run any committees?" "do you want to be in leadership?" I have had managers ask this all the time. But what if I don't WANT to be a leader. Being a leader and being an influencer are two different things. I will also speak up for myself and my fellow nurses. I attend practice council, other meetings and am vocal. I believe in educating myself and keeping current. Why isn't that enough? Why can't I provide excellent care as a floor nurse and go home to my family? Why does everyone push for nursing (or the job) to be all-consuming? When I am on the floor, I give my 100%. But when I go home, I want to unplug. Does anyone else feel the same way? Just my thoughts lol...