RN In FL
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Understood, sis. Thats just why I will never go back. Seems all acute want these days are certifications, and acronyms, behind your RN anyway. Glad I am an old nurse too at 56??
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I am just DONE. ???
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I tell ya, I am an "old skool RN" meaning I graduated back in 1983. When we went to nursing school, WE KNEW WE WANTED TO TAKE CARE OF PEOPLE! We were sure we wanted to be nurses, there was no complaining after we were blessed to graduate and sit boards, earning that "black stripe across the cap" ?. Seems like today, most of what I see are hear from "new grads" is how terrible nursing is......I hate the bedside......and "burnout" after 6 months" I want Fast track to become NP or CRNA or DNP. I just don't get it. What were you expecting? Good in theory so you want to teach nursing, but you hate the bedside??? Its "not for me". So were you thinking after nursing school, I go straight to SENIOR MANAGEMENT......OR STRAIGHT TO TEACHING OR RESEARCH??? There is NO WAY a new grad from nursing school should be complaining about the career path they chose. What did you think was going to happen once you graduated??? I DON'T WANT TO HEAR IT. Am I "eating the young", maybe I am, but I am sick and tired of the whining. PAY YOUR DUES, LEARN YOUR CRAFT. Running away from the "bedside" is not going to cure anything. One must learn the core/basics of nursing in the CLINICAL SETTING, the disease process, assessment skills, time management, exercise critical thinking skills, DOCUMENTATION, medication management, advocacy, and being a team player . You can't go into anything else without that experience and knowledge. Nursing "school" does not equip you to. I am a nurse, and I DON'T WANT TO HEAR IT.
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How can one research with being a new grad with NO EXPERIENCE
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I am pretty sure you will need to collect all your receipts and submit expense reports for all meals and cab fare. I am quite sure you will be getting an itinerary with all the details about the food allowances and rental car. When I trained I had a corporate credit card issued to me for everything. I still had to submit expense reports. They reimburse tips too. Cocktails are included in your dinner/lunch food allowances. I par took in the vivo...Tehehe. Hotel is usually close to the airport so use the shuttle...save on cab fare outta your pocket. They work until 5p very seldom do they break early. Of course down time is yours. The locals/trainers usually let you know of good after hours hot spots for dinner/entertainment and the likes. Oh yeah the hotel they put us up at was a Hilton property in Daytona Beach, a Hilton property in Cincinnati, OH. Hope this helps. I lasted with the company a little over a year....
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I did training in Cincinnati, OH...for work at home telephonic concurrent review position. I was flown there for 2 wks to learn the system/software only. Flew to Daytona Bch for 2 wks to orient for the job which was a joke. All was on the company. Paid for by corporate credit card issued to me. I had to submit expense reports with all receipts. Once you get home. Good luck with getting help.
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All of the above you just mentioned is why got out of correctional nursing, I was basically terminated. I asked too many questions. Things were not documented, the LPN's lacked assessment skills, taking "patients" off meds....especially psych meds, and them literally crying to have them restarted. Families calling wanting to know why, and us being told "not to give information".. Cops too involved with calling the shot with medical. Sick patients not being sent to the hospital, and very poor documentation. Inmates have died, due to being sent out too late, and these families will never know the true reason.
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I worked for a private company, as a DON, supervising only LPN's. I was hired in to "change the culture....a breath of fresh air", so to speak, by the HSA. It was a totally different story. I lasted 3 months to protect my license. The LPN's ran things, that's why they could not keep a DON. I was always told, "we were a guest of the DOC". We had to satisfy them. DOC all up in medical's business. I questioned too many things coming from the outside. Documentation was poor, no assessment skills, things not documented but were done. I dunno, I thought you treated sick inmates like patients. I did not have "correctional nursing" experience, but a nurse is a nurse is a nurse. A bloody nose from a fight in cell c, I don't care about the fight, I care about stopping the bloody nose. Calling the MD if need be, documenting what you did, instructions to the "patient"....the things you tell a patient. You didn't get that. Patient gave a sick call slip, got charged 15.00, for seeing the nurse, and back to the cell. Mental Health is a joke. 70% of the inmates on psych meds....see a psych md via video....the mental health counselor have no type of group...they request to see her....they have to turn in a sick call slip. I have never seen anything like it. So many diabetics....all take the same insulin, regular or nph. no type of diabetic diet. no dietician.....awful. 1 medication nurse for 800 inmates.. I dunno if this is like it with other people that work for companies that provide medical care....I feel there need to be more RN's with sound assessment skills
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Thats just it, you are only enforcing medical benefits that the individuals company (their HR) have purchased, because they don't know how, they aren't medical. However, they put the medical benefit package together. Its like they went grocery shopping for benefits, and here Aetna, Humana, or whomever, now you guys explain it, and apply guidelines on our behalf, and don't approve too much, cause we ain't gonna cover it. That's the plan sponsor talking. And here you are on the ph, trying to apply clinical to move'em out, and they having a cow, yelling..."the insurance company" when you are doing your job.... I know some yrs back, I worked for a "reputable" HMO in the community, and they got in hot water, well the employer settled. an employer's kid had CP, The plan had like 100 PT visits only, OP. The benefit exhausted, and no more visits could be approved. No medical director could approve them. Was nothing to approve. It was the dad's insurance. Well dad went to his HR, who "purchased the benefits". it got very ugly....the president of the company got involved....our company was in the middle because we were enforcing/applying the employers benefits. shame shame shame. Needless to say, he got all the PT he needed for his CP. That's just why you will never never see a documentary about the inside of a HMO, like the big boys, Aetna, the Blues, and WellStar, on 20/20, and the others, and how they operate, from soup to nuts.... telling too much...
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Why on earth would you want to become "involved" with this industry? Is it because you were promised a high return for your investment, as a franchisee?? Home care is the "hottest investment going right now? How much involvement are you going to "involve" yourself? That is the "selling" point with these Franchisor's in attracting people with a lot capital to put down. The selling point they tell investors, with no medical background, ..." If you have an intense passion to help people".., you can do this. C'mon now. That is how they tell you to respond to people who ask you the question, "how on earth did you become involved in the patient care industry, from electrical engineer. Well let me just say, It takes more than a passion. BrightStar, CareMinders, and the rest of them all seem like a muti-level marketing fraud to me, by encouraging people, like yourself with NO EXPERIENCE TO GET INVOLVED. You end up paying them a whole fee and the likes. How do I know? I am the Director of Nursing at a home health agency, who was once CareMinders. THE FRANCHISEE, the owners, who bought into the business, felt they were scammed, due to promises, Careminders was not keeping. Left them out to dry. He and his wife left the franchise, became independent. He went through 5 DON's, before he hired me from 2013-2015. His background? Pharmacy rep. Her background, Nuclear Med. They call that "healthcare". I think not. It is very frustrating to work in that office everyday. They are "hands on", meaning they are in the office....helping oversee their business investment. I am saying all that to say this. It takes more than just a passion to "help people" to get into the home health business, NOT UNLESS, you are going to be in the background, handleing the contracts and the likes. You must let the people you hire run the company. They know nothing about staffing, have no idea how to deal with physicians....orders, level of care. Its all dollars he see, and trying to recoup the money he has invested. I did not know the history, when I got hired, I figured a home health agency. I will never work for private owners again, ESPECIALLY, if they want to "help out in the office", have no medical background, and want to micro-manage a seasoned RN of 32 years with 10+ years of home health exerience. This agency is a Medicaid only, offering skilled care to commercial insurance, work comp, and private pay. CareMinder's investors had them thinking they would at least make a 500k profit/yr within 2 years of going into business.
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I worked with Humana, WAH, UR/CM. It is totally a FT job, from my experiences, WellCare has PT WAH positions. Don't think the Humana's or the Aetna's do. After all the hours I put in, working at home, I probably was making 10.00 to 11.00/hr. They get you with "salaried". But don't let you work your schedule accordingly. No overtime or comp time. Will never do it again
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Anna, sounds like we worked for the same company. All they were interested in was metrics! I got so sick of communicating with my Team Lead via IM's I didn't know what to do. I thought working at home would be "cushy" as well. HA!
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Working from home is tough, tough, tough, and tougher.....LOL. Its not cracked up like one thinks it may be. been there done that, and never before ever felt so trapped, and stifled and could not breath (