SHGR MSN, RN, CNS

nursing education

Member

All Content by SHGR

  1. I do a lot of this, particularly Medicaid (with a little Medicare and some private insurance in there too). Are you mostly telephonic? Transitions of care? Face to face in clinic too? Home visits?...
  2. Congratulations!!
  3. When I first started working Med-Surg we had IV pumps called I-Med, which were the first pumps they had because we were transitioning from gravity drips. So people called them all I-Meds. "I need an...
  4. SHGR

    Fun with charting.

    I saw one with what looked like it was supposed to be in regard to a CT of the pelvis, except the note said Elvis. The Dragon capitalized
  5. I do separate "being friends with" and "being friendly with"- I keep close boundaries, I don't socialize much with coworkers outside of work, but I have very collegial relationships with them. I know...
  6. As always, TheCommuter, an insightful article and followup comments. I truly believe that social skills and E/I can be learned and honed (holding myself up as an example). Thanks for sharing helpful...
  7. Bless your CNA's for making something beautiful for that resident out of disappointment. It sounds like it's time for your facility to start using two patient identifiers- it can prevent a lot of...
  8. SHGR

    I'm an MSN now!

    Thank you all! "CNS pride"-
  9. This is what I was thinking. Easy for me to say when it didn't happen to me though. Sorry you are going through this. Not every place is like
  10. SHGR

    Cd

    Also there are two certs available for case management: the ANCC nursing case management cert and the CCM from
  11. I suggested to my one-up that our hospital's dc med list is confusing and buried in the dc instructions and couldn't this be improved? She said that there was a committee that had worked hard on it...
  12. SHGR

    Career path

    What would this certificate give you that the NCBDE mentorship program (Mentorship Program, Certification Info, Diabetes Education, Certification, Examination | NCBDE) would not? Do they provide a...
  13. SHGR

    Why can't hospitals do better?

    You are idealistic, that can be a good thing, but it can lead to terrible burn out when what should be is so very far removed from what is and systems are so complex. I recommend looking at the...
  14. SHGR

    Educating patients on ER use

    I do follow up on transitions of care (hospital discharges), making calls from the PCP's office during the day after discharge. I also do as many ED follow up calls as I can but we don't have a good...
  15. I can think of no good reason to leave an honor like that off your resume. The hiring process is really about making yourself look
  16. What if you look at it in terms of your career development right now rather than a hypothetical "what if" down the road. What mentoring/orientation is offered? what are the units like? Hours and...
  17. Keep in mind that nurses are part of the "room" charge. Because we are furniture, or
  18. That is a fabulous idea. We had dedicated admit nurses at various times in my working history. It worked out great. I can see there are some people (long-time patients, for sure) that the staff...
  19. I think this is accurate. Have her address character traits and work ethic, things that will transfer to a rigorous program since at the time you worked with her the focus was entirely
  20. We got new more appropriate cuffs for the larger sized people, including the "cone shaped" ones for people whose arms are not a perfect tube shape. It helps but not enough. I like the idea of doing...
  21. I moved to an outpatient position. Still "patient-facing" and very involved in patients' care. Just not lifting, boosting, pushing, pulling, and otherwise breaking myself physically. Transitioning...
  22. SHGR

    RN Specializing

    I'd like to correct the misconception that med-surg is not a specialty in and of itself. It is a certification that is administered through the ANCC. Medical-Surgical Nursing There is also a...
  23. SHGR

    Structuring a PCMH Clinic

    Look at FQHCs and see if you can visit for a few hours. There are three in my city. Two are chaotic (nobody answers the phone) and one is amazingly welcoming. I cold called one day and was invited...
  24. SHGR

    Want to move into clinic

    Much of what you do as a clinic nurse will be care coordination - this will only increase. It's not case management per se but - transitions of care as you follow up on hosp discharges and ED visits,...
  25. OP, you sound like the kind of person who enjoys the Nursing Theory courses. The holistic theorists are my favorites...Jean Watson, Martha Rogers, Porifice... I do try to maintain a holistic...