lisa41rn

lisa41rn

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All Content by lisa41rn

  1. Case manager in a hospital setting

    lisa41rn replied to DesertSky's topic in Case Management

    I work per diem in two hospitals. One hospital has a great reputation and you have 20-22 patients to cover. It's a lot but the MDs are onboard getting patients out. It runs really smooth. With...

  2. New to MDS - ? salary

    lisa41rn posted a topic in MDS Coordinator Information

    I have my Masters, my BSN and am a certified Case Mgr. I currently work in a hospital and deal with SNFs everyday. I have worked on Medicaid reimbursements in the past, but not Medicare. I have...

  3. Acute Rehab CM Frustrations

    lisa41rn posted a topic in Case Management

    I just started a job as an RN Case Mgr at an Acute Rehab. Previously all my experience was in acute care at hospitals. I pretty much like it, but I find the rehab patients so much more difficult to...

  4. Cm is a thankless job!

    lisa41rn posted a topic in Case Management

    I don't know what it is, but for the last few weeks I have busted my butt for a very financial needy patient or two and have had that very patient be completely unappreciative for what I've done. I...

  5. Rn's are better than lpn's???

    lisa41rn posted a topic in LTC: Directors, Assistant

    I always worked in acute care until 6 months ago when I got a job at a LTC facility which is where I always wanted to be. I have my RN BSN MS and worked VERY hard for all my degrees. Do I feel I'm...

  6. New to MDS - ? salary

    lisa41rn replied to lisa41rn's topic in MDS Coordinator Information

    Thanks for that info. I'm hoping to get a year or two as an MDS Coordinator and then move up into some mgmt position. I did work in a LTC/Rehab facility for a year part-time in the past, but never...

  7. New Grad Boston Rn's Making $55/hr??!!

    lisa41rn posted a topic in Massachusetts Nursing

    I'm a new RN in NH and have been told by someone that some of the new grads are making $55.00/hr as RN's in Boston (I believe it was Beth Israel.) It made her start the application process to get her...

  8. MDS courses through AANAC

    lisa41rn replied to exnavygirl-RN's topic in MDS Coordinator Information

    Hey Christy: So how are things going? Did you take some online courses? I totally get your frustration in a previous response. You ask one question and for some reason this site has a tendency to...

  9. Medicare Observation vs Inpatient

    lisa41rn posted a topic in Case Management

    Can anyone tell me if a patient is admitted Observation in a hospital, is it paid 100% or does the patient pay a portion? I believe much of it, if not all, is paid under Medicare part B if they are...

  10. Medicare Observation vs Inpatient

    lisa41rn replied to lisa41rn's topic in Case Management

    I'm not sure where you live, but in the Northeast the RACs are here and auditing records. Yeah, it's not pretty! My hospital uses the McKesson Interqual software which I believe helps to meet...

  11. Can you really change a bad LTC?

    lisa41rn posted a topic in LTC: Directors, Assistant

    I worked in acute care and truly wanted to change to LTC, but for the last six months it has been crazy! I shed many tears shortly after taking my LTC job as I was not trained as promised and my...

  12. How do you meet/greet your patients in a hospital setting?

    lisa41rn posted a topic in Case Management

    I was a case mgr about a year ago in a hospital and it was similar to a factory for the lack of a better term - patients would be admitted and discharged quicker than any other hospital I've ever...

  13. I can't take it anymore!

    lisa41rn replied to shortsuzy87's topic in General Nursing

    I hear what you're saying. Nursing is a tough field. I wouldn't leave without a notice though. You've work hard and should be able to use this job as a reference. I worked for one of the worst...

  14. Can you really change a bad LTC?

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    You're right that I have been in LTC for only six months but I came from many years of acute experience. However, it doesn't take an experienced nurse to know good from bad nursing care; a new grad...

  15. Can you really change a bad LTC?

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    Thanks for the great responses. I did find one that said "It's commendable to have a Master's degree but it is NO substitute for experience. " I think you might be one of those I'm currently working...

  16. Rn's are better than lpn's???

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    While I think there are LPNs who can be better nurses than RNs, the fact that anyone would make rude comments about a degree someone has earned is ridiculous. While working in a hospital, there was...

  17. Rn's are better than lpn's???

    lisa41rn replied to lisa41rn's topic in LTC: Directors, Assistant

    I went back for education with the hope of being able to take better care of my patients. I really never thought I would have other nurses making comments like I've experienced. Anyone can go back...

  18. Rivier RN-BSN online

    lisa41rn replied to sistasoul's topic in General Nursing

    I had three years of classes behind me and think I only took about 6 classes or so for my BSN. The toughest thing was the capstone. You have to put a lot of hours into that, but you choose what you...

  19. Rivier RN-BSN online

    lisa41rn replied to sistasoul's topic in General Nursing

    I was 44 when I completed my BSN and there were many my age in the classes. I ended up going to NEC for my Masters and took mostly hybrid courses for that degree. While hybrid and online classes can...

  20. MA monthly Nursing Summaries

    lisa41rn replied to woodstock571's topic in Geriatric, LTC

    Thanks for your post. I've been doing MMQs for about six months. I work for a large company. Corporate really pushed to take credit for things that truthfully I felt they were pushing it. Needless...

  21. Feeling Inadequate Clinically After Years of Mgmt.

    lisa41rn replied to bossynurse101's topic in LTC: Directors, Assistant

    OMG! I can totally relate to your post. I feel foolish that I spent about four years in acute care, from med surg to ICU and now I literally fear running into trouble and freezing at the LTC...

  22. Rivier RN-BSN online

    lisa41rn replied to sistasoul's topic in General Nursing

    Yes I got my BSN from Rivier a few years ago. Some classes were online, some were hybrids. I don't think I had any of the BSN courses that were class-only. I didn't have a lot of classes to take...

  23. Nursing Competency Testing for New Job

    lisa41rn posted a topic in Nurse Management

    I left a hospital to persue Case Mgmt at another hospital and did not have to take a test to check my nursing competency as I was not doing hands on nursing for that position. I have now finished my...

  24. Do you ever really find your "niche?"

    lisa41rn posted a topic in General Nursing

    I've been a nurse for a few years and just received my MS. While I also have my BSN, I just cannot find my niche. I spoke with one nurse who said it took her over 20 years to find her niche! I...

  25. DON Positions

    lisa41rn posted a topic in LTC: Directors, Assistant

    I currently started a job in a LTC facility as an MDS Coordinator. While I'm excited to learn the postion, I met some nurses who believe I should try for the DON job they have open. I'll be...