jrt4

On a serious note I did work for an organization that allowed the Managers and Assistant Manager to do 4 10 hour shifts a week. One of you had to be there M-F and if you were off a day and something came up you had to be available. They knew we wer...

I used to work for HCA. They will say "sure, 12 hours M-F"...ok. Can you do weekends and holidays as well? By the way here are 3 more departments you can manage. haha kind of kidding.

We just started doing triannual coaching rather than monthly rounding and annual evaluations. Goal focused. More meaningful in my opinion.

We have recently changed our policy on this. We now triage patients before they are registered. If they classify as a level 2 or sometimes 3 we bring them immediately back. Also, if they present with something we cannot treat it is the expectation...

I transitioned from inpatient management to outpatient management about 6 months ago. I had never worked outpatient a day in my career but it was a good opportunity. I think the most important thing to consider for a bedside nurse is its not always ...

Hey all - I manage a small wound care center. Currently our staffing is all physician based and are looking at supplementing with a nurse practitioner or PA. Does anyone currently practice as an NP in a wound care specialty center? What credentials ...

Just for follow up. I checked with my state board. There are no specific rules in my state that differentiate between what an NP does vs. a physician. As long as they are trained and competent they may provide the same service. Billing for servic...

that is a good point. It really does depend on the region. When I was working at an academic medical center many director level had DNP or were working on it...mainly because it was free to employees and academic medical centers often have better s...

I am fairly new to the urgent care world. Do you currently work urgent care? If so, what certifications do you require? (example ACLS, NIH stroke, etc.)

thank you for your feedback. We typically only staff with LPN and QMA which limits some of our ability to do more advanced procedures in the clinic. I have been in urgent care for a short time, most of my background is inpatient so this is a new wor...

I think it depends what you are wanting to do in your career. I would like my options to be open outside of nursing if I ever choose to go that route. An MSN can be a business degree but the entire curriculum is around nursing. In combination with...

I graduated with an MSN about 4 years after my BSN. It has opened a lot of doors for me professionally that I don't believe I would have been able to pursue if I hadn't completed the MSN. At least not so early in my career. The MSN program can be ...

Congratulations on advancing your career! I got into management after being a bedside nurse for about a year. My first role was an assistant nurse manager and I had the privilege of working alongside the bedside nurses about 75% of my shifts while s...

You are quick to judge those of us who do work very hard and are stressed. Do I work the floor? not usually. No I do not like working the floor. When I do it prevents me from getting my other work done. I mostly do not like it because I do not feel a...

Is it personal or work related?

So if you are looking to become a manager I would encourage a MSN rather than just an MBA. An MSN/MBA is a good option though if you are considering moving up the ladder. MBA is quite common in director and executive level. My guess is the MSN you...

It sounds like a great opportunity but I would also be concerned with the amount of hours you will need to put in given that it is essentially a new company that is coming in and changing the culture AND building a new building. If you are good with...

I don't know the average but based on my past experience its usually around 50 people 30FTE you would have an assistant nurse manager. I have 1 assistant nurse manager that I always seem to have to put into staffing just because of how we do producti...

I was talking about my original post... we have since cleared this up in a later post... "Nurse God" I like that...mods can I have my title changed?

I agree. So many places operate so differently. It sounds like you are in what was called an assistant manager at my current job or an assistant unit director or a team leader or a supervisor... every place has a different title for levels of managem...

I think you are confused about the context of my post in relation to the OP. I don't think an anonymous forum is a good place to discuss if what a manager did was right or wrong when the object of the conversation is so subjective. I am not saying t...

Man... where do you work? It sounds like I need to get a job there as a manager. My 50+ hour work weeks busting my butt certainly do not compare to your experience at any of the hospitals I have worked at. Walk a mile in the managers shoes and it may...

It really depends on the organization and span of control. I have worked at a few different hospitals in my career and they have all been different. I would love to be more involved in my units but I cover 4 different units with over 100 employees an...

NPs usually practice more like physicians in regards to job role. However, NPs are used in a variety of ways. I have seen them more in a care coordination role instead of primary care role. They practice in nearly all settings from PCP offices to ...

OT and nursing are completely different but I agree with the above poster...I am not sure how they would have more flexibility. It seems like you have a lot of enthusiasm but as someone who has counseled college students I would encourage you to not...