pebblebeach

pebblebeach BSN, RN

Orthopedics

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All Content by pebblebeach

  1. The avalanche of prior authorizations

    Hi clinic RNs, I was previously a bedside nurse who transitioned to clinic life. We deal with a lot of patients on biologics (humira, etc.). The biggest learning curve for me coming from bedside is the barrage of insurance denials, prior authorizatio...
  2. The avalanche of prior authorizations

    Update since my original post: I left this job - for a few reasons, but a huge reason was that they DID end up hiring someone specifically for this task to handle prior auths - an experienced LPN who was excellent - patients were getting PAs/appeals...
  3. Preceptor is SO BAD!

    Don't you feel though that only two shifts is a little bit of a knee jerk reaction to having a different preceptor than the new grad anticipated? My preceptor had a very different nursing style than what mine ultimately is (or what I thought a nurse ...
  4. Preceptor is SO BAD!

    When I worked nights I had an alarm set on my phone to take my birth control pill, Lexapro, etc. Now wondering how many new nurses I've traumatized with "She took her Lexapro right IN FRONT OF ME!" ? Sorry not sorry, barely have time to eat a full lu...
  5. Social Media and Doxxing - Your Thoughts???

    I have posted a couple photos from work (on a private social media account) with zero mention of patients - just positive reflections ... i.e. on my one year anniversary as a nurse, a selfie of my good friend and I in the break room. I go by the rule...
  6. My Preceptee concerns me

    "This student nurse recently forgot how to prime and hang IV bags and even scan them in." Just defending the slower learners over here in the cheap seats... ? This is a pretty advanced skill for a new student nurse. What is muscle memory to us is br...
  7. Wastefulness in healthcare

    I completely agree with all of this, but if there are no spare films available to you except for in the kits, what else do you do? I wish more of the individual supplies in our kits (right now blood culture bags and port access trays come to mind) le...
  8. Nurses with bipolar or anxiety/depression

    I feel you. It took me years in therapy to stop comparing myself to others' issues, i.e. "well my childhood was fine, my parents are great, I've never been abused," etc. etc. It's my belief now after a lot of self-work that every single one of us has...
  9. Nurses with bipolar or anxiety/depression

    Yes. I wouldn't worry so much about the label (bipolar vs. "just anxious") right now. All feelings -- annoyance, hopelessness, flat -- can be "normal," the deviation is how loud the volume is on those emotions. For me, without help, the volume is on...
  10. Adjusting to NIGHT SHIFTS advice??

    Agreed. I have the positive attitude part down and I continue to work on good habits. I've definitely heard of instances where RNs bring in a doctor's note to get out of night shift after a v. short time on nights. In contrast ... my coworker with si...
  11. Adjusting to NIGHT SHIFTS advice??

    It wasn't my intention to scare -- I'm sorry! I just wanted to be honest about my experience, as nights is not for everyone. I have had to find solutions to the nausea, mental health, etc. and as long as I am consistent, I know I will survive night s...
  12. Adjusting to NIGHT SHIFTS advice??

    Congrats on the gig! I started out in a new grad orientation program too, and we started out on nights. I have always been very sensitive to sleep, and my psychologist strongly advised me to not go on night shift, but it really wasn't a choice. So I...
  13. new nurse /gaslighting

    GREAT movie ?
  14. Hello everyone! I am a newly minted BSN interviewing for my first job as an RN. I had two interviews this week for a 1-year graduate nurse residency program. (The residency program provides extra education, about 5 months of orientation, and several ...
  15. New Grad RN: Neuro ICU vs BMT residency

    Thanks, Kareegansee! I will definitely keep my options open, and plan to keep in touch with the Neuro ICU director (we're only a couple floors apart at the facility). I see you're in the SICU, is that where you started out as a nurse?
  16. New Grad in Onco/Heme/BMT Unit.

    I'm about to start a BMT residency and this post was super, super helpful, especially the patient education resources. Thank you! edit: oops, that was supposed to be a reply to buckeye nurse RN
  17. New Grad RN: Neuro ICU vs BMT residency

    Yes :) It was super helpful for me to type it all out on here, and I did end up going with the BMT offer. Thank you!
  18. Nurse Corps Scholarship 2017-2018

    Hi all, just a $0.02 here - I am a Nurse Corps scholarship recipient which helped cover the bulk of a 2017-18 1 year accelerated nursing program. I am incredibly grateful & honestly did not think I would get it. I just wanted to add that if you ...
  19. Could I be let go because of my ADHD?

    LOVE your signature/quote btw - so true. A blessing and a curse to feel everything so intensely. That is terrible that your diagnosis was used against you. Makes me so angry. With ADHD, I feel like I will always disclose because I take the lowest dos...
  20. Could I be let go because of my ADHD?

    There's no way that would disqualify you. If that was the case re: ADD/ADHD and everyone answered truthfully, a lot of healthcare workers wouldn't have jobs! :) I have intermittent depression and ADHD and I take meds for both. I always disclose that ...
  21. Drexel University ACE Program 2016-2017 - Review

    Yes, the cost is super high and definitely a big stressor. To anyone reading that is considering Drexel or starting at Drexel - apply to ANY/ALL nursing scholarships that you can find. Even if you don't think you won't get it or you think your GPA is...
  22. Drexel University ACE Program 2016-2017 - Review

    I am in my third quarter of the Drexel ACE program and I agree with all of the above ? (except that CNAs think they are the s**t... I was a CNA and other than being a little more confident in a bed bath, I don't think I'm better than anyone else, hah...
  23. I'm glad I have never rx'd xanax

    The media has lazily been placing blame on psychiatric meds for shootings since the '90s. With Columbine, one of the boys was on an SSRI (Luvox, I believe) and there were stories then about the possible "side effects" of SSRIs leading to homicidal be...
  24. Nurse Corps Scholarship 2017-2018

    Thanks for sharing! I've taken out two private loans since April - I feel your pain @embrothers
  25. Nurse Corps Scholarship 2017-2018

    Same here re: new awardee email & not getting an email yet. Still feels too good to be true! I have my fingers crossed. Not sure any of us know the answer yet, but if the contract starts retroactively July 1 (I've been in school since spring 201...