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momofm1998's Latest Activity

  1. momofm1998

    has anyone worked for LHI doing C & P exams?

    First, 6 exams a day is way too many. The exam plus searching the records will take at least 90 minutes if it is a thorough exam. Then the documentation takes another hour+ if LHI is still using the same software they were last year. Salary? No less than $45/hour. you will need to consider you will get many many emails re: the exam results documentation to respond to. Now, you just might get into a routine and ace this thing...I was just frustrated with the whole process. I would approach with a back up plan to escape to if getting into a routine takes longer than 2 weeks.
  2. momofm1998

    has anyone worked for LHI doing C & P exams?

    To tell you truthfully, I would make absolutely certain up front about time allotments for the exam. The exams require you to know a lot about doing a good physical exam, all aspects. I didn't mind doing the exams, it was just doing documentation of the findings that took forever. Their software isn't the best and it took a loooong time for the software to page to page....wasting your valuable time and extending the time to document. The company allows a certain amount of time for the visit and documentation- isn't enough. The experience is definitely good for learning how to do a good exam, but unless the money is good, I wouldn't do it again. As my grandma used to say "too much sugar for a dime" On the other hand, its a good baseline starting job, not long term though. But make sure the money is enough to compensate for the extra time to document.
  3. momofm1998

    IV therapy education

    I have taught many IV therapy classes. I am very thorough and include all aspects of the education needed to have a good understanding of the process. I have been practicing as a family nurse practitioner for many years in a clinical setting. I have a renewed interest in teaching this class. I am a CRNI as well and was very involved in infusion therapy practice as well as education before my grad school and NP education. I am in Georgia. I prefer to teach independently instead of through a school. Very much one on one teaching. With this info, Do you, as infusion nurses, think there is a need for this education? or are there sources available for the nurse to get this education otherwise? I truly value your opinion.
  4. momofm1998

    Another Quitter

    Amen to all of you..it takes as much courage to step away as it does to step up. Especially for nurses who have an innate caring nurturing character. I am right there with you..have years and years of nursing experience in every disease known to man. Disasters, floods, hurricanes...but have little ones and hubby main support. Just am not going to sacrifice my family on the altar of some administrative staff who care nothing for our safety. I have read chilling accounts from healthcare providers asking to be anonymous, about being forced to work in abhorrent unsafe conditions ..I have a few tales of my own about the C suite handing down directives putting nurses and patients in danger all for image and bottom line.
  5. Just wondering, will all of us who have been used like Kleenex and discarded remember how awful some of our administrative staff have treated us after this is all over???
  6. momofm1998

    Specialize as an NP ??? Which one??

    I completely agree with the two posters stating I need more primary care experience if that is the area of my choice to pursue.. I am an FNP. Got s decent education at a respected brick and mortar school . But in agreement with so many on All Nurses, schools teach too too too much fluff and Not enough of the real world stuff.. my first job out of school was retail health and that taught me a lot about common problems but nada about managing diabetes, HTN, arthritis and so many chronic diseases we see in PC. Transferred to this state and Next job was at a Rural federally funded clinic in a saturated area and primarily doing insurance assessments, sports physicals, very little primary care. My experience with the primary care patients I did see over a couple years frustrated me because of my lack of ability to truly help...Very complex patients, non compliant, and me with little oversight. Then the requests for Rxing “pain” medicine started so I left. I just feel stupid! All this experience and nothing specific I can list on a resume. The primary docs expect and rightly so, an NP with my 9 years experience to hit the floor running. I can’t do that. I want to get trained in something and be really good at it. As an RN, I was the go-to for infusion therapy. I love skin care and derm because of all the atopic dermatitis and other skin problems I have seen that I knew needed more than a pill or lotion. I truly enjoy my primary patients and getting a good history and discovering the real etiology of presenting problem. And yes, yes, yes to the suggestions to relocate. Actually planning that now. As I look over my original question, I see that it is one I have to answer myself. If I could tell any new NP or RN grad one thing, it would be to identify an area you love, learn it inside and backwards, join the association, get certified in it, and become an expert in that field. Just generalizing is worthless in the job market today. Know a little about a lot and master of known is equal to not employable! Thank you for all your wise comments..it is gratifying to have this board as a counsel when we hit roadblocks..
  7. momofm1998

    Specialize as an NP ??? Which one??

    I'm just an NP with the limited skills you see above
  8. momofm1998

    Oversupply of Nurse Practitioners

    All I can say is what I have experienced as an NP with tons of RN experience and I do know how to do a pap smear. the salaries offered to NPs new or experienced in middle TN are 20% less than being offered in some other states. Job openings are rare to non existent, My current salary as an NP is the same as I made as a travel RN in 2003. "Fullglass BSN, MSN" is obviously in a prime state for midlevels. Please share that location, I will move tomorrow!! I see ads here everyday and have actually received offers( same as I made as an ICU RN in 2000) for positions that make me just regret ever going through the pain and expense of going back for my NP. I was much more marketable as an RN. I will never pay my student loan off and it has hampered any hope of mortgage approval. For what?? A salary I could make as a manufacturing plant worker with a high school diploma??? Yes, I love my work, but I have to feed my family also. And yes, our schools have betrayed us with their greed by diluting the market. "Here $25K tuition, ok here is your NP certificate". When do we stop them and how???
  9. momofm1998

    Specialize as an NP ??? Which one??

    Need some expert advise from all you employed, certified, and specialized NPs. If you could speak to new grads, what advice would you give them about getting enhanced skills/experience/certs in areas of our scope? I am seeing that every ad for NPs is asking for special certs, skills, education. Not many for just an average NP. I know midlevels have to bring something to the table to benefit the employer and earn their salary. What skills/specialization have you found are valuable to have, almost assures employability, and seems to have a future to it??? My experience as an NP has consisted of retail health, VA disability exams, sports physicals and some primary care. I have a CRNI certification in infusion therapy from my RN work. Kept it, was too hard to get. I am planning to relocate and need some advice please. Tons of experience as an RN-ICU, dialysis, management, infusion therapy, acute care, ER, home health, cardiac, floor nursing, travel nursing.. I dont know how to suture, read x-rays, or do joint injections. Dont know how to do Botox or fillers. Couldn't really manage HTN or diabetes without lots of help from a more experienced provider. I'm just a NP with the limited skills you see above. I do have excellent diagnostic(gut feeling) skills, assessment skills, and communication skills. Love my patients! I completed the level one AADE course for diabetic educators before realizing I would need years of working with DM before I could even consider taking the AADE exam. I completed the 24-hour Buprenorphine (Suboxone) Waiver training and then found my state will not allow midlevels to Rx this treatment. I have completed the DOT/CMV course to sit for the FMCSA CME exam and am studying for that now. As you can see, I have been searching for something that would make me more employable. The state I live in could literally ask for a "33 year old blonde, green eyed, 126 #, childless, NP with her DNP, with a certification in "whatever plus additional certifications as a first assist, living 3.5 miles from the facility in a brownstone with a tin roof" and 45 NPs would apply. That is how saturated this area is with midlevels. One reason for my relocation. I have thought about Botox training, not necessarily for wrinkles but migraines, CP in peds for spasticity treatment, incontinence treatment. I have thought about going further with my infusion certification for infusion clinics, teaching IV skills (I taught peripheral IV skills as an RN). I have considered learning how to suture, read x-rays and pursue Urgent Care. I even thought about going for my DNP and opening my own small clinic offering very limited services (that would entail more schooling, more student loans) My needs are to be able to work part-time (disabled child)and still make enough to supplement the household. My thinking is if I develop my skills in an area of need, I could be more "hirable" and be able to work part time. Any input would be greatly appreciated. My ideal job?? If I were skilled in procedures, teaching new grad NPs, at a reasonable price, all those skills, from glucometer to EKG reading to suturing like a pro, they are going to need out there. But gotta have an income til then.. Thank you for any and all suggestions.
  10. momofm1998

    The Nursing School to Welfare Pipeline

    This post/topic and every posting has immensely valuable/pertinent information, yet I have seen one line from any nursing manager, administrator, recruiter challenging the dialogue. This tells me they have absolutely no defense of the unscrupulous methods used by the mega health systems to obtain labor. These systems pay ridiculously low wages compared to other professions that have nowhere near the education requirements and nowhere near the liability that nursing requires. Why isn't someone from that arena on this forum giving any feedback??? They are bought and paid for by the very system they represent. And you are so right about bringing in international nurses who need the job so badly, are willing to tolerate unspeakable conditions..Where are the organizations we pay dues to, supposedly representing us and making conditions better for us??? They are in their ivory towers writing some theory, in their bubbles with no clue to what the real world of nursing is about. I say bring the unions back. But then they will simply "certify" a tech type to do all we do as healthcare has done in many many areas(Maine has been using "med techs" for eons) and the public will be as unaware as they are now.
  11. momofm1998

    The Nursing School to Welfare Pipeline

    Again. I am giving this post a five star rating. I have been in nursing for decades at all levels. In all sizes of facilities from 100 bed rural, to gazillion bed teaching centers and this posting has truth, evidence based facts throughout. I have lived and witnessed every example she wrote about. I have lived the inner workings of recruitment both in medical facilities and schools, she is right on and factual in her writings. Until we as nurses stand together and act as well as just voicing our concerns on forums, this stuff will continue. I try to dissuade anyone from pursuing anything in medicine because of the travesties I have seen and lived. I wish I had a fall back career and could leave nursing altogether. I have loved it all my working life but despise how the “suits” have tainted it.
  12. momofm1998

    The Nursing School to Welfare Pipeline

    This posting has so much absolute truth in it!!!!!! What a well written post!!!! I have been wondering if other nurses felt the same way I do and have seen the utter chaos and outright fraud by schools being wrought on unsuspecting people thinking they are doing something great, building security and a better life by getting more letters by their name. I kept progressing up the ladder of nursing education from lLPN, ADN, BSN, to APRN and masters degree. I have only accomplished accumulating massive student loans and spent time in school when I could have been putting back for retirement. I was one of those hellbent, getting my masters and then doctorate older RNs. From my perch now, I see no increase in pay, very few job opportunities, such a saturation of nurses that every family here could have their own group of providers., have put my family in jeopardy because we can’t qualify for a mortgage due to my debt and lack of a steady, decent paying job.. I see no value in pursuing a higher degree. My sisters child makes more money than any RN, NP I know. Has a high school education, no student debt and simply has a skill he picked up in VoTech in school. Employers here pay the lowest minimum wage possible and get by because nurses and doctors are so afraid of losing their jobs to one of the flood of providers being churned out of the ten schools in this area... This must be addressed soon or everyone stands to lose... students, nurses, hospitals, patients. I absolutely wish I had never pursued higher education..would not do it again and do not recommend this path to anyone...
  13. momofm1998

    Middle Tennessee has no Midlevel jobs

    Neuro guy, are you telling us that you are making $83+ hr as NP??? In Alabama????? I know so many NPs in Ala telling me that if they can get a job there, pay is never over $48hr. Ala is listed as one of the least friendly states in America for NPs. I was offered a locum tenums there at $40hr. Figured I would just stay here and make that. Tell us more, how do we achieve this without criminal activity. There has got to be more to this story....,
  14. momofm1998

    Middle Tennessee has no Midlevel jobs

    Neuro Guy, you are absolutely right on! On every point! I did not even consider researching this area for NP need or saturation of midlevels. I am from a southwestern state and received so many offers as a new grad. It just never occurred to me to look at all aspects of my letters, practice acts, number of schools and new NP/PA grads each semester, NP/population ratio, salaries, benefits etc. So many mistakes! Ignorant little country girl! I am now finding that a huge percentage of new grads here are still looking for jobs 18 months after graduation. Many leave the state. Experienced working NPs in this area go far beyond their job description in uncompensated hours worked, patients per hour, and tolerate very poor pay, benefits and working conditions that NPs in my home state would walk straight out the door to another job that respects their letters, skills, and experience. And ones here cling to their jobs like a leech, knowing if they lose it, they face very limited options. I appreciate your words of wisdom and truly hope other NPs/PAs reading this will take them to heart. PS you have my dream job! NPs like yourself were responsible for saving my daughters life in neuro-ICU. Thank you for all you do for other families.
  15. momofm1998

    Middle Tennessee has no Midlevel jobs

    Well, I can say this after years of searching and talking to friends here in middle Tennessee, I know NPs of every specialty working for $10-15 dollars less/hr than my colleagues in Ga and Texas. I know of a wonderful, skilled PA who commuted 2 hours each day to take a job for $35/hr at a less than desirable clinic environment that was known to locals as one with questionable ethics. I know NPs working as RNs here just to keep a paycheck. There are two specialties that seem to be more in demand, by demand I mean one may only wait 9-12 months for a position to open up. Psych and neonatal, but otherwise, for every NP position advertised, there are at least 25-75 applicants. Went to an interview in Nashville last week for a position doing physicals on school kids with, of course, minimum pay. The recruiter set aside two days to interview because of such an overwhelming number of applicants. when I walked out of the interview, waiting room was filled to capacity with applicants. NP's here who have a job hang on to that job with tenacity, work when sick, return to work 2 weeks after childbirth, work some serious unpaid overtime, willing to tolerate environments that NPs in other geographical areas would never put up with because they know their options are so very limited. I put the blame on the schools here for flooding the area with NPs of every type of education, traditional, bridge from bachelors in anything to MSN/NP. I blame schools across the nation who are doing the same thing, indiscriminately allowing anyone who can pay to graduate. Simply to feed their bottom line. I can see the NP letters declining in value, declining in respect and it make me furious and also breaks my heart. I wish it were not this way but truly, if anyone with NP by their name is planning to move here, think twice unless you have a job waiting or are willing to work in another field or as an RN.
  16. momofm1998

    Seattle is Dying

    The information on this post is such a valuable tool for a discussion about what is happening in other parts of the country and somehow those areas are so close minded and have such lack of foresight that they just dont see this coming or think they are immune to this type of phenomenon. This discussion reveals so much about the amazing insight and high intellect of nurses and PA's. We see life in a real light that our supposed "leaders" are so blind to. Healthcare providers see the real picture and are the ones who need to run for office, change stuff. I am living in an area that is rapidly morphing into a "Seattle". kbrn2002 described what is happening in the middle Tennessee area. Rapid migration into the area to seek higher pay in very specific fields, (tech mostly). Middle class get there seeking better pay and find they cant afford the cost of housing. Around Nashville appx 20% are living in poverty. Homelessness is in the thousands and 10% are veterans. And the home prices keep rising, developers and realtors keep pushing the envelope. The city leaders keep pushing their elite agenda ignoring what is going on. Middle class are fleeing to surrounding smaller towns for lower cost of living, but wind up with 2-3 hours/day commute time. The population of certain areas of middle Tennessee is slowly changing from upper, middle, lower to extreme wealth and poverty. The middle class keep getting taxed at higher rates and all it takes is for a job loss, a medical emergency, or any other large expense and anyone of average means can be impacted. Healthcare providers cant afford to commute because of the fuel cost, childcare and the very low pay for the healthcare field in this part of Tennessee, so they eventually leave. One cant afford to pay over 65% of net income for housing, childcare and fuel without dire results. This applies to teachers, law enforcement and first responders also.