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rearviewmirror

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  1. rearviewmirror

    Do you miss bedside nursing?

    You will get it!!! I probably applied close to 100 openings over the span of year or two nonstop before crossing over. It's game of timing and luck
  2. rearviewmirror

    Do you miss bedside nursing?

    I'm there with been there done that. I do UR for hospital system but work at home. Anytime it gets even slightly stressful, I remind myself of the crap working at bedside. Honestly, this is the easiest money I've ever made. I work in pjs for crying out loud. I'm more surprised the cm/ur firld is not super saturated.
  3. rearviewmirror

    Can I work with specialist as FNP or should I pursue AGNP

    Thank you for the replies. I would pursue PA but of course finaiancally and from time perspective, NP makes more practical sense. On top of that, my goal isn't being in the OR assisting surgeon, but more like working outpatient basis for better work life balance. It's a catch 22 situation for me: I don't want to pursue FNP because I am not interested in women's health or peds, rather want to work with mainly adults, plus the AGNP being more specific that may help in equipping me for the population I want and make me more "marketable," but also FNP being more versatile and able to broaden the options.
  4. Hello sirs and madams. I know this is quite frequented topic by aspiring NPs so I had to ask. I am a RN in Dallas TX and made decision to pursue NP, but unsure which specialty will fit my goal the most. I prioritize my family, so I don't want to work 50-60 hrs and some more, though I can if required. I will be happy with 40hrs and quality time with my wife and kids, so I am fine with outpatient, but I also want to work with procedural specialists such as orthopedic and do preop/postop, assessment, etc instead of primary care settings like family clinic. With posts concerning FNP saturation and what have you, would pursing more specialized AGNP be better suited for my career preference, or would FNP be fine and better due to higher versatility? Thank you.
  5. Sorry to tell you this but almost, if not all nursing jobs that are office based with regular hours only consider if you have bedside experience. Case management or utilization management are typical non-bedside jobs nurses typically cross over once they get enough bedside experience, and usually requires minimum 2 to 3 years just even to apply. Unless you want to get masters or change career, there's not really a way around it; you have to get bedside experience. Some people are lucky like me and do 3 years and get out to push papers, some pay their dues until you see the dust of their bones on the floor since they grind them out on the floor and finally made to switch. Either way, you can't escape bedside experience to get off the bedside. You will be able to broaden your options after initial 2 to 3 yrs, so hope you find a specialty you can stick it out
  6. Hello good nurses. I will cut straight to the point. I am at UR department at hospital and I like getting hospital paid. I think there are so many entities that are ready to pounce on hospitals and say "Gotcha!" And smack them on the head with a hammer (think CMS, insurance, hcap scores, etc) and no entities that advocate for these hospitals, so I dont mind siding up with these guys. Main thing is, I want to go the direction where hospitals value you the most: where the money is, and the one who brings it in (i.e hospitals love revenue generating providers like interventional cardiologist). What masters do you recommend then? MSN, MBA, MHA, what service or department should I be looking into? Quality, risk, revenue cycle, infection control, patient safety, etc. Thank you!
  7. rearviewmirror

    "You made a mistake."

    Almost 3 years off bedside... when things got bad at desk job, I thought about going back to ER. I had a dream that night, taking care of an elderly lady who walked into the ER fine, and when time to d/c, she complained that she can't walk and needs to be wheeled out of ER. I woke up sweaty and yelling pissed, then thought about the idea of going back to ER.... then said "yeah, screw that," and went back to bed.
  8. I remeber hearing about some nurse in my early career, that she was fired after whistle blowing. I questioned my preceptor if that was possible due to protection and she scoffed and said administration came up with couple of things like not writing her name on all the boards or something of those caliber to let her go. Not sure how true that was but saw plenty of times admin throws people under the bus, which is why I never trust the whistleblower protection, and yes if you must, do anonymously. Some people tend to think their hospital is on their side.... pfff not. They give me money, and I give labor.
  9. rearviewmirror

    I don't like my unit, what should I do?

    I am an oddball in cases like this. I believe that one does not owe anything to an employer, just as the employer owes absolutely nothing to the employee, especially at-will states like where I live. Hence you see employers throwing staff under the bus like lukewarm pancake. You don't owe anything to them unless you signed a contract, and believe me they do not give 2 cents about you. An employment is mutual trade between two parties. You provide labor that they need to generate revenue and profit, and they provide you with benefit and compensation that you accept; it is nothing more than that, and nothing less. I will say at least staying a 6 month before giving up is a good practice, but if you don't find interest in it and you hate it, you are free to go. Don't let anyone hold you back. You don't owe them anything, and they don't owe you anything. Just don't do that too often, since that will look terrible in your resume if possible employer sees the pattern.
  10. rearviewmirror

    How did you get out of bedside nursing?

    Answer: apply apply apply, and then apply some more. If you have at minimum 2 years of bedside experience, preferably 3 to 5, then you can find these UR/CM jobs on indeed or simplyhired or whatever and apply. Key is applying again and keep trying. I just got a hospital UR job and I had at least 6-7 interviews before landing this one, and I probably applied to close to 50 likely more in last few months I had been looking. These opportunities as you can tell don't come easy especially if you are trying to step into it. Don't be afraid to get your feet wet at smaller third-party companies. You can get experience and then leave on your terms. Good luck!
  11. the only times I saw administration worked like their pants were on fire to get ER extra help is when charge decided to call divert. County hospitals did divert all the time... must have some financial negativity if hospital diverts *shrug. Anyway, looks like Ms. Pugh will be out of job anytime now with some bogus reasons that admin makes up.
  12. rearviewmirror

    Do hospital CMs work during holidays?

    Oh wow, thank you, didn't know that!!! I guess one benefit of working at payer side is that we got to enjoy relaxing major holidays. Yes, no kidding, I would have Thursday and Friday off for Thanksgiving so everyone had 4-days off including Saturday and Sunday; same went for Christmas, and 3 days off for New Years. I don't regret changing over, just will have to adapt to the hospital UM culture.
  13. rearviewmirror

    Do hospital CMs work during holidays?

    Hello fellow case managers; I am actually half of a CM since I only do utilization review, not traditional case management. I got a job at a hospital system for utilization review/CM. It's a hourly position which I am okay with, but also was wondering if hospital CMs get paid 4-day off for holidays like Thanksgiving or Christmas. I did UM at insurance side so most of major holidays like Thanksgiving and Christmas, we had 4 days off - for example, as Thanksgiving is on Thursday, do you also get Friday off so that you get 4 day holiday? Thank you, the input will greatly help me what to expect!
  14. rearviewmirror

    The life or death squatty potty

    My short stint in bedside nursing has taught me one thing about human beings in general: people are ********.
  15. rearviewmirror

    Managers, How do you deal with staff perception?

    Lots of good advice. 24 is really young, no offense, but you got things done at least it seems. The only managers I saw who were respected in hospital were ones who didn't mind getting dirty in the floor when things got crazy, made sure jobs were being done, but not to the point it drove everyone mad. Fine balance there. From my experience though, most nurses in "leadership" position are hated for this reason: I am at a desk.... and that is not my problem anymore. I.e: constant staff burnout d/t staff shortage and heavy patient load: I am at a desk. That's not my problem. Good luck
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