nfahren05

nfahren05

Pediatrics, PICU, CM, DM

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All Content by nfahren05

  1. Real work from home nursing careers or scams?

    You will not be able to make a full time paycheck at first, it takes time to build a business of any type so be realistic about the time involved and the barriers to entry. Do some market research in...
  2. Degree over Experience?

    I went the ADN route, and eventually added the BSN because my hospital decided that they wanted to insist on this to continue with them. They didn't do much to help, and even made it difficult for me...
  3. I don’t want to work extra!

    No, doubles would not typically be an issue, but you will be asked to come in on off days. CM also works 7 days per week, and holidays (24/7 in some larger
  4. Forgot To Renew ?

    It happens. I did that once years ago, and had to work as a nurse tech for a few weeks while things got sorted out. Expensive lesson, and I took much ribbing from my co-workers, but not the end of the...
  5. Feeling Stupid As a New RN

    Realize that no one starts out being able to "handle anything that's thrown at them." Most get there eventually, but it takes time and experience. At this point, if you are able to handle a full, or...
  6. R.N. debating to pursue BSN

    I would consider it, but I would also not spend a great deal of money on it. There are a lot of for-profit schools out there offering programs at top dollar, but it's hard to get a return on...
  7. Would like to see mandated clerical/unit secretary support on all intensive care units 24/7/365. No way to enter routine orders for labs, consults, answer phones, etc., and manage 2 critical patients...
  8. Ageism in Nursing

    Overall, while ageism is certainly a factor, I think that nurses (at least bedside nurses) are somewhat protected by the demand for their skills and the relatively high median age of registered nurses...
  9. There are a lot of older (55+) nurses dropping out of clinical positions because the hospitals won't step away from the 12 hours shift requirement. We are losing a whole generation of experience...
  10. BSN is a joke

    I wouldn't say that the BSN is useless, because it does add some depth beyond the ASN, but given the choice between a BSN and an RN with a specialty certification, I'd take the certified nurse in a...
  11. WHERE do I begin?!

    I found that it helped to know a fair amount about the US healthcare system and payer structures before that first interview for a CM position as a non-CM candidate. If you didn't have such a course...
  12. Math requirement for RNs?

    I can't remember any time when I had to do drug calculations without a calculator so arithmetic ability is less critical than the ability to do the dimensional analysis needed to set up the mg/kg...
  13. Considering Nurse Review position

    Most insurance company positions are either concurrent utilization review or pre-certification, some are retrospective reviews. It's not clear from your comments which you were considering, but since...
  14. Is managed Medicaid the worst of CM?

    Managed Medicaid is one of the most challenging areas of case management, and (due to Medicaid reimbursement,) it's one with the highest ratios of nurse case managers to members. I've done hospital...
  15. I am worried that if allowed- I would be liable for a physician error that went unnoticed. Can I become a staff nurse and continue working as a floor RN? You are already liable for physician errors as...
  16. Looking for a new career direction

    Although it's certainly not unusual, have you considered case management? Case managers work in a variety of settings and clinical areas. If you're not entirely though with obstetrics, but just need a...
  17. Withdrawl of Life Support in the PICU

    Withdrawal of care is a team effort, and all members should be involved, don't feel that it's all up to you. Be reassured that familes don't necessarily want you to control your emotions completely:...
  18. L&D/Antepartum and Mother-Baby/Postpartum are different so your approach should be, too. Realize that, at most hospitals, postpartum is fairly popular so it may take patience and many applications...
  19. If there are no jobs in Nursing then where are the Jobs ??

    There are many jobs in nursing, though fewer than there were several years ago, and mostly off-shift for external applicants. It will always be hardest to find that initial job, but jobs for...
  20. Questions to ask at interview for womens health floor

    Not having ever heard of such a floor, that's a tricky one. There is such a huge difference between the postpartum PIH patient and an ovarian cancer patient receiving chemotherapy that it seems a bit...
  21. Is the ANA worth it????

    I never joined because I didn't see that the ANA supported the nurses who provided direct patient care. Recently, however, more of my objection is based on the organization's overt political bias....
  22. 5 worse things a patient can do ...

    Most of us put ourselves in the patient's place each and every day in the clinical setting, but part of what allows us to continue to do that day after day, year after year is having our own setting:...
  23. 5 worse things a patient can do ...

    Ditto. I thought #5 was strictly a pediatric thing (along with the fingerpainting part,) even ickier to hear that adults are doing this, too. #1 is even worse when he/she was the one who decked you...
  24. How can I start my own biz?

    There are a lot of different "start up" tasks for any business, and many books on this topic. Check out a few at your local library or bookstore. GingerSue mentioned several; getting a tax id, and...
  25. I really want a job in field case management! Help!

    It's very hard to find a part time position in case management; most positions are either full time, or prn. This is mostly due to the need for "follow through" throughout the week on actively managed...