JVLims

JVLims

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  1. MBA degree

    I've been a certified hospital case management RN for many years and at one point decided to get my Masters'-I was not interested in management (been there, done that) or academia at the time so I earned my MBA. I do think it gives me a unique perspe...
  2. New hospital CM needs advice

    Hospital case management is a great specialty but it will take some time for you to feel proficient. I'm an experienced hospital case manager at a 700 bed level 1 trauma center and there are many, many days that I run into a situation I've never enco...
  3. How to become a case manager

    You could apply but without a solid clinical base in the area of case management desired (I.e. acute care, population health, primary care) it would be pretty difficult. School nursing might prepare you to do peds case management, particularly in a p...
  4. Pregnant and burnt out

    Congratulations on your unexpected but beloved bonus baby! It seems like a bad idea to leave mid contract, but if the pace and demands are affecting your health (and by extension, the baby's-though those little passengers take everything they need fr...
  5. Resigning for another job. Advice please.

    IMHO you are in a good place for someone new to practice. ICUs in teaching hospitals are wonderful places to work (and I know, having worked at a Level 1 trauma center ICU) but can be an overwhelming place to work while you are getting your feet wet....
  6. Possible adult admit with minor child in tow

    @rainmom....Preeclampsia and eclampsia can surface prior to delivery, during the peripartum period, or during the 6 week postpartum period!!!! What the heck is wrong with your obstetric unit???? If they can't manage postpartum onset hypertensive diso...
  7. Possible adult admit with minor child in tow

    This would necessitate a social service consult to assist with either scouring the landscape for family, friends, faith community to come take supervision of the child (or even stay with the child at the bedside while arrangements are made) versus a ...
  8. Are there any gay nurses here?

    It is a tragedy and so terrible to think people are still being targeted for who they love. All thoughts and prayers still going out to all affected by this senseless act of cruel hatred. BTW...Straight but not narrow! Hatred cannot stop our seeking...
  9. Leaving Bedside Nursing

    @Marilyn411...OP seems to be one of many newly entered into our great profession who are extremely dissatisfied right out of tbe gate. I am a case management nurse now but prior to going to CM i had varied acute nursing experience x years, been a nur...
  10. Leaving Bedside Nursing

    Fyi, agree case management is less physically demanding but our liability is no less. The burden of ensuring a safe and effective discharge plan for patients is a heavy one. Our clinical assessment of the patient, knowledge of entitlement regulations...
  11. Nursing student asks nurses the question..

    Elkpark, your program sounds a lot like my ADN program. We were responsible to go to the clinical site a day before to research our patient and had to be prepared to address whatever disease process was affecting them. Pre and post conference were he...
  12. Excited about a new job!

    Did you really apply for and accept a case management job not understanding what it entails? Can you envision a nurse landing next to you on the tele unit saying s/he didn't know anything about tele but thought s/he'd give it a whirl? Not trying to s...
  13. How was nursing school?

    Typical week for me: clinical twice weekly at different sites, one a good 45 minutes away from the college. Would compare it to a part time gig. ADN, so by 4th semester we were team leader with an assignment of 3-4 patients on 3-11, community hospita...
  14. Nursing student asks nurses the question..

    At the risk of sounding old school...students have changed a lot as a group. There is a sense of entitlement and an undeserved superiority complex that sometimes comes across. When we were students, we recognized and respected that the nurses teachin...
  15. Leaving Bedside Nursing

    Please, please, please do yourself and your patients a favor and do NOT become a hospital nurse case manager (or perhaps, a case manager in any setting). We are out there on the front lines just as much as you are at the bedside, just in a different ...
  16. Psych nursing is easy

    Please don't generalize. Statutes governing care vary from state to state. Our locked unit almost never uses physical or chemical restraint. The entire unit is retrofitted to prevent the use of things like fixtures for self harm or harm to others. In...
  17. Psych nursing is easy

    Perhaps your lack of proficiency leads you to that perception-I am a case management nurse in a acute care general hospital and am assigned to multiple units, one of which is an acute adult psychiatric unit. Working with patients in the milieu requir...
  18. Lpn & asn are are being phased out.

    Why would one need a BSN to sit for NCLEX when ADN prepared nurses regularly pass the NCLEX without a problem? Conversely, if a BSN is the ideal preparation for the NCLEX, why does is this forum liberally sprinkled with posts from distressed BSN grad...
  19. What was your first Nursing job?

    3-11, full time, med surg floor. We did everything....from general surgery (all open! cholecystectomies, bowel resections, etc) to medical nursing to pre/post cardiac cath (yes they were inpatients with a PREPROCEDURE DAY then!) to chemotherapy. The ...
  20. Case management has grown to encompass many more position styles over the years and you may not have been aware of this having spent a lot of time in WC. I'm a CCM certified hospital CM and I have seen new case manager positions pop up across the car...
  21. CCM, no hospital exp, interview help

    I am seeing this after your interview...I wish you well and hope it went smoothly. I agree with MBARNBSN; if you need to interview again in the future, accentuate the positives that dovetail with hospital case management, especially your willingness ...
  22. Masters in Nursing

    You will not have the required experience to qualify for case management certification. Case management is a specialty, not unlike specializing in critical care or psychiatric nursing with eventual certification eligibility after demonstrating years ...
  23. Taking CCM exam Aug 2016.Need Help!!

    I took the CCM exam after studying several texts and taking a review course. I believe the review course was through CCMC. I never regretted spending that money-the review course was essential preparation for me.
  24. UM/UR hospital vs insurance company?

    I'm a hospital case manager and have UM as part of my blended role. I would always choose to work in a teaching hospital as you continue to hone your clinical knowledge in an intellectually stimulating atmosphere while working on behalf of both the p...
  25. Lpn & asn are are being phased out.

    IMHO that is completely ridiculous. The bashing generally occurs in the opposite deflection-and I believe your rather blatant assertion that we "two year" nurses are somehow second class citizens rather supports my observation. I earned my ADN many y...