8/13 this week, I've learned the connection between AN desktop, insurance, and HR

Published

  • Specializes in critical care.

Seriously. I'm just diving in right now.

As an AN member...

1. I absolutely, positively can NOT figure out a damn thing on desktop via mobile AN. Somebody, for the love of god, I've been finding my posts by clicking on notifications, going to likes, and following them to stuff I've bookmarked. I'm on safari on iphone. I found something that MIGHT be bookmarks, but crazy old threads are mixed with new ones. I am wondering how the heck I managed to stay active before the app. Maybe it was regular desktop pre-mobile desktop in those days. I can't remember, but I was never morefrustrated than I've been this week. Speaking of... Anyone able to link me to last week's thread? I hadn't posted in it before I lost app access. So now it's missing. Not really missing, just impatiently missing. YOU GUYS. I seriously can't get into this site anymore when it's this much more of a hassle.

As a patient...

2. Another hassle - STD's clinician feels that my claim is not extendable. Obviously my job as a bedside nurse is not relevant. Nothing was done on their end to review this until a few days before my claim ended. Two weeks now waiting on their decision and they're now requesting old records prior to my claim beginning. I'm pretty sure, if we keep this simple, if my surgeon feels my body is not capable of being at the bedside, and my hospital wont take me back as a result, then the insurance I have paid for without using for years now should continue my claim until I can fulfill the duties of my job.

As a hospital employee:

3. AND ANOTHER HASSLE! HR. I'm not going there. I just wont. It's been bad enough.

As a patient's mom:

4. Turns out my kid probably wasn't on abx long enough. Pretty sure Rocky Mountain Spotted Fever is back. No new ticks, no new exposures. I just think he wasn't treated long enough. New labs drawn. 21 days of doxy ordered. Waiting on lab results. So very thankful for the docs at my kids' pediatrics practice. I wish I could find adult doctors this wonderful.

As a person who napped in an empty house today, after several days of feeling a sinus-y thing looming over me:

5. My brain has managed to combine:

(1)a David Bowie and a John Lennon (adult) kid documentary (pre-Bowie death, late 80s-ish) (spoiler: there was sex but after Lennon was gone)

(2)filming a Lannister scene with the Lannister boys (the grown ones, not the kings) (spoiler: Brienne ends up with Tyrion. I did NOT see that coming.)

(3)filming with a realistic Stark direwolf model trying to bite my leg off (I was actually afraid) (spoiler: it was Aryas)

(4)and it was all with the dark undercurrent of TWD, where a shadowy Negan-esque character kills off a GOT character, but you wont know who until next season

All of this in one dream. I skipped the part where a person I haven't seen in 18 years was there with his new husband. Flew in from Oregon. Or was it Washinton? I honestly cannot remember now. I'm still confused about the elbowy sex.

I really don't actually have anything else to add. I didn't expect to be starting this this week. If there is another one out there done by the person I'd already talked to, I never heard back - I'm sorry! (Please see lesson number 1.)

Has 11 years experience.

Go to Menu (on desktop click your username on the top right, on mobile click the top right icon or scroll to the bottom of the screen) then Activities. From the Activities bar, you can select your own threads (ones you started) or individual comments. Both should be in reverse chronological order.

AN is a very strange website. I learned how to use it through tidbits from experienced users. There is a help section somewhere, but it's only the questions other people have had, and no cohesive instructions on basic site navigation. I had the app, and it was somewhat better navigation, but most of the app options didn't work (e.g. get a notification when someone quotes you directly) and the main screen was ALL new posts which left me staring at a whole lot of pre-nursing/nursing student/job hunt stuff that didn't really interest me. And like was "thank," because reasons. Because of that, I've mostly used mobile/desktop anyway.

WILTW: I am confident enough to deviate from clinic dosing "protocol" (these are soft guidelines, not the way I'm used to using that word, referring to a concrete policy that you do not deviate from). I'm looking forward to following patients now that I'm off orientation to see the results and work on tweaking my dosing decisions.

I learned that I have very intense anxiety about having risky procedures and that doctors are not always the best communicators. I asked the doctor what medications were being used for my nerve block. He replied "bupivacaine and Depo-Medrol." I asked what MEDICATIONS were being used and he repeated that. I asked what medication the STEROID was and he repeated "Depo-Medrol" a third time. Normally I would be able to clarify "What is the active ingredient in Depo-Medrol?" but I couldn't quite find the words in that moment. I googled it on my phone after he left (it's methylprednisolone, which I would have figured out in about 3 seconds from "Medrol" if I weren't about to have needles stuck in my back while I was awake).

I learned that I feel like the noose around my neck is not so tight, for the first time since before my lifting injury.

Rose_Queen, BSN, MSN, RN

6 Articles; 11,273 Posts

Specializes in OR, Nursing Professional Development. Has 18 years experience.
1. I absolutely, positively can NOT figure out a damn thing on desktop via mobile AN. Somebody, for the love of god, I've been finding my posts by clicking on notifications, going to likes, and following them to stuff I've bookmarked. I'm on safari on iphone. I found something that MIGHT be bookmarks, but crazy old threads are mixed with new ones. I am wondering how the heck I managed to stay active before the app. Maybe it was regular desktop pre-mobile desktop in those days. I can't remember, but I was never morefrustrated than I've been this week. Speaking of... Anyone able to link me to last week's thread? I hadn't posted in it before I lost app access. So now it's missing. Not really missing, just impatiently missing. YOU GUYS. I seriously can't get into this site anymore when it's this much more of a hassle.

If you're on Safari on an iPhone (probably the same for Android), click on the little icon in the top right that has three lines above "menu" in very small print.This will take you down to the bottom of the page, where the menu itself is found. There are a few sections in the menu itself; you'll want to scroll down to where you see "Account" in a bolder font. In that section, there are links to Get Daily which will bring up everything that has been active in the last 24 hours, Dashboard which will take you to a summary of your account and where you can also get into other options, Favorites which will take you to a list of forums you've favorited, Bookmarks which will take you to a list of your bookmarks, and Private Messages which will take you to the list of your PMs.

I don't know that I've really learned anything work related this week. Or really anything personal either. Must have been an off week for me.

WKShadowNP, DNP, APRN

1 Article; 2,077 Posts

Specializes in Hospital medicine; NP precepting; staff education. Has 22 years experience.

I learned that I might actually know what I'm doing.

Kitiger, RN

1,778 Posts

Specializes in Private Duty Pediatrics. Has 44 years experience.

I've learned that even when a parent is very knowledgeable and current on the specific problem that her child has, she is not a nurse. And it's unfair for me to assume that she understands me if I lapse into "nurse-speak".

Specializes in Pediatrics, Emergency, Trauma. Has 18 years experience.

I'm trying to get used to life without the AN app as well; the last WILTW thread I found, then lost it again...so I'll post my WILTW for two weeks:

1. That when you have specific goals, and then find out you have more, the more ambiguous one can be while making money; I have been taking bonus shifts, and have to get creative enough to not take a tax hit for it-and still pay my fair share at the end of the year.

2. I'm starting to be a resource to not only my peers but to my patients; the best thing that I like when working in the ED is the nurse being a jack of all trades in terms of resources of patients; even though I may not know what channel Sprout is, I have information on who to call, when to call, resources for food, for post-traumatic services, changing physicians and to get people to trust that social workers are advocates when we aren't around. ;)

3. That I have to reconcile that I have asthma. Working with children in an ED sets one up to have a cyclical cold or illness; many of my peers have had to get a Z-pack since working there, this week it was my turn. While struggling with the ED crud that we have circling around, my chest and the base of my throat felt tight. Two of my coworkers asked if I had asthma-mind you, I have had "coughing" which responded to albuterol when I was 9 and then about 5 years ago, which would flare up occasionally after I had surgery and my vocal cord gut bruised during intubation, but it hasn't bothered me, and my previous provider called it "reactive airway." Well, after an ED visit with a new treatment and then my already scheduled appointment with my provider, a z-pack and albuterol (form my ED visit) and Rhinocort has allowed me to survive beutifully during a six-day stretch.

4. The high volume season has decided to overlap into the trauma season; legitimate sick kids along with gun violence makes for no beds, borading in the ED and 30 plus in the waiting room all day.

5. I have been tapped for more precepting, and opportunity to help educate; the professional push up the clinical ladder is ON! :up:

Specializes in Med Surg, ICU, Infection, Home Health, and LTC. Has 35 years experience.

ixchel on the HR stuff, I agree, I agree, I agree. I won't go there either but I so totally get it! HR would make a preacher cuss!

WILTW:

1. If you are having a bone scan you cannot use pepto-bismo for 4 days prior because the bismuth in it will mess up the scan results. I don't use the product, I am more of a maalox-plus sort of gal, but it was something I didn't know.

2. That the radioactive tracers used in a bone scan can cause a severe anaphylactic reaction although they say it is rare. (so I had a 100mg of Benadryl with me just in case since I have enough allergies to antibiotics to choke a horse)

3. That you can have a full blown migraine triggered by those innocent little tracers circulating through your system.

4. That the olympics are pretty cool to watch and I'm glad the USA gymnastic team has done so well, individually and as a team.

Specializes in Palliative, Onc, Med-Surg, Home Hospice. Has 6 years experience.

WILTW: Being a patient sucks. And the day you get dc'd is not the day to go running errands and grocery shopping because even though you do feel better, your asthma flare is NOT over and yes, you will get winded.

I also learned that sometimes it's easier to just go with the program than it is to argue with the MD. But you should never let them ignore that fact that you are a diabetic, you are on steroids and yes, Type 2 diabetics can and will go into DKA. (which I did).

I also learned that being able to breathe is one of the nicest things out there. Almost better than cookie dough ice cream. :)

OrganizedChaos, LVN

1 Article; 6,883 Posts

Specializes in M/S, LTC, Corrections, PDN & drug rehab. Has 10 years experience.

It's amazing to see how much emptier WILTW is since the app is gone. I definitely don't come on as much & will probably never get use to the website. I'm still holding out hope for another AN app.

I don't miss being pregnant. The nausea, vomiting & not being able to catch my breath is NOT fun. I'm only 9 weeks & wish I could fast forward to the end.

Cricket183, BSN, RN

1 Article; 237 Posts

Specializes in Oncology (OCN). Has 20 years experience.

1. I'm tired of being on the other side of the bed. Several years ago I had a gastric ulcer. It was treated with Carafate for several months and I was put on a proton pump inhibitor. We moved last year and I started seeing a new PCP. He took me off the PPI because of studies that show long term use can lead to osteoporosis in high risk groups. My bone density scans are normal but in the past 1 1/2 years I have suffered a spontaneous fracture of the tibial plateau and then a nonunion fracture requiring surgery, so I'm in a high risk group. Now 6 months later, I have another ulcer. It feels like I can't win.

2. You should never put your nursing license on inactive status if there is any possibility (no matter how remote) you will want to return to nursing in the future. Some states have requirements that you must work a certain number of hours each year to keep your license current, however mine is not one of them. If I had continued to pay my fee and meet the CEU hour requirements, I could have kept my license active. Instead, after being on disability for several years and my doctors telling me there was no way I would ever be able to return to nursing, I requested my license be put on inactive status with the BON. I'm now at a point where I'm healthy enough to consider returning to nursing in a non-clinical position on a part-time basis but my state requires a refresher course with both a didactic and clinical component. I cannot physically meet the clinical component due to my disability. I feel so stuck.

3. The more I read about the current state of nursing, I wonder if I'm completely insane to want to return to it.

WKShadowNP, DNP, APRN

1 Article; 2,077 Posts

Specializes in Hospital medicine; NP precepting; staff education. Has 22 years experience.

Hugs, Cricket. I was thinking of you the other day, actually, because I had a patient with a weird fall and we were ruling TPF out.