Published
Do you have any regrets about the specialty you have chosen?
Have you worked in other specialties before your current one?
Do you plan to stay in your present one and for how long?
No, I'm not a student, although this would be a good survey, perhaps, for a student. I am in Ambulatory Care/Public Health, have done a couple of others, and I plan to stay in my present care for the known future. Good hours, good benefits, pay is low but no weekends or holidays or off shifts. I regret not having experience in critical care and other hospital areas besides MedSurg. Please feel free to say what you like best and least about your area.
i have been working hospital based utilization review and case management for the past few years. i have started hating my job and i hate to go to work.
regrets: in utilization review the nurse verified a patient meets particular criteria for acute inpatient care. we use interqual. the criteria for meeting inpatient status get less and less each passing year. insurance companies demand more data to make sure they don't pay 1 penny more than necessary for a patient to be in-house. a patient has a cabg, that is now considered routine surgery now, not intensive care as it should be... you tell the insurance company a patient is on the vent... that should be enough.......to qualify for inpatient stay 1 day in a icu bed. but the insurance company is more interested in their bp?? makes no sense anymore.
at the stroke of a computer, the insurance companies can take back millions of dollars from a hospital. unfortunately, insurance companies are in charge of healthcare now, not the physician and nursing staff. its lose-lose situation for the hospital and patient.
don't think utilizaiton / case management is easy. its downright stressful.
I work in psych/addictions/entertainment industry nursing .....Sounds different! Entertainment industry nursing? What does that involve? Just curious.
ENTERTAINMENT INDUSTRY NURSING involves the following roles:
Nurse-on-the-Set: RN who addresses any med emergencies/injuries behind the scenes in film/TV;
Baby Wrangler: RN who provides the safety and health needs of infants and toddlers on the film/TV set;
RN Script Consultant/Writer: RN who oversees, edits and writes the content of scripts that deal with nursing, medical and healthcare issues for accuracy and realism in film/TV;
RN/Actor: RN/Actor who plays an RN in film/TV/Theater---THAT'S REAL!
Oh yes I have regrets; should have stayed with with the RN program (instead of stopping at the LPN level) when I'd had the chance---more job avenues from which to choose--too late now for me, financially and age-wise.I've been in a number of different specialties(just not the one I really wanted--LPNs aren't hired in my state in the specialty I wanted).
I will probably stay in my current specialty for 10-15 more years due to the great pay and benefits.
You're still young and there are lots of scholarships and loan forgiveness programs. I hope you will try to explore these avenues. If you're going to be working anyway, you might find it a good thing to get your RN. I wish you well.
i have been working hospital based utilization review and case management for the past few years. i have started hating my job and i hate to go to work.regrets: in utilization review the nurse verified a patient meets particular criteria for acute inpatient care. we use interqual. the criteria for meeting inpatient status get less and less each passing year. insurance companies demand more data to make sure they don't pay 1 penny more than necessary for a patient to be in-house. a patient has a cabg, that is now considered routine surgery now, not intensive care as it should be... you tell the insurance company a patient is on the vent... that should be enough.......to qualify for inpatient stay 1 day in a icu bed. but the insurance company is more interested in their bp?? makes no sense anymore.
at the stroke of a computer, the insurance companies can take back millions of dollars from a hospital. unfortunately, insurance companies are in charge of healthcare now, not the physician and nursing staff. its lose-lose situation for the hospital and patient.
don't think utilizaiton / case management is easy. its downright stressful.
![]()
where do they think cabg patients belong if not in icu for at least a couple or 3 days? and are vents supposed to be on a ms floor or in a specialty hospital or what?
I've been a nurse for four years and am still trying to find my "niche" so it's hard to say if I regret the specialty that I've "chosen" because I really haven't FOUND my specialty yet.I will say this... I am working on a Med/Surge floor currently and I am, at the moment, deeply regretting having taken the job.
I'm sorry to hear that, RNW. What makes you regret it? Do you have plans to change your job or specialty?
And being nosy - are you really a nurse witch? As in Wiccan? That sounds pretty fascinating.
I like my specialty(OR) but am the kind of person who loves to learn new things and I need to challenge myself now and then. So, I will either try to branch out within my specialty(RNFA/or NP specializing in surgery) or try to cross train in another area so I can work 2 places.-one full time and one perdiem.
NurseCard, ADN
2,850 Posts
I've been a nurse for four years and am still trying to find my "niche" so it's hard to say if I regret the specialty that I've "chosen" because I really haven't FOUND my specialty yet.
I will say this... I am working on a Med/Surge floor currently and I am, at the moment, deeply regretting having taken the job.