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I went to work today and found out my manager is upset with me but
won't talk to me about it. She apparently found out that I spent 3 months
working for another hospital in another town. I was casual call here and
was required to work one week end a month which i made sure I did. So,
she took me off the charge nurse list so now I can no longer charge. No
explanation or the courtesy of calling me into her office and explaining
her actions to me. I do not feel that what I do on my own time is any one
elses business. I didn't feel that she deserved an explanation as to why I
went else where and I'm sure that is why she is doing what she is doing.
She is simply extending the same courtesy. This is ok. I work every
Friday, 12 hours and pick up extra if I want. But I got down to the real
reason why she is being cold. I have asked to go back to a 2 day a week
position, or 24 hours a week. This will allow me to go back to having
disability, both long term and short term as well as life insurance at 2 x
my pay rate. I had this for years before I was forced to quit because I
could not spend that many hours on my feet. So, now if the hospital
gives me back a position, they have to insure me since it is group policy
and they don't want to insure someone they know could potentially end
up disabled and pulling from the fund. I don't know how to feel about
this. I have worked hard for this company for almost 20 years and I feel
that this whole situation was handled allwrong. I should have been
allowed to go down to part time without losing my benefits while I was
down and out with this illness. Now that I'm better, I should have been
able to have my position back. I feel cheated, but maybe it is my own
fault for not knowing what my rights were as an employee. but I clearly
took my physical problem to them and let them know I could not
physically handle it at the time and they offered me no solutions and gave
me no other options but to quit. Now i'm a bit angry because now I am
working for them for no benefits. Has anyone ever run into this and how
did you handle it? I'm at a loss except to do something I have wanted to
do for a long time. Make custom baby crib assessories. Maybe some one
would offer me some insite. I am about to turn in and not do this job
anymore. I just don't feel good about my position anymore. The other
thing, they don't want to give me more hours for benefits, but don't mind
me working full time each and every week for no additional benefits.Well that sounds pretty stressful and frustrating. Are you in a union? Most
union positions have duty to accomodate if you become fully or partially
disabled.Make custom baby crib assessories. Wow, are you going to persue this!? Lorster, that's just awful.  I was pretty miffed when I had to give up my job when I needed to take a break, they would only guarantee my job for a month, and my Doc had said 3 months, and then part time only.  They said they didn't do part-time any more, although there were part-timers there on the staff.  And it's shift work too!

Maybe it was for the best anyway, cos sitting at a computer all day, with a set of headphones was not the best job for me, although the money was good.

Here in NZ, our medical insurance is not linked to our jobs, it is not compulsory, and the Health System is pretty good really, and all hospital stuff is free, medications well subsidised, and not to difficult to apply for Govt. benefits.  I suppose that's cos we're only a very small little dot on the map.  I don't think I could get my head around the stuff that you guys have to.   It musy be very difficult for you.

Can you get any assistance from your Nurses Union, or see someone higher than your Manager??

If you go ahead with your baby stuff, I wish you all the luck in the world.  To be your own master is a great thing.  And if you have those skills,  why not. Good on you.  Let us know how you get on, we might be seeing a Lorster's Lullaby Web Site yet!!!
Wow, sorry to hear about that.  It is so difficult with this type of illness to be able to know in advance how much you will be able to work.  Each quarter I am asked to teach more credits than in my contract ( I am paid for the additional credits) yet I don't know how I will feel physically during that time. 

I have nurses, ARNP's and PA's who take classes I teach (medical coding) for various reasons.  Some are not interested or not able to do the physical work of patient care anymore.  They still want to stay in the medical field though. With the knowledge and credentials they have plus this training in coding, they have several job options available to them that are more "desk" type jobs such as health data analysts, medical documentation review or chart auditing or remote coding (from home).  Feel free to contact me if you would like any further information, I would be happy to help.

Mary B

Lorster- I think its awful the way they can treat someone like that, do you not have disability discrimination act there?

As for the baby stuff i think its a great idea. I used to make dolls house furniture, foodstuff, curtains etc and sell on ebay.It was slow at first as there are so many people doing it but it picked up and I was getting lots of orders.I also advertised locally and at dolls house fairs. I only stopped when my hands got really bad. Once people see you have a good well made product, it is then word of mouth.

What ever you decide good luck

As far as the baby items, go for it!  And Kiwi, I love the name Lorster's Lullaby!!!  What do you think Lorster? 

Oh honey, how stressful!  I am so sorry. I work for a private doctor and its just me and him, I have no clue on the dynamics of a large hospital but I would think there should be some sort of human relations or benefit supervisor you could consult with?

Personally, I say go for the baby accessories!  What a cool gig!

Contact HR immediately.  Also contact the Labor Board.  Don't feel bad or guilty.  Many people do not know their rights as an employee since it is pounded into our heads to think about the company and not the individual employee.  I can' say that I blame you for being upset that you are working without benefits.  It is totally unfair.  Have you thought at all about a position in a doc office or does the hospital work appeal to you more? 

Lorsters Lullaby. That is a great name!! I love it!!  Deciding what you want to do is up to you.  Will they reinstate your postion with benefits?  If they do, how is your rn manager going to treat you on a daily basis?  That is just a couple of things I would be thinking about.  What about making a few things and hitting some craft shows and see how you do with the custom crib designs?

Lorster, before you give up on this position I would at least take a few steps to try and resolve the matter.  In writing, I would request a meeting with your supervisor to discuss matters, and have her explain face to face what her reasons are.  If she refuses to meet with you, then you have documented proof that you attempted to meet with her, and should move on up the food chain.

Go into any meeting knowledgeable about what the company rules are, and what your state's labor laws are. 

It may be that your supervisor is confused and upset that you took reduced hours there because of your illness and then were able to  work somewhere else.  Perhaps that is where the hard feelings came from, not just because you worked at a different hospital.  It may be that you can clarify things with her and explain how things evolved, and why you had to do what you did.

Good luck to you - I hope it works out.  By the way, I think Mary's idea of doing insurance coding sounds like an awesome idea.  Many positions allow you to use those skills working from home - just something to consider also.

Hillhoney39206.3204398148

You asked if anyone else had a similar situation. I did in teaching. The school I was teaching in wanted me to be available before and after hours to meet with parents(no extra pay). They also continually forced me to fill in for other teachers during my prep time when they couldn't get substitutes. They refused to make any accommodations for my RA and at one point had me carrying supplies between 3 buildings at distant places on campus. There were clauses in the contract that hinted at these extra duties, but this school interpreted to the extreme. I went through the teachers union and was appointed a leagal advisor. For several years I vascilated between retiring, going on disability retirement, or suing the district. I found out that the disability retirement is very tricky  because they can retire you without and health benefits  if you haven't been in the system long enough. After much advice including retirement counseling, I opted for a program called reduced workload where I get to work half time. It is counted as a full year of work toward retirement and I get to keep my health benefits which I need to pay for Enbrel.

My advice is to go through your union if you have one. They can help you interpret your contract and come up with a doable solution. If you are not part of a union, see if you can get a copy of your contact through Human Resources and take it to a lawyer who specializes in disability issues.  Linda

Well, to make a long story short, I quit a year ago, three managers ago.
My department has been a mess for about 3 years. They hired this crazy
woman from Phoenix AZ who was working on her masters. She had
Lupus and was sick, literally all the time (more mentally than physically)
Me and the spine surgeon got into a huge fight at a meeting, he insulted
me, i demanded an apology, the hospital wrote him a letter and
demanded a written apology, he refused, and they dropped it. So I told
the hospital I would not take care of any of his patients. This made my
manager mad so the manager wrote me up for not being able to have a
meeting about it with her in the middle of my shift. I filed a union
grievance against her and she had to back off. I flared the whole time
this was going on so I could not take it anymore. It was a huge detriment
to my health. So, i went down to part time and then I went perdiem.
Anyway, this manager ended up winging out one day on the unit and took
charts out of the wheel and started throwing them at a doctor(who
probably deserved it, lol) and the hospital administration escorted her to
the front door and she has not been heard from since. I quit my job over
this manager and the hospital knew she was a nut case. Two more
managers have been in place since. This new manager is also the
manager of four other units and she has her plate heaping full. I have
called her 5 times and have never gotten a call back. I told her I was very
unhappy with the whole situation and she blows me off. Now she is mad
at me so I'm screwed. The more I bring up this issue, the madder she gets
so it is a catch 22. I am a union nurse and a union is only as good as its
members so that is a whole new chapter in this tale. My husband told me
to work my 12 hours a week and stay home the other 6 days and it is
mighty tempting. I figure if I don't get benefits, why work any extra for
my .3fte. I am now working on the surgical unit so it is a nice change and
if they call me with in 24 hours of the shift, it is time and a half. That is
probably the only way I'm going to pull extra shifts for them. I never have
to work weekends and very few holidays if any. Also, doctors offices pay
15.00 an hour. I can waitress and make more and have equal stress on
my body. I make more than twice that at the hospital. So you see how
hard it is to go from that to 8 or 9 an hour but then I feel that happiness
is worth something. Anyway, has been a long day and my new grandbaby
is here. Have a great weekend all and thanks for listening.You made me laugh with the waitressing pay comment.  Until I actually started working coding/documentation I always told my husband that it was the first job that I had that I made more than when I was waitressing Ok I am here with more suggestions.  How about working in utilization review, they often require a nursing degree.  You work in a facility but you review documentation and charges to see if the hospitals resources are used correctly.

 Another is a case manager in a facility. Again, most often a nurse, who works with the physician, patient and insurance company in the hospital to coordinate care and especially helps with discharge plans.  The insurance company also hires nurses to be case managers on their side.  They want to know if their money is being used correctly. 

There are many jobs in insurance (and the government, who is the largest insurer in the US) which need nurses to do review from their side. 

These are all well paying jobs and can be worked part time in most cases. 

OK I am done now.  Sorry about all the posts, but I work with so many people who for one reason or another need to change careers and I am always thinking of ways to do it. 
Watch out for those medical coding jobs from home. Most companies want you to purchase their computer system and it costs a bundle! Been there and almost done that until I realized how much it was going to cost me.Hi CinDee,

You are correct!  I have had students come to me with a "certificate" from a "coding" school and they were just taken to the cleaners with the cost.  There are only 2 nationally recognized coding certificates.  One is from the American Health Information Management Association (AHIMA) and the other is the American Academy of Professional Coders (AAPC) They have websites and can direct people on how to get educated.

I have been health care administration and those are the only two organizational certificates anyone is interested who is hiring.  I would recommend that any advertisement you see that wants you to pay large amounts of money so you can work from home is probably a rip off.  I have many women who come to our college wanting to train for a job (transcription, coding, billing) that they can work from home and stay with their kids.  While it is true that many of these jobs you can do from home you must be experienced and you can't watch toddlers and do them at the same time.

I do work from home a lot. Many of my classes I teach via online courses.  There are jobs out there, but you must have the right education and experience.

In the early eighties I gave up nursing to do research and development for a health insurance company.  I developed the criteria and procedures for a medical management company within the insurance company.  I hired nurses to manage the department, do utilization and concurrent reviews, case management, and set up a credentialing and contracting process for a ppo.  We contracted with a phsyican to help with medical review and an attorney to try and keep us all on an even keel. It was absolutely the best job I've ever had.  The nurses really enjoyed the atmosphere and the work.  This was one of the first medical management departments within an insurance company in the U.S.  I'm not telling you about myself because I want to, I'm telling you more about the job and my first hand knowledge.

If it were possible I'd go back to this type of work in a minute.  Lorster, if it's possible look for a position  within the health insurance industry.  Workers' comp nurses are part of the claims team and spend quite a bit of time out of the office environment at client's assessing treatment plans, compliance, and progress.  Leaving nursing was the best thing I ever did.  The pay was great, got to travel, and was involved in teaching. I would still be working in health benefits but I was able to retire.  Don't stay someplace and be unhappy there.  It will only make your disease progress and not get better.  You know that.  

The current insurance companies have lay persons doing the job that nurses used to do.  It's still possible to have success and good job in the health or workers' comp areana.  It's a great work experience.  If you have to work make sure you enjoy it.  Life's too short.  Believe me I know.  

Thanks for the suggestions. I live a block from Montana State. It requires
at least a masters and most times a PhD to teach here. There are no
vocational schools in this town. There is UR at our hospital but there is
rarely ever any turnover in the dept which is very small. There is a job in
informatics but I have no experience. I live in a town where there are five
nurses for every job so you can kind of see where the competition is. I
only have hospital and home health exp and home health is all but dead
here. After this many years, I'm just ready to get out of the profession
and work in a quilt shop or do something creative. I do not feel that
there is anything creative about nursing. Much of the day, I am doing
things that I personally feel are not good for people and that is feed a
growing appetite for drugs of all kinds. It goes against the way I'm
personally feeling about health care right now. I'm not sure where the
next twelve months will take me but I don't think I'm going to work more
than about 12 hours a week for the next 12 months and then try to do
something else. Life is too short to be doing something that makes a
person so miserable. Going to work and being positive has def helped
how I feel though. And when I walk out the door, I feel good to just leave
it there. It is hard not to take human suffering home and think about it. It
definitely helps change your perspective.Lorster,

I hear you with regards to doing something creative.  About 3 years ago I was in hospital management (I hope you don't hold that against me Mary, that is absolutely awesome!! Another nurse out there that loves to
craft. I would love to see some of your work. There is nothing more
relaxing to me than crafting. Me and my daughter are going to do quilted
nursery sets. It is something that we both enjoy and I have been wanting
to do it for so long. We are thinking of buying a gammill machine and
also an industrial embroidery machine.

I don't have a problem with management, just one really bad manager but
she is gone. Some of my best nursing friends are managers. I would
never want that job. Pretty thankless at times I would think. I really love
the patients and am working on a surgical unit right now, generals and
orthopedics. I love it except for the total knees, lol. What a lot of work
that is. It is a nice change from peds and chemo patients. Please send
me an address where I can see what you do. I would enjoy looking at it. I
do some beading but am not very good at it. maryblooms39210.7943981482Maryblooms, I looked at your designs and they're really beautiful.  I haven't bought my copy of Simply Beads but will this week. Understand how it is with pain and stiffness in your hands.  I'm working presently with much larger beads and designs so that I can still have the joy of beading.  The last necklace I did was large brown and orange blown glass African beads and smaller beads (not too small) of turquoise, pink, orange glass flower beads and assorted colored square beads.  I found a website that sells antique beads and you can find some fascinating larger beads.  I don't want to ever give up what I love to do but boy do we have to adapt.  Keep beading or I should say designing.  Boy do those 4mm swarovski crystals just kill me when I try to string them.  Sometimes I just chase them around my board with the wire! Of course it might be my eyes are getting older too maryblooms39210.8250810185Lorster I think doing something creative sounds a good idea for you - dealing with sick people when you are not well yourself must be damaging to your psyche plus I know the drug side of it doesnt fit so well with you lately.   Feel the same myself.
Think doing something creative sounds like a good idea, a lot   of the baby boomers are becoming grandparents now so there should be a demand out there some new ideas for baby gifts. Wish my daughter would hurry up and make me a grandmother - wouldnt dare say that to her as she would interrupt her career and say I told her have a baby!
Good luck with your decision.
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