So I read an interesting article this week for the modern healthcare assignment. It was about insurance, which is not really a topic that I’ve delved into. It was interesting it talked about medicare. It said that Healthcare experts thought that the Affordable Care Act would get rid of Medicare Advantage, the “government-funded private health plans”  that millions of senior citizens have chosen as an alternative to original Medicare. In order to pay for the uninsured the 2010 law cut billions of dollars in federal payments to the plans. Government budget workers thought that this would lead to a sharp drop as insurers reduced benefits, exited states or left the business altogether. But they were wrong! Since 2010, enrollment in Medicare Advantage has doubled to more than 20 million enrollees, growing from 25% of Medicare beneficiaries to more than a third! This is important because insurance is one of the greatest concerns when paying for medical expenses. Our country is struggling to find balance between appropriate medical care and affordability. These programs may help. 

As nurses we are not responsible for the financial part, but we can help introduce elderly patients to the financial help that is available out there. 

Also, I want to address what I learned on staffing: 

So I am currently not working. My nurse license has not been processed. Instead, I will talk about the staffing article I read this week and how it can improve staffing in hospitals. There’s now a nursing staffing agency that operates via an App, and it’s changing the way nurse staffing occurs.

“There have always been nursing staffing agencies that have served our clientele for more than 100 years, but they have historically been using traditional, inefficient methods of scheduling via spreadsheets, fax machines, and telephone. We believe that we are the first truly on-demand, app-based nursing agency for the per-diem market,” explains Chris Caulfield, RN, FNP-C, one of the founders of IntelyCare (Links to an external site.)Links to an external site.. This AP helps organize staffing and last minute sicknesses and other tardiness. It can notify nurses of an open shift and they can accept it then and there. Gone away are those awkward, “Help me” texts, and those dreaded calls to come in and work. Those that want extra hours can take up the shifts. “There wasn’t a good solution for nursing coverage for last-minute call outs or to fill in holes in the schedulers’ calendar on a shift-by-shift basis”….but now there is!

I also added my goals for the next five years to get to career goal: 

  • What is your ultimate career goal? My ultimate career goal is to be an emergency service nurse. I do not know exactly what that will look like. I am interested in the Er and in the ICU. I haven’t worked there full-time so I am not sure it is what I will want to do. I am also interested in being on a ambulance as an emergency nurse. I don’t think I would ever want to be a life-flight nurse, though, I hear it is too scarring. 
  • What will it take to get there? I will have to get some certifications such as PALS, and ACLS. Also, a lot of hospitals want you to have a minimum of a number of ICU years under your belt. 
  • What education is involved? I will probably need a BSN. Which is coming up, woohoo! Also, those certifications that I mentioned above. 
  • What is your plan over the next 5 years to achieve your goal? My plan is to start working full time in med-surg. Once I have done my training and orientation I want to try to work in ICU. Then, I hope to transfer to ER. 

 

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