I actually am working 2 jobs, still doing my nursing PRN or per diem, but actually put on the schedule in one department to fill in the gaps because they are really short staffed.
Then after I got out of massage school I started my own business, Western Kansas Medical Massage. I work there 3 days a week, but I am getting busier and may have to do less actual nursing and more massage.
I am working right now with the Director of Nursing to set up
a hospital based massage program at our hospital. We are trying to get info abouit other programs and how they are run. There is the part of doing massage on the hospital staff. Then there is the part that we are working on, doing massage to the patients in the hospital. There are a lot of questions on if I would do it as a massage therpist or as a nurse. I live in Kansas and most insurance will not pay a massage therpist. Then we had to see if I could do it as a nurse under the Kansas Nurse practice act. Since Knasas does not require a license for massage
(which is terrible!! We are working on that with the legislature) ANYONE can do massage. So a nurse can, (if it is OK with the hospital) because it is not under the guidlelines or restrictions of any other board, etc.
And if I do it as a nurse, I would probably get paid as a nursing specialty, per hour instead of how I do it in my office per 15 minutes. And get paid less as doing it as a nurse.
And we have to look at the difference between patient requested treatments and if the doctor orders or not. The patient would have to pay themself if it is not ordered, and how that would be done. Looks funny to work on someone in the hospital and take money from them. But if I do it as a nurse I would get my hourly wage.
And looking at setting up policy and procedures!!!!! The worst part of it all!!!! So I would not be independent at all. Don;'t think that is possible in the hospital.
Then there is the question of if I would be stepping on Physical Therapies toes...
There are so many questions, and I am working on it. There is a site.... hbmt.com hospital based massage therapy
that is supposed to give you all the answers. But you pay $35 and get nothing except access to a bulletin board. You have to pay for all the information in addition to that. So I have e-mailed some of the people on the bulletin board and am getting some information that way.
But mostly right now, I do my own work out of my office and I love it!!!! Can set my own hours, am getting some referrals from doctors and chiropractors, (even tho insurance usually doesn't pay) and lot of word of mouth. That is where I am independent. Also have nutritional supplements available, topical pain relief stuff, therapy bands, etc. I look at their medicattions and make sure they aren't messing around with their RX and herbals that may be contraindicated. I teach them exercises to stretch or strengthen what needs to be done to help the treatments last longer. I try to get to the cause of the problem, not just treat the pain.
OK!!! Rambled long enough!!! Have patients coming in!!!