PamelaAlfordRN@aol.com

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  1. Job Hopping...again

    I changed jobs several jobs last year, before I finally settled into a non-clinical job at an insurance co. It was either that or quit nursing alltogether. I miss the patient contact, but not wearing beepers around my neck 24/7!
  2. I am a Nurse Case Manager fo a major Medicare HMO, and caught the wrath of GOD yesterday afternoon from a Member's son, even though I had nothing to do with our Medical Director's decision to deny placement for her in a skilled facility.I was told to...
  3. What a hoot. I remember working as a nurses aide and having to do "enemas until clear" at 5AM for all the BE preps..whether our patients wanted them or not. One morning, when I was the ONLY aide working 11-7, I had FIFTEEN of them! How times have cha...
  4. Babyboomer RN

    Hey, msdttob: Just wanted to let you know that I was offered a Senior Case Manager position with a major insurance company this week. They're even going to give me eighteen months, to obtain my CCM designation! There IS hope for us babyboomers, and i...
  5. Wow, thanks to all of you, for your input and advice....especially for the information about Nurseprotect. I will pass along this information to this nurse, who can certainly use it at such a horrible time.
  6. Sure, they should be held accountable. When I used to work in home health, there were families who would wait on the aide or nurse, to come and "clean up" their loved ones...after the patient had laid in his/her own excretement ALL night. "I'm paying...
  7. Thanks for your responses. I do not know what kind of treatments were ordered, or what the client's diagnoses was. This happened at a facility I do not work at. I do know that the physician was the medical director of the facility, and even though h...
  8. I learned today that a fellow nurse had her license revoked after it was discovered that she had been writing orders to cover treatments in a skilled facility. The doctor refused to accept responsibility for these orders, and the Board served her on ...
  9. Angry Nurse

    In this business, it's damned if you do, damned if you don't. You can't slice yourself up into a thousand pieces and be everything to your patients, their families, the doctors AND hospital administration. You were just telling the simple truth, as b...
  10. Bit of humor

    What a hoot. How many times have we fallen into bed after the shift from hell, only to be awakened by the phone, and answer it: "4-West, Miss Martin", like Pavlov's dog?
  11. Dear Burnedout: I don't think there are any easy cures. In the case where I was working for a home health agency 16-20 hours a day, which enabled the owners to take their Administrators to lavish sabbaticals in New York City (that agency is one of ov...
  12. Babyboomer RN

    I'm 49, and have been through burnout more times that I care to mention. For this reason, I am looking into Utilization Review/Case Management, which closely parallels my eighteen years of experience in home health. The only problem is, that it's a t...