Okay.....we have 5-6 full time and part time RNs, four FT and PT LVNs, 5 PTs, and 1 HHA. All the RNs are case managers. We are in one county only but it's an ag county and can mean quite a bit of driving. We manage the cases that we open or are given to us right after opening, and we see them through to discharge. Even if the LVN sees the pt for me most of the time, I still have to make at least one visit every two weeks. The LVNs can call the docs but not without checking with the CM first. When there is a new open to do, Intake will find out who has the lightest schedule that day to do it and will also be in the geographical area.
If there are problems with pts, they are brought up each week at either the team conference or the Morbidity and Mortality conference so we can have brainstorming sessions to come up with solutions. Our supervisor stays in close touch with all of us so she knows if there are any problems that she needs to get involved in. We have a medical director that can step in if we have a problem with a doc (amazing wha courtesy phone calls can accomplish!).
TazziRN, RN
6,487 Posts
Okay.....we have 5-6 full time and part time RNs, four FT and PT LVNs, 5 PTs, and 1 HHA. All the RNs are case managers. We are in one county only but it's an ag county and can mean quite a bit of driving. We manage the cases that we open or are given to us right after opening, and we see them through to discharge. Even if the LVN sees the pt for me most of the time, I still have to make at least one visit every two weeks. The LVNs can call the docs but not without checking with the CM first. When there is a new open to do, Intake will find out who has the lightest schedule that day to do it and will also be in the geographical area.
If there are problems with pts, they are brought up each week at either the team conference or the Morbidity and Mortality conference so we can have brainstorming sessions to come up with solutions. Our supervisor stays in close touch with all of us so she knows if there are any problems that she needs to get involved in. We have a medical director that can step in if we have a problem with a doc (amazing wha courtesy phone calls can accomplish!).