I have a question for any BSN OR MSN nurse please, for school

[fostercatmom, ASN, BSN, RN]

'm in my BSN program so I may become a case manager. I need to ask a bsn or msn nurse some questions and my hospital is going through a computer upgrade and everyone is a little freaked out right now. So I thought this might be an alternative.

How long have you been a nurse?

Why did you go into nursing?

What are or is the most striking changes have you seen in your time as a nurse or case manager?

What situations provide the gratification for you?

Where do you see nursing case management going in the future?

Any answers short or long will be greatly appreciated!!! Thanks ahead of time, Marla

[Esme12, ASN, BSN, RN]

moved for best response

[Tait, MSN, RN]

How long have you been a nurse? Seven years

Why did you go into nursing? Because an advisor suggested it as a possible option, and she was correct :)

What are or is the most striking changes have you seen in your time as a nurse or case manager? Increase in acute care floor patient acuity. For example more drips, wounds, isolation, and detoxes.

What situations provide the gratification for you? I try to find the best in most situations. So if I can help a patient get a good nights sleep, manage making the connections between them and case management/social workers to get post hospital care, keep pain managed, or even make sure they get a stool softener ordered I feel good. Keeping them safe and alive is always my priority, but all positive interactions have a value.

Where do you see nursing case management going in the future? From my interactions with case management I have seen two sides. One side are the people who are nearly advocates for the patients. The collaborate with nursing staff, MDs, and outside resources to make sure patients are getting everything they need for a successful current and post-hospitalization. However I have also seen CMs who are obsessed with cost, insurance status, and racial discrimination work aggressively to get these patients discharged without the care they need. I do believe CMs are a vital part of interdisciplinary care.