CCL"Babe" 3,795 Views
Joined: Feb 9, '03;
Posts: 309 (7% Liked)
; Likes: 33
Years ago, on a tele floor, had a no code patient die. She was a frequent flyer so to speak - and no ones favorite due to her wonderful personality. We did post mortum care. She was in the morgue. The bed was stripped. The monitor off and put away. Then on the screen appeared a rhythm. Hers. ( we had to map and document everyone's rhythm at least once a shift - so we compared it w/ hers) We checked the monitor, it was in the drawer, off, batteries out. No one was in the room. The monitor stayed like that for hours, then finally went away. We were all creeped out.
I worked for BCBS for about 4 years. I worked as a "care coordinator" or Utilization Review (UR) and Discharge Planner (DCP) for about 3 years and the last bit as a Case Manager. There is a strong delineation between the two positions. The BCBS where I worked, you had to work there full time for one year before you could apply to "go home". Applications were then evaluated for seniority and the ability to work independently and your productivity statistics. There were only a limited number of people who were allowed to work from home and the competition was tough for those positions. There were obviously benefits about working from home, but you were also expected to take more call or after time after business hours.
The company I worked for looked for a varied background in their nurses. They liked people who had worked in the Emergency Department or other specialty areas. For case management, I would think your background in pain management might be a plus since you would be working with people who have chronic illnesses as well as acute problems.
Many of the work at home people had small children, but you had to put them in day care, you were not allowed to care for them and work at the same time. the company had ways to measure your productivity and log on times. there were also surprise home visits. If you did not follow policy, you were fired.
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