turningred15 1,952 Views
Joined: Apr 29, '13;
Posts: 53 (28% Liked)
; Likes: 29
Perhaps if the patient was going to be in observation status and responsible for a large portion of the bill he/she decided not to stay. Obviously I don't know the background or decisional status of the patient but just a thought.
No, we are not taking a "wait & see" attitude. Like I said, the hygiene issue has improved with our complaints; rarely do we see that now. It was more a matter of how rapidly she has progressed & getting the staff to rexognize it; it was not an issue when she moved there just over a yr ago.
The ALF has never mentioned hospice to us; I mentioned that because her particular dx has a life expectancy of about 4 yrs (unlike Alzheimer's pts) which is where we are now (at age 68. My mother's wish was to never be in a LTC which is difficult then for my sister to consider moving her because it feels like a failure to her.
Again, mom is still ambulatory with a walker, so my concern is more for the fact that they are just changing her brief in the chair rather than getting up to the bathroom. In the meantime, we are trying the nightgowns & I have broached the subject of LTC again.
I work as a RN care manager and recommend the appropriate level of care for my clients. Often times those with memory issues who are still ambulatory are BEST served in memory care assisted living. The RIGHT assisted living should be able to provide the care you describe.
Once a patient requires the use of a lift device or requires some kind of skilled intervention SNF becomes more appropriate. The cost of SNF will be twice the cost of AL, plus moving is hard on patients also. SNF does not always have the best interventions for memory care, and their staff is often not trained in this.
I agree with talking kindly but assertively up the chain with the AL so they can provide the care needed that you are paying for. You are not asking for too much.
Wear what YOU want to wear, don't worry about what other people prefer.
Of course within the limits of your organizations dress code.
I often make a point of asking patients "why?". Why do they not follow the lifestyle changes? Is it financial, social, cultural or just a choice? Often times exploring additional resources to help with these barriers is key. Also I'm sure you educate your patients on what will most likely happen if they don't follow their plan. Sometimes people don't realize how serious noncompliance can be. Ultimately, despite your best efforts you will have some patients back in the ICU for one reason or another.
Hmm. Maybe I can job-shadow... What you describe sounds like the job description they gave me. Thanks turningred, very helpful.
I have been doing UM/CM for over a year now and from my opinion you would be going backwards and downgrading yourself. UM is not really "nursing." You don't have to be a nurse to do some of the stuff we do. I think UM is so boring....but that's just my opinion and basing it from my experience. You can try though you might like looking in front of a monitor all day
Part time is doable but rare! I currently work part time as a ER case manager and I also own my own consulting business. I had to wait for the right time to get that part time position because most were full time!
I am a RN with experience in care coordination and case management. I see a lot of those jobs transitioning to RN vs SW. RN's are able to understand medical, psych-social, and emotional needs. A SW cannot contribute as much medically. SW is still needed for guardianship, POA, mental health, and therapy (if LCSW).
By the way Horizon home health pays per visit, not hourly. They are just an OK company to work for. Allay home health, Seasons hospice both have great reputations!
With three years of experience you can expect around $26-28/hour plus shift diff in the hospital, LTC $25, home health $26-28 hourly, clinic $26-28
Hope you enjoy Milwaukee! There are lots of RN job options here!
I was hired as a PHN with 6 months of med surg as a nurse intern while in school and 6 months of home health
I don't know if you should become a nurse and force yourself through nursing school. There are a lot of nonclinical nursing jobs but they do usually require experience. I have had several nonclinical nursing jobs. I was a former public health nurse. A BSN is required. I got the job after one year of clinical nursing experience. Depending on where you work as a PHN your job might not involve much preventative care. We focused on communicable disease investigations. I enjoyed the job but working for the public sector you will be one of the lowest paid BSNs around. Shadow a PHN once to see what you think.
What about other ways of using your MPH? Our health department had a public health specialist (filled by a MPH) role with a focus on education as well as statistics and numbers. What about research jobs, or working as a health coach for an insurance company or company that manages employee wellness. I would encourage you to apply to those jobs and cite "family reasons which have been resolved" as an explanation for the work gap.
I don't have too much opinion on the RD option. I do know two RNs who also have their RD and went on to nursing.
Good luck to you!
Sorry to hear about your situation. I was actually lied to because I was told I would get a whole two weeks of orientation which turned into those 3 days - one of which was company modules and signing paperwork.
I was thrown into a similar situation. Three orientation days. They ended up terminating my position due to budget and also stated I was a slow learner...lol (I have never been told that before)
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