cshelly12

Can anyone tell me how you feel as far as how helpful the medical directors are at your hospice? I was previously a hospice nurse at a company where we had medical directors who were full time hospice physicians, and did nothing else. I have been interviewing at other companies, and seems most of them have medical directors who are internal medicine docs, hospitalists, etc. as their primary position. I get the impression they may not be very helpful with symptom management issues. Just wondering if this is the norm and what others' experience is.

Does anyone currently work remotely in utilization review or case management for a company they enjoy working for, feel you have a manageable workload, and are not super micromanaged? I currently work in utilization review for a large company in prior authorization and the position is great. I've been there for about 3 years and although I really enjoy it, I would love to do something maybe like concurrent review, something reviewing hospital type records, or case management. Our company does not have any of these positions as remote, mainly the prior auth positions. I would be so hesitant to leave, as I know many remote positions have extremely long hours and poor work/life balance from what I have heard, so just wondering what may be out there.

Is anyone willing to share what a typical day in the life of a case manager working for an insurance company looks like? I know it can vary greatly according to the company, but just looking for some ideas. I currently work for a large insurance company on the prior authorization side. I actually really enjoy my position, however, I have pretty significant tendinitis that makes this job a bit challenging, as it is very click heavy, lots of copy and paste, etc. I have thought about possibly switching to case management for this reason, but am not sure if it would make much of a difference. Any input would be greatly appreciated!

How do you typically structure your day, as far as setting up visits? I find it difficult to leave less than a 2 hour gap between appointment times, because I never know how long the visits will take. For example, I typically schedule my patients at 9, 11, 1, and 3. This leaves me able to see 4 patients on an average day.

I'm wondering what is the average/longest time it takes you to get to a death pronouncement? I am a fairly new hospice nurse, and work for a large company that is currently pretty well staffed, and feel like I have good support. I was stuck in a crisis visit today, and had another one of my patients die in the meantime. There was some miscommunication, and no one called the patients wife back for over an hour after she left the message letting me know he passed, and we did not have a nurse out there for close to two hours. I have been feeling horrible about this all day, and cannot get it off my mind. I really don't know what I could have done differently, as it wasn't really an option to leave the patient I was with. Just wanted to get some thoughts on these situations, and what y'all do.

I am a hospice admissions nurse, and frequently run in to the problem of patients unable to make decisions for themselves, and either don't have an MPOA, the MPOA is not present for the visit, and/or those who would be considered first in line to make decisions are not there. I live in Texas, and understand the order of who is first, second, third, etc. in line to make medical decisions. Does anyone have any insight on what to do if the MPOA or first in line to make decisions is not at the visit, and they cannot be contacted. To give an example, I had a patient who was still legally married, but was not in contact with the spouse. Her adult child was at the visit, and the only option was to have her sign the admission papers. Any advice on these situations would be greatly appreciated.

I am fairly new to home health and was wondering if anyone else has this problem I am about to mention, or if there is something I am missing. Sometimes, when I need to call a physician about one of my patients, I am not sure who is the actual physician following the patient, and signing the plan of care, therefore, the one I need to call. With new admissions it confuses me because most patients have just been discharged from the hospital, so the ordering physician, of course, is no longer following them. So is it always the primary care physician who I would call?

Hello, I work for a small home health care agency in Texas. I have been doing a lot of research on the frequency of requirements for RN supervisory visits for medicaid patients. All of the information I find is only relevant to supervision of HHA's, and not LVN's. I know if someone has a HHA, the RN supervisory visit is every 60 days if they are receiving HHA services only, and every 14 days if they are also receiving SN, PT, or OT. I still have not been able to find anything for supervisory visits for patients who are only receiving SN care from an LVN, with no HHA. If anyone has any information on this topic please let me know. Thanks!

I was just wondering if anyone knew if you need to be an RN to be a laser hair removal nurse and if anyone knows what the pay in California is for one.

So then if you are in a RN-BSN online program, do you have clinicals?

I have a question about BSN nursing programs versus the ASN. in the ASN program I know you have classes and clinicals for four semesters. So if you do the BSN program instead how long do the clinicals and classes last for this? Do you have clinicals every semester in the BSN?

I was wondering if working as a CNA would count as any experience as far as an RN. Also I was wondering what an acute care setting is.

I saw a post from someone saying that while you are waiting to get into nursing school to work as a CNA. while you are waiting to get in, all you will have completed as far as school is you general ed. and prerequisites. Don't you have the have special training and be certified to be a CNA?

I was wondering about nurses that work 12 hour shifts, are you actually at work for 12 hours and get paid for 12 hours, or do you take an unpaid luchbreak that would make you be there for more than 12 hours. Also, I was wondering from some people with experience working both 12 and 8 hour shifts, which one you prefer. and what time do each of the shifts start and end for a day shift, or a night shift nurse. Thanks:wink2:

I am a student at a community college in california and have a question about applying to ASN and BSN programs at as many colleges as possible. I have had difficulty getting a hold of couselors at the colleges. If i am a student at one community college can i apply to all of the other ASN nursing programs in my area or do most community colleges want you to be a current student with them, or do they require you to have a certain amount of units or classes completed with them? are the general education and prerequisites usually pretty similare for all of the community colleges in the area?