caronbell

There are many options with case management! Yes, it does tend to have a better work-life balance overall, and most jobs tend to be "9-5" jobs with occasional weekends. I work inpatient acute case management, and I do a combination of discharge planning and utilization review (UR). For me, it's the best of both worlds. I am not the kind of person who can sit at a computer and type all day, and I need some interaction with the public. Gimme drama! And my floor never, ever lets me down. My job tends to be a bit like an air traffic controller, with a bit of fire fighter and baby sitter and therapist and a dash of Suduku for fun. Insurance CM is the "flip side" and God love 'em, they have their own stresses and metrics; lots to that side as well. Hope something works out!

Have you made any decisions yet? Inpatient case management is a big switch from floor nursing or home health. The scope of practice is quite different.

Not sure if you'll see this, but someone else might. A lot of the WAH positions specifically stipulate that all dogs and children are cared for away from the area of work; some penalize the person if any noise complaints are made about crying children, etc. They have strict metrics for productivity, and it does not leave any time for childcare. Any person considering a WAH position needs to realize that full time childcare needs to be found.

I consistently test "faintly positive" on UDS for PCP. It's hilarious to see the person's reaction now, because I can anticipate the questions that are coming... It's related to the psych medications that I take. I've only had to provide proof of prescription drug use once, but I always quickly offer.

I brought this up recently, when I had a triple lumen PICC...and 4 antibiotics around the clock. Including amphotericin B (requiring IV glucose flushing prior and after) and Vanc which doesn't like to play well with others. I got weird looks when I asked if it was okay to run more than one at a time, given that some were not listed as compatible at a "y-site" on Micromedix. I understand the mechanics of a PICC, but I wanted to be clear about making sure that when they all dump out together in the vein, they would all play well together. Interestingly the 1st Pharmacist: No don't run any together. 2nd Pharmacist: wellll. It looks like you could run some of them together, but I'll have to ask my manager in the morning (of course this happened over night). I'm pretty sure I'm the only one who asked about compatibility with all these, so I'm sure everyone else just ran them all as they fell on the EMAR. Just my experience. I wish I had some resolution.

I work at a regional university hospital, and take in patients from many outlying hospitals in the tri-state area. I recently had a direct admission from an ED in a small town several hours away. We knew they were coming...and then the transport showed up without ever receiving any report from the ED there. Keep in mind the patient was in transit for several hours. My charge was livid, the house administrator got involved...and eventually I got a call from a very sweet nurse who had absolutely no clue about the patient; she literally read the ED doc's note to me over phone, so I got the same info as when the patient got there and I read the admission packet. I (hope) I was kind and gracious and didn't give her any trouble, because she certainly didn't know anything but was trying her hardest. Things happen. I hope she had a good rest of the day.

I think you need to be proactive and contact the state licensing board PRIOR to your interview for more information. Explain your situation and ask for guidance on what the implications are. The last thing you want is for your license to be pulled unknowingly, and it might be in your favor if you discuss with the board, rather than THEY finding out and act without discussing it with you. That being said, if you are trying to get a new job, having more information such as "I am involved with the court system due to a family matter due to no fault of my own (if this is indeed true) and since I was concerned that it could affect my license, I went ahead and contacted the state, and THIS is what they said." Now, if you find out that it is very likely that you might be in jeopardy of having a ding to your license or other action taken against you, this is something you need to consider before going forward.

As long as you maintain active, valid licenses you would be able to practice under either one. (Of course check with the licensing bodies in your state) I was an OT in my former life; now am an RN. Could technically still practice as an OT if I wanted to if I wanted to spend the hundreds of dollars on continuing ed and paying the state for licensing fees and the national boards for THEIR registration fees.