Neats

I am not only a nurse but have had a career as an Administrator too. This is my soap box about LTC; 1. We can all continue to voice our frustration about LTC, this is what we have been doing for decades. Now for solutions 1. Contact your nursing, medical and state health department. Contact your local senator and contact CMS for and to demand changes in staffing, and in payment for services--demand DRG codes for specific tasks like full assist with dressing, need assistance with ambulating, full assistance with eating/bathing...tasks based on ADL's. 2. Take your time when you are with a resident. Be safe. If you cannot get it done then let the next shift do it, just be sure you are doing your fair share. We cannot do it all. 3. Document what you do and time it took. This also keeps you safe. 4. Go to your nursing board, and any other meeting you can to talk about your concerns, be brief and make your point. The LTC situation will not change until we get Diagnostic Related Group (DRG) codes based on reimbursement from CMS and insurance companies. Nothing will change until we get staffing ratios based on acuity at a local/federal level. If as a collective and based on evidenced based practices we come up with specific tasks that should be reimbursed each time perform that task present this to your senator at least 4 times a year. Lastly remember the profit margin for LTC is slim less than 5 percent. Many times, just breaking even is appreciated.

I am a case manager with the VA. I do the same for veterans as I would my own civilian patients. Within the VA the big focus is 30 day readmissions.

Ugh.... as a case manager I have never had to "enroll" new customers. I would have left a long time ago. To answer your thoughts about public health and getting into the administration side of nursing..... I would look for state opportunities, federal opportunities. If you are in school I would look for fellowships that you can get into as a senior or new grad. Go to your local VA visit their web site.

I know this is 8 weeks late but here goes...... Although those questions are valid, I am not sure why they were asked in a interview forum unless it was a follow up interview. We use Interqual and Milliman criteria. This criteria is reviewed against what the provider sends in. Now this sounds simple but there is more to it than just this. If you ever get another chance to interview I would be knowledgeable about what Interqual and Milliman is, about basic chronic care foundations and about basic surgical steps form initial to end as far as patient flow. It helps to just know what an OASIS is, what specialty medication are, and what insurance can do for you. Good Luck I will write up a brief overview of health insurance is on a different thread.

I have a masters in health care administration, and computer information management

Healthcare employees who get "walked off" in corrections deviate from safety rules/policies. Some of those rule breaking rules result in a felony and you your self can go to jail/prison. If you are a person with boundaries that change or a person who will go out of your way for a patient then corrections is not for you, for in corrections you need to be black and white when it comes to communication and following the rules and have an attitude of this is the way it is. This is to protect you, me and all staff, it also teaches inmates a new concept to follow rules so in the future they can perhaps go back into society safely.

After reading your concerns I as a manager most of my career I would not feel you lack of med/surg experience would hold you back. Yes Utilization Review/Case Management would serve you well. In these roles you come across alot of things you need to google, saying I never heard of that before. You can work a case of ovarian cancer, finish that and go onto a MVA with multiple fractures to gastroparesis. I suggest you really research and then when you find what you want go for it.

Community health nurse

From what I know of the new designation it is like a case manager but focus is on the affordable care act (also know as metallic plans/Obama Care), you work to keep costs down and usually in a designated team.

Late to this thread but thought I would reply. In 2004 there were 66 emotional support dog complaints of which 57 were found to be related to "other disabilities" meaning they could not show proof of disability in the end. In 2011 there was 466 complaints of which 411 of these could not show proof. Source NBC Chicago. I have sat by a bird on a flight one time, that bird was wearing a diaper. The bird slept and was vocal at times. The person was nice and kept the bird away from me. On another flight I sat by a yapppy dog who would not shut up, many other flyers complained and the dog owner offered many apologies. If it was a pit bull I would not take care of my patient until the dogs were removed.

Sorry this is late did you pass?

I like ANEMONE it means wind. Ava works too I like it!!!

No need to get upset, Just tell your boss I did my job AND even allow collaboration with this nurse as she picked her patient whom she complained about, not my monkey not my circus, you need to speak with her about her attitude, she needs to make things pleasant and herself approachable. Nothing more to say. Then walk out.

I took my test this morning.....I passed!!! Yes I agree I used the books, took a workshop and after taking the test was surprised I could have just completed the practice tests. I do think by the time we take this test we are already well versed in the knowledge we should have though. Thank you for your reply.

PC...get real. This song I agree with what others wrote it is an innocent song nothing more. I love watching James Bond this time of year the old ones (I am sure these will be a topic too to get rid of). Oh my what next are they going to be verboten (not allowed)? Too offensive? Same with Red Nose Reindeer...to sexist? We are losing reality here people. You cannot please all, heck I am afraid to just say hello and smile at someone walking down the street anymore just because I may get sued for being me. My spouse tells me it is people want their 15 mins fame. When you click on these articles it is money in their pocket so to speak each time a person reads the truth or untruth that person gets moneys, same with like buttons. I do not believe what I see or read in the print any more. Life is just a show and everywhere I go I am part of the audience watching things unfold staged or not. My spouse says there are people out there who write untruthful articles just to get paid. We are suppose to write the truth for historical value, 50 years from now no one will know the truth if it bit them in the bottom...just like now.