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Ashley02

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  1. I was on Chicago Fire. Chicago Med also casts real nurses/other medical professionals. Know that you only get paid about a 1/3 of what you make as a nurse but for the experience and just for the pure fun of it, it's totally worth it.
  2. Your RNs answer the phones?? No. The receptionist answers the phones. How does she know when to schedule appointments? She just puts everyone who calls on for the same day? It's not possible. How does she know who can wait until later in the week?
  3. I haven't read all the other comments yet, but I worked for NPHC staffing as a care manager for Senior Bridge and it was not good. The training is all online (obviously) and then you are just basically thrown in. It depends on your area, but there weren't that many patients that were near enough to make it worth my while. If you're looking at this for supplemental income, it probably isn't worth it. They have mandatory webinars and training and if you have a full time job (like I did), you're not able to keep up with it all. They will email you at least weekly with an entire list (normally all the same patients), asking who you can go see. If you don't immediately respond, she'll email it again. So will the "assistant direct of nursing." Then she will call you and text you. If you're at work or have any other responsibilities at all, you can't response immediately! Supposedly these patients already have "case managers" who have reported red flags with these patients and asked the patients if a care manager could come help them. These case managers supposedly check in with weekly phone calls or biweekly phone calls or whatever. So you go do an assessment on them and when you get there, the patients have no clue who you are or why you are there. They have no clue what you can do to help them and you basically just facilitate community resources. There's all this paperwork for them to fill out - privacy practice, release of info, and then a whole assessment of like 10 pages (not a physical assessment, questions like what their roof looks like and if they have a car). Unless you're already familiar with all of your community resources (bus fares, free ride programs, clothing and school supply giveaways, food pantries, etc) it is a TON of background work for you so you are even prepared to meet with the patient in the first place. One patient I went to see had no interest in anything I had to say. She talked the whole time about how her roof needed repaired and wanted to know what I could do to have that done for her because she didn't have the money. I didn't last very long and I didn't take on many patients. I suppose you could make this your full time job if you really wanted to travel and see your patients on a weekly basis. You have to have everything charted within 24 hours. You don't get really any background info on these patients at all as far as their medical Hx, etc. I wouldn't recommend taking this job to anyone.
  4. I work in a small clinic setting where we mainly see adult patients. We hired a new receptionist who doesn't have telephone triage experience. I'm looking for some sort of flowsheet or a guide she can quickly refer to when patients call and want an appointment the same day. She doesn't get that everyone CAN'T be seen today just because they want to. Before I invent the wheel on this, I thought I'd check to see if anyone has used anything like this that I could use as well.
  5. I work with MAs in my clinics and I am the RN. I'm in Indiana so it may be a regional thing, but no one refers to them as nurses and they certainly do not refer to themselves as nurses. In fact, if a patient calls them a nurse, they will said "I'm the MA; Ashley is the nurse."
  6. Office supply ordering, medical supply ordering, and pharmacy ordering monthly. Check outdated supplies and meds monthly. Monitor the biohazard waste pick up and call to arrange when that is needed (we're on a will call basis). Monitor provider orders, imaging studies, did the pt have those done, where?, do we have results. Manage referrals, who did we refer the patients to, have they been scheduled, did we receive referral notes back. Weekly auditing of charts, are encounters locked, coded, etc. Keep track of my high risk patients for disease management. Work with the wellness coordinator to arrange outreach and different activities for the patients (disease management). Monthly bulletin boards, outreach programs, etc. Lab review daily. Follow up phone calls to patients from the previous day's provider visits.
  7. It depends on which area you will be working in. I am a case manager for a home healthcare company. I can do a lot of my work from home but I also go into the office everyday to complete paperwork, check my mailbox, check on orders/faxes/etc. I'm sure being a CM for a home health company is extremely different than working in a hospital.
  8. We did not Rx sleep medications. That said, a lot of our offenders (in a population if approximately 3300) were on narcotics, Neurontin, Pamelor/Elavil, Remeron, Wellbutrin, Tegretol in the PM.
  9. I think as long as you are doing your best and trying to do what is right for the patient, you will find people are supportive. I try to take newbies 'under my wing' and always be there if they have questions or ask how their day is going. A lot of times you will not know how to deal with something until you first encounter it. So each experience will give you more knowledge with how to handle it in the future. Also, download some drug/PDR apps to your phone for quick reference!
  10. I got an email from a recruiter for care manager positions with Senior Bridge in my area. I've looked at their website & I think it's something I may be interested in. It's not home health care per se, it is more interviewing and documentation. The point is to prevent hospital re-admissions. Just wondering if anyone can share personal experience with this kind of thing. Thanks!
  11. Ashley02 replied to miteacher's topic in Correctional
    Well, the offenders come to you. You don't have to make rounds. So they're released house by house and you just look at the MAR, pop their pills, hand them to them in a cup.
  12. Ashley02 replied to miteacher's topic in Correctional
    There is little difference between the roles of the RN and LPN at our facility. With the exception of the infirmary, the RN and LPN assignments are interchangeable.
  13. Ashley02 replied to miteacher's topic in Correctional
    All psych meds are handfeed, which are "watch and swallow" as you say. Also, Neurontin, Tegretol, Flomax for example. We are not allowed to pre-pop meds. They're supposed to be popped and given to the offender and signed off on the MAR. I also was with CMS first, and now Corizon. I haven't seen many changes.

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