scashrn

I second what Amolucia said...I work in admissions and its all about the money at the end of the day. You did the right choice. Don't second guess yourself and always be sure and confident about your decisions.

I couldn't agree more! I'm happy you found somewhere else to work...next time if someone approaches you like that...ask! If it catches them off guard, then take it as a assumptions on what LTC nurses do/don't do.

You were right to leave. I would never work in a place like that. I would have called the state as I walking out of the building.

I can sympathize with the new grads not being able to find jobs. I graduated with my BSN in 2009 and couldn't find a job to save my life. Every place said we need RN's with experience, experience, experience. I applied to hospitals, nursing homes, assisted living. I finally landed a job in public health doing case management. To this day, I thank the director for giving me a chance! Wish more people were like that!

I currently work as an admissions coordinator. I've been doing it for 2 years now with two different facilities under my belt. They will have you look over referrals for LTC/assisted living to see if they are clinically appropriate for the facility. These referrals will come from the hospital, community or other facilities. Depending on the facility, it will require you to check insurances to make sure they are active. Light-medium administrative duties (filing, admission reports, census reports, admission contracts etc..) It requires a keen eye and clinical knowledge of disease processes, interpretation of labs etc..)

same here too...the last two facilities I worked at, the CNA's did the vitals BUT when we had nursing students/new nurses on the floor, the charge nurse would have them do it.

i agree with a previous poster.....you may need a better steth. I remember when i was starting out..i could clearly hear better with a Littman steth then the cheap one i had. They cost alittle but its a good investment. Also, maybe if you have time before the readings, pop into the rooms and let the residents know you are coming back in a few to take their BP's. If they are able...they can already have their arms out and ready for you!

thanks...that makes perfect sense; :)

this may be a silly question but is it even beneficial for the facility to admit someone who only stayed on Med A for 4 days?

i would agree...it depends on what kind of case management you will be doing....when i started out in case management, i was in the public health setting and it required me to be in the field visiting patients, doing assessments, and even giving medications. If i had to do any work at home (which I wouldnt), it would be updated my care plans or typing my assessments. When i transitioned into case management for sub-acute, it was pretty much the same thing. Good luck!

i agree with what other PPs. Protect your license!

After reading most of the posts let me say because it seems like your intial question was not answered..... Age has nothing to do if a patient can/cannot benefit from rehab. In order to understand what financial benefit your facility gains from having people in rehab, you need to understand how billing is done in a SNF. State plans (Medicaid) will only pay for room and board. Many times, this rate just barely covers the overhead costs of the facility. When you have someone in rehab, Medicare is billed and this is done through a PPS (prospective payment system) where the facility is reimbursed for the services they provide. The PPS is more complex then that but thats the simplified version. I suggest since you work in LTC, you should familarize yourself with how things work. A lot of facilities should be doing this because its in their residents' best interest to stay active, whether if its rehab or restorative. Hope this helps.