Pros: supportive environment educational opportunities
Cons: rotating shift requirements for full time case managers
Arranging home visits, attending meetings, triage add on patients, complete administrative duties relating to case management. Provide support, information as needed to team members. Cover for Nursing Supervisors when ever needed. Complete 6 home visits and computer documentation completed by 10 pm.
Work with manager to identify complicated cases and make changes to POC to promote discharge. Work with manager to identify areas of individual staff development needs.
Respond to pages and emergency visits as needed.
I learned Community Nursing and case management rooted in evidence based practice. I was trained for role of nursing supervisor. I learned triage skills, flexibility, and perseverance !
My co-workers represented four generations of nurses and supportive staff. Many dedicated, strong, devoted and talented staff to be surrounded by daily. My co workers also came from all around the world, affording special insight into other cultures.
The hardest part of the job was the new shift rotation requirements implemented to attract Partners for merger and to provide better access to care for our patients. I believe this change greatly effected staff moral and both consumer/nurse satisfaction. This created barriers to case managers being able to provide seamless care plans with continuity being lost despite a team approach. We also lost benefit time that was hard earned during the courting of Partners.
The best part of my day was spending time with my patients. Nothing compares to the feeling of giving comfort and care to people in their homes. I enjoyed the challenge of each new case. I enjoyed never giving up on medically complex patients. It was a joy to see my teaching of patient and caregivers can reduce re-hospitalizations and lead to a better quality of life.