case management in nursing

Meeting The Challenges Posed By Moving Away For Work

Posted on by Joseph Gerard

Funny girl with blue doctor uniformBy Lucy Peters

Most medical professionals are enduring one of the most difficult and challenging periods of their career. Now, many are moving to other jobs, in new cities, on the back of their work, in search of better pay and work/life balance. Indeed, CNBC has highlighted huge wage growth and upheaval from multiple sectors ranging from healthcare assistants to surgeons. For medical professionals making the move, there’s a wide range of factors to consider, from the amenities and security of a new town to crucial factors, such as the ability of a young family to settle on new shores.

Making the switch

Upheaval will impact every member of the family but children are often disproportionately impacted. According to a study analyzed by Psychology Today, relocating with a young family can, if managed improperly, create serious long-term problems that impact the development of kids well into adulthood. The reasons why are fairly clear – the emotional and physical ties that anyone makes with their community and surroundings is one that has a big impact on who that person becomes later in life. Depriving them of it, without explanation, can be harmful. The key is, of course, communication. Families moving to a new city should first make it absolutely clear just what is involved with the move, and why it’s happening. To further develop the message, provide opportunities to retain ties with the home community. That’s easy in the modern day, with the help of communications tools.

Developing new roots

Don’t treat a new area as simply somewhere to stay. A healthy psychological state relies on community; one NAMI blog asserts that community helps to develop a sense of belonging, purpose, and support, all crucial factors when putting roots down in a new city. Meet neighbors, join local events and traditions, and make your out-of-work life as important as making a good impression in your new job.

A work-life balance

Moving to a new job is a chance to impress. As a result, many workers will work long hours, go the extra mile, and do everything in their power to make a good impression on a new boss and set of co-workers. Unfortunately, that attitude can be dangerous. A report by the BBC found that western workers now operate, on average, 54 hours a week – and that this can be detrimental to long-term health. It’s clear that making a good impression can be beneficial to long-term professional development and job satisfaction, but it cannot come at the sacrifice of a work-life balance. Back yourself by setting boundaries early and only taking on what you can sustainably support. You will thank yourself in the long run.

Your family, too, will thank you. Moving to a new community is something that often benefits the breadwinner in the family, but it needs to be looked at through the prism of family. Look for solutions that benefit everyone, not just the newly employed.

 

 

Please also review AIHCP’s Certification Programs and see if it matches your academic and professional goals.  The program in online and independent study and open to qualified professionals.

CASE MANAGEMENT in NURSING

Posted on by Dominick Flarey

Case Management in nursing is an evolving practice specialty. The role of nurses in case management is to supervise and coordinate healthcare for patients with long-term illnesses. Such patients require long-term therapy and careful planning of all aspects of treatment. For instance if there is a patient suffering from cancer , the nurse who is assigned the role of the nurse case manager must arrange for doctor’s appointment, drugs, radiation, surgery or chemotherapy. A nurse case manager usually works in a specific practice specialty such as cancer, pediatric or cardiovascular disease.
Among the goals of case management nursing is to coordinate the care of patients. Since there are other specialists involved such as therapists, surgeons and other doctors, a nurse in case management will coordinate and keep the records of all their activity while updating the patient accordingly on the progress. According to the health problem at hand, the nurse can also decide what the other specialists should examine the patient so that there is collaboration of efforts by all. The nurse also ensures that all the procedures performed on a patient are at the highest level, increasing the chances of the expected outcome. In so doing, all the resources are used efficiently without any wasted or over usage of care resources.

Case Management in Nursing

The role of the nurse in case management can be defined in 3 basic ways, or a combination of any, according to the individual hospital setting as follows:

Quality Management

In larger hospitals, this aspect of quality management may be separated from the normal case management. The nurse is assigned the role of ensuring that all the services provided are of high standards. In smaller hospitals though, the finances may not allow for separation of duties and the case management nurse does all the work involved. The nurse is responsible for the general quality of health care being delivered, and can also assist in the risk management office when legal matters arise during a patient’s treatment.

Utilization Review

This type of case managers review different elements of the various hospital systems, guided by the terms of the hospital or the insurance company that is in charge. Prompt service delivery as well as adequate and safe utilization of the service is also a responsibility under this docket. The nurse is specially of essence in relation to insurance, because he/she approves and certifies acute and non-acute admissions. This information is then passed on to the insurance company under which the patient is covered. The nurse uses what is known as ‘InterQual Criteria’ which is a standardized method of identifying diagnoses, probable complications, procedures required and the timelines during which to account for a shifting diagnoses.
The Utilization Review nurse coordinates with the quality manager physician to administer high quality services to the patient. For instance if the patient has improved and no longer needs acute care, the nurse can consult the QM physician to see if the patient can be transferred to outpatient care or other suitable services. Before making a decision, the physician will review the patient’s chart, current situation and discharge plan. If in agreement the recovering patient can be moved to a lower level of care. To qualify for a post of Utilization Review Manager nurse, a three-year experience in  an acute hospital setting is advisable.

Discharge Planning

The role of this nurse in case management is to coordinates all the elements of admission or discharge of a patient. According to the InterQual Criteria, this nurse deals with the high risk patients with chronic diagnoses such as complicated pneumonia or stroke. The nurse combines all the available social and financial services to come up with a viable and safe discharge plan. A discharge planning nurse can cover up to forty patients at a time depending on the individual hospital policy. It is ideal however to have no more than twenty patients. Past experience together with assessment abilities are used to review the patients current situation, medical history and family support before formulating a discharge plan. A discharge planner should be familiar with Medicare guidelines, InterQual Criteria as well as fees for service items that enable a patient to be given a different level of care. These are some of the important things that should be known.
Nursing case management is a growing practice specialty. Many registered nurses are taking advanced case and care management programs to increase their knowledge and skills to practice in this area. As health care continues to reform, we will see this nursing specialty increase in demand and in importance.