Nearing the end of my time in this RN Case Manager job.
It’s a daily struggle to force myself to say “This cannot be my problem anymore”.
- Uncontrolled diabetes and living with caregivers who may or may not be correctly dosing, if at all, insulin and checking blood sugar levels twice a day?
- Just found out from this physician that this person hasn’t followed up for scheduled appointments in almost a year?
- This person left the nursing home against medical advice, before her therapy was complete, to live with her daughter with a history of financial exploitation of her own mother and keeping her locked in a crack house?
- This person may or may not be filling her medications at one of 3 pharmacies and may or may not be taking them correctly because 2 of the medications have very similar names but are for very different diagnoses?
All of these things and more. Cannot be my problem.
All I can do is write it down and offer advice for follow up to whoever is taking over this case in my absence until the new nurse is hired.
Can’t be my problem, but I can sure continue to stress out about it. Because when you’ve been working with the same clients for 5 years, you get a bit emotionally invested in their well-being. You know those clients inside and out, all their behavior patterns, the best approach for their caregivers, how to follow up with their doctors for the best response. Long term care is intense and you can give all the advise you want to the new nurse, but the new nurse is still basically going to start from scratch. Because the new nurse doesn’t know that client. But s/he’ll learn. Hopefully.