A hospital nurse is more hands on with the patient, such as; (checking
vitals, Inserting IVs’, etc.), as to a nurse from an insurance
organization is more virtual (they speak to you on the phone, and try
to decide if you need to go to the hospital for your illness). A nurse
from the hospital is dealing with patients firsthand, dealing with the
sickness of the patients such as; CPR, controlling a patient who has
been shot or stabbed, a patient who is in respiratory distress, etc. The
insurance nurse is just asking questions that their script is asking
them to ask, and then they plunk the answers in, in the system. The
nurse plays various roles in pain management such as an assessor,
planner, implemented, educator, advocate and supporter. In playing
these roles, there are some challenges such as misconceptions,
attitudes, gender differences, inadequate knowledge, resource
constraints, lack of culturally appropriate pain assessment tools and
fear of addiction and dependence of patients. The writer has outlined
a few recommendations such as re-education of service providers,
developing assessment tools, organizing pain clinics, research in the
area of pain management, etc. (Oware-Gyekye, F. 2008)
There is always someone on the back end of the system- the person
who deals with the data entry. A company I loved working for was
fully EMR, and they still had people doing data entry on the records
the doctors and nurses seen for the day. Doctors and nurses don’t
understand the systems sometimes other than the information they
are entering, so the back-end people who work with data entry pull
the numbers to make sure everything is correct in the system.
References:
Oware-Gyekye F. (2008). Pain management: the role of the nurse.
West African Journal of Nursing, 19(1), 50–54.
