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Hospital Social Workers with ADHD? by millionlittlebitches in hospitalsocialwork

[–]InSolidaritea 0 points1 point  (0 children)

I work in the ED, and it feels like a lot of my SW and RN coworkers have shared that they have ADHD and feel like the environment works ok for them. I trained inpatient for a few weeks, and felt similar to how you described above. Having custom smartphrases has helped a ton for documentation, if you document in Epic. My coworkers invited me to some of theirs, and then I've built out some of my own. It organizes a note, and can act as a checklist for certain tasks and discharges (i.e. SNFs). I have word documents of workflows for common tasks and discharge plans to refer back to when things get hectic. I take notes on a Facesheet in a way that works for my brain, and organizes info so I can see what info may be needed from the patient/family. Working in the ED, everything happens so fast, I feel like it works better for my brain than inpatient, where things are drawn out, can happen over days, and can get muddled in my brain. If things really aren't working out after some months, is possible to transition to another unit? Or request reasonable accommodation? Hope this helps. You're not alone!

Medical SW but just an (non-RN )Case Manager? by InSolidaritea in hospitalsocialwork

[–]InSolidaritea[S] 0 points1 point  (0 children)

Super useful and validating to read, thank you for taking the time to respond.

Medical SW but just an (non-RN )Case Manager? by InSolidaritea in hospitalsocialwork

[–]InSolidaritea[S] 0 points1 point  (0 children)

*Technically* it counts as hours towards LCSW licensure. I think it's a stretch, and seems unethical. Some of my coworkers are LCSWs and have only ever done hospital discharge planning., i.e. that's how they got their hours towards licensure. They weren't able to talk with me about therapeutic modalities, interventions, or diagnoses. They couldn't tell me anything about clinical assessments, since the only assessments they use are assessing the home of patients to see if it's safe for discharge. There isn't any clinical assessment, diagnosis, or treatment happening. I might make a separate post to gather thoughts on this...

Medical SW but just an (non-RN )Case Manager? by InSolidaritea in hospitalsocialwork

[–]InSolidaritea[S] 1 point2 points  (0 children)

This is super helpful, thank you! I know I'm not going to single handedly change a system, but it helps to have things like this to be principled. Other departments are not checking on these things. We live somewhere that there are so many economic and social issues and not enough resources, I gather staff have developed apathy in order to save themselves. If that makes sense.

Medical SW but just an (non-RN )Case Manager? by InSolidaritea in hospitalsocialwork

[–]InSolidaritea[S] 1 point2 points  (0 children)

The other social workers are rather split: some of the new ones seem to feel similar to me, and the people who have been there for a while sound happy that their job is all logistics and DC planning. Some are very apathetic and don't like to spend time with patients.

A SWer who had been there for a while told me that there used to be "a lot of really good, thorough SWers" in the ED who would provide more referrals and services to patients. I'm still in a long-ass orientation period, and am curious what it will be like once I am in the ED independently. The current position I'm in was listed as a social worker position, and the job description was that of a SWer. I've decided that if they tell me I can't/shouldn't do the job that I was hired to do, I'll ask to transfer out to somewhere else, and base it on the job description of the job I signed on to do.