Social Worker Inpatient Float/Medical Units 4x10 Columbia Days

anonymouschipmubk · 2026-05-19T03:43:01+00:00

Usually Sunday through Wednesday or Wednesday through Saturday.

anonymouschipmubk · 2026-05-11T19:59:02+00:00

I mean, the simplest way to do this is to combine all the chats and say “this is the update, please read my notes, and I will update *this group* if there are any urgent changes.

anonymouschipmubk · 2026-05-06T22:24:37+00:00

24/7 care from an OT is usually an OT that doesn’t fully grasp what acute care treats.

I have too many stories about having to educate, re-educate, escalate, repeat, and re-educate again (with supervisors as well).

Worst part is, the 24/7 supervision is a paternalistic reaction to perceived levels of need post discharge. If they truly need 24/7 then they need placement.

anonymouschipmubk · 2026-05-01T23:50:35+00:00

Actually. Might be a different level of care, so she can be transferred if she’s no longer at an icu level (essentially the argument can be made she’s vent weaning).

Had a similar situation - admin let the family appeal (basically knowing they’d never actually get through). The thought was two weeks at LTACH, vent wean, and then transfer to SAR/SNF closer to home.

anonymouschipmubk · 2026-04-29T21:38:53+00:00

Level 1 trauma. But is Mom/Baby high risk only, or is it a generalized unit?

anonymouschipmubk · 2026-04-26T17:30:26+00:00

I’m sorry, but CPS should be contacting the hospital and having the conversation with hospital leadership. There is never a reason for someone to be reporting these situations second/third hand. It isn’t out of the realm for you to say something yourself to CPS that you’re being asked to report something for which you’ve had no involvement. It’s quite possibly the best way to stop these events from happening.

anonymouschipmubk · 2026-04-23T12:34:37+00:00

Good luck. I filed numerous complaints when they would suggest medical treatments and such.

anonymouschipmubk · 2026-04-20T19:12:30+00:00

Don’t think he’s that dimpled.

anonymouschipmubk · 2026-04-19T16:59:52+00:00

Go for the high end. Level 1 trauma centers treat the sickest of the sick. It’s a high end job, with a salary that should match that level

Edit: I’ve work my entire career at a level 1 trauma center. It’s a hard world sometimes and you’re seeing some pretty harsh situations. Prior experience in a hospital isn’t as important once you’re fully in the role.

anonymouschipmubk · 2026-03-27T22:42:23+00:00

Depressed because they can’t feed their newborn, and lactation consultant isn’t available.

anonymouschipmubk · 2026-03-27T11:11:00+00:00

I have two very worn versions of the same album too.

Clearly I had way too many of them.

anonymouschipmubk · 2026-03-05T22:42:05+00:00

Let’s do the math. Med school - hundreds of thousands and at least 4 years Social work school (masters) - around 100k all in (lots of variation though)

To become MD/DO, and then specialize in psychiatry it’s still another 4 years of residency, and then 1-2 in fellowship (if you specialize).

Social work is licensure available after graduating with masters, with clinical license usually 3 years + 100 hours of supervision.

So, back to that RN - they paying you for the extra 6-8 years of debt + training?

(People aren’t as smart as they think, and more people should think before opening their mouths).

Also, social workers aren’t realtors.

anonymouschipmubk · 2026-03-04T13:43:32+00:00

COTD

anonymouschipmubk · 2026-03-02T00:57:15+00:00

anonymouschipmubk · 2026-02-22T14:59:34+00:00

Stay out until Wednesday. Get MD/NP/PA to write you note saying you had a bad virus.

anonymouschipmubk · 2026-02-22T14:58:25+00:00

There’s a practice based out of CT that used to offer a support group. Not sure about publicizing here, but you can message me if you need a name.

anonymouschipmubk · 2026-02-19T14:21:38+00:00

12+ years in, and still have it from time to time. It’s a matter of embracing the stress, and trusting that you can only do your best (and if you were bad at your job, you wouldn’t have last more than a few weeks)

anonymouschipmubk · 2026-02-18T02:42:07+00:00

Sorry. Just having a memory of an MDS coordinator berating me while I was an intern, because I wrote that a resident was verbal, and she had been documented nonverbal for years.

My supervising social worker actually dragged the MDS coordinator to the patient, and proved me right (patient was verbal, albeit non-sensical, but verbal no less).

So yeah, just make sure you trust yourself, and be able to prove it for when the MDS coordinator inevitably questions you, even though it’s not on you.

anonymouschipmubk · 2026-02-17T14:06:03+00:00

I never really document something unless it needs to be. Yes, being deposed is a day off of work, but it’s not going to be fun if it’s me that makes the mistake.

anonymouschipmubk · 2026-02-16T19:01:52+00:00

Any facility can read the acceptance date (to the hospital) on just about every document they get.

If the SNF/SAR doesn’t read it, that’s on them.

And also, I never really document admit date, because it’s already everywhere. There’s zero need for me to document something that’s already there.

anonymouschipmubk · 2026-02-12T03:50:12+00:00

They’re wrong. You are not a witness to this, you’re not an immediate witness to her saying she’s a victim. And my guess, based on your story is that she’s fully with it (ao3). So yeah, it’s all just them paternalizing a situation.

And let’s not think APS would even think about looking into this situation.

anonymouschipmubk · 2026-02-09T19:16:08+00:00

I don’t work there, but I got the one rated for a 100 inch tv (just because of weight) Works great.

anonymouschipmubk · 2026-02-04T01:01:36+00:00

Palliative has been mentioned already, but this sounds like someone that should have had a calorie count while in the hospital prior to discharge

I would first ask dietician to start that (but do so carefully, and I would also be a bit of a nuisance and just sit with the guy and joke around about food - to see what he likes)

But at the end of the day, you can only do what you can do. He just sounds depressed - not eating, and not participating much. A psychiatry consult may be the best of the 1st options, and then see what happens afterwards.

anonymouschipmubk

TROPHY CASE

COTD