Thursday, December 26, 2013

Nurse Manager Skills Tools (NMSTI) Feedback - Philippine Setting

NURSE MANAGER SKILLS TOOLS INVENTORY 

In relation to Filipino Nurse Managers, I think the Nurse Manager Skills Inventory Tool provides a lot of promise. As a company nurse of a Health Maintenance Organization, the tool is applicable in all aspects, but it gives more impact of the areas of communication, finance and technology.

The medical department of the company focuses on two major things: client care & client utilization. The emphasis on the nurse's ability to communicate and handle clients comes in handy, especially when we receive those who insist that their admission or procedures be covered even if it violates their agreement with the company. As an example, all accidents that happened while intoxicated, without helmets, or without driver's licenses cannot be covered. 
This also goes for the alcohol-induced fatty liver disease. 

Next of importance is the finance. Aside from the assessment of each client and their cases, we nurses are also expected to monitor the utilizations closely. We have been provided protocols to avoid over- utilization. For example, we must question those people seeking consultation in an extremely frequent manner; the doctors that 'unbundle' procedures (e.g. charging separate procedures for TAHBSO with hysterectomy, salphingectomy & oopherectomy); and charges that do not conform to the provider's usual rate. We must control client utilization properly else the company's finances will be compromised. 

Lastly, the company has launched a new system specifically designed for Fortune care. With this application, we are able to view the patient's plan classification, utilizations, case progress and so much more within a few minutes. Of course, each nurse is given a tablet in order to fully make use of the application. With this, all employees of the company definitely must have the basic computer skills, etc. as mentioned on the tool. 

For the modifications, I immediately noticed that the tool is quite lengthy than those that I previously encountered. One of the first lessons that I learned directly from our Medical Director is that important documents don't necessarily need to be 'texty'. Some areas which I deemed 'not-so-irrelevant' or 'repetitive' were omitted from my modified tool. All other changes are minor changes in sentence construction. All modified areas of the tool are italicized for easier recognition.

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