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NURSE, HOME HEALTH NURSE: The Goal Is Better Self-Care At Home

About this video 

Jeanne is a registered nurse and case manager for a home health aid agency. Her typical day involves researching a patient's medical history, interviewing them, and then coordinating the appropriate care for them in order to improve their self-care at home. Jeanne has worked in many subsects of the health care industry, including trauma, outpatient surgery, education, and nutritional research.

Degree: Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing - Health Education
Job Title: Registered Nurse Case Manager

Job Summary: Registered Nurses

Job Description

Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.

On-the-Job Training

Minimal. Most training comes from coursework, which usually includes work in a clinical setting.

Quick Facts

Average salary
Average salary
National Statistic Change Location
Confirm
$45,000 - $95,000
Projected job growth
Projected Job Growth
20 to 30 percent
Typical schedule
Typical schedule
Full-time, Long hours, Irregular
Typical workplace
Typical workplace
Indoor, Hospital / Clinic, Military
Personal qualities
Personal Qualities
Detail oriented, Patience, Problem solving skills, Verbal communication skills, Empathy, Organizational skills

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P3.instances[0].transcript.parse_transcript_data({"transcript":"<p><span m='0'>I'm</span> <span m='455'>an</span> <span m='910'>RN</span> <span m='1360'>case</span> <span m='1670'>manager</span> <span m='2150'>for</span> <span m='2410'>a</span> <span m='2450'>home</span> <span m='2730'>health</span> <span m='3520'>aid</span> <span m='4010'>agency</span> <span m='4630'>at</span> <span m='5660'>a</span> <span m='6000'>large</span> <span m='6350'>medical</span> <span m='6690'>center</span> <span m='7430'>in</span> <span m='8070'>Oakland.</span> <span m='9000'>In</span> <span m='9240'>general,</span> <span m='10060'>I</span> <span m='10340'>work</span> <span m='10630'>with</span> <span m='10780'>patients</span> <span m='11190'>in</span> <span m='11300'>their</span> <span m='11400'>homes.</span> <span m='12200'>I</span> <span m='12630'>do</span> <span m='12900'>care</span> <span m='13170'>coordination</span> <span m='14060'>for</span> <span m='14760'>patients</span> <span m='15180'>with</span> <span m='15330'>chronic</span> <span m='15680'>diseases,</span> <span m='16230'>such</span> <span m='16510'>as</span> <span m='16730'>heart</span> <span m='17010'>failure,</span> <span m='17640'>diabetes,</span> <span m='18590'>patients</span> <span m='19010'>with</span> <span m='19150'>chronic</span> <span m='19515'>wounds.</span> <span m='20245'>Patients</span> <span m='20610'>who</span> <span m='20810'>really</span> <span m='21170'>just</span> <span m='21520'>are</span> <span m='21730'>not</span> <span m='22070'>functioning</span> <span m='22355'>well</span> <span m='22640'>at</span> <span m='22930'>home.</span> <span m='23220'>I</span> <span m='23340'>work</span> <span m='23700'>in</span> <span m='23910'>a</span> <span m='23960'>multidisciplinary</span> <span m='25230'>team</span> <span m='25570'>with</span> <span m='26270'>social</span> <span m='26690'>workers,</span> <span m='27230'>physicians,</span> <span m='28020'>physical</span> <span m='28450'>therapists,</span> <span m='29030'>occupational</span> <span m='29730'>therapists,</span> <span m='30270'>and</span> <span m='30430'>people</span> <span m='30730'>in</span> <span m='30800'>the</span> <span m='31000'>community.</span> </p><p><span m='31970'>And</span> <span m='32240'>so,</span> <span m='32700'>my</span> <span m='32750'>typical</span> <span m='33160'>day</span> <span m='33370'>may</span> <span m='33620'>be,</span> <span m='34540'>for</span> <span m='34800'>a</span> <span m='34890'>specific</span> <span m='35510'>patient,</span> <span m='36730'>coordinating</span> <span m='37390'>care,</span> <span m='38840'>looking</span> <span m='39150'>up</span> <span m='39260'>their</span> <span m='39480'>history,</span> <span m='41150'>making</span> <span m='41480'>an</span> <span m='41580'>appointment</span> <span m='42080'>to</span> <span m='42180'>go</span> <span m='42370'>to</span> <span m='42520'>their</span> <span m='42680'>home.</span> <span m='43540'>And</span> <span m='43710'>then</span> <span m='44140'>I</span> <span m='44260'>do</span> <span m='44510'>a</span> <span m='44790'>health</span> <span m='45440'>history</span> <span m='46040'>and</span> <span m='46230'>an</span> <span m='46370'>interview.</span> <span m='47480'>I</span> <span m='47660'>ask</span> <span m='48080'>them</span> <span m='48200'>about</span> <span m='48720'>not</span> <span m='48900'>only</span> <span m='49220'>their</span> <span m='49320'>medical</span> <span m='49800'>problems,</span> <span m='50250'>but</span> <span m='50380'>their</span> <span m='50520'>psychosocial</span> <span m='51560'>issues</span> <span m='51990'>at</span> <span m='52100'>home,</span> <span m='52720'>socioeconomic</span> <span m='53040'>issues,</span> <span m='53330'>and</span> <span m='54280'>coordinate</span> <span m='54730'>those.</span> <span m='56120'>For</span> <span m='56230'>example,</span> <span m='56640'>a</span> <span m='56730'>patient</span> <span m='57090'>who</span> <span m='57220'>may</span> <span m='57460'>have</span> <span m='57650'>diabetes</span> <span m='58310'>may</span> <span m='58470'>not</span> <span m='59560'>be</span> <span m='59730'>managing</span> <span m='60065'>their</span> <span m='60400'>insulin</span> <span m='61020'>well.</span> <span m='61530'>So,</span> <span m='61750'>I</span> <span m='61890'>would</span> <span m='62050'>do</span> <span m='62350'>a</span> <span m='63500'>complete</span> <span m='64709'>health</span> <span m='65099'>history</span> <span m='65410'>and</span> <span m='65530'>physical,</span> <span m='66530'>and</span> <span m='66730'>then</span> <span m='67650'>do</span> <span m='67780'>medication</span> <span m='68400'>management,</span> <span m='68920'>bring</span> <span m='69140'>in</span> <span m='69270'>family</span> <span m='69810'>to</span> <span m='69990'>help</span> <span m='70280'>coordinate</span> <span m='70470'>care,</span> <span m='70570'>and</span> <span m='71050'>then</span> <span m='71260'>contact</span> <span m='71515'>the</span> <span m='71770'>physician.</span> <span m='72920'>Then,</span> <span m='73130'>I</span> <span m='73410'>would</span> <span m='73670'>follow</span> <span m='74010'>that</span> <span m='74240'>patient</span> <span m='74700'>for</span> <span m='74890'>a</span> <span m='74940'>period</span> <span m='75320'>of</span> <span m='75450'>time,</span> <span m='75850'>from</span> <span m='76110'>weeks</span> <span m='76390'>to</span> <span m='76670'>months,</span> <span m='77110'>to</span> <span m='77320'>make</span> <span m='77540'>sure</span> <span m='77810'>that</span> <span m='78310'>they're</span> <span m='78820'>doing</span> <span m='79050'>better.</span> <span m='79470'>The</span> <span m='79910'>goal</span> <span m='80366'>is</span> <span m='80822'>to</span> <span m='81278'>keep</span> <span m='81734'>better</span> <span m='82190'>self</span> <span m='82990'>care</span> <span m='83240'>at</span> <span m='83300'>home,</span> <span m='84410'>so</span> <span m='85750'>they</span> <span m='86050'>have</span> <span m='86240'>a</span> <span m='86290'>better</span> <span m='86660'>disease</span> <span m='87410'>outcome,</span> <span m='88290'>as</span> <span m='88510'>well</span> <span m='88790'>as</span> <span m='89000'>less</span> <span m='89330'>hospitalizations.</span> </p><p><span m='90090'>I'm</span> <span m='90380'>a</span> <span m='90670'>registered</span> <span m='91200'>nurse.</span> <span m='91580'>I</span> <span m='91850'>have</span> <span m='92040'>a</span> <span m='92110'>Master's</span> <span m='92590'>in</span> <span m='92690'>Health</span> <span m='92930'>Education</span> <span m='93410'>and</span> <span m='93890'>a</span> <span m='94150'>Bachelor's</span> <span m='94850'>in</span> <span m='95120'>Nursing.</span> <span m='95940'>The</span> <span m='96060'>career</span> <span m='96400'>path,</span> <span m='98620'>when</span> <span m='98850'>I</span> <span m='98920'>first</span> <span m='99250'>graduated</span> <span m='99800'>from</span> <span m='100000'>nursing</span> <span m='100420'>school</span> <span m='100910'>in</span> <span m='101090'>1985,</span> <span m='102250'>I</span> <span m='102290'>worked</span> <span m='102640'>at</span> <span m='102830'>Stanford,</span> <span m='103970'>and</span> <span m='104180'>I</span> <span m='104260'>worked</span> <span m='104590'>in</span> <span m='105790'>acute</span> <span m='107070'>care,</span> <span m='107620'>mainly</span> <span m='108090'>in</span> <span m='108280'>trauma.</span> <span m='109330'>And</span> <span m='109570'>then,</span> <span m='110380'>after</span> <span m='110800'>several</span> <span m='111190'>years,</span> <span m='111560'>I</span> <span m='112690'>worked</span> <span m='113030'>in</span> <span m='113570'>outpatient</span> <span m='114090'>surgery,</span> <span m='114500'>working</span> <span m='114790'>in an</span> <span m='115080'>education</span> <span m='115740'>program</span> <span m='116240'>for</span> <span m='117420'>people</span> <span m='117870'>that were</span> <span m='117960'>having</span> <span m='118260'>surgery.</span> <span m='118630'>I did</span> <span m='119000'>that</span> <span m='119180'>for</span> <span m='119400'>about</span> <span m='119640'>eight</span> <span m='119905'>years.</span> <span m='120850'>Then,</span> <span m='121000'>I</span> <span m='121080'>worked</span> <span m='121390'>in</span> <span m='122860'>nutritional</span> <span m='123500'>research</span> <span m='124080'>for</span> <span m='124250'>several</span> <span m='124650'>years</span> <span m='124925'>at</span> <span m='125200'>the</span> <span m='125310'>Presidio</span> <span m='125775'>for</span> <span m='126240'>the</span> <span m='126820'>USDA.</span> <span m='128060'>I</span> <span m='128699'>had</span> <span m='128970'>a</span> <span m='129110'>career</span> <span m='129430'>change,</span> <span m='129900'>actually</span> <span m='130419'>just</span> <span m='130650'>serendipitously.</span> <span m='131660'>I</span> <span m='132440'>had</span> <span m='132650'>a</span> <span m='132690'>friend</span> <span m='133000'>who</span> <span m='133150'>worked</span> <span m='133440'>in</span> <span m='133500'>home</span> <span m='133790'>health.</span> <span m='134220'>I</span> <span m='134330'>wanted</span> <span m='134650'>to</span> <span m='134700'>be</span> <span m='134850'>in</span> <span m='134960'>the</span> <span m='135050'>community.</span> <span m='136180'>And</span> <span m='137210'>so,</span> <span m='137310'>she</span> <span m='137470'>said</span> <span m='137670'>come</span> <span m='137860'>work</span> <span m='138080'>for</span> <span m='138210'>me,</span> <span m='138480'>and</span> <span m='138940'>I started</span> <span m='139070'>working</span> <span m='139370'>for</span> <span m='139500'>her,</span> <span m='139690'>and</span> <span m='139940'>I've been</span> <span m='140440'>doing it</span> <span m='140540'>for about</span> <span m='140780'>10</span> <span m='140940'>years.</span> </p><p><span m='141490'>I</span> <span m='141600'>didn't</span> <span m='142050'>know</span> <span m='143310'>how</span> <span m='143680'>challenging</span> <span m='144740'>some</span> <span m='145020'>of</span> <span m='145130'>the</span> <span m='145230'>patients</span> <span m='145760'>may</span> <span m='145920'>be</span> <span m='146190'>because</span> <span m='146590'>of</span> <span m='146820'>their</span> <span m='146880'>socioeconomic</span> <span m='148250'>issues.</span> <span m='148950'>Although,</span> <span m='149380'>I</span> <span m='149480'>really love it,</span> <span m='149960'>and</span> <span m='150180'>I</span> <span m='150260'>think</span> <span m='150560'>we</span> <span m='150730'>can</span> <span m='151160'>make a</span> <span m='151590'>huge</span> <span m='152020'>difference,</span> <span m='152630'>not</span> <span m='153125'>only</span> <span m='153750'>in</span> <span m='155200'>providing</span> <span m='155720'>a</span> <span m='155760'>safe</span> <span m='156190'>home environment,</span> <span m='157150'>but</span> <span m='157530'>providing</span> <span m='159650'>coordinated</span> <span m='159970'>medical</span> <span m='160290'>care</span> <span m='162490'>and</span> <span m='162760'>better</span> <span m='163020'>health</span> <span m='163320'>outcomes.</span> </p>","file":{"id":361866,"video_id":"3248651080001","name":"2118-Jeanne-p-RN HomeHealth","duration":164862,"thumbnail_url":null}});