The interprofessional treatment team for a homebound patient with a history of medication nonadherence suggests that the nurse case manager make daily home visits to administer medications to the patient. In which way should the case manager respond?

Question

1. "My job description does not include medication administration to patients in the home."
2. "My time is better spent supervising others who provide this type of direct care."
3. "My daily schedule is too full to commit this amount of time to administering medications."
4. "My role as case manager is to organize and coordinate care, not to provide direct patient care."

Answer 1

4. "My role as case manager is to organize and coordinate care, not to provide direct patient care."

Explanation:
The nurse case manager's role is to remain objective and marshal resources, organizing and coordinating care. When pulled into delivering the care, the case manager loses perspective and may find important issues clouded. Stating that the case manager is too busy, too important, or that it is not in the job description does not communicate the importance of the case manager's role and its unique contribution to the care team.