trudlebug

trudlebug has 14 years experience and specializes in Utilization Review/Case Management.

Latest Activity

1. Looking for some advice before making a mistake.

   trudlebug replied to italianlifter's topic in General Nursing

   If you want to look at the Military option: They will pay tuition/student loans for physicians, nurses, and other healthcare jobs. I don't know the service obligations, but many people do this. I know they did have a program where you enlisted as ROT...

2. What is the most nightmarish medical bill you ever saw and how did it get payed?

   trudlebug replied to Alnitak7's topic in Activism

   I work in Utilization Review on the insurance plan side. I have seen bills over one million dollars for many NICU babies. I think the highest one was almost 6 million. Frequently I see bills that are well over $100,000. My company figures the "av...

3. An Open Letter for Patients in America's Healthcare System

   trudlebug posted a topic in Activism

   An Open Letter for Patients in America's Healthcare System With the Affordable Care Act causing so many changes and questions in healthcare, more people are asking questions about what it means to them. Many people do not know how insurance plans de...

4. Roll Call Graduation May 2013

   trudlebug replied to EmJeanRN's topic in Ohio University

   Hi fellow OU grads of 2013! I see no more red on my DARS either :) We did it!

5. CIWA woes

   trudlebug replied to Indy's topic in Addictions

   CIWA - What does CIWA stand for? Acronyms and abbreviations by ...acronyms.thefreedictionary.com/CIWA Acronym, Definition. CIWA, Clinical Institute Withdrawal Assessment.

6. ED to Hospice

   trudlebug replied to UpinawayRN's topic in Hospice

   I left the ED just over a year ago and am now working as a home hospice case manager for the same reasons you listed in your post (OP). I got tired of doing "everything" for those who you know were dying. It seemed like torture sometimes. And as a bo...

7. Hospice nursing...reality check....

   trudlebug replied to gorgenurse's topic in Hospice

   Is this a RN/case management position, or possibly a "float nurse" type of position? We have both, and as far as case management, well the schedule is not usually quite that flexible. But we have a few full time "team nurses" that do not carry a cas...

8. Nurses who are also Veterinary Techs

   trudlebug replied to Guest717236's topic in General Nursing

   I was a vet tech - started in the kennels and worked all positions, ending up as a full time surgical tech. I loved it, but as a PP said, the cost of living made me look elsewhere. (also, I had a tendancy to bring my work home, which began to crowd...

9. To the Experienced Nurse

   trudlebug replied to Katie5's topic in General Nursing

   italics are mine.... I remember saying the same thing when I started my new job. I told my manager exactly "I don't know what I don't know"! Then comes the Ahhh...moment: now I "know" what I don't know....that's when the learning really starts

10. To the Experienced Nurse

    trudlebug replied to Katie5's topic in General Nursing

    com-pas-sion    /kəmˈpæʃən/ Show Spelled[kuhm-pash-uhn] Show IPA –noun 1. a feeling of deep sympathy and sorrow for another who is stricken by misfortune, accompanied by a strong desire to alleviate the suffering. em-pa-thy    /ˈɛmpəθi/ ...

11. A comic going to the ER

    trudlebug replied to loricatus's topic in Emergency

    OMG - I think I heard them at work today (out moaning each other :roll) I don't often laugh out loud when I'm watching these alone, but this one got me!

12. This was a question on our test today. What do you think the answer is?

    trudlebug replied to JDotHamp's topic in General Students

    Isn't that a way of reorienting the patient? Albeit, only the immediate "now" is being addressed. That is probably all an end stage dementia patient can handle anyway. But it still can be a form of reorienting, without the terrible detail that he is ...

13. This was a question on our test today. What do you think the answer is?

    trudlebug replied to JDotHamp's topic in General Students

    good advice, worth repeating

14. This was a question on our test today. What do you think the answer is?

    trudlebug replied to JDotHamp's topic in General Students

    Yes (see my other post)

15. This was a question on our test today. What do you think the answer is?

    trudlebug replied to JDotHamp's topic in General Students

    was this for a psych class? if so, then they definitely would want you to try to re-orient the patient (sorry, client:icon_roll). in the world of nursing school, the only possible answer is d, but in the real world, both a and d are "wrong", because...