moffist

Latest Activity

1. CGFNS and problems obtaining a US license

   moffist posted a topic in Registration

   I am wondering if any other Foreign nurses have had this problem. I was educated in the UK in the early 1980's and am unable to get transcripts as my Nursing School shut down and did not keep any records. I went through the CGFNS process, who did man...

2. New Telecommute Case Manager

   moffist replied to moffist's topic in Case Management

   I am working for HMA a TPA. Yes still in the honeymoon phase but never enjoyed hospital case management this much OR felt so supported!!

3. New Telecommute Case Manager

   moffist replied to moffist's topic in Case Management

   I have now completed 3weeks in my new job. I am very excited with my prospects of tele work. I now know I just need a room with a door that closes (does not need to be locked). Great company who are working hard to make sure I succeed in this role. D...

4. New Telecommute Case Manager

   moffist posted a topic in Case Management

   I have been in Case Management in the hospital for 5 years. Just took a job as a Telecommute RNCM. I will be training for 6 months in house. Can anyone tell me a typical day for a RNCM working for insurers. Also, when they say you have to have a dedi...

5. Ordering DME in the ED

   moffist replied to moffist's topic in Case Management

   First this was a chronic condition. Secondly her pain was controlled by po meds. She needed the speciality bed because she was unable to get out of an ordinary bed easily. MD decided HH then OP PT was all she needed. There is no such thing as a 23 ...

6. Ordering DME in the ED

   moffist replied to moffist's topic in Case Management

   Lol yes I meant busy!!! I am a Case Manager. These are patients that do not meet criteria to admit!!! 23c Obs not appropriate

7. Ordering DME in the ED

   moffist replied to moffist's topic in Case Management

   We were discharging to an ALF but patient was unable to get in and out of a normal bed. Needed a hospital bed temporarily. For a safe discharge we needed to order a bed to be at the ALF before the patient arrived. BUT with the new CMS rules I had to ...

8. Ordering DME in the ED

   moffist posted a topic in Case Management

   Our hospital is piloting having RN case managers in the ED. Yesterday for the first time I had to order a hospital bed and wheelchair for a Medicare patient. This was an unbelievably difficult procedure ending in failure. There MUST be a better way t...

9. Nursing procedures and protocols

   moffist posted a topic in General Nursing

   I work in a very small hospital and we are trying to improve our nursing procedures. Lippincott Nursing procedures and protocols (book and online) have been suggested for us. BEFORE we make that investment I wondered if anyone uses this on their floo...

10. DOH visit

    moffist replied to moffist's topic in Washington

    Thanks Diane. It is just a general inspection. So sounds kind of like Joint Commission visit. Not been involved in either but I appreciate your reply!!

11. DOH visit

    moffist posted a topic in Washington

    This will be the first time I have worked when there is a DOH visit. What should I know?

12. Heparin drips

    moffist replied to moffist's topic in General Nursing

    Absolutely and that is what I did. Followed the dr order and drew the blood anyway!!! Great replies everybody and thanks!!!

13. Heparin drips

    moffist replied to moffist's topic in General Nursing

    Well I'm grateful for all the replies. I guess if hospitalmpolicy says DO NOT DRAW COAGS then I have no choice but to follow it. It may be outdated but that is the hospital policy. I will talk with our educator about this policy. Also is hospital po...

14. Heparin drips

    moffist replied to moffist's topic in General Nursing

    I did the draw. adjusted the heparin drip as per nomagram. Pt was gradually going unconscious and dr wasn't sure why. I haven't been back yet to see the outcome!!! I realise heparin is compatable with other drugs but with an overdue PTT, a heparin dr...

15. Heparin drips

    moffist replied to moffist's topic in General Nursing

    Not all PICCS are flushed with heparin. My last hospital policy was NOT to flush with heparin but to put to saline lock!!! NEVER drew coags if heparin was used. Skews the results they claimed!!!