clhankin67

clhankin67 has 18 years experience and specializes in Tele, Med/Surg, Case Mgmt, Ins. Rev.

Latest Activity

1. Thinking of leaving bedside nursing due increasing documentation, short staffing, etc

   clhankin67 replied to JordanRose's topic in General Nursing

   I left hospital nursing out of frustration of being pulled from the bedside with all of the bright ideas everyone came up with. Additional forms, more frequent computer charting, with computers only at the desk available, nothing near the patient r...

2. What is wrong (if any)with this picture?

   clhankin67 replied to tokmom's topic in General Nursing

   I always ran the Lipids primary thru pump into central line port. The Lipids ran on a seperate pump, but was piggybacked into the Lipids at the final port that was proximal to the patient, but distal to the filter. I used silk tape and clearly labl...

3. Medicare Observation vs Inpatient

   clhankin67 replied to lisa41rn's topic in Case Management

   I am a manager for a Managed Care Company. Per the Medicare Benefit Policy Manual, Chaper 6, Section 20.6, Outpatient Observation Services Effective 07/01/09 : "Observation care is a well-defined set of specific, clinically appropriate services, whi...

4. LVNs training RNs???

   clhankin67 replied to JStollRN's topic in General Nursing

   You are truly in a difficult situation. I agree that Standards of Care should be universal, and I find this LVN's appalling. I was an LPN for many years before becoming an RN. I took every CE opp that presented itself, knew all of the Unit and Fac...

5. Fired because they "can't afford me"...now what?

   clhankin67 replied to AngelfireRN's topic in General Nursing

   Sorry to hear that. Having been blind sided myself in the past I can understand how you are feeling. I agree with the filing of unemployment and clarifying your severence pay and benefits. I also recommend networking, post your resume on Monster, ...

6. Suggestions needed for New Nurse and MD Rounds

   clhankin67 posted a topic in Case Management

   I am a manager for a Medicare HMO. I have 20 Nurses that are direct reports and they perform daily onsite reviews at hospitals and Skilled Nursing Facilities. They gather clinical and psychosocial information on the member's, and then give a brief ...

7. Utilization Review vs Case Management

   clhankin67 replied to Katria's topic in Case Management

   I am a Manager at a Medicare Advantage plan and we have transitioned all of our Field Nursing Staff from UR Nurses to Case Managers as we wanted them to view the members Holistically and not just view them as IQ, MR, or CMS criteria.

8. What a blow to my ego

   clhankin67 replied to letitbe_lindsay's topic in General Students

   I want to applaud the "stare" technique. I have used it myself for most of my career. It is useful not only with obnoxious fellow nurses, but with rude physicians, patient family members, etc. Now I don't recommend the Jack Nicholson from The Shin...

9. Applying for UR or Case Management Position... Need help!!!

   clhankin67 replied to Katria's topic in Case Management

   As a Regional Inpatient Manager who is currently reading dozens of resumes at the moment I confess that I tend to skim for key words and phrases. Bullet points make the resume too long. I want to look at one page, brief synopsis of each position, an...

10. What is the best unit to start on in Cardiac Nursing ???

    clhankin67 replied to Suzenna's topic in Cardiac

    I started fresh out of nursing school in a Tele/Med/Surg unit and know it was the best thing for me. I was able to get the basics, as well as Cardiac and Pulmonary. You sometimes have patients that are acutely ill, but there are no unit beds availa...

11. Medical coding and being a nurse

    clhankin67 replied to gabrielle76's topic in General Nursing

    Coding is very important if you are wanting to transition into UR, billing, and certain other positions. I would recommend a classroom coding class if you are unfamiliar with coding. Good luck.

12. Any Excelsior ADN Nursing Grads out there??

    clhankin67 replied to LisaMB1978's topic in General Nursing

    I was an LPN for 16 years. I had 3 general Ed courses and 5 nursing courses. It took about 2 years including clinicals and boards, but I really had to focus.

13. Any Excelsior ADN Nursing Grads out there??

    clhankin67 replied to LisaMB1978's topic in General Nursing

    I graduated this past year. It allowed me to be promoted to a management position within only a few months. I would recommend this program if you are disciplined, focused, and a self learner. I found many useful links here, and by googling on the Int...

14. How do LVN's train to become Case Managers?

    clhankin67 replied to nursekimmi's topic in Case Management

    I became a Case Manager in a smaller hospital while an LPN. I also went on to work at 3 seperate insurance companies as an LPN. I applied for positions that required an RN Licensure, but allowed my experience to speak for itself. I am now an RN an...

15. EC students: no more Pennsylvania CPNE sites

    clhankin67 replied to Lunah's topic in Online Learning

    How sad, the staff at York were awesome!