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Search Results Type: Posts; User: jeffsher

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  1. Care coordinator with patient-centered medical home (PCMH)
    Yes, your ambulatory care experience will be invaluable. I worked 5 years in-patient (Peds), and then 17 years Primary Care (Peds, Family Practice, and Internal Med). I currently case management...
    Sep 7, '12
    Forum: General Nursing Discussion
  2. Care coordinator with patient-centered medical home (PCMH)
    I work as a PCMH Case Manager (embedded in a clinic, employed by an insurance company), and our primary duty is disease management of patients with COPD and Heart Failure, although with all of the...
    Sep 7, '12
    Forum: General Nursing Discussion
  3. Does anyone....
    Absolutely. I rarely get out "on time" these days. In fact, this was the week from hell. But I still love my job.
    Sep 7, '11
    Forum: Case Management Nursing
  4. Does anyone....
    Absolutely! I've only been doing it for 7 months now, and it is a lot of work. But work isn't "work" when you love what you do.
    Sep 1, '11
    Forum: Case Management Nursing
  5. Becoming a CM with no experience in CM
    Many times companies will post that they want experience, but that doesn't mean that they ONLY hire those with experience. Ignore the experience requirement and apply anyway. What do you have to...
    Aug 14, '11
    Forum: Case Management Nursing
  6. Cm is a thankless job!
    It's called "entitlement attitude", and it's becoming more and more pervasive.
    Aug 14, '11
    Forum: Case Management Nursing
  7. Obtaining WV RN License
    That's what I was looking for. Thanks!
    Jul 20, '11
    Forum: West Virginia Nursing
  8. Obtaining WV RN License
    Through my job, I may be doing some work in West Virginia via telephone (I'm a RN Case Manager). Does WV have a reciprocal aggreement with PA, or would I have to take the exam? Thanks. ...
    Jul 18, '11
    Forum: West Virginia Nursing
  9. Any nurses who used to be teachers?
    Baubo516, I've been out of commission for a while (surgery and a med problem that landed me in the hospital 3 weeks after the surgery) and missed your April post up until now. Glad everything...
    Jun 7, '11
    Forum: Nursing Career Advice
  10. Telephonic case manager
    I just started as a Telephonic CM back in January. I work for an HMO, and the position was newly created to cover the Medical Home and Community Case Managers in our system (over 100 CMs; there is...
    Jun 5, '11
    Forum: Case Management Nursing
  11. Has Anyone Here Worked in a Coumadin Clinic?
    Just had an inservice on Pradaxa this week. It's not good for those with risk of GI bleed, but it carries lower risk of intracranial hemorrhage. Coumadin has a narrow therapeutic index, which is a...
    Jun 4, '11
    Forum: Cardiac Nursing
  12. Has Anyone Here Worked in a Coumadin Clinic?
    Pradaxa is a direct thrombin inhibitor, while Coumadin/Wafarin prevents the activation of*4 clotting factors that depend on*Vitamin K. No need for monthly labs and frequent dose adjustments as with...
    May 22, '11
    Forum: Cardiac Nursing
  13. Has Anyone Here Worked in a Coumadin Clinic?
    One consideration: how long will coumarin clinics be needed, as the new drug Pradaxa doesn't require lab work?
    May 21, '11
    Forum: Cardiac Nursing
  14. What's the biggest mistake you've ever made as a nurse? What did you learn from it?
    I was giving multiple chemotherapy meds to a 2 year old for her ALL, mixed syringes up, and mistakenly gave a hep flush IM (was supposed to give L-Asparaginase). I was fortunate that I had already...
    May 20, '11
    Forum: General Nursing Discussion
  15. Orientation for new case manager
    I just finished orientation for a CM position after 5 weeks (it was to be 6 weeks, but I was asked if I would mind starting earlier, which I didn't). Personally, I feel that 6 weeks is adequate, as...
    May 15, '11
    Forum: Case Management Nursing
  16. Fecal Disimpaction
    Off topic somewhat, but nonetheless interesting:
    May 12, '11
    Forum: General Nursing Discussion
  17. outpatient mrsa protocol
    MRSA is widespread in the community. In our clinic, we wipe down exam rooms where there has been drainage from a MRSA wound; otherwise, standard precautions.
    Apr 18, '11
    Forum: General Nursing Discussion
  18. What grosses YOU out?
    72 hour stool collection for fecal fat on a patient with cystic fibrosis. Also, I caught a gastroenteritis about 6 months after I finished nursing school. I had been vomiting all night, was...
    Apr 3, '11
    Forum: Nursing Humor / Share Jokes
  19. Doing real CPR as a student.
    As an aside, the "success" rate (meaning the patient eventually left the hospital alive) for CPR is 17% when performed in the hospital, 5% for those with chronic illness(es), and less than 3% in...
    Apr 2, '11
    Forum: General Nursing Student
  20. Best Nursing Salary with the Lowest Cost of Living
    Geisinger Medical Center in Danville PA. Low cost of living, decent salary, and still not a far drive to Philly and NYC. Downside- it's rural (although some may consider it an upside)
    Mar 29, '11
    Forum: General Nursing Discussion
  21. Practice Based Case Management
    Do the physicians "buy in" to case management? That's the first thing that needs to happen. Instead of having the approach of having the patients "change their bad habits", take it one step at a...
    Mar 20, '11
    Forum: Case Management Nursing
  22. What is entry-level RN CM salary in different states?
    Without any clinical experience, I doubt someone would be hired as a CM, as it requires knowledge AND experience in order to be effective in doing the job. In the area of PA where I work, the...
    Mar 20, '11
    Forum: Case Management Nursing
  23. I give in to drug seeking patients
    Press-Ganey is a powerful force!
    Mar 17, '11
    Forum: General Nursing Discussion
  24. I give in to drug seeking patients
    Having worked outpatient for the past 17 years, I can tell you that there is a HUGE market for narcs. We would frequently get anonymous and caller-identified calls about a patient getting his/her...
    Mar 16, '11
    Forum: General Nursing Discussion
  25. Care coordinator vs Case Management
    Hard to say what the difference is, as it varies from company to company. I'm a Case Manager, and am strictly involved in disease management. In my company, the definition you use for Care...
    Mar 12, '11
    Forum: Case Management Nursing