SummerGarden

SummerGarden BSN, MSN, RN

ED, ICU, MS/MT, PCU, CM, House Sup, Frontline mgr

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All Content by SummerGarden

  1. new case manager

    SummerGarden replied to snngregory's topic in Case Management

    OP: There are emergency funds that support patient with no insurance and show up to your emergency room. You can discuss this further with your financial/billing staff, your department heads, and/or...

  2. interviewing for UR position

    SummerGarden replied to mnbrn's topic in Case Management

    OP: I agree with Paul B. In fact, I have worked in a few hospital systems that have lay-offs of bedside nurses and nurses in other roles, but they did not touch the case management departments to...

  3. New WC CM Nurse

    SummerGarden replied to cubrnjvm's topic in Case Management

    Yes, OP, you will be doing home visits. Do not be fooled by your potential employers. Once you get to know your clients well, the home visits may drop significantly, but they do not necessarily go...

  4. New WC CM Nurse

    SummerGarden replied to cubrnjvm's topic in Case Management

    OP: You’re NOT a good fit for the patients that need your help in this position. You are better off working away from poor people and people that have caregivers that live in poverty… In fact,...

  5. Help, I'm in over my head!

    SummerGarden replied to doinitall's topic in Case Management

    To answer your other question, yes we are obligated to talk to families regarding such matters although it sounds less clinical and more social. The reason being, this situation is very clinical....

  6. What is the difference between the hospital CM and SW?

    SummerGarden replied to Stripes311's topic in Case Management

    Are you salaried? If so, yes it is the norm to work 12 hour days 5 days a week and not get paid OT, but it is NOT legal. In fact, there are class action law suits of recent that, if I were you, I...

  7. 2 rn's both bsn, ond nearly NP fin leave bp high

    SummerGarden replied to the nites's topic in Patient, Colleague Relations

    OP: I am a former ADN nurse. I went back to school for the very reasons posted above; recruiters were not interested in me in descent paying parts of this country because they only hired BSNs. If...

  8. Case Management Scenario Questions

    SummerGarden replied to SPJJMommy's topic in Case Management

    Neither question makes any sense. Is it possible you have misworded them? Well, maybe number 1 makes some sense...??? Is it possible you were meaning to write that the patient has only industrial...

  9. M.Div. considering BSN

    SummerGarden replied to Kellymp's topic in Spirituality, Religion

    Nope, no 100% guarantees in nursing for anyone. In fact, I know of a nurse who had an MS in Theology prior to nursing. She did not get any preferential treatment and had a hard time (like everyone)...

  10. When a supervisor forbids you

    SummerGarden replied to I<3H2O's topic in Nurse Management

    OR does your facility have a compliance hotline? If so, report him/her. My facility prefers us to go to our boss's head person first, unless we know that he/she is also in support of the unethical...

  11. AMA Discharges

    SummerGarden replied to SerenityKris's topic in Case Management

    I have worked in multiple hospitals and with the exception of a few physicians, all of my Attendings (even when I worked bedside) offered discharge instructions and discussed consequences of the...

  12. 3-12s days or 8-4 m-f (3 little boys at home)

    SummerGarden replied to M610's topic in Nursing Career

    3 12s. I worked that and I was very happy... Sadly, hospitals are moving to 4 and 5

  13. 1st time 3rd shifter needs advice

    SummerGarden replied to jessica8302's topic in General Nursing

    I love working the "Third Shift", aka NOCs, aka the Night Shift! A big part of the reason I became a nurse is because of the existence of night shift. It is perfect for spending time with family,...

  14. AMA Discharges

    SummerGarden replied to SerenityKris's topic in Case Management

    Good for you! When I was a new CM I had my first AMA and it was on a cardiac step-down unit. The patient refused a stent and wanted to go home. I was fortunate that the Cardiologist on the case...

  15. New to management!

    SummerGarden replied to MizChelleRN's topic in Nurse Management

    I am happy for you, MizChelleRN! Congrats and good luck! Thank you for updating us!

  16. Open up....Spoonfed report

    SummerGarden replied to ICURN3020's topic in Patient, Colleague Relations

    I am not reading into the post... I just do not like the fact that she was posted on an accucheck machine. It was very disrespectful and unprofessional. In fact, a few Housewives of NYC and OC have...

  17. Learning Interqual

    SummerGarden replied to CABG patch kid's topic in Case Management

    No Freefalling, I was not implying false documentation. Actually a newbie mistake is the mindset (not implying stupidly either) that he/she has to make a person meet criteria or he/she is a bad nurse...

  18. Learning Interqual

    SummerGarden replied to CABG patch kid's topic in Case Management

    The first and most important thing to understand about Interqual is that it is NOT your job to make patients meet criteria. So DO NOT look around for the right diagnosis and treatment to make the...

  19. MSN in Nursing Informatics vs Nursing Leadership and Healthcare Administration

    SummerGarden replied to Nurse Blondie's topic in Nursing Informatics

    This is not what a counselor will tell you but it is true...: Degrees do not get/land people jobs. People do! It is about you and who you know. In other words, you must be the type of person...

  20. Open up....Spoonfed report

    SummerGarden replied to ICURN3020's topic in Patient, Colleague Relations

    Sweet Brown has nothing to do with the phrase either... It is urban slang has been around for quite some time... The phrase has even gone mainstream some time ago, but for some reason, and oddly, is...

  21. Falsification of medical records

    SummerGarden replied to psunsg1975's topic in Case Management

    OP: If you are their manager, you may need to think a little differently. First and foremost make sure to approach this entire situation positively because these are your own people. Maybe there is...

  22. Do salaries vary widely???

    SummerGarden replied to luv2dive's topic in Case Management

    In Case Management no one cares how many years you had by bedside or in another specialty because 35 years of your work experience as a nurse will not necessarily translate to you being a good Case...

  23. Interview for UR position

    SummerGarden replied to newbowen's topic in Case Management

    :) Yes... we want to know.

  24. Interqual and/or Milliman training for individuals

    SummerGarden replied to nikkicb2004's topic in Case Management

    So this might be the wrong website all together. McKesson gives classes. Although I have taken courses through my employer I have co-workers who took additional classes at his/her own expense, which...

  25. Interqual and/or Milliman training for individuals

    SummerGarden replied to nikkicb2004's topic in Case Management

    Part of being a case manager is the fact that you have to dig/investigate sometimes. Some resources are not very clear. This includes the McKesson website for some reason. For instance, I used the...