CaseManager1947

CaseManager1947

Psychiatry, Case Management, also OR/OB

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All Content by CaseManager1947

  1. Know it all Nurses

    CaseManager1947 replied to madwife2002's topic in General Nursing

    I would much rather work with a nurse who isn't afraid to ask questions of a peer or seek counsel from another co-worker, than work with one who has no clue. I come from a Diploma program in the...

  2. Case Study

    CaseManager1947 replied to getoverit's topic in General Nursing

    I'm guessing he's in trouble due to the Travasol and reduced kidney function. I suspect he's overloaded. Renal consult ? You don't mention BUN or Cr levels, but I suspect they're up. Aluminum...

  3. Writing a paper on Case Managers, Help

    CaseManager1947 replied to Anne36's topic in Case Management

    Hi- I am an acute case manager, who manages a Level 1 Trauma service line in a large midwestern city. I run an average census of 24-30 patients who come in Level 1 and Level 2 trauma patients, who are...

  4. major error in NICU

    CaseManager1947 replied to ana97abby03's topic in Patient Safety Issues

    In our hospital, all TPN infusions require two nurse sign off, just like narcs, Insulin verification. Most errors like the one you describe do have a "root cause". That is why a root cause analysis is...

  5. Does anyone have any of the books?

    CaseManager1947 replied to adorblepuppy's topic in General Nursing

    oops... i misread your post.... still try the same sources for CODING

  6. Does anyone have any of the books?

    CaseManager1947 replied to adorblepuppy's topic in General Nursing

    try Half.com or even google... oncology books.. you will get a ton of options and sometimes price compare options,

  7. Experience and Degree

    CaseManager1947 replied to jenni82104's topic in Case Management

    I would recommend NP... CRNA won't help you get into CM... you would just do anesthesia, which is also high paying, but high risk. For anesthesia programs here you have to have two years critical...

  8. Home O2 Clarification Needed

    CaseManager1947 replied to lisa41rn's topic in Case Management

    To obtain BiPap or CPap, patient must first have an overnight sleep study in a lab set up to properly monitor, and apply supportive BiPap if pt. is flunking, You do need a gas in Kansas with a...

  9. Discipline or Discrimination

    CaseManager1947 replied to woundnurseq's topic in LTC: Directors, Assistant

    Well.... I bet I can guess the outcome of THAT episode!!! If that person wasn't fired, and the nurse didn't press charges for assault... I wouldn't want to work there, for

  10. Experience and Degree

    CaseManager1947 replied to jenni82104's topic in Case Management

    CM's in our area all have Master's, at least at my hospital we do. I live in the Medwest. I would say, mimimum clinical experience would we 10 years. Med surg, critical care, would be good, although...

  11. Medical coder question.

    CaseManager1947 replied to HONEYDEW1's topic in General Nursing

    You could certainly pursue this, but in my view your skill sets are way overqualified for a Coder position. You might like to check out Mckesson's site, they used to have a qualification called...

  12. Need Help

    CaseManager1947 replied to JinJerEvansRN's topic in Case Management

    First of all... what does your boss say your role is, how is your role defined, job description or delineation. Are they having you doing the UR, insurance reviews initials or concurrents or both?...

  13. Discharge planning question ! Please help!

    CaseManager1947 replied to Keysnurse2008's topic in Case Management

    In our intake assessment we do, we are required to ask if they currently own any equipment, DME, O2 use, and with what agency. If patient can't tell me, I have to ask family. Also, Medicare only...

  14. Acute Care-How do you prioritize your day?

    CaseManager1947 replied to sparkygirl's topic in Case Management

    Sorry that no one has answered your question...First of course, I have to print my list in canopy, then I prioritize my day by who's going home, nh, rehab etc. I finish up those, tweak paperwork,...

  15. Ethical dilema - cancer pain

    CaseManager1947 replied to mlew's topic in General Nursing

    Do you have the option for a Palliative Care Consult at your facility?? We do, and they can be very useful with recommendations on pain control and sx management. Also, what about Hospice. We have an...

  16. What the Heck Moments!

    CaseManager1947 replied to ~Mi Vida Loca~RN's topic in General Nursing

    I don't know if this fits here... but I had to laugh AFTER the procedure, out of the patient's presence. Pt. lying on OR table to get a mediastinoscopy. Dr. comes in, and reassuringly tells pt....

  17. advice needed: preventing escalation with family members.

    CaseManager1947 replied to gentle's topic in General Nursing

    I think the issues mentioned by other posters are excellent... we must adhere to HIPPA guidelines, and require that the caller provide that code word... of course you do get the deal where everybody...

  18. case management certificate

    CaseManager1947 replied to crrn03's topic in Case Management

    There are a variety of certifications out there... CCM (sunzzi mentioned it above) typically applies to all fields of case management, but it heavily stresses Work Comp, rehab, etc. The American Case...

  19. What exactly does a case management nurse do?

    CaseManager1947 replied to TrinaCNA's topic in Case Management

    It depends upon where you are working... CM's work in a variety of locations. Insurance companies, Work Comp, hospitals (acute care), etc. My hospital requires a Master's for us to be CM's. I do...

  20. Discharge planning question ! Please help!

    CaseManager1947 replied to Keysnurse2008's topic in Case Management

    It depends upon the admitting problem... ortho issues, oxygen needs... If it is DME they require, I depend upon the PT/OT notes to tell me what the pt requires.. walker, wheelchair, etc. If its...

  21. No one dies in OR

    CaseManager1947 replied to shock-me-sane's topic in General Nursing

    Perhaps I can shed a little light here... used to be an OR nurse in another life, a loooong time ago; All areas of service, whether it be OR, ICU, amb surgery whatever, where high risk problem prone...

  22. Cheyenne nurses?

    CaseManager1947 replied to SnowymtnRN's topic in General Nursing

    Does anybody know if they have case managemtn/UR dc planners out there??? I'm in kansas, thinking about

  23. Any Wichitans love their job?

    CaseManager1947 replied to fleasle's topic in General Nursing

    I know this is soooo late. but I jiust surfed into your forum... try one of the boutique hospitals or the new one in Amdover. I don't kno where u live, but w/gas prices now off the hook... choose...

  24. CNE's In Person

    CaseManager1947 replied to Leylan2008's topic in General Nursing

    Just a hot tip--> in the back of the KBON newsletter/paper they send out, there are always local area ceus that may be close to u, and provide the content. Check it out next

  25. What was the WORST thing a patient has been brought to ER for?

    CaseManager1947 replied to SteveNNP's topic in Emergency

    Our trauma chief always sez these are not "accidents" they are the results of the obvious.... poor judgement, mistakes in judgement, some fool with more drugs than good sense... thus its never a...