CaseManager1947

CaseManager1947

Psychiatry, Case Management, also OR/OB

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All Content by CaseManager1947

  1. sepsis/mrsa

    Patients become septic, or develop sepsis to be more accurate, due to bacterial, fungal or parasitic infection(malaria) within the blood stream. For obvious reasons our blood is a perfect culture...
  2. Interqual?

    I really liked lawrence1rice's succint reply to the question posed. It's so good I'm gonna steal it. (thanks in advance). Interqual is an evidence-based methodology of determination of medical...
  3. Think I am in trouble, maybe fired

    You didn't say in your post if in your small town, there might be other options open to you... have you checked the current ads, or inquired of any other nursing friends what might be out there??? You...
  4. Case Management Qualifications

    I am a case manager in a midwestern health system. I have been doing hospital based case management/discharge planning for about 11 years. Our hospital requires Master's preparation for our...
  5. Would you put your family member in a LTC facility?

    As a Case Manager I assist not only with placement of clients but oversee hospitalized NH patients and coordinate returns to NH's. My mother had siginicant dementia, likely vascular type, and was not...
  6. New here, need advice

    I too have been lurking in the rooms, and interested in becoming an LNC. I did lots of research on this before deciding on my course of action. The AALNC and ABA both linked me to an online distance...
  7. opiate withdrawal

    Also add goose flesh, dilated pupils, and runny nose... just think of the flu on
  8. Hope this helps: your hemogram is angled lines to the left followed by straight line across and angles lines to the right (wish I had a word program here) on the left of the diagram is your wbc on top...
  9. nurse & dr affair, what should I do?

    What goes around comes
  10. Nursing home or not?

    For a gentleman of his age, who is alert and well able to participate in therapies I would rec. rehab, you mentioned he is covered by champus... has your case manager explored that avenue, or do u all...
  11. Is this area right for me?

    My response to the above posts would be this... You are both new to nursing and to this particular area of nursing where you are employed. I've been doin' this thing they call nursing for 38 years....
  12. Calling In Scripts

    The way I do it, and I am a Mid-Level Practitioner at our hospital... dr gives a written order for dismissal -- dc pt to home.... continue the following medications, doses written duration etc. Don't...
  13. Calling In Scripts

    I work in hospital based case management, and most of the docs I work with are pretty good at writing scripts. Some are not. what you do have to watch for, though, is the attending writing rx for pt....
  14. What have other nurses done that have freaked you out?

    I've posted this before, some other thread I think... pt. with double-lumen dialysis catheter in place... spikes temp, chills. Nurse calls dr. for tylenol order (he has a temp. ya see), dr. orders...
  15. Nursing home or not?

    This is a discharge planner's dream question--- first of all, how old is your dad, is he mentally alert, able to cooperate with therapies??? Secondly, his doc will order PT/OT after his procedure, and...
  16. Illegal Alien- frustrated!

    I agree with all the posters here, however with a caveat. As a hospital-based case manager, we see many undocumented aliens who not only milk the system after they come here, but deliberately come...
  17. What's your job like?

    we are required to do an assessment, not a complete physical assessment, but a needs assessment, support systems, payor source (or lack thereof); Sometimes I can't believe these gals have a license,...
  18. Is 26 too old to go back to school?

    From all us grandmothers out there... I may have a little gray on top, but there's still grey matter in there. HA HA Morghan ARNP (older than
  19. What have other nurses done that have freaked you out?

    I'm working Psych, and we had a youngish fellow who had accidentally blown his renals with Lithium and had a central line double lumen dialysis catheter. Evening nurse dutifully indicates the pt. had...
  20. Is 26 too old to go back to school?

    Uh ....NO!!! Diploma --1968 BSN -- 2000 age 53 MSN -- age 57 You
  21. Terms we will not admit to using

    Cerebral proctalgia--head where it doesn't belong cerebral flyby -- everything goes right over his/her
  22. What's your job like?

    Gee, looks like nobody has replied to your post... so here goes. My first order of the day, is to print off who has come in that is on my assigned list. We are assigned by doc right now. I then...
  23. Amazing end of life story!

    What an amazing story... thanks for sharing that with us. It is great to know that my peers in this profession get
  24. Toxic Epidermal Necrolysis

    Celebrex
  25. I just got my new copy of People magazine today, and there is an article there regarding a new HBO documentary that will air November 14th (ET) 9:00pm about individuals suffering from severe forms of...