CaseManager1947

CaseManager1947

Psychiatry, Case Management, also OR/OB

Member

  • Content

    245

  • Visitors

    5,758

  • Followers

    0

  • Likes

    3

All Content by CaseManager1947

  1. Toxic Epidermal Necrolysis

    CaseManager1947 replied to CoolHandLu's topic in General Nursing

    Dear CoolHandLu-- Also see or reference Stevens-Johnson Syndrome. It is often seen with Sulfa reactions and also can be seen in Dilantin Toxicity and reactions to Flagyl as well. Skin sloughs, just as...

  2. Studying Strategies

    CaseManager1947 replied to Soonerbred08's topic in Oklahoma Nursing

    Well, sure as the sun came up this morning, you are gonna get a trove of all the right answers!!. In other words, everybody has their own little system, that works well for them. What I did for each...

  3. Nursing Diagnosis Please Help

    CaseManager1947 replied to alegea23's topic in General Students

    alteration in comfort r/t headache manifested by ----- alteration in comfort level r/t photosensitivity manifested by ----- is he immobile?? alteration in vascular system r/t immobility...

  4. Do You take your patients out for smoke breaks?

    CaseManager1947 replied to Meerkat's topic in General Nursing

    Our facility is going totally smoke free October 1st. People cannot even smoke in their vehicles, with windows rolled up in their cars in the parking lot... weeeeellll now. I don't know about that...

  5. Organ Donation and Homosexuals

    CaseManager1947 replied to mysticalwaters1's topic in General Nursing

    I'm no infectious disease expert, I just know that When I went to donate blood, and had been out of the country on a cruise that year, I was told couldn't donate for one full year, due to possible...

  6. nurses vs. doctors

    CaseManager1947 replied to umkcstudent's topic in General Nursing

    Perhaps Nursing as opposed to Medicine ... philosophies of care, training and education as prep for the job, how the professional relationships have changed say in the past 30 or so years. I don't...

  7. Caseloads

    CaseManager1947 replied to Mijourney's topic in Case Management

    In my hospital environment 18-25 is the best option, but I can certainly manage 30, but more than that, and I believe the quality of the service we provide goes down. We do have to do UR, plus see...

  8. My CRNA friends do illegal drugs

    CaseManager1947 replied to DrugReptoNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    First of all to the OP, thanks for bringing up this topic... sure as God made the sun come up this morning, this was important to be on the website. Good for you!!. Hey, DeepZ, I was merely trying...

  9. can you refuse an assignment?

    CaseManager1947 replied to mamason's topic in General Nursing

    This the situation that happened to me: I was working GeroPsych unit, and the census was 19 confused, suicidal, depressed, or psychotic elders. Myself and one other RN were assigned to work that...

  10. My CRNA friends do illegal drugs

    CaseManager1947 replied to DrugReptoNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    I will refer interested individuals to www.Drugabuse.gov/meetings/MDMA/MDMAExSummary.html This is the government's take on MDMA or ectasy. This compound has "dissociative qualities" similar to pot...

  11. Psych RN's, being phased out???

    CaseManager1947 replied to Halinja's topic in Psychiatric

    The whole issue, I believe, stems from several changes 1) de-instutionalization of the chronically mentally ill into the community, which caused a greater need for community based care (hence , ARNP's...

  12. What is the hardest exam you've ever taken?

    CaseManager1947 replied to SoulShine75's topic in General Students

    I h ave three to add to the list: 1.) My advanced pathophys final for my Graduate program... brutal 2.) Graduate Comps... 4 hours on computer awful!!! 3.) final in my Advanced Health Assessment...

  13. I wanted to explain what happened to me...

    CaseManager1947 replied to LoriAlabamaRN's topic in General Nursing

    Oh Lori... this is such a devastating set of circumstances for you. To have spent that time with your family member, then had to go back to work so upset. add fatigue onto an Ambien, lots of...

  14. Share Your Funniest Patient Stories...

    CaseManager1947 replied to Trvln Nurse's topic in Nursing Humor

    Oh I give up, Ihave to add one more from my Geri Psych days. We had this little couple admitted from the community, both demented, wife more so that hubby. Came in on a police hold/pending...

  15. 'Unhealthy' nurses...bad examples?

    CaseManager1947 replied to fifi2323's topic in General Nursing

    Well, the whole purpose for these forums is to get folks talking about nursing and health related issues. Sure as someone broaches a topic that brings out this much comment, is was important to be...

  16. Can someone explain to me..

    CaseManager1947 replied to aruray's topic in First Year After Licensure

    Depending on if your patient is on extended release or ER Depakote, sometimes you can check the the prescriber and pharmacy and offer a liquid dose of the same drug... only thing, if its not ER, they...

  17. 'Unhealthy' nurses...bad examples?

    CaseManager1947 replied to fifi2323's topic in General Nursing

    Yes too, I am Overweight, like several other posters have mentioned. But, my dear, I was thin and much healthier until I developed RA and three level disc disease, whereupon exercise became...

  18. Sad, sad case today

    CaseManager1947 replied to TazziRN's topic in General Nursing

    I am so sorry for your sad experience in your OB dept. Unfortunately, when things go badly in OB, they often do rapidly and outcomes not always good.I will pray for you and your patient and family....

  19. On-line courses UR/CM

    CaseManager1947 replied to KAW1962's topic in Case Management

    Like a lot of other nursing areas, CM struggles what it is and how to define itself. Our standard in my hospital is Master's prepared mursing and SW also. I know other areas do this with Diploma and...

  20. McKesson Job Opportunity

    CaseManager1947 replied to Ms. RN'02's topic in Case Management

    My experience with McKesson product lines is only with their Interqual product (Level of care appropriateness). In other words, do they meet criteria ??? I find this product much easier to navigate...

  21. Case Manager in the ED?

    CaseManager1947 replied to BACKEDUPINTHEED's topic in Case Management

    I'm poster #4 above, and it appears I may be tapped for this new ED position I was talking about earlier. Any pitfalls-barriers-problems with the docs, etc. that cropped up. Just inquiring minds...

  22. Comfortable as a Case Manager

    CaseManager1947 replied to SunnyAZRN's topic in Case Management

    :wink2: This is absolutely the neatest job I have ever had, and I've had a few over the years. Right now, I'm doing hospital-based acute care management, assigned by docs. Our new management...

  23. Surgeons "go ahead" problem ?

    CaseManager1947 replied to OR male nurse's topic in Operating Room

    Again, this is from on Old Or circ/scrub/rouster--- check with your policies include risk management and your sup. staff in such a discussion. In our OR's. patient must be identified by the surgeon....

  24. upset about title

    CaseManager1947 replied to nurse4theplanet's topic in General Nursing

    From my understanding, and remember I graduated a few (!!!??? ha) years back, our licenscing examination is administered by the State, BON grants title of RN, LPN, LVN, ARNP, whatever, after having...

  25. Share Your Funniest Patient Stories...

    CaseManager1947 replied to Trvln Nurse's topic in Nursing Humor

    I have so many ... but the funniest was fromy days in Geriatric Psych. We had this little 86 y/o lady... she had owned a bridal shop. Still dressed to the nines, with her rouge neatly painted in a...