CaseManager1947

CaseManager1947

Psychiatry, Case Management, also OR/OB

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All Content by CaseManager1947

  1. Lawsuit Threats from Family Members

    CaseManager1947 replied to TheCommuter's topic in Geriatric, LTC

    I think to some degree the context in which these events have occurred/are occurring is what is missing. Has there been a sentinal event that has occurred that might merit litigation?? (Sexual act by...

  2. any one here ever have any experience with this...(peds)

    CaseManager1947 replied to KellieNurse06's topic in General Nursing

    Just from what you tell in your posting, it is obvious that docs are looking in the blood stream, the likely 1st culprit, but by far not the only one. Is she on abx that work with what is cultured...

  3. payment before care of nonemergent pts

    CaseManager1947 replied to ern91's topic in Emergency

    What we were trying to avoid was scenario #4--the walkouts. ED was losing tons of dough, bottom line in a hemorrage state, ya see. So changes were made, and I feel it's better, not perfect yet, but we...

  4. med reconciliation in the ED

    CaseManager1947 replied to ern91's topic in Emergency

    Our hospital is not online with computer charting yet, we go live here in a month or so. Right now, we have a Med Rec form that has spaces for about 20 meds, whether the doc wants them continued,...

  5. Advancing in Nursing

    CaseManager1947 replied to Hartz's topic in General Nursing

    I agree with llg... the beauty of nursing is that you can specialize in just about any field that you enjoy. I work with students a lot in my hospital case management job, and encourage them to find...

  6. Stuff Patients Have Smuggled onto the Psych Unit...

    CaseManager1947 replied to Meerkat's topic in General Nursing

    I guess my two faves are 1.) a home made marijuana pipe constructed of aluminium foil, found it on the intake search in a sleeve lining along with his stash of pot. and 2.) an ice cold tall boy. I was...

  7. payment before care of nonemergent pts

    CaseManager1947 replied to ern91's topic in Emergency

    We don't handle it that way, but do try to collect any co-pays after treatment. When I was seen in the ED lately, the did do the triage, I was seen by the NP and MD, given my go-home instructions and...

  8. RN's w/chronic pain, using narcotics

    CaseManager1947 replied to SRbear's topic in Pain Management

    I have struggled with chronic back pain (3 level disc degeneration) for over 6 years. After many bouts with PT, epidurals and trigger injections (which helped temporarily), I am now down to opioids....

  9. Stupid People Award

    CaseManager1947 replied to ER-RN2's topic in Emergency

    Having worked in the OR in a previous life, my best story is about the fella who came in with a carrot in his rectum... he fell on it in the garden!!?? Only obvious problem with that is carrots grow...

  10. Let's play I Remember When.....

    CaseManager1947 replied to RNSue's topic in General Nursing

    I remember... glass syringes, they came in these metal containers that they were sterilized in... i also remember gastric suction using a wangensteen set -up, whata mess. i also remember rotating...

  11. Would appreciate some opinions on pain management

    CaseManager1947 replied to kk2000's topic in Pain Management

    I agree with others postings here, yes pain is what the patient says it is... but lots of people don't believe you!!! I too am a chronic pain sufferer. and am just beginning (after 6.5 years) to take...

  12. Dealing with a patient who verbally threatens you

    CaseManager1947 replied to Trauma_Team_1's topic in General Nursing

    You absolutely acted correctly-- no one deserves to be treated with abuse. I'm sure that you weren't the only phlebotomost in the house that night. Right

  13. C-diff

    CaseManager1947 replied to Inquisitive one's topic in Geriatric, LTC

    I am a nurse who also happens to have RA -- I take Remicade for my arthritis, and recently got a severe URI, and was put on some new broad spectrum, and you guessed it... got C Diff. I gotta tell you...

  14. What medical shows do you watch?

    CaseManager1947 replied to shellsgogreen's topic in General Students

    I can't seem to get thru the week without my episode of House. Also, trauma life in er and medical maverick... just about all the shows on discovery health, like others have

  15. I have finally had it-I'm giving up

    CaseManager1947 replied to ER-RN2's topic in Pain Management

    I know I'm probably late to post on this forum, but as a chronic pain sufferer, I want to put in my 2 cents. I have been a nurse 36 years, and for the past 6 of those years I have been in constant...

  16. Want to become A NP but have to Go the BSN route!

    CaseManager1947 replied to dmoorer76's topic in Pre-Nursing Students

    Advanced Practice is exactly what the name implies-- practice that is advanced beyond that which qualifies one to be a nurse. However, initials are only that --alphabet soup without the experience...

  17. Np in America

    CaseManager1947 replied to seraph's topic in Nurse Practitioners, NP

    seraph-- welcome to all nurses-- these are great forums to learn new things and share the old with our peers from around the globe. In this country. each state his different laws and regs on NP...

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

    CaseManager1947 replied to SteveNNP's topic in Emergency

    Hi all-- I have so many, I worked in ER as a Nurse Tech (back in the days when that was allowed) 1967, actually. 1.) We got this gentleman in from a service station in small town Ks. somewhere. He...

  19. sprchpmnk LPN

    CaseManager1947 replied to sprchpmnk's topic in General Nursing

    I do know that this pra ctice is frowned upon by JCAHO and state reviewers as well. A nurse got dinged and the facility received a type 1 error whe narcs were found pulled in advance. That may be...

  20. My Hands Are A Mess! Which Lotion?

    CaseManager1947 replied to SkateBetty's topic in General Nursing

    What I use is Bath and Body works, "lay it on thick" it comes from their spa line in a blue tube,,, this is the best, I get those little gloves (wal-mart has them. after your shower or bathm rub...

  21. What's Your Best Nursing Ghost Story?

    CaseManager1947 replied to steffck's topic in General Nursing

    I know this story second hand from a nurse colleague of mine-- her brother-in-law had had a long course of treatment for melanoma. He was in the hospital, still getting intraperitoneal chemo, etc.,...

  22. New Grad-RN Just got hired into OR

    CaseManager1947 replied to IsseyM's topic in Operating Room

    Hello - congratulations upon your achievements of graduation, the NCLEX, and now finding a position you wanted in the OR. I worked OR for almost 20 years, and I loved it--absolutely lovedit.... after...

  23. ethical problem... need opinions

    CaseManager1947 replied to txspadequeenRN's topic in Geriatric, LTC

    This case touches upon several issues with respect to self-determination and right to choose. 1) Just because someone has a DPOA for Health Care, does not mean or require that person to make decisions...

  24. Geriatric Nail Care

    CaseManager1947 replied to tinkle's topic in Geriatric, LTC

    Some of the things you need to think about before launching into this as a career path are the following: 1) are you going to try to bill insurance?? or 2) expect payment directly?? 3.) I know that...

  25. Case Manager in the ED?

    CaseManager1947 replied to BACKEDUPINTHEED's topic in Case Management

    This is becoming a trend nationwide to have CM's in the ED. The rationale for such positions is to help ensure that those admitted meet criteria, thus reducing inappropriate admits, verify insurance...