RobCPhT

You can slap a colored sticker over it. Such as common ones found at Staples.

I apologize for not being more informative. I work for an insurance company that has way too many cases. Here is what is happening: To save time the director over the UM department is advising staff members to not run interqual for requests, but to "just wing it". On the documentation that is sent to the department of insurance and to our providers the denials state that Interqual criteria was used, when in fact is was not. This directive was hush hush, and I found a few of these when I was reviewing cases for medication compliance. I asked around a few individualss said they didn't like the idea, but did it anyway. I want to challenge it because its unethical, but I need something to back my case up.

Can someone help me with a "Scenario"? Let's say that a Utilization Management department of a health plan decides to not run Interqual on a breast reduction request and they deny the service, but in the denial they state they used Interqual guidelines when in fact none were used and when Interqual is later checked the surgery actually does meet and should have been approved. Now let's say this trend has been going on quite a bit to "save time". I think it's false documentation. Can anyone provide me with objective information (Interqual policy, regs, etc.) against this practice?

The public doesn't know how much nurses do. They have no idea how clinical and practical nurses are and just how important their job is. From what I have seen CRNA, NP, PA etc. most of these are very close in training with physicians. All have grad programs with a slightly different focus.

Don't badmouth your previous employer; it looks bad. Something to the effect of "I wanted a change in career direction" would be fine. Be honest, but emphasize the positives.

In Ohio there are a few hospitals that will give you an RN certificate and let you take the state boards. It's kind of like an apprenticeship.

You really need to double check those. There are so many ingredients and dynamics involved.

Hah 10mg valium! :chuckle

It's an OSHA reg and often state board reg that health care providers use safety products. Sooooooooo DO NOT USE NON SAFETY NEEDLES!

Honey when you said error I thought maybe you gave the wrong blood pressure pill to someone or something. 1 vicodin tablet is silly! It would be different if a whole box of oxycontin went missing. Just tell them you don't know what happened to it, and have them drug test you. Do you have a union?

You can check pharmacy regs but for something to be generic is has to have the same active ingredients. In LTC we switched all patients to it last month.

I always say make sure you have another lined up if you need the money. If not give a two week notice of resignation and search for another.

Are any of the patients on proton pump inhibitors? If not lying down and acid reflux will cause this. Especially with meds that affect stomach acid. Something like prilosec or prevacaid would help this.

Chamberlain is all online, you do have to travel to St. Lois once a quarter for practical validations, but I think that is as close as it will get. http://www.chamberlain.edu/introducing.html

Try to use passive safety devices. I order BBraun Angiocaths and as soon as you pull them out of the vein it's shielded and can't stick you. At least if you get stuck it will be pre exposure with these devices.