edgwow

edgwow

Case Managemnt, Utilization Review

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  1. P.S. to my above post The only reason I ever stay late, past my 81/2 hrs is discharge planning problems, average I stay is about 10 hrs a week, no OT of course and after a pt is discharged the family...
  2. The hospital DCP not only deals with the annoying pt and family, but at my hospital, all the pts think they are "entitled" to free things or services covered by insurance. This is rarely the case. I...
  3. Need info on IV INFUSION THERAPY

    There is a list of providers that discharge planners use in the area, you can google them, some are Coram Optioncare Penn Home Infusion Therapy Home Solutions You can also ask the hospitals if they...
  4. How do you bill for "discharge supplies"?

    I do not believe that you can bill that way. You need to send them home with the supply they need until they get their supplies delivered. There is a company in Ohio called EdgePark Medical supply,...
  5. Case Management paper

    Please share the name of the South Jersey Med team that sees pts on WED as I serve South Jersey as part of my pt base and would like to pass along the
  6. Case Management paper

    I work in a large tertiary medical facility with greater than 5,000 beds. We have a very large uninsured population. This is what the case manager is respponsible for in my specific facility. The case...
  7. Utilization Management

    Where I work, we are case mgmt, utilization review, transitions in care coordinator, community referral outsourcers, - and discharge planning- we do it
  8. You are right thare will be a huge paycut, be careful to make sure you can really budget that , though the hours would be far more attractive. Are you the only case manager? On call how often? On call...
  9. How does your facility hospitals specifically cover days off? I work at a large medical center and the hospital has mostly medical floors and mostly surgical floors. We are discharge planners, case...
  10. Doctor title, Nurse title

    I work at a large medical center, the attendings, residents,interns and med students call me by my first name and I call them by their first names unless in front of a pt. Great team
  11. leaving bedside nursing

    When I left bedside, I was still able to have contact with some patients. I was warned from the get go that it would take about a year to really get the hang of it. That has so far been the case, been...
  12. There are other places to start in Philadelphia if you can not find a hospital position, I recommend Bayada nurses. They have a great pediatric and adult orientation with trachs and vents. You can...
  13. Nursing Student Interested in CM

    Case management is a job for experienced nurses that have seen and done a lot in the hospital and are tired of the backbreaking work. You need good clinical skill experience medical surgical is...
  14. Is it possible to get a job at CHOP?

    Don't forget to apply at Children's Seashore House, right behind CHOP> they do peds rehab staus post trauma, spinal cord, cva, trach, vent, feeding difficulty, locked brain injury, I loved that...
  15. Case Manager doing Utilization Management

    I do admission interquals and reviews, weekly medicare for the difficult placements and those awaiting nursing home grants for LTC or those without insurance that can not have a safe discharge , since...
  16. Interqual?

    Hey, Thanks I am going to print this up and post it on my bulletin board in front of my workstation. I didn't admit them, and I just go by the criteria. If you read my post further down, I am...
  17. Interqual?

    Interqual on a medical floor is like fitting a square peg in a round hole, especially a transplant workup patient. You can not control when it "just doesn't meet". I gaurentee you that it is always...
  18. Camp Nurses, I need some help

    Hello to all, I am in my senior yr as an RN_BSN student. I am working on a project and would like everyones input. I have done more than my share of research on this and have viewed 100's of articles,...
  19. Allergy shots at camp, should we give them?

    You must be able to deal witha reaction if 1 occurs. Most camps are not equipped with oxygen and epipens, and have a lomger wait time for EMS. I would say , SORRY, I am not eqiped if there is an...
  20. Camp Nurses - can you use students?

    Some camps will use a student in the capacity as an assistant to the nurse, to clean up scapes and clean the nurses office. Sometimes they want an asssistant because then there is 2 staff with a...
  21. I take care of trach and vents in home care, a rinse between tracheal suctioning and oral suctioning is what I have done for many years. I see no problem as long as the catheter is rinsed
  22. Any advice on dealing with homesickness?

    Did 6 weeks this summer. When ever a kid is sick enough to be admitted to the health office, after 2 or 3 days, I called home and gave the parent the option to pick the kid up. When a kid would come...
  23. Julian Krinsky Specialty Camps in PA?

    My friend that I worked with this summer at camp, worked there last year. I will relay the info she told me. The staff nurses sleep in private dorm rooms. The neighborhood is very affluent and there...
  24. There is such a great variety in nursing. If you like people and are a good communicator you can find a nursing job. Sometimes it takes a few tries before you find a great match. I have been a nurse...
  25. Standing Medication Orders???

    Wendy, speaking of every /kid/ every time reminds me Make sure if some one has an allergy to erythromycin you call and find out how severe it is You won't be giving that but the polysporin or neomycin...