loveu123

loveu123

acute dialysis, Telemetry, subacute

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All Content by loveu123

  1. Er or case management??

    I am a hospital case manager who works occasional PRN shifts as an ER nurse. Case management is very stressful as compared to other speciaties i have worked(Med surg, trauma, level 1 ER, dislysis etc). However, i enjoy being able to coordinate the ...
  2. I see myself working as an a hospital RN case manager for the rest of my career.
  3. Choose Your Favorite TV Nurse

    Nurse Jackie
  4. ER nurses

    I have taken care of ED patients who shot or assaulted other people. It can be emotional and hard to not judge but we always got to remember our job is to take care of them without judgement.
  5. Living in Dc--working in MD

    Yes you can. I lived in Maryland and worked in DC for years. I have a lot of friends who live in Maryland or Virginia and work in DC.
  6. casemangers: do you call the md every recert?

    You will get a better answer if you post your question in the home health forum. The case management forum is mainly discharge planners, insurance case managers and workman comp CMs.
  7. Finally Leaving Nursing...For Good!

    Good luck on your next career. You sound very sincere. Nursing is not for everyone. I almost left nursing last year until I found my niche as a hospital case manager. All the best.
  8. New York RN moving to Houston- tips and recommendations please

    Hello, I relocated from the East Coast to Houston. I was recruited my Houston Methodist and they gave me relocation assistance. My friend was also recruited by Memorial Hermann and she received relocation assistance as well. I will recomm...
  9. RN BSN CM

    I also took the exam in December and passed. I uses two review books from mometrix. I also reviewed compass for case management.
  10. Don't write an order like this

    Hahaha
  11. CCMC Case Management Certification Passing Score

    I am not sure how they grade it but wish you good luck. I took the test for the first time today and passed. I used CCM practice questions by mometrix test preparation and ccm exam secrets study guide also by mometrix test preparation.
  12. MSN Care Coordination

    Are you trying to find out if it will help you get a job in case management? Most nurses in my department have years of experience in diverse specialties. I have 7 years of diverse specialties as well and still work PRN in the ED. Most employ...
  13. misconceptions about nursing pay

    Hahaha. It is DC, Maryland, Virginia. They are very close to each other and most of us that lived there got used to calling it DMV.
  14. Aggressive Case Mgr. Making me Nuts

    We cannot discharge the mastectomy patient with home care if she is self pay unless she agrees to pay or the hospital pays for the service. We have some discounted clinics in most states that either the discharge planner or social w...
  15. Aggressive Case Mgr. Making me Nuts

    I am an acute care case manager(discharge planner). This is unfortunately as a result reimbursement and CMS rules. We cannot keep patients in a hospital for social reasons. I work PRN bedside and definitely understand how bedside nurses ...
  16. You know the shift is gonna be a hot mess when ...

    When you see 5 ambulances in front of the ED and walk in to see the staff coding a patient while holding other ICU admits.
  17. As a nurse who has worked both floor and ED, I can understand your concerns. It is sad the way nurses are treated. We are understaffed in most EDs and have to transfer patients as soon as they get a bed. I get 3 or 4 patients in my ...
  18. Work place burn out

    I call them Hospital induced paralysis patients. They walk with steady gait to triage but become paralyzed as soon as they see the wait time.
  19. Work place burn out

    I call them Hospital induced paralysis patients. They walk with steady gait to triage but become paralyzed as soon as they see the wait time.
  20. junctional vs sinus bradycardia

    I have worked mainly in level 1 hospital and currently PRN in a level 2. This patient may not necessarily need to be in ICU and could be monitored in an IMC or some cardiac unit depending on your hospital policy. The rhythm yo...
  21. Are You Cut Out to be an Emergency Department (ED) Nurse?

    Great article. I left bedside to administrative and don't think I could ever leave the ED. I still do PRN because I'm an adrenaline junkie and love the fact that I could never predict my dat.
  22. giving D50 for hyperkalemia

    We give it all the time in the ED for hyperkalemia and you just gotta push it.
  23. UnitedHealth Group

    Congrats to you all on your job offer. I also wanted to let others know that it is also available in Houston Texas as well and I believe they are still hiring in the Texas department as well. I'm just finishing my 3rd week of my 16 weeks training a...
  24. Lessons Learned as an Expert Nurse Witness

    Thanks for sharing your article. I work PRN in the ED and documentation has always been something I stressed on especially when I was a preceptor. I have been "accused" of documenting too much several times and I always tell my co workers how I can...
  25. Would you send this patient to the unit?

    I think this patient is appropriate for a step down unit but I guess it will also depend on what type of hospital you work at. When I worked surgical unit in a busy, teaching hospital we did get this kind of patients on the floor. As an ER nurse, I...