sunshines66

sunshines66 BSN

Case Managemenet

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All Content by sunshines66

  1. ER nurse dealing with bullying...

    First, I feel like several of the responses here seem to push the boundaries of supporting each other. Second, we all have days that stuff bothers us more than other days. Third- there could be some meaner/hardened nurses there. I would try to ...
  2. Please life is too short. If you want to wear a tiara while shopping please do. Whatever works for you is great don't let the comments of others change what you do.
  3. Relaxation From Head to Toe

    Great article- I just saw on my Fitbit app there is a mediation section and you can do focused breathing and relaxation it has some that are as quick as 2 minutes others are 5,7 11 and on up in the number of minutes. I am on day 4 of trying thi...
  4. Be honest, when do you start working on your CEUs?

    I have done them all kinds of ways. I have been a nurse for over 30 years and most of that time being certified in my specialty and I try to go to one conference every 2-3 years and get as many as I can that way. This year I was lucky enough to att...
  5. The good ole days of nursing...share your stories!

    I had to the two days for NCLEX. It was a true test of stamina for a nurse. You had to take the test with a room full of nervous people with all their nervous tics in a huge room. You could not have a restroom break if someone else was out of your...
  6. What are my options outside of a hospital setting?

    I am so sorry you have such a horrible instructor. I know there is a lot of subjective data going into a clinical grade in nursing school. One part of me says you should bring her up on battery charges for the saline incident. She is harassing you ...
  7. What was the REAL reason you called off

    I have been a nurse for 29 years. I have called in when I am actually sick. When I need a mental health day either due to work issues or personal issues that have overwhelmed me. I woke one morning with my basement flooded. I had lived in my house...
  8. Preceptor From Hell-Need Advice

    Years ago I had an awful preceptor. She made my orientation last a couple weeks longer than was necessary. She was a backup preceptor, but when she found a "problem" with me, they kept me with her to see what would happen. As I was new and unwillin...
  9. Love my job but... opinions wanted

    Tsm, Nursing is a very dynamic field. People move, hospitals downsize, realign, managers change, administrators change, benefits change. You have to do what feels right to you. I have always been one to push for a challenge so I have worked a vari...
  10. He-I am done for the day and even though I am on call, don't call me for any reason tonight. She-oh goody I can skip the phone calls with no answer and do whatever I can to keep patient alive for you to bash in the morning.
  11. Insurance Case Management

    I love my case management job. I work mostly 8 hour days. Occasionally it will go longer if I am in the middle of a conversation. I can start or stop an hour or so earlier or later without consequences. I have productivity goals but have been able...
  12. Calling report to the floor.

    I agree completely. If I had an empty bed and knew I was getting someone if I know about it and have a few minutes freed up (ok, shuffle to get a min) I will call the ED myself to let them know I am ready and to give report. Occasionally I would te...
  13. A Nurse's Sacrifice

    Recently there is a clip on TV for Code Black--What do you do when the the hospital has reach code black--you give more of yourself. I know I don't have the wording correct but what no management ever realizes that nurses do this day in and day out w...
  14. Being called an idiot

    You should have told the IDIOT you should tell him Penis enlargement oh wait that is the procedure you want not what you will be doing to this pt.
  15. got fired/terminated

    Yesyes, I am so sorry this has happened to you. As a new nurse years ago, I had one awful preceptor at that time we had to have 2. One I learnt a lot from. She was fantastic. I had the first part of my orientation with her, the rest went with an...
  16. Correctional Nursing Pros/Con and Environment

    Actually there is a wide variety of clinical conditions see in the prison system. I do not think it is a good location for a new grad though. I started my nursing career in critical care so I am not one of "those" nurses. (the kind that you have t...
  17. Am I the only one?

    Hmm, it is sad but there are people that can not control their tongue. I have never been like that in front of patients. I understand some are very frustrated with the systems in place. I know as an observer to many who attempt suicide then are ou...
  18. How to get a job in Correctional Nursing?

    It does depend on where you are. There are federal and state prisons and county jails. All are different and positions are filled differently at each. There are some nursing agencies that staff prisons too.
  19. This is ironic.

    You were perfectly right to be upset over this. It is a huge teaching/learning moment for the institution if they are smart.
  20. Lethargic a word to remove from Callers vocabulary

    My personal favorites for lethargic...Pt was up over 24 hours and now has slept more than 6 hours. Pt was woken up prior to call yelled at the person who woke them so they are lethargic. Or lethargic means child with a high fever (100) laying on co...
  21. Reality Check. How many calls do you triage?

    We are strongly encouraged to be able to take on average 4 calls an hour. I think it averages out okay. Some calls are just a couple of minutes and others take much longer especially when I have to wait for the doc to call me back. Worse day I too...
  22. salary

    Some of us don't want to say what we are earning and it is a personal question. I make about 2/3rd of what I did as a bedside nurse in critical care. We get no shift differential. Most of us have about 20 years of experience. I will be working fro...
  23. Will not take your advice

    I have called 911 several times, usually it is for the elderly pt who is confused or trying to do something for their spouse. I mostly do it with approval from the caller. I have called the Police a couple of times on Suicide calls, I have withheld...
  24. Fun with TELEPHONE TRIAGE a very challenging Job

    Mike, I agree. Sometimes I have to remind the person they have to describe things to me. I can not guess or see so they have to be able answer my questions. I love when I tell some middle aged, overweight, hypertensive, diabetic, who has COPD cont...
  25. of course it depends on the particular hospital but I think the difference would be UR works with the insurance companies and such making sure things get paid for. records reviewer works for the hospital making sure charting is done according to hos...