d'cm

d'cm

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All Content by d'cm

  1. Terminated illegally I believe

    d'cm replied to MomRN0913's topic in General Nursing

    The employer must have been

  2. Nursing Diagnosis...the sacred cow that needs to go.

    d'cm replied to Idaho4me's topic in General Nursing

    What we (nurses and doctors) need to do is all train together from the start. That way we all learn the same language, and learn how to get along and work as a

  3. Should I run away screaming?

    d'cm replied to Ms.NurseyNurse,RN's topic in Case Management

    My experience in this field would definitely support your impulse to

  4. What is ambulatory care?

    d'cm replied to Avocadoloveer's topic in General Nursing

    Ambulatory care is primarily elective same day surgery. Nurses are involved with the pre admission testing, and teaching and perioperative care. Typical procedures would be cardiac cath,...

  5. How much medical experience did you have before entering nursing school?

    d'cm replied to Aly529's topic in General Students

    When I started nursing school I had to ask what 4x4 was because the last one I had used held up a

  6. Unethical? Illegal?

    d'cm replied to canesdukegirl's topic in General Nursing

    At very least it is a violation of Corporate

  7. Confused non-clinician in need of RN educator! Case Mgt vs. UM vs. UR?

    d'cm replied to aliehogan's topic in Case Management

    I'll give it a shot. I have never seen a position called a "UM" nurse. Utilization is managed by proactive discharge planning, identifying "avoidable days" and utilization review ( identifying...

  8. refresher rn

    d'cm replied to mcal56rn's topic in Case Management

    There are some good case mgmt related courses here: http://www.ahip.org/ciepd/ahm/ There is also a one day seminar: Best in Class Case Management which moves around the country. It is advertised on...

  9. Role of CCM in the ER?

    d'cm replied to Tina, RN's topic in Case Management

    Typically the ER CM is put there primarily to function as a "gatekeeper". i.e. the case manager is to review all intended admissions for medical necessity, and if they don't : persuade the physician...

  10. Discussion, please share your opinions on this.

    d'cm replied to Katie5's topic in General Nursing

    The theory does not ring true. Being male, I have my own theory: It seems to me the female gender has a tendency to "personalize" the actions of others that effect them, whether there was any...

  11. Nursing Advocacy -- an outsider's view

    d'cm replied to Ado Annie's topic in Activism, Healthcare

    The OP makes an excellent point in calling for profession organizations to help educate in the public. Part of the problem is that there is no single voice of nursing or anything close to it. The...

  12. MD blogs: 10 Ways You Know the Nurses Hate You

    d'cm posted a topic in Nursing Humor

    life at grady: 10 ways you know the nurses hate you a version of the following post, by kimberly manning, facp, first appeared on her blog reflections of a grady doctor. names and identifying...

  13. Greystone Psychiatric

    d'cm replied to DH.nurse's topic in New Jersey Nursing

    Greystone was my first nursing job. One of funniest memories was of a Nigerian LPN chasing me down the hall calling me a stupid white boy. We had one admission and no discharges in 6 months and the...

  14. What is your personal health insurance coverage like?

    d'cm replied to charly-iris's topic in Collective Bargaining, Union

    "Our hospital is trying to increase our out of pocket max from $1500.oo/yr to $3000.00 per year. And our deductable from $350.00 to $1200.00" Wow, and you have a union?!! Glad I married a teacher. No...

  15. Top 10 Reasons Against Unions

    d'cm replied to PICUPNP's topic in Collective Bargaining, Union

    i used to be quite ambivalent about unions in healthcare but after 15 years of abuse by hospitals i've changed my mind ( quick aren't i?). when i finally got into a union facility it was sooo nice to...

  16. Care coordinator vs Case Management

    d'cm replied to noelia23RN's topic in Case Management

    Did you go to the insurance company website? Most usually post positions online with thorough descriptions of duties. I would assume it is the same, seeing how it is an insurance company. Hospitals,...

  17. Standing orders for chest pain

    d'cm replied to wellstar's topic in Cardiac

    A little off subject here but readers might find it interesting.. As a UR / Appeals RN I've looked at hundreds of chest pain admissions and have some opinions and observations. 1. Chest pain rarely...

  18. If we had a conservative nurses forum

    d'cm replied to FLmomof5's topic in Activism, Healthcare

    "LIBTARD"? Never heard that before. justaShooter, it sounds like you consider Every liberal mentally challenged. Now that IS

  19. How soon we forget.

    d'cm replied to eriksoln's topic in Activism, Healthcare

    cjcernn: The only people who can guarantee they won't use health insurance are dead. Carte-blanche insurance?!!? Assuming you mean 'a la carte', it just doesn't work that way. You are not paying for...

  20. Part of Health Care Law Ruled Unconstitutional

    d'cm replied to herring_RN's topic in Activism, Healthcare

    dp, I'm just a stupid liberal blinded by my ideiology, so, I wonder if you could explain in a simple but specific manner; in what way is the Affordable Care Act

  21. How soon we forget.

    d'cm replied to eriksoln's topic in Activism, Healthcare

    Your whole post goes without saying, and in no way refutes my point. That point being that our tax code is a better analogy to the mandated insurance clause than car insurance. The federal...

  22. How soon we forget.

    d'cm replied to eriksoln's topic in Activism, Healthcare

    Just a thought for the "its not constitional" side: What if the law said that if you don't buy insurance you will have an addition to your tax bill? (rather than a fine ). Think of it this way,...

  23. If we had a conservative nurses forum

    d'cm replied to FLmomof5's topic in Activism, Healthcare

    "... one of the reasons in both cases is that the liberals dominate education and the media which results in slogans and catch phrases from the liberals vs definitions and extensive explainations from...

  24. How will the new healthcare law in 2014 NOT create more jobs?

    d'cm replied to xInspiredx's topic in Activism, Healthcare

    I recommend the OP and those interested in the subject, to read "The Future of Nursing: Leading Change, Advancing Health'. This study done by the IOM is optimistic about nursing and the ACA. Of...

  25. Medicare Observation vs Inpatient

    d'cm replied to lisa41rn's topic in Case Management

    "... admitted to observation status", when in reality she has not been admitted at all. I had a Director who also had a problem with this, insisting that if MD wrote an observation using the "admit"...