d'cm

d'cm

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All Content by d'cm

  1. If we had a conservative nurses forum

    dp, I may be wrong but I think you are going to have a rough time in nursing. Acceptance and even embracement of the status quo is highly prized in our profession. I am not saying that it a good...
  2. dp1200 and FLmom Ya need to look around a little bit further than your own nose and take in the big picture here. Our healthcare system is not working efficiently or fine for the majority who have...
  3. If we had a conservative nurses forum

  4. If we had a conservative nurses forum

    what you are talking about is better related to us constitution article 1, section 8: [color=#000060] "the congress shall have power to lay and collect taxes, duties, imposts and excises, to pay the...
  5. If we had a conservative nurses forum

    Here is a reference to my statement about our 3rd world healthcare system. The WHO ranked the USA 72nd in healthcare performance between Argentina and Bhutan:...
  6. If we had a conservative nurses forum

    "Conservatives", I would be very interested to hear the basis for your beliefs. It completely befuddles me as to why anyone other than the filthy rich, which I presume you are not, would think that...
  7. Pure UR can be a bit tedious. You open a chart, document severity of illness, intensity of service, apply criteria, make a referral if it doesn't meet, call or fax insurance company, update...
  8. A pt diagonsed with acute renal failure

    I'd tell him he sinned and God is punishing
  9. L&D is probably the weakest background for starting out in case managment. Your only chance might be in an insurance company with a "healthy beginnings"
  10. Vent

    Pt stated "I'm tired of being poked and prodded" and this pt has about 10 tattoos and an eyebrow piercing.
  11. bergen regional hospital

    I worked there a couple of years ago as a temp and got to work a little on every unit, all in all it is pretty good place to be a nurse. A. it's union. B. it's union. As you are probably aware it...
  12. New York State Licensure

    New Yorkers rude?, I'm shocked, ...
  13. Start as a case manager...huh?

    Go to the speciality tab and read the many posts about the job of case management. IMHO: take the job, heathcare reform under the Patient Protection and Affordable Care Act is all about case...
  14. Any Stroke Coordinators out there?

    I would round daily with Neuro to check on any new patients and make sure they were following the pathway. We were certified so my main responsiblity was doing the required reporting. I was also a...
  15. Any Stroke Coordinators out there?

    Yes, I held that position recently - until hospital
  16. I have been in nursing 17 yrs and worked hospitals, VNS and insurance and have found for the most part peer female nurses are no different female co workers in any place else. Most are wonderful nice...
  17. "Nurses don't make judgments"...do they?

    I think you will find that the "nursing judgement" you use the most is the filter between brain and
  18. Why is Nursing School So Flawed?

    Nursing school is what it is. You are not going to change it. I could have written this 18 years ago when I was in school. I looked at this way: a grade
  19. Utilization Review vs Case Management

    .. building on QTBabynurse.. UR is a process of determining medical necessity using evidence based criteria such as InterQual or Milliman (or just solid medical rationalization). In patient UR...
  20. GoNightingale, wow, I thought I started late... You gave reasons as to why you don't want to do bedside but didn't say why you want to do case management. The first step is to have a clear idea of...
  21. Guys: what made you want to go into nursing?

    A. The money - more, steady and recession proof. B. The variety of ways / settings you can do nursing. You pretty much have to start in a hospital m/s floor but from there you can go a hundred...
  22. I sent out my resume thru this company Jobfox.com and they did quite a critique of my resume - (with the intent of having me use their $495 professional writing service.) But if just want an expert...
  23. Is this "fraud"?

    If the subacute billed CMS for the drug, it would certainly be fraund, otherwise no - and certainly not your
  24. UR FORMAT QUESTION

    Tampa, The answer depends on your rationale. DRGs have low and high "trims", so if they move them inside of the low trim there is significant cost savings. However, many common DRGs are only 1 day...