d'cm

d'cm

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All Content by d'cm

  1. What are the pro's and con's of specializing in Case Management Nursing?

    d'cm replied to Valerie916's topic in Case Management

    Here's a few: Advantages: 1. High demand and expected to increase 2. Usually, no weekends/ holidays/ night shifts. 3. More autonomy. 4. You really get to do the whole nursing process which is...

  2. LTAC ? Good or Bad?

    d'cm replied to krstxn's topic in Long Term Acute Care

    I worked LTACH for a couple of years. If the patients actually meet admission criteria, 6 patients would be heavy for ANY nurse. I never saw a new grad but I agree w/ BluegrassRN, if they are willing...

  3. Favorite Dr or Nurse Name

    d'cm replied to sethmctenn's topic in Nursing Humor

    Dr. Coffin not a pulmonologist or coroner fortunately for her. Dr Farkas could never not think of the bully from A Christmas Story "Farkus! What a rotten name" when he was paged

  4. Charting Bloopers

    d'cm replied to AHarri66's topic in Nursing Humor

    just read this one: Allergies: contrast dye, asa, lasix and

  5. 60 hospitals cancelled due to health care reform

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

    I think, without a doubt, that fundamentally this law is saying 'we don't want to continue down this road'. That road is one where increased access leads to increased utilization and with nothing to...

  6. CM

    d'cm replied to peaceful nurse's topic in Case Management

    cmsa.org would be a good start. But briefly, hospital case managers do one or all three of the following. UR: reviewing admissions and continued stays for medical necessity using standard criteria...

  7. Denial is more than a river in Egypt...

    d'cm replied to cookienay's topic in Emergency

    Hey, she knows whats wrong and takes her meds, that's more than most of my patients. Who care what she calls

  8. Going from plumbing to nursing

    d'cm replied to CareerChange2010's topic in Men in Nursing

    You are also intimately aware of one of the fundamental political rules of nursing: S_ _ _ runs

  9. Charting Bloopers

    d'cm replied to AHarri66's topic in Nursing Humor

    "Discussed with the patient dangers of living

  10. Direct Admissions without doctor orders

    d'cm replied to General E. Speaking, RN's topic in Patient Safety Issues

    To add to your worries, in regards to your cath patients, you probably should get your case manager to look at them to make sure they meet admission criteria or they will be denied for

  11. "Yinz"

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

    Thanks for posting this, I learned something new today! I have been all over the Eastern US and have never heard the expression. Would you address a bunch of friends like "Hey yinz guys"

  12. Low Press "Gag"ney Scores- help!!

    d'cm replied to General E. Speaking, RN's topic in General Nursing

    Don't worry about fixing anything, just make up some pretty presentation that you think would impress your supervisor so she can impress her supervisor ... - that's what it is all about. Or, find...

  13. You put what??!!!! were???!!

    d'cm replied to snoopy29's topic in Nursing Humor

    When I was a kid there was some stupid song on the radio about putting beans in your ears, so I did. One got stuck and infected. Boy did that

  14. Do you regret going into nursing?

    d'cm replied to Crystal112's topic in General Nursing

    Nursing has given me a couple of the worse years of my life and some of the best but always a livable wage, my only regret was not becoming one

  15. Working as case management nurse

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

    I assume this is hospital based.. it sounds like a face in chart / computer screen review admissions for medical necessity against Interqual or Milliman and while you are in there do the QI review for...

  16. Managed Care and Effects on Economics

    d'cm replied to jorla9903's topic in Activism, Healthcare

    "managed care is supposed to affect the economics of health care by lowering and controlling the cost of health care." Well that was the theory behind HMOs, but obviously it didn't work very well....

  17. Required IV documentation for Reimbursement?

    d'cm replied to crobe79526's topic in General Nursing

    What I think you may be referring to is Interqual criteria (which is owned by McKesson). This is medical necessity criteria based on Severity of Illness (SI) and Intensity of Service (IS). IVs are...

  18. Paper on current political issue...

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

    Don't you think the current Healthcare reform debate relates to nursing? Scan thru the table of contents on this one bill ..

  19. Least Stressful Fields of Nursing

    d'cm replied to pinkrose85's topic in General Nursing

    I'd have to say detox unit. Did it a few times as a temp and it all I did was hand out a few meds and listen to the patient's

  20. 75 Questions on NCLEX, pass or fail?

    d'cm replied to Lurksalot's topic in NCLEX Exam, Programs

    I took it in '93 when the computer version was on a volunteer basis and nobody knew what to expect. When it shut off after 35 min and 76 questions all I could think was "Thats IT?!!, after all that...

  21. Most Useful Non-Nursing Course(s)

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

    Abnormal psychology. Without a doubt the most useful non curriculum class I took and so helpful in diagnosing your

  22. How many would consider leaving nursing if they had a similar or slightly higher pay.

    d'cm replied to jean36's topic in General Nursing

    In a heart

  23. Thinking of becoming a case manager

    d'cm replied to abnurse4's topic in Case Management

    I have never worked for any BCBS but have worked with them and have worked from home. Working from home is really different. Yeah, you can work in PJs but they can supervise every key stroke ( and...

  24. What are the pros and cons of being all male nurse

    d'cm replied to Bono Rose's topic in General Nursing

    Well, I had some real traditional male jobs before becoming a nurse ( truck driver, carpenter, fork lift operator) and there is definitely a big pluse that comes every 2

  25. interqual

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

    Not every patient qualifies, especially this one. This patient is hospice