trudlebug

trudlebug

Utilization Review/Case Management

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All Content by trudlebug

  1. Looking for some advice before making a mistake.

    trudlebug replied to italianlifter's topic in General Nursing

    If you want to look at the Military option: They will pay tuition/student loans for physicians, nurses, and other healthcare jobs. I don't know the service obligations, but many people do this. I know...

  2. What is the most nightmarish medical bill you ever saw and how did it get payed?

    trudlebug replied to Alnitak7's topic in Activism, Healthcare

    I work in Utilization Review on the insurance plan side. I have seen bills over one million dollars for many NICU babies. I think the highest one was almost 6 million. Frequently I see bills that...

  3. An Open Letter for Patients in America's Healthcare System

    trudlebug posted a topic in Activism, Healthcare

    An Open Letter for Patients in America's Healthcare System With the Affordable Care Act causing so many changes and questions in healthcare, more people are asking questions about what it means to...

  4. Roll Call Graduation May 2013

    trudlebug replied to EmJeanRN's topic in Ohio University

    Hi fellow OU grads of 2013! I see no more red on my DARS either :) We did

  5. CIWA woes

    trudlebug replied to Indy's topic in Addictions

    CIWA - What does CIWA stand for? Acronyms and abbreviations by ...acronyms.thefreedictionary.com/CIWA Acronym, Definition. CIWA, Clinical Institute Withdrawal

  6. ED to Hospice

    trudlebug replied to UpinawayRN's topic in Hospice, Palliative

    I left the ED just over a year ago and am now working as a home hospice case manager for the same reasons you listed in your post (OP). I got tired of doing "everything" for those who you know were...

  7. Hospice nursing...reality check....

    trudlebug replied to gorgenurse's topic in Hospice, Palliative

    Is this a RN/case management position, or possibly a "float nurse" type of position? We have both, and as far as case management, well the schedule is not usually quite that flexible. But we have a...

  8. Nurses who are also Veterinary Techs

    trudlebug replied to Guest717236's topic in General Nursing

    I was a vet tech - started in the kennels and worked all positions, ending up as a full time surgical tech. I loved it, but as a PP said, the cost of living made me look elsewhere. (also, I had a...

  9. A comic going to the ER

    trudlebug replied to loricatus's topic in Emergency

    OMG - I think I heard them at work today (out moaning each other :roll) I don't often laugh out loud when I'm watching these alone, but this one got

  10. This was a question on our test today. What do you think the answer is?

    trudlebug replied to APRNReneeJ's topic in General Students

    Isn't that a way of reorienting the patient? Albeit, only the immediate "now" is being addressed. That is probably all an end stage dementia patient can handle anyway. But it still can be a form of...

  11. This was a question on our test today. What do you think the answer is?

    trudlebug replied to APRNReneeJ's topic in General Students

    good advice, worth

  12. This was a question on our test today. What do you think the answer is?

    trudlebug replied to APRNReneeJ's topic in General Students

    Yes (see my other

  13. This was a question on our test today. What do you think the answer is?

    trudlebug replied to APRNReneeJ's topic in General Students

    was this for a psych class? if so, then they definitely would want you to try to re-orient the patient (sorry, client:icon_roll). in the world of nursing school, the only possible answer is d, but in...

  14. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug posted a topic in Emergency

    I don't usually start threads, just lurk and reply once and a while, but I have been going stir crazy sitting here and worrying....so anyway, I was attempting to keep an adult patient with severe...

  15. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Quick update, finally got the MRI done last week, but won't get the official results until Monday. Still not allowed to go back to work, clinic still won't tell me if I can start to exercise or not....

  16. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Got my MRI today, now I just have to wait for the results...hopefully by Tuesday I should have some more information. I haven't even gone in or called work this week, decided to get some Christmas...

  17. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Yang - Congrats on the GN!!!! thanks for the encouragement Sharon

  18. Vent from the patient's side of the aisle

    trudlebug replied to Nightcrawler's topic in General Nursing

    :hgu:Hugs and best wishes. I know how hard it is to wait for an answer, like the others have said, get to a neurologist, get a second opinion or whatever it takes to get an answer STAT! Hang in...

  19. Share Your Funniest Patient Stories...

    trudlebug replied to Trvln Nurse's topic in Nursing Humor

    We have one too. In our ER it is right outside the patient bathroom, in the hallway. We don't have a cover over ours, though. Guess where the drunks usually go....and the looks from the LOLs walking...

  20. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Thanks for the support. I am one of the worst at getting mad and fighting for others, but not myself....plus my husband is one to not make waves about anything. He says just get better and don't worry...

  21. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Thanks for the ideas. I just need a release note saying I can come back to work, and the PA won't write it or do any other treatement until the MRI is done, since the MRI isn't done, I don't get the...

  22. Got hurt at work, sad :( and a vent, too...(long)

    trudlebug replied to trudlebug's topic in Emergency

    Thanks for the advice. I haven't really had any problem with the worker's comp insurance company, they have been helpful so far and approved the MRI. It is just that the HR dept had some trouble...

  23. why does teachers and some Rn's think LPN is not a nurse!

    trudlebug replied to angelluv's topic in LPN, LVN Corner

    Hellllloooo, Yes, LPN/LVNs are nurses! And just like any job/profession/group there are good ones, bad ones and mediocre ones. Perhaps more instruction is given in the RN program versus the LPN...

  24. Nurse manager says you can't refuse iv

    trudlebug replied to paintedbison's topic in Ob/Gyn

    this is where education comes in. explain to them why and the consequences of not allowing tx. then if they still say no, make sure to document it! :typing but i agree, forcing an alert and oriented...

  25. ER Karaoke

    trudlebug replied to bigjim's topic in Emergency

    Great Site!!!! Loved the ER Blitz! (caution, the singer is tone deaf! but it kinda works in this