lawrence1.rice

Latest Activity

1. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

   lawrence1.rice replied to yazisizit's topic in Humor

   Back about 10 years ago I was helping with the "code brown" event of an 800# patient suffering from the "projectile poo-poo" disorder. At the time I clearly remember thinking how glad I was the I had double gowned and gloved. After I got home that ...

2. Interqual?

   lawrence1.rice replied to Ginger35's topic in Case Management

   I've never been concerned about having to answer to lawyers, as my answer will always go something like: #1 I do not admit or discharge patients. Their care is directed by the attending physician, as is medically and ethically appropriate. #2 M...

3. I really want a job in field case management! Help!

   lawrence1.rice replied to Sunflower3's topic in Case Management

   I have been an RN for 16+ years, and an acute care case manager for 3 years now. I left my previous employer to enter a case management position after waiting for an internal opening for 3 years. Breaking into this field offers some interesting cha...

4. What is the dumbest order you ever read?

   lawrence1.rice replied to SherRN's topic in General Nursing

   I wanna play too! When I worked cardiovascular surgery years ago: "Instruct patient not to watch ShowTime After-Dark" (late night cable porn that stressed his 1 day post-op CABG... The resident got upset about a little run of VTac at 2AM... "Ple...

5. Medicare Against Mistakes

   lawrence1.rice replied to indigo girl's topic in General Nursing

   The real issue here to me is that this is simply a mechanism for Medicare (Federal payer) to control costs. I see this as very much like what they have done with rehab and the CMS-13 diagnosis list and the 75% rule which is in essence all about limi...