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 ...
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...
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...
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...
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...