CCL"Babe" BSN, RN

pre hospital, ED, Cath Lab, Case Manager

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All Content by CCL"Babe"

  1. CCL"Babe"

    HELP! NP in acute care VS NP in family care???

    Think about what type of setting you eventually want to practice. There is quite a buzz in the Philadelphia area about this question. Jeff and Penn are making all their NPs have acute care certification. All their NP who do not have an acute care ...
  2. CCL"Babe"

    So burnt out with still so much left!

    I feel your pain. I have a little over a semester to go and I feel like I have hit a stone wall. While talking with my cohorts I have realized that they feel the same. It has been such a long hard road- but we are almost there.
  3. CCL"Babe"

    What's the difference betw case manager and UR?

    Case Management and Utilization and Review can be two very distinct jobs depending where you work. UR is evaluating people essentially for SI and IS: Severity of Illness and Intensity of Service. You are assessing to see if people meet criteria f...
  4. I worked for BCBS for about 4 years. I worked as a "care coordinator" or Utilization Review (UR) and Discharge Planner (DCP) for about 3 years and the last bit as a Case Manager. There is a strong delineation between the two positions. The BCBS wh...
  5. CCL"Babe"

    Utilization Review vs Case Management

    When I worked for an insurance company they made a big distinction between case management and UR/DCP. They educated their case managers more thoroughly. We were primarily involved with disease management and counseling patients on staying healthy...
  6. CCL"Babe"

    3.25 GPA required for new grad position???!!

    The hospital system where I work adheres to practice of looking at GPAs of their new grads. Their thought on this is that they are hiring the cream of the crop.
  7. CCL"Babe"

    Is diploma RN any good, or is BSRN it?

    In the Philadelphia region most hospitals are hiring BSN graduates. There are other jobs available out side hospitals, although the pay is usually not as good. You may want to get the diploma then work towards a bachelor degree. There are programs...
  8. CCL"Babe"

    Air bubble in Heart chamber

    Sometimes during tests such as a TEE transesophogeal ecchocardigram you purposely put bubbles into the IV line so they can watch them on the echo. Agree with several posters: Asking questions is a way of learning. If the instructor feels threatened...
  9. CCL"Babe"

    Do you like being a CM in the hospital?

    I have done both UR, DCP & Case Management for an insurance company & now I am Case Manager for a hospital. Hospital CM is more of the UR & DCP in my hospital. The Social Work Department performs the traditional CM role. Positives fo...
  10. CCL"Babe"

    Anybody Do Volunteer Fire?

    Yes, I loved it. Unfortunately with my health issues I am no longer active. Went through fire school and vehicle rescue, EMT & Paramedic training. Volunteered both fire and ambulance. Would still do it if I could. The fellowhip & family ...
  11. CCL"Babe"

    No home life on 2nd shift/ Worth it?

    Second shift almost ruined my marriage. We never saw each other. He got lonely, started hanging with friends in bars. I stopped. It stopped. He asked that I never work second shift again- I never did. Most people have always thought that we had...
  12. If you have another offer I would go with that. Starting a new job in that situation could be placing yourself in a bad situation.
  13. CCL"Babe"

    Nurses with disabilities

    Originally Posted by P_RN A nurse with an injury or disability is a persona non grata to the human resources department. They do everything they can to APPEAR TO HELP you but in truth you are sunk. How true. HR told me that I would probably lose m...
  14. CCL"Babe"

    nurses who have had heart caths?

    I scheduled mine on a Friday am. Back to work on Monday. I don't do hospital nursing so there were no special restrictions. Having worked in a cath lab I was very nervous. The anticipation was worse than the cath.
  15. I work for an insurance company doing utilization review & discharge planning. I get to advocate for the patients in a different way. I get to speak to nurses all over the country which can be really fun. It has been a really great experience ...
  16. CCL"Babe"

    Stupidest reason to go to ER

    broken fingernail- via EMS ate cereal with worms in it. thought that they were eating through her stomach
  17. CCL"Babe"

    Positive PPD test

    I converted over 15 years ago from a very close contact in the ED where I worked ( I was Triage that day). 12 hospital employees that came in contact with this person converted as well. I tried the meds - but had to stop when I developed side effec...
  18. CCL"Babe"

    Cardiac Cath Advice

    I went from the ED to the Cath Lab as well. Your radiation exposure should be monitored by badges that should be required. There are also leaded shields that go between the source of radiation and yourself. Usually there are glass partitions that y...
  19. I really dislike people lumping all people with chronic pain together. I really dislike bad attitudes towards people with chronic pain. Yeah I used to be a bad a$$ed ED nurse who was graced with the God given right to judge all people anyway I saw ...
  20. I too have chronic pain. I have experienced frustration, anger & depression in dealing with healthcare providers who assume I am looking for narcotis. There have been times in the past few years where I would have given anything to not have pai...
  21. CCL"Babe"

    transferring pts. from ED to floor

    When I worked ED we would fax report then send the pt up 15 minutes later. We developed this when we were building a new ED and had fewer beds. The ED nurse had to complete the initial nursing assessmnet for the admission. I totally agree with ...
  22. CCL"Babe"

    glass of water-stat

    We had a doc that would write the same stupid orders as: put patient in gown, put on gyn exam table, cardiac monitor, etc as well. He drove me freaking nuts. He never bothered to look and see if any of it was done. It was one of the reasons I lef...
  23. CCL"Babe"

    "Let the Beat Go On...."

    Rachel Moyer is sponsoring this project. Racheal lost her 17 year old son to sudden death while playing basketball at school. The school did not have an AED which could have saved his life. ( http://www.gregmoyer.com) Within three days of his death...
  24. CCL"Babe"

    "Let the Beat Go On...."

    My husband is involved with this worthy cause. "Let the Beat Go On...." Getting AEDs into public places - particularily schools. If you are an American Express card holder you can log on and vote for special projects. The winner will receive up t...
  25. CCL"Babe"

    Co-worker stole my ID

    It happened to me. I reported it immediately. The nurse was taken off the floor, ultimately allowed to resign - but several years later had their nursing liscense taken away for drug abuse & mental illness. This person was taking drugs from pa...