Katie82

Katie82 RN

Med Surg, Tele, PH, CM

RN, ASN, BBA, MBA

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All Content by Katie82

  1. Nurse bashing, public view to a news item

    Katie82 replied to annmariern's topic in Activism, Healthcare

    This guy sounds like a Michael Moore Wannabe. Never liked him as an actor,

  2. DNR questions... Family vs Patient wishes.

    Katie82 replied to MIcrunchyRN's topic in General Nursing

    As a case manager, I try to get all my patients set up with Advanced Directives. I always make several points. You can change your mind, and rescind the order. You need to discuss any decision you...

  3. Pain is subjective?

    Katie82 replied to lena130's topic in General Nursing

  4. High-deductible health care plans become widespread, survey finds

    Katie82 replied to CseMgr1's topic in Activism, Healthcare

    I think you're right about this trend of placing more responsibility on the patient. As a Practice Administrator, and now as a case manager I see so much waste in healthcare, much of it as a result of...

  5. High-deductible health care plans become widespread, survey finds

    Katie82 replied to CseMgr1's topic in Activism, Healthcare

    I'm assuming this is legal in your state, wouldn't be in many, but in any case I would find another provider who has his own

  6. How Do You Think That the WallStreet Scandal Will Affect Nursing Jobs?

    Katie82 replied to pagandeva2000's topic in Activism, Healthcare

    All of the above is true, I have seen some of it already, but it seems to be more closely related to the cost of fuel and the resultant rise in goods and services that is making money so tight. By the...

  7. Over 21 but not an adult - adult or peds ICU?

    Katie82 replied to webdwarf40's topic in General Nursing

    Most of my Pediatricians refer MR patients to me when they are 21 because they want me to find them and adult medicine PCP. They feel that they are treating the body, not the mind, and an adult body...

  8. Psych question

    Katie82 replied to Tippy-ta-ta's topic in General Nursing

    Psych tends to have totally different rules, and States also have individual rules. Best bet is to check with your State Nurse Practice Act to see if you are allowed to do

  9. How do you work for state?

    Katie82 replied to tsbarbre's topic in General Nursing

    THey are most likely working for the State Health Department as UR or QA people. I work for the State as a Case Manager, but I also do QA and UR of sorts. I review medical records belonging to my...

  10. Merck suspends lobbying for Gardasil vaccine

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    [ I appreciate you posting this new information. I hadn't been aware of any news of potential increased risks with the HPV vaccine until you posted it here. I think the jury is still out on this one,...

  11. "It's Health Care, Not Health Insurance"

    Katie82 replied to imanedrn's topic in Activism, Healthcare

    I agree with you, the profits are excessive considering there are lives at stake. But I have to make a couple of points. First, the profits are shared by the owner of the contract: the employer. As...

  12. Substance abusers disillusion me...

    Katie82 replied to FireStarterRN's topic in General Nursing

    Amen. I work with Medicaid patients. Many of them are disabled due to chronic disease, but at least half have some sort of mental health or abuse issue. Some are a product of their enviornment, those...

  13. To much focus on care plans for students

    Katie82 replied to Trauma_Team_1's topic in General Nursing

    [ I do agree with others, though--procedures are picked up quickly when you get to practice them daily on the job. When I have never done a procedure, I ask that another nurse come to the room and...

  14. Question for Hospital DC Planners

    Katie82 replied to bossynurse101's topic in Case Management

    When I worked for an insurance company in Md. our discharge planners made the final approval/decision in placement. I was a case manager, and I soon learned from the DPs which facilities to avoid for...

  15. leaving bedside nursing

    Katie82 replied to infantRN's topic in Case Management

    I left bedside nursing after 10 years in the hospital - that was 15 years ago. I did not miss the holiday schedules, fighting for days off, grief from the administration. The only thing I missed was...

  16. Hurricane coming: evacuate or stay and work?

    Katie82 replied to FroggyMama's topic in General Nursing

    I am sitting in Coastal Carolina watching Hanna, and the two behind her. I grew up in Virginia Beach, so have weathered a lot of hurricanes, but I worry about my patients, most of whom live in...

  17. Patients with drug issues vs. the doctor playing dumb about it!

    Katie82 replied to nursey07's topic in General Nursing

    You can bet that this guy was discharged after surgery with a grocery bag full of narcotics, which is probably why he fell, I have seen it happen. As a case manager, I pay a lot of attention to the...

  18. Can a CEO Mentor a Nurse?

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    I'm not sure what pertinance your response has to the question, but I am a nurse with a MBA in Healthcare Management, and I feel that I understand the needs of both sides of the fence. I really have a...

  19. new discouraged LPN

    Katie82 replied to jbchero's topic in LPN, LVN Corner

    I think you should give it another try. You endured the punishment of nursing school, seems to me you would have quit a lot sooner if you really didn't want to be a nurse. I think going directly to a...

  20. ...and like that, all the dreams I've been dreaming about.... were shattered!

    Katie82 replied to iheartnursing_cali's topic in LPN, LVN Corner

    The industry is full of very good, competent nurses who failed the NCLEX on the first try. You know by now that this is a test unlike any you have taken (I still have nightmares about "best right...

  21. Interqual?

    Katie82 replied to Ginger35's topic in Case Management

    I worked for a MCO that managed Medicaid patients. We were trained in Interqual, but I rarely used it in my job. THe UM people used it more than Case Management, but the company didn't demand usage. I...

  22. Case Manager doing Utilization Management

    Katie82 replied to ASSEDO's topic in Case Management

    I think there are some healthcare settings where this would work, but the hospital is not one of them. I believe that discharge planners should understand UM, but every discharge planner I have ever...

  23. Business Knowledge needed for CM??

    Katie82 replied to lisa41rn's topic in Case Management

    Many components of healthcare are recognizing this. When I went back for my graduate degree, I got a MBA in Healthcare Management instead of the normal MSN route. It is a very popular option now. I...

  24. Request info on Disease Management...

    Katie82 replied to christian98's topic in Case Management

    I worked in a Disease Management position for a year. I guess I am a case manager at heart because I found it frustrating just listening to all my patients' problems without being able to help them. I...

  25. An issue of Disrepect

    Katie82 replied to tearose2750's topic in General Nursing

    I just returned home from my daughter's LPN Pinning. She is in a program that will allow her to stop after one year as a LPN or continue on for a second year to RN. She is scheduled to begin the...