Katie82

Katie82 RN

Med Surg, Tele, PH, CM

RN, ASN, BBA, MBA

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All Content by Katie82

  1. How do you nicely handle a patient who is 'needy'?

    Katie82 replied to hollyberry678's topic in Patient, Colleague Relations

    This lady sounds incredibly lonely. Does she live alone? Does she sleep all day? She sounds like someone who lives alone and has a family who is not as attentive as she would like. They cling to any...

  2. Has anyone else had this discussion with their kids?

    Katie82 replied to Virgo_RN's topic in General Nursing

    I worked with teens and their parents for ten years. It amazes me what parents let their kids get away with. As we become a society where both parents work, children are left to raise themselves....

  3. Should I say something to this student?

    Katie82 replied to CNAinNeb's topic in General Nursing

    I agree with everyone that it should have been up to the patient's care team to oversee the student, with the instructor doing an overall evaluation. Students in LTC facilities are totally lacking in...

  4. Is med/surg nursing tolerable?

    Katie82 replied to marie-francoise's topic in General Nursing

  5. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    Most payers do not pay for inpatient weight reduction, and rightfully so. #s 2 and 3 would benefit from a hard-working, ****** case manager like me. I have been trying something new lately that has...

  6. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    THe non-compliant are not running up the big bills. Non-compliance means no doctor visits and no medications. As someone who monitors claims data on a regular basis, I can tell you that it is only...

  7. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    this is such a fundamental principle... someone has to pay for healthcare. a lot of folks criticize big medicine for making money, but they only see one side of the balance sheet. i'm not talking...

  8. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    I work for Medicaid, which is a CMS-regulated program passed down to the states to be administered. I would much rather have the feds in charge. The states are too driven by politics - I just moved...

  9. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    You feel that treating chronic disease is "enabling". I say not treating Diabetes or COPD is punishment, and would be certainly classified as Cruel and Unusual by the ACLU (who I generally do not...

  10. My Word... What Can't You Get at Wal-Mart??

    Katie82 replied to happybunny1970's topic in General Nursing

    Target has similar clinics in some areas, they call it the Minute Clinic. They are not linked to hospitals, but do accept some insurances. I have sent patients to Target and they were satisfied. They...

  11. The other health care issue: Getting costs down

    Katie82 replied to HM2VikingRN's topic in Activism, Healthcare

    Re: the $8K colonoscopy, while I believe Medicare reduced the patient bill to $300, I doubt if they paid the full amount. I look at claims data all day, and while I can't remember the exact amount,...

  12. Mandatory Health insurance? Is it a solution to health care?

    Katie82 replied to Faery1's topic in Activism, Healthcare

    I suspect that under any sensible UHC plan, your grandchildren would continue to be covered bu CHIP. Your son and his wife would most likely be covered by premiums paid by the gov't and his employer....

  13. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    You are absolutely right. One of my biggest challenges working with chronic disease is trying to figure out why folks aren't doing what they should be. I have patients who won't do fingersticks...

  14. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    I had an interesting conversation with a doc yesterday. I have a patient whose diabetes is totally out of control because she is non-compliant. She is crying on my shoulder that she wants to see an...

  15. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    I would never judge you for having Diabetes, even though it is admittedly self-induced. THe whole point of this discussion is, I hope, that you are taking care of your Diabetes now. I have worked with...

  16. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    Missing the point here. No one is saying people with Diabetes should be denied healthcare. Diabetes is a chronic illness caused by the body's inability to process the glucose / insulin balance. It is...

  17. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

  18. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    great rule - the #1 rule of case management. teach, but don't

  19. Why Is The ED Such A Pain?

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    ER nurses are not easily offended. I think Blee was just making the point that things happen differently in the ER. At least half of the folks seen in the ER don't need to be there, and a good many of...

  20. Los Angeles city attorney to sue hospitals that dump patients on skid row

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    This is a tough one, Spacenurse. I worked as a case manager in Baltimore and I spent countless hours working with hospital discharge planners trying to find placement for my homeless patients. I was...

  21. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    These people are usually not victims, but creators of their own situations. As to your analysis of case management - what is the difference between maximizing profits and optimizing resource use. Both...

  22. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    You said a mouthful here...I case manage diabetics on Medicaid and I can tell you that most of my patients are diabetic because of poor lifestyle choices, and will end up with every comorbidity in the...

  23. Universal Health Care... what would this mean...

    Katie82 replied to nurseyNJNYC's topic in Activism, Healthcare

    You have just listed two issues that will prevent Universal Coverage from working in the US. THe first is the need to be politically correct in the face of an impossible situation. I have case managed...

  24. ERs fail as the nation's safety net

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    You're right, procedures like sutures are impractical in an office setting when you expect your providers to see 20 - 25 patients a day. I was a practice administrator in a Family Medicine practice,...

  25. ERs fail as the nation's safety net

    Katie82 replied to NRSKarenRN's topic in Activism, Healthcare

    Very true... I am a case manager for Medicaid/Medicare population. Each month, I receive a report from the State listing the patients in my assigned practices who have utilized the ER. The report is...