Boog'sCRRN246 RN

Utilization Management

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All Content by Boog'sCRRN246

  1. Boog'sCRRN246

    Options aside from bedside nursing?

    Did I read that correctly? You work on an Ortho/Neuro/Oncology floor? Is it a floor focused on musculoskeletal and neurological cancers...or is it like what I am imagining, hip fx/knee replacement pts, next to stroke pts, next to cancer pts? If it's ...
  2. Boog'sCRRN246

    4 traffic tickets in 1 day

    I'm sorry, why should the OP get out of having to pay the full cost of the tickets? They were driving 70mph in a 45mph zone, couldn't stay in their lane, and failed to yield. I can only imagine being on the road with this person while all of this was...
  3. Boog'sCRRN246

    Totally Disapointed

    I think what we're trying to get across to you is that what you're experiencing as a Rehab unit is not the norm.
  4. Boog'sCRRN246

    Totally Disapointed

    I really have to wonder what kind of rehab unit you're working on, if all you're doing is putting on TED hose and taking patients to the bathroom. In addition to what The Commuter has already listed, nurses on my unit are trained to manage patients w...
  5. If you are wanting to move into a job in inpatient rehab, definitely start learning about FIM now. I cannot emphasize this enough. Don't worry about getting certified in it yet. It is a pain in the you know what and can be very tricky to learn, but i...
  6. Boog'sCRRN246

    Firearms

    In Florida, a fourth DUI conviction comes with permanent revocation of the driver's license with no chance of a hardship license. That would be an example of a person who is not legally allowed to drive a car.
  7. Boog'sCRRN246

    Herzing University (BSN)-Orlando, FL

    So I just wanted to throw this out there about the part I've bolded - it's absolutely not true. Magnet status is a completely voluntary certification that hospitals can attain. Also, the part about RNs needing to have a BSN just to work at a Magnet f...
  8. Boog'sCRRN246

    is your immune system suffering?

    This is the exact reason my dad quit smoking cold turkey when I was about 3 years old. I had constant ear infections. Although me imitating him taking a drag from a cigarette by trying to puff on my crayons may have had something to do with it, too
  9. Boog'sCRRN246

    Can't get into my RN Program because of Obamacare

    Yep, Walgreen's for blood work... Healthcare Clinic: Walk-in Clinics at select Walgreens
  10. Boog'sCRRN246

    Funny Things Patients Say

    When I was a floor nurse on my rehab unit, I had more than one patient ask me why they were assigned to "the ugly part of the ship" when they were "expecting a pleasure cruise". It always seemed to be patients of a certain surgeon, too.
  11. Boog'sCRRN246

    Moving to Florida

    I work for a major health system on the Gulf Coast (and throughout Central Florida) that hires LPNs. No idea what their average wage is though, sorry!
  12. I'm assuming since you're already in law school that you have a Bachelor's degree of some sort. Why not do an accelerated BSN program? I don't have anything against LPNs (I used to be one), but if you're looking to pay off debt, being a RN typically ...
  13. Boog'sCRRN246

    acuity of patients

    A RAC (recovery audit contractor) is a gift from the Medicare gods {dripping sarcasm}. It is a program designed by CMS to identify and correct overpayment of Medicare claims. For inpatient rehab, it happens a lot when Medicare feels a patient's care ...
  14. Boog'sCRRN246

    having to come in to sign forms

    FIM scores are how your rehab unit gets reimbursed, so its pretty important for all documentation to be finished/signed/etc, so it can be submitted in a timely manner. If your unit ever has RAC audits, volunteer to participate so you can see just how...
  15. Boog'sCRRN246

    Getting into nursing school

    You can retake a class that you've technically passed? Every school I've attended would not let a student retake a class unless they received a grade of D or less.
  16. Boog'sCRRN246

    Keeping feet moisturized

    I recently bought these "spa" socks that have a layer of gel on the inside. I slather on lotion, put the socks on (they kind of suction to the bottom of the foot/top of toes), lounge around, and after about an hour, my feet are the softest they've ev...
  17. Boog'sCRRN246

    snf to acute rehab?

    I think it would be easier to transition to a medical unit from acute rehab versus a SNF. To me, acute rehab is just med-surg with three hours of therapy on top. We're having to take sicker and sicker patients in order to meet CMS requirements. It ca...
  18. Boog'sCRRN246

    acuity of patients

    Your marketers don't worry about RAC audits with these types of patients? I've been on both sides of the bed, so to speak. As a floor nurse, I hated low census because I had to float; as a rehab liaison, I hate low census because it's an automatic as...
  19. Boog'sCRRN246

    Uniform maintenance

    I've found that trying to iron out wrinkles from air-dried clothing is almost impossible. Even if I can get them smooth, the wrinkle "design" is still there. I then started ironing these items with light starch and while still very slightly damp. Pro...
  20. Boog'sCRRN246

    Medication Education... built into the EMR?

    The EMR at my facility has this. It's not built in to the MAR, but there is a drop down box that links to our med education software and takes less than 30 seconds to access. The software has separate tabs for 'healthcare professional' and 'patient e...
  21. Boog'sCRRN246

    Code Lavender?!

    Code Lavender at my hospital means the ED is at 140% capacity ...it starts a snowball effect around the hospital of rapidly discharging patients and making beds where beds didn't exist previous. I like the Cleveland Clinic version more.
  22. Boog'sCRRN246

    Any hospital units that DON'T use telemetry?

    My acute inpatient rehab unit does not use telemetry. The unit is capable of using it, however, tele boxes really get in the way of doing therapy and, for the most part, dysrhythmias need to be stable before the patient starts therapy.
  23. Boog'sCRRN246

    How do you feel about professors locking the door?

    Accountability and maturity, perhaps not. It is, however, teaching that there are consequences to our actions whether our actions are intentional or a result of "life happens" moments.
  24. Boog'sCRRN246

    How do you feel about professors locking the door?

    Exactly, if you're going to be late for work, you call and let them know. I'm sure exceptions are made when advanced notice is given by a student also. It's the habitually late students who just wander in as they please that these policies are really...
  25. Boog'sCRRN246

    How do you feel about professors locking the door?

    Locking the door isn't all about who is/isn't being distracted. It's about accountability and maturity. While you may not be locked out of your job if you show up late, there will still be repercussions. Also, a learning environment and a home health...