Boog'sCRRN246 RN

Utilization Management

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All Content by Boog'sCRRN246

  1. Boog'sCRRN246

    Don’t want to take care of people anymore...

    It's certainly enough to at least apply. It all depends on the culture of the company you are applying to whether they feel you have enough relevant experience. My department (hospital-based your)...
  2. Boog'sCRRN246

    Don’t want to take care of people anymore...

    Since you don't seem to be a new nurse, I would recommend looking into a Utilization Review position. I haven't physically taken care of a patient in over three years, but we do ensure that they are...
  3. Boog'sCRRN246

    Utilization Review Nurse

    Currently, there is no specific nursing certification for Utilization Review/Management. My department recognizes the ACM-RN and CCM certifications once you've worked in the specialty for 1-2
  4. I think you missed the part where the OP stated they had three years of ED experience and at least some Outpatient experience. For my department, Utilization Management, that would be enough to at...
  5. I second the Utilization Management suggestion. I'm regional supervisor over three hospitals in my health system and have not had to deal with a patient/patient's family in almost three years. We do...
  6. Boog'sCRRN246

    What is it like in your hospital right now?

    I don't understand this either. In the last two weeks, my hospital removed the mask requirement for those who had not gotten the flu shot and told everyone else if they were not involved in direct pt...
  7. Boog'sCRRN246

    Rehab nursing - Yes or No?

    Look for positions on acute inpatient rehab units if you're interested in Rehab nursing. Most are hospital-based, but some are free-standing also. It's the best of both worlds - you deal with acute...
  8. Boog'sCRRN246

    I Desperately Want Out

    I wouldn't include Utilization Review, case management, or home health in the list of jobs where one would have no on-call, no weekends, and no holidays, especially if those jobs are hospital-based....
  9. Boog'sCRRN246

    New Grad-Insulin

    What happens when you have a brain injury patient that requires a 1:1 sitter? Does the tech get pulled to sit with the patient leaving you to fend for yourself with the rest of the patients? Brain...
  10. Boog'sCRRN246

    91% in NUR1 but failed CPE

    Do they not offer repeat CPEs anymore? I graduated from this school and when I attended the policy was if you failed a skill during CPEs, you got a chance to repeat whatever skill you failed, plus...
  11. Boog'sCRRN246

    New Unit Clerk feeling discouraged

    It's weird to me that there are still hospitals that allow hand-written doctors' orders. At my hospital, orders are all electronic and the doctors are strongly encouraged to enter their own orders....
  12. Boog'sCRRN246

    Floating

    When I was a Rehab floor nurse, my co-worker was floated to...wait for it...the CATH LAB and expected to fully take over the duties of the off-going
  13. Boog'sCRRN246

    New Grad as a Clinical Liaison

    This job is about so much more than just clinical skills. It also encompasses the "boring" and "political" side of nursing - paperwork, insurance auths, Medicare/Medicaid regulations, etc. Would you...
  14. Boog'sCRRN246

    Sabotage? Failed by 0.1%

    And who paid you to come on here and attack everyone who offered opinions you didn't like? Also, you are sorely mistaken if you think people go into nursing because they are "money hungry." That is...
  15. I thought of that after I
  16. Is she really concerned about her aspirating, or is she trying to hasten death? Sorry for my crudeness, but this daughter has to be aware that keeping her mom NPO without an alternative route for...
  17. Boog'sCRRN246

    Chores

    Our EVS staff complained to their manager that they were overwhelmed with their duties. So now, if I want the floor of my office swept or mopped or the garbage taken out, I have to do it myself. I...
  18. Boog'sCRRN246

    What Did You Get For Nurses Week?

    We got a hand-held, battery-operated fan. The fan blades have an LED panel that lights up with the company motto, but the motto is too long, so the fan dies before you can see the whole thing. My...
  19. Boog'sCRRN246

    New RN, leaving after 6 months unprofessional?

    In my experience, and possibly due to where I am located, traveling for recreation is thought of as frivolous and if you're not working yourself to death six to seven days per week, you're not...
  20. Boog'sCRRN246

    How the mind works: Domestic Violence

    Stockholm Syndrome. Look into
  21. Boog'sCRRN246

    Sedatives and Stroke

    Reducing blood pressure with antihypertensives in an acute ischemic stroke decreases perfusion of brain tissue surrounding the area of initial insult. Reducing BP reduces the MAP, which can result in...
  22. Boog'sCRRN246

    want to join MSF, what's the best way?

    So I will admit that I do not have a clue as to your actual question, but from looking at their website myself, I am seeing an extensive list of requirements, one being that nurses have THREE years of...
  23. Boog'sCRRN246

    Kicked off unit when Joint Commission arrives

    Even if you are just on the unit doing CNA duties, you run the risk of being cornered by a JC surveyor and asked questions for which you will likely not know the answers. Count yourself lucky - most...
  24. Boog'sCRRN246

    AMA safety

    I think your hospital may be grossly misinterpreting what an AMA discharge should be. Even though the patient is discharging AMA, you still want a SAFE discharge. Just letting them sign a paper and be...
  25. I'd definitely take pay in lieu of sunshine and tourists. It's not at all what it is cracked up to