delta32

I would just watch for positions for the case management positions for your hospital. The training for the position will include your community resources for items such as DME, Home care, Home infusion, etc.. You will also be trained in InterQual or Miliman depending on what criteria that your facility uses. Both of those systems are nationally accepted criteria to establish various levels of care. Some hospitals will train you in this or others may send you to a class.

Come to the dark side....we have cookies lol Seriously I have worked both hospital CM and Insurance and I will take insurance anytime!

I work for an insurance company the reviews the appeals through EHR :)

you should read the H&p section of the chart, this will give you the complaint and that was done such as testing with a impression listing what the possible dx is. now looking at no bm x 3 days causes can be: dehydration illeus bowel obstruction etc the labs are really not going to tell you too much with this case. you can look at the bun/creat for dehydration and wbc for poss infections, but your answers are going to be with the xrays and ct scan of the abdomen.

:) not a problem :) I really enjoy lungs, i did not want to confuse him.

Actually a lobectomy is removal of a lobe of the lung, not the entire lung.

When a patient comes out of the OR from a pneumoectomy, they will be on there back at 30 degee's HOB elevation. These patients will be on a Ventilator and have Chest tubes in place. As for laying the patient on a particular side you are going to be limited in the amount of turning with this patient d/t the tubes that the patient will have. it is important to make sure the the remaining lung is able to fully expand but you also need to ensure proper drainage of the previous cavity of the removed lung.

i have to really wonder about her common sense, and why in the world would she give them her business card? i think that you may want to bring this to her instructor this sounds a little to bizarre to be innocent

beware of sign on bonus's the higher the amount the higher the bad stuff going on there. They will give a higerh bonus to lure in new staff but high chances are the working conditions are bad

ekks, you need to speak with your manager this will not work. depending on what your position is you need to know the in's and out's of insurance. Are you doing concurrent reviews or the actual case management for diseases?

Hi just becareful with your drinks, keep to the diet drinks, no calories no easier said them done :) I am just over a year out and i am a abinger and will talk myself into eating that smalll ice cream just to toss it back up in 5 minutes so i completely under stand your pain. it sucks dosn't it, I had hoped that my having the bypass htat this would go away and that i would no longer have food issues. take care! Jamie

first of you did everything right, **you do not code or do CPR on someone with a pulse, that is BLS 101**. you do CPR on a infant if bradacardic not a adult. someone that hemodynamically is shutting down and loaded with pressures such as levo, vaso, neo and there BP is still not reading is SOL. you just keep the gtts going till the heart stops then you code then. you doing CPR on some with a pulse is whats gonna get you in a sling, i have to say susan that scares me you wrote that. Jamie

Hi silverdragon! I deal with this everyday as well. I also had gastric bypass and struggle with binging issues. it sounds like you are in a binge. its very hard but you have to drinks lots, i like the diet green tea. bring some frozen grapes around with you and suck on them ans slowly eat them, they will help some with the cravings. start bringin gyour food with you again when you goto work and watch your portions. again, this is not easy, yiu have to take it one minute or step at a time. :) Jamie

HI, you can do work as a nurse for insurance companies or you can get into case management thru the hosptials are well. My laminectomy left me unable to do bedside as well. I love working with the insurance industry, you get to do more of the fun side of nursing. you get to watch thru there charts about what is happening with the pt but you don't have to touch them or deal with them unless you are calling in a denial

here is a great site for new ICU nurses: http://icufaqs.org/ it has everything very simple and easy to grasp HTH jamie p.s another idea is a book called Critical Care made incrediably easy