delta32

delta32

ICU/CCU, Rehab, insurance, case manager

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All Content by delta32

  1. 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 ...
  2. Come to the dark side....we have cookies lol Seriously I have worked both hospital CM and Insurance and I will take insurance anytime!
  3. Executive Health Resources

    I work for an insurance company the reviews the appeals through EHR :)
  4. Hedis 2008

    hey everyone! This is my first year doing HEDIS reviews. Anyone out there doing them and have any idea about what we are doing ...lol we are going to start on Monday the 18th Jamie
  5. Why is a pt admitted on the med-surg floor?

    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 obstructio...
  6. Lung Ectomy

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

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

    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 ...
  9. Student nurse gives out number to patient !

    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
  10. Sign-on bonus?

    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
  11. New CM needs help!

    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?
  12. Head hunger

    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 comple...
  13. To code or not to code, that is the question

    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, ...
  14. Head hunger

    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 w...
  15. employment after back surgery

    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 si...
  16. A-lines vs. Central Venous lines

    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
  17. ~COPD Patients Craving Chocolate?~

    When people have COPD the act of breathing alone burns alot of calories. People with COPD need about 1000 calories more than the heathy adult. The only thing that i can think of is that the cholocate is a easier an quicker way to get the calories in ...
  18. While I am told that I am not carry my cell phone, i do anyways, my child has very bad food allergies and asthma. If the daycare needs to get ahold of me I am not going to risk them not being able to find me in an emeregency. you know some one had p...
  19. I need a waterproof abdominal wrap for a tot...

    here's just a guess, i have never tried it and have no idea if it will work but what about the cling wrap like you put on your dishes. maybe wrap it around the body, have the child ALWAYS with supervision but maybe it might work. it does sounds kind...
  20. you totally hit it on the head! 1. I am not your maid 2. I am not a slave 3. i have feelings. 4. I will not deal with your temper tantrums I work in the insurance industry now and i love it, no more beligerant families to deal with anymore, no more w...
  21. Back to work with knee problems...work at home

    take a look at your local insurance companies. many of them have nurse case management at this time and some of the postions are work at home after about a 6 month period. I went to insurance nursing after i had a laminectomy after 4 years of being ...
  22. I love what i do! I do not deal with patients person to person, i do not have to touch them or deal with there families. NO weekends, No holidays and normal 9-5 hours! I work for an insurance company doing concurrant case review. to basically explai...
  23. ACLS Class

    The first rule of ACLS is know thy drugs! when you have a understanding how what they drug is and what the actions of the drug is then the alarhythems will make sure sense. you can try to remeber the algorhythems but it will come easier with knowing ...
  24. I need help managing a very difficult resident!

    I wanted to add to my previous post. If you have to force a family to call her then they most likey are sick of her behavior as well. There usually is a reason why families don't visit or call Jamie
  25. I need help managing a very difficult resident!

    are you sure your not in NY? it sounds like my unit that i just left 3 weeks ago. I was the nurse manager on that floor for the rehab unit. it sounds like your on a rehab unit as well. this is what i would suggest: -keep a list of times and demands t...