Copper4

Hi, I am not sure of your background, but have worked in home based roles in a couple of different jobs. I would not recommend doings so without significant "hands on" experience under your belt. Most at homes jobs are relying upon nurses that have...

I think I am late here. I worked for a managed care company doing disease management, as with everything there was both good and bad. I have always enjoyed the patient teaching aspect of nursing, so that was a positive, especially if an eager client...

I am from the Northeast as well, but only work case management per diem. I knew RAC's were coming, but have not heard anything more in terms of the effect on payment. How has it been working at your hospital? Are they recouping money, or requesting ...

My understanding is that Observation status is considered to be an outpatient status. It drives me a little nuts when people state that she was "... admitted to observation status", when in reality she has not been admitted at all. The patient did...

I have requested an opportunity to shadow with a potential employer in the past- I feel it gave me a much better understanding of the expectations of the role I was looking to fill-- I would take it as a good sign- be yourself, ask intelligent questi...

I really think it depends on what type of case management you will be doing. I have worked in acute care case management as well as an insurance company. i feel by overall knowledge about healthcare and processes has grown over the years, because yo...

If they are capable of giving out their own meds, then why do they need rehab-- I am still in the learning phase about the new MDS twists, but complex medical patients are important, and I think ADL needs are going to be weighted at higher rates. i t...

I am not sure if this would be considered fraud or not. The subacute facility I work for no longer allows patient's to bring any of their own medications. Apparently the lawyers have determined that we cannot do this ( we did in the past). My under...

Is that something that can be detailed in a living will? i know I need to put my desires in writing, my husband will totally not get it. Good luck with this case. We have a resident with very debilitating MS, they were just able to extubate her , ag...

I really do not think case management is the place for you, at least not in a hospital or insurance environment-- case managers are totally involved with the health care industry/business, and have to be very aware of what is going on and how to adhe...

I agree with a couple of the other posters- and also am sorry for your Dad- I do believe also that your step mother is the legal decision maker if no others have been defined-- i would suggest you speak to the doctor or nurse, and ask them to speak ...

With the concern for RAC's, i think the weekend staffing will be increasing. The concern being that medicare can review for appropriate level of care in retrospect and recoup monies if not appropriate. I am only per diem in case management, work ab...

I was fortunate to work from home- I started with the company, out at the hospital in the mornings, then in a cubbie in the afternoon and hated it-- then, the company decided they would save significant money setting our department up from home-- so...

You didn't mention what type of case management you will be doing? I was home based for 6yrs working for an insurance company- I would go to the hospitals in the morning to review for utilization purposes, but then from home to contact Md's and sma...

No matter what your role, if you are thoughtful and smart, and always do what is best for the patient, you will do fine..(.if that means asserting yourself with a doctor or family member so be it-you are doing your job):)

Years ago I had a patient had some bad complications after CABG surgery- ended up with a sternal osteo and eventually underwent and exicison with a flap- on the unit a long time- he would expectorate and spit his sputum into a tissue-- i put multipl...

Nursing 101 Yesterday 01:11 AM written by Copper4 | 1 Comments Print Email Follow I have found myself frustrated of late because I think bedside nurses may be missing some basic care elements-- I have not been a bedside nurse in the ac...

I have worked alot of homecare and i agree with the consensus... you need to gain experience and confidence in an institutional setting first. The strides you can make caring for patients in either a hospital or ecf will lead you to be a better, mor...

In case management I need to know patient's insurance coverage and advocate based upon needs, and resources available- I try to treat all patients with respect and dignity-- having said that I have become much more conservative as I grow older. I r...

I guess purchasing the "hardcover" from a favorite author rather than waiting for paperback, or going to the library, dinner out, long weekend away...

..."The doctor is much more likely to give you want you want (need) if you ask in a calm and organized manner. Get your ducks in a row and have the answers to his questions before you page him." Good advice, it is all in the presentation!

I think it depends on whether or not you want to work hands on with patients or not--I worked as a homecare nurse for years, and feel that was actually my original niche-- then moved on to Adult Day Care, and then to Case Management- I have also wor...

...way back in the olden days I worked as a nurse's aide-- this was before any certifications were required, I was 16yo and needed a job I could walk to -- the woman training me at the ecf told me to treat the patient in the bed as if she were my m...