Lucy4

Yes - the interview was prior to admission to the program. I don't know if it is still part of the procedure. The questions included what qualities do you feel are important for a CM to possess, what qualities do you possess that could be valuable ...

Kaplan has a number of programs including the case management program - open to nurses and social workers. Check on-line for more info. I had to do a phone interview also.

I completed the Kaplan program about 6 years ago. I work in acute care and wanted a CM job and no one would hire me due to lack of experience. My thinking was if I completed this program that I would have an edge - and I did. When I enrolled in th...

I am a discharge planner and occassionally discharge a patient with a Pleurex catheter. The patients where I work are sent home with 3 kits and then I order kits to be delivered to their home. Pleurex catheter kits can be ordered thru Edgepark Medi...

Sorry you are having such a difficult time and hope things improve for you. I like to think the great majority of CMs are fair and interested in good outcomes over making referrals to a facility just because they are friends with the liasons. One sug...

I am a DCP at a tertiary medical center and discharge many patients to SNFs, LTACs and acute rehabs - more SNFs than the others. Medicare requires that patients are offered freedom of choice and I, as well as all DCPs, are required to give patients a...

The Medicaid CM I have spoken with RE patients are somewhat helpful. Often their hands are tied. Not long ago I requested assistance in SNF placement for an in state patient (Medicaid HMO). Several facilities were willing to take him but had to de...

Hi everyone! I am thinking of starting Byetta and wondering if anyone has had any experiences with this drug? Thanks!

Hi everyone! Went to internist on May 12th. Had labs drawn late last week. HgA1c was 7.3 (last done a year ago and then was 6.9). I have been non-compliant with diet and just in last 3-4 months started watching and have lost 20 pounds. I asked ab...

I am a case manager at a major tertiary medical center and my primary responsibility is discharge planning. UR is separate. Some case managers do reviews and have a smaller case load but those hired as discharge planners in past 3-4 years are respo...

I have never heard of giving out gift cards to families - these places must have a big budget!!!

Not familiar with the particular Kansas facility. Select Specialty hospitals are long term acute care hospitals (LTACs). Some are free standing and some are in leased space of an acute care hospital. More and more are free standing. LTAC is a lev...

Thanks for your reply! I have increased Amaryl to 3mg and fasting is still 150's to 170's and occassionally higher. Today I had a meal replacement bar in AM and a light lunch. Blood glucose before dinner was 102 - usually120's - 130's. Seven day ...

I dissected a fetal pig for anatomy class in undergraduate school - got to take it home to study.

I worked in LTC at an excellent facility a few years ago. Loved the residents but not the politics. I have felt at different times that LTC nurses are seen as second rate and not being able to get a job any place else. Not so at all. Geriatrics a...

My observations are a general lack of attention to details. As I stated before, I & O is a big pet peeve of mine - especially on a cardiac floor. I have seen some of the new nurses turn off an IV pump that is beeping rather than fix the problem...

I have some experience with working on a transplant floor and I think the experience is excellent. So much to learn and an interesting and challenging patient population. Great opportunity to build relationships with patients and also for patient t...

I & O. I haven't found very many that know how to calculate intake for IVFs. When I get report and ask how much is left, the response I get is "well I think...." When I ask how much they took credit for at 10PM - can't tell me. I go in and ch...

Thanks for your replies. I am seriously thinking abouth the Byetta. If not I may have to go with a low dose Lantus at night. Have a doctors appt in 3 weeks so will discuss then. Will keep you posted.

Thanks Dusky! I was diagnosed with Type 2 DM 2-3 years ago. My A1C was 7.1 and was started on Amaryl. Guess I was in denial and then when stressed more difficulty with diet control. have not been the most compliant person. Last A1C a year ago wa...

Can identify with all of the above - reason I got out of Pediatrics. Love the kids - can't stand the parents. My pet peeve was when a parent would show up with 5 other kids - let them run wild, clean out the kitchen, throw and break toys etc. Many ...

I have always gotten a phone call. Nurse recruitment - in my experiences - makes the offers by phone if offering a position. A letter usually indicates a rejection. My last offer was for a position in same hospital system- case management. The di...

I wear street clothes to work now - aside from my PRN job, and bought a pair of Earth Shoes for work 2 years ago. I wear them several times a week and they are so comfortable and my feet, back and hips do not hurt. Expensive but well work the $$$. ...

I was a peds nurse for almost 10 years and returned to caring for adults 10+ years ago. Loved peds for many years and then became very burned out - for multiple reasons. I worked at a well respected children's hospital and cared for children who we...

I have a wide foot and terrible time finding comfortable shoes. I bought a pair of Birkenstock shoes and didn't like them for quite some time -in fact quit wearing them for a while - took a long time to break in. I have worn Birkenstock sandles for ...