Capco56

Capco56

Med/Surg, Hospice, Palliative Care, HH

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All Content by Capco56

  1. Insurance Field Case Manager

    I've been an RN CM with a major insurance company for about six months, and our team recently learned that all of our jobs are being moved to another segment of the company. The good news is we are...
  2. Transitional Care Case Manager

    Congrats! UHG/Optum is a good company and with good leadership I believe. I'm glad you will like it. Welcome to our
  3. Transitional Care Case Manager

    Hello...did you get the job at UHC? I am on the TCM team with them. If you were hired, where will you be based out of? Greensboro NC
  4. Would someone explain the difference between an Episodic Care Manager and RN Case Manager with insurance companies? I have applied to both and was wondering about the specifics of each title....
  5. Float Pool Nurses

    I've been working float pool at a local hospital for about 6 months now. While I love the general idea of it, the variety, the higher pay, etc, I get very frustrated with splitting my 8 hr shift...
  6. Float Pool Nurses

    Thanks for your prompt replies! Maybe it's just something I have to accept. It's just very difficult assessing, charting, passing meds, not to mention the "unexpected" that always occur when taking...
  7. Is 7 the new 5?

    I just returned to Med/Surg after 2 years in Home Health (nurse for about 10 yrs total). I'm appalled that administration thinks nothing of calling off nurses and loading the ones working with 7...
  8. Is 7 the new 5?

    Seems to be the consensus that this is becoming the norm. We have surveys too, which don't amount to alot of changes. We even have a union that can't seem to resolve the issues either. It is sad...
  9. Good or Bad Luck with Hospice Pharmacia?

    Has anyone used Procare pharmacy and what did you think? I have had times where I'll wait close to an hour for someone to call back; always get a machine and have to leave my number. If I'm at a...
  10. I recently started work at a new HH agency with a reputable name after about 1-1/2 years at another agency. I do a lot of SOC's and am feeling pressured by the QA manager to "re-evaluate" my answers...
  11. Please Advise ASAP Confidential please

    All very good replies. Rule of thumb, if he is alert and oriented enough and barring any swallowing difficulties or aspiration precautions, there is no reason he can't have a hot fudge sundae for...
  12. Would you have opened this case?

    I had an admission today on a 2 year old little girl who had an abscess on her labia (suspected spider bite). She was in for an I&D by the surgeon yesterday and sent home the same day. Today, I...
  13. Would you have opened this case?

    P.S. Thank you for the compliment
  14. Would you have opened this case?

    LOL....Ok, we definitely got our wires crossed. I got the drift of it
  15. Would you have opened this case?

    Understand, and agreeable. I can understand firmly holding a child down to put in an IV or give an injection. Heck, I would have even been okay, not comfortable, but okay if this wound was on her...
  16. Would you have opened this case?

    Thank you, systoly and Isabelle, too. It feels good to hear support from fellow nurses, and, although I never doubted my decision, your encouraging words make this whole ordeal more tolerable. To...
  17. Would you have opened this case?

    LOL!!!!!! Thank you, Isabelle! You gave me a great laugh to an otherwise very emotional day. I did end up aborting the packing. I just could not make this little girl endure it, and I truly hope...
  18. Affordable pulse ox

    Can anyone recommend an affordable finger pulse ox for HH use, preferably under
  19. ON CALL

    I work for a small hospital based agency and we have call 4-5 times a month after normal business hours through the night, except if it's a w/e, then of course, it for 24
  20. I work out of a hospital based agency, have been in HH only a few months, and we've had alot of changes with personnel occupying new positions, etc. Wondering how other agencies organize their...
  21. Help With SQ Infusion

    My experience with SQ infusions in the hospice setting is that we would change out the needle every 4 days, similar to an IV, as long as the tegaderm is intact and the site is not compromised. I've...
  22. Looking for guidance from a few HH vets.

    Not sure where you're located, but I work in PA, part of a hospital based HH, and we are "desperately" looking to fill a full-time RN because we have so much work. I travel 45 min to the hospital...