jeffsher

jeffsher has 22 years experience and specializes in Peds, Psych, Medical Home Case Manager.

Latest Activity

1. Does anyone....

   jeffsher replied to NiceShot's topic in Case Management

   Absolutely. I rarely get out "on time" these days. In fact, this was the week from hell. But I still love my

2. Does anyone....

   jeffsher replied to NiceShot's topic in Case Management

   Absolutely! I've only been doing it for 7 months now, and it is a lot of work. But work isn't "work" when you love what you

3. Becoming a CM with no experience in CM

   jeffsher replied to MomRN0913's topic in Case Management

   Many times companies will post that they want experience, but that doesn't mean that they ONLY hire those with experience. Ignore the experience requirement and apply anyway. What do you have to...

4. Cm is a thankless job!

   jeffsher replied to lisa41rn's topic in Case Management

   It's called "entitlement attitude", and it's becoming more and more

5. Any nurses who used to be teachers?

   jeffsher replied to Baubo516's topic in Nursing Career

   Baubo516, I've been out of commission for a while (surgery and a med problem that landed me in the hospital 3 weeks after the surgery) and missed your April post up until now. Glad everything is...

6. Telephonic case manager

   jeffsher replied to msleely's topic in Case Management

   I just started as a Telephonic CM back in January. I work for an HMO, and the position was newly created to cover the Medical Home and Community Case Managers in our system (over 100 CMs; there is...

7. Has Anyone Here Worked in a Coumadin Clinic?

   jeffsher replied to westieluv's topic in Cardiac

   Just had an inservice on Pradaxa this week. It's not good for those with risk of GI bleed, but it carries lower risk of intracranial hemorrhage. Coumadin has a narrow therapeutic index, which is a...

8. Has Anyone Here Worked in a Coumadin Clinic?

   jeffsher replied to westieluv's topic in Cardiac

   Pradaxa is a direct thrombin inhibitor, while Coumadin/Wafarin prevents the activation of*4 clotting factors that depend on*Vitamin K. No need for monthly labs and frequent dose adjustments as with...

9. Has Anyone Here Worked in a Coumadin Clinic?

   jeffsher replied to westieluv's topic in Cardiac

   One consideration: how long will coumarin clinics be needed, as the new drug Pradaxa doesn't require lab

10. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    jeffsher replied to Mini-Murse's topic in General Nursing

    I was giving multiple chemotherapy meds to a 2 year old for her ALL, mixed syringes up, and mistakenly gave a hep flush IM (was supposed to give L-Asparaginase). I was fortunate that I had already...

11. outpatient mrsa protocol

    jeffsher replied to linguine's topic in General Nursing

    MRSA is widespread in the community. In our clinic, we wipe down exam rooms where there has been drainage from a MRSA wound; otherwise, standard

12. What grosses YOU out?

    jeffsher replied to JenTheRN's topic in Nursing Humor

    72 hour stool collection for fecal fat on a patient with cystic fibrosis. Also, I caught a gastroenteritis about 6 months after I finished nursing school. I had been vomiting all night, was...

13. Doing real CPR as a student.

    jeffsher replied to ~Mi Vida Loca~RN's topic in General Students

    As an aside, the "success" rate (meaning the patient eventually left the hospital alive) for CPR is 17% when performed in the hospital, 5% for those with chronic illness(es), and less than 3% in...

14. Best Nursing Salary with the Lowest Cost of Living

    jeffsher replied to itsme583's topic in General Nursing

    Geisinger Medical Center in Danville PA. Low cost of living, decent salary, and still not a far drive to Philly and NYC. Downside- it's rural (although some may consider it an

15. Practice Based Case Management

    jeffsher replied to GoSteelers's topic in Case Management

    Do the physicians "buy in" to case management? That's the first thing that needs to happen. Instead of having the approach of having the patients "change their bad habits", take it one step at a...