jeffsher

jeffsher

Peds, Psych, Medical Home Case Manager

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All Content by jeffsher

  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...

  16. I give in to drug seeking patients

    jeffsher replied to Raidernurse's topic in General Nursing

    Press-Ganey is a powerful

  17. I give in to drug seeking patients

    jeffsher replied to Raidernurse's topic in General Nursing

    Having worked outpatient for the past 17 years, I can tell you that there is a HUGE market for narcs. We would frequently get anonymous and caller-identified calls about a patient getting his/her 180...

  18. Care coordinator vs Case Management

    jeffsher replied to noelia23RN's topic in Case Management

    Hard to say what the difference is, as it varies from company to company. I'm a Case Manager, and am strictly involved in disease management. In my company, the definition you use for Care...

  19. Holy Abscess! Not for the faint of heart

    jeffsher replied to Brian's topic in General Nursing

    A strawberry/vanilla

  20. A Bit of Irony Pertaining to Organ Donors

    jeffsher replied to Music in My Heart's topic in General Nursing

    I also have a hereditary peripheral neuopathy (Charcot Marie Tooth), and my feet wouldn't withstand shifts working on a transplant floor (earlier in my career I worked in the hospital and just sucked...

  21. A Bit of Irony Pertaining to Organ Donors

    jeffsher replied to Music in My Heart's topic in General Nursing

    I signed on as a donor from when it first became available to do so with my driver's license. My personal irony is that I ended up RECEIVING a kidney 3 years ago (Polycystic Kidney Disease). I find...

  22. Telephonic Nursing

    jeffsher replied to xmilitary's topic in General Nursing

    I just left a job after 17 years in a primary care clinic where I did mostly phone triage. The docs love having a good triage nurse; it takes a lot of work off of them. I leveraged that experience...

  23. RNs tell your hospitals to hire new grads

    jeffsher replied to DedHedRN's topic in Job Search, Interview, Resume

    Where to go? Case Management. As insurers (especially Medicare) look to cut costs, that will translate into managing high risk patients to keep them out of the hospital and

  24. RNs tell your hospitals to hire new grads

    jeffsher replied to DedHedRN's topic in Job Search, Interview, Resume

    Exactly! I find that this "entitlement attitude" is pervasive, and not limited to the nursing field. I just took a position as a RN Case Manager. No weekends or holidays, decent pay, great...

  25. Holy Abscess! Not for the faint of heart

    jeffsher replied to Brian's topic in General Nursing

    Cool! I didn't see anyone culturing the pus,