UTHSC_Bound

No. Totally different scope. And RNs that case manage actually DO provide care, Mean Mary, especially in outreach

They have a 2hr ethics credit. CVS has some too. I think it's called corem, and another org called Prime but cannot remember the website. Consider joining Case Managers Community on FB. The topic comes up a lot.

CCMC site has free ones called CM Learning Network

check with your school about this - we were required to have a dual head.

WHY access?! Is that actually usable in real world??

Drop the triggering words like "appropriate"

2.5 hr commute + 12hr shift + 1.5hr to wake feed dress pack lunch +2-3hrs at home to wind down and visit with loved ones = really not much sleep.

The board will likely hold your ATT card to sit for NCLEX. You will be required to send in court documents and a detailed description of the event. TX schools do background checks in the state. the BON does a national check. They held my ATT for an 11 year old charge that was dropped in another state. I sent in my stuff they gave me my card to sit. Its important to be honest. If you have medical proof your meds "were not metabolizing" I would include that as well. But even then the events you are describing - a screaming fight that was audible to neighbors - may poorly reflect on you.

In January of this year the American College of Pediatricians issued a pretty dire warning regarding it.

@mkk mine actually has both. They open the case prenatal and test both at birth @roser I'm within my bounds....without getting too in depth, this is outpatient medical management to improve outcomes. County=county hospital (read low income). The fact that I wasn't present for treatment or diagnostics is the basis of my question. The case managers (social) do not have a medical background. Although they are licensed by the state, and have the same knowledge regarding the patient as I do, they believe this lack of medical background is basis to not report. The question really is if I was not involved in the diagnostics do *I* need to report. The NP I'm under says no, but I want to do the right thing so thought I would throw it out here. I realize its an unusual situation. thanks!

Hi all Just looking for some opinions hopefully quickly. I am an ambulatory nurse that is best described as Medical Case Management - its a lot more but... I have a pt who was taken in to county by a case manager based on some health complaints to discover she is 29 weeks (according to US) and positive UA for cocaine. I have knowledge of this because we use county electronic health record for our people - I saw the lab results in other words. My question is - am I supposed to be reporting to appropriate authorities? I was not present for any medical treatment or diagnostics. TIA!

I got my BSN with 20k of debt. Be a good student, get scholarships, pell grant, and don't go to a private school. I think he ER tech idea is a great one. My techs had more mad skills than I did. If you can pull off your heart burn for kindness in patient care and reduction of fear in the ER you would be a super star.

Just wanted to pipe in on this regarding your original question regard MDs and pain meds and the environment becoming puritanical with an example of the insanity. I have a pt who was pegged as drug seeking several years ago...but now we are s/p L AKA, and they wont give pt anything for pain. Keeps going back to the ER complaining of pain they wont give anything...dehiscence of the stump everything getting necrotic, pt in pain, wont give anything. Finally has a blow out moment where home health wound care goes to see pt and finds maggots in the wound. So back to the ER pt goes. They finally go in with an angiogram and end up having to do a mechanical thrombectomy and revascularize the illiac with a stent....so stump has been ischemic this whole time. I imagine that's probably pretty painful. The problem here is that because someone is labeled as drug seeking they get NO PAIN needs met! Its really frustrating and impossibly hard to advocate in this environment.

This whole thing made me chuckle....you work in a hospital you basically wear pajamas to work and the most comfortable shoes you can find and no one gives a rats ass if you have neatly trimmed facial hair while you are saving their life in real life.

So I graduated in the top of my class from a top school, raring to go with ICU and ER in my headlights....I stuck it out for a year....MISERY. I stuck it out because everyone wants a year....you really just need to do the year then GO!!!!!! I left for community nursing...I'm essentially working with chronic homeless who are stabilized in housing, lots of triage, education and referring to resources. Its what I wanted out of nursing...the human aspect...the corporate bs environment of hospital nursing turned me bitter and exhausted. I mean really...please don't stand in my face talking about press gainey and waitressing bull while you understaff us so you can make a profit margin....screw that. I'm thankful for my experience there (ER and step down), but NEVER AGAIN. You know you don't want to be there, but I promise everyone is going to want at least a year of exp, so transfer within to find a better home for the year or just set a timer of the days left. It will help.