gr8rnpjt RN

Case Management

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All Content by gr8rnpjt

  1. gr8rnpjt

    I'm falling for my PRECEPTOR

    gr8rnpjt replied to IMA's topic in General Nursing

    :roll :roll :roll :chuckle :chuckle :chuckle :roll :roll
  2. gr8rnpjt

    what are your thoughts...

    gr8rnpjt replied to kk2000's topic in General Nursing

    kk2000, This is a horrible situation and I feel very badly for your Dad and Mom. If it should happen in your presence, you should as to speak with an administrator or supervisor. This is abuse pure...
  3. gr8rnpjt

    When the Board of Nursing is out to get you....

    gr8rnpjt replied to PrisonrNurs's topic in General Nursing

    This is one area of nursing that I am totally confused about. I would never want to work in this type of nursing job. But I am in agreement, the witnesses have an obligation to back you up, seeing as...
  4. gr8rnpjt

    I am a cursed idiot

    gr8rnpjt replied to epiphany's topic in General Nursing

    Epiphany, I think I understand where you are coming from. If your suicidal patient is pregnant, that is a heavy combination. Your conversations and comments are crucial, and you probably tried very...
  5. gr8rnpjt

    So, she does drugs... (advice please)

    gr8rnpjt replied to christinaquilter's topic in General Nursing

    ??????
  6. gr8rnpjt

    What is considered a Medication Error?

    gr8rnpjt replied to nursemi's topic in General Nursing

    Let us remember that this was a Psych unit, so I would assume that this instructor is the Psych instructor. Based on that information I would assume that the instructors medical experience is not...
  7. gr8rnpjt

    Patients always needing something no matter what.

    gr8rnpjt replied to OliveVinesRN's topic in General Nursing

    Sorry, maybe I am missing something. Or maybe I have been away from bedside nursing too long. But isn't this a part of normal patient care? If we don't hear our pt's needs, how are we to determine...
  8. gr8rnpjt

    Utilization review nurses

    gr8rnpjt replied to URnurse1988's topic in Case Management

    I started in the managed care arena about 20 years ago. I started at the biggest insurance company in Pittsburgh. That would be the best thing to do. Ask around people you know what insurance do you...
  9. gr8rnpjt

    I got written up and it's bringing me down

    gr8rnpjt replied to porterwoman's topic in General Nursing

    Forgive me, but you don't know enough to have an opinion here. Are you perhaps, an MD student? You have the arrogance down
  10. gr8rnpjt

    source for Steeler scrubs?

    gr8rnpjt replied to MissBrn's topic in Pennsylvania Nursing

    I would check down the strip district. From what I hear they have everything Steelers under the sun. Including pink g strings with the steelers
  11. gr8rnpjt

    Holy cow - what are people thinking

    gr8rnpjt replied to Nurse Ratched's topic in Geriatric, LTC

    That is exactly what happened with the Pittsburgh case. Pt elopes outside, no one noticed, after being found dead outside she was brought back in and put back to bed and then it was reported that she...
  12. gr8rnpjt

    Nationwide Care Managers Question For You

    gr8rnpjt replied to renerian's topic in Case Management

    I was in a similar situation. I worked for a company 10 years ago that was bought out 4 times in 2 years. We changed names each time. Eventually they laid off all the nurses from our office and became...
  13. gr8rnpjt

    Need an experienced opinion please!

    gr8rnpjt replied to HelloKittyRN's topic in General Nursing

    Low dose dobutamine infusion can help with renal and cardiac perfusion. I have had several patients maintained as outpatient with end stage cardiomyopathy and end stage renal failure with low dose...
  14. gr8rnpjt

    Advice please, re Narcotic Diversion/Rx Forgery

    gr8rnpjt replied to Lady InPain's topic in General Nursing

    Lady Inpain, as a chronic pain sufferer (fibro and chronic low back pain) I feel for you. I hope that you are receiving the help you need with the pain clinic. The only thing I would stress to you is...
  15. gr8rnpjt

    ques. for L&D nurses.(Long)

    gr8rnpjt replied to sconoli's topic in Ob/Gyn

    I know you asked to hear from L&D nurses, but I am sure you are aware that not every L&D nurse has had a baby, so how can they answer your question? You did not ask to hear from MOTHERS, who...
  16. gr8rnpjt

    Almost fired today

    gr8rnpjt replied to NP2BE's topic in General Nursing

    After reading this entire thread, I have to say that the OP may be deflecting, and may be running away, but the bottom line is, as others have stated, she could not have made the error without others...
  17. gr8rnpjt

    Plebian who wants to be tactful

    gr8rnpjt replied to Mirai Kangofu's topic in General Nursing

    Mental note to myself---never---agree to placing any of my loved ones in a nursing home.
  18. gr8rnpjt

    Most Memorable Experience!!!!

    gr8rnpjt replied to pnaya's topic in General Nursing

    I hope this thread takes off. I was just thinking of this the other day. During my days of "bedside nursing" I had a patient on tele who came in and out several times with complications. He was a big...
  19. gr8rnpjt

    Breastfeeding at 2 1/2 years???

    gr8rnpjt replied to Murse901's topic in General Nursing

    I agree with the other posters. The only thing that I wanted to add is that it should definitely be the child's choice. Of my 4 children, my first weaned at 8 months. My second continued to nurse into...
  20. gr8rnpjt

    Name that part. Words patients use for their own anatomy.

    gr8rnpjt replied to JEHORAPHA's topic in General Nursing

    That is just too
  21. gr8rnpjt

    87 yr old new mother

    gr8rnpjt replied to WannaBRN4's topic in General Nursing

    :rotfl: :rotfl: :rotfl: :rotfl: :rotfl:
  22. gr8rnpjt

    Important question

    gr8rnpjt replied to meggie007's topic in Ob/Gyn

    It is called a bicornuate uterus. It is a congenital anomaly. It can effect fertility and can be surgically corrected. Was your Mom on DES when she was pregnant with you? This sometimes occurs in DES...
  23. gr8rnpjt

    87 yr old new mother

    gr8rnpjt replied to WannaBRN4's topic in General Nursing

    Amen to that! There are no hard and fast rules when it comes to these things. It should not be a medical issue as much as an issue of the heart. All my children were very much wanted. I had my first...
  24. gr8rnpjt

    Any good quotes from your patients?

    gr8rnpjt replied to GermPhobe's topic in General Nursing

    I hope this thread takes off, I think it is a good one. In my last case management job, I worked for a Diabetes Population management model hired by a large insurance company in my area. My job was to...
  25. gr8rnpjt

    desparately needing help finding a job!

    gr8rnpjt replied to tampabaylpn2rn's topic in Nursing Career

    I believe this is truly a unique situation and we should not come down on the obviously mentally ill. Imagine waking up and hearing voices. I can understand where it would make you decide not to come...