BadwomanM

BadwomanM

Case manager, UR

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All Content by BadwomanM

  1. Break up during school

    Just consider the grief you feel about the breakup like a temporary sickness. You know it will pass in time. It's like having the stomach flu. Really sucks while it's happening but it won't last...
  2. Break up during school

    Wish I could give this post at least 100
  3. I Desperately Want Out

    Not every area will use an ADN for UR, case management, etc. I've been a case manager for 15 years and had to have my BSN to get the job. I also was a wound RN which required it, UR nurse that...
  4. Jahi McGrath has passed

    Just read this headline today. I hope and pray her family can find peace now. Jahi McMath, California teen at center of brain-death controvers - KFVS12 News & Weather Cape Girardeau, Carbondale,...
  5. When Faith Creates False Hope

    Just read a headline that Jahi has now passed. May her family find peace and comfort at last. Jahi McMath, California teen at center of brain-death controvers - KFVS12 News & Weather Cape...
  6. When Faith Creates False Hope

    With families having a difficult time with acceptance, I generally just affirm their belief/wishes while still being gently honest about the what is happening based on the information at hand. I have...
  7. Struggling to be a Christian Nurse

    I truly understand how you feel. Frequent flyers are discouraging to the whole team. I try to see them as just one of those things in nursing that we have to deal with and it's not the end of the...
  8. Grooming/Human trafficking

    I'd be so tempted to send him back a picture of a large, threatening looking police
  9. What I usually do is introduce myself, then tell them that the case managers touch base with everyone that is admitted, follow their hospital stay, and evaluate for any discharge needs that might...
  10. What is your worst visitor story?

    Not the worst, but one of the weirdest... I was 8 months pregnant, comforting a man who's father had just passed in our ICU after being there off and on for several weeks. Put my arm around his...
  11. Wonder how other CMS handle the burnout and frustration of dealing with difficult cases such as no money for prescriptions, no insurance, unable to get things like O2, etc. If there has been anything...
  12. It's not my job to pray with you.

    "I would not participate in applying snake oil and I dont participate in a patients delusional behavior. Unfortunately they have plenty of company in their delusion. Of course I dont confront them on...
  13. How do you handle the difficult cases?

    It's difficult when as case managers we are held more and more accountable for outcomes, as patients are held less and less accountable for taking care of themselves. At least that's how it seems. We...
  14. Reporting for racial slurs/substance abuse

    Yes, this. You really have no idea if this is the actual person or not. It's unfortunate, but too much is 2d and 3rd hand information to make a valid
  15. Does anyone really read all this charting?

    I want the job of professional button clicker! I'm eminently
  16. most non-caring branch of nursing

    If you mean little to no patient involvement, I'd say UR or Clinical Documentation Integrity are the way to go. Maybe work Denials for a hospital or insurance company. None of those require much, if...
  17. New Grad feeling like I can't do anything right!

    I agree with the posters who question where the preceptor was. I had a horrible time orienting to ICU, even with a great preceptor. But my worst mistakes came after I was off orientation. My manager...
  18. Refusing to change/toilet pts

    This may not be relevant, but as a case manager RN, I'm not allowed to do patient care, such as walking them/bathing/toileting. It's sometimes embarrassing to have to ask the family to put the call...
  19. Why are so many nurses against unions?

    "The majority of our assistants will not help unless asked and it's like pulling teeth just to get them to help with a blood sugar check. Often they are sitting on their cellphones or just catching up...
  20. I also remain confused as to exactly who did what to whom
  21. Why do patients.....?

    If they had a large amount of meds, I'd put them in a drinking sized cup first before opening them. Then would open one by one stating the name of the med. Put however many at a time they wanted into...
  22. Not today Satan, not today!

    That's the most frightening one
  23. Hospital that bans family members

    I had a really awkward situation come up some years ago... a middle aged woman who was in ICU and dying of heart failure... DNR... still somewhat awake and could nod yes and no, and DIDN'T want her...
  24. Inane scripting

    You must have worked where I did years ago. I remember that line. Sure wasn't true most of the time,
  25. Reflections of a Private Duty Nurse

    I think we make a mistake when we think that nursing is only about really ill patients with complicated conditions and high technical needs. Your patient sounds plenty complex..and you're providing...