Umrn1

Umrn1 specializes in Med - Surg.

Latest Activity

1. Utilization Management - sending clinicals

   Umrn1 posted a topic in Case Management

   I am new to UM, for large hospital, uses Allscripts with Interqual. My question is when I have private insurance company who requests clinicals, is it procedure to not only attach h&p, notes, etc. but to type out the info in the SI & IS boxes...

2. IV start and stop documentation for reimbursement

   Umrn1 replied to Umrn1's topic in Med-Surg

   We do program the Iv pump for run time. I don't think I have the option on our pumps to go back and look at a history of sorts. We use Alaris pumps. On a good day and I am able to go back to chart and document on the paper IV flow sheet. I'll write i...

3. IV start and stop documentation for reimbursement

   Umrn1 replied to Umrn1's topic in Med-Surg

   Yes, I totally understand paper charting on MAR and have had to do it that way before. I guess that is what I'm more used to actually and perhaps that's why this is a little difficult for me to embrace. Again, I know it sounds hard to believe, but wh...

4. IV start and stop documentation for reimbursement

   Umrn1 posted a topic in Med-Surg

   I am a med-surg RN with an IV documentation problem. Here is my delimma... In our hospital, we use EPIC EMR. When we scan to hang any IV fluid/med bag, we have to leave the patient room and get the patient chart from a little closet just outside the ...

5. IV fluid documentation of start/stop times for reimbursement

   Umrn1 posted a topic in Infusion

   I am a med-surg RN with an IV documentation problem. I don't know if this is right specialty area, but here is my delimma... In our hospital, we use EPIC EMR. When we scan to hang any IV fluid/med bag, we have to leave the patient room and get the pa...

6. IV documentation for start and stop times, reimbursement

   Umrn1 posted a topic in Management

   Im am looking for what other hospitals do for doumenting IV start/stop times. There has to be a better way than how we do it...... I am a new BSN-RN with eight months experience on a twenty-nine bed very busy general surgical floor, day shift, six pa...

7. When IV's aren't in use

   Umrn1 replied to Mommy of 2's topic in Med-Surg

   Okay, minimize the number of accesses into the system. I agree is definately not the same as swabbing. Thank you for the post:)

8. When IV's aren't in use

   Umrn1 replied to Mommy of 2's topic in Med-Surg

   I am a new nurse with 7 months experience on a general surgical floor. Looping tubing is the norm. I need clarification on where looping is considered a risk when the port looping to is alcohol swabbed. We use blue quick connect caps on the patient s...

9. CNA Task Delegation & Patient Care Coordination Advice Needed

   Umrn1 replied to Umrn1's topic in General Nursing

   Oh yes, I have also always tried to 'reward' my aides who really rock, or who may not have rocked at first, but after getting to know me and our patients have really stepped up to the day and responsibilities at hand. I get them a candy bar or ice cr...

10. CNA Task Delegation & Patient Care Coordination Advice Needed

    Umrn1 replied to Umrn1's topic in General Nursing

    Great and very helpful responses! Some time has passed since my post and I've been trying harder and harder to follow up and to let the CNAs know that I completely understand the staffing issues we have from time to time. I've spent more time and eff...

11. CNA Task Delegation & Patient Care Coordination Advice Needed

    Umrn1 posted a topic in General Nursing

    I am a new grad going into my fifth month working on a general surgical floor, day shift. Of course time management is still something I struggle with. I have days that everything seems to go as planned and on time and I feel like super woman and ful...

12. EPIC, documentation & time management advice

    Umrn1 replied to Umrn1's topic in General Nursing

    More questions... How many of you document 2 assessments one initial and another focused, resolve care plan problems, resolve teaching problems etc. on every patient every day? I am also looking for advice on adding/deleting care plan items and teach...

13. EPIC, documentation & time management advice

    Umrn1 replied to Umrn1's topic in General Nursing

    Yes Yes! I totally forgot about the wrenching tool! Thank you for reminding me of that. Hopefully this weekend will have a slow(er) day and I will work on my flowsheets and overall set up to customize more. I helps so much just to hear that everyone ...

14. EPIC, documentation & time management advice

    Umrn1 replied to Umrn1's topic in General Nursing

    Thank you so much! This will help me. I love the hiding part. That is the one thing I have figured out. If there is an empty patient room, You can find me there trying to get documenting done, lol.

15. EPIC, documentation & time management advice

    Umrn1 posted a topic in General Nursing

    I am looking for some EPIC documentation advice, tips, hints, etc. EPIC is new to our hospital. I feel we had the max training time allowed and overall I really like it, just unsure how best to approach it. I am mostly looking for the best possible t...