UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Confused, Mad and Frustrated

    Personally, I'd keep this job going as long as possible while you go to school. You are "taking it to the next level" -- in your personal life. No need to get mad that your manager doesn't know what...
  2. UM Review RN

    MOM vs. Suppository?

    I'm not sure how, but I think it actually helps the drink work
  3. Medline's always an excellent resource for these types of questions. Here's the link:
  4. UM Review RN

    Need help with case study

    There's a lab test that can tell whether Mr. Berns's blood glucose has been controlled over the past few months. I'd add that. Also, think about when he goes home. Will he need any supplies or...
  5. UM Review RN

    Have you read "Nursing Against the Odds"?

    It's all true. I think all nursing students should read that book before they are allowed entry into a nursing program. It'd weed out the pollyannas and the
  6. UM Review RN

    MOM vs. Suppository?

    We used to give that so often, we called it a Geriatric Cocktail or a Black
  7. UM Review RN

    Grammar errors at the workplace, just for fun :)

    I had a patient once who had an "elation" for her atrial
  8. She's probably had one of those vile vials break in her hand. Happened to me once. Glass all over the med room, what a mess. I knew one doctor who couldn't spell "agitation" for the life of him. He...
  9. UM Review RN

    The "Weigh" Out---A Food Management Support Thread

    OK, y'all got me going here. I ate better yesterday than I have been. Not being able to breathe at night is quite a good
  10. This is one of the situations in which I take a deep breath, fix it, then go have a private chat with the PCT. The first time it happens,
  11. Please, pay no attention to what that PCT just told you about your medication. She's a nursing student, yes, and she likes to pretend she's a nurse, but she does not have the knowledge or the...
  12. UM Review RN

    Res. who is constantly falling

    Now I'm getting curious. Just how often is he getting up at night? Think he needs a UA or a uro
  13. UM Review RN

    Res. who is constantly falling

    Won't use a urinal, eh? I recall one gent that I coaxed into using it (at least for the night I had him) by telling him that the doc wanted us to measure his urine output. He used the urinal all night...
  14. My DH has been off work with a bad back for almost a year and it doesn't look like he's ever going to be going back to his occupation. I'm surprised that we're making out OK, but it took some work to...
  15. UM Review RN

    Whistle Blowing and Retaliation

    I'd have to leave. My sanity, my reputation and my license are far more important to me. Situations like this are what make me very glad I have malpractice insurance. I've seen some really good people...
  16. UM Review RN

    The "Weigh" Out---A Food Management Support Thread

    I've been thinking about this thread for the past week. I know I should diet, I've been gaining since I started the new desk job a couple of months ago. I miss doing things like I used to, and so I...
  17. UM Review RN

    Why is it nurses put up with such poor conditions?

    IMO, I respectfully disagree. It's a simple matter of business. They own it, we don't. If we owned it, we could make the rules. We once had medical people running the healthcare industry and what...
  18. UM Review RN

    Mispronouncing a word makes you less of a nurse

    I can say some real tongue-twisters, but for some reason, I got a tad dyslexic when it came to hematocrit and bulemia. To me, it was hemocrit and bilumia. It only took a couple of eye-rolls and...
  19. UM Review RN

    Dangerous nurse?

    OK, so if you stepped back and looked at the Big Picture, how long do you think this patient could've survived if all measures were taken? What you've described, IMO, is a patient in renal failure...
  20. UM Review RN

    Anyone Up For Random FACT THROWING??

    It's the troponin. Here's an interesting article about it. http://www.cardiologytoday.com/view.aspx?rid=28845 Morphine is the correct answer because it improves function and relieves
  21. For those of you who use a machine to dispense medications, have you ever discovered the wrong med or wrong dose of a med in the
  22. UM Review RN

    a BNP of over 4000?

    I kinda assumed she meant a creatinine level, but you're right, at this stage you need to be correct and exact. My
  23. UM Review RN

    a BNP of over 4000?

    Could be, but I'd look at this http://www.medterms.com/script/main/art.asp?articlekey=30739 and also see if the patient had recently been on any
  24. UM Review RN

    a BNP of over 4000?

    A high BNP usually means Congestive Heart Failure. Sometimes this will not be reflected in the Xray because by the time Xray gets to the patient, Lasix has already been given. CHF can also be...
  25. UM Review RN

    Prayer/positive thought request for a fellow nurse

    She is in my prayers as well. How