UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    How does YOUR hospital waste its money?

    UM Review RN replied to Riseupandnurse's topic in General Nursing

    By paying experienced nurses about the same as the new grads. The experienced nurses are insulted and the new grads think they're hot stuff. The end result is that the newbies leave because they never...
  2. UM Review RN

    Today I actually broke down during sign off report. (long)

    UM Review RN replied to JessicRN's topic in General Nursing

    Please accept my sincere condolences on the loss of your friend and
  3. UM Review RN

    Reporting during a rapid response or Code Blue

    UM Review RN replied to bakpacker13's topic in First Year After Licensure

    Yes you are, Mr. Ian, reference away!
  4. UM Review RN

    Vent, Rant, All of the Above- New nurse in trouble

    UM Review RN replied to emtstudentnurse's topic in First Year After Licensure

    :icon_hug:There are a few issues here. First, you admit that you have too many patients. Second, you admit to being unable to finish on time or do the appropriate documentation. Third, you say you're...
  5. UM Review RN

    Reporting during a rapid response or Code Blue

    UM Review RN replied to bakpacker13's topic in First Year After Licensure

    You did just fine, don't worry about that. Just give them all the vitals that you know and tell them that the patient's behavior and LOC has changed dramatically from AOx3 to blahblahblah. If it's...
  6. UM Review RN

    Maintaining Morale During High Census

    UM Review RN replied to caddismt's topic in General Nursing

    When it's high census, it's almost impossible to take a break. Is everyone getting a break? If not, you might help out with that. I can't tell you the number of times there'd be a pot luck or special...
  7. UM Review RN

    Prioritizing Care....?

    UM Review RN replied to WannaBeNrse's topic in Nursing Student Assistance

    True. I've done the dance in bed a few times
  8. UM Review RN

    Things you would love to tell your management and get away with

    UM Review RN replied to madwife2002's topic in General Nursing

    No, I will not work ICU. I'm a tele nurse. There's a difference. If you didn't know there was a difference, why is it policy that they only get 4 patients when they have to float to tele? (While we...
  9. UM Review RN

    NGT/FT securing techniques?

    UM Review RN replied to myita32's topic in CCU, Coronary, Cardiac

    Is this it? Hollister makes it. Sure do wish we had those! I'll put the recommendation
  10. UM Review RN

    Did you catch a disease while working as a nurse?

    UM Review RN replied to bronzemint23's topic in General Nursing

    Not that I know of. I will say that I was nervous about working with infectious patients when I knew my immune system was down, but no, I never got anything. Thank the
  11. UM Review RN

    Multiple Job Interviews...Help!!!

    UM Review RN replied to WildcatFanRN's topic in First Year After Licensure

    You got that right. You cannot believe how grateful a patient can feel for something as simple as a nice glass of water or an extra blanket, or even a few kind words. It's really hard and really...
  12. UM Review RN

    Prioritizing Care....?

    UM Review RN replied to WannaBeNrse's topic in Nursing Student Assistance

    You'd pull the IV right away to minimize damage to the hand. The patient might still need an IV because that wound sounds like it's going to need antibiotics, and the doc will most likely select an IV...
  13. UM Review RN

    Prioritizing Care....?

    UM Review RN replied to WannaBeNrse's topic in Nursing Student Assistance

    This is what I'd do, whether it's right or wrong. 1). Turn off the IV fluids. 2). Position patient on the bedpan. 3). Take the patient's temp. 4). Give patient the po pain med. 5). Pull the old IV....
  14. UM Review RN

    Multiple Job Interviews...Help!!!

    UM Review RN replied to WildcatFanRN's topic in First Year After Licensure

    It's not wrong, but just think about it -- yours might be the kindest face that patient's seen in years. I know that when I was a kid, a nurse was so kind to me that it did change my life. You never...
  15. UM Review RN

    Things you would love to tell your management and get away with

    UM Review RN replied to madwife2002's topic in General Nursing

    Ummm... Remember when you said that if we didn't like filling out those care round sheets, that we were welcome to go somewhere else? Remember when you said the same thing about standing outside each...
  16. UM Review RN

    Multiple Job Interviews...Help!!!

    UM Review RN replied to WildcatFanRN's topic in First Year After Licensure

    Nothing stellar? How about making people feel comfortable, happy, relaxed? How about teaching patients about their medications so that they can be compliant and help save their own lives? Wasn't there...
  17. UM Review RN

    Any smokers Out There?

    UM Review RN replied to rustyshackleford's topic in General Nursing

    Reminds me of the time that I pulled a cigarette out of the pack and found that each and every one had been defaced by a blue magic marker line exactly in the middle of the white paper. Mom was at it...
  18. UM Review RN

    Tips for nurses in their first year of nursing

    UM Review RN replied to Brian's topic in First Year After Licensure

    You find another job. Even going unit to unit in a hospital, the culture is different. Some encourage new nurses, some don't. You always want one that is a rich learning environment so you can
  19. UM Review RN

    He's jealous of Allnurses. com !

    UM Review RN replied to NurseLoveJoy88's topic in General Nursing

    My DH is not jealous of AN, he's just trying to get me away from the computer so he can play
  20. UM Review RN

    Pt reports chest pain 6/10, tightness in chest, can cover pain with palm...

    UM Review RN replied to algebra_demystified's topic in Psychiatric

    As a cardiac nurse, I ditto what rn/writer said. We have lots of patients who have multiple medical dx's and psych is only the tip of the iceberg. Please call if your patients c/o chest pain...
  21. UM Review RN

    Things you'd LOVE to be able to tell patients, and get away with it.

    UM Review RN replied to AngelfireRN's topic in Patient, Colleague Relations

    Re: Things you'd LOVE to be able to tell patients, and get away with it. A gentle reminder: Folks, please try to be polite to one another and please, please, please stay on topic. This is a vent...
  22. UM Review RN

    Any smokers Out There?

    UM Review RN replied to rustyshackleford's topic in General Nursing

    But smoking is an addiction....and this is the loopy logic of the addict. Doesn't matter what the addiction is for -- cigarettes, food, alcohol, whatever. This is the way addicts think. I thought that...
  23. UM Review RN

    Should a nursing instructor tell a student they are not nursing material.

    UM Review RN replied to motivated2nurse's topic in General Students

    Still, the question was not about if the student was able to be a nurse, but only if the instructor should tell the student a generalized comment like "you're not nursing material." Initially I...
  24. UM Review RN

    Strangest thing ever said to you by another professional.

    UM Review RN replied to eriksoln's topic in Patient, Colleague Relations

    I called the doc and asked, "Do you want the patient to have X medication?" after noticing that my new ER admit's home meds did not include this one. Doctor Jerk goes off on me and demands that I...
  25. UM Review RN

    Any smokers Out There?

    UM Review RN replied to rustyshackleford's topic in General Nursing

    I realized what an evil habit smoking was when my DH piled me into the car after a very scary lung biopsy --had chest tubes and all--and despite the scare we'd just had, the first thing he did was...