UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    PTT & APTT - Differences?

    i don't wanna nitpick, but are you sure about that? lovenox is usually given subq and never im because muscle is so much better perfused than the sq and more likely to result in a hematoma....
  2. UM Review RN

    Wasting Narcotics

    I got a few nurses mad at me because at one place I worked, I followed a very sloppy nurse who always forgot to sign off his meds. They'd just sign off on the count, but I insisted on writing the...
  3. I appreciate your concern, but IMO the problem is less one of education than it is an issue of staffing realities. Today's nurse is dealing with high acuity patients with complex problems, and the...
  4. Just wondering what your hospital policy is. Does hospital policy assure that the patient leaving AMA (Against Medical Advice) gets discharge instructions of some kind or
  5. UM Review RN

    Scripting

    To the patient who's been a royal PITA and has done nothing but disturb and upset the roommate and for whom we've been fighting for a private room for hours and just now got permission at 0200: "Well,...
  6. UM Review RN

    What Would You Like to Chart if You Can Get Away With It?

    "MD was called regarding clarification of medications. MD began cursing and yelling at nurse, "How dare you call and wake me up?! Could this have not waited until morning!" This nurse reminded the MD...
  7. Here's the link. I found it in Nursing Articles in the Previous Winners sticky thread: https://allnurses.com/forums/f300/full-circle-my-first-year-nursing-271914.html I hope you enjoy it and identify...
  8. UM Review RN

    Nursing Career Advice

    Moved to its own thread for more answers.
  9. UM Review RN

    Group Project on CVA- help on ideas??!!??

    You might do a skit that revolves around a young nursing student talking to a relative about the risk factors of stroke and how to keep from having one. The relative poo-poos the advice and then has a...
  10. UM Review RN

    Would you have called rapid response?

    As long as the patient wasn't decompensating, I'd have left her alone. We see that all the time. I get nervous, but some people just hang out in that 80's neighborhood and they're
  11. UM Review RN

    Help!!!!!

    Could this be it?
  12. UM Review RN

    Project for final

    Cut down on charting, perhaps? We spend more time with paperwork than we do with
  13. UM Review RN

    Are Students Protesting HESI??

    I'd be interested in reading about that subject, Courtney. Could you please provide a few links to relevant articles? I couldn't find
  14. UM Review RN

    If you weren't a nurse...

    interior
  15. UM Review RN

    Gray areas

    This is why you can never know everything as a nurse. No two patients are exactly alike. Sometimes you will see a classic presentation. Most of the time you will have to learn to individualize care....
  16. UM Review RN

    Lab draws after IV start

    Suppose you have a direct admit. You need to start an IV and draw labs, so you draw from the IV start. I've been told that there is a correct order that labs need to be drawn in. Can someone tell...
  17. UM Review RN

    Questionable parameters?

    Some docs want the patient to have a beta blocker to help the heart function and will give Coreg 3.125 with parameters to give with a BP of over or equal to 85. However, I would expect that the...
  18. UM Review RN

    Got Yelled at by MD.

    Here's the thing: I may be wrong, but I've heard that there have never been any evidence-based studies that prove that the use of SCD's lowers the rate of DVTs. If any exist, please provide a link....
  19. UM Review RN

    Questionable parameters?

    No, I
  20. We all hate 'em but I've never known a nurse who hasn't been talked into working extra at least once in her career. What ONE THING do you recommend to get through it
  21. UM Review RN

    Funny things that pts say

    While completing admission paperwork on a new female geriatric patient: Me: So can you tell me what other problems you have, Mrs. B? Pt: Yes. I'm impotent. Me: (blank stare, thinking, definitely TMI...
  22. UM Review RN

    What to do

    How about home health? One on one patient care, decent pay and benes with the right company. Just a
  23. UM Review RN

    Need A Nursing Interview

    If you need to write a paper on nursing issues, then you might want to lurk in this forum a bit. You might even be able to use it for a resource.
  24. UM Review RN

    answer me please!..for the love of god

    There's also a Pre-Nursing forum here: https://allnurses.com/forums/f198/ Hope that helps!
  25. UM Review RN

    Are Students Protesting HESI??

    Please accept my sincerest condolences on the loss of your friend and classmate. But please do not cause yourself more grief and anguish by blaming one lousy pen-and-paper test on the death of a...