UM Review RN ASN, RN

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All Content by UM Review RN

  1. UM Review RN

    How many failed IV attempts for new grad?

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

    You might pull a copy of facility policy on the number of IV sticks allowed and talk with her about it and offer to help her get better at starting IV. Then if she persists, take it up the chain....
  2. UM Review RN

    Push meds and Scope of Practice Interpretation

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

    First, I'd call Pharmacy and question an IV infusion of Lasix. Seems contrary to the purpose of the drug, althought I've heard of it in rare cases. However, if it is truly an infusion, it is not an IV...
  3. UM Review RN

    Surgeons, ugh.

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

    It is often a protocol for a postop abdominal patient to have a Dilaudid PCA on our floor, too, and I wouldn't have been giving anything po, even if the doc ordered it, if I thought the patient had...
  4. UM Review RN

    Please help me...

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

    I see why you're concerned and believe me, that is a very valid concern. In future, when you are on your own, you might not be able to observe such careless practice, and all you can do to protect the...
  5. UM Review RN

    Please help me...

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

    Why am I sensing that this statement infers that shortcuts are against facility policy? I did not say that a quick check was done in place of a full assessment, only that sometimes a quick check is...
  6. UM Review RN

    Please help me...

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

    Just do the best that you can for your patients. Your assessments, your charting, your interventions all have to be able to stand alone legally. That's the best way to protect your patient and cover...
  7. UM Review RN

    Surgeons, ugh.

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

    Yes, you are supposed to be a mindreader! You are also supposed to have known as much as the surgeon knows even though you only went to school for 4 years in an associated field. You are supposed to...
  8. UM Review RN

    Tampa scrub stores

    UM Review RN replied to MB37's topic in Florida Nursing

    I avoid the traffic altogether and order my scrubs online. Thank goodness for the
  9. UM Review RN

    GI bleed, increasing frequency?

    UM Review RN replied to nerdtonurse?'s topic in Gastroenterology

    I don't know about others, but we seem to have runs of days where we have nothing but COPD'ers for a few days, then we have GI bleeds and everyone's hanging blood all shift, then we'll get a bunch of...
  10. UM Review RN

    Surgeons, ugh.

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

    I've had a lot of experience with docs who flip out over the stupidest things despite my doing the very best for their patients. It's part of why I now avoid them all (the ones who yell, I mean) like...
  11. UM Review RN

    Patient Died from Med Allergy

    UM Review RN replied to NewRN08's topic in General Nursing

    ((((((Hugs))))))) I'm so very
  12. UM Review RN

    tap dancing electrocardiogram

    UM Review RN replied to Learn2Nurse's topic in Nursing Student Assistance

    Very cute! You'll like this fella too:
  13. UM Review RN

    PICC line flush solution

    UM Review RN posted a topic in Patient Medications

    OK, here's the scenario: Mr. Hypothetical is getting intermittant IV medication through the single-lumen PICC line at least six times a day. It's not a Power Picc, just a regular one. Supposing that...
  14. UM Review RN

    Scary metoprolol IV order... Abusive doc.s.. Moderately traumatized

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

    I worked nights for many years and had to listen to cranky docs to the point that I really disliked calling anyone and had a little speech all set for them: "Hello, Dr. X. This is Angie. Sorry to have...
  15. UM Review RN

    Help with Case Study and Nurses' 1st Response

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

    Just curious, but what led you to the cardiogenic shock dx? I'd be leaning toward heart failure (even though this patient is pretty young for that) or pneumonia. Not that I'm all that great at dx'ing....
  16. UM Review RN

    Confused: Nursing Diagnosis

    UM Review RN replied to gaajr1's topic in Nursing Student Assistance

    Just curious -- did they do a d-dimer and/or possibly a CT angio of the chest to rule out PE? Did they do a Chest X ray or a CT chest? I'm surprised there are so little test results for you to go on...
  17. UM Review RN

    One Nurse doesn't want to give me report!

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

    Where I work, I've been told to chart what was found -- "Pt found in room 000, states, 'I got here about 20 minutes ago and I've been having chest pain ever since.'" Charge nurse informed. Pt. vss:...
  18. UM Review RN

    question with oxytocin meds

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

    Think of it like any other bleed. In order to stop the bleed, you apply pressure. Oxytocin causes the uterus to contract, thereby squeezing the bleeding vessels shut. At least, this was what I learned...
  19. UM Review RN

    One Nurse doesn't want to give me report!

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

    it's both a patient safety issue and a legal issue. you are required to get report or if you have not gotten report, you haven't officially accepted the
  20. UM Review RN

    got called off and then pt went to the unit

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

    Nope, you didn't do anything wrong, in fact I'd say you did everything right for what was going on with the patient at the time. With labored breathing and failure to recover from exertion, along...
  21. UM Review RN

    Florida RN license by endorsement

    UM Review RN replied to Peluchina's topic in Florida Nursing

    Far more important than having experience is the ability to be flexible and adapt to the Florida way of doing things. We have a lot of tourists, a very multicultural society here, and we're used to...
  22. UM Review RN

    feeling utterly defeated

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

    I'm a little clumsy with the words, but here goes: When you move from one place to another and from one job to another, you're changing your entire system of support. Your life focus narrows to the...
  23. UM Review RN

    Florida RN license by endorsement

    UM Review RN replied to Peluchina's topic in Florida Nursing

    Here's the FL BON website. Hope that helps!
  24. UM Review RN

    Scared of vomit

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

    OK, the truth is that you might have to deal with vomit -- once. After that, you'll be giving a medication to stop it or inserting an NG tube to stop it, or otherwise doing something to get it to...
  25. UM Review RN

    Was that legal?

    UM Review RN posted a topic in Collective Bargaining, Union

    A friend of mine says she saw a memo a few years ago from upper management that went out to all the managers that said something like, "Management discourages union activity in this facility." She...