UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    IV in the forearm = no BP??

    The reason doesn't matter; basically, the woman asked you to do BP's only in the left arm, so do BP's only in the left arm. No problemmo,
  2. UM Review RN

    Fired without a cause

    So ironic that you were fired for being honest. Any facility that would fire you without a fair and proper investigation is just not worth working for. Any facility that wouldn't give you a chance...
  3. UM Review RN

    Your Marital Status: It's Just Not That Difficult

    I understand why they do it. The HIPPAA laws have gotten providers so crazy that three weeks ago, my husband had to give a written OK for the doc to discuss DH's medical info with me. We've been...
  4. UM Review RN

    Tell Me What You Think....

    I'd call a rapid response on Robert. Falling BP and falling sats w/ incontinence (translation--confusion, weakness) constitutes an emergent situation in my experience. Another RN might hang the...
  5. UM Review RN

    Organ Donation Opt Out

    Honey, my pacer's titanium, worth thousands, so I'm willing it to my kids; it'll be all I have left after medical expenses. I'm not for the opt-out idea because there are too many illiterate,...
  6. UM Review RN

    Interventions for a Terrified, Disoriented Resident

    Has anyone tried a pain med? Dementia patients who have pain will often act like that. I'm glad you're trying for her, Sue. It never hurts to have a good workup done. If it was me, I'd sure...
  7. UM Review RN

    Domestic Violence....Against Men

    I think if the woman obviously was overpowering the man, or was bigger than the man, it might've brought more people to the rescue. Looking at the video, the woman is not actually battering the man....
  8. UM Review RN

    Not allowed to SIT during 12 hour shift and MORE

    That is awful. Please tell us you're not working at a Magnet hospital. If you are, you can also complain to the Magnet credentialling
  9. UM Review RN

    going to florida with out job?

    So sorry to hear about your grandmother. But... I agree. The economy is very bad here right now, so it'd be pretty risky for you to come with no job. You might try applying online to some hospitals...
  10. UM Review RN

    Our boss is so awful!

    I believe that no nurse should stay on a unit that is toxic. It begins to affect one's self-esteem, confidence, and can have a negative impact on the patients. A nursing job is more than the sum of...
  11. I drive less than 10 miles each way. I'd have to be really desperate to take something farther away. Hope it never comes to
  12. UM Review RN

    Ever encountered biased teachers in nsg school?

    Yes, it is horrible that you were treated like this. But as you say, you have 2 months to go. Keep your head down and keep jumping through the hoops. Some instructors feel that treating students...
  13. UM Review RN

    heparin drip and ptt

    Might be a good idea to call pharmacy or the lab to ask if they know the hospital policy. Or ask the house supervisor where to find your hospital policy. Our policy called for turning the drip off...
  14. UM Review RN

    I suck.

    ((((((Virgo))))))) I've been reading your posts long enough to know that you don't suck. Everyone makes mistakes and believe me, some things are just meant to be no matter what you do to try to...
  15. Or you could ask the patient if he's trying to commit suicide, because when he turns off the pump, he could die. Very quickly with a PE. Or slowly--as a veggie-person with a stroke. Ask the doc to...
  16. UM Review RN

    if i decided to be a doctor, i would be.....

    None of those -- I think I'd be a dentist. Great pay, no lawsuits, banker hours. Yeah, that and the
  17. UM Review RN

    Earn As You Learn Information

    I know of a couple of folks who started as housekeepers or dietary personnel who are now RN's. One woman I worked with became an MD by working through Med School as a CNA in a SNF. So don't give up....
  18. UM Review RN

    What is normal / typical?

    Please report the facility to the
  19. UM Review RN

    Help! Suggestions needed.

    I work for an insurance company doing concurrent review. It's a complex job, but one I can do at a computer and doesn't involve strain on my overworked body. (15 years as a CNA, and 10 as a floor...
  20. UM Review RN

    Assertiveness being seen as aggressive

    When I moved to FL from the Midwest, it disturbed me that often my sentences would get finished by the person I was speaking to -- incorrectly-- and it seemed that everyone was in such a hurry that a...
  21. UM Review RN

    Sexual Harassment?

    I think he should be fired. I wouldn't want to have a family member in a situation like that. The facility needs to send a really strong message at this point and apparently, only a very strong...
  22. UM Review RN

    Serous / Sanguinous

    Cute, but you know what I mean. From an artery, it's most likely blood, but the point is -- if the sheath is pulled, blood is expected to be there. Of course, if the artery started spurting blue...
  23. UM Review RN

    Serous / Sanguinous

    First, the first question: The drainage could be cerebrospinal fluid or it could be something else; the dx is not ours to make, it's the doc's. So nurses can only describe it, don't diagnose it. Thin...
  24. UM Review RN

    day 2! and i left sobbing!!!!!

    Hmmm.... now you have me wondering why the other nurse turned the drip off when the pt's HR was still clocking along @ 132? If the systolic BP was I wasn't there, so I don't know what I might've...
  25. UM Review RN

    My Father Died Today

    Sue, please accept my sincere condolences on the loss of your beloved