UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Question re: Heparin drip vs. SQ

    A PE is a pretty good reason for a heparin drip. Some docs prefer heparin over Lovenox because they can get faster decrease in the systemic medication levels with heparin, if it's needed to take the...
  2. UM Review RN

    Should I take Anatomy and Physiology I Alone?

    Just popping in to remind you that there has been a change in the Private Message system. Members must have 15 posts in order to use the PM system. So.... someone needs to get postin'! After that, if...
  3. UM Review RN

    Nursing Student = CNA?

    Have you applied to all those places online? Have you checked the Sunday papers for job fairs? Are you willing to work any shift, just to get your foot in the door? How about any entry level job? As...
  4. UM Review RN

    Pe

    I'm not shocked that this could happen to a newbie, but I am stunned that you were so unprepared and worse, that you had no help. Like someone else pointed out, where were your coworkers? Why did the...
  5. UM Review RN

    Phsycian Refusal to write med orders

    Go over his head to the Medical Director or Director of Physicians at the hospital. Explain that you've had this problem in the past, attempted to remedy it, and the results. Everyone has someone to...
  6. UM Review RN

    Who is in charge of my pt

    Ummm.... Question? Why can't you cath a hip/pelvic fx? We do it to the old folks who come in with s/p falls all the time
  7. It's not unbelievable at all in my personal experience. The only thing that I find shocking is that Americans are so dead-set against universal healthcare. It's simply illogical that the average...
  8. UM Review RN

    Would this offend you?

    I would not take offense. Every parent wants a perfectly healthy child. While we all realize that "perfect" is not going to happen, only the parents can decide what type of "imperfection" they can...
  9. UM Review RN

    Blame nurses

    Truthfully? I think it depends on how much responsibility each has in the patient
  10. Not to mention the crud that forms on the inside of the mouths of GT feeders. Or the lovely spray of dry skin flakes that showers the room when I remove a pair of ted hose that the patient seems to...
  11. Probably not. Maybe I'm jaded. I've worked for many companies that said one thing and delivered another, so anyone that offered me pie-in-the-sky ratios would have to have that backed up by my...
  12. UM Review RN

    Ten years at allnurses, this is about me!

    :w00t: Every day for 10 Years! You've got most of us beat with that record! It's so gratifying to learn that you've been coming to AN for so long and at the same time seeing that AN membership is now...
  13. UM Review RN

    Alzheimers is the worst

    I just watched this PBS special, The Forgetting: A Portrait of Alzheimer's, and I'm going to put the link here for you all because you can now watch the program online....
  14. UM Review RN

    Ativan...ETOH History...7mg IV last night? Too much?

    I didn't see it as a chemical restraint because the med was not given for the convenience of the staff; it was given for the safety and comfort of the patient. I guess it's one of those nursing...
  15. UM Review RN

    IVPB question

    Reseal =
  16. UM Review RN

    IV push meds

    This is why I dilute and push
  17. UM Review RN

    Learn To Say It Correctly!!

    How about "aggitation"? That came from an American doc, who unfortunately in this case, had very legible
  18. UM Review RN

    IVPB question

    It's almost harder to write it all down than it is to do it, but I'll try: We get the IVPB, spike it to a primary line, flush the reseal, prime the line, hang the med, and let it run. When it...
  19. UM Review RN

    Ativan...ETOH History...7mg IV last night? Too much?

    Ativan is not a chemical restraint as used in the ETOH'er in withdrawal; it is one of a few drugs that are accepted treatments for withdrawal. Therefore, we do not have to fill out restraint forms. We...
  20. UM Review RN

    why on earth would I want to be a nurse?!

    i also worked as a cna before getting my rn. it's a tough job no matter how you cut it. nursing is tough too, although in different ways. any time i feel unappreciated, i remember that i make a...
  21. UM Review RN

    CNA trying to hit me up for drugs.

    The fact that she even asked kinda makes me wonder if she's gotten drugs from other staffers. Needs to be "weeded out,"
  22. UM Review RN

    How does everyone wind down after work?

    Sometimes if I have trouble getting to sleep I'll pick up my old Med-Surg book and read it for half an hour. Works like a
  23. UM Review RN

    Help with Assessment

    Somewhere around here are some links to do assessments that will help you. Meantime, definitely listen to the posterior lung fields! Always! Breathing problems can be an emergency very quickly and...
  24. UM Review RN

    Got my evaluation today...

    I only get upset because my evaluation is the first time I find out that I need improvement in an area. No discussion, no feedback, nada, till then. This year I got thanked for "being so helpful" on...
  25. UM Review RN

    Learn To Say It Correctly!!

    I'm ever so GRATEFUL. (Ah, come on, somebody had to do