UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    CNA program in S FL

    Try your local Red Cross or your local community college. Good
  2. Maintain airway, HOB up, listen to breath sounds, take O2 sat, call Resp. therapy, suction if necessary, call doc, get stat CXR order, IV fluids, and antibiotic. NPO till after video swallow study, of...
  3. UM Review RN

    MDs you love?

    Dr. P (ID doc) is amazing! I was changing a heavy C. Diff patient by myself and Dr. P stayed to help. He was wonderful to work with and I tell everyone about it -- a few of the other nurses guessed...
  4. Lots of times a doc will order something that's not appropriate for our unit -- for instance, IV Labetolol. One doc wanted to scope a patient at bedside and ordered me to start giving Versed. I...
  5. UM Review RN

    CNA Starting Wages - Hospitals in Tampa Bay

    I know a tech who works at Plant. She said that CNAs start at around 8.80/hr and PCTs might start at 11.00/hr or better, depending on their experience. She also said that some of her coworkers have...
  6. UM Review RN

    Nurses who don't seem to get it....

    I'm rather surprised that you didn't have a PCA. I thought most ortho patients got one for the first couple of days. I know what you mean by the pain of spasms. There I was, chest tubes front and back...
  7. UM Review RN

    Jcaho

    Joint Commission sets the standards for hospitals, derived from evidence-based patient practice. As much as I complain about the paperwork that's generated, I would not work in a hospital that was not...
  8. UM Review RN

    Different Stress Relievers, Which Would You Choose?

    I'll be honest. Forgive me if I'm wrong, but this thread is starting to sound a bit like a sales promotion. So before this thread goes that way, I'm going to interject a note for your consideration...
  9. UM Review RN

    Removal of Central Venous Catheter?

    At our facility, we do pulls PICCs, but for a true central line, I believe the docs have to do that. Other facilities may have different policies. I'd be interested in seeing them
  10. UM Review RN

    chest tubes

    I think that falls into the realm of the doc's diagnosis and treatment, missej2002. You might ask him what the next step in treatment would be if the CT is not working to expand the lung. Most docs...
  11. UM Review RN

    Effects of illegal drugs

    Interesting article on crystal meth here, but if you Google crystal meth or methamphetamine, please be aware that some of the photos are pretty shocking....
  12. UM Review RN

    Greatest Nursing Item You Ever Bought

    My Palm Tx. Keeps me organized -- calendar, alarm clock aware -- I know how much I have in the bank with my checkbook program, secure -- I save all my IDs and passowords to my encrypted ID program,...
  13. UM Review RN

    NURSES & DOCTORS - to flirt or not to flirt

    Too happily married here to be tempted to flirt. Especially with a doc. My job is work, not
  14. I'm not being facetious when I say this: Her handwriting! It's so legible!! I envy anyone who can write so that any normal person can read it -- I've tried to improve my handwriting for years and have...
  15. UM Review RN

    Ever pull the wrong med from the right cubie in the Pyxis?

    Some of us don't have the scan systems in place
  16. I vote to do Unit Secretary because you'll see the orders for the patient conditions more frequently and that's what you need to know as a nurse. PCT's don't usually get to see that. They learn how to...
  17. I vote to do Unit Secretary because you'll see the orders for the patient conditions more frequently and that's what you need to know as a nurse. PCT's don't usually get to see that. They learn how to...
  18. Just curious. What would you do for a patient who was a hemodialysis patient, tended to run SBP in the 100's, but was still a/o X 3 with a SBP like the high 60's to low 70's, who also was in ST w/...
  19. UM Review RN

    which med do I give first

    In the real world, you're going to pull all 3 of those meds from the same Pyxis. It'd be silly to go back and forth three times. I always hang the IV first because I was taught to actually watch...
  20. UM Review RN

    which med do I give first

    Oops, just realized that the med is codeine, not a codeine-based cough syrup. That's because no one would prescribe JUST codeine, it usually comes combined with Tylenol, which equals a Tylenol #3. Or...
  21. UM Review RN

    which med do I give first

    This is why I hate questions like that. In the real world, you'd make sure blood cultures were done, then pull all three meds. You'd hang the Zithromax, then give the Tylenol and last, give the cough...
  22. UM Review RN

    Where would you move?

    *sigh* I know, I know, Florida does have its problems, but if I really had to choose, I'd move a tad uphill to get out of the flood zone I'm in and stay right here. I just couldn't stand the idea of...
  23. UM Review RN

    Suesquatch, GN

    [color=olive]congratulations,
  24. UM Review RN

    White scrubs...you have got to be kidding!

    My opinion on whites: https://allnurses.com/forums/f118/whites-colored-scrubs-232698.html
  25. UM Review RN

    Any others trying to quit smoking?

    Don't forget to check out the American Lung Association's Quit program: