UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    Resident frustration, kind of long

    Only to encourage you to stand your ground, hubcaps. That type of bullying behavior is very counterproductive for good patient care. Don't let it stand in the way of getting the best for your...
  2. To TPTB: Gee, what a coincidence that the day after we were given a very prestigious award in excellence, our staffing grid changed, our pay was cut, and suddenly "there is no money in the budget" for...
  3. UM Review RN

    Resident frustration, kind of long

    Did it ever occur to you that he might've confronted you in public deliberately so that you would think twice about "bothering"
  4. UM Review RN

    No more internet access

    Generally, I'm using the internet to look up things fast, like meds or dx's and things like that. It has to be very very slow (once in a blue moon) for me to check my email. And I never ever use...
  5. UM Review RN

    Blood Cultures

    Thanks, august07, I learned a lot from
  6. UM Review RN

    "And it's all going to be your fault"

    Three shifts go by and no one notices the stat order for Lovenox, and the last nurse, who actually found and gave the med, is written up by the manager, and somehow, it's all her fault. *Yes, it...
  7. UM Review RN

    Blood Cultures

    Blood cultures are drawn when sepsis is suspected. This is a very serious disease that can be fatal, so immediate identification is key to treatment. So here's the scenario: Pt comes in, appears to...
  8. UM Review RN

    need advice on getting big picture

    It also might help to click onto this website and practice listening to heart and lung sounds: http://www.med.ucla.edu/wilkes/intro.html I don't know about other nurses, but I'm always happy to help...
  9. Yes. It's my theory that I can keep pushing through a stressful period of time, but when it goes on for years at a stretch (as it did throughout nursing school), I'll break down after the stressor is...
  10. UM Review RN

    Define Nursing in 3 words

    Make it
  11. UM Review RN

    Co-Workers Read My Medical Files

    Where I work, those co-workers would lose their jobs for violating HIPAA.
  12. UM Review RN

    Do you think anonymous means just that?

    I probably wouldn't answer the questionnaire then, and if anything was said to me about it, it would only prove the case that it was not anonymous, don't you
  13. UM Review RN

    Do you think anonymous means just that?

    Management insists that ours are anonymous too, but I have a hard time believing it for the same reason. BTW, how do they know who's completed the survey if it's really anonymous? If they truly want a...
  14. Ahhhh, but which came first--the pain or the obesity? For a lot of patients, pain decreased their activity level, and then the weight was gained. From there, the vicious circle was in effect. And...
  15. UM Review RN

    nurses leaving the floor

    We had this type of problem when a lot of the staffers were attending our unit meeting (which ran over an hour) and simply leaving their assignments to those of us who had the sense to attend a...
  16. UM Review RN

    Are LPN's being phased out in hospital setting??

    We have lots of LPNs working in our hospitals here in Florida. The duties are so similar that I have a hard time recalling who's an LPN and who's
  17. UM Review RN

    I want her fired!!!!

    :angryfire Even if she did what they said, it was not just cause for termination, IMO. However, for that aide, it may be a blessing in disguise. I would hope that you would give her a good...
  18. UM Review RN

    They called the cops!

    You are home from work today and you and your SO are having a lovely, relaxing time together when suddenly, the doorbell rings. You go to the door. A policeman is there. You open the door and he...
  19. UM Review RN

    Night Shift Error...Maybe

    Since D5 and NS are the typical IVF's and both are compatible with Cardizem, I might've thought that the doc wanted to run the IVF's with the Cardizem. We often will run either of those or a...
  20. UM Review RN

    External fixator

    Now you've got me curious. Wonder if an ortho doc would know? I'll ask when I go back to work. Great question, kacy, I'd never given it a thought
  21. UM Review RN

    Mortified

    Yup. I was so upset I started a thread about it too: https://allnurses.com/forums/f8/they-called-cops-274429.html PS I've gotten over it, and told them if it happens again, just go ahead and do...
  22. UM Review RN

    Cardizem gtt; is this reasonable?

    Diltiazem is a form of chemical cardioversion, so I'd have to assume that its use presumes that the doc wanted the patient to convert. If the patient converts on the cardizem gtt, then all's well,...
  23. UM Review RN

    External fixator

    I would have to say that however that patient is moved, it's gonna hurt. But I would (gently) lift the fixator because it is there to stabilize the limb. Lifting the limb would seem to defeat the...
  24. UM Review RN

    Have you ever been a patient?

    Yes. Came close to dying a couple of times, too, when I was a youngster. There was a fantastic student nurse named Cindy who was so wonderful to me that I wanted to be just like her. Then a couple of...
  25. UM Review RN

    Do you start your own IVs?

    We do our own. I usually am the IV go-to person on my unit for my shift. I was surprised to learn how many people I work with who don't like to start IVs. Oh well, more for me