UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    I want her fired!!!!

    Far too often, family members such as this expect that if the squeaky wheel gets the grease, they'll whine and complain and get the most care possible. They tie up the staff for hours in the patient's...
  2. UM Review RN

    My family can't believe nurses don't get breaks

    I take my breaks. If I don't, I get all goofy and can't think
  3. UM Review RN

    EXAM QUESTION BUGGING ME please help

    I learned to strike it out with one line, write "error", and initial it back when I was in school. Documentation books also recommended this method. Our hospital policy has recently changed and we now...
  4. UM Review RN

    Peeves at work

    Will ER please try to date and time the stroke scale assessment? I'm a nurse, not a mind
  5. UM Review RN

    Re-directing tips needed for Alzheimer's/behavior pts

    One day, I got so tired of hearing a resident tell me, "I want to go home. I want to go home," and it was just such an awful day, I just blurted out, "Well, so do I." From then on, we were buddies...
  6. UM Review RN

    age discrimination

    Considering that many of our new grads are not newbies to the workforce and are also not young, IMO this is an unfair, untrue stereotype. But I agree, it does exist. Our salaries tend to flatten out...
  7. UM Review RN

    Is my boss committing fraud?

    So. I guess you don't much care for your boss. Not saying that you should look the other way, but usually liars and cheats dig their own graves. No reason for you to make a big stink, jeopardize your...
  8. UM Review RN

    I charted that he died!

    Not being a legally inclined in any way, just guessing here: I think you have to prove that some harm was caused. In this case, if someone erroneously checked the wrong box, it'd be one thing. But if...
  9. UM Review RN

    help cardiac nurses!

    Is your manager suggesting that Plavix is the only anticoag that this patient got? Because in scapegoating you, it sure sounds like it. Is it possible that she's not a nurse? Or that she doesn't know...
  10. UM Review RN

    Alarmism??

    That's the only type of headline that will get the public's attention. What they do with that information is something that we have to deal with. I always have to remind my patients that...
  11. UM Review RN

    Chemo Brain

    Recently had a patient who had a few rounds of chemo and family c/o his mental faculties have greatly diminished and his personality has changed. Could anyone tell me more about Chemo Brain, as pretty...
  12. UM Review RN

    Chemo Brain

    Thank you, thank you! This is exactly what I was looking for -- direct examples of what this condition looks like clinically. My patient was pretty a/o X 3 one day, the next was raving about "Gotta...
  13. UM Review RN

    when do you stop bringing work home?

    Speaking for myself only, I still worry about my patients. I worry less when I pray for them, so that works for me. You'll bring work home less when you have more experience and feel more confidence...
  14. You answered that question like I would have. It's really refreshing to see such complete answers with rationales. I think the only thing I might add is, in the section where you'd check labs, if it's...
  15. UM Review RN

    venting

    Not familiar with computer MARs here, but couldn't you have called pharmacy and corrected the typo on the d/c'd med? Seems to me that the root of the problem was whoever entered erroneous information...
  16. UM Review RN

    Butt Checks

    I do skin checks on everyone. It helps to wear gloves, I've found. If I find anything they might not be able to see, I ask how long they've had it. On walkie-talkies, to assess for abuse and skin...
  17. UM Review RN

    elevated troponin levels and my care plan

    there are your two biggies. good luck on your care
  18. UM Review RN

    Smoker's rights (patient rights)

    This reminds me of the elderly patient who had a pass to go smoke and would be seen going downstairs via w/c. One day, I guess he decided that he needed a little more than a cigarette, because from...
  19. We all have those moments when suddenly our little corner of the world is brightened by someone or something and we think, I just love my job! Share your I-love-my-job
  20. I've worked LTC and left due to management shennanigans. Frankly, I'm glad there's a Dark Side. I've actually come to welcome their visits to facilities I've worked in. The reason is that they're...
  21. UM Review RN

    Gift for New Grad

    I don't know how fast you need it, but you might look here. I've had items shipped pretty quickly from them:
  22. UM Review RN

    Safe Patient Moving Need Help!!!!!

    Here's a couple of utube videos that might help: http://video.google.com/videosearch?q=CNA+patient+&hl=en&sitesearch=...
  23. UM Review RN

    You Know the patient is going bad when...

    Yup.
  24. UM Review RN

    If you won the lottery, would you continue to work?

    Yes, but I might not work in the US, because of the chance of being sued. I would definitely go to volunteer status and do a few medical missions per year. I might join the Red Cross disaster team...
  25. UM Review RN

    do you let unlicensed staff do "RN" things ?

    Nope. Once I became an RN, I began to see how very unaware I was of the skills and knowledge that I lacked as a nurse's aide, and I began to be very protective of the responsibility that nurses have....