UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Is nursing for me?

    Nursing is.... Mentally emotionally, and physically challenging. Stressful. Someone else said it so eloquently. To paraphrase: "I know of no other profession in which it is common, even expected, to...
  2. Exactly. Nurses need a union that will champion their best interests, not one that will catfight and bicker over whose territory is whose. Which, IMO, is exactly what's happening on this thread. SEIU...
  3. All I know is that reading all the posts over the years about problems that the nursing profession has, not once, not once--let me repeat that for emphasis--not once has anyone suggested that we team...
  4. UM Review RN

    Anyone with Panic Disorder?

    A close friend of mine used to have panic attacks. She stopped drinking caffeinated products. She started doing Yoga and meditation. The relaxation techniques helped, she
  5. UM Review RN

    Fired for refusing to draw blood without an order.

    Members, please note that the date of the last post on this thread is 2006. I'm sure the OP has resolved the problem one way or the
  6. UM Review RN

    You know you have a great job when.....

    Another time, a family member was furious that I could not discuss his relative's test results with him. He wasn't content with "she did just fine" on this or that test, he wanted details and he...
  7. UM Review RN

    You know you have a great job when.....

    I needed a mental health day. I also needed to go shopping. Shopping is very therapeutic for me. So I called up the hospital and told the Charge that I wanted to be low census'd. She asked why. I...
  8. UM Review RN

    Compassion....Why is it lacking?

    I was responding to this statement. It gave me the impression that you were talking about different nurses and different patients than the one who was vomiting and in pain. To me, a "demanding"...
  9. I like your point--if you're routinely expected to do three jobs, higher wages might be in order. However, I have to agree with Elkpark too. It is our job to make sure all these things are done. I...
  10. UM Review RN

    Compassion....Why is it lacking?

    Not thrilled with "needy" patients *or needy family members* in this corner, either. The reason is that the needy patient will spend the entire shift on the light complaining about the food, the TV...
  11. UM Review RN

    Difference in Umbilical Hernia and Omphalocele

    Warning, this might be a tad too graphic for some of you:
  12. UM Review RN

    Yes. another ECG question

    And of course, there's always this guy teaching heart blocks:
  13. UM Review RN

    Yes. another ECG question

    And of course, there's always this guy teaching heart blocks:
  14. UM Review RN

    I hate direct admits

    Can you believe that the patient said that the high BP was my fault because I refused to give him a sandwich?
  15. UM Review RN

    I hate direct admits

    Docs (and some ER folks) do not seem to understand that we do not have the resources to cope with a direct admit experiencing chest pain. Even if he does come with orders. True story: I have 5 or 6...
  16. UM Review RN

    Assessment and Urgency a thing of the past?

    Your facility sounds more like my facility. Thank god. Haven't those nurses heard of SBAR yet? I thought that was a JCAHO initiative. Geez.
  17. UM Review RN

    What all do nurse managers do?

    Most nurses have more respect for the nurse manager who was excellent clinically and worked at the bedside for a few years before moving on to management. We (I have to include myself in the group)...
  18. UM Review RN

    EF of 78-88%

    I guess the moral of the story is, as always, we have to look at the whole patient picture and all labs and test results are
  19. UM Review RN

    EF of 78-88%

    ok, folks, i think i found it. the pertinent info is boldfaced. http://www.emedicine.com/ped/topic1102.htm [color=#333399]imaging studies two-dimensional echocardiography reveals lv hypertrophy and...
  20. UM Review RN

    EF of 78-88%

    ok, i admit it. i'm having trouble visualising this. :trc: could you site a source for the info, please? this is pretty much what i've learned: http://www.cvphysiology.com/cardiac%20function/cf012.htm...
  21. UM Review RN

    diluted IM Phenergan?

    Nope, never heard of
  22. UM Review RN

    EF of 78-88%

    Same here. Anything over 50% is a good number, from what I was taught. And I know it's not the greatest resource, but WIKI agrees: http://en.wikipedia.org/wiki/Ejection_fraction Glasgow, perhaps you...
  23. UM Review RN

    For Those of You Who Have Press-Ganey At Your Hospital

    Here's what bugs me: PG must've called all the crazy people we had one month -- you know, the ones who wanted to eat prior to an EGD, the ones who didn't remember how many times the water pitcher was...
  24. UM Review RN

    Nickle and dimed!!!!!!

    Exactly my problem as well. I come on shift and the vitals are done by the last shift's tech, so where is the tech assigned to my shift? I start to wonder when I've gotten my third or fourth patient...
  25. UM Review RN

    Floating

    In our system, the floats are taken from the (qualified) travelers, then the per diems/pool nurses, then the part-timers, then the core staff. Core staff uses a float list to keep track of who went...