UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    How often should you empty a catheter bag?

    We empty them at end of shift, unless they're fixin' to
  2. UM Review RN

    CCU vs. CVICU

    Not a dumb question at all. CABG stands for Coronary Artery Bypass Grafting. Lots of great, easy-to-read information here with some nice illustrations:...
  3. UM Review RN

    NG Tube Yields 2000 ml Immediately

    I'm great at putting in IV's but for some reason I have a hard time with NG tubes. Thank goodness, our unit NG Tube Queen has been on duty whenever I've had to put one down. (I try it first, but if I...
  4. UM Review RN

    Did he get too much morphine?

    I'm pretty large, but if anyone gave me that much morphine, I'd probably have to be narcan'd out of it! :) I don't ever recall giving that big a dose to someone in mild-mod pain. Would I say it was...
  5. UM Review RN

    Nurses malpractice insurance

    I knew two nurses who were railroaded out of jobs (and nearly lost their licenses) because of false allegations by LTC patients who were just beginning to be Sundowners and thought they'd "get even"...
  6. UM Review RN

    You Know the patient is going bad when...

    If you're ever taking a patient to surgery and the patient suddenly asks, "Am I gonna die?" turn that stretcher around and cancel surgery, because the patient will die on the table. It was actually...
  7. UM Review RN

    2° abbreviation

    In our hospital, it's a doc's abbreviation for "Secondary
  8. UM Review RN

    Regina writes another column

    :yeah:Fantastic piece! I :redbeathe
  9. UM Review RN

    Cardizem gtt; is this reasonable?

    My first thought was this guy's a real jerk. Or maybe a newbie? I would've titrated for the same reasons you did -- to maintain a good BP and HR. Next time, when the guy says to call the doc at...
  10. UM Review RN

    Trite Management Platitudes

    "Work smarter, not harder." Which part of the new customer-service based nursing applies to this little
  11. UM Review RN

    ''I Don't get Paid Enough!''- Is this your mantra??

    I consider the amount of extra education (CEUs) to keep my license up, even more education to ultimately move away from the bedside, the supplies, the cost of licensure and the cost of health...
  12. UM Review RN

    Care Plan for Bowel Incontinence?

    Frankly, one of the things that will cause bowel incontinence in a previously continent patient who has been getting a lot of antibiotics, is C. Diff. I don't know if there's a care plan problem...
  13. Yep, you got
  14. UM Review RN

    A prime lawsuit

    OK, to me, these words were the key. "Without any preop imaging." I find that very hard to believe and I agree that films would've supported the kidney stone over the hot appy. .....Unless...... The...
  15. UM Review RN

    Internal Disaster to cover staffing shortage

    Nope. We just take it on the chin and deal with an extra patient load. Now if your hospital saw fit to declare enough of an emergency to actually pay the nurses and treat them well, it'd probably be...
  16. UM Review RN

    Cardioversion V's Defib

    http://video.google.com/videoplay?docid=-2703551951561857306&q=cardioversion&total=7&start=0&num=10&so=0&type=search&plindex=5&hl=en This young man is being...
  17. UM Review RN

    Funny video explaining heart rhythms

    And of course, you've all seen Diagnosis
  18. Ditto. I've guessed wrong too many times just going by s/s. An inferior MI will often cause GI
  19. UM Review RN

    Nursing for compassion or the financial reward?

    We're subject to Maslow's heirarchy too: I have to eat, sleep, and take care of myself physically, intellectually, and emotionally before I can care for or about anyone else. Although I felt I was...
  20. UM Review RN

    pockets?

    Lots of our nurses use fanny packs for extra storage
  21. UM Review RN

    Bladder Scans

    I usually take several readings, the way TiredMD explained. The reason I do this is that I usually take care of elders and their bladders seem a little floppy. That is, if an elder patient was lying...
  22. Here's a good article on AMI diagnostics:
  23. UM Review RN

    Feeling inadequate in skills.

    I'm not sure if these might help you, but here's a link you might take a peek at:
  24. UM Review RN

    I think I am an ACLS phoney

    :yeah:I hope you got the book and the CD, because it will help you to regard ACLS as a valuable tool that you'll want to keep as fresh in your mind as possible. I took my first ACLS class the first...
  25. UM Review RN

    Feeling inadequate in skills.

    What type of problems are generated by the lab dummy? Are they emergency situations? All I can suggest is that in any clinical situation, remember your ABC's: Airway/Breathing: Is the patient...