UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. To the patient who's impatient to be DC'd when the doc didn't finalize the orders and was whining that "everything was negative and he should've called back hours ago and I know he wants me to go home...
  2. UM Review RN

    What's In Your Pocket?

    :lol2:Ah, I see you're wearing Aviator scrubs.
  3. UM Review RN

    How do I overcome toxic hospital environments?

    I've learned that in nursing, "It is what it is." In other words, you have to accept the job, its positives and its negatives. Not an easy task. But IMO where you're having a problem is that you go...
  4. UM Review RN

    Co-workers who think out loud at the nursing station

    Our noise levels have increased tremendously during shift report. I blame verbal report for this. That said, sometimes the only way for me to concentrate on what I need to do is to talk myself through...
  5. UM Review RN

    Cutting Nurse-to-patient Ratios in FL????

    I'm sure you have nothing to worry about. You'll probably retire after 20 years in the field and people will still be talking about it. They like to talk about it, but that's as far as it
  6. UM Review RN

    Floor Nurses: When medicating your new admission....

    Our ER reports are faxed. I refer to them mainly for a general idea of what's going on with the patient, but I almost always get myself a copy of the patient's lab and test results from the computer...
  7. UM Review RN

    "Big Money"

    Way back in the days of the dinosaurs, when nursing was a young profession, nurses were nun-like and claimed only to have a vocation to serve. Had very little to do with money. That "Martyr Mary"...
  8. UM Review RN

    Doctors are Bullies

    Here in Florida, we have quite a lot of diversity. Most of the docs are great to work with, but the key here is whether the hospital culture will take a zero tolerance stand on poor treatment of...
  9. UM Review RN

    Must learn to love the chaos!!!!

    Yep, same here Nancy.
  10. UM Review RN

    Regretting becoming a nurse???

    It took awhile to get used to today's healthcare system. I went through a lot of culture shock and growing pains, but I would have to admit that yeah, I'd do it all again. I just feel like this is...
  11. We all stood in a circle with our candles as one instructor gave a speech about the meaning of the nursing traditions and the meaning of graduating from nursing school while another instructor lit our...
  12. UM Review RN

    Plain Dealer- "How would nurses rate their patients?"

    Thanks for posting this. Done.
  13. UM Review RN

    Doctors are Bullies

    I agree -- physician culture, that
  14. UM Review RN

    You Know the patient is going bad when...

    The patient insists that he/she HAS to get up to have a BM NOW, and you have a very bad feeling about it, but really cannot see any good reason why not.... You help the patient to stand up and they...
  15. UM Review RN

    pharm questions

    Never mind. Now I can't find the link. Thanks, Daytonite. We're all always learning, aren't
  16. UM Review RN

    pharm questions

    OK, now I have a question re: the last question. Saw palmetto will decrease the effect of Metoprolol, so that is why I would've chosen that
  17. UM Review RN

    pharm questions

    Did you try googling each medications drug monograph? Or in a drug reference book? I know the answers to a couple of them, but you'll learn these better if you look them up yourself. Additionally,...
  18. UM Review RN

    help with simulation

    Hint: what do you want to check with GT feeds related to coughing? What could be happening
  19. UM Review RN

    What's YOUR nursing obsession?

    Another repositioner here. I cannot count the times that a patient c/o pain, dyspnea, or just plain crankiness will get complete relief with a little repositioning. Also, I love to start IV's. Had one...
  20. UM Review RN

    How to enhance cohesive working and communication

    I would ask the aides to volunteer for the committee -- at least one to represent each shift. If their input is truly valued, they will be able to come to an agreement with you about what their duties...
  21. UM Review RN

    Adequate Staffing = I Love my Job

    I completely agree. Report goes faster and I can look in on all my patients and chart as I go, also, instead of skipping one or two charts until later. I really like being able to take my breaks when...
  22. Honestly, if I ever felt like that about any of the positions that I left, I'd definitely leave the field and get some intense counseling. I wish you the best, but are you sure you're ready for
  23. The best way to make sure that the patient is getting the drugs uniformly is to dilute and push from the closest port. I personally don't like to let the med float in with the IV fluids, I don't think...
  24. UM Review RN

    Do you pay for parking at work?

    Please don't give my hospital any ideas. We don't make enough as it is and walking in from some of the parking places is punishment enough. :stone I'd probably have to seriously consider quitting if...
  25. I believe it is a reality, since wage-fixing has also been noted. You might have to register to get in here, but it's free:...