UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Please interpret this med order

    UM Review RN replied to Jennabugs's topic in Patient Medications

    I've done it your way. Sometimes the patient will be just fine with the lower dose, other times, if pain is unrelieved, a little more helps. The choice in dosages to me presumes that the doc is OK...
  2. UM Review RN

    What do you wish for in a break room?

    UM Review RN replied to RNmom08's topic in General Nursing

    I'd love to have a shower/bathroom/locker room for employees only. Of course, not connected to the break room. Had one like that once and it was difficult to eat while "unsociable odors" were...
  3. UM Review RN

    Managing 2+ Patients In Clinical

    UM Review RN replied to fiveofpeep's topic in Nursing Student Assistance

    This thread might be useful: https://allnurses.com/forums/f224/tips-nurses-their-first-year-nursing-109924.html Best wishes for a successful clinical.
  4. UM Review RN

    Most Common IV Push Meds on Med-Surg

    UM Review RN replied to nurseJ88's topic in First Year After Licensure

    A couple of points: we don't use phenergan or demerol IV any more, and we do not dilute Dilantin IV. Our most common IV meds are Morphine, Zofran, lasix, solumedrol, Lopressor, Protonix, Reglan,...
  5. UM Review RN

    New RN and panicked/struggling

    UM Review RN replied to redwood's topic in First Year After Licensure

    Please stop beating yourself up. You are new. You can't go from being inexperienced to being experienced in one day. I also used to beat myself up over mistakes. Try a new tactic: Make yourself learn...
  6. UM Review RN

    Does anybody had seen a nurse with tunnel earrings?

    UM Review RN replied to Hacker-Nurse's topic in General Nursing

    I've never seen tunneled earrings before, but I can tell you that if you worked at my hospital, you are evaluated once a year and one of the questions has to do with professional appearance. It might...
  7. UM Review RN

    If they're paying 50k+ out of pocket maybe they *should* expect to be waited on...?

    UM Review RN replied to Jo Dirt's topic in General Nursing

    Have you considered the idea that these nurses are truly stressed out and running like mad to keep up with the work because the hospital is understaffed? Wouldn't it be nice if patients joined in with...
  8. UM Review RN

    Patients who are too lazy to open their own splenda packets

    UM Review RN replied to FireStarterRN's topic in General Nursing

    *dusts off hands* there! now i don't have to run and get my bifocals. :) anyhow, back to topic, i had a poa up at the desk one night insisting to see the ceo (get this, it was a sunday night) right...
  9. UM Review RN

    "New Nurses's Don't Know Anything."

    UM Review RN replied to Diary/Dairy's topic in General Nursing

    Hello and Welcome to sunny Florida! :) Anyhow, we get nutjobs like that all the time where I work. Problem is for us, that they're in that stage of Alzheimer's where they can fake some people out...
  10. UM Review RN

    Praying with your patient

    UM Review RN replied to MShell's topic in General Nursing

    The patient has to ask. If I'm not of their particular religious persuasion, I do my best to get someone there who is. Otherwise, I'll pray with
  11. UM Review RN

    Held Hostage By The Schedule!

    UM Review RN replied to Nurse!Nurse!Hello?'s topic in General Nursing

    I certainly understand. Our boss solved the problem by appointing a committee and the committee made up some basic ground rules. There were volunteers to represent each staffing section (aides,...
  12. UM Review RN

    Need a nursing school which does not require prerquisites for admission

    UM Review RN replied to Ewurafia's topic in Pre-Nursing Students

    Believe me, you don't want to go into a nursing program without the basic pre-reqs. Of all the courses you'll have to take, these are the ones you truly need and will use daily in your nursing...
  13. UM Review RN

    Sleep Hygiene

    UM Review RN replied to Liddle Noodnik's topic in Health, Stress Management

    Excellent thread. I've developed the worst sleep patterns-I sleep an hour or two, wake for a couple, back to bed for a couple, up for a couple. Nocturia is a problem. I'll be deeply asleep and then I...
  14. UM Review RN

    Time Manaagement Schedule

    UM Review RN replied to untamable07's topic in First Year After Licensure

    I quickly check the chart for orders and meds that warrant vitals, then go in the room, do the assessment, come out and document the assessment for all of my patients. I try to find out where the PCT...
  15. UM Review RN

    Forgetting to chart important info

    UM Review RN replied to 1jazzynurse's topic in First Year After Licensure

    It's so busy at the end of the shift, it's a wonder anything gets charted at all. Lots of times, I follow experienced nurses who forgot to chart for their shift because the patient was unavailable or...
  16. UM Review RN

    It's Eval Time!! Why we're unable to score all "excellent" ratings

    UM Review RN posted a topic in General Nursing

    I came from another state so I'm loathe to tell people how to do things down here, but their system of evaluations really irritates me to no end. On evals from other states I regularly got all...
  17. UM Review RN

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    UM Review RN replied to deeDawntee's topic in Emergency

    I agree. :redbeathe She needs a counterbalance to the beating her self-esteem is taking from this creep. Also, I think this was key for me -- although it was inconcievable for me to intellectually...
  18. UM Review RN

    It's Eval Time!! Why we're unable to score all "excellent" ratings

    UM Review RN replied to UM Review RN's topic in General Nursing

    I have to agree with
  19. UM Review RN

    "Escorted" out of work

    UM Review RN replied to spaniel's topic in Geriatric, LTC

    That's just so.....Mafia-like.
  20. UM Review RN

    It's Eval Time!! Why we're unable to score all "excellent" ratings

    UM Review RN replied to UM Review RN's topic in General Nursing

    But Mulan, the last column header on the Eval form does not say "PERFECT." It says "EXCELLENT." Big big difference. I never said I was perfect, just excellent. Furthermore, I believe that if I am...
  21. UM Review RN

    the many FEARS that I have...

    UM Review RN replied to Gannon1qb's topic in Pre-Nursing Students

    This is actually so common that there's a technique you will be taught that will help you with that. You won't be practicing in a vacuum, either. Every unit has a Foley Queen. You miss, you go find...
  22. UM Review RN

    It's Eval Time!! Why we're unable to score all "excellent" ratings

    UM Review RN replied to UM Review RN's topic in General Nursing

    This is exactly what I'm talking about. Where on earth do TPTB get the idea that excellence equals perfection? Once you hit the excellent range, you really have your job skills down pat and you really...
  23. UM Review RN

    "Escorted" out of work

    UM Review RN replied to spaniel's topic in Geriatric, LTC

    I believe our policy is to take the badge and have Security escort any employee who has been fired out of the building. Nowadays, I believe you simply cannot be too careful. Yes, it's embarrassing,...
  24. UM Review RN

    Ever have a blood bag explode?

    UM Review RN replied to ShayRN's topic in General Nursing

    *Note to self: Don't ever squeeze another blood bag again* Reason why I don't get it--sometimes we have to use those pressure bags to squeeze the PRBCs in. Why yours broke and we haven't had a problem...
  25. UM Review RN

    Domestic Abuse/Assault patients in the ED, how do you get through to them?

    UM Review RN replied to deeDawntee's topic in Emergency

    At one time, long ago and far away and in a relationship with someone else, I could answer "yes" to each and every one of those questions. If you think you are being abused: The reason that I tell you...