UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. 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...
  2. UM Review RN

    "Escorted" out of work

    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,...
  3. UM Review RN

    Ever have a blood bag explode?

    *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...
  4. 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...
  5. http://www.ndvh.org/educate/abuse_quiz.html How is your relationship? Does your partner: Embarrass you with put-downs? Look at you or act in ways that scare you? Control what you do, who you see...
  6. maybe--- he's threatening anyone who helps her. here's a good resource to help people understand what may really be going on and how to help the abused person protect herself: http://www.ndvh.org/...
  7. UM Review RN

    "Looping" IV Tubing

    Wouldn't that be the same as keeping a secondary line hooked up after the infusion was finished? I see that all the time, now that you mention it, so now you've all got me wondering if that's ok. I...
  8. UM Review RN

    Patient Abandonment? Sorry long

    Write her up. Don't expect anything to happen, you're just starting a paper trail that will either make her straighten up or ultimately will "open the door to new employment opportunities for her...
  9. My Christian faith helped me. A friend reminded me that nothing happens when we worry, so Jesus told us not to worry but instead, to pray. Worry doesn't change things but prayer can. Matt. 6:27Who of...
  10. UM Review RN

    ETOH Abuse

    OK, first of all -- detox centers. It's more than a matter of wanting to get help. Help is not as readily available or as affordable as you make it sound. Second, no, a med-surg floor is not a detox...
  11. UM Review RN

    Submitted my two week notice today

    I think you need to find a better place to work -- and keep in mind, there really are better places to work. You shouldn't have to work in a place where you get no support from your
  12. UM Review RN

    Oh this !!XXOO!!! "not a good fit"

    I think with your skills, you might try a hospital med-surg unit and when you get it really down pat, you might move over to another specialty. Med-surg is pretty busy, but you'll get a much stronger...
  13. UM Review RN

    Oh this !!XXOO!!! "not a good fit"

    Where did you seem to shine in clinicals in your program? Where did you work that you were not successful? Were you in a hospital or LTC? You have to really get analytical about why you wanted to be...
  14. There is also the possibility that this is not news to us, and we have been signing petitions for change in nursing for quite some time. So we're glad to have you on board with this initiative....
  15. UM Review RN

    Hospitals SUCK at orientation!!

    An EKG course and ACLS training would be excellent. My hospital required neither when I started on a tele floor, and by getting those on my own, I was much better off than some of the others coming...
  16. I just had this discussion in a meeting with our manager about delegation of duties. And the answer was ---- I'm too slow. I should be able to empty that urinal and give those pills and finish my med...
  17. UM Review RN

    A nurse is a nurse is a nurse. Is that true?

    Yes, we nurses share common characteristics, but there's nothing that's common enough to make a "nurse is a nurse is a nurse" and nothing that makes an experienced nurse feel safe to float to an area...
  18. I work a double shift now and then, and believe me, I do expect a nice assignment for doing that double on no notice, hardly any sleep, and lest we forget, unfamiliarity with the shift itself (which...
  19. UM Review RN

    Should I rock the boat??

    Keep your head down and fly under the radar. This is your first clinical rotation and you cannot afford to complain and possibly be singled out for this instructor's lash. Keep in mind that it is very...
  20. UM Review RN

    A nurse is a nurse is a nurse. Is that true?

    I'm not sure I understand the question. Do you mean the habit that all nurses develop of doing a quick visual assessment of every person who comes into contact with the nurse? Like when I'm standing...
  21. UM Review RN

    Preparing to present grievances to heads of hospital

    We have ratios similar to yours, and our patient population's age is probably 90% geriatric, but: Techs do vitals, accuchecks and most of the hands-on. Each nurse usually has a tech. Rarely a nurse...
  22. UM Review RN

    ETOH Abuse

    I hope I don't offend you, but I respectfully disagree. No one chooses to be an addict on a conscious level, but I believe that the addictive process begins and ends with a choice, albeit a conscious...
  23. UM Review RN

    Magnet-Scam or does it help the floor nurse?

    I posted the link for the Magnet satisfaction survey on page one of this thread. Once again, survey responders remain anonymous and the survey could be used to change a hospital's Magnet status. In...
  24. UM Review RN

    CCU - Cocaine may cause symptoms of MI

    Although I knew that coke use could cause chest pain and/or MI, I had no idea that BB's and thrombolytics were contraindicated. What about Nitro? Does it help or hurt? What about crack? Isn't that a...
  25. UM Review RN

    Wound questions?

    We'd love to help, but we need to know how much you've come up with on your own. Remember, textbooks are not the only way to answer a question. Google is your friend. Try "wound assessment" as the...