UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Funny things you have said but wish you didn't

    Post-op
  2. UM Review RN

    Do you think there will be a nursing "draft" someday?

    What shortage? There is no shortage of nurses, there is only a shortage of bedside nurses refusing to work in the poor conditions that hospitals have created. The onus is on
  3. UM Review RN

    Funny things you have said but wish you didn't

    I got one elderly male patient all cleaned up and changed the bedding and I was about to put the gown on him when he announced, "I don't want to wear anything. I want to be naked." "Fine," I replied....
  4. UM Review RN

    When family members are more work than the patient.

    This type of family member really makes me angry. When I get angry, I get very calm and very sweet. I find myself saying, "Well, we can deal with X problem right this minute, but you do realize that...
  5. UM Review RN

    Hardened emotions from nursing?

    I've been going the opposite way. Patients and family members and their situations affect me more than they used to because I can relate so well. I used to be unable to cry because deep down inside, I...
  6. UM Review RN

    Is this all there is?

    I really can relate to your feelings, nurseby. Non-nursing friends just do not get it. A lot of us have BTDT, as Emmanual says, and the adjustment period seems to happen no matter what unit you...
  7. UM Review RN

    When family members are more work than the patient.

    Another thing you might try: When the call bell rings excessively and the patient doesn't really have an urgent need, try looking at the family member with the humblest, kindest, most sympathetic face...
  8. UM Review RN

    When family members are more work than the patient.

    Wow, sounds like my unit. No, really, some of the family members are way worse than the patients. We have to do our best to keep them happy, but it really chaps my hide that the incontinent,...
  9. UM Review RN

    Please help me file a grievance letter

    Good clinical instructors do not reprimand or belittle students in front of the patient. Period. Sorry you had to go through that, but put yourself in the poor patient's place for a second -- you...
  10. UM Review RN

    nurse proof nursing station?

    I don't suppose that educating the patients to the Facts of Nursing Life would help? That is, that "sitting down" is not "doing nothing." :angryfire As the nursing population ages, Admin is just going...
  11. UM Review RN

    Some people will do anything for money.

    I saw it too, and the FBI estimates over 4300 patients were affected. I got a glance of the list of adulterated medications and at the top of the list was Gentamycin, Rocephin, and Vanco. I'm still in...
  12. UM Review RN

    Mixing Lantus

    Our patients will often have orders for sliding scale insulin Novolog, as well as a scheduled 70/30 mix pre-meals, and sometimes a Lantus timed for HS. So if patient needs sliding scale at HS, I have...
  13. UM Review RN

    Husband with Kidney Cancer

    I have no advice, just a :icon_hug: for you, Mama. You and he will be in my thoughts and
  14. UM Review RN

    Why can't I train my husband?

    Actually, my DH had to train me. I was always answering the phone and getting talked into working on my days off, to the point that I injured myself and was stuck home for a few months. Now I never...
  15. UM Review RN

    Difficult Employee...What do I do?

    Does she pull her own weight while at work? She sounds like the kind of employee that I would not care to work with. Workers with injuries get a tad old after you have to continually do half their job...
  16. UM Review RN

    Thoracotomy

    Do you mean "adventitious" breath sounds, Krissy? You may have been able to feel a funny "rice krispy" feel when you touched his ribs on that side, that is called "subcutaneous emphysema" or...
  17. UM Review RN

    restructuring the hospital into the Hilton

    bottom line: the reality of good nursing care vs. the patient's perception of good nursing care diverge at the point where the patient’s comfort is
  18. UM Review RN

    restructuring the hospital into the Hilton

    They're listening to the patients. Patients assume that they will get great care by the nurses, because they know absolutely nothing about keeping themselves alive, so they wig out about how long it...
  19. I also worked a stepdown unit without aides. You know, the care was a lot better there because the nurses really pitched in and helped one another, and they really cared about the patients. I miss...
  20. UM Review RN

    Need Help Research on Nursing Shortage

    Actually, I think it's a good thing to have a shortage of nursing instructors. It keeps demand high for nurses. Without a high demand, our salaries, poor as they are, would really be in the
  21. Just a thought: Did I miss something? I never saw where the OP stated that either of the patients who were given Morphine or Roxanol were indeed end-of-life or terminal. If you give morphine to an...
  22. UM Review RN

    Allow me to set the record straight,,

    We wish you a speedy recovery, Martha. :) Respondents, please do not give medical advice in answering, as it is against the Terms of
  23. 1. That we are not their secretaries? and that they are just as able to pull up their own computer rounding list as we are? 2. That no, I CANNOT explain the risks and benefits of a surgical procedure,...
  24. Nursing is nothing if not an intense occupation. Sometimes we dream about it. I just woke up horrified to discover that I had five out of seven patients that I never got a chance to look at or assess...
  25. UM Review RN

    I must be an idiot

    Don't feel bad. I had a cute lil Down's pt. completely convince me that I was seeing grande mal seizures. The neuo doc made me sneak a peek at just the right moment and boy, was I embarrassed.Pt....