UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    Diagnoses you never thought you'd see?

    Dissecting aortic aneurysm. I so strongly suspected it that I mentioned it to the doc when I called him. Found out later that I was
  2. UM Review RN

    Best heart center In US?

    I'm sorry, but Allnurses cannot offer you medical advice. Please review the Terms of Service for Allnurses, with the applicable section excerpted here: https://allnurses.com/terms-info.html This is...
  3. UM Review RN

    Tech Refuses Patient

    So the tech states she cannot care for Mr. Smith in Rm 555 because Mr. Smith has MRSA in the nares. The tech's doctor gave her strict orders to stay out of isolation rooms. But....sad to say....this...
  4. UM Review RN

    Tech Refuses Patient

    Trust me, the tech could not possibly be
  5. UM Review RN

    Tech Refuses Patient

    The tech is an experienced tech and has definitely been taught
  6. UM Review RN

    First Med error

    Emmie, everyone makes mistakes. If they fired every new nurse who made a mistake, we'd have no nurses left. Take a deep breath. I've come in to discover that a medication was not given on the...
  7. UM Review RN

    Clep Humanities

    I think they sell a study guide on the CLEP website. I CLEP'd English Comp I & II here in FL. The writing-intensive courses I took, which were acceptable alternatives to Comp I & II in NY,...
  8. Wondering if anyone has any advice or tips for prospective Jacksonville online RN-BSN student. Interested in ease of contacting professors, ease of loading website programs, clinicals, things like...
  9. UM Review RN

    What do you assess?

    :yeahthat:
  10. UM Review RN

    Needing your nursing stories

    How about these? http://www.oag.state.ny.us/press/2007/mar/mar28a_07.html
  11. UM Review RN

    If there were no CNAs...would that be a bad thing?

    I've worked with techs and without. Count me in with the all-nurse team. A good tech is very valuable. In general, I've identified three types of CNAs -- the rare career CNA who's experienced and...
  12. UM Review RN

    Nursing Uniform Policy

    I would also hope that your hospital gives a uniform allowance. It can get expensive to have to buy a whole new set of
  13. UM Review RN

    Tired of being asked to work extra...

    That is why, if I'm feeling froggy on my day off, I will call them and ask if they need me. Otherwise, there's a signup sheet in the break room for shifts that need covering and a clear understanding...
  14. UM Review RN

    Next time I will tell her to shut up

    As a fellow RN, she should've been aware that she wouldn't be allowed to do any procedures, as it's against hospital policy. Keep your cool, stand firm, and repeat. Hope your meeting goes well with...
  15. UM Review RN

    LONG - Incompetent, me? Nah - just inept

    Our whole unit needed instruction on the Flexi-Seal rectal tube, to the extent that at one point, someone hung a sign up: "45 ml of AIR works best for the Flexi-Seal. NO MORE THAN THAT." I've only put...
  16. UM Review RN

    Borrowing Narcs in LTC, ok?

    I forgot to add something. For the patients that no longer need certain meds, especially narcs, they are given back to the pharmacy and credited back to the
  17. UM Review RN

    Horror in my head!

    Nope, you're not alone. Here's a whole thread on the topic. Enjoy!
  18. UM Review RN

    Borrowing Narcs in LTC, ok?

    In my state, they have to be double-locked. As in your med cart has a lock and the narc bin is also locked. In the med room itself, the narcs are locked in the ER box, and the med room is supposed to...
  19. UM Review RN

    Will my CNA license be in jeopardy ?

    Turn in your two-week notice and explain politely that the reason you must leave the job is because of the mandation on your school days. Since school is your priority, you won't be losing anything....
  20. UM Review RN

    Borrowing Narcs in LTC, ok?

    I'm curious as to why you asked for opinions if you already knew the answer. Were you testing us?
  21. UM Review RN

    Trouble advancing catheter

    Yes, in a couple of patients it depended on medications that they were taking. Prednisone and steroid use makes the veins easy to get into but with such fragile walls even the smallest cath can rip...
  22. UM Review RN

    "The Turn"

    I've noticed that also. I always thought that the stimulation to the skin and periphery caused the blood to perfuse more to those areas, affecting the supply to the organs. When working with the...
  23. I assisted in a Code one day and the next week a lady strutting down the hall with her walker and a Physical Therapist called my name. "Remember me?" she cried gleefully. I had to look sideways...
  24. UM Review RN

    How do you deal with families?

    Sometimes I'll totally defuse a family member's bad behavior by saying something like, "This situation must be awful for all of you. Have you eaten today and are you getting enough rest? We all want...
  25. UM Review RN

    How do you convice elderly people of certain things?

    Yup, got the same thing when we offered to paint Mom's house. "We just did that a few years ago!" said Mom. "A few years ago," to her, was 1971. It was '96 when we made the offer.