UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Glen Beck's hospital experience

    I agree. Excellent analysis and excellent
  2. UM Review RN

    NO Pain medicines for my Mom!

    I've seen it happen also. :angryfire Administration and the MDs always knuckled under to the (medically ignorant but potentially litigous) family. We nurses had to fight all the way to the top for the...
  3. UM Review RN

    Diluting all IV push medication??

    Look up each med in your drug book. There are some that have recommendations to dilute and some that are not diluted. Giving a med correctly also depends on what diluent is used and how slowly it...
  4. UM Review RN

    does your lab call elevated cardiac enzymes to the floor?

    I wish ours would call an abnormal trop to us. As it is they call only critical highs. That can get pretty annoying when the trops are still high but trending down. Yet we never get that call that...
  5. UM Review RN

    All floor nurses... please help me!

    It's quite common on my unit. We're very fast-paced and have a very high patient turnover, so I'm used to it. We do have an Admissions nurse, so all I would have to do for the ER admit is weigh,...
  6. UM Review RN

    oh no...having to float to ICU..but I'm not a ICU nurse...

    I had the same complaint, even though I'm staff, not a traveler. Here's the link to the poll results and the comments:...
  7. UM Review RN

    If I were your assigned CNA...

    I know you would never make the huge mistake this CNA did. Me: (trying to get a doc on the phone for another patient's problem) Dear CNA, guess what, 507 has just rung for another bed change. CNA: Oh...
  8. UM Review RN

    Policies & Procedures

    I have to devote at least a half an hour to finding any P&P, even though they're all on the computer. Reason? They're just slopped in there willy-nilly. I still haven't found a job description...
  9. UM Review RN

    Abused by a patient

    There are so many things wrong with how this situation was handled, I hardly know where to begin! If the patient was alert and oriented X 3, you were assaulted and no, you should not have to deal with...
  10. UM Review RN

    If I were your assigned CNA...

    For CNAs starting on Tele: When the floor is jumping, be a jumper. No wandering around looking lost. Are your call lights off, patients clean and safe, vitals done, rooms neat? If a patient is having...
  11. UM Review RN

    Do you ever leave the floor satisfied?

    When you're new, you really think you can get it all done in one shift. As you work, you learn what you can realistically expect to get done and what needs to be passed on to the next shift. Please...
  12. UM Review RN

    Medical shows vs the real thing?

    Medical TV shows annoy me because they just underscore the invisibility of nurses in the public mind. Every day I have to re-educate my patients as to who really does what around the hospital. Some of...
  13. Have you ever personally used alternative medicine for a medical condition and if so, which ones and what were the
  14. UM Review RN

    What Nursing Gear do you personally own?

    Stethoscope, PDA, watch, assorted pens, scissors, and a penlight on my person. I have a manual BP cuff and a pair of calipers in my locker for emergencies. Everything else is in the supply room or can...
  15. Tell us about it! Do you use medication on a regular basis or other means to relieve your chronic back
  16. UM Review RN

    I don't want to come to work on my days off.

    Seems to me that if you're on call, you're "working." That's not a day off by any means.
  17. UM Review RN

    I don't want to come to work on my days off.

    I agree, you'll burn out quickly if you keep feeling guilty about things like this. It's not your job to keep your workplace appropriately staffed. They have options -- pool, agency, and last but not...
  18. UM Review RN

    most controversial medications

    Phenergan IVP Demerol
  19. UM Review RN

    Do you understand your paycheck??

    I don't. I don't believe I should be an accountant or a genius to understand my paycheck, either. I've actually had inservices on "How to Read and Understand Your Paycheck." Do you understand how they...
  20. UM Review RN

    They called the cops!

    Would it matter? What kind of person sits by the phone waiting for their job to call them on their day off? What do you do if your job calls you on your day off? This? :dncg: Or this?
  21. UM Review RN

    Foot IVs

    Recently had a patient who insisted on having IVs placed only in the feet. Actually, the right foot. I couldn't believe they gave in to that demand as the patient was getting a lot of antibiotics....
  22. UM Review RN

    Are you happy?

    I've turned into a happy person. Not because of my life circumstances, but because there's something deep inside of my spirit that no outside circumstance can disrupt. Of course, having a great...
  23. UM Review RN

    Doing the right thing

    Easily, if it was an IV push.... We've had that happen too. But we caught it immediately and wrote it up and actually comforted the poor (very very very upset) nurse that did it. I should add that the...
  24. UM Review RN

    Doing the right thing

    Oh, BTDT. Such a shame when a unit goes downhill like that. But I agree, if it really is that type of unit, you'll be happier elsewhere. Best of luck to
  25. UM Review RN

    They called the cops!

    :bbykck: Oh, I'd definitely be a tad upset about that. I could see the headlines now: Nurse Stalked by DON of Understaffed Workplace So did she leave the date and go in to work????? C'mon, ya gotta...