UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Med-error & down n the dumps

    UM Review RN replied to Advocate1's topic in General Nursing

    I do the same. I'm so paranoid about making a mistake that I bring the entire chart to get the pills and then unwrap the pills and do the last check of the MAR as I give them to each patient. It takes...
  2. UM Review RN

    Help: Difficulty understanding medication dosage question

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

    I included the pictures so that the students could visualize the difference between a unit and a milliliter. One student's answer (before it was edited) was in milliliters instead of units. I was...
  3. UM Review RN

    Help: Difficulty understanding medication dosage question

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

    This is what the actual vials and insulin syringes will look like once you get to clinicals. N is for NPH, R for regular. The syringes measure in units. You can mix NPH and Regular, so you'll be...
  4. UM Review RN

    Help: Difficulty understanding medication dosage question

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

    I think you did very well on the first one, but the second one is asking for units, not milliliters, so that 31 units would be the correct
  5. UM Review RN

    Help: Difficulty understanding medication dosage question

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

    Daytonite is much better at this than I am, but the real problem is trying to pick out the information that you need to use and knowing how to use it. I will give you some hints. In the first one,...
  6. UM Review RN

    punishment advice.....please......

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

    This is why I love monitored patients and in fact, why I wish all the patients were completely monitored, O2 sats and all. Of course, LTC residents might protest the arrangement. I think that the...
  7. UM Review RN

    a nurse's medicine cabinet

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

    I bought the NS contact lens spray for an OTC wound wash. I can use as much or as little as I want, and it's got a long shelf life. I have all the usual -- motrin, asa, benadryl, imodium, mylanta,...
  8. UM Review RN

    Unexcusable

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

    POA is Power of Attorney. Great job, Beth. The nurses might've been upset that it's basically your word against hers (we do love to have as many witnesses as possible to that kind of problem), but in...
  9. UM Review RN

    Open heart ICU

    UM Review RN replied to Kiwi's topic in CCU, Coronary, Cardiac

    Lorilou, I highly recommend that you read the book, From Novice to Expert, by Patricia Benner. It would save you (and the novice nurses you have to "clean up after") a world of headaches. I consider...
  10. UM Review RN

    HTN urgency with IV Beta Blockers

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

    We require monitoring and a tele nurse to give IV Lopressor, but we cannot give IV Labetolol. The patient has to go to the CCU for
  11. UM Review RN

    It's not the nicotine patch!!!

    UM Review RN replied to registerednut1221's topic in General Nursing

    Recently had a patient insist that they had to go out to smoke, as the patch gave them palpitations. No kidding, really? You're sure it wasn't all the coke in your
  12. UM Review RN

    Hey you..with the trashy blonde hair

    UM Review RN replied to Emma123's topic in General Nursing

    Absolutely quit that job. You don't need to be in such a toxic, unprofessional environment. Apparently these folks don't know the meaning of "rude" and the MA could've been drawing up saline for all...
  13. UM Review RN

    Ever been stalked by a patient?

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

    I agree, file a report with the hospital security and the police
  14. UM Review RN

    First name or surname?

    UM Review RN replied to Scooter321's topic in General Nursing

    I think a lot of the issue has to do with the fact that most of us are female. We're taught to be cautious from an early age. Many patients equate nurses with the naughty nurse stereotype. Years ago,...
  15. UM Review RN

    Why do you think so many healthcare workers are mean and arrogant?

    UM Review RN replied to mikethern's topic in Patient, Colleague Relations

    Maybe if you change specialties? I had to change a couple of times because I cannot stand to work with mean people and I refuse to bring myself down to their level. I don't know whether I'm basically...
  16. UM Review RN

    another scenerio

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

    Geez, some of these stories are scaring me! We always treat our DNRs, even if they're looking really bad -- in acute respiratory distress, we'll give Lasix, maybe put them on a bipap for the night. If...
  17. UM Review RN

    How nasty!!

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

    Perhaps wear gloves for the messiest hobbies? I'm pretty much a handwashing fanatic too. And as far as the scopes go, you can still hear very well if you put a vinyl glove over the bell of the...
  18. UM Review RN

    Who has had the biggest influence on your nursing practice?

    UM Review RN posted a topic in General Nursing

    It's that time of year again, New Year's, time to reflect and renew. In the spirit of the season, tell us about the person in your life who has been the biggest influence on your nursing practice. It...
  19. UM Review RN

    Who has had the biggest influence on your nursing practice?

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

    Speaking of spouses, I have to tell you that the reason I started this thread was because it occurred to me that nurses need to have the emotional reserve to be able to go to work and take care of...
  20. UM Review RN

    A nurse ate me as her young and I'm still paying for it

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

    I agree, oramar. Do they really think that eliminating the offender will eliminate mistakes? Maybe they all need to take a hard look at the definition of insanity - "doing the same thing over and over...
  21. UM Review RN

    My embarassing moment re: doc and TO

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

    I once had a (grumpy old) doc go off on me because I didn't get what a "hemogram" was, so I finished up the conversation by asking him if he was sure he didn't want an H&H with that. I survived to...
  22. UM Review RN

    LO's that KNOW IT ALL

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

    I assume that LO means Loved One. :) I have run across this type of family member and it's maddening because they reject appropriate courses of medication, tests, and treatments for less desirable...
  23. UM Review RN

    The Doctor said WHAT?

    UM Review RN replied to nurz2be's topic in General Nursing

    I agree. Believe me when I say that as far as nursing culture goes, we have to choose our battles carefully in order to do our jobs
  24. UM Review RN

    Disrespect of LTC nurses by acute care (even though BMs neglected in hospitals)

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

    I ask each patient during my assessment if they have any constipation, diarrhea, and when was the last BM. That's just part of the abdominal assessment. I'm surprised that anyone would give you any...
  25. UM Review RN

    Has ACLS been 'dumbed down'?

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

    Frankly, I've taken ACLS and kept it current for a number of years, but have never had to give the meds, so no, I wouldn't feel too confident giving them. I have seen the phenomenon that another...