UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    did i do the right thing?

    I'm not getting it, Leslie.... remove the plunger? Wouldn't the med run
  2. UM Review RN

    Time Management or Personal Boundaries?

    The root of the problem lies with the fact that nurses are responsible for just about everything. From admission orders to meal trays to pre-op prep, verifying that the doc's orders are correct, to...
  3. It's important to remember that some of the more experienced nurses have other benefits besides salary. Yes, the new grads make about $5 less / hr than I did, but when I started, I might have...
  4. UM Review RN

    One of my patients fell!! Need Advice!!

    Doesn't sound like you did anything wrong. Elderly people can be very frail. I once had a heavy resident whose shoulder was broken even though she was lifted correctly--she had bone cancer. No one...
  5. UM Review RN

    How Will Universal Health Care Change Nursing?

    I get it just fine. It's just my opion that lacking insurance "for only a few months" is unacceptable and "only" 8.2 million uninsured is unacceptable. What I don't get is how we can afford to go to...
  6. UM Review RN

    The weight of the world.

    Please accept my deepest condolences on the loss of your Dad, sarabeth.
  7. UM Review RN

    Trouble sleeping at night

    I did that with every job. I finally realized that it's how my brain synthesizes information and even while I'm asleep, I'm learning and cementing knowledge into my brain. Even with the desk job, DH...
  8. UM Review RN

    Floor Nursing

    I do miss the floor, but it was just taking too much out of me. Now that I work in an office, my feet are healing, my back isn't killing me all the time, and I'm not in constant fear that I'm going to...
  9. UM Review RN

    What to monitor in Coumadin therapy?

    Here's an oldie-but-goodie thread on the topic:
  10. UM Review RN

    Need Some Wisdom

    Moderator's Note: Thread moved to Nursing Gear -- Shoes & footwear forum for more answers.
  11. UM Review RN

    What would be your IDEAL Nursing-related job?

    I'd love to be a long distance flight nurse. Unfortunately, I don't have what it takes, mentally or physically. So I do what I can and leave the adventures to the
  12. UM Review RN

    Being Questioned by Paramedics? Why?

    I'd be ticked, too. I've seen patients with that look and the exact s/s you describe (could it be the "feeling of doom" look that you saw?) for up to an hour prior to full-blown CHF. First time it...
  13. UM Review RN

    Why Does Everyone Hate Florida So Much??

    To each their own. I think any of the larger cities have similar problems. I'm in a suburban neighborhood and I love it. It took awhile to get used to the palmetto bugs (way slower than the NY german...
  14. UM Review RN

    Sometimes I feel so old (as a 2nd degree nurse)

    Ummm...ya kinda made my eyeballs clang together with those statements. I sure hope you didn't mean that med-surg / tele requires less knowledge or skill, because that's certainly not the case. A...
  15. UM Review RN

    Unit now overstaffed, and we keep getting floated

    When the ICU staff quit en masse one year, we were used to staff the ICU for about 4 months, insisting that we were getting folks who were technically tele patients. We all hated it except one RN, who...
  16. UM Review RN

    S-l-o-w starting shifts: what can I do to speed it up?

    I'd start looking at the charts and checking labs and MARs when I came in. It gave me a chance to make sure all the meds were given / signed off, as well as giving me a quick head's up on which...
  17. UM Review RN

    Best. Stress. Relief. EVER.

    When I was about 4, I was taken out with the older guys to do some target shooting. I bugged them and bugged them to let me shoot too, until finally one of them became annoyed enough to put a 16 guage...
  18. UM Review RN

    My first Awful PT. any advice?

    With a patient that I have trouble caring for, I basically turn off my emotions and just do what needs to be done. For her, I'd have asked to order a bariatric bed if she was too large to be turned in...
  19. If you see any names we may have missed, please report the thread so we can correct them? The link is on the lower left of the post. Thanks for your
  20. UM Review RN

    language barriers

    America is such a wonderful melting pot that I don't think 2 languages would be sufficient. I'm in a tourist area. We have visitors and transplants from all over the world in our hospitals. There are...
  21. UM Review RN

    education/teaching diagnosis

    Quite a few of the COPD'ers I've cared for wanted to quit, but were too addicted. Did your patient ever try to quit before? It's pretty common knowledge that smoking is bad for
  22. UM Review RN

    Are drug addiction and alcoholism disabilities?

    Let's put it this way: If I couldn't work, I'd probably become a drug addict. (Y'all already know I have an addictive personality aeb all the hours I spend here. ) So your question might be--which...
  23. Jeff, that was so beautiful! Thanks so much for
  24. UM Review RN

    How to find if classmates passed NCLEX in FLorida

    http://ww2.doh.state.fl.us/IRM00PRAES/PRASLIST.ASP Just fill out what you know and hit the search
  25. UM Review RN

    Med Errors

    OK, so you're working along and you come across an error made by your fellow nurse. Let's say it's an omitted dose. Maybe the med was given, maybe it wasn't, but you can't tell because it wasn't...