UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    Dont you just love them

    Even when genuine tragedy hits, we still have choices, MM. I will never figure out why it is so much more culturally acceptable for a man to pick up a drink than it is for him to get into
  2. UM Review RN

    If you could go back, what would you change??

    :yeahthat:
  3. UM Review RN

    Lovenox IV

    ummm....not sure if "success" is the right word for some of these unfortunate patients. from medline: http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682180.html important warning: [posted...
  4. I'm sure it's not with us. Our travellers are welcomed with open arms! So sorry you're having a time of it, raindrop. Remember we're rooting for you when you need a little moral support.
  5. UM Review RN

    Hospital Administrator Fired for doing jury duty!

    Really makes you want to do your civic duty, doesn't
  6. UM Review RN

    Do you ever put your foot down with difficult patients?

    Yes, sometimes I feel that we pussyfoot around a little too much with some of these patients. I had a wheezing COPDer come in with a great deal of respiratory distress who said, "I'll quit smoking...
  7. Our prayers are with you. Please stay safe. I've been reading news updates but would like to hear how the nurses are doing. I have a coworker who's with the Red Cross helping out and it sounds pretty...
  8. UM Review RN

    Useless Information

    I think it stands for "In Case of Emergency." I was pretty much thinking the same thing as many of you have answered. OK, so how about an allergy or MedicAlert bracelet or other medical jewelry? Do...
  9. What works for you when you're Charge? How do you get and stay organized? How best to deal with those unhappy patients, family members, coworkers? Any advice, tips, or ideas for improvement will be...
  10. UM Review RN

    Dilantin/Phenytoin Question

    Have you ever given Dilantin IV push? How fast do you give it and what's the usual dose you give? Does the patient need any extra monitoring? Any precautions other than the standard Don't mix with D5...
  11. UM Review RN

    Diagnoses you never thought you'd see?

    Flesh-eating bacteria
  12. UM Review RN

    Diagnoses you never thought you'd see?

    How about a 93-year-old with appendicitis? It gets better. She'd never been a patient in a hospital
  13. UM Review RN

    She's a great nurse but she's driving me crazy

    But you need to tell her. The patients come first, not your coworker's feelings. She is not there to sleep; she is there to work. Interrupted break time is pretty much a given in this business, which...
  14. UM Review RN

    How many liters of O2 can a patient with COPD be on?

    Generally speaking, if I have a COPDer who's a/o X 3, they can tell me what their "home" sat is. I've had people who satted so low they were literally blue from cyanosis, and guess what, that was...
  15. UM Review RN

    May I vent a little?

    Heh. But then you'd have to treat her for
  16. UM Review RN

    May I vent a little?

    OOps. Posting
  17. UM Review RN

    Sheez! She's back and venting AGAIN!!

    I'd suggest that when you feel upset, ask yourself: 1. Are you going off on the same person who made the mistake? 2. Is it really a mistake? (Is it possible that the doc didn't know about the little...
  18. UM Review RN

    May I vent a little?

    I hear ya. I hope I would've done what you did, because it was the right thing to do. The other night I had a patient who was so nauseated, she turned green if she even moved her head. Patient came up...
  19. Yeah, me too. Just reading about it made me want to jump up and go get the crash cart. Not to take over, of course, just to
  20. UM Review RN

    Staff "refusing" to work a schedule

    How about you split it so that each of the secretaries get either Christmas or Christmas Eve off. This year the single mom would get Christmas Eve, but she'd have to work Thanksgiving and Christmas....
  21. UM Review RN

    Ever notice this about allnurses?

    I don't like the "do a search" answer because I've literally spent hours searching for a thread that had a tidbit of important information that I was looking for. It's frustrating, especially to...
  22. UM Review RN

    Even Nurses Need Pt Education for their Healthcare Needs!

    I also had a situation in which I was not taught about a chronic lung disease process. Everything -- and I do mean everything -- that I learned about this disease, I learned from researching it...
  23. I hope I'm not assuming too much here, but when a patient is de-satting on 6 L NC, a list of things to get/ask the doc for (and this is only a partial list, depending on what's going on with the...
  24. To me, it's a good thing that she came in to help. And what you needed to do was to give her updates on what had already been done while still trying to stabilize the patient. In other words, enlist...
  25. UM Review RN

    What is wrong with me??

    I've never worked in ER but from your post, I'd say that you're not in your niche. You might want to get your skills down on MedSurg