UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Other nurses taking over your patients without asking?

    UM Review RN replied to txRN07's topic in General Nursing

    That stuck out to me, too. But the little blurb by her picture says "Med surg/onco" and I know Ca patients have this nasty habit of trying to leave
  2. UM Review RN

    Other nurses taking over your patients without asking?

    UM Review RN replied to txRN07's topic in General Nursing

    Honey, if any of my patients start de-satting or coding, I want that nurse and every single one of my coworkers to get in there and help me! This is not about personalities; this is about patient...
  3. UM Review RN

    Press Ganey shows RNs want better pay, better staffing

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

    If you want the real story, read Nursing Against the Odds, by Suzanne Gordon. In a nutshell: Those who truly wanted to improve nursing care were forced out of management. Patient care then became all...
  4. UM Review RN

    What's the dumbest thing you ever got called on the carpet for?

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

    I had a patient's family member get upset and report me to management because after I spent 45 minutes (no kidding, I timed it) reassuring the family and coaching the patient on positioning and...
  5. UM Review RN

    Press Ganey shows RNs want better pay, better staffing

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

    Please...we need both. The economy here in Florida is faltering badly. Many people are losing their homes because salaries have not kept up with rising cost-of-living expenses. If both my husband and...
  6. UM Review RN

    I'm getting a student!

    UM Review RN posted a topic in General Nursing

    I haven't had a student follow me around in quite awhile, so I thought it would be valuable to ask all of you -- students and nurses who've had students -- what's the best way to get the most out of...
  7. UM Review RN

    I'm getting a student!

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

    Thanks, everyone. I'm going to make a list of websites and books for him/her because it's the last part of the program and they'll be expected to do a lot of stuff. Any thoughts on that? This is the...
  8. UM Review RN

    Would you give 25u Reg Ins IV?

    UM Review RN replied to Shell5's topic in Diabetes, Endocrine Nursing

    I'm sure he meant SubQ. I don't think Med-Surg floors where I work can give IV insulin. That's an order I would question and clarify. I would probably not give
  9. UM Review RN

    when male patient pulls his foley out

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

    It depends on the patient's needs and condition. If the Foley needs reinsertion, we usually begin the process with a call to the doc for wrist
  10. UM Review RN

    Continuous Furosemide Infusion

    UM Review RN replied to EmmaG's topic in Patient Safety Issues

    I understand that you'd be nervous without a policy in place regarding a drip like that. Lasix gtt patients must be on telemetry at our place. Seems to me that any patient on a lasix drip should be...
  11. UM Review RN

    Florida CNA/PCT-Possiblities

    UM Review RN replied to Kellacan's topic in Florida Nursing

    I've heard that some hospitals offer a "nurse helper" or "sitter" position and once you get your foot in the door, they'll train you and you can get tuition reimbursement as you go through nursing...
  12. UM Review RN

    I'm sorry but I'm EXTREMELY irritated by this!

    UM Review RN replied to luvmy3kids's topic in General Nursing

    OK, what bothered me is that how many of these patients never realized that they were not talking to the nurse at all, but to the housekeeper, lab tech, PCT, MA, or Unit secretary. Are they sure they...
  13. UM Review RN

    5 worse things a patient can do ...

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

    1. Decompensating CHF'ers and/or COPDers. 2. Patients who insist that they're going to vomit and then refuse to be NPO. After medication, they're found with a helpful visitor at their bedside, noshing...
  14. UM Review RN

    5 worse things a patient can do ...

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

    Early stages of dementia or depression is my guess. How about a neuro check? Failing that, a psych
  15. UM Review RN

    Family looking through patient chart?(Sorry, kind of long...)

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

    At the hospital, even the POA cannot read the chart unless it is with permission (and sometimes in the presence) of the doc. This is because just reading the chart can cause misinterpretation. I...
  16. UM Review RN

    Need Info "PLEASE" COMMENT!!!!

    UM Review RN replied to NARCAN's topic in Florida Nursing

    Yes, Tweety's right. IV certification is very important because an LPN I cannot push IV meds, whereas an LPN II
  17. UM Review RN

    What do you have most difficulty with in your everyday job?

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

    Redundant charting. I have too much paperwork and it sure doesn't help that I have to write the same things once, twice, three times in a shift. I have no real time to take care of my
  18. UM Review RN

    Has anyone ever tried listening to lecture notes during their sleep?

    UM Review RN replied to quick2k2ecotec's topic in General Students

    I'm not so sure that's a good idea. I used to fall asleep while studying. Now all it takes for me to go to sleep is to pick up a nursing textbook. I can't get three pages into the reading before I'm...
  19. UM Review RN

    So I'm fired. Again.

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

    (((Sue)))) So sorry this happened to you. They were wrong to do what they did. But when you think about it, who'd want to work for a place like that? So I say, don't waste your tears on them. Your...
  20. UM Review RN

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

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

    Yes, and then you had 4 nurses, a couple of techs, a transporter and a doc rush in to do something about it. That's completely appropriate. That's what the ER is for, and that's what the ER nurse...
  21. UM Review RN

    My Feet Hurt

    UM Review RN replied to Johnny Moo Man's topic in Scrubs, Uniforms, Gear

    Crocs saved my feet (and my job).
  22. UM Review RN

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

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

    It's done differently here. On our floor, the ER will fax up a report on the patient, verify it with a telephone call (usually to the unit secretary) who is then supposed to notify us that report has...
  23. UM Review RN

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

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

    That is why you have different staffing levels, a doc on the unit, stat preference for all tests, proximity to Radiology, transporters, an entirely difffernt Pyxis system in which you do not have to...
  24. UM Review RN

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

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

    Trudy, are you suggesting that we write up occurrences (even when the patient was "safe") as incidents to Risk Management? (We already file an incident report when a patient needs to be transferred to...
  25. UM Review RN

    Please take my "Where do all the All-Nurses members Live" Poll

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

    I'm there. Good luck with your