UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Incompetent nurses

    So you're telling us all about incompetent RNs based on whose observations? These friends? Or your own? I'm not offended. All I know is, if I had colleagues who behaved like that, I'd have reported...
  2. I got a direct admit with active chest pain from the doctor's office. Patient was told to come directly to the hospital and a bed assignment was given. Patient then went home, packed, had lunch, and...
  3. \Hooboy, Sharon, if that ain't the
  4. UM Review RN

    Incompetent nurses

    Keith, I'm confused. Are you an RN or a monitor tech? Are you saying this stuff all happened 3 years ago when you were a monitor tech? If so, why are you bringing this stuff up now? Did you not take...
  5. UM Review RN

    Got Ethics?

    Accidentally double-posted, so I'll use this space to explain that when the GWTG program is initiated, they've identified resistance to change as one of the barriers to providing better patient care...
  6. UM Review RN

    Got Ethics?

    I think you're referring to the American Heart Association's "Get With the Guidelines" program. Here's a link.
  7. Oh, you can, you can. Especially if you're a woman or a diabetic and your pain is atypical. But the price of that lunch will be cardiac tissue -- and possibly your life. Which is why anyone with...
  8. UM Review RN

    What would you change about your scrubs?

    Oh, one more thing-- I like the pants that have an elastic waist but also have a string tie so they'll stay up better when the pockets are stuffed.
  9. UM Review RN

    What would you change about your scrubs?

    The thing that irks me the most about scrubs is how un-identifiable we are when we wear them. So I would like (in addition to lots of pockets) a solid color scrub top that has RN in REALLY BIG...
  10. UM Review RN

    ANGRY! There's no place to eat or drink 'round here!

    I like those new little half-pint water bottles that they have out now. They just fit into a cargo pants pocket. Probably could slide a granola bar in there too....
  11. UM Review RN

    Got Ethics?

    I wouldn't call it so much an ethical dilemma as behavior modification. As these nimrods do teach themselves to get up and moving during a Cardiac Alert, they'll be more inclined to associate the...
  12. UM Review RN

    Crocs banned :(

    Sorry to hear the news. Crocs do have a no-holes version as well as an improved traction model. Check 'em out on the link below. I have several styles because I cannot wear any other type of shoe due...
  13. UM Review RN

    Why Take A Bath, Change Clothes, etc.

    Usually elders refuse anything that costs "extra" money. So I'd offer to buy her needles if she promises to use one per injection. The sharps container is also a great idea. As far as the bathing...
  14. UM Review RN

    Please help: new grad on tele floor

    A preceptor is basically a teacher and mentor who will help you learn to work on your own. Learning to be a good nurse is only partly knowledge and the rest is experience, so it will help you to be...
  15. UM Review RN

    Self sufficient???? When????

    OK, finished. (And still giggling. I have my share of battle scars from those helpless-looking little Houdinis too.) The one thing that kinda leapt out at me was the patient with the 101.2 temp. I'd...
  16. UM Review RN

    Self sufficient???? When????

    Iona honey, I got halfway through your post and I'm laughing too hard to continue. Please, please, please get a Journal going. I love your writing style. Now, I'll go finish reading and try to give...
  17. UM Review RN

    any nurses out there with back injuries

    I started a poll on back injuries awhile back. Here's the link.
  18. UM Review RN

    Cardiac Gtt Titration

    Our policy is that we do not titrate on Tele. Only Critical Care units can titrate, and they have standing orders to do so for each med. The rationale is that if a patient needs to be titrated, they...
  19. UM Review RN

    Being Cancelled

    Our policy is to cancel, in this order: travellers, mobile pool, core flex, then staffers who would be on overtime, then core staff on regular time. For core staff, the unit has a list and people...
  20. UM Review RN

    Let's play: What's that word mean?

    Priaprism: an erection lasting over four hours. (Owie. ( )
  21. UM Review RN

    Talk about an ironic situation

    I have to add this -- the reason I found out about the service was that our entire hospital (different one than I'm working right now) was completely out of Regular Insulin for a couple of hours once....
  22. UM Review RN

    Talk about an ironic situation

    Please do not feel guilty. They have ways of getting more stuff in on the weekend. Our hospital might not have something, but we can get it from the Mother Ship (our main hospital in a different city)...
  23. UM Review RN

    Wound Vac Company and Issues

    Wow, our KCI people are great, no problem. I've only seen one Bluesky in use and it really set the patient back (previously had been on KCI). Got him back on KCI and it started healing
  24. UM Review RN

    Let's play: What's that word mean?

    Sclerencephaly: This one sounds like scleroderma and I had a patient with this once, so I'm going to guess that it's the buildup of extra connective tissue in the brain. Now I'll look it up....
  25. UM Review RN

    I'm confused about a test question. Help please

    Haven't read all the other answers, Sara, but I would choose (a). The (b) answer is completely unacceptable because it's not legal, nor is it practical. The © answer is also out, because vest...