UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    What would you call "Practicing Medicine"

    What about information from the chart? I've had relatives ask me for test results that the doc hasn't discussed with them yet, and supposing that the a/o X3 patient wants to know and wants the...
  2. UM Review RN

    What would you call "Practicing Medicine"

    I'm assuming that you mean "without a doctor's order." Because we do it all the time with a doctor's
  3. UM Review RN

    Diabetes and Charcot foot

    http://www.flickr.com/photo_zoom.gne?id=24202951&size=m Can't get the picture to come up, but here's a picture of a single BB. They're very small in actual size. Here's a picture of...
  4. UM Review RN

    Nurses belligerent towards MDs

    I was being sarcastic. There was a recent study done that stated that one of the reasons for the nursing shortage was due to poor doctor/nurse relationships. If I can find the link, I'll post it for...
  5. UM Review RN

    Nurses belligerent towards MDs

    This of course is the reason there's a shortage of hospitalists.
  6. UM Review RN

    A message to new grads: NEVER....

    Bonnie Nurse, I'm really not sure whose post you are referring to. I even went back a few pages and still can't figure it out. Care to enlighten us? Back to the topic: New grads, NEVER draw up an IVP...
  7. I've always had insomnia. It's why I started working nights. I rarely take anything for it, but I will break down and take a couple Advil if my leg or back pains are keeping me awake. Sometimes I have...
  8. UM Review RN

    Guess the mispronounced medical term

    Oh, don't get me going on spelling errors and typos! A few classics: COPD exasperation Armenia Sincopy Phenergran and my personal pet peeve, made by docs as well as nurses and secretaries: aggitation...
  9. UM Review RN

    You know it's a bad night when......

    ...You come onto the unit and can't find anyone because the entire crew is either at the Rapid Response or the Code Blue, both called within three minutes of shift change. ...When you come onto the...
  10. UM Review RN

    New to Florida

    P.S. to Woody: The reason you saw nurses more often in Albany Med is that it's a teaching hospital, so there are interns and residents all over the place. Locals would only go there if they had a...
  11. UM Review RN

    New to Florida

    Hi Gary, Now you're up in my neck of the woods, so I'll tell you which hospitals are around. Happier news: you can apply online. When you get bored, just go trek around the Sponge Docks off...
  12. UM Review RN

    Agency nurses refusing to work on a certain unit

    A couple of thoughts: One facility's aides refused to do their jobs and slept all night while I struggled with caring for residents as well as my med passes. One facility had the nurse who'd been...
  13. UM Review RN

    The hospital from very close to hell...Long vent.

    I wouldn't last another night there. I'd quit and find a better job in the morning. There has to be somewhere better than that to work. Teamwork has to be a factor for today's nurse and that can make...
  14. UM Review RN

    Coworker as pt??

    I don't really mind taking care of a coworker; I've cared for coworkers and famous folks and never had a
  15. UM Review RN

    Should I tell my friend or not?

    Kinda off-topic but I'm very interested in learning more about pushing so much Lopressor. Could you give me some specifics like why the patient needs that much, and why doesn't the patient crash when...
  16. UM Review RN

    5 worse things a patient can do ...

    1. Chest pain patients who refuse Nitro and insist on Dilaudid because they are allergic to everything else. 2. The same patient in #1 who refuses smoking cessation medication and who decides that...
  17. UM Review RN

    IV pumps beeping during report,

    Frankly, it sounds like the Unit Manager needs to have a chat with day shift about coming in on time, and then you all need to get together and figure out a more efficient way to get Report done. 45...
  18. UM Review RN

    The "death smell"

    It's hard to describe but I've smelled it many times (years ago, hospitals were not climate-controlled), and it is a very distinctive odor. I always thought it was coming from the skin somehow. Maybe...
  19. Do you allow Tele patients to leave the unit to smoke or visit the cafeteria? Under what conditions? What are the legal
  20. UM Review RN

    Do you allow Tele patients to leave unit to smoke?

    I guess what bothers me about this is that if smokers are so addicted to their smoking that we have to escort them down to smoke, why are the alcoholics not escorted to go have a drink? Both...
  21. UM Review RN

    Nice docs

    One of the sweetest, most excellent docs was on our unit late one everning. It had been a horribly busy day and it didn't look like it was going to stop anytime soon. While he was writing orders in...
  22. UM Review RN

    How do you keep your uniforms whit as can be?

    Try using a peroxide-based detergent like
  23. UM Review RN

    heparin drip mistake! what would you do?

    The only way this is making any sense at all to me is if the OP failed to open the roller clamp to the piggybacked heparin, causing the NS to go in but not the heparin? At that slow rate, the vein...
  24. UM Review RN

    Is this unprofessional?

    I've worn my scrubs to an interview before and got the job. (Just don't wear your badge in there. ) Let us know how it
  25. UM Review RN

    Is Nursing your Passion

    Yes, it's always been my passion. Even when I wasn't a nurse, I would read everything I could get my hands on about health and healing. All the neighbors and family members would come to me for...