UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Waiting for bed- start floor orders sooner or later?

    UM Review RN replied to RNcDreams's topic in Emergency

    We face similar problems when getting a direct admit. It's awkward and slow because we have to do everything from scratch - start an IV, draw labs (which are not ordered stat), yet at the same time,...
  2. UM Review RN

    What do you all think of tele patients drinking coffee

    UM Review RN replied to RNCRNA2BE's topic in General Nursing

    We usually offer decaf to tele
  3. UM Review RN

    Telemetry--better at night????

    UM Review RN replied to jamonit's topic in CCU, Coronary, Cardiac

    I worked night shift for years and recently changed to evenings. I liked working nights because I learned more about working independently than other shifts. We were on our own as far as starting IVs...
  4. UM Review RN

    Great inventions, only sleep deprivatio can stimulate

    UM Review RN replied to Spritenurse1210's topic in General Nursing

    Or how about a clear view rubber bubble to put fall risks in? They can fall all they like and cannot get hurt. (Can you tell I'm really really really
  5. UM Review RN

    Great inventions, only sleep deprivatio can stimulate

    UM Review RN replied to Spritenurse1210's topic in General Nursing

    A segway for nurses to use while rushing from one patient to another? Or how about one of those treadmill things like they have at airports? A way to log into the Pyxis from each patient room and a...
  6. UM Review RN

    Do You Feel Respected as a Nurse?

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

    I'd have to say it's a definite "Sometimes." A lot of people respect nurses in principle because they understand that nursing is a physically challenging, emotionally difficult and intellectually...
  7. UM Review RN

    Question for Cathlab/tele/Special proced RNs

    UM Review RN replied to sharann's topic in Cardiac

    Some people can be made more comfortable in a reverse trendelenburg
  8. UM Review RN

    Does anyone have a story about an event that happened at the time of a pt's death ?

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

    I've seen dying patients reaching for people who were not there, talking and smiling with them. Others have dreams in which they see a relative who's passed on, and who will tell them that they'll be...
  9. UM Review RN

    Tips on making that ICU bed look perfect after a bath

    UM Review RN replied to bluesky's topic in MICU, SICU

    Just recalled something else: after washing long hair, while it's still wet, comb out and braid on top of the head. Stays very neat-looking that way. You can wrap the braid into a bun if you think the...
  10. UM Review RN

    When has your intuition saved the day?

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

    I've learned to pay attention to that weird feeling that tells me to call the doc or wait on giving a med, or check on that patient down the hall. It's happened too many times for me to count. Once I...
  11. UM Review RN

    Improving Patient Satisfaction

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

    Apparently we (employees and professionals) are also thought of as "customers." People thought that their ratings were not confidential because they could only use employer computers and in order to...
  12. UM Review RN

    Improving Patient Satisfaction

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

    Actually, we rate our hospital, managers, doctors, and workplace environment through P-G yearly. :) The problem is getting people to believe that the results are completely
  13. UM Review RN

    What does it take to be an RN?

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

    I never said that, though. All I said was that compassion wasn't going to be enough to keep a crashing patient alive. There's way more to nursing than
  14. UM Review RN

    What does it take to be an RN?

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

    Sorry if that's how it sounded to you, but I assure you, I'm neither cold nor jaded. Old and tired,
  15. UM Review RN

    COPD'ers and anxiety

    UM Review RN replied to Creamsoda's topic in MICU, SICU

    Yes, I've noted this also. COPD'ers are typically pretty claustrophobic too. One patient was so claustrophobic that he absolutely refused to allow the staff to draw the curtain for assessments. I...
  16. UM Review RN

    What does it take to be an RN?

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

    :welcome: Compassion is certainly necessary, but compassion isn't going to know what that lab result means if the patient is weak and confused, has a fast heart rate and a scary rhythm and a tight...
  17. UM Review RN

    What does pm only mean????

    UM Review RN replied to 1964nurse's topic in NCLEX Exam, Programs

    You just click on this link here and use the menu on the right to choose "private message" to send her a message, which is what she means by "pm."
  18. UM Review RN

    What do I do...I witnessed pt. physical abuse

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

    Wow, this thread is over three years old. Wonder whatever happened in the
  19. UM Review RN

    "Garbled" Speech - How to Describe?

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

    OK, I couldn't resist. Check this out:
  20. UM Review RN

    "Garbled" Speech - How to Describe?

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

    Garbled speech comes from an otherwise a/o patient, who is unable to say the correct word. This patient will often be angry and frustrated because they know the word, but it's not coming out...
  21. UM Review RN

    Pyxis, Omnicell, Accudose Comparison

    UM Review RN replied to jkarras81's topic in General Nursing

    We use the Pyxis. I like it the ID system because we verify with our soc and then a fingerprint. No chance someone can use my ID to get in, which is a huge relief for me. The patient's meds are listed...
  22. UM Review RN

    Disturbing incident in triage .....

    UM Review RN replied to DiannaK's topic in Emergency

    Thanks for clarifying, Dixielee.
  23. UM Review RN

    Disturbing incident in triage .....

    UM Review RN replied to DiannaK's topic in Emergency

    To the OP: I agree, it's becoming very common for children to be dx'd with psych illnesses. Very disturbing to me as
  24. UM Review RN

    Disturbing incident in triage .....

    UM Review RN replied to DiannaK's topic in Emergency

    Ouch, that hurt. My niece was dx'd as a paranoid schizophrenic when she was 24. The entire family went through hell before she was dx'd, and then after, as she tried to work and was unable to hold a...
  25. UM Review RN

    As nurses are we just Trained well behavedMonkeys

    UM Review RN replied to madwife2002's topic in General Nursing

    I think the culture between docs and the rest of the staff definitely varies at different hospitals and shifts. At this hospital, the docs are very friendly and nice on the whole, so it's easier to...