UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Dilantin/Phenytoin Question

    UM Review RN replied to UM Review RN's topic in Patient Medications

    Thanks, Siri and Tazz. The thread responses kinda confirmed that I would be very leery of pushing 300 mg through a peripheral to an elderly patient. I wouldn't have thought to request a change to...
  2. UM Review RN

    EKG and Rbbb

    UM Review RN replied to MM2007's topic in Cardiac

    Right BBB in a CHFer: Left
  3. UM Review RN

    My MI by me

    UM Review RN replied to teeituptom's topic in Emergency

    Glad you're ok, Tom. I totally understand getting to the hospital the quickest way. My DH had an MI this March. I drove him to the ER (10 minutes away, but I made it in 3. ) He quit smoking with...
  4. UM Review RN

    stroke in LTC

    UM Review RN replied to ajaxgirl's topic in Geriatric, LTC

    1. Set of vitals and neuro assessment. (And you know, everyone forgets this one, but get a fingerstick blood glucose, because the symptoms can mimic stroke.) Probably most important thing is the time...
  5. UM Review RN

    Nurse Pride

    UM Review RN posted a topic in General Nursing

    If you could make a T-shirt designed to educate the public about what it takes to be a nurse, what would yours
  6. UM Review RN

    Nurse Pride

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

    I think our nursing profession is a very worthy cause. We need to stop feeling guilty if we promote a positive, intelligent, image worthy of respect, or if we actually make a decent wage, or if we go...
  7. UM Review RN

    Healthier Living Thread Part IV

    UM Review RN replied to Tweety's topic in Health, Stress Management

    tweety, you are too funny! started my day with a smile. i just have to share this. i signed up for the ww newsletter. it's totally free and the recipes for this week are just so fabulous, i have to...
  8. UM Review RN

    Healthier Living Thread Part IV

    UM Review RN replied to Tweety's topic in Health, Stress Management

    Hi everyone! Despite going out to eat twice in the past two weeks, I'm holding at 228. Cool beans.
  9. UM Review RN

    Nurse Pride

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

    we have so many elderly folks who think nursing is just giving out bedpans, i'd like mine to say something about my credentials. the t-shirt is a good way to educate the public about what nurses do....
  10. UM Review RN

    Dishonest Nurses

    UM Review RN replied to Pam I Am RN's topic in Patient, Colleague Relations

    I have to wonder how you know all that? I also wonder how long you've been a nurse. It's amazing the number of ways to assess a patient without the patient being aware that you're doing so. I often...
  11. UM Review RN

    Should I take a job with more opportunity but an unprofessional manager?

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

    I'd stick where you are. Nothing, nothing, nothing can compensate you for the headaches of trying to swim upstream in a place that's trying to "change." Your first Charge experience will be with 90%...
  12. UM Review RN

    Ack! My Mother is "That patient"

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

    I've had the problem too. Once I was on the phone to a close relative who was in the hospital for an allergic reaction that went unnoticed for close to a week. They took her right away, gave her...
  13. UM Review RN

    sacrifical lamb=triage nurse

    UM Review RN replied to Uptoherern's topic in Emergency

    Those frequent complaints over the past week -- kinda makes me wonder if she was ever worked up appropriately, which would not be the domain of the triage nurse anyway. But I've read articles about...
  14. UM Review RN

    Been Told Im To Slow !

    UM Review RN replied to buildingmyfaith57's topic in Medical Assistant, CNA/MA

    Yep. Happened to me too. I indulged in the unforgiveable sin of actually interacting with my patients. It slowed me down, but ultimately it increased their trust in me, so I didn't have to ask for...
  15. UM Review RN

    Nurse Patient Relationship

    UM Review RN replied to stealth 92's topic in Dialysis, Renal, Urology

    Stealth, this might be a good time to get yourself and your wife into counseling. Definitely over the
  16. UM Review RN

    I Have An Idea; Please Don't Steal It; Many Witnesses Here

    UM Review RN replied to jill48's topic in General Nursing

    Most of the systems deliver a continuous basal dose and then the pump is programmed by the user to deliver bolus doses, based on the situations you mention. Most of the people I know who use these...
  17. UM Review RN

    I Have An Idea; Please Don't Steal It; Many Witnesses Here

    UM Review RN replied to jill48's topic in General Nursing

    Here's a nice comparison chart of all the insulin delivery system models:
  18. UM Review RN

    Thanks, Nursing Assistants

    UM Review RN replied to pagandeva2000's topic in Medical Assistant, CNA/MA

    I've worked with some fantastic CNAs, some of whom saved patients' lives by knowing what was normal and what was not. I might be very busy and we all might be running our buns off all shift, but in...
  19. UM Review RN

    nurse's job during a code?

    UM Review RN replied to Athenas83's topic in General Nursing

    If a patient codes on our unit, the same pretty much happens as described above. Most people are surprised that it's not like the TV shows at all, because it's nurses who do most of the interventions....
  20. UM Review RN

    Ever made a wrong diagnosis???

    UM Review RN replied to traumaRUs's topic in Nurse Practitioners, NP

    So sorry this happened, trauma, don't let it stop you. We can't predict everything and it's quite common for me to get patients who say, "I had an appointment today to check this out but I today I...
  21. UM Review RN

    Healthier Living Thread Part IV

    UM Review RN replied to Tweety's topic in Health, Stress Management

    Mmmmkay....it's the day after a bean-fest over here. Everyone stand
  22. UM Review RN

    Why a lot of reports of rude and stressed nurses?

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

    Yes, please take the vents with a grain of salt. For me, it helps me let off some steam so I can go to work with a smile. Kinda like the movie Office Space - we all know what they're referring to, but...
  23. UM Review RN

    Rant

    UM Review RN replied to TXTraumaRN's topic in Emergency

    Sorry you're going through that. I really respect you ER nurses; I couldn't do it. Hope things improve -
  24. UM Review RN

    my love of nursing is gone...husband died of medical mistake

    UM Review RN replied to Neveranurseagain's topic in California Nursing

    I agree with the above. If life is driven by grief, pain, and anger--even if justifiable--it's difficult to get past those emotions to a decision about how to deal with the future. Is it possible for...
  25. UM Review RN

    Secondary IV tubing question

    UM Review RN replied to General E. Speaking, RN's topic in General Nursing

    Ours is supposed to be dated matching the primary tubing, so that the secondary tubings get changed with the primary. We can run different meds with the same secondary set, but personally, I don't. I...