UM Review RN ASN, RN

Utilization Management

Member

All Content by UM Review RN

  1. UM Review RN

    Is my NM whack or is it just me?

    My IV blew at 0200 and although they tried a few times, they couldn't get a new one in. So...end of PCA. The next thing I knew, it was 0830. After a good long primal scream, day shift nurse came...
  2. UM Review RN

    Is my NM whack or is it just me?

    I recall being asleep and having no pain to a screaming 10 within a split second. (Apparently the chest tubes caused some pretty horrendous muscle spasms.) I so didn't want the night nurse to take...
  3. UM Review RN

    Learn To Say It Correctly!!

    Oh, and BTW, you were "accepted" into nursing school, not
  4. It could be the unit. Would you believe that I was told that 2 days into my orientation on one unit? I was stuck there for six long months and went on to another unit where they were happy to have me....
  5. UM Review RN

    New Grad, bad day.

    That's the kind of day that would have even an experienced nurse combing the Want-Ads after work. (((Kudo and hugs to you,you did great. Seriously.))) Also, you might find you're in good company if...
  6. UM Review RN

    Honesty during the interview

    Note from Moderator: Please remember to debate the topic, not the other posters. No need to be rude.
  7. For all of you who passed NCLEX and are now licensed, please be aware that you can change your screen name! If you decide to do so, let us know what your old / new screen names are here!
  8. UM Review RN

    "Your patient in 520 is in pain!"

    Especially irritating is the manipulative type who enlists any passerby to her aid. Visitors, housekeepers, lab techs, anyone will do -- How many times and to how many different people do I have to...
  9. UM Review RN

    Confrontational co-workers!!!!!

    I agree. That was not the way professionals approach a problem -- especially unacceptable is the use of the "f" word. For that reason--the way you were cornered like you did something wrong instead of...
  10. UM Review RN

    any experience with telemetry patients

    From your post, I'm getting that you want to know what to do for a new-onset A-fib---that is, someone who was in SR going into A-fib. If you see a lot of PAC's, keep checking the monitor, because...
  11. UM Review RN

    Seizure Pts: what to do when it happens?

    No, you're not just "waiting." After you've alerted someone, if there is no standing order--you're gathering data for the neurologist. You're counting the seconds to how long the seizure lasts, noting...
  12. UM Review RN

    Procrit FDA Warning: The Language Barrier

    I would've done what you did. I believe in informed
  13. UM Review RN

    Intuition??

    It's happened to me a few times, too. It's always pretty startling when it happens. Great catch, Tweety!
  14. UM Review RN

    Violent Borderlines

    Please forgive me as I'm not a psych nurse, but how else is she supposed to describe the behaviors? With a borderline personality, she'd be at it for
  15. UM Review RN

    Why do nurses take the fall?

    RN-Cardiac is so right. I'll never forget how horrified I was as a tech to discover that one of our residents' BP's was --manually-- 44/20. No kidding. That was how we found out that a few of the...
  16. UM Review RN

    Why do nurses take the fall?

    True. As stated above, we're considered the managers of care for the patient. We are given the authority to delegate under our license. Therefore, what we delegate to whom is our job -- and our...
  17. UM Review RN

    Strange job interview...thoughts on this?

    I've had a few like that, that went either way. Once I got in, I realized why you don't take it personally. Examples: Unit was hiring for months because people left. Suddenly there was a hiring...
  18. UM Review RN

    what do nurses hate about doctors?

    Actually, I don't think it's beyond reason. After a few minutes of writing, my hand tends to cramp up and my writing gets more and more illegible. Which is why I prefer to type and why I'm so glad...
  19. Moderator's Note: Please be aware that Suzanne has stepped down and her plan is no longer available. Details:
  20. UM Review RN

    Midline IV

    Got it. :idea:Apparently the size of the midline must've had something to do with that because our policy stated that we were not allowed to draw blood from anything smaller than a 5 fr. Thanks for...
  21. UM Review RN

    Another nursing care plan question

    Good eye, Katie! I've never seen a dose that high
  22. UM Review RN

    Inaccurate Vital Signs- no one cares

    I worked on a couple of units that would supply the unit and then all the new equipment would disappear or suddenly be found in pieces. Often we would have to share or piece together equipment. I...
  23. UM Review RN

    Was this an appropriate order?

    First, stating that doctors are extremely busy people implies that nurses are not, which is absolutely untrue. Second, collaboration is not equal to fetching a phone number. This doc did not want to...
  24. UM Review RN

    Midline IV

    OK, someone needs to enlighten me as I took the IV course a long time ago: 1. We were taught that midlines could infiltrate, and I have seen them do so. 2. I was taught that due to the type of...
  25. UM Review RN

    pyxis dilemma

    Still, you need to report it. In my state, it's the