UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Your Favorite one liner used with patients

    One of my patients had such a great sense of humor! We were talking about dentists while I was taking vitals, so of course I couldn't resist waiting a couple of seconds after he had the thermometer in...
  2. UM Review RN

    Morale Boosting Ideas????

    1. Hire more people. 2. Pay more money. Yeah, I know, I know. Ain't happenin'. OK, to get serious. We have a monthly birthday party for staff birthdays and we have our potluck combined with that....
  3. UM Review RN

    Nursing trivia or how nursing used to be...

    I recall being told that to use gloves would seem too "impersonal and offensive" to the patients. Yet we were not allowed to sit on beds, hug patients, offer any personal information--and above all,...
  4. UM Review RN

    Nursing trivia or how nursing used to be...

    Clysis for hydration. Heat lamps for full thickness decubs. Seconal or chloral hydrate for sleep. No aggressive medical treatment and absolutely no surgical treatments for "old" people (over age 65),...
  5. UM Review RN

    How do you handle an MA that's out of line?

    Same here. There's always one in every workplace. If you can identify her and steer clear in the next job, you're golden. But for this job, it's pretty clear that they want to keep her; otherwise,...
  6. UM Review RN

    Am I stepping on senior nurses toes?

    Is it possible that she was upset on the belief that making up the packets constituted "more work" for someone, possibly herself, down the road? What would happen if everyone loved the idea of packets...
  7. UM Review RN

    insubordination

    Dang, I just spit my Coke all over the screen and woke my DH up laughing my socks off. So, short answer to your question.... yeah, that'd qualify. (Even if it was
  8. Glad you got that off your chest, Greg. Now about that typo in the last line of your post.... :lol2: JK, this is why we don't focus on spelling and grammar much here. Everyone makes
  9. UM Review RN

    Is this really slander?

    I figure it this way: 1. It's a blog, not a legal document. I am not on the witness stand and I have taken no oath to tell the truth. I do not have to tell the whole truth or any part of it. I may...
  10. UM Review RN

    Ummmm..are they ALLOWED to do that?

    I guess I'm overtired, but I thought we were talking about putting an AMI patient on a Med-Surg unit? Where that patient might need things like Nitro gtt, Integrilin, things like that, because I was...
  11. UM Review RN

    Ummmm..are they ALLOWED to do that?

    You're right; hospital policy does trump this. And IMHO, it should. No one without the proper training or equipment should be pushing certain meds. I could probably also be floated over to OB or...
  12. UM Review RN

    Pick up Malpractice! They went after my license.

    I agree. Not having insurance nowadays is just plain scary for nurses. Stuff happens and nurses are at the bottom of the licensure totem pole and often scapegoated because we are such easy targets. We...
  13. UM Review RN

    Banning Crocs?

    So here's the solution for all you holey-Crocs people: Jibbitz! Here's the link: http://www1.jibbitz.com/ PS Not sure I could work without my Crocs. They really fixed my feet when I was having a...
  14. UM Review RN

    Scripting Nurses?

    Actually, I don't think of patients or families as "idiots." I assess and classify their behaviors like a pain scale: "nice," "mean," "needy," "annoying," "sue-happy," or "psycho." Psycho patients or...
  15. UM Review RN

    Charting Bloopers

    Oh my, wasn't that the night it was dark
  16. UM Review RN

    Scripting Nurses?

    Aw gee, Tom, you were doing so well till I got to that
  17. http://www.tampabays10.com/news/local/article.aspx?storyid=50780 Newborn kidnapped from Texas hospital Lubbock, Texas - Police are on the lookout for a woman they say kidnapped a baby from a...
  18. UM Review RN

    Newborn Kidnapped from TX hospital, be on the lookout!

    Update! The baby was found; here's the link:
  19. UM Review RN

    It happened here, RA killed by patient

    bingo! i forgot the last two, but i know that is
  20. UM Review RN

    It happened here, RA killed by patient

    Mentally Retarded/Drug
  21. UM Review RN

    It happened here, RA killed by patient

    Sounds like a good reason to leave that job. If your admin doesn't get it now, she never will and you should not be the victim of her mistake. Best of luck to you in finding something
  22. UM Review RN

    Newborn Kidnapped from TX hospital, be on the lookout!

    Our hospital has to buzz you in and out of any pede unit, and the OB nurses are extremely territorial about who comes and goes on the unit. We have Code Pink drills about once a month, and the entire...
  23. UM Review RN

    I'm About To Walk!

    Lorster, I appreciate your posts on this issue because I always wondered what Agency nurses did when they were asked to take impossible assignments in horrible conditions. I like the way you handled...
  24. UM Review RN

    Ummmm..are they ALLOWED to do that?

    Only reason I can think that this might be necessary is that typical MS units do not have telemetry equipment or nurses able to read EKGs or push cardiac meds. Our unit once had to have an ICU nurse...
  25. UM Review RN

    My poor co-worker!

    See, I just get myself in trouble because I'll say, "You want to send me where without any orientation? ICU? CCU? OB? I'm not an ICU/CCU /OB nurse, I haven't the skills or the training. I'll float...