UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Verbal attack by co-worker

    Personally, I would've gone about it a different way because as you say, everyone's been slacking in this area. So if you start writing one or two up for it, guess what, those folks feel they've been...
  2. UM Review RN

    dumb CNA... who is responsible?

    I pretty much figured out that no matter where you work, there's always someone like that. Your best bet is to just concentrate on getting your own stuff done, and what she does (or doesn't do) is not...
  3. UM Review RN

    Quick! Help!!!

    "As Charge nurse, my duties included making staff assignments, serving as a mentor to float staff and new staff, and providing excellent customer service to coworkers, doctors, patients, and families....
  4. please debate the topic as the terms of service requests. it is possible to disagree with someone and also be respectful of them while doing so. terms of service: https://allnurses.com/terms-info.html...
  5. UM Review RN

    Is it ever okay to quit a nursing job without notice?

    Although I've been fired (from a she factory, of all things) and walked out of jobs, I never did leave a nursing job like that. I always gave two weeks notice. But I wouldn't feel the least bit of a...
  6. UM Review RN

    discharged a patient wearing telemetry

    Since we dc'd to SNF's frequently, we often had this happen. Happened to me once, too. Someone went and got it. It's too expensive for you to pay
  7. UM Review RN

    Toxic Healthcare Personalities

    That's exactly what I mean. Sorry it happened to you. Remember as Ann Landers said, "Time wounds all
  8. I still don't understand why it's anyone's business what religion the OP chooses to be. Have we turned into such a Jerry Springer-ish nation that no one comprehends the concept of privacy? Is nothing...
  9. UM Review RN

    Bitter CNA Instructor?

    That happened to me once, too. I was equally shocked, so I understand how you're feeling. Learn from this -- keep quiet unless you have something positive to say. You will always appear respectful and...
  10. UM Review RN

    Toxic Healthcare Personalities

    To me, the worst toxic healthcare personality I have ever encountered is the one who remains silent when an injustice is being perpetrated upon a
  11. UM Review RN

    med/tele orientee needs help with critical labs

    Same here. Then policy changed and they started calling in all elevated trops, which was even more of a pain, because more often than not, they were trending down. Naturally protocol called for a...
  12. UM Review RN

    The "Weigh" Out---A Food Management Support Thread

    I've been taking the stairs at work the past few days. I've been trying to have reasonable
  13. UM Review RN

    Know it all Nurses

    I recall the first time a Know-It-All-Newbie was faced with orders for po Mucomyst. He had to ask me how to get it out of the bottle. I choked back a laugh and quietly held my breath as he opened the...
  14. UM Review RN

    Those nursing students that just don't seem to "get it"

    Interesting view. I've been reading threads like this for years, and I never really thought of it that way. Just goes to show that you never stop learning, I guess. Another idea for the OP: is it...
  15. UM Review RN

    Too much sadness this shift...

    I'm so sorry....
  16. Kinda makes you wonder how long it'll be before this type of screen becomes part of the annual
  17. UM Review RN

    troponin question!

    We need more information. In the meantime, look up what can cause an elevated troponin in the excellent article in Chest:
  18. UM Review RN

    Don't want to be a nurse anymore

    Yes, I've BTDT. A lot of us have. I recommend a few days off. Turn off the phone, you may not use the phone at all on the first day. Sleep and hang out in your underwear the entire first day. Watch...
  19. UM Review RN

    Are you aware of how you conduct yourself in public?

    I very rarely have a drink if we're out. I always recall one of my nursing instructors' stories about having to code someone in a restaurant. That fear has stayed with me whenever we go anywhere....
  20. UM Review RN

    Things Change, People Change ;=)

    This brings one fella to mind -- the DOC told me not to go into the room. Apparently the pt had just fired the doc and made his point by throwing a wadded up ball of paper at him. But he took one look...
  21. UM Review RN

    Stress levels in ICU/CCU

    Go for it, I think you'll like it. You can do some things to prepare yourself right now by getting familiar with tele www.skillstat.com and getting your ACLS. The new provider guide comes with a CD...
  22. UM Review RN

    Pulses

    Hope he had an arterial US and surg consult for that stat!!
  23. UM Review RN

    Have you read "Nursing Against the Odds"?

    Herring, thanks so much for the valuable links. It's exciting to know that something is happening somewhere in the nursing field. Unfortunately, it's too little, too late for me -- I've left the...
  24. UM Review RN

    Pulses

    I'm confused. The fractured limb has good pulses and the left (unaffected one) has no pedal pulse? If that's correct, I sure hope he went to surgery for the Lt leg clot (which didn't travel from one...
  25. UM Review RN

    Have you read "Nursing Against the Odds"?

    No, I was not joking. I meant every word. There are real Pollyannas out there trying to get into nursing school who have no idea that nursing in today's market means they will never get time to hold a...