UM Review RN ASN, RN

Utilization Management

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All Content by UM Review RN

  1. UM Review RN

    Brian Short News

    I'm in shock, complete shock. How tragic - how awful - my prayers and my family's prayers going out to all their family and friends.
  2. UM Review RN

    August 2015 Caption Contest. Win $100!

    This is Harold. He used to be a retail manager, but now he's a student nurse. Because there's a nursing shortage and nurses make really good money.
  3. UM Review RN

    Travel to Tampa area next winter

    I live in FL and used to work for Baycare. Loved it! No matter where they house you in Pinellas County, you aren't more than 20 minutes from a great beach. Hospitals include: Morton Plant, Mease Countryside, Mease Dunedin, North Bay, St. Anthony's, S...
  4. UM Review RN

    I love nursing but I'm too busy to:

    _____________Fill in the Blank________________ Name that nursing task.
  5. I was taught that we cannot piggyback potentially dangerous IV meds like KCl and Magnesium. Instead, we hook up the KCL to a primary line that goes directly to the pump and then to the patient. That line is labelled. Then, if the patient needs IV fl...
  6. UM Review RN

    NS at 125 ml/hr is not an ER order

    Completely unethical and a huge waste of resources right there. But back to the original post - I'm not an ER nurse, but I completely understand and agree with the op's point. Even if that supposedly stable pt crashes suddenly, there are ways that i...
  7. UM Review RN

    Nurses using EKGs

    We used to have to share the ekg machine with a sister unit. I always wanted one that would roll faster. Lightweight would be good.
  8. Where's the best location to choose? What gauge needle? How deep? Aspirate for blood return? How much flush and how often? Try for an IJ first?
  9. UM Review RN

    Positioning for Pain Control

    Most nurses and CNAs have been taught the obvious -- elderly patients must be moved gently and carefully due to fragile skin and weakened bones - but few of us have been taught the subtler techniques of patient positioning that can often give good pa...
  10. UM Review RN

    Med Errors

    For our collective benefit, list some of the med errors you've seen committed or caught before they were committed. The only rules are: 1. No blaming. 2. No naming names. 3. State what the error was. Examples: 1. Mag and KCl hanging without a pump. -...
  11. UM Review RN

    Good-bye, Mrs. Meanjeans

    dang it marla, now ya got me bawlin'. Great story. I've had a few Mrs. MJ's too. they do grow on you, don't they?
  12. UM Review RN

    How Burned Out Are You?

    You're a good nurse. You don't take it out on your patients. But you recognize that nursing is a stressful job and that you and your colleagues could be in various stages of burning out. So......how burned out are you?
  13. Recently a longtime coworker nurse whom I greatly admired and respected quit without notice. Or she was terminated. We don't know. But the rumors are flying. It got me thinking: Do coworkers have a right to know why a beloved coworker is suddenly "n...
  14. My apologies, first time I saw this thread. I believe that nurses should have rights, too. We're not asking to be able to come to work and sit around at the desk all day; we're asking that we have manageable patient loads based on acuity, so that NOB...
  15. replacement nurses hired at most hospitals [/url] chris williams, associated press writer posted: 6:57 pm mdt june 9, 2010updated: 3:17 pm mdt june 10, 2010 minneapolis -- more than 12,000 nurses launched a one-day strike thursday at 14 m...
  16. UM Review RN

    Made to float, when I know I will sink.

    Just remember, if the patient goes south, you get the blame--and you have to live with your share of the responsibility forever after. Legally, morally, and ethically. I don't know about you, but no job, no amount of money, is worth that.
  17. UM Review RN

    can't listen to his stories how to I get out fast?

    First: he's not the only one paying big bucks to live there. Others are too. Second: state law limits your pill-passing time to a set period, and you have to be on time for all of the residents. Third-- ok, so he's not all warm and fuzzy. Does he ...
  18. UM Review RN

    What do you do when telemetry calls?

    Never worked with this type of setup...I usually would go look at the monitor and the patient to confirm, because of a all the weird things I've found. Monitor techs can be wrong, leads can get hooked up to the wrong patient, pacers can function whe...
  19. Glad you addressed it immediatelly. Those situations are very short-lived in the minds of the perpetrators. Only thing that made me wonder if the doc meant no harm was that she apologised. In my experience, that's pretty rare.
  20. UM Review RN

    I pay for these classes and these people won't shut up

    As other folks have said: Get to class early enough to be able to choose your seat. Take the one directly in front of the prof. Sit far away from the noisy (un-serious) folks. Establish a relationship with the prof, not the other students. Because I...
  21. HA! Her O2 sats probably were not accurate with that hemoglobin. You can have 100% O2 sats, but if you have only a few red blood cells to pick it up, you're gonna be short on O2. Following the ABC rule-- airway, breathing, circulation--her immediate ...
  22. Heck, I thought you did great! You had to get help for the patient, and you did. As a nurse, I would've wished someone did ABG's and got a CXR as soon's the first problem started, but that's just me, because I know how fast these folks can crash. ...
  23. UM Review RN

    Those who have left bedside nursing (like me...)

    I left bedside nursing to do concurrent review for an insurance company. I miss some aspects of bedside nursing, but just couldn't take the craziness any more. I needed to be able to go to work regular hours and come home and still have time for ...
  24. UM Review RN

    Incident report for infiltrated vein?

    It's happened to me a few times. When you find a patient with an infiltrate, take the proper corrective action for the patient, make your note, and write it up. Nothing to take personally; I've had IV's infiltrate in less than half an hour to alar...
  25. UM Review RN

    TV shows and movies that are ruined, because you know better

    One of the reasons I enjoy Michael Connelly's books so much is that they're really good with the medical info. Even talks about Prograf for post-transplant. Another author screwed up so bad -- he had the guy doing an autopsy go to the corpse's left ...