Foot care training - page 5

I have been interested in starting a foot care service for some time now and after reading posts from LoisJean feel this is something I can do. I would like to start out by receiving some kind of... Read More

  1. Visit  Tutti profile page
    0
    Lois Jean, Wow! I am speechless! You are amazing. You do so much. You are right. These folks need more than just a "pedicure", I hate it when people refer to what I do as a pedicure. I always correct them. It's Nurse Foot Care. We are nurses, and part of being a nurse is to do Patient teaching. And it feels so good when we are able to help someone because of what we have taught them. Or helped them through our assessment, and caught something no one else has. Thank you so very much for writing. I love doing what I do, and don't want to stop now. I have the drive again this morning because of you. Today is the day I meet with our marketing manager. We'll see where this road shall take me. Thanks again for your input.

    I took foot care training in Ontario Canada. They are way ahead of us when it comes to Nurses practicing foot care. By going to that one weekend seminar, you have done all that you are supposed to do to be able to practice foot care here as a nurse. LPN or RN. The only person I like to hear speak at the conference is guess who? The Nurse. And she is good. And she has been doing foot care for a long time. I will do what I can to help the LPN's on board to continue to practice foot care, and yes, we need a real certification course for this field. I intend to do what I can to help get the process going. I haven't checked out the electric nail files yet, but I will.

    ~Tutti~
    Last edit by sirI on Nov 14, '08 : Reason: referred to deleted/edited post
  2. Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  3. Visit  guest*** profile page
    0
    tutti

    can you give me a fax number or email address and i can fax or email you my makeshift consent?

    I found out something I did not know today from the consultant at the state board of RN for California. They told me that an LVNLPN can not have an independant practice in this state. So they can not own their own businesses providing nursing services. How strange. I wonder why it is different in other states.????

    How is it that in other states LPN's can own their own businesses? Maybe you know- LOISJEAN, because I am assuming you own your own business.

    I also found out that if I am to incorporate my business, it has to be a PROFESSIONAL CORPORATION and the words Registered Nurse or Nursing have to be in the title of my companies name. How strange is that. We were going to form an LLC.

    I also got some information about becoming accredited through the American Accrediation organization that accredites out patient facilities. It is the
    AAAHC. It sounds like a tremendous amount of work involved and expense. Has anyone looked into that? That process would certainly make sure that you had your ducks in order. I am not sure I want to go that route yet.
  4. Visit  Tutti profile page
    0
    Thanks, I would love a copy.


    I believe the laws are different from state to state on this issue. My state is only just starting to implement laws/regulations for nurses to do foot care. They have not yet specified who can do what. They have only said we need to take so many lecture hours and (clinical) hahaha...to follow a podiatrist around for so many hours. And that one seattle seminar covers it for the lecture part. Not that I am relying on that. I have went up to Ontario for training in Canada, and I've worked with three different podiatrists (not by choice). And I'm still looking for more training. Luckily, I do work for a company right now and I'm not out there on my own, but there are those out there, and some do not even have the training. I wouldn't touch another person if I didn't think I knew what i was doing. I am about to write a letter to the state board of nursing here...
    Take care!

    ~Tutti~

    tutti

    can you pm me a fax number or email address and i can fax or email you my makeshift consent?

    I found out something I did not know today from the consultant at the state board of RN for California. They told me that an LVNLPN can not have an independant practice in this state. So they can not own their own businesses providing nursing services. How strange. I wonder why it is different in other states.????

    How is it that in other states LPN's can own their own businesses? Maybe you know- LOISJEAN, because I am assuming you own your own business.

    I also found out that if I am to incorporate my business, it has to be a PROFESSIONAL CORPORATION and the words Registered Nurse or Nursing have to be in the title of my companies name. How strange is that. We were going to form an LLC.

    I also got some information about becoming accredited through the American Accrediation organization that accredites out patient facilities. It is the
    AAAHC. It sounds like a tremendous amount of work involved and expense. Has anyone looked into that? That process would certainly make sure that you had your ducks in order. I am not sure I want to go that route yet.
    Last edit by sirI on Nov 14, '08 : Reason: removed personal contact information
  5. Visit  guest*** profile page
    0
    I was just browsing through our California Nurse Practice Act ( a very interesting document!) and found out that there is such thing as "implied" consent. In other words, if a client voluntarily comes to your asking for foot care, takes off his or her shoe and places their feet in front of you, it is implied consent and a written cosent is not necessary. So guys and gals, take out your Nurse Practice Act and look in the index for consents and you probably will find similar wording. The only people who need written consent are people like minors or mentally impaired. So there you are! I will now take the consent forms out of my charts. One less piece of paper to deal with.
    :hatparty:
  6. Visit  LoisJean profile page
    0
    tutti

    can you pm me a fax number or email address and i can fax or email you my makeshift consent?

    I found out something I did not know today from the consultant at the state board of RN for California. They told me that an LVNLPN can not have an independant practice in this state. So they can not own their own businesses providing nursing services. How strange. I wonder why it is different in other states.????


    How is it that in other states LPN's can own their own businesses? Maybe you know- LOISJEAN, because I am assuming you own your own business.

    I also found out that if I am to incorporate my business, it has to be a PROFESSIONAL CORPORATION and the words Registered Nurse or Nursing have to be in the title of my companies name. How strange is that. We were going to form an LLC.

    I also got some information about becoming accredited through the American Accrediation organization that accredites out patient facilities. It is the
    AAAHC. It sounds like a tremendous amount of work involved and expense. Has anyone looked into that? That process would certainly make sure that you had your ducks in order. I am not sure I want to go that route yet.
    No assumption there...I have owned and operated my business for ten years. I am known in my community as a business woman, as a nurse and as a provider of foot care--all in the same package. My business name is KNOWN on the local, state and federal level; I take my losses and my gains and continue to expand in a way I feel appropriate and correct for the type of business I own.

    Plans are in the works for a new business structure that will pull together the talents and skills of myself, another LPN and two BSNs. This structure will incorporate the four of us as a functioning business unit with all the bells and whistles. This is going to happen because it has been a long term goal for my business, for my clients and for the communities I have served all these years. I realize that I have reached the maximum of my ability to work solo; the time has come for my business to grow stronger; there are many more goals to reach. Because of the addition of these three most excellent nurses, I can now live with some peace in my heart that a full service of affordable care will be developed and delivered to those people AT RISK who need it the most...POOR, ELDERLY and DISABLED.

    I have two passions: the work I do and the right of ALL nurses (do I have to specify who is included in 'ALL'?) to practice their profession and specialties as free agents. I am committed to pursue every avenue possible to insure the Independent status of myself and the nurses who work with me, and to continue to develop a plan and protocol of care which provides optimum care for every one of our clients. To that end, I continue in….

    Peace,
    LoisJean
    Last edit by sirI on Nov 14, '08 : Reason: quoted/referred to deleted post
  7. Visit  guest*** profile page
    0
    After a year of meetings and planning, I have decided not to incorporate with the non-nursing business partner and his wife I have been meeting with. I think it is great, Lois, that you have found nurses who you can share the journey with and I wish you all good things. I have not regrets, and because of all these business meetings, I now have good liability coverage and a great office with all the "bells & whistles". I would have done none of that if not for the thought of this partnership. I have found I can afford all of this on my own and now have my independence back. I have to pay them back some expenditures, but better now than after forming any legal bindings.

    My husband and I will incorporate out business, so it will be 100 % ours. I was finding that I really did not like the "business" mentality that does not take into consideration any emotional factors. I am relieved to have my autonomy back. Tomorrow I meet with a lawyer from the SBA regarding incoporating. I am also going to see about getting a microloan to get some products into my office.

    I have been selected to be on the Exam Committee for Foot & Nail Nursing Certification process and will go to Kansas City next month to meet with the 4 other nurses who are also on it. I am so thrilled. So things are progressing.

    I did a homeless shelter clinic the other night and plan to get more involved in that arena when time permits. Did you know that one of the most helpful things you can do for those with, what I call "mush foot" ( very wet feet from walking in wet shoes and socks for long periods of time) is to soak them in tanic acid (tea water). The tanic acid helps the feet expel moisture after the soaking. So that is your tip for the day!

    So, my fellow foot soldiers, keep on keeping on.
    Last edit by sirI on Nov 14, '08
  8. Visit  LoisJean profile page
    0
    You have made my day! Thank you for responding to my post.

    I am excited about the changes that have taken place over the years with my business. And, I am excited for you and the changes you are planning. I knew that no matter what kind of business structure I maintained, I would be doing foot care..and since my focus has never been on 'the money', my concerns were not great when thinking about 'what to do' as far as expanding. My concerns came when I became aware that the demand for this nursing service was growing and I might have to stop taking new referrals. That thought bothered me greatly. All I can say is that when the time was right the right nurses came along side and filled in the gap, so to speak. I call these happenings, 'serendipities'.

    I, too, have provided foot care in inner cities. Missions and soup kitchens have been supportive. I am hoping that with the additional nurses on board now, I can get back to doing more foot care in those areas where it is so badly needed.

    Nothing would please us more than being able to participate in the certification process which you mention. How would this be possible for us? If you could give me more information on this, I and the nurses who work along side of me, would be very grateful.

    Olive oil is a wonderful softener and conditioner for callused areas, dehydrated skin and dry, brittle nails. I lightly massage it into the affected areas after the foot soak and before filing or cutting. I found that by using the olive oil cooking spray I could cover more area and it's far less messy.

    Peace,
    LoisJean
    After a year of meetings and planning, I have decided not to incorporate with the non-nursing business partner and his wife I have been meeting with. I think it is great, Lois, that you have found nurses who you can share the journey with and I wish you all good things. I have not regrets, and because of all these business meetings, I now have good liability coverage and a great office with all the "bells & whistles". I would have done none of that if not for the thought of this partnership. I have found I can afford all of this on my own and now have my independence back. I have to pay them back some expenditures, but better now than after forming any legal bindings.

    My husband and I will incorporate out business, so it will be 100 % ours. I was finding that I really did not like the "business" mentality that does not take into consideration any emotional factors. I am relieved to have my autonomy back. Tomorrow I meet with a lawyer from the SBA regarding incoporating. I am also going to see about getting a microloan to get some products into my office.

    I have been selected to be on the Exam Committee for Foot & Nail Nursing Certification process and will go to Kansas City next month to meet with the 4 other nurses who are also on it. I am so thrilled. So things are progressing.

    I did a homeless shelter clinic the other night and plan to get more involved in that arena when time permits. Did you know that one of the most helpful things you can do for those with, what I call "mush foot" ( very wet feet from walking in wet shoes and socks for long periods of time) is to soak them in tanic acid (tea water). The tanic acid helps the feet expel moisture after the soaking. So that is your tip for the day!

    So, my fellow foot soldiers, keep on keeping on.
    Last edit by sirI on Nov 14, '08 : Reason: quote/referred to edited/deleted post
  9. Visit  MEL101 profile page
    0
    WOW!! I am so impressed with all the information thats been shared here and am equally impressed with you all and your success in creating a very much needed service. You've taken a need that isn't being met by others d/t lack of time or for whatever reason and capitalized on it. Your courage and digilence are an inspiration to all nurses that are sick of the system and want to make a change for themselves. Congratulations and I wish you all continued success!
  10. Visit  guest*** profile page
    0
    I had to sign a confidentiality agreement regarding information on the credentialing exam committee. I think it is ok that I have mentioned that there will be process in the future but will have to find out how much I can say. I do know that the process will be open only to RN's, but at least RN's with A.S. degrees will be eligible. Some credentialing processes are only for nurses with B.S. degrees or higher. WOCN is hoping to have this test available by next year some time.

    It is interesting that you mention olive oil Lois. Last summer I started making my own medicinal salves and use olive oil as my base oil. Last October I presented at the foot care nursing course in Winnipeg. My presentation was called " How to Incorporate Your Hobby into Your Business ". I did a slide show on making a medicinal salve. If anyone want the handouts for this, please pm me and I will email you back my recipe. It is really fun to be able to use something you make on your clients. And even better, it works!

    :chuckle
    Last edit by sirI on Nov 14, '08
  11. Visit  MEL101 profile page
    0
    Unfortunately WOCN is for BSN's only and you have to have verification of 4000 hours of wound care within 5 yrs of taking the certification test....Unfortunate because they (WCON) are eliminating a large group of diploma nurses that I'm sure are more than capable of performing this type of care...such a poor and shameful decision!:angryfire
  12. Visit  MEL101 profile page
    0
    On the other hand I think your medicinal salve sounds great and I'll be emailing you for the receipe if its ok....
    Last edit by sirI on Nov 14, '08
  13. Visit  guest*** profile page
    0
    You are wrong about the BSN requirement. The WOCN did a survey and found out that most of the RN's who are doing foot care are associate degree nurses. THIS CERTIFICATION WILL BE FOR ASSOCIATE DEGREE NURSES TOO. :hatparty:
  14. Visit  Tutti profile page
    0
    Too bad they didn't include LPN's in their survey. LPN's like me are very capable of providing this type of service. I would have liked to be included too!

Must Read Topics



Nursing Jobs in every specialty and state. Visit today and find your dream job.

A Big Thank You To Our Sponsors
Top