KP RN

KP RN

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About KP RN

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  1. E-coli infection in toe

    What a dilemma, Curly! My husband is a retired podiatrist. He says that E.coli infections like you describe are not that uncommon. Perhaps when you took a shower in your own home, the water ran down your own body and into the ingrown toenail?? It's a...
  2. Weeping leg ulcers

    Calcium alginates are quite effective in absorbing tons of drainage and keeping the periwound skin reasonable dry and healthy. Good luck!
  3. Case Conferences

    Our agency does not require case conferences, per se. However, we do document interdisciplinary communication at least every fourteen days. Our skilled nursing visit notes have a line which is for IDC, we simply write the name and the discipline of t...
  4. 10-11 snv a day. I'm going crazy

    WOW!! Since PPS began a couple years back, the name of the game is to reduce visits, costs, and be more efficient. My agency would NEVER tolerate us doing a qd wound on a pt with a hangnail!! Us RNs don't have to do more than 6 visits per day. Each ...
  5. ???Dog Lovers???

    My best friend's husband and children have severe allergies to pet dander and hair. They have purchased two Shar-Pei's, you know, the wrinkly faced big babies?? I am happy to tell you the family has no problems with allergies or shedding, and these t...
  6. VBAC again :)

    I had a VBAC with my youngest son. I also went natural. From my experience, the pain was so intense that my uterus could have been rupturing, and I wouldn't know the difference! How in the world is the patient supposed to distinguish normal labor p...
  7. poor spelling -- it matters

    My spelling pet peeves are the incorrect use of: your and you're to, two, and too there, their, they're, and the use of GOOD instead of WELL. OK, I feel better now...
  8. Bush-whacking Medicare...hot off the presses....

    My agencies have never billed patients for services if Medicare or private insurance denied them. Now, with PPS, aren't agencies getting paid a big hunk of change up front?? If this is the case, how can bills be reaching thousand of dollars before an...
  9. Any Independent Home Health Providers.?

    Hi Brenda. I do private pay home care visits. I advertise in the local newspaper. Sometimes I get referrals right from the doctors themselves. The population which I am targetting are elderly people with chronic conditions who need some help, but are...
  10. karen and hoolahan

    Hi Ren, welcome back to hands on home care!! Do you and your husband still have your home based business or will you work for some one else?? No Oasis sounds like a dream!! Let us know what you decide!!
  11. Seeking OB/GYN opinion...

    I was thinking hydatiform molar pregnancy too. My goodness, go seek another opinion!! Good luck.
  12. Bad Eyesight

    Why is it that US SMART people always wear glasses (or contacts?)
  13. Bad Eyesight

    I was not aware that any nursing programs require 20/20 vision. I began wearing glasses at the age of 4 for near sighted vision. I now wear contacts (had been a coke bottle bottom girl til I was 16!!). My vision is only 20/30 or 20/40. Good enough to...
  14. No Pay for Record Time??

    I work for a huge hospital based agency (we do 2,000 admissions per month). We are paid per visit. We chart in the home on EVERY patient. We leave a yellow copy of our visit note in the pts folder, so other disciplines and nurses know what's going on...
  15. Driving me CRAZY!!!!!!!!!!!!!!

    Oh my, Karbyr, May I assume that you were being paid hourly, as opposed to per visit?? Glad you got out of there!!