jm_emt

jm_emt has 16 years experience.

Latest Activity

1. Is Medicare reimbursement for DME becoming much more difficult?

   jm_emt posted a topic in Home Health

   I spoke to a director of a skilled home heathcare agency who said it can take months to get Medicare to pay for needed DME (homecare beds, commodes) for her patients. She said there are at least two problems with the new Medicare rules. First, the ...

2. Hoyer lift use in homecare - how much training is required?

   jm_emt replied to jm_emt's topic in Home Health

   Libby1987 - I have never heard of reimbursement for Hoyer lift training in the home for primary caregivers. I thought the DME delivery company that rented/sold the lift did what little training there was. If reimbursement were available, ideally a P...

3. Are your bedbound (or total care) homecare patients usually forced into LTC?

   jm_emt replied to jm_emt's topic in Home Health

   It seems that unless there is lots of family caregiver support, many patients would be forced into LTC.

4. Hoyer lift use in homecare - how much training is required?

   jm_emt replied to jm_emt's topic in Home Health

   Thanks to all for their comments. It seems like there is no standard for training in the use of lifts. However when it is done, PTs are the best sources of training. But not all people that leave a hospital or an in-patient rehab facility are assig...

5. Are your incontinent patients truely incontinent?

   jm_emt replied to jm_emt's topic in Geriatric

   Thanks for your comment CoffeeRTC. What concerns me is the negative psychological effect on these patients who are treated like infants (whose dirty briefs must be changed) when they are normal older people who need toileting help in a limited time ...

6. Are your incontinent patients truely incontinent?

   jm_emt posted a topic in Geriatric

   I am asking this question because there seems to be so much concern in LTC settings about under-staffing of CNAs. Say you have a dependent pt (who requires help in transfer) in bed or in a wheelchair who can be toileted on a commode but can normall...

7. Sundowning and the risk of a patient fall

   jm_emt posted a topic in Safety

   Patient care plans usually designate how to transfer patients who need assistance sometimes describing them as one-person or two-person "transfer assist" patients. However a patient who is fresh, alert, and orientated most of the time often becomes ...

8. nursing care plan for multiple fractures.. help!

   jm_emt replied to ksurette's topic in General Students

   If you look at the settings page, it says highest education and it has different degree options (mostly nursing). It also has an "other" option. It then has "years of experience". I chose "other" (non-nursing) and gave my engineering degree. The ...

9. nursing care plan for multiple fractures.. help!

   jm_emt replied to ksurette's topic in General Students

   4 years as an aide. 15 years as a hospice volunteer. 20+ as an engineer. Hope this helps.

10. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    I have no connection with either company or product I mentioned. But I do think transfer chairs are the answer to some of the problems nurses confront, especially when mobilizing patients who cannot tolerate lifts. As a former aide and Hospice volu...

11. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    I agree that prolonged bed rest is dangerous. Pressure ulcers, hypostatic pneumonia, blood clots, and UTIs can all result from staying in bed for days at a time. There are mobility devices that allow patients with fractures to be mobilized and moved...

12. Lifting Equiptment? Dos/Donts and Patient Safety

    jm_emt replied to SexyFloridaGirl's topic in Safety

    Common things that can happen with a hoisted patient (using a ceiling lift or floor lift): 1) Panic attacks (due to being disoriented during hoisting) - often happens with dementia or confused patients 2) Sundowning - erratic or violent behavior, sc...

13. Hoyer lift use in homecare - how much training is required?

    jm_emt posted a topic in Home Health

    Hoyer lifts are sometimes used in home care nursing but lack of space, heavy pile rugs, difficult storage, and untrained or too few caregivers are often challenges to home use. So many total care patients may remain bed-bound even if a hoyer lift is ...

14. Can a single nurse do adequate peri-care on a patient unable to stand?

    jm_emt posted a topic in Geriatric

    Many times a pt is put on the commode with the assistance of two nurses/CNAs or using a hoyer lift with a toileting sling (with two nurses present during the transfer). Then the second nurse goes about his or her duties leaving the first nurse to d...

15. A Day in the Life of a Hospice Nurse

    jm_emt replied to jeastridge's topic in Hospice

    There is a some evidence that says that doctors prefer to die at home in Hospice because they are much more informed about what is coming however: "Research shows that most Americans do not die well, which is to say they do not die the way they say ...