billssisbeth

Latest Activity

1. Borrowing Narcs in LTC, ok?

   billssisbeth replied to rogle34's topic in General Nursing

   NO WAY!!!!!! I would RUN from that place!!!!! They are violating multiple Nursing Practice Standards and Federal Laws! Narcs are serious business hence the fact we must sign our lives away when using them. Narcs are tracked and I for one know too m...

2. "Rewriting" Home-care flow sheets

   billssisbeth posted a topic in Home Health

   I have a Documentation Ethics question.... I have been asked multiple times to rewrite signed nurses notes that were perfectly legible... either a water "spot" or stray pen mark was the reason I was asked to "rewrite" it. Nothing was unreadable or ...

3. Care Plans

   billssisbeth replied to lynndeeloo's topic in Home Health

   Where I work we refer to-- http://rncentral.com They have care plans that you can print up and use. We use these because they are standardized and simple. Also, there are MANY valuble resorces at Barnes and Nobel Book Sellars and Borders Book Stores ...

4. Roaches are going to drive me out of home care!!!

   billssisbeth replied to hoolahan's topic in Home Health

   SOME DAY I'll learn to type!

5. Roaches are going to drive me out of home care!!!

   billssisbeth replied to hoolahan's topic in Home Health

   I must have it great.... I work in an upscale CLEAN home in a NICE St. Louis neighborhood.... BUT A couple of years ago I worked for an agency that sent me to a tennement apt downtown... in the room of the baby I cared for an outer wall was missing...

6. Emergency Measues criticized by Pt's mother.

   billssisbeth replied to billssisbeth's topic in Safety

   Well I'm NOT alone!!! I Feel SO much better... I have a few more stories about this family but... they are better left unsaid.. LOL If I didn't LOVE this kid I'd be gone in a heart beat.. LOL Go Figure. Beth

7. Emergency Measues criticized by Pt's mother.

   billssisbeth replied to billssisbeth's topic in Safety

   Whew... I'm NOT ALONE! LOL

8. PEEP valve with a CUFFLESS trach?

   billssisbeth replied to billssisbeth's topic in Pulmonary

   This "kid" is 20. He is Guillian-Barre Syndrome and "forgets" to breathe while he sleeps. He also has "bad days" where he never does get weaned off the vent for the day. Usually thick secretions are the culprit. We do 4 full rounds of MANUAL postur...

9. PEEP valve with a CUFFLESS trach?

   billssisbeth replied to billssisbeth's topic in Pulmonary

   THANK YOU!! I feel much better!!!

10. PEEP valve with a CUFFLESS trach?

    billssisbeth posted a topic in Pulmonary

    Can some one please explain to me the value of a PEEP valve with a Cuffless Portex 5.5mmID Pediatric Trach? I thought that PEEP was only used with CUFFED trachs? This pt. is on a LP10 with .650 TV 0.8 insp time, HP 55, LP12, PEEP set at 4 but actu...

11. Emergency Measues criticized by Pt's mother.

    billssisbeth posted a topic in Safety

    Ok here we go again... New case different story but same old stuff on a different day... It is 0400 am... working with homecare pt I notice that the vent circuit is leaking somewhere. I can't find the scource... Pressures are hitting 10 at best ...

12. Calling all HH Nurses, roll call

    billssisbeth replied to hoolahan's topic in Home Health

    Ta Dah! It's Beth! LOL. I have been in HH for 10 + years. I LOVE it. I give ONE to ONE care, I am respected, cared for and I go to the "enth Degree" for my clients. I Chose Pulmo as my specialty and know a variety of vents, trachs and specialized...

13. How much Verbal Abuse should a nurse take from a PATIENT?

    billssisbeth replied to billssisbeth's topic in Safety

    :kiss TO all of you. Shortly after starting on the case we changed doctors. We found she was on conflicting meds ( Old Nursing Agency gotthe orders!!! UGH!) AND she has been Diagnosed with Alzhiemer's Disease by the new doctor. I informed him tha...

14. How much Verbal Abuse should a nurse take from a PATIENT?

    billssisbeth posted a topic in Safety

    I have just started a new home health care case. My client is a well to do person and treats the other nurses and myself like DIRT... Constant verbal abuse is a norm from this client. We have been called the "w" word for prostitute, the "s" word for...

15. What category would you place home health?

    billssisbeth replied to Mijourney's topic in Home Health

    I have worked Home Health care for over 10 years. I LOVE It! I belive it is a situation entierly unto it's self! It should be kept that way! Home health Care is vital to patient care - it helps the patient feel more at ease mentally, they heal b...