iamarn

Latest Activity

1. stage I, II, and a III

   iamarn replied to bebop1's topic in Wound

   Have you tried the thin duoderm spots? have had luck with them before.

2. 60 day calendars??

   iamarn replied to bakcmst2007's topic in Home Health

   Hello. Our scheduler actually keeps up with these dates...unless someone has been in the hospital and they come out within 5 days of cert period and then the nurse is responsible for checking these dates to do a ROC/RECERT same day visit. We are als...

3. KCI wound vac question

   iamarn replied to Schmoo1022's topic in Wound

   I too have had inservice from KCI rep who stated that adaptic was fine to put under foam. Had one pt. that without adaptic it took 3 hours to remove foam due to adherence of foam to wound bed ana painful removal. No adverse affects from using adapti...

4. how many recerts in one day do you do

   iamarn replied to reddellrn's topic in Home Health

   Yes, this is the norm for me, but I am the only fulltime RN working out of the office. It is getting really old too. Since I paid per visit, the money is good for all the OASIS but I am beginning to feel as if it is not worth it. I usually drive ov...

5. Offered Clinical manager Position--need advice

   iamarn posted a topic in Home Health

   Hello. I have been a HH nurse since September 2006. The office I work out of is fairly small. There is only a full-time LPN and me and a PRN nurse that work out of the office. recently our census has increased. We currently have been under the direc...

6. My awful Friday 13th--LOOOONG POST

   iamarn posted a topic in Home Health

   Hello. I guess I am just coming here to vent. I started HH back in 09/06 and have really enjoyed it. This past Friday was probably the worst day I have had so far in HH. Of course, it had to be Friday 13th. I started the day with 9 1/2 pts (count...

7. Question About Renal Tranpslant. Help please.

   iamarn replied to iamarn's topic in Urology

   Well, I did more bloodwork on my pt. today. His BUn is 23 and Creatinine. His estimated GFR has dropped from 65 last week to 59 this week. I think I am going to just call his nephrologist tomorrow.

8. Question About Renal Tranpslant. Help please.

   iamarn replied to iamarn's topic in Urology

   I understand that my pt has a decrease in renal function. My question is what is the normal estimated GFR after renal transplant. Is it normal to have a reduced estimated GFR 10 years post-transplant? Thanks...

9. Question About Renal Tranpslant. Help please.

   iamarn posted a topic in Urology

   Hello. I am a home health nurse and need some information on estimated GFR after renal surgery. My patient, 62 years old, had a kidney transplant 10years ago. He recently had a toe amputated and has had a MI in the last 2 weeks. He underwent hear...