Abbies

Latest Activity

1. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

   Abbies replied to OneMurse's topic in Geriatric

   I forgot to add, that when I worked at a facility with computerized systems, the nurse could go into the orders and make time changes there.

2. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

   Abbies replied to OneMurse's topic in Geriatric

   A nurse can change med times if they are not ordered at a specific time. I draw a line through the time and initial and date & note "time changed," write in the new time/s and make a copy for medical records so they can print out the correct tim...

3. What is your average case load for Home Health nurses?

   Abbies replied to allyira's topic in Home Health

   5 routine or 2 starts on a good day

4. There is nothing that can fix this is there? (ok it's a rant)

   Abbies replied to anonymous1919's topic in General Nursing

   edit: it could also be because there are a lot of cna's who run around whining all day about nurses and how cna's work harder and yadda yadda. i've seen that. cna's bouncing between rooms while the lpn is working at the nurses station and the cna is ...

5. Start of care orders

   Abbies replied to Sana2007's topic in Home Health

   Our office staff sends out continuation orders the same day they received the signed referral for eval. and treat. We usually have revisit orders back within 1 to 2 days. If we need to revisit on day 2 we must have a VO from the doctor. We cannot ...

6. IV Bumex in home?

   Abbies replied to KateRN1's topic in Home Health

   You certainly called that one. I wish the doctor had placed pt. in the hospital to begin with. Have a great weekend!

7. IV Bumex in home?

   Abbies replied to KateRN1's topic in Home Health

   WOW, what ever happened about this? I'm pretty sure my administrator would not feel this client was appropriate for home health if that was his only treatment option.

8. Have you completed the OASIS C yet?

   Abbies replied to Abbies's topic in Home Health

   We use a laptop with a medication validation program installed and have always had to do that and fax MD. It will be interesting to see how we elicit required response from MD. Fortunately my first client had no medication issues.

9. forced overtime??

   Abbies replied to behindthedoor's topic in Home Health

   Yes, 2 SOC would be a full day but rarely are 2 starts assigned to one nurse in a day. They have always asked me first and given me the option of saying no. I know our expectations seem reasonable but when adding travel time, doctor calls, coordin...

10. forced overtime??

    Abbies replied to behindthedoor's topic in Home Health

    We do all documentation in the home on the laptop. The clients are understanding. We are discouraged from working without documenting the actual time spent because it is important that Medicare have an accurate account of the time required for each...

11. Have you completed the OASIS C yet?

    Abbies posted a topic in Home Health

    I completed an OASIS-C discharge today and it was not hard. Tomorrow will be my first OASIS-C start of care. We were well prepared but I'm a little worried about completing it in a timely manner. Any impressions from those of you that completed one...

12. Did I cause my patient to die faster?

    Abbies replied to lou_tango's topic in General Nursing

    The elderly patient that suffered an acute MI and was not expected to make it through the night might have wanted to say to you, if she could: "Before you and your partner :angel::angel: came into my room my old bones and joints were getting very pai...

13. Team building

    Abbies replied to mombuxx's topic in General Nursing

    If you find a way discourage back biting, please let me know. It seems to be on the rise!! Abbies

14. If you have rec' d the H1N1 vaccine - please report

    Abbies replied to CrunchRN's topic in General Nursing

    I had the shot, I didn't even feel it, no SE

15. You Just Can't Fix Stupid!

    Abbies replied to VivaLasViejas's topic in General Nursing

    Yes, the Darwin. . . and this thread qualifies for the funniest to date award.:rotfl: Abbie