bshaw96

bshaw96

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About bshaw96

Latest Activity

  1. Update on fraudulent visits

    I'm sorry but none of this story makes a bit of sense to me. In what world would anyone think it was possible to do 26 visits a day? I don't care who you are you know that's not possible. The story would be more believable if the nurse was claiming 1...
  2. Home Health a good option for single mom?

    I would think that would depend on your assigned area and your time mgmt skills. I am usually off by 3pm, but as you said, that leaves lots of paperwork at night, which can also start to cause problems. But yes, hh is about the closest thing to schoo...
  3. Baylor Opinion

    I have been in home health 8 years as a case manager as well as admissions nurse. I know hh inside and out. We recently adopted a child and I have applied for a Baylor position with my company. It's a salaried position (32 hours, paid for 40) with th...
  4. annoyed with preceptor's

    I know. Orientation is great. And I've got the sense to stay off her bad side That's why I vent here and not to her. But honestly with 5 years hh experience all the orientation is annoying LOL. I just wanna work already!
  5. annoyed with preceptor's

    I'm 3 weeks into orientation and annoyed. My preceptor refused to check me off on wound care BC I forgot to change my gloves 4 times during simple dressing change. Company policy. Fine. I'm not too prideful for criticism. However in same visit I watc...
  6. Help with Braden Scale

    OK, maybe I misunderstood your question? I thought you were asking if diabetes made a patient automatically at risk for pressure ulcers. Not necessarily, depending on the other factors mentioned. I have admitted many patients who have diabetes as a c...
  7. Help with Braden Scale

    I would say your diabetic patients are more at risk for diabetic ulcers, or infected/trauma type wounds, but not necessarily pressure. (Although depending on other factors, they could very well also develop pressure areas) Also, being recently hospit...
  8. Ticked Off/ Major Vent/ What To Do?

    The first time I sent her to the ER it was supposed to be for a flow study. They never did it, and the IV nurse just accessed it and sent her back. I was in the process (today actually) of calling to get the orders to have her set up for outpatient q...
  9. I have only been in HH since February, and genuinely love it. Although recently, I'm starting to see things I don't like. Here's the problem. I have posted before about trouble accessing one of my patient's ports. It has tilted and migrated. She is o...
  10. Hyperbaric Therapy

    Wow, thanks so much for all of that information and taking the time to write it!! That helps alot! I had heard of the chambers, but that's about it. Now when he starts talking about it, I don't feel quite as lost! Oh, about the fire thing, I didn't s...
  11. Hyperbaric Therapy

    Need some opinions. I am a HH nurse who has a patient with an open surgical wound to lower back midline. We have been doing VAC therapy for about 6 weeks now and have only seen minimal improvement. I know he has MRSA, for which he's receiving BID Van...
  12. I've had it!!! Need to vent again

    See, this is why I'm so glad my agency is not a for profit business. The last job I had was with a hospice agency that was for profit, which I think just sounds bad, much less how it actually was! It was horrible!!!!!! Much like you described. Tried ...
  13. Port Access Question

    Hi there. I have a question about port access. I am a home health nurse and this has been a week for things I've never seen before. First a male foley problem, and now a port problem. 12 years of nursing, you think you've seen it all, guess not. Anyw...
  14. Are 15 Minute Visits Possible?

    For Medicare, no, for Medicaid, yes. Most of my medicaid monthly patients are what we call CAP assessments. They have CAP in, but they contract us out to do the monthly assessment that keeps the CAP aide in the home. And most of my CAP patients are n...
  15. Male Catheter Problems

    Yes, that is what we were using the last few times. The leaking doesn't concern me as much as why it was suddenly difficult (no, impossible) to get another in. I guess the urethra could be swollen/irritated from all the reinsertions, but it literally...