Patchouli

Patchouli

Tele/PCU/ICU/Stepdown/HH Case Management

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About Patchouli

Patchouli has 15 years experience and specializes in Tele/PCU/ICU/Stepdown/HH Case Management.


Opinionated Militant Feminist

Latest Activity

  1. It’s hard enough to keep up with the documentation in home health admissions, along with phone calls, communication, etc. The patients these ALFs are taking are absolutely not appropriate for their facilities, but all their administrators see is doll...
  2. Is this typical weekend requirement?

    Time to leave. Home health is challenging enough with the paperwork/computer work, without adding more personal time into it. With what you’re describing, you’ll have zero personal life.
  3. The skills I learned working in the acute care setting have really assisted me in the home health setting. It's the charting and insurance regulations that have made this job a challenge. I enjoy my work, but don't go into it thinking you are working...
  4. Who gets visits once a week?

    I started HH a few months ago. Most of my patients are 1-2x a week for 4-6 weeks. I generally see them twice a week and either d/c on the last scheduled visit, or earlier if they are ready. Most are med management with recent CHF, COPD, DM, wound, su...
  5. Trying to schedule appts with elderly pts that are HOH, and do not own an answering machine. Phone just rings and rings. Emergency contact is hubby, same darn number!
  6. advice on changing jobs

    That sounds better than the LTACs I'm accustomed to. Is there a way for you to tour the floor for a few hours, and maybe ask the staff questions?
  7. Epic Charting System

    I used Epic in my last hospital position. Large system, but user friendly once you know where everything is.
  8. advice on changing jobs

    IMHO, if you really want a hospital gig, go into med surg. If you want something a bit more challenging start out on a Tele floor. I would stay far, far away from an LTACH. If they offer techs, that may be better, but if not, no way with 1:6 ratio!
  9. advice on changing jobs

    ICU pt's on vents are typically sedated, only there for a short time, and you get a 1:2 ratio. Stepdown a little less critical, but typically a 1:4 ratio. You can get LTACH pt's on the stepdown unit when they leave the ICU. They are usually the most ...
  10. Are physicians that thick?

    LOL, that's definitely a different story! It was only half an hour late? Then he needs to chill. Most of the time you won't get regular draw results back before 30mins anyways.
  11. Flu Vaccines. A Hassle?

    Oh no, not this again!!!
  12. Are physicians that thick?

    I agree, but ultimately we are responsible for missed orders and labs. Even in the best hospital, most physicians don't grasp the concept of juggling multiple pt orders/labs/care/I&Os/ etc...
  13. Are physicians that thick?

    I would suggest a PICC line on a pt that is a difficult draw that has a necessity to get frequent labs/possible blood. Getting q 6 H&H's is not enough reason to warrant a CCU. Med/Surg nurses are fully capable of drawing from a PICC and giving bl...
  14. Patient Satifaction survey scoring

    Join the club. Has ANY hospital received top scores on this. Just think hotel. These are the same type of questions asked during hotel surveys. Ridiculous if you ask me. You cannot run a hospital like a hotel.
  15. Home Health...good option for RN with bad back

    Home Health Case Management is a pretty good option if you have a bad back. There are a few times when I need to roll or assist a pt. ambulating, but this is very infrequent.