kwagner_51

kwagner_51 specializes in Geriatrics, Pediatrics, Home Health.

Latest Activity

1. Director of Nursing Home Health Agency! HELP!

   kwagner_51 replied to kwagner_51's topic in Home Health

   I came on here looking for advice. I didn't ask to be judged and left wanting in other nurses eyes. 1.) I have met the OWNER and he is very comfortable with me taking the position as DON 2.) He is willing to TEACH me and so is the Administrator. I h...

2. Director of Nursing Home Health Agency! HELP!

   kwagner_51 replied to kwagner_51's topic in Home Health

   Hi nurseby07, I have been in HH for over a yr. I also did home visits with children r/t Head Start for a year. so I have over 2 yrs collective experience. I don't have experience with OASIS but as far as being in compliance with Fed rules I had to g...

3. Director of Nursing Home Health Agency! HELP!

   kwagner_51 posted a topic in Home Health

   I took a p/t DON job in HH. Does anyone have any suggestions about what I will be doing? I will start on Oct 13,2008 Some of the things I was told at my interview were: OASIS Hiring P & P Supervised Visits State regs Really need some input from ...

4. Are 15 Minute Visits Possible?

   kwagner_51 replied to athomemom56's topic in Home Health

   I have one pt that is stable. I go in give his meds, give his eye gtts and take his BP. I am there about 15 min. I wouldn't be there that long but I have to wait 10 min between eye gtts. Hope this is helpful!

5. Tobramycin

   kwagner_51 posted a topic in General Nursing

   I had to give this to my 19 y/o pt yesterday in his nebulizer. I checked the box and the orders. Orderes were 2ml per neb. The box is labeled for injection!! This guy can't talk and has no way to tell us if he has ringing in the ears, etc. I need to ...

6. OB clinical...long lament

   kwagner_51 replied to JMG2207's topic in General Students

   Hi there, I also didn't get to see a birth. However, I was able to shadow and did get to see a vaginal birth and a c-section. I cried like a baby on both. The shadowing report didn't count toward my grade because the rotation was over, but it was wo...

7. Loved my first week as a private duty nurse!

   kwagner_51 replied to Lorie P.'s topic in Private Duty

   :redbeathe I told my dh and kids that HH et private duty are the BEST kept secrets in nursing!! I have been doing private duty for almost a year now. I LOVE it and am not looking for anythin else!!

8. Nursing Concerns/Advice

   kwagner_51 replied to kwagner_51's topic in General Nursing

   He can't talk and may have the reasoning ability of a 3 y/o. I found this site and copied the picture and info for her, but I can't make her order it. I wish I had the $$$ to buy it. http://www.acidrefluxpillow.com/PTPDesign/toddler.html He stands ...

9. Nursing Concerns/Advice

   kwagner_51 posted a topic in General Nursing

   I am working HH and desperately need some advice. I care for a 19 y/o male pt. He has a G-Tube and a Trache. He is not on a vent and is mobile. I care for 2 other pts with g-tubes. Neither of them has the problems the 1st pt has. He is constantly ge...

10. Private duty nursing??

    kwagner_51 replied to ArwenEvenstar's topic in Private Duty

    I have been in private duty nursing for almost a year now. I ABSOLUTELY love it!! I am losing one pt due to family [ hers] issues. The POA is bi-polar and refuses to medicate self. She watches us with a camera in the room and tells us how to do our...

11. Is it ever okay to quit a nursing job without notice?

    kwagner_51 replied to FireStarterRN's topic in Career Support

    My first nursing job was at our local hospital. I was hired in July. Learned alot but was in a managers meeting in Sept with a laundry list of 'crimes' against me. Stupid things like, Doesn't know how to assess for a subdural bleed. [i had just grad...

12. Clonidine prescribed for pt

    kwagner_51 replied to kwagner_51's topic in General Nursing

    Trisomy 9 is an extemely rare chromosone disorder. He is not verbal but can "talk" For example, his bottom is raw from severe diarrhea. I put Riley's Butt Cream on it today and he squirmed all over the floor. I know that it hurt him. As far as being...

13. Clonidine prescribed for pt

    kwagner_51 replied to kwagner_51's topic in General Nursing

    That's ok. I just remembered something. This is a new order but he is also taking predinsone [N. O.] and he started to scratch nurses and Mom and pull their hair. They were giving him 4 tsp QD Mom told them no more because he was shaking so bad and w...

14. Clonidine prescribed for pt

    kwagner_51 posted a topic in General Nursing

    Hi, Y'all, I need some serious advice. My pt is 19 y/o and weights about 70#. He has Trisomy 9 very rare. Anyway he came home today from the hospital and has an order for clonidine 0.1 mg 3 x a day as needed. I didn't know what that med was and didn'...

15. Advice needed r/t job

    kwagner_51 posted a topic in General Nursing

    Hi y'all, I have a question and would like your help sorting it out. Here is the situation: I work in home health, doing shift work. Pt 1 is constantly getting sick with pneumonia and strep throat. He is very hand fixated and has scratched/clawed my ...