cmarn

cmarn

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About cmarn

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  1. Bayada?

    Remember Bayada has both Home Health visit offices and in home nursing care for peds and vent patients. They are two separate home health practices. That being said, the "visit" side encourages full time employees to see apx 6 patients/points a day...
  2. ER Prioritizing/communication help please!

    Murphyle Great response! I do think that a lot of this will come with time. I've also realized that I spend a lot of time resisting the system in my mind because I can see its faults. That probably keeps me from thinking clearly at times so I need...
  3. ER Prioritizing/communication help please!

    Today was more of the same but I am just learning to have thick skin and stay ahead of the game. I had 4 rooms and a hallway assignment. Was taking out an IV to discharge a patient and got a phone call that I had a new rescue. Explained I would be...
  4. ER Prioritizing/communication help please!

    Thanks for the responses so far. Helpful. I've always thought of myself as very resourceful and efficient, but this has been a challenge. Our triage is a bit different. Not a lot is initiated there. If we have beds, especially CP patients, they ...
  5. Hi folks! I am a 6yr nurse who recently transitioned to the ER. I am a perfectionist, like to have a plan, and believe communication is an essential part of medical care. (some of you are probably laughing...knowing where I am headed with this). I am...
  6. ER handoff report to floor

    Agreed. Again, such a tough issue and both sides struggle. Often in the ER we are caring for one acute MI or stroke while 2 of our other patients have unknowingly been admitted. Once we figure out they are admitted and call to verify the room is r...
  7. ER handoff report to floor

    Every single shift on the floor is like a day getting slammed in the ER? Really? For many reasons I have to disagree. Both are tough for very different reasons. Kudos to all nurses :)
  8. ER handoff report to floor

    I see where you are coming from. Let me give a bit of the flip side. I think it's tough for both the floor and ER nurse.. In our facility we call the floor to let them know we are on the way and let them know what's needed in the room ahead of time...
  9. paramedics in the ER

    :redpinkheWow! I realize the original post was not intended to illicit such an opionated response; however, I do think it's a touchy subject for many. There seems to be a lack of respect on the part of both professions for one another. I think each p...
  10. Hit a road block with the wound vac?

    Two suggestions. First, I would recommend having the KCI (or whatever company is providing the vac) rep meet you at the patient's home. They usually have a lot of really helpful suggestions and it is best if they can actually see the patient. Also, i...
  11. Trying to come up with some ways to simplfy physician communication, especially at Start of Care. Currently our agency gets a referral from the hospital, phones the primary to verify he will sign orders, sees the patient, calls the primary back to g...
  12. Keep my patients out of the hospital!

    I agree with the previous replies. When I first started HH, I was very hard on myself. I thought I should be able to do it all. Well, the bottom line is you do have to set goals for all patients but you may have one CHF pt that teaching daily wt, ...
  13. Is this the norm?

    Very helpful information! You are right about the office staff. Although it can be frustrating, I do try to remember that I wouldn't trade places for anything. We are fortunate to have 5 clinical supervisors and at least 8-10 office staff, so lucki...
  14. Is this the norm?

    I just wanted to see if all agencies have similar issues... I absolutely love Home Health. I feel like if we take time, we actually can help our patients. We have the time to sit with them in their own environment and educate them properly, monitor t...