artsmom

artsmom BSN, LPN

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About artsmom

artsmom has 19 years experience as a BSN, LPN.


Latest Activity

  1. Certification

    CCM, and thank you!
  2. Certification

    I would like to get certified as a case manager. I have reached out to a few programs I found in a Google search but no one responded to my inquiries. Can anyone recommend a program that I can go through or at least some direction? Thanks in advance.
  3. Tough situation. Under who's orders are you currently practicing? If his prior MD is signing order's you should be covered there but it sounds like you (because of the way the patient is behaving) are not able to provide the care that is needed. If t...
  4. Useless

    Thanks for the reply. I don't typically ask people what they expect from me, normally I think it Is obvious to them & us. I was just really thrown off having 2 people tell me how useless I was. I really try to do what's best for my patients so it...
  5. Useless

    I had two patients in one day tell me how useless I was and VNA in general. I generally like my job, a lot, but it got me thinking- except in the very obvious cases, am I useless? I educate a lot, but most people are on/off service and don't listen, ...
  6. I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    My immediate response would be to r/o a stroke, check kidney functions, check for any tick-borne illness since he works with animals outside.
  7. New to Homehealth

    Everything about it is totally different from the hospital setting. Give yourself at least 6 months to determine if you like it or not, at first it's like being a new nurse, everything is new and it's easy to get overwhelmed. Hopefully you're working...
  8. Pleurx drains

    Yes, perhaps she did confuse the abd/LLL, though she pointed to her mid abdomen when I asked her to show me where it hurt. I had taken off ~450ml when she screamed out and yes, it was the 1st time it was done (aside from the initial insertion where ...
  9. CNAs sleeping on the job... What can I do as a new nurse?

    I don't believe that is true. I work in home health but the CNA's are under my license.
  10. Pleurx drains

    Hi- just wondering if anyone can help/enlighten me. I am a HH nurse and have taken care of many patients with pleurx drains, so I am very comfortable with the use of them as well as possible side effects/complications/expectations for the patients d...
  11. Complete SOC if patient does not qualify?

    First- clarify the VNA role in care of the pt- which is not indefinite 7 days per week care. This patient is bed bound and has a stage 3 so they qualify for services. Ensure, especially if they are elderly or disabled, that there is no abuse/neglect ...
  12. New to Home Health and Confused

    That's a lousy preceptor! Bp that high you definitely call the MD, and if I couldn't reach them I would send the pt to the ED. In the home you're the eyes, you are the only one doing the assessment and need to cover your behind. As for the INR- draw...
  13. I agree with this as a possibility. Someone used me as a reference without checking first so when I got a call about them, I was honest. Nothing slanderous, but definitely truthful. Had they asked me I would have asked them to use a different source.
  14. DESPERATELY seeking for an advice!

    I've been a visiting nurse x4 years, my best advice? Run fast & far. There is so much to home care that you are setting yourself for some major problems. The pay structure is also atrocious. I am pretty sure mileage has too be paid for this posit...
  15. Do you have a territory?

    I have a designated territory and am automatically the case manager of all patients in my 2 towns. However our bigger towns typically have 2 primary nurses and the new patients are assigned to whomever has the lowest census at the moment. If my censu...