jammycakesRN

Latest Activity

1. Charity wound vac option

   jammycakesRN replied to RiverNurse's topic in Wound

   There's also a fairly new SNAP Vac that's disposable you might check into. Not sure about charity availability.

2. Medihoney as debrider?

   jammycakesRN replied to onthemark's topic in Wound

   Many of our patients use medihoney in place of santyl. They aren't the same, but similar & medihoney is much more affordable for our patients.

3. New to HBOT...

   jammycakesRN replied to ThinkerBelleRN's topic in Wound

   Look at Healogics. They have HBO units all over the states, might come in handy if you transfer often

4. What to do?

   jammycakesRN replied to mysticalmoonray's topic in Home Health

   I've made several reports to APS. They've never done anything to help. And if they interview the lady & she denies the treatment to them (like she does the doctor) they won't help her either.

5. New nurse / new to HH / tons of questions

   jammycakesRN replied to tinyRN72's topic in Home Health

   You are in a very dangerous situation & I would get outta there YESTERDAY!

6. Interview for Home Health, input please

   jammycakesRN replied to Barnstormin' PMHNP's topic in Home Health

   Some people are under the impression that patients in their home are safe & stable, which is not always the case. These days hospitals are pressured to discharge patients too soon. Which means home health nurses walk into a home with a patient th...

7. Now you all are making me scared!

   jammycakesRN replied to RipeTomato's topic in Home Health

   I worked in physicians offices during nursing school as a float nurse & my very first official job as a RN was with home health. I haven't had any problems whatsoever with my clinical skills. Now the paperwork nightmare is a whole other story, bu...

8. Tired HH nurse

   jammycakesRN replied to IRNB's topic in Home Health

   I'm tired of working 10-12 hrs/day for 8 hrs of pay. I never have time to get it all done & they just keep piling it on! At this point I think I'd work anywhere that I can go home to my family at a normal hour & actually have a life!

9. Patient refusing Hospice

   jammycakesRN replied to jammycakesRN's topic in Hospice

   Yeah, that's not even close to being the case. I went to every supervisor I had AND consulted with our sister hospice company. My supervisors told me that we could not provide the "hospice care" he required BECAUSE we have a sister hospice company &a...

10. Wound Care

    jammycakesRN replied to WeirdNurseKelly's topic in Home Health

    We use unna boots frequently & they work well for most of our patients. Clean well with cleanser, apply unna boot wrap toes to 1" below knees, then Kerlix wrap, then coban wrap. Change 2-3 times a week.

11. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice

    He passed tonight. Maybe he can finally get some rest.

12. Do hospice nurses usually get benefits?

    jammycakesRN replied to orange_dolphin's topic in Hospice

    The home health agency I work for has all benefits and pays more than the hospital. I know our hospice dept also offers benefits, but not sure what they pay.

13. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice

    I'm not really a fan of sticking around per se. But, seriously, if I tell him I won't ever see him again once he chooses hospice...he will NOT choose hospice. I discussed it with my director & she was okay with it. I don't think there will be muc...

14. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice

    Ok. Here's an update. He has agreed to have hospice come talk to him tomorrow. I hope he will agree to let them help him. He said he wasn't going to like it if I wasn't going to be his nurse. His wife agreed & I explained that they can't have hom...

15. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice

    This was the reason for my original post. I'm not a hospice nurse & don't really know the info she needs for end of life care or about available resources. For me, in the home health field, calling in Hospice IS our "end of life resource" for our...