84RN

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1. Online Courses, CEU's for School Nsg?

   84RN replied to 84RN's topic in School

   Thank you! I've been helping with the screenings (hearing, vision, BMI, scoliosis) for a few years, and she told me there are a lot of district compliance stuff that is required. Documentation just comes with nursing, no matter what area, lol. B...

2. Online Courses, CEU's for School Nsg?

   84RN posted a topic in School

   I'm considering a part-time job-sharing position with the school nurse at my kids' charter school. The school has grades 6-12. My experience has been most recently: 6 years of home health (adult, medicare patients), and years ago: hospital in ICU ...

3. Question about R.O.C.

   84RN replied to nurseratchit7's topic in Home Health

   For a ROC (resumption of care after hospital dc during a 60 day episode), we do a new SOC/ROC OASIS form --same form for both events. In addition, we have a Resumption of Care Orders sheet that you put in the hospitalization info, dates of admission...

4. What have you lived through? (Let's reminisce)

   84RN replied to ixchel's topic in General Nursing

   I graduated from college in 84, so......... I remember when cartoons were only on Saturday mornings. I remember when we only had 3 tv stations, and the remote control was...myself and my sister, lol. I remember when my mom got her first microwave in...

5. ActiVAC

   84RN posted a topic in Wound

   Any experience/tips for working with a hh patient that has an ActiVAC wound care pump? My patient is getting one, ordered by the wound care center. It's being delivered this week and I'll be setting it up for her. YouTube has been informative, but...

6. Wound Care Suggestions?

   84RN replied to 84RN's topic in Wound

   Thanks for your input. I did suggest getting a wound care center consult and also mentioned the possibility that her surgeon may eventually want to use a wound vac. She went to the wcc Friday, and is getting a wound vac :) She'll continue with he...

7. Wound Care Suggestions?

   84RN posted a topic in Wound

   I have a home health patient that's getting daily wet-to-dry dressing changes: Iodoform 2" packed into the wound, topped with 4x4s, abd pad and tape. The wound is 4.2 x 2.4 x 4.0 and has a couple of small pockets at 1 o'clock and 6 o'clock. She's pos...

8. Given a do over, which (feasible) career would you pursue?

   84RN replied to Libby1987's topic in General Nursing

   Still nursing, but a different career path. In retrospect, I should have gotten my CRNA after a few years of working in ICU. Instead, I went to L&D, then took years off to be home. When I returned to work, went into Home Health because of the sc...

9. raises in homehealth

   84RN replied to Lpntxn1's topic in Home Health

   I've been perdiem with an agency for over 3 years---paid per visit. No increase in wages at all, despite performance reviews that are always positive and getting praise for my work. I'm wondering if I should ask for an increase, but have a feeling ...

10. ESRD, stopping dialysis

    84RN posted a topic in Hospice

    I work in home health and have a long-time dialysis patient that is considering hospice. He's in his 90's and has multiple comorbities, is just frail and tired at this point. How long would he live if he stopped dialysis? What would the course of hi...

11. When a Mom Miscarries

    84RN replied to CountryMomma's topic in Relations

    I'm so sorry for the loss of your little one. I have miscarried 4 times, and had varied experiences with what I experienced physically, and also the medical care. As medical professionals we all need to be more aware of how our words and actions impa...

12. condom catheters

    84RN replied to 84RN's topic in General Nursing

    That's what the focus of my visit tomorrow will be. Will be doing all we can do keep him dry and watching skin closely. He really does have a very good aide, wish all my patients were as fortunate. This poor man has been through so much. A few week...

13. condom catheters

    84RN replied to 84RN's topic in General Nursing

    Yes, he definitely has a say in his poc, which is why I asked for the order to remove the foley in the first place. Now it's obvious he doesn't want the condom cath, so readjusting the plan accordingly. I AM advocating for him, thanks for the benefi...

14. condom catheters

    84RN replied to 84RN's topic in General Nursing

    I'm trying to advocate for him, and at the same time make sure his skin is given the best chance at staying intact. His aide is good, but I worry about the constant wetness on his skin. I saw him yesterday and she told me even with changing him sev...

15. condom catheters

    84RN replied to 84RN's topic in General Nursing

    He's in his own home (condo) and has a private home health aide 24/7. The reason for the foley was because he's incontinent (urinates a LOT), has advanced parkinsons and dementia, and is essentially bedbound. He can be out of bed using a hoyer, but ...