indbletrble

Latest Activity

1. Are nurses required to do HHA visits in your agency?

   indbletrble replied to Debra,RN's topic in Home Health

   "When you are working as a HHA, you are not working "below your license." Part of your training as a nurse is to assist patients with ADLs and personal care needs definitely within your scope of practice. Instead of feeling insulted, try looking at w...

2. Patient Consent to Treatment

   indbletrble posted a topic in Home Health

   In our agency we mandate that an Agreement to Treat (or as others may call it a consent to treat form) be completed and signed prior to putting hands on the patient. We have recently had some discussion among the ranks regarding this. Some are sayin...

3. Food for Thought...........

   indbletrble posted a topic in Home Health

   The following was shared with me today and tugged at my heartstrings. It made me stop and consider. When an old man died in the geriatric ward of a nursing home, it was believed he had nothing left of any value. Later when the nurses were going ...

4. Food for Thought....

   indbletrble posted a topic in General Nursing

   The following was shared with me today and tugged at my heartstrings. It made me stop and consider. When an old man died in the geriatric ward of a nursing home, it was believed he had nothing left of any value. Later when the nurses were goi...

5. 5 top things

   indbletrble replied to maddybears's topic in Home Health

   This is a tough question to answer. Having done home care for over 20 years, and still loving it I think I would say; 1. Never think you are suppose to have all the answers. There is always something to learn. Don't be afraid to say I don...

6. 1st Nursing Cartoon caption contest - win $100

   indbletrble replied to Brian's topic in Rock

   "Oh that's Sadie....she's the new top dog on the unit."

7. What's your policy or protocol for vacs?

   indbletrble replied to homehealth_rn's topic in Home Health

   Care of a vac is a routine part of patient/caregiver education at the START. Before we consider accepting a patient for service, we ask if there is a caregiver available AND willing to be taught the vac. If there isn't we do not accept the patient....

8. Flu shots for homebound?

   indbletrble replied to CabanaDay's topic in Home Health

   My agency provides the flu shot to any of our home health patients that want to receive it. This is a reimburseable procedure by Medicare. As Medicare is federal, there is no reason the patient cannot receive it in the home. I am only clear with m...

9. HH Vital Signs to Include Pulse Ox?

   indbletrble replied to indbletrble's topic in Home Health

   Thanks all for your input. We have raised the same questions Linda1208rn did on mulitple occasions, hence why we have not gone this route as yet. I read notes and see where the patient's sats have dropped following a therapy session, but no documen...

10. HH Vital Signs to Include Pulse Ox?

    indbletrble posted a topic in Home Health

    I am finding a number of our therapy groups whom we contract with for supplemental support are evaluating the patient's O2 sats as a part of their routine vitals. This has not been a policy of our agency to do so I am constantly telling them they ne...

11. Ideal New Hire

    indbletrble replied to KateRN1's topic in Home Health

    Kate love your wish list. I have found it amazing the number of applicants who come into the office and seem to have all the right answers to interview questions......yet are the total opposite when hired. Not everyone are good test takers.....so I...

12. Documentation of physician communication

    indbletrble replied to nurse955's topic in Home Health

    In my agency there is an area on the visit note where the nurse can document communication with the MD.....(MD name, what the issue was, outcome of the conversation) for something found that visit. If the MD was not available at the time of this cal...

13. Mini Inservices

    indbletrble replied to LindsayPaulson's topic in Educators

    Another thing I do for the staff in the way of a "mini in-service" is to send out a weekly flier regarding a topic. An example is clarifying the data items for the OASIS assessment. (I am in home care) The flier is titled, "So That's What That Mea...

14. Brand New Nurse in Home Health: Can you really gain experience?

    indbletrble replied to bree*'s topic in Home Health

    Being a well seasoned......or as my colleagues would call me, ancient, home care nurse, I agree with the above quote.....but only to a point. As a new nurse, you will find yourself working autonomously......and with some very sick people. All the "...

15. PT/INR instant results? Accurate?

    indbletrble replied to DutchgirlRN's topic in Home Health

    Our agency uses the Protime 3. It is approved by the FDA and has literature to support its accuracy. I am one who does not always take things at face value and have compared venipuncture results with the Protime results and found them to be right o...