tktjRN

Latest Activity

1. No trach experience

   tktjRN replied to chsc's topic in Home Health

   I've changed a trach about 5 times and I'm still not comfortable doing it alone and don't know if I will ever be comfortable doing it by myself. I have made everyone, I work with, aware of this fear. You're not incompetent. You're looking out for yo...

2. tx nurse responsibilities

   tktjRN replied to txnursegiggles's topic in Wound

   Unfortunately, every job description that I've had stated "and duties as assigned." Yes, bruises are part of skin care, but I do agree that it should be separate charting from wound care. Bruises of known or unknown origin should be monitored by staf...

3. LPN's in wound care?

   tktjRN replied to kwest99's topic in Wound

   Nurse4wounds I totally agree with you A lot of people are obsessed with letters behind their names, thinking that will get them to the top. I'm not saying continuing education and degrees are not required for advancement, but you are where you are be...

4. What do you love/hate about home health nursing?

   tktjRN replied to JJsMama79's topic in Home Health

   DavidDudley was very well said and 100% accurate.

5. What do you love/hate about home health nursing?

   tktjRN replied to JJsMama79's topic in Home Health

   Oh yes.

6. When/how often...?? (new wound nurse)

   tktjRN replied to baygrl11's topic in Wound

   A pre albumin level is not usually ordered unless nutrition is an issue. A nutritional assessment should be conducted first. Any weight loss, how much is the patient eating at meals are they on nutritional supplements. Is the wound chronic, look at ...

7. Organizing time, charting, not missing something???

   tktjRN replied to Misstia's topic in Home Health

   Look at the tread "Can you have a life in HH."

8. Stage 2 wound...

   tktjRN replied to MessyMomma's topic in Wound

   I would get her a speciality mattress and a roho cushion if she doesn't already have them. Ask yourself, is it really necessary to send a pt in there 90's to a wound clinic for sharp debridement?? Please start with santyl, hydrofera blue or medihone...

9. Discharge date

   tktjRN replied to Tampa121's topic in Home Health

   Date of last visit is the last time you saw patient. Date of discharge is the day you found out about it. Example: I saw patient on 11/5 for wound care. I called patient on 11/12 and pt stated he does not want to continue services.. My discharge date...

10. Home Health Vs Hospital

    tktjRN replied to mgbutter's topic in Home Health

    I recommend staying in the hospital for a few years and get comfortable with your nursing skills. Acute care is the best place to learn.

11. Bag barrier paper

    tktjRN replied to ttouslee's topic in Home Health

    We use paper scale liner towels from Medline.

12. Bag barrier paper

    tktjRN replied to ttouslee's topic in Home Health

    We use paper scale liner towels from Medline

13. How many employees are needed for 100 patients?

    tktjRN replied to enesberg's topic in Home Health

    We have about 150 clients and we have 8 RN's, 1 LPN, 4 OT, 8 PT, and 1 HHA. I think 20 HHA's is way to much. Our HHA is steady, but not overly busy. We also have to many nurses with not enough nursing cases. It also depends on the time of year. Summe...

14. Can someone set me straight?

    tktjRN replied to nursekiddo's topic in Home Health

    1. DON should be doing DON duties, not case managing patients. 2. Our LPN's do none of that, but it would be nice if they did. RN must co-sign all MD orders for a LPN. 3. That's called Medicare fraud for unnecessary visits. No need for nursing, the p...

15. medical supplies

    tktjRN replied to krayolaRN's topic in Home Health

    All the nurses, at my agency, carry a bin of supplies in our trunks. Our supply room is locked at all times so if we need something after hours or on weekends we're out of luck. We leave enough supplies for at least 2 dressing changes, then we order ...