rnmelody

rnmelody has 19 years experience and specializes in ICU, LTC, Wound Care, Rehab,HHC,PSYCH.

Latest Activity

1. Common Issues in Rehab Nursing.

   rnmelody replied to StudentOfHealing's topic in Rehabilitation

   Rehab nursing is very complex. The caseload is now evolving into more complex situations such as strokes with accompanying co morbid issues. We now take care of patients with TBIs, multiple sclerosus, craniotomy and worst, drug dependent hips and kne...

2. Left the hospital to pursue Home Health Care...any tips/advice on how to be awesome?

   rnmelody replied to JJsMama79's topic in Home Health

   What I love about HHC is knowing how patients are when they go home and care for themselves. I work in rehab IP and do HHC on my days off. I get more info on what are the teaching that these pt needs when they get discharged to home. I love the sceni...

3. INR reporting issue

   rnmelody replied to HolyPeas's topic in Rehabilitation

   I agree with the Commuter. Therapeutic range is between 2-3 , just a small difference . Nevertheless, the dosage should have been addressed either through your coumadin dosing protocol or doctor's order. The PM shift nurse who gave a high risk medica...

4. Nurse-Patient ratios in rehab?

   rnmelody replied to coopman712's topic in Rehabilitation

   I work 12 hour day shift. I normally have 6-7 patients in the rehab unit. At times, we do have a charge nurse without patients but it is usually a big deal when I have to work with the normal patient load and be charge nurse as well. Usually it is a ...

5. Who Can Answer this Scenario?

   rnmelody replied to angieedoll's topic in Student Assist

   Change in mental status definitely signals cva or hypoxia the brain. In order for the doctor to treat the pt accordingly,he has establish a dianosis. Find the immediate family to get consent quick!