dsharrison

Latest Activity

1. Wound Infections, Best Practice

   dsharrison posted a topic in Wound

   Hi all, I am running into a lot of trouble with differing opinions about how to approach wound infections (or possible infections.) I am a home care nurse and work with many different physicians who all believe their way is the only way. So, in th...

2. What kind of dressing for this patient...

   dsharrison replied to selu1616's topic in Wound

   Curious what happened with this patient. For wounds 1 and 2 I wonder why they are being packed with calcium alginate if they are hardly draining? Usually calcium alginate is for moderate to heavy draining wounds. Is the alginate moist when it's be...

3. Skin breakdown-abdominal folds

   dsharrison replied to mjaneschrn's topic in Home Health

   If it's already moist I would steer clear of any cream or ointment. It will only contribute to the moisture problem. I have had patients use guaze or soft washcloths to help separate skin folds with success (and continue Nystatin powder). Using th...

4. Has home health ruined your bladder?

   dsharrison replied to TXRN44's topic in Home Health

   I pee when I have to pee. If it's in a patients house, and I feel comfortable, I'll ask. If I have to go bad enough and it's dirty, I hover...very carefully as to not make a mess. If I'm in the middle of nowhere, it's a gravel road for me. I neve...

5. New Grad Home Health Possible or Impending Doom?

   dsharrison replied to Vulpes vulpes's topic in Home Health

   There is no way this is legal. New grad or not, every nurse new to a company should be checked off on competencies. In order to be checked off, you would have to go out with another nurse. I believe new grads can make great home health nurses, but...

6. Start of care documentation

   dsharrison replied to starcandy's topic in Home Health

   Yesterday I did 2 SOC and 3 RV. I am still working on the paperwork! I think 3 SOC per day with no RV. Otherwise 2 SOC, 2 RV is a fair day! If a company expects more, I personally would be looking elsewhere. Take it as a sign...it's shady to exp...