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Search Results Type: Posts; User: Sterlink

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  1. computer charting is killing my career
    That sounds interesting. I might try that. Now a stupid question.... What do you mean by "the care plan?" Are you referring to a start, or a revisit?
    Jun 17, '13
    Forum: Home Health Nursing
  2. tracheal suction in the home
    By the patient him or herself. Anyone got a policy / procedure on this? My patient was taught in the hospital, but I'm discouraging it as she has a strong cough reflex and should be able to clear...
    Jun 14, '13
    Forum: Home Health Nursing
  3. past medical hx vs current diagnosis
    I admitted a patient with laryngeal CA. She has DM that's pretty well controlled, only takes 500 mg metformin QD. She had CHF in 2000 and reports no exacerbations since. What's all y'all's...
    Jun 11, '13
    Forum: Home Health Nursing
  4. computer charting is killing my career
    I am trying to chart later...stubbornly trying to jot paper notes and catch up with the laptop later. I'm thinking I have got to stop this and work that machine into the visit.
    Jun 11, '13
    Forum: Home Health Nursing
  5. computer charting is killing my career
    I was given a laptop about 6 months ago. I charted on paper before that. Charting is my least favorite part of the job. But now with the computer it's killing my career. I am always behind in my...
    Jun 11, '13
    Forum: Home Health Nursing
  6. teaching leg bag to overnight bag to a 93 yr old
    I will look into OT. And I am wondering how to select a better leg bag that doesn't come apart between its nozzle and tubing so easily.
    May 29, '13
    Forum: Home Health Nursing
  7. Help! What did i get myself into????
    Yes, you should have hospital experience before hc. life experience helps a lot too. The human element is way more acute is hc. You are right in the middle of people's lives.... Being able to...
    May 24, '13
    Forum: Home Health Nursing
  8. teaching leg bag to overnight bag to a 93 yr old
    Patient could not get leg bag nozzle out of Foley catheter without assistance. Leg bag tube also came apart too easily from its nozzle. Basically I'm having trouble getting this gentleman...
    May 24, '13
    Forum: Home Health Nursing
  9. activity and safety documentation and teaching
    We answer oasis as not what they are doing but rather what they can do safely. So what would I teach and document on a 97 y/o who lives alone, won't accept an aide but is observed to be unsteady on...
    Jan 21, '13
    Forum: Home Health Nursing
  10. activity and safety documentation and teaching
    I'm wondering how other clinicians teach and document activities and safety on a start or care when there will be a gap in care. For example, a little 97 y/o lady who refuses an aide but accepted...
    Jan 21, '13
    Forum: Home Health Nursing
  11. What did I get myself into??!! I'm scared!!!
    Chart in home, or immediately afterwards in your car. Call MDs immediately! Don't put off anything you don't have to. You will be busy....that's for sure. If you think it's slower than hospital,...
    Dec 12, '12
    Forum: Home Health Nursing
  12. new nurse in need of help
    You shouldn't ever make a decision on that. You need an MD's order. If an order is for so many units of an insulin, that's what the pt should get. If you're concerned about the pt becoming...
    Dec 12, '12
    Forum: Home Health Nursing
  13. first patient
    My advise is plan your visit ahead of time. Follow your script. Eventually you'll develop your own flow, but at first follow a script.
    Dec 12, '12
    Forum: Home Health Nursing
  14. Please share your home care nursing tips/tricks with others
    Got it. Yeah, good to have something to look at quickly. I know what you mean about having to go back to the computer for something simple...
    Nov 25, '12
    Forum: Home Health Nursing
  15. Please share your home care nursing tips/tricks with others
    "front of the right side, back of the left side..." please explain that again...not sure what you mean...
    Nov 24, '12
    Forum: Home Health Nursing
  16. Please share your home care nursing tips/tricks with others
    How about how much time it takes to know what's really going on? I had a daughter call me back and say she could NOT get her mom to a doctor's appt. Seemed to be saying "it's her problem." I was...
    Oct 24, '12
    Forum: Home Health Nursing
  17. When to refer to social worker?
    That's a good list. Think I'll bookmark it. Of course, you need a good MSW.
    Oct 24, '12
    Forum: Home Health Nursing
  18. Awkward area to dress: adjacent Labia majora
    I have a 29 year old patient status post incision and drainage of an abscess (MRSA cellulitis) at her right groin with one margin at her labiocrural fold. I am packing the wound and then covering...
    Oct 21, '10
    Forum: Wound / Ostomy / Continence Nursing
  19. scrotal edema...what to do?
    Was d/c from snf c/ garment, but too difficult to use. No f/c. Wears depends for minor incontinence, able to void on toilet. Looking for comfort measures.
    Jun 8, '10
    Forum: Home Health Nursing
  20. scrotal edema...what to do?
    A new pt with scrotal edema was sent home with no orders specifically addressing this condition. The case is complex: prostate CA c/ mets, bladder lesions, bilateral ureteral stents, DVTs...and...
    Jun 7, '10
    Forum: Home Health Nursing
  21. hypoglycemics as PRNs
    I went to do a resumption today for a pt who had a stay in a snf. His hypoglycemic med was not on the discharge Med list. He said he is not taking it at home either. He was getting BSs around 70...
    Jun 7, '10
    Forum: Home Health Nursing
  22. aftercare CHF exacerbation
    Thanks!
    Jun 6, '10
    Forum: Home Health Nursing
  23. aftercare CHF exacerbation
    If a 24 hr 2 lb weight is gain is all that's apparent, i.e. clear LSs throughout, no c/o SOB, energy level good and improving, no lower extremity edema, B/P and HR stable...is there something else to...
    Jun 6, '10
    Forum: Home Health Nursing
  24. independent or not
    Thank you...it sounds easy enough....I will be more short and specific.
    Jun 5, '10
    Forum: Home Health Nursing
  25. What to be sure to do in orientation?
    I started in HH very recently and feel my orientation has been very unstructured. Before this I worked for 21 months in a hospital, before that 2 years in school, before that a Nonmedical office...
    Jun 4, '10
    Forum: Home Health Nursing


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