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Search Results Type: Posts; User: AMN74

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  1. Advice on home health admissions RN
    Depending on if these patients you are admitting are for a medicare certified home health agency then you will need to be proficient in performing the OASIS assessment, this involves training to get...
    Oct 8
    Forum: Home Health Nursing
  2. dyslexia
    I have been a nurse for 26 years. I don't think I was ever formally diagnosed with dyslexia. However, since I was a small child, I have had difficulty with transposing numbers. It was a challenge...
    Apr 11
    Forum: Nurses With Disabilities
  3. Infernal Equinox
    Welcome back. It's good that you finally realize something has to "STOP" in your head because enough is enough. It has taken me quite a long time to realize this within myself. When I get anxious...
    Mar 24
    Forum: Nurses With Disabilities
  4. The Stranger Within: It Does Get Better
    Thank you for the assurance that I am not the only nurse in the world working hard to stay "sane" and be a nurse to help others. It's a difficult balance when you have BPD... the gift that keeps on...
    Feb 25
    Forum: Nurses With Disabilities
  5. Pressure sore classification
    Since the "blister" was on the hand...was it a pressure ulcer at all? Pressure ulcers, even "blisters" have to start with being a pressure point, or a source where the pressure started. Did...
    Feb 25
    Forum: General Nursing Discussion
  6. Documentation, Scapegoating and Fear for Jobs.. The Current Status of Being an RN.
    Healthcare has become big business. At it's center is no longer sick, dying PEOPLE, but money. Documentation is how the hospital provides the payor source of the acuity of the client, the procedures,...
    Feb 25
    Forum: General Nursing Discussion
  7. Can I be a registered nurse if I have bipolar disorder?
    Stigma is everywhere! I come from a family full of crazy people and mental disorders, suicides and early deaths becasue of mental disease. Most of my family would not, will not seek treatment...
    Feb 24
    Forum: Nurses With Disabilities
  8. Can I be a registered nurse if I have bipolar disorder?
    OP you asked how BPD affects work as a nurse. First, BPD affects every part of your day to day life. When life or when work is stressful it is difficult for anyone to manage, with BPD symptoms can...
    Jan 30
    Forum: Nurses With Disabilities
  9. Does Cerner have wound management?
    I worked in Home Health for 15 years and when we started using computers to document 10 years ago we used Mckesson. Our agency made our own wound care page that we could attach as we were building...
    Jan 29
    Forum: Home Health Nursing
  10. Can I be a registered nurse if I have bipolar disorder?
    The previous posters are correct. You must be stable and continue to assess yourself to make sure you are stable and on top of your disease in order to be a nurse and care for your patients. Rest...
    Jan 29
    Forum: Nurses With Disabilities
  11. nursing isn't for everyone
    While in college in the 80's I did not have a clue what I wanted to do. I was young and have never been able to make a 5 year goal for myself and a 10 year goal etc. I had several aunts that were...
    Dec 20, '13
    Forum: General Nursing Discussion
  12. RN Insurance Reimbursement Question
    I don't know what state you work in. This can be a difficult process if you want to bill medicare/medicaid. You may need to get your own provider number, have policies and procedures for all the...
    Dec 19, '13
    Forum: Home Health Nursing
  13. Home Health Nurse Interview
    Healing Touch, Back when I started in home health more than 18 years ago it was almost mandatory to have at least 2 years of experience before going into home health. I will say in my opinion,...
    Dec 19, '13
    Forum: Home Health Nursing
  14. Therapeutic rationale for saline bag stapled to pt's leg?!?
    As an old home health nurse, I had a patient that had an abdominal wound dehiss right in front of my eyes. She was sitting in her chair and went to stand up and her wound opened, blood pouring and...
    Nov 15, '13
    Forum: General Nursing Discussion
  15. How do I find out if a HH is creditable
    Look at Home Health Compare scores on line. Every home health agency that takes medicare dollars and fills out OASIS data on their patients has a Home Health Compare score. They are rated against...
    Nov 6, '13
    Forum: Home Health Nursing
  16. If You Give a Patient a Cookie
    Awesome!! I think I'll have a cookie :)
    Oct 31, '13
    Forum: Nursing Humor / Share Jokes
  17. Home health RN supervisory visits
    I don't know about TX laws. In my state an LPN has to be supervised at least every 30 days. Aides every 14 or 15 days (can't remember), if they are skilled. And my agency doesn't just provide the...
    Oct 24, '13
    Forum: Home Health Nursing
  18. 485 plan of care for home health
    I don't know what state you are in. In my state an LPN can not complete a 485, or if she does an RN must sign/co-sign. In other words an LPN can't do a recertification or an admission visit. ...
    Oct 24, '13
    Forum: General Nursing Discussion
  19. just venting about wound vac
    Other companies make negative pressure wound therapy devices. I know Smith-Nephew has a negative pressure wound device. KCI has the original "wound vac", but there are several companies that now...
    Oct 24, '13
    Forum: General Nursing Discussion
  20. Admits and Resumptions without medical documentation
    First of all, as you know you can't do an admit, roc or recert without an MD order. Often times we get an order that says something like Home Health to eval and treat for patient needs.. Duhhhh So...
    Jun 28, '13
    Forum: Home Health Nursing
  21. Some Medicare managed plans do not cover wound supplies?
    This is nothing new for the home health agency that I work for. When we get a wound patient that has insurance that will not provide wound care supplies...first of all, as the agency we always...
    Jun 21, '13
    Forum: Home Health Nursing
  22. ethical issues in home care
    Bottom line, she won't eat unless the nausea is palliated. More treatment may not be in her best interest...is that what she wants? Also, you mentioned BMs are difficult and make her bleed...
    Jun 4, '13
    Forum: Hospice Nursing
  23. Nursing License
    Back in the day, in NC they used to issue a plastic nursing license card every other year when you renewed your nursing license. Now you just verify licensure through the NCBON website. They may...
    Jun 4, '13
    Forum: Registered Nurses: Diploma / ADN / BSN
  24. teaching leg bag to overnight bag to a 93 yr old
    If it's a problem because of his motor skills you could do an OT consult to see if they could be of any assist. I had to do this with a patient to get him independent with ostomy care once.
    May 28, '13
    Forum: Home Health Nursing
  25. All in my head?
    It's a challenge for you and you are letting your mind play games with you. Keep trying, when you have failed go get help, but once you finally tackle it a few times in a row you will have your...
    Apr 16, '13
    Forum: General Nursing Discussion


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