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Search Results Type: Posts; User: Sterlink

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  1. Diabetic foot care
    we get a podiatry referral, appointment
    Jul 28
    Forum: Home Health Nursing
  2. Time spent on charting
    our agency considers 6 SNVs a full load...of course, nurses do get days of 7 or 8. a SOC and 4 is also supposed to be manageable. problems come with the mix of acuities you may get, and amount of...
    Jul 28
    Forum: Home Health Nursing
  3. Time spent on charting
    now...that all does make sense, but in practice, many nurses, myself included go in with good intentions...meaning i'm gonna be fast and efficient, and before you know it, one hour and 45 minutes...
    Jul 28
    Forum: Home Health Nursing
  4. job efficiencies/time savers
    anyone got any ideas or procedures that have helped nurses in your agency be more efficient?
    Jul 28
    Forum: Home Health Nursing
  5. Start of care orders
    persistence. and we're told to follow SBAR when communicating with MDs: Situation/Background/Assessment/RECOMMENDATION!!!!!!!!!!
    Jun 6
    Forum: Home Health Nursing
  6. On call issues
    when we still documented on paper, oncall nurses would get a print out, at the end of the day, before they took call....
    Jun 6
    Forum: Home Health Nursing
  7. I was fired today
    in my agency, meds reconciliation is constantly emphasized....you should never let your guard done on meds....never assume...often the MDs have a different list than what's going on in the home....HC...
    Jun 6
    Forum: Home Health Nursing
  8. RN's in HHC, How much do you take home weekly?
    listen to you pts...in homecare you may have more time to do that...you'll learn a lot
    Jun 6
    Forum: Home Health Nursing
  9. I think this might be illegal!
    when in doubt document EXACTLY what you see...like "pt continues to nod off during assessment interview" i had a pt once who was on methadone for chronic pain, was doubling up on doses, and had...
    Jun 6
    Forum: Home Health Nursing
  10. I think this might be illegal!
    oasis questions should be supported by your documentation/narratives. if they are changing the pain level answer, ask them why. it's good practice to teach the pain scale to a pt before you ask...
    Jun 6
    Forum: Home Health Nursing
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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


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