Published May 6, 2007
mim-o
62 Posts
hey,
I have just finished my first week at home health. I LOVE what I have done and I am learning so far. Have went out on several visits with other nurses and I am learning the paper work. Although there is a multitude of paperwork, I feel like this is the place for me. I would never have thought I would enjoy this area of nursing. Any pointers would be greatly appreciated.
DutchgirlRN, ASN, RN
3,932 Posts
Always include in your nursing note and/or narrative note on Admits, Recerts, Resumps, and DC's.
Pain - where, level, relief?
Meds - pt independent, who sets up meds?
Ambulation - Independent, Assistive device used?
Transfers - Independent, Assitive device used?
Bathing - Independent, Assisted, device used? ie. shower chair
Dyspnea - level of
Incontinence - If they wear depends pads for security they are considered incontinent.
Make sure what you chart in the nursing and/or narrative notes concerning these 7 areas match exactly what you've selected on the Oasis. This will save you alot of grief!