spejsa

spejsa specializes in Cardiac.

Latest Activity

1. SNF's that accept pt on vent & receiving Hemodialysis

   spejsa posted a topic in LTC Directors

   I am working as a utilization management nurse for an insurance company and took over the job of some patients who have been in LTAC's in Arkansas and Oklahoma for an extended amount of time. The LTAC's are now wanting to DC the patients but there s...

2. Portable scanner

   spejsa replied to twokidsmom,rn's topic in Home Health

   Great idea! GIve me the info on where you can get it for $90. I think it is well worth the money.

3. problems using INRatio machine

   spejsa replied to spejsa's topic in Home Health

   I don't think my agency has pipettes... Do you think a lab at a hospital might give them to me?

4. problems using INRatio machine

   spejsa posted a topic in Home Health

   I seem to have so much trouble using these machines. I get the blood and get it on the strip but I have a lot of problem getting the test to actually run. It always says there is not enough blood... Any ideas?

5. What to be sure to do in orientation?

   spejsa posted a topic in Home Health

   This will be my 2nd week in orientation at my current home health agency. I will be on my own this week seeing patients (although I was doing that last week) and a nurse will just be with me, signing me off... I just wanted to ask everybody for ide...

6. Blood samples from mediport clotting at lab.

   spejsa replied to Nursecathy123ca's topic in Infusion

   I have had problems with that before but when I use a blue tube it has been ok? You are getting blood right into the tube and not drawing into a syringe and then transferring, right? I was told in the lab once when mine did that it was cuz it clott...

7. Leaving an agency, giving report

   spejsa replied to spejsa's topic in Home Health

   Thanks!!!

8. Leaving an agency, giving report

   spejsa replied to spejsa's topic in Home Health

   Well, we got into an argument last night and that nurse hung up on me. I told her that I was legally done Friday and she said "legally it is your responsibility to give report". I told her that I told the office the week before I left that I needed...

9. Leaving an agency, giving report

   spejsa posted a topic in Home Health

   I left an agency that I was working for last week. I gave them 2 weeks notice and last week, my last week, I told the nursing supervisor that I would give her report on Friday (my last day).. I got a call Wednesday from the office stating that Frid...

10. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    Willow, your experience sounds a lot like mine. I mean, exactly. ARe you at my agency? It is crazy the way these agencies seem to work. I am on to new things and just want to get out.

11. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    Thanks for the info! I really want to attend one of these seminars. I asked my agency if they would pay, but they would not. They said our corporate was doing training sessions once per week and I could come in at 8:30 AM on Wednesdays for the tra...

12. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    I know!! I don't know why the dressings would be BID either. All I can think of is this man hadn't been to the wound clinic this whole time since yesterday. So, it was the first time they saw the wound and they are starting at the bottom... Then, t...

13. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    Kate, So, the patient finally got to the surgeon for a follow up and now the LPN says that the dressings are BID???? Stacey

14. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    I totally agree here! I hope that I can figure this stuff out soon. I start a new agency soon. this one is really a mess, hoping the next one is a little better. Sounds like it's bad everywhere though

15. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    The problem is... My hubby doesn't understand but nursing really SUCKS here. There are 4 hospitals and 2 are owned by one corporation, so not much to change to in the hospital setting... Only 2 other HH agencies in the area so if I leave and go to...