allele

allele LPN

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About allele

allele has 10 years experience as a LPN.


RN

Latest Activity

  1. I LOVE Community Health

    That's great! I actually work in the same type of center....it provides care of anyone regardless of ability to pay, includes prenatal, primary care, pediatric care, dental services as well as a rapidly expanding homeless program that's already at s...
  2. I guess it depends on your situation. Five 8s may be great for a parent, etc. I did 12s for 9 years before going into homecare, I started with five 8s (and every fourth weekend), I couldn't stand not having at least one weekday off so I asked to sw...
  3. Laptop use in Home Health

    Our agency uses laptops, also with McKesson. I LOVE it!! I don't even carry scrap paper anymore, if I have to right a quick note I just type it quickly into the clinical note area so I don't forget it. I don't let the computer become a barrier bet...
  4. Ahh! Huge mistake

    I know the type of IV administration tool you're using and it really does hold very little air in the tubing (actually, the type we use comes pre-primed, don't even have to worry about air!), and it's really doubtful this amount of air would hurt any...
  5. 44 year-old woman with DVT dies of PE--- ???

    I have to agree with everyone, not your fault! I work homecare, by the way, people are sent home nowadays on lovenox until coumadin is therapeutic, both people with DVT and with PE. While I was at the hospital, it seemed to depend on the doctor. S...
  6. administering corvert

    We used to, but stopped a few years ago, it just didn't work that often. I usually kept a Lifepak hooked up so I could watch the rhythm myself in the room with the patient and stayed with the patient during infusion. Personally, I think amiodarone ...
  7. Giving Vitamin K IV

    We gave it a handful of times in the unit I used to work on, I'd say out of 5 times giving it two patient's had an anaphylactic reaction, the pharmacy always gave us a hard time about it because they said a lot of people do have reactions to it. I h...
  8. How to remove staples and use steri strips

    Every facility has their own policy, but I usually take out every other staple, if the incision looks "iffy" at that point I'll apply the steris where I removed the staples and request the rest of the staples be taken out another day, the next day or...
  9. Pleural Catheters

    Not sure how it works for private insurance, but if they're medicare we're required to supply them with everything they need, until they're discharged. Then we help set them up to have them delivered to their home.
  10. How many patients prefer no scrubs

    I've never had anyone ask me to wear street clothes, but I have been asked why I prefer scrubs. I simply tell them they are more comfortable for the bending, stretching, etc. that I need to do in some homes. What I DON'T tell them is the state of s...
  11. You're in a tough situation! I did work full time and go to RN school, but I was a CNA and my job at that time allowed me to work two back to back double shifts...so I worked from 3pm Friday afternoon to 7am Saturday morning, and did it again from 3...
  12. Hemostats

    When I worked cardiac surgical we used them to clamp chest tubes (when ordered, of course!), I had to use them once when a patient ripped his chest tube apart at the joint....I clamped until we got another clean chest tube set up. I've also used the...
  13. First Contaminated Needlestick

    First of all, I'm glad the testing came back negative!! I have stuck myself with a contaminated needle before. It was the end of my shift and I was in a hurry and broke one of my own rules. Safety needles are meant to be operated with one hand, ri...
  14. 10 months vs 3.5 years??????

    I don't know a lot about these programs, but I do know someone who chose a 10 month sonography course over a 2 year (she already had a bachelors in another area)...sounded great, BUT she had to find HER OWN clinical area, and NO ONE in the area took ...
  15. mileage issue/home health issues

    Our agency gives us whatever the IRS allows, we were getting the max of 50 1/2 cents per mile, and the IRS raised it to 58 1/2 cents per mile from July 1 to January 1, just got the notice. We don't get paid going to first visit or going home from la...