Wheretogo 946 Views
Joined: Mar 20, '12;
Posts: 4 (25% Liked)
; Likes: 2
That's a good thing to wonder.
Well, with this company, you only get a kit on admission. Otherwise, everything is ordered separately. And since I picked up for a sick all, I was not the one who was supposed to do the ordering, and got there, to find not all my necessary supplies available (when 99% of the time, they are). So I had to "cobble" things together; however, they were all in a bag, in sterile packages.
Side thought: do you think a complex care unit would offer good experience, in comparison to med/surg?
I suppose I could have tried using several small ones...I guess I figured that as log as the main site was covered with tegaderm...Regardless, I'm really ticked off at myself for this. I think I've learned from this.And don't worry about the "picking on" part. I really wanted to do home health and was disillusioned by the woman who hired me, who thought I'd do great. Don't get me wrong, im meticulous and care for my clients. It's beginning to get clearer though that they don't really care about giving me proper guidance and just want to fill their required nurse visits. Sorry, I'm a bit bitter about my career decision and wish I stayed on the floor longer. I questioned whether this company cared about my license after working there for one month, and after hearing your thoughts, I realize it may be best to get on board on a med/surg unit for a little longer.
Thank you for your responses. I did let my manager know what happened. Also, the stat lock was not very close to the site itself. I will have to stock up on supplies for my car though. And I agree that new RNs should have one year experience at least before going into home health. I was at the hospital after graduation for half a year, and succeeded during my intensive fourth year hospital placements, so I felt with hard work and studying, I could make it in home health. I'm doing ok and always ask my supervisor when I'm unsure of something. I am thinking of going back to the hospital part-time though because I want to be as knowledgeable as I can be...
Hi all, I'm new to this site, so please bear with me. I thought I'd ask for some advice or opinions on a situation I encountered involving a PICC dressing change. I'm a fairly new grad working in home health care. It's been tough, but I look up policies and do research often to get through my days. I was also an excellent student so feel I can make it in home health with extra effort at the start. That doesn't come without worrying though, and I've been questioning my abilities as a nurse lately...I had a patient who needed a PICC dressing change. I've done a few awhile back, so felt okay going through with this on my own. However, the only tegaderm available was the smallest size, so when covering the catheter site, I was able to do it with the waterproof dressing, but it wasn't large enough to cover the statlock securement device. So for this, I used sterile gauze and paper tape roll. I mentioned in my documentation that there were no large waterproof dressings available, but am worrying about this. My manager frowned and but didn't seem worried and didn't give me much advice when I told her this after the fact. I'm normally very conscientious and should have sought help right away, but I guess recent fatigue didn't allow to be on my A-game. I'm stressed that the statlock isn't covered with a waterproof barrier, but guaze and tape, and am really kicking myself. Ay, ay, ay. Any thoughts?
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