AnneP726 1,212 Views
Joined: Sep 16, '05;
Posts: 17 (18% Liked)
; Likes: 5
...and work that machine into the visit.
I agree with an OT referral, that may help, I personally do not like leg bags at night, I'm afraid of a urine backup and a UTI
I believe Steward is hiring per diem, we go from an office in Westwood to the most southern in Fall River, cover everywhere from New Hampshire to Wareham. A lot of work (as I'm pretty sure you have read on posts already) but the benefits are good and the work is steady.
To me, its home care so I start mine with a bit of where they live, high rise elderly housing, 2nd floor apt, ALF, single family home... then their support system, lives with son, daughter visits 2-3x/wk, lives alone w/ elder services...
Then some about the hospitalization with dates, procedures, med changes, stuff you can get from a DC summary. Here at least they use a lot of hospitalists so the PCP often is unaware they were in and this note gets attached to the 485 so it gives him/her some basic info.
Next I add PMH, Sx
And last but not least the basic POC, schedule plan, what you hope to accomplish.
I too only add to, or embellish on, my OASIS note. I worked too long on it and don't wish to repeat myself.
My mother's family is from Oxford MA and several relatives are buried in the same cemetery as Clara Barton. I have had the opportunity on several occasions to pray at her grave, she was a remarkable woman.
I've tried many and keep going back to my new balance cross trainers
I think when you start you concentrate on the straight skills at hand. Once you get comfortable with that the stuff what you learned in school comes back you... it makes sense
You learn to balance through prioritizing and organizing. It really can be fun when you get the hang of it.
School can be pretty rough sometimes, but, for me at least, worth every bit of it.
Every now and then I send patients home with certain things if they are in need for the first day or two. Like those with home medical supplies and those who are waiting to get started with home care. A pink draw pad, some gauze.... It happens. Now sending them home with big stuff like needles is obviously a no no. But sometimes those little things make all the difference when it comes time for them to return to our facility or to rate the hospital.
1. I normally have 5 patients, 1 of them an admit, ED or post-op
2. I work on a surgical/medical unit in a small community hospital (280 beds, 32 on our unit)
3. Most of the time I feel care is safe an effective, the exception being if something critical happens or if we end up short staffed and my patient load is higher (today I had 6 plus an ED admit)
4. Infrequent, maybe once a month working full time
The dog of one of the nurses on our unit contracted C-Diff, she thinks it came in on her shoes
I use a palm treo. It is my phone and I purchaced and downloaded a nursing program w/ a davis drug guide, lab values and a medical dictionary. I love it. A friend of mine uses Epocrates on her treo and she loves that.:spin:
There's a kid who graduated high school here named Richard Sniff (first & last names), but he went by the nickname "Dick" - you can put 2 & 2 together there.
I work as a staff nurse on a surgical unit, 3-11, and do home care per diem mornings. More than once patients have commented how the home care nurses seem more "laid back". It is nice having an hour or so w/ only 1 patient, no call lights, no worrying about the next 6 tasks...
Hi, I'm not familiar with that program, but I am w/ the program @ BCC in Fall River MA. It is also a 2 year program ending w/ an associates. You can do the pre-recs w/ the nursing, but not recommended unless you can devote all your waking hours to study. I did them first, 2 years, then the nursing, 2 years. It was one of the best decisions of my life, worth every minute. The clinicals were intense. Not so much the days at the area hospitals, but the prep, the care plans. I can say I never felt I was in a situation I was not prepared for. Good luck.
We have a pt. who has 10 children. She is a bit of an ornary woman. A day after giving birth to her 8th child the nurses told her they needed a name and she had not yet chosen one for her daughter. Finally she yelled, okay, and this became her name.
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