BBP42

BBP42

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All Content by BBP42

  1. Reported abuse 4 days late

    BBP42 replied to Flowerpower15's topic in Geriatric, LTC

    In my state mandated reporters must report suspected elderly abuse to the state within 5 days. I'm sure this varies from state to state. If your state's requirements were met there may not be...

  2. Complete SOC if patient does not qualify?

    BBP42 replied to MotoRN34's topic in Home Health

    Is the patient incontinent and the family is not willing to change them? If the family wants nothing to do with the patient's care and the patient requires more care than the agency can provide, my...

  3. What shift works best for LTC/Nursing Home?

    BBP42 replied to Dani_Mila's topic in Geriatric, LTC

    I have worked all shifts but they were 8 hour shifts 7a-3p, 3p-11p and 11p-7a. In my experience 11p-7a was by far the easiest shift but without a doubt the new grads who worked that shift did not...

  4. Home health nursing

    BBP42 replied to Smilesalot 2's topic in General Nursing

    I am full time salaried RN, my caseload ebbs and flows but usually 15-30 patients shared with a LPN who handles the majority of routine care.

  5. Staring from a nursing home to be a wound care nurse

    BBP42 replied to Gloira's topic in Wound, Ostomy, Continence

    Actually I have received plenty of wound experience in LTC, and in home health it is a large part of what I do now. Many of the RNs at my home health agency move on to jobs in the hospital wound...

  6. Upcoming HH interview!

    BBP42 replied to Emm_RN's topic in Home Health

    I think that is an adequate base of experience to build from, the most important thing in my opinion is the ability to perform an accurate assessment and be able to identify problems early (abnormal...

  7. Air Mattresses

    BBP42 replied to Lelo1992's topic in Geriatric, LTC

    In the facility where I do PRN there is a policy against offloading of heels when an air mattress is in use. We have unofficially noticed several residents have breakdown in skin on heels immediately...

  8. New Home Health Assessment NP

    BBP42 replied to EmpoweredNP's topic in Home Health

    As a home health RN the one other thing I ask before showing up is if they own any dogs, my company would then ask that they be contained in another room while we are visiting. For educational...

  9. Home Care vs Private Duty

    BBP42 replied to deefizzle's topic in Home Health

    My typical visit lasts between 30 minutes and one hour depending on complexity of wound care or if a change in condition has occurred since last visit. Most of the time you can do the majority of the...

  10. BYOB at work?

    BBP42 replied to Kayauhs's topic in General Nursing

    I think I would have suggested this nurse request the order for PRN alcohol from the MD. Our medical director was pretty relaxed about giving this out for our LTC residents if requested. That facility...

  11. Question about patients from SNF/LTAC

    BBP42 replied to smf0903's topic in General Nursing

    I have never been asked to send supplies or medications when my LTC patients went to the hospital. I don't know if it would even be allowed. If the hospital did not have their meds available, the...

  12. Adaptic vs Vaseline Gauze

    BBP42 replied to NurseAsh0912's topic in Wound, Ostomy, Continence

    They are in my experience used for the same purpose, to keep a secondary dressing from adhering to skin and keep wound bed moist. I have worked in a facility where they substituted freely based on...

  13. Recording of Class Lectures by Students

    BBP42 replied to D.Larry's topic in Nursing Educators, Faculty

    As a student, I also worked over 40 hours a week and was a single mom of two. I would not have had as much success if i had not had the opportunity to play back lectures while I folded laundry, washed...

  14. Do your educators take call?

    BBP42 replied to Kristenlaurenw's topic in LTC: Directors, Assistant

    Maybe the MDS was salaried and others were

  15. LPNs in CT...

    BBP42 replied to WCSU1987's topic in Connecticut Nursing

    Also the community college program has LPN to RN bridge that is quite affordable, I believe it involved a 4 or 6 week clinical rotation and then you join the ADN class for the last two semesters of...

  16. LPNs in CT...

    BBP42 replied to WCSU1987's topic in Connecticut Nursing

    I graduated from the CT community college ADN program. As far as I know, all the sites are the same as the one I went to in that they are actually not evening programs. You can take all the...

  17. Do your educators take call?

    BBP42 replied to Kristenlaurenw's topic in LTC: Directors, Assistant

    The educator at my last LTC job took call rotation with everyone else. All full time RNs took their turn, and it was generally only one weekend every two months because everyone had to do it. Almost...

  18. Working below your license

    BBP42 replied to happ09's topic in General Nursing

    I worked at a SNF as a RN shift supervisor, and was always the first to volunteer for the "nurse working as CNA" spot. And that was with generally a 16 patient assignment unless census was low. I got...

  19. Preparing for home care / home health

    BBP42 replied to Leyblayymarie's topic in Home Health

    Wow OldDude! Your wife has a tough work environment. My agency has a policy that guns and pets must be safely locked up or we will not enter the home. If people do not like those rules, we do not take...

  20. Failed to notify r/p of unwitnessed fall

    BBP42 replied to Newnurse333's topic in Long Term Acute Care

    I have worked all three shifts in LTC. When working nights, if I had a fall without serious injury and was asking day shift to notify the family, I did it in writing on the supervisor's report, as in...

  21. Preparing for home care / home health

    BBP42 replied to Leyblayymarie's topic in Home Health

    My agency provides a large plastic bin when you are hired, stocked with an assortment of supplies: foley kit, staple removal kit, PPE, tons of wound care supplies, boxes of gloves, a little of...

  22. Morphine continuous infusion in home care?

    BBP42 replied to megpillow's topic in Home Health

    I have seen this for homecare hospice or palliative care, and one cancer patient who was neither but had truly unmanageable pain after trying several other methods, via subQ in abdomen connected to...

  23. Homebound and skilled requirement s

    BBP42 replied to Cjhays's topic in Home Health

    Medicare says if someone who is not a nurse can provide this care effectively and safely, then it is not covered. It is reasonable to say a nurse is needed to intermittently change out a foley cath...

  24. Homebound and skilled requirement s

    BBP42 replied to Cjhays's topic in Home Health

    Typical reasons I chart for patients being homebound is needing assist of one and assistive devices for ambulation, visually or cognitively impaired, elevation of legs required for wound healing,...

  25. Abandonment?

    BBP42 replied to karenrn111's topic in General Nursing

    I had an employer who specified in our employment agreement/handbook that we could be mandated to stay if no one was came in to relieve us, up to another full shift if a replacement could not be...