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michnurse2014

michnurse2014

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  1. michnurse2014

    Conserving PPE in a med-surg setting

    I'm wondering how other facilities are handling the issue of trying to conserve PPE (as well as minimize staff exposure when possible). We had a COVID-19 rule-out patient the other day who was confused and using her call light multiple times an hour. Each time staff went into the room to answer the light and reorient the patient meant PPE had to be donned and doffed. What about patients who are high fall risk, and frequently trying to get out of bed and setting off the bed alarm? What about those who are incontinent and requiring frequent bed changes? Or whose who need to be assisted to the commode by one or more staff multiple times a shift? We are trying to cluster care as much as possible, grouping assessments, procedures, and medications together when we can with these COVID-19 rule-outs, but it is frustrating. I'm sure hospital administration would agree that it is imperative that we conserve our limited PPE. We are not quite at the point yet of admitting that it is also just as imperative that we minimize risk to our staff. At this point, customer service is still #1 and we are striving to provide "excellent service" by answering lights promptly and being available to meet all of the patients' needs, whether it be fulfilling requests for graham crackers and ginger ale, fluffing pillows and repositioning, or bringing PRN medication. How do we manage all this?
  2. Hi everyone. I used to work for a home care agency, but left several months ago for a new job. I received a call from the agency today regarding an audit on some charting I did on a patient I saw in March. His homebound status is being questioned. Agency wants me to come by the office and "bulk up" the documentation to support homebound status so they can get paid. I have a weird feeling about making changes to months-old documentation I did for an agency I no longer work for. Is what they're asking me to do right? I want to be helpful, but I don't want to do something that will come back to bite me. Thanks.
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