spejsa

spejsa

Cardiac

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All Content by spejsa

  1. SNF's that accept pt on vent & receiving Hemodialysis

    spejsa posted a topic in LTC: Directors, Assistant

    I am working as a utilization management nurse for an insurance company and took over the job of some patients who have been in LTAC's in Arkansas and Oklahoma for an extended amount of time. The...

  2. Jobs at Oklahoma University for RN's

    spejsa posted a topic in Oklahoma Nursing

    i applied for a job at the University of Oklahoma in ER and wonder if anybody can tell me anything about the

  3. Portable scanner

    spejsa replied to twokidsmom,rn's topic in Home Health

    Great idea! GIve me the info on where you can get it for $90. I think it is well worth the

  4. Leaving an agency, giving report

    spejsa posted a topic in Home Health

    I left an agency that I was working for last week. I gave them 2 weeks notice and last week, my last week, I told the nursing supervisor that I would give her report on Friday (my last day).. I got...

  5. What to be sure to do in orientation?

    spejsa posted a topic in Home Health

    This will be my 2nd week in orientation at my current home health agency. I will be on my own this week seeing patients (although I was doing that last week) and a nurse will just be with me, signing...

  6. problems using INRatio machine

    spejsa posted a topic in Home Health

    I seem to have so much trouble using these machines. I get the blood and get it on the strip but I have a lot of problem getting the test to actually run. It always says there is not enough blood......

  7. problems using INRatio machine

    spejsa replied to spejsa's topic in Home Health

    I don't think my agency has pipettes... Do you think a lab at a hospital might give them to

  8. Blood samples from mediport clotting at lab.

    spejsa replied to Nursecathy123ca's topic in Infusion, Intravenous

    I have had problems with that before but when I use a blue tube it has been ok? You are getting blood right into the tube and not drawing into a syringe and then transferring, right? I was told in...

  9. Leaving an agency, giving report

    spejsa replied to spejsa's topic in Home Health

    Thanks!!!

  10. Leaving an agency, giving report

    spejsa replied to spejsa's topic in Home Health

    Well, we got into an argument last night and that nurse hung up on me. I told her that I was legally done Friday and she said "legally it is your responsibility to give report". I told her that I...

  11. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    Willow, your experience sounds a lot like mine. I mean, exactly. ARe you at my agency? It is crazy the way these agencies seem to work. I am on to new things and just want to get

  12. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    Thanks for the info! I really want to attend one of these seminars. I asked my agency if they would pay, but they would not. They said our corporate was doing training sessions once per week and I...

  13. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    I know!! I don't know why the dressings would be BID either. All I can think of is this man hadn't been to the wound clinic this whole time since yesterday. So, it was the first time they saw the...

  14. Medicare and Skilled needs

    spejsa posted a topic in Home Health

    Does anybody have any information regarding what Medicare considers skilled visits?? Our agency has said a lot about the nursing needing to have a skilled need if in a home.. But, I always get...

  15. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    Kate, So, the patient finally got to the surgeon for a follow up and now the LPN says that the dressings are BID????

  16. Physician-centric?

    spejsa replied to KateRN1's topic in Home Health

    I totally agree here! I hope that I can figure this stuff out soon. I start a new agency soon. this one is really a mess, hoping the next one is a little better. Sounds like it's bad everywhere...

  17. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    The problem is... My hubby doesn't understand but nursing really SUCKS here. There are 4 hospitals and 2 are owned by one corporation, so not much to change to in the hospital setting... Only 2...

  18. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    I would love to... But, I live in

  19. How many patients do you see a day?

    spejsa replied to AynneRN's topic in Home Health

    Today I did a resumption of care and 5 visits. One of the visits was a PRN cuz my pt called me with his catheter "not working". I had to go out and put in a new one.. which didn't work after...

  20. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    KateRN1, I quit today. And, this time I am not changing my mind. This same nurse called me today on a patient that was admitted by another nurse a few weeks ago. It was for a patient that had a...

  21. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    She said we need to go out and see patients that the Dr. refers so we keep the relationship

  22. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    The reason I wish to discharge is the drug issue. I have not seen anybody do a drug deal but I know there are drugs in there. There are multiple red flags.. and it worries me being in the home at...

  23. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    It is an abscess on the buttocks from a "spider bite". I think we can go with less than daily dressings but the LPN disagrees. I am waiting for the MD to evaluate the wound to give orders. The LPN...

  24. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    Well, this particular patient is not a wound care patient. She has a dx of cholecystitis (or possible, which they think was all better when she was DC'd from the hospital). I live in Arkansas and I...

  25. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    A social worker is in order. Remember, KateRN1, I am new to home health. This particular patient has a history of drug abuse. He told the LPN last week that he has had no pain meds since DC from...