spejsa

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 LTAC's are now wanting to DC the patients but there s...

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

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

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 a call Wednesday from the office stating that Frid...

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 me off... I just wanted to ask everybody for ide...

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... Any ideas?

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

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 the lab once when mine did that it was cuz it clott...

Thanks!!!

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 told the office the week before I left that I needed...

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 out.

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 could come in at 8:30 AM on Wednesdays for the tra...

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 wound and they are starting at the bottom... Then, t...

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 referrals that the office sends me to do and it goes li...

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

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 though

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 other HH agencies in the area so if I leave and go to...

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

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 putting in, so had to do another... Spent way too long ...

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 total knee arthroscopy. The nurse gave me report say...

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

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 all. And, the patient saying people are taking his...

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 is quick to say "well, we have to do daily until t...

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 am unsure about teaching the staff. My LPN said s...

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 hospital as his family took his pain pills. I thoug...