TaylorHM1992

I am home health (I specialize in wounds and psychiatry, weird combo?), therefore I go to many facilities. Most recently, one of the facilities called me because one of the patient's I follow was refusing all medications. What I did and it worked: I sat down with him and printed out a list of his medications. I wrote down what they were used for. I then asked what about the medications he doesn't like. He stated he doesn't think he needs all "the stupid vitamins" (he was taking a lot). He also stated that they were coming in 4x a day and he didn't like that. I asked if he would continue taking them for now until I spoke with the doctor and he agreed. I went to the facilitie's MD and explained his view so his MD ordered labs for everything and basically discontinued all of the vitamins and condensed everything into 2x/day. That was about a month ago and he has remained compliant since.

I work in home health. My patient today was ordered 20ml of an IV antibiotic to be infused over 4 minutes. My co-worked went out yesterday to educate the patient and caregiver on how to administer. When I got there today, they stated that they administer 4ml-wait 1 minute and repeat 5 times. I have always administered smaller doses over the 4minutes: for example: 1ml every 15 seconds, not 4ml q1minute. What is the right way to do this?

Since reading your reply, I have been doing that.. specifying when the dressing could be discontinued. Thank you so much!

I agree with the posts before me, do online training. I was super nervous staging when I first started. I carried around a pocket book for staging them LOL! I could refer to it PRN. But honestly, the more you do it.. the more comfortable and confident you will become!

Hey everyone, new here ? For home health, I do a lot of wound care. I just need clarification: Whenever my patient's wound is scabbed over, no signs of infection, no drainage, odor, etc... I would leave it OTA for the body to do it's natural healing process. Now the question is... Do I need a wound care order every time I leave a bandage off? It is nearly impossible to get in touch with a doctor the same day as the visit.