sandera

Tell me if this is weird. I'm a new home health nurse and I have an end-stage heart failure, copd, renal insufficient 100 year old pt who refuses hospice, wants to avoid the hospital, and stays at home with two unlicensed caregivers. The first time ...

The caregivers in this case are paid by pt, unlicensed and I have never seen them demonstrate competency. I'm new to HH, the case mgr of this pt, and I feel completely out of the loop with the Dr giving orders to caregivers and accepting their pain a...

I'm relieved that the foleys and IMs are okay. I didn't know anyone could do them. But I'm still uncomfortable with the caregiver's and Dr's pain assessment of 0/10 in a screaming, moaning pt. He was pleasant, oriented and chatting the week before. I...