BabaLouRN

BabaLouRN

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All Content by BabaLouRN

  1. Do you ever feel like you aren't *really* a nurse?

    You are not only a REAL nurse but a very firmly standed RN. It takes special skills to be out here in the field. There is no one down the hall that can help you, there is no one to hand you any...
  2. Help-Freaking out- seeing patients on my own!!

    Watch a lot of YouTubes on the topics you mentioned. It is AMAZING what you can learn on
  3. RMy patient initially had a skin graft to cover the anal opening. The incision goes down to about 2mm above the lady partsl opening. I have been spending a LONG time on home health visits to this...
  4. she does have an ostomy. The anal wound was being repaired following removal of a large mass on the rectal
  5. I have a pt who had 2nd toe amputation and is on wound vac therapy. Anyone have any ideas how to get a good seal for the wound vac when the toe space is narrow and toes curled under
  6. drug commercials and inserts

    More and more often I am finding patients that will not take a medication prescribed to them after they see a TV commercial, look up on Google or read the package insert about all the potential...
  7. Why HH nurses quit

    I applied for several hospital jobs after being in HH for 8 years. I thought the same as you. I kept getting responses that I "don't have the qualifications for the
  8. Why HH nurses quit

    The Hospital case managers are not doing a good job with this. They should be the ones that KNOW and can TELL the patients what HH is and what HH is
  9. Time saving tips for HH nurse

    A big time saver for me is to set up lab bags inside the transport bag. One of each tube, a tourniquet. alcohol pads, vacutainer and I also have at least 2 needles. I tuck in a lab req and I just...
  10. Time saving tips for HH nurse

    I work in a couple assisted living facilities I don't miss the driving at all but it is often hard to work around set times, All mealtimes, naptime. when "Wheel of Fortune" is
  11. Lets talk about $$$

    I never GIVE patients my cell number. They get it from caller ID and keep
  12. I have used HCHB in the past and now using Kinnser. The thing I miss about HCHB is the Point Care Alert. It's nice to share gate codes and other
  13. Starting a HHCA AND WANT TO DO IT RIGHT!

    It's a "dog eat dog" world out
  14. New Grad Home Health Possible or Impending Doom?

    In home health nursing, you have to have STRONG clinical skills and the ability to work with minimal resources and no one down the hall to give you a hand. I personally believe you need to become a...
  15. low diastolic B/P parameter

    When and WHY would a LOW diastolic B/P be a problem? I usually set a HIGH parameter of 90 but leave the low parameter blank. I had a visit returned to me for a low diastolic pressure of 58. I...
  16. low diastolic B/P parameter

    That's what I have been trying to tell them!! No
  17. Am I being taken advantage of?

    give her a list of tasks, each with a dollar amt. Let her check off accordingly. May not want to spend another 3.00 for the cat
  18. SOC date and Recertification

    "5 day window" days 55,56,57,58,or 59 of a 60 day
  19. I started out this way and it is NOT FUN. You have to have very strong and independent skills There is no one down the hall to help out. It took me at least 3 years to get
  20. What will electronic charting do to all our man hours

    You MAY trade those hours for sleep, time with your family and a few "me" hours!!! I know I have done handwritten charts a long time but I swear, I will never to back to all than manual
  21. Time saving tips? Please?

    No, it's everywhere. But you truly have become a full fledged Home Health
  22. Visit Pattern Frequency

    Front load your visits then decrease as necessary. There is nothing wrong with decrease SN frequency to.....effective week of....., pt responding to treatment. May need to HABN, that's up...
  23. It reads as though you have obtained all there is from this job type and it signals a definite need for a change. Now that you have experienced that potpourri job, you will be refreshed with what...
  24. total agreement, "nurses can do it" "don't worry, the nurses will take care of
  25. going for interview but starting to seem shady

    Your gut rules. I am now on my 4th job since moving to TX 4 years ago. Whereas before in OK, I had 2 jobs in 30 years!!! I have been promised the moon and then kicked in the