spectral_ev

spectral_ev

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All Content by spectral_ev

  1. I hate nursing

    spectral_ev replied to Neezy84's topic in General Nursing

    Don't underestimate the value of your experience. When you have handled the skill and responsibility of nursing you are very competent to do something else, either for a change or for a new direction....

  2. New to CM--question about scope

    spectral_ev replied to rachelgp's topic in Case Management

    Good luck. You are right about this. If the employee has carpal tunnel they need a doctor, and if they don't it's a waste of a splint. If the company considers a splint protective equipment for the...

  3. What are MS patients like?

    spectral_ev replied to tokebi's topic in General Nursing

    I've had patients with MS who had extremely difficult personalities. These patients were not demented, but I thought that the disease was affecting them, beyond the stress of having such a condition...

  4. No Nurse Supervisor

    spectral_ev posted a topic in Home Health

    Working as a per-diem nurse in the field in a home health agency where the nurse supervisor is on sick leave. It's a strain if one of my patients is sick and their doctor is not accessible--if he does...

  5. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    thanks for all the responses. one thing I'm trying to figure out is-- how weird is this situation? I don't have any support right now in trying to make sure all the nursing bases are covered, or...

  6. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    right now there is no one at the office to follow-up. one of the doctors is not willing to answer questions on the phone and won't answer faxes. I like the patients, and I like the job, but I feel out...

  7. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    Right now the path is a fax to the doctor which is not answered and no one to back me up. I'm wondering how to protect myself, and whether this job is going to be

  8. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    LuLu, I never had to work in the field with no one to help when doctor's orders are needed and the doctor does not get back. It sounds like that's what you're dealing with. Can anyone tell me how...

  9. Nervous about Home Health

    spectral_ev replied to pcbnurse's topic in Home Health

    I always thought that the assumption is that patients are homebound-- that's the justification for sending a nurse to the home. I try to accommodate my patients but if it messes up my schedule I tell...

  10. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    yes, it's the lack of help with case management. it's tough to do all of it when you are on the road, any office time I put in is unpaid extra. I wonder how much case management is assumed when you...

  11. Nervous about Home Health

    spectral_ev replied to pcbnurse's topic in Home Health

    A lot of home care nursing is not that acute. You have great skills and you are way ahead of a lot of nurses in that. In my agency we don't even do the IV's, another agency handles that. You sound...

  12. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    In my previous job when the doctor didn't call back I would just note it in my report and the supervisor would take it from there. I worked weekends so the supervisor would call the doctor's office...

  13. ICD-9 Codes

    spectral_ev posted a topic in Home Health

    My home health agency wants me to collect diagnoses on admission and put them into the OASIS form using a program that is supposed to bring up the ICD-9 code. It doesn't work too good. And isn't this...

  14. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    thank you, Hmarie. I'll print this

  15. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    Thank you. I think it is pretty shaky to have a nurse putting diagnoses into the record when we don't diagnose. Our office staff used to be better about getting the diagnoses and putting them into the...

  16. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    I've asked for a 'cheat sheet'. I've never yet found COPD in the program. When I started at this agency it was all on paper. I love computers, and being able to see other nurse's notes makes it almost...

  17. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    If you went back to the 19th century, when women actually wore those 'victoria's secret' camisoles and petticoats, most of the body was not considered available for public viewing and judgment. as...

  18. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    Well, I'm a child of the sixties (meaning I'm kind of old now). In my day they said that facial hair on men was disgusting and unhygienic, but I like it when my husband grows a beard. It looks good on...

  19. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    Personal style is not trivial, it's how we present ourselves to the world, and small things can matter a lot. I don't like the shaved mons style, but how would I ever know in a normal acquaintance?...

  20. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    I'm going to be very counter-culture and say that we are beautiful just as nature made us. But then, I'm an old hippie. I work in geriatrics, and losing your hair is a symptom of aging. I'm not happy...

  21. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    A local writer described it this way-- men have a unit, women have an

  22. Shaved Mons - Phenomenon

    spectral_ev replied to recbest's topic in Ob/Gyn

    Of course it's their business, but I'd never want a razor near my personal

  23. pain with mesalt - advice, alternatives?

    spectral_ev replied to nursekelly217's topic in Wound, Ostomy, Continence

    i just used mesalt for the first time on a patient and she says it stings very much. that makes sense since it's salt. she's going to make sure to take pain med before the next dsg change, but i would...

  24. 10 Tips for Home Health Nursing

    spectral_ev replied to homehealth20's topic in Home Health

    loved it. i've been doing home health for two years and you confirm a lot of what i've found. especially the part about keeping

  25. Yeast infection gone way too far!!!

    spectral_ev replied to Antikigirl's topic in Wound, Ostomy, Continence

    I had a patient in long-term care who had a rash that wouldn't go away. It turned out that she had undiagnosed diabetes, and when she was treated for that the rash cleared up. They should have...