PCUSheryl

PCUSheryl has 5 years experience and specializes in ICU Stepdown, Home Health.

Latest Activity

1. Workload comparison to other HH agencies...need your opinions

   PCUSheryl replied to PCUSheryl's topic in Home Health

   Thanks for your replies! I didn't mean to whine, just really curious how my workload compares to others'. I just remembered a few more of my responsibilities: *intake on some patients, approx 1/3 of all new referrals, this means entering all demograp...

2. Please help re: written 60 day summary

   PCUSheryl replied to stxlinda's topic in Home Health

   The agency I work for now requires a discharge summary for every discharged patient, even tho every 485 states we will send discharge summary upon request. The agency I worked for previously didn't require a dc summary unless requested by the Dr, whi...

3. Workload comparison to other HH agencies...need your opinions

   PCUSheryl posted a topic in Home Health

   I'm an RN who has been working in home health for more than 3 years. I started out in the field, then moved to QA, then DON. I excelled at my job in the past, was always praised for good productivity, good patient care, good relationships with cowork...

4. Complications from HCG injections?

   PCUSheryl replied to PCUSheryl's topic in Stress 101

   From what I've read and heard, HCG increases fat loss, making it a useful adjunct to diet and exercise programs. I've known many women who've done the injections with good results, and none have described any side-effects at all. The dosage may be h...

5. Complications from HCG injections?

   PCUSheryl posted a topic in Stress 101

   Hi! Has anyone had HCG/B12 injections for weight loss? And if so, have you had any complications from it? One of the adverse reactions is hyperstimulation of the ovaries, ovarian cyst, and rupture of a cyst. Or have you taken care of a patient who'...

6. Do nurses only "eat their young" in certain departments?

   PCUSheryl replied to HeartsOpenWide's topic in General Nursing

   I remember thinking the same things about nurses when I was in clinicals. At lunch all the student nurses would gather and talk about each of their preceptors. There were lots of negative things said. And I actually remember feeling that way about ce...

7. Patients die when turned on left side??

   PCUSheryl posted a topic in General Nursing

   Has anyone heard of or experienced a patient dying after being turned on their left side? Some more experienced nurses were joking once about it, swearing it was true. And actually it happened to me once, a patient who was very ill, in the dying proc...

8. bigeminy info please!

   PCUSheryl replied to sissiesmama's topic in General Nursing

   Sometimes hyperthyroidism can cause ventricular arrhythmias, too. Maybe other hormones can play a part as well.

9. bigeminy info please!

   PCUSheryl replied to sissiesmama's topic in General Nursing

   Could be potassium or magnesium imbalance; something is causing irritability of the heart muscle, could be CHF, cardiomyopathy, diseased heart valve. To treat, find the root cause and fix it if possible; If not symptomatic, no cause of alarm, just fi...

10. Home Health agencies paying nurses per visit

    PCUSheryl replied to AnnemRN's topic in Home Health

    I forgot some things: During the weekdays, I usually am scheduled to see anywhere from 2-5 pts per day. Although if it's 5, they're usually maybe only a recert and the rest routine/aide sup visits. On days when it's 2 visits, usually both are Oasis,...

11. Home Health agencies paying nurses per visit

    PCUSheryl replied to AnnemRN's topic in Home Health

    From reading the posts in this thread, I can see there are so many differences in home health agencies! Just thought I'd log in how it's done where I work. Full-time RN's are paid salaried, depending on experience, and according to a grid. I had been...

12. QA Nurse changing my Oasis answers!!

    PCUSheryl replied to PCUSheryl's topic in Home Health

    The Oasis is not just a typical assessment, some of the questions are easy to misunderstand if you're in a hurry. And it is very important for the SOC nurse to assess accurately for several reasons. We are eventually going to be paid by our outcomes,...

13. QA Nurse changing my Oasis answers!!

    PCUSheryl replied to PCUSheryl's topic in Home Health

    The Oasis is not just a typical assessment, some of the questions are easy to misunderstand if you're in a hurry. And it is very important for the SOC nurse to assess accurately for several reasons. We are eventually going to be paid by our outcomes,...

14. QA Nurse changing my Oasis answers!!

    PCUSheryl replied to PCUSheryl's topic in Home Health

    Thanks for all the replies! I think the thing that makes me feel uncomfortable is that the QA nurse is not asking me to change my answers, but she changes them herself, and then I don't get to see the 485 again until after it's been sent to the MD an...

15. QA Nurse changing my Oasis answers!!

    PCUSheryl replied to PCUSheryl's topic in Home Health

    NRSKarenRN- Thanks for the good info and the links. That helps me alot. The agency I work for is really pushing for PT and OT right now. They want EVERYBODY to have one or the other, preferably both. We have to document why the pt did not get one of...