Abbies

Abbies

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All Content by Abbies

  1. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

    Abbies replied to OneMurse's topic in Geriatric, LTC

    I forgot to add, that when I worked at a facility with computerized systems, the nurse could go into the orders and make time changes

  2. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

    Abbies replied to OneMurse's topic in Geriatric, LTC

    A nurse can change med times if they are not ordered at a specific time. I draw a line through the time and initial and date & note "time changed," write in the new time/s and make a copy for...

  3. What is your average case load for Home Health nurses?

    Abbies replied to allyira's topic in Home Health

    5 routine or 2 starts on a good

  4. There is nothing that can fix this is there? (ok it's a rant)

    Abbies replied to anonymous1919's topic in General Nursing

    edit: it could also be because there are a lot of cna's who run around whining all day about nurses and how cna's work harder and yadda yadda. i've seen that. cna's bouncing between rooms while the...

  5. Start of care orders

    Abbies replied to Sana2007's topic in Home Health

    Our office staff sends out continuation orders the same day they received the signed referral for eval. and treat. We usually have revisit orders back within 1 to 2 days. If we need to revisit on...

  6. IV Bumex in home?

    Abbies replied to KateRN1's topic in Home Health

    You certainly called that one. I wish the doctor had placed pt. in the hospital to begin with. Have a great

  7. IV Bumex in home?

    Abbies replied to KateRN1's topic in Home Health

    WOW, what ever happened about this? I'm pretty sure my administrator would not feel this client was appropriate for home health if that was his only treatment

  8. Have you completed the OASIS C yet?

    Abbies posted a topic in Home Health

    I completed an OASIS-C discharge today and it was not hard. Tomorrow will be my first OASIS-C start of care. We were well prepared but I'm a little worried about completing it in a timely manner....

  9. Have you completed the OASIS C yet?

    Abbies replied to Abbies's topic in Home Health

    We use a laptop with a medication validation program installed and have always had to do that and fax MD. It will be interesting to see how we elicit required response from MD. Fortunately my first...

  10. forced overtime??

    Abbies replied to behindthedoor's topic in Home Health

    Yes, 2 SOC would be a full day but rarely are 2 starts assigned to one nurse in a day. They have always asked me first and given me the option of saying no. I know our expectations seem reasonable...

  11. forced overtime??

    Abbies replied to behindthedoor's topic in Home Health

    We do all documentation in the home on the laptop. The clients are understanding. We are discouraged from working without documenting the actual time spent because it is important that Medicare have...

  12. Did I cause my patient to die faster?

    Abbies replied to lou_tango's topic in General Nursing

    The elderly patient that suffered an acute MI and was not expected to make it through the night might have wanted to say to you, if she could: "Before you and your partner :angel::angel: came into my...

  13. Team building

    Abbies replied to mombuxx's topic in General Nursing

    If you find a way discourage back biting, please let me know. It seems to be on the rise!!

  14. If you have rec' d the H1N1 vaccine - please report

    Abbies replied to CrunchRN's topic in General Nursing

    I had the shot, I didn't even feel it, no

  15. Clinical Pathways

    Abbies replied to KateRN1's topic in Home Health

    sounds perfectly reasonable and well organized. these basic pathways could easily be personalized for each

  16. Laptop use in Home Health

    Abbies replied to mv740's topic in Home Health

    when i don't feel like jumping up and down on mine for it's slowness or not letting me be in 4 places at once, i love it! i do most of the documentation in the home except for care planning updates...

  17. Is this the norm?

    Abbies replied to cmarn's topic in Home Health

    cmarm, thanks for sharing. I have many of the same complaints. This is the 2nd HH agency I have worked with and although their approaches are different, they have similar problems. 1. Schedules -...

  18. My two least favorite words

    Abbies replied to elizabells's topic in General Nursing

    Please

  19. Does carry a personal nursing journal...

    Abbies replied to skittlebear's topic in General Nursing

    ditto this

  20. Sad and angry about what I overheard BUT NOT SUPRISED.

    Abbies replied to oramar's topic in General Nursing

    so sad but all so true. when i was in management a wide sweep was made downsizing staff and when i refused to work under their new job description i was blackballed from moving to a floor position....

  21. Things you'd LOVE to be able to tell patients, and get away with it.

    Abbies replied to AngelfireRN's topic in Patient, Colleague Relations

    I am not your personal secretary, I am your nurse. I am not your doctor, I am your nurse. We have documented the thousand and one times you have used your call light as well as what the caregivers did...

  22. Honestly...Did I over-react?

    Abbies replied to oliveralways's topic in General Nursing

    Most of my employers have had a contract with occupational health and mandate that the employee receive a medical assessment for all on-the-job injuries. If minor, a non-emergency paramedic/EMT is...

  23. I bet you don't see this every day.

    Abbies replied to vashtee's topic in General Nursing

    One of my instructors had no patience and in her irritation she would verbally put down students in front of the whole clinical group. At the end of each term it was the practice at our school for...

  24. Oh no she didn't!

    Abbies replied to misslo's topic in General Nursing

    ""i calmly told her that i didn't appreciate the condescending tone in which she used when speaking to me. i would appreciate it if when addressing a problem or situation with me, that she would treat...

  25. OMG! why does everyone HATE NURSING!

    Abbies replied to twinjeep97's topic in General Nursing

    My kid decided long ago never to become a nurse. To each his own. I can't imagine myself doing anything