anticoagulationurse

anticoagulationurse

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All Content by anticoagulationurse

  1. Chasing doen pt's

    anticoagulationurse replied to ilovenursing2009's topic in Home Health

    I will just add that I do sometimes just stop by for patients who are particularly elusive and never return calls and frequently decline visits... I just show up and say, "Oh gee whiz, you weren't...

  2. Nervous about Home Health

    anticoagulationurse replied to pcbnurse's topic in Home Health

    Some people sense and feed off of weakness or insecurities (and I don't mean that in a mean way) and get a thrill off exploiting them. It seems you're unsure of yourself and I guess it's possible...

  3. No Nurse Supervisor

    anticoagulationurse replied to spectral_ev's topic in Home Health

    I too, have no supervisor right now, and I am LOVING it. However, at my agency the supervisor is not responsible for following up on any MD phone calls and things of the such. We have Case Managers...

  4. HH visits at ALF

    anticoagulationurse replied to anticoagulationurse's topic in Home Health

    Immensely helpful! Thanks everyone! I guess I have been looking at it the wrong

  5. Medicare and Skilled needs

    anticoagulationurse replied to spejsa's topic in Home Health

    ohhhh! Thanks for the link, Very helpful! Some things may have changed since 2003, I am

  6. Medicare and Skilled needs

    anticoagulationurse replied to spejsa's topic in Home Health

    Unfortunately just a blood draw is NOT considered a Skilled Need by Medicare. So, if you go out even for a one time visit, it will have to be non-billable with or without a blood draw, unless there...

  7. Most sophisticated equipment placed in home setting?

    anticoagulationurse replied to RKMARK's topic in Home Health

    I have a patient on home hemodialysis 5 days/week managed by his wife and caregivers who received 5 weeks of training and know way more than I do about the

  8. PT INR

    anticoagulationurse replied to Willow Moonsidhe's topic in Home Health

    Under normal circumstances when I would get an INR of 2.2 I'd call to the MD during the visit like any other INR result. On the weekend, it just depends if the order says "Call result to ___" or...

  9. Gaining weight in homehealth

    anticoagulationurse replied to chenoaspirit's topic in Home Health

    I have gained about 30 pounds since starting HH. I attribute it to this relatively sedentary HH nursing gig, and poor eating habits. I agree with KateRN1's charting suggestion. When I started...

  10. Anyone NOT case managing???

    anticoagulationurse replied to RN1263's topic in Home Health

    When I started HH the Case Managers were field nurses. We worked in pairs with one RN to one LPN and had territories. They changed the model to where nobody works in designated teams or areas (now...

  11. New Grad - Home Health

    anticoagulationurse replied to Jess_Missouri_RN's topic in Home Health

    I don't know that you need hospital experience specifically, but a variety of experiences. LTC is good, ALF is good, doctor's offices are good. I also like Caliotter's advise on getting a private...

  12. Have you ever felt unsafe while in HH?

    anticoagulationurse replied to Poi Dog's topic in Home Health

    Nope.

  13. home health career

    anticoagulationurse replied to muffinCNA15's topic in Home Health

    There are more LPNs employed by my company than RNs. The LPN's are paid hourly, RN's are either per diem or salary. I started at $28.50/hour equivalent with 2 years RN experience and 3 years LPN. I...

  14. New Grad - Home Health

    anticoagulationurse replied to Jess_Missouri_RN's topic in Home Health

    Good advise from Caliotter. I would like to add some things that made my transition from various nursing jobs to HH better for me, my patients, coworkers and the docs. I only had 5 years of nursing...

  15. What is the best way to be paid?

    anticoagulationurse replied to jurico's topic in Home Health

    I am salary and it works in my favor, now. It took a long time to do so (about 6 months), whereas when I was in my learning curve I put on at least 10-15 "free" hours to the company a week. Now I...

  16. Dress code.....

    anticoagulationurse replied to indianahope's topic in Hospice, Palliative

    Scrubs. Easy and comfy and

  17. Firm Boundaries/Days off

    anticoagulationurse replied to anticoagulationurse's topic in Home Health

    But I AM salaried and my boundaries work for

  18. Firm Boundaries/Days off

    anticoagulationurse posted a topic in Home Health

    I work four tens and have varying days on/off, never the same. Our weekly team IDC meetings OFTEN happen to fall on my day off. Our "mandatory" blah-blah worthless meetings are frequently on my days...

  19. Srubs

    anticoagulationurse replied to redskngolf's topic in Men in Nursing

    Make them

  20. Help!!! I cannot take a manual blood pressure for the life of me...

    anticoagulationurse replied to erin11408's topic in First Year After Licensure

    I had a doc show me once that I was pressing too hard with the bell of the steth when auscultating. He said to just gently lay the bell on the most medial part of the antecubital. He said that...

  21. You walk into a pt room & they are not breathing, whats the 1st thing...

    anticoagulationurse replied to student_nurse24's topic in General Students

    A - Airway (is there something stuck?) B- Breathing - You already checked this, which is how you know they're not breahting C - Circulation, check their pulse. You obviously wouldn't start CPR if...

  22. Scrubs or Street Clothes

    anticoagulationurse replied to nurse42long's topic in Home Health

    Scrub-a-dub-dubs. So comfy and effortless. I am lazy about my

  23. passwords?

    anticoagulationurse replied to moonjumper's topic in Home Health

    Um, yeah... That's no good. I would suspect the primary motive for changing your charting is to gain an increase in reimbursement. If there are issues you should be doing differently she -as your...

  24. Quality and Initiative (Rant)

    anticoagulationurse posted a topic in Home Health

    Before I came to Home Health I worked for a not for profit (ya right) hospital system. Seems there was ALWAYS some annoying new "Quality Initiative", competition for national awards, or JHACO thing...

  25. Auscultation through clothes

    anticoagulationurse replied to RelloydRN's topic in General Nursing

    Depends on what they are wearing and what kind of stethoscope I'm using. Mostly I find it's fine to auscultate though clothes although I admit this is not the best practice. However, it just...