i responded to this when it was originally posted and can't believe it is still going on with "a battle"...what would you call me, i "only" have a diploma from a 3 years school of nursing!!!! i don't...
cookie102 replied to meagansmom's topic in Home Health
basically what we do, is if the nurse feels uncomfortable with the area (and we usually know what areas to stay away from at night) we voice concern to the administrator and if it is justifyable (she...
cookie102 replied to cynthiamc's topic in Home Health
if your communication can wait until you get back to the office try faxing the info to the MD (if you don't need and immediate ans), i have done this and it works quite well with the MD responding on...
cookie102 replied to cynthiamc's topic in Home Health
i think the RN in the field needs to be the case manager, the office can back up for resources but the best info is from the nurse seeing the patient..doesn't really answer your question does
a hospice admission (home care) can take up to 3-4 hours, includes , in our agency, registering the patient in hospice phamacia, getting equipment set up, ans. all the ???? the family has, what i have...
cookie102 replied to NurseLinzLoo's topic in Home Health
if you are looking for a consistant pay check then salary is the way to go, remember working per visit means that the salary staff will be full first before they call in a per visit nurse....if they...
i can tell you my take on home health, been doing it for almost 20yrs now, i will not go back to the hospital and never a nsg home, a LPN in home health will most likely ( and i speak from the agency...
anyone with any suggestions on how to get "everyone" to help out. we are short staffed (who isn't), tho weekends are pretty quiet,on occassion we have maybe 2 visits (sat and sun) and a total of 2...
vancomycin levels are done 1. random (anytime) 2. trough (1/2 to 1 hr before the dose is given) 3. peak (1 hr after the dose is completed) .....now if the lab was done while the med was infusing that...
i was always instructed that at EOL have the patient free of as much tubing as possible, manage pain with po, liquid, patches....let the patient be as "normal" as possible...none of us would like to...
cookie102 replied to cookie102's topic in Home Health
you are 100% right!! we will do that, thanks for validating our feelings, really makes a difference when someone else, not close to the situation, says the same
cookie102 replied to nurseforever30's topic in Home Health
those machines can be so sensitive!!! i have learned that if the patient is on dialysis you will not get a correct reading (we use INRatio) something to do with the heparin they use in diaysis. also...
i agree, get your foot in the door at the hospital, and give it 6mos then watch the job postings, i think it will help, $12/hr cut in pay hurts, look at everything involved tho, you may find it more...
everyone has to start at sometime, as long as you have strong clinical skills i think you will be fine in homehealth, at my agency we tell new staff that we indivualize orientation to the nurse, most,...
cookie102 replied to susannyc's topic in Home Health
i think your preceptor has it all wrong, i have worked home health for over 18 yrs and since the inception of oasis has always been answered using clinical judgement, i don't know where she is coming...
after 30 years, the good outway the bad, look at all your patients the same way, they are sick and need your help , some will aprreciate it and some will not, something you will see in every walk of...
cookie102 replied to badtz143's topic in Home Health
i agree, before starting home health it is recommended to have at least 6mons to acute experience...those support is a phone call away you are essentially alone in the field and must have stong...