bshaw96

bshaw96

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All Content by bshaw96

  1. Baylor Opinion

    bshaw96 posted a topic in Home Health

    I have been in home health 8 years as a case manager as well as admissions nurse. I know hh inside and out. We recently adopted a child and I have applied for a Baylor position with my company. It's a...

  2. Update on fraudulent visits

    bshaw96 replied to salvadordolly's topic in Home Health

    I'm sorry but none of this story makes a bit of sense to me. In what world would anyone think it was possible to do 26 visits a day? I don't care who you are you know that's not possible. The story...

  3. Home Health a good option for single mom?

    bshaw96 replied to KaeliF's topic in Home Health

    I would think that would depend on your assigned area and your time mgmt skills. I am usually off by 3pm, but as you said, that leaves lots of paperwork at night, which can also start to cause...

  4. Skin Prep and Duoderm

    bshaw96 posted a topic in Wound, Ostomy, Continence

    Has anyone ever used the skin prep pads under a duoderm pad? I'm new to HH, but I went out with the HH nurse last week. There is a patient with a stage 2 on her sacrum. They are having problems with...

  5. Skin Tear and Duoderm Question

    bshaw96 posted a topic in Wound, Ostomy, Continence

    I have a HH patient with a skin tear on the back of her LLL. The skin pretty much peeled off so there were no edges to approximate. I am by no means a wound care expert, so I just did what I'd seen...

  6. annoyed with preceptor's

    bshaw96 posted a topic in Home Health

    I'm 3 weeks into orientation and annoyed. My preceptor refused to check me off on wound care BC I forgot to change my gloves 4 times during simple dressing change. Company policy. Fine. I'm not too...

  7. annoyed with preceptor's

    bshaw96 replied to bshaw96's topic in Home Health

    I know. Orientation is great. And I've got the sense to stay off her bad side That's why I vent here and not to her. But honestly with 5 years hh experience all the orientation is annoying LOL. I...

  8. Help with Braden Scale

    bshaw96 replied to Blackheartednurse's topic in General Nursing

    OK, maybe I misunderstood your question? I thought you were asking if diabetes made a patient automatically at risk for pressure ulcers. Not necessarily, depending on the other factors mentioned. I...

  9. Help with Braden Scale

    bshaw96 replied to Blackheartednurse's topic in General Nursing

    I would say your diabetic patients are more at risk for diabetic ulcers, or infected/trauma type wounds, but not necessarily pressure. (Although depending on other factors, they could very well also...

  10. Case Management Question

    bshaw96 posted a topic in Home Health

    Do you guys typically see the patients you case manage? I ask because I don't. I'm new to HH, though I did do Hospice. I case manage 50 patients. Which to me feels like a lot bc I only work part time,...

  11. Ticked Off/ Major Vent/ What To Do?

    bshaw96 replied to bshaw96's topic in Home Health

    The first time I sent her to the ER it was supposed to be for a flow study. They never did it, and the IV nurse just accessed it and sent her back. I was in the process (today actually) of calling to...

  12. Ticked Off/ Major Vent/ What To Do?

    bshaw96 posted a topic in Home Health

    I have only been in HH since February, and genuinely love it. Although recently, I'm starting to see things I don't like. Here's the problem. I have posted before about trouble accessing one of my...

  13. Hyperbaric Therapy

    bshaw96 posted a topic in Wound, Ostomy, Continence

    Need some opinions. I am a HH nurse who has a patient with an open surgical wound to lower back midline. We have been doing VAC therapy for about 6 weeks now and have only seen minimal improvement. I...

  14. Hyperbaric Therapy

    bshaw96 replied to bshaw96's topic in Wound, Ostomy, Continence

    Wow, thanks so much for all of that information and taking the time to write it!! That helps alot! I had heard of the chambers, but that's about it. Now when he starts talking about it, I don't feel...

  15. I've had it!!! Need to vent again

    bshaw96 replied to MzSuziQ64's topic in Home Health

    See, this is why I'm so glad my agency is not a for profit business. The last job I had was with a hospice agency that was for profit, which I think just sounds bad, much less how it actually was! It...

  16. Port Access Question

    bshaw96 posted a topic in Infusion, Intravenous

    Hi there. I have a question about port access. I am a home health nurse and this has been a week for things I've never seen before. First a male foley problem, and now a port problem. 12 years of...

  17. Male Catheter Problems

    bshaw96 posted a topic in Home Health

    I need some opinons. I have a male patient that we do weekly wound care and monthly foley changes on. We have been having problems with his cath leaking off and on for months now, despite going up in...

  18. Are 15 Minute Visits Possible?

    bshaw96 replied to athomemom56's topic in Home Health

    For Medicare, no, for Medicaid, yes. Most of my medicaid monthly patients are what we call CAP assessments. They have CAP in, but they contract us out to do the monthly assessment that keeps the CAP...

  19. Male Catheter Problems

    bshaw96 replied to bshaw96's topic in Home Health

    Yes, that is what we were using the last few times. The leaking doesn't concern me as much as why it was suddenly difficult (no, impossible) to get another in. I guess the urethra could be...

  20. Are 15 Minute Visits Possible?

    bshaw96 replied to athomemom56's topic in Home Health

    I have a few 15 minute visits on my stable patients that I just see for once a month assessments, or for my prefills with vitals. But that is just the visit, no documentation included. Since we are...

  21. Visit Equivalents

    bshaw96 replied to anticoagulationurse's topic in Home Health

    I feel your pain on the seeing patients that aren't yours, etc. etc. (See rant below) though that is finally getting better. As for your VE question, I am pay per visit so I set my own goal, which is...

  22. Pt/inr

    bshaw96 replied to abgstat's topic in Home Health

    Yeh, normal ranges is all I can think of too. Does the agency use the PT/INR machine? Maybe they want you to be proficient in that, though no big deal, like a glucometer only a little more...

  23. Do you need to have Acute Care experience?

    bshaw96 replied to tashby40's topic in Home Health

    I came from a strictly long term care background. 11 years of it to be exact. I hadn't seen an acute care floor (though I personally consier LTC facilities to be quite "acute") since nursing school. I...

  24. What would you do? Resident assaulted me.

    bshaw96 posted a topic in Agency Nurses

    I have been going pretty regular to a LTC facility only 20 minutes from my house. M-F, 7-3, perfect for my situation. Until today. I was doing trach care on a man, 65 years old, COMPLETELY A & O x...

  25. Gentiva Home Health

    bshaw96 replied to Wendy_RN's topic in Home Health

    2 nurses in orientation with me are from Gentiva, and they both hated it. 2 separate offices. All they talk about is horrible management, long hours, bad assignments, no respect, etc. That and the...