nursesearl

nursesearl BSN, RN

Home Care, Urgent Care, ER, Med Surg

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All Content by nursesearl

  1. Fastaff

    Go to Deiphiforums.com for travel nurse and therapists and do a search
  2. Definition of Rural

    Small city hospital was 20 minutes away, tertierary hospital 80 miles away (rural NewYork
  3. considering home health extremely scared

    I agree with Ren. If you do home health full time, 80% of work is paper (computer) work. Alot of regulations. Many changes. Home health is
  4. Just a fun thread - Cleanest bathrooms on the road?

    Thanks for the library tip! Never thought of that. We could start a thread on the worst bathrooms,
  5. Second Degree BSN

    I finished RN to BS last year. 2 very intense years. No tests, but alot of writing. Sometimes I thought tests would have been easier. Glad I'm
  6. patient lingo...

    Our pastor visited a male church member shortly after being admitted to our small rural hospital. The patient told the pastor he had "unstable
  7. computerized charting

    We use the ClinDoc program. It was terrible at 1st, much better now (after 2 years). The laptops are heavy, and very unrealistic to take them into the homes. We were forced to continue to use the...
  8. patient acuity system

    I searched this forum and only found 1 thread on acuity system for home care. Could other home care nurses give me an idea of how your work load is kept equitable? Any ideas would be helpful. Our...
  9. Do Nurses Need Chemistry Education?

    I took chemistry at Roberts Wesleyan (in Rochester, NY) that was specifically for health care profesionals. Probably it was alot easier than the chemistry your school requires. The professor was great...
  10. I was very excited to hear about a travel position in a small town in Colorado near where I have relatives living. I emailed my resume and skills list and spoke with the recruiter. She said the only...
  11. Drawing bloods through IV line

    I do home care and at times we are unable to get the specimen to the lab right away, sometimes more than 2 hours, and I have never had a specimen hemolize. I don't see a problem drawing blood from a...
  12. What skills and qualities are needed?

    Flexible and creative. Ability to work independently. Able to tolerate cockroaches. Able to leap tall buildings in a single bound (couldn't
  13. Nursing Process and Nursing Care Plans

    Probably most every nurse uses the nursing process without even knowing it, every day. I work in home care and I can give you one example from just today. I was seeing a lady for one kind of wound,...
  14. Average tt/mileage

    I work in rural NYS for a county agency and have a company car. On average I travel about 80-100 miles per day, usually 4-7 patients per day. Nice to have a company
  15. frequency of PICC line drsg change

    Every 7 days for home health, but ofcourse changing day after insertion and prn when
  16. ready for travel to Co, but position already filled

    RNCOPPER, Thanks for the info. It would have been my first assisnment. Live and
  17. back to hospital after 11 years in home health

    renerian, Good luck. The way things are in home health these days, I've thought about making the change myself. What unit are you working
  18. Infusing TPN

    I agree, WhiteCaps. In home care, we draw blood from a central line all the
  19. How to become PICC RN

    I just did a search and came up with several hundred choices. I did mine in Buffalo, NY. You could do a search to find one in your area. Try
  20. How to become PICC RN

    There are many courses where you can learn to insert a PICC line. I believe you need to be proctored 3 or 4 times before you can do an insertion on your own. The course I took was 1 day and we...
  21. what qualifies?

    Maybe the VA would come draw his blood. In our area the VA has "home based primary care" which is similar to a CHHA, but do only Vets ofcourse. I had a patient who only needed venipunctures (protimes)...
  22. late charting in home car

    In our agency, some nurses chart up to a month after a home visit. Our union rep told us today that this is illegal. She said we should be doing as in hospitals if we are doing it like this. In other...
  23. I WORK IN HOME CARE AND HAVE A PATIENT THAT HAD THE SAME THING. IT WAS FROM "WEARING DOWN" OF HIS member BECAUSE HE ALWAYS WORE A LEG BAG AND IT TUGGED ON THE member. THERE IS A NAME FOR IT BUT IT...
  24. late charting in home car

    I'm sorry I didn't explain myself well. What happens is the nurse makes a visit, and just takes notes (not documentation), and then at a later time (sometimes up to a month or more) documents her...