nursesearl

My husband is a hospice chaplain, and I am a home care RN. We have often thought about opening a comfort house, but have no idea how to go about doing it. There was a previous thread on this topic, but it was closed. We appreciate any help or any ideas. Thank-you.

I have always given Toradol in a large muscle because I was told many years ago that it needed to go there. I have recently tried to look this up and can not find any info. We had a patient in our Urgent Care that returned with a lump on his arm, where a Toradol injection was given. Any information on this, or is this just something that is understood? What I'm asking: is it OK to inject Toradol in the deltoid? I was always told gluteal muscle.

Wow, sounds like you guys did a great job! Can I come work for you? Lynn

Best thing to do is ride with a HH nurse BEFORE you accept a position. HH is not easy. That's the only advice I could give you now.

O-outcome, AS-assessment, I-information, S-set

Marina, Do you guys in Brooklyn realize there is an "upstate" to NY? HaHa! We are about 7 hours from you.

Marina, Sorry, I don't know of anything in that area. Let me know if you need any help if you need to come to Allegany County. Lynn

I used to work for the Allegany County Department of Health. Poorest county in the state, very rural. They do mostly home health. Quite a bit different than Brooklyn! Their number is 585 268 9250. PM me and I'll give you more details and names and places you can stay.

OASIS education is on the CMS web site. It's long and boring, but good OASIS education.

Where in NY do you live? I know of several agencies in the southern tier who you could precept with.

I work in an Urgent Care in a small rural hospital and the nurse manager insists that we chart the above term when anyone has an injury to an extremity and after casting. The exact phrase is "neuro-vascular status intact." She used to chart it as "NV status intact." We've finally convinced her that this could mean nausea/vomitting, so she doesn't abbreviate it now, but still insists that we chart the other. Is this a normal term? Or is there a better way to say it?

Our agency recently changed to "pay per visit." I want to understand why this seems to be the trend in home health agencies. Our agency said that it is a motivator, trying to increase our productivity. I personally believe it saves the agency $. I would like to hear from both sides- administration and staff. Is this really the trend in home health agencies?

Thanks so much for the info! Very helpful. I've printed the "gizmo" to give to the caregiver.

I did a SOC on a 20 year old female paraplegic who wants to do her own in and out cath. Her mom has been doing it. The patient says she has tried it before but is unable to do it. She's tried lying down, but she can't see the area with a mirror. We tried today with her sitting in WC, but she's chubby, and can't spread those legs to see the right hole (we had the mirror placed at "crotch" level). Any ideas how she can do it or how I can teach her? She says she can't go by feel, because she can't feel anything. She wants to do this so she can be more independent. Any ideas would be appreciated.

In our agency, we do OASIS training on the Web @ oasistraining.org. Alot of it is boring and propoganda-like, but I've been through it twice, after I had been doing OASIS since it began, and I learned many things I was doing wrong.

Tell me WHERE in upstate NY you are. I am presently in the South and miss NY very much. I have extensive home health experience.

If I remember correctly, the chart I used had the 20/30, etc by each line of letters. Do you know what I mean?

Hoolahan, Thanks so much. I am a new home health educator, and have much experience with doing case management, but not teaching it. I just needed ideas. I have no qualms about giving an inservice. Your suggestions will help, and I will also tell them what I do (or used to). I do ride with staff quite often, but usually just one or two visits at a time. Monica, what are the books?

Does anyone have suggestions about good books or articles on how to "case manage" in home health? We have several new empployees, and my job is to give them an inservice on how to do this (manage their caseload). I know how to do it myself, I'm just not very good at teaching it I guess. Any help would be appreciated.

How about the US Army?

As a contract nurse for a home infusion company, I received $100/insertion, $50/reomoval, $50/declotting. Hope this helps.

We had a state surveyor tell us last week (home health agency) that there are new types of Groshong PICCS that can clot off if one uses heparin to flush it. I've never heard of this. I know that Groshong PICCS have the 2 way slits/valves so you don't need heparin, but I didn't think it would clot with Heparin. I really wanted to argue with her, but being the state surveyor, thought it was best not to! Can anyone enlighten me?

Cost of living is low compared to NYC in upstate NY. What do you consider upstate? I live in the Southern Tier, south of Buffalo. My salary is very low compared to everyone in the country. Homefair.com is a good place to do a cost comparison if you know the name of a city/town you want to relocate to.

Cost of living is low compared to NYC in upstate NY. What do you consider upstate? I live in the Southern Tier, south of Buffalo. My salary is very low compared to everyone in the country. Homefair.com is a good place to do a cost comparison if you know the name of a city/town you want to relocate to.

Cheerfuldoer, I thought you were relocating to Indy? I know it's not that warm there! I wanted to ask you about some hospitals because 2 of my kids go to Indiana Wesleyan in Marion. God bless whereever you are. Lynn