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, whe...
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 ide...
nursesearl replied to marinka's topic in Home Health
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 pl...
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...
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 wo...
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 t...
nursesearl replied to cherricka's topic in Home Health
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.
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...
nursesearl replied to nursesearl's topic in Home Health
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 the...
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 ...
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 k...
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 k...