annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

Member

  • Content

    519

  • Visitors

    7,915

  • Followers

    0

  • Likes

    8

All Content by annaedRN

  1. first time using a wound vac...please help

    annaedRN replied to nursecampos's topic in Wound, Ostomy, Continence

    I am sorry that you are not receiving any support or orientation from your boss/agency - it makes it much harder to succeed in home health. Anyway - this link is you best bet. You can also call your...

  2. 5 top things

    annaedRN replied to maddybears's topic in Home Health

    I would agree that there definitely are the negative factors that RN 1263 listed - however, it is not true every day or with even most patients. On the bad days, or weeks... it is so easy to focus on...

  3. Caseload of 70 active patients

    annaedRN replied to AKRAZYRN's topic in Home Health

    I would not and could not work in those circumstances. How many other nurses are helping you see these patients? I do not understand how you could effectively manage 70 patients - it is a near...

  4. Different spin on previous post on documentation tampering

    annaedRN replied to Capco56's topic in Home Health

    Kate- well said as usual. It's what I was thinking but you said it ever so much better than I could have. Use the guidance (manual) for OASIS to answer your OASIS questions, use the head to toe...

  5. Do you guys start peripherals at home?

    annaedRN replied to cayenne06's topic in Home Health

    some of the infusion companies have their own infusion nurses that may come out and provide that servcie for

  6. Cornstarch and incontinence care

    annaedRN replied to CabanaDay's topic in Home Health

    switch to an antifungal powder (not cream) then can still apply barrier cream over the antifungal powder. works

  7. How many do you Case Manage in a Certified Home Health Agency?

    annaedRN replied to fawnsternurse's topic in Home Health

    In my agency all the fulltime RNs case manage. Of course, the amount varies with the census - but routinely I have 20-25, the most I have had was 32. Once it is over 25, I feel that I personally am...

  8. HACC- LPN-RN Clinicals

    annaedRN replied to kellydin86's topic in Pennsylvania Nursing

    Hello Kelly. I graduated almost 5 years ago from HACC - doing the LPN-RN. I went to Harrisburg for the transition class though. It was a difficult transition initially to go from practicing nurse to...

  9. Blood return on Picc Line

    annaedRN replied to billydunwoody's topic in Infusion, Intravenous

    Most Vanco in the home is administered in elastrometric therapy (Eclipse or Intermate) - atleast most of the time. Or a portable IV pump such as the CADD Prism pump - usually no IV poles

  10. Slippery Rock RN to BSN online program

    annaedRN replied to en1024's topic in Pennsylvania Nursing

    I am currently in SRU - I'm only taking one class a semester because my BSN is a long term personal goal - and I want plenty of time for family, work and fun too! Anyway - so far, so good. I have...

  11. You may not be homebound if....

    annaedRN replied to itsgr82cre8's topic in Home Health

    you call to arrange visit time and your wife says your are out with your buddies, dont know what you are doing or what time you'll be back. your neighbor says that you are out car shopping - hoping to...

  12. Anyone do homecare that is scared to death of roaches?

    annaedRN replied to I<3H2O's topic in Home Health

    Roaches I am definitely not fond of..but exposing a wound and finding hundreds of maggots...now THAT got to

  13. Foam Dressing

    annaedRN replied to jmn126's topic in Home Health

    Optifoam is great if its a smaller wound and you may be covering with a transparent dressing. Optifoam or other "generic" foam dressings are absolutely acceptable if the purpose is more for insulating...

  14. PICC Line Occlusion

    annaedRN replied to JLevinsRNHH's topic in Home Health

    Sounds to me like an order for cath flo is needed. Better check your agencies policy on

  15. New Grad and HH

    annaedRN replied to Iammblessed2011's topic in Home Health

    Well said, Kate, well

  16. Please help pt with leaking colostomy

    annaedRN replied to ditchdoc's topic in Wound, Ostomy, Continence

    make sure his bag has a charcoal filter built in- that would help keep gas from building up. and, yes, like tewdles said - look into why a colostomy has primarily liquid stool - should definitely be...

  17. Open or Closed?

    annaedRN replied to charp101's topic in Wound, Ostomy, Continence

    WOCN/NPUAP have issued guidelines to be used for home health/OASIS that you should be familiar with. In a nutshell, if you have a stage 2 that is OPEN then it is nonhealing - no matter what the...

  18. alginate dressing

    annaedRN replied to username33's topic in Wound, Ostomy, Continence

    yes- you are right. cut to fit into the wound. if the dressing is on intact skin, should not affect it. one thing to consider though - alginate dressings are used to help manage the exudate of a...

  19. Please help pt with leaking colostomy

    annaedRN replied to ditchdoc's topic in Wound, Ostomy, Continence

    sounds like you have tried most of the tricks. have you tried medical adhesive spray on top of the duoderm before applying the wafer. Using eakins rather than paste. how about some of the cement?...

  20. RN documenting visits not made

    annaedRN replied to Isabelle49's topic in Home Health

    YIKES!!!! My agency would NEVER tolerate that!!! It is really quite disgusting...and quite disappointing. Hope she is

  21. Agencies that have a good reputation

    annaedRN replied to pat8585's topic in Home Health

    Most agencies that are part of the Visiting Nurse Association have a good reputation and follow Medicare regs. However, individual agencies are only as good as the leadership

  22. Miserable...

    annaedRN replied to NurseLoveJoy88's topic in Home Health

    I too did extended care for quite a while. I loved it at first, but quickly became bored due to above mentioned reasons. I wanted a job that challenged me and that I could use all my skills. I stayed...

  23. need suggestions for hypergranulated toe wound

    annaedRN replied to acompassionatecare's topic in Wound, Ostomy, Continence

    even though the wound has little drainage, TAO is probably keeping it too moist. I would silver nitrate it then place foam or something absorbent and wrap it - sometimes the less the

  24. UNNA BOOT

    annaedRN replied to jmn126's topic in Wound, Ostomy, Continence

    Show her this....

  25. HH Vital Signs to Include Pulse Ox?

    annaedRN replied to indbletrble's topic in Home Health

    I put it on the 485 for all patients - as PRN for respiratory assessment. That way it is covered as part of assessment no matter what the circumstance, checked or