annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Wound Care - Unna Boot

    annaedRN replied to nuttin2do78's topic in Wound, Ostomy, Continence

    A primary dressing is often ordered to apply directly to the wound/ulcer. Such as a silver dressing, a honey dressing, alginate dressing, etc. It's up to the doctor, but yes you can place a dressing...

  2. Falsification of records?

    annaedRN replied to Super Nurse JoshuA's topic in Home Health

    Yep, what Cookie said. If a patient is discharged from/after a doctor appt, if wound care becomes unskilled, a patient refuses any more visits, or a variety of reasons...if a final visit cannot be...

  3. Tracking devices?

    annaedRN replied to nurseby07's topic in Home Health

    My supervisors have talked and kind of joked about it, but since we are non-profit...that's kind of at the bottom of the list! I think it would kind of feel like a dog on a leash, don't you? It's...

  4. ileostomies and fistulas

    annaedRN replied to clever915's topic in General Nursing

    Sounds like you are prepping the skin/area correctly. It may be that she needs a different kind of wafer/appliance. One that is oval, or more flexible, or more convex...I have had a few ileostomies...

  5. On call Problems

    annaedRN replied to MIC36FLA's topic in Home Health

    We have a FT oncall nurse for week nights. The FT day RNs take turns being oncall weekend nights about every 6-7 weekends(fri and sat) - there are 2 of us and we split the area. We have 2 RNs that...

  6. Freaky Things

    annaedRN replied to ThrowEdNurse's topic in Emergency

    Worked at a LTC facility shortly after getting out of school. Had a long time patient that was actively dying. Had just checked on her and knew that it would be soon. Went out to nurses station to do...

  7. From Private Practice to Home Health....

    annaedRN replied to 2ndtimetesttaker's topic in Home Health

    I work with a VNA and see 5-6 patients a day. The ability to assess accurately and independently are extremely important. I do the same basic things that a nurse on a med-surg floor needs to do (IVs,...

  8. Trying to find a good stethoscope

    annaedRN replied to foreverLaur's topic in Scrubs, Uniforms, Gear

    I have a Littman that I don't use often...I haven't been that impressed with it. I ordered an EMT(for EMT school students) stethoscope on eBay- I love it. It's tubing is very thick and it has...

  9. Weekends

    annaedRN replied to Ruth1201's topic in Home Health

    We have 2 weekend RNs so we don't work the weekends:mad:...just take turns on overnight call, about every 6-7 weekends. The LPNs take turns working the weekend and they get Mon +/or Tues depending on...

  10. need help ltc ileostomy

    annaedRN replied to Big Smurf2007's topic in Wound, Ostomy, Continence

    Using an Eakins seal has been a huge help in many a leaking ileostomy in my experience. I usually use Microguard powder and non-sting skin prep x 2 to protect the skin. Occasionally a small amt of...

  11. Keep my patients out of the hospital!

    annaedRN replied to christine_chapel's topic in Home Health

    Agree with tencat. Do what you can with teaching disease mgmt - diet, activity, weights, meds. Be an advocate to ensure that proper nebs, O2, or prednisone are in place to help maintain the little...

  12. Why not Excelsior???

    annaedRN posted a topic in Online Distance Learning

    Many of you here received your ADN through Excelsior. My question is how many of you that did (or are going to) are going to use Excelsior for your BSN? And if you aren't - why not? It seems that...

  13. Why not Excelsior???

    annaedRN replied to annaedRN's topic in Online Distance Learning

    Thanks for the replies. Has anyone had problems with other universities accepting Excelsior's credits towards their program? I received my ADN at a local college but have taken some gen ed exams...

  14. Calcium Alginate Rope with silver

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

    No. Calcium alginate with silver dressings do not need anything applied to them - the purpose is to help absorb drainage as well as add antimicrobial properties. Actually, the latest research shows...

  15. transition to home care

    annaedRN replied to 7starbuck7's topic in Home Health

    We have our entire territory divided into smaller territories to help minimize excess travel. So typically the patients admitted in "my" territory are on my case load. It can be anywhere from 10-25 at...

  16. transition to home care

    annaedRN replied to 7starbuck7's topic in Home Health

    Oh...and we do case management too. Salary is about what I would make in the local hospital without all the overtime

  17. transition to home care

    annaedRN replied to 7starbuck7's topic in Home Health

    Read through the threads here - you'll see why most of us love HH and what the pet peeves are. I work Mon-Fri 8-430 (banker's hours!!) There are plenty of days I am home by 1-2pm...still have some...

  18. Cell Phone Useage

    annaedRN replied to ame222's topic in Home Health

    We use our own phones and get an allowance of $4o/mo. Some people choose to have a prepaid phone that they use specifically for work and use the $40 for the minutes. Of course there is the initial...

  19. Home Care Etiquette

    annaedRN replied to Zaladreyn's topic in Home Health

    Agree with the above posters. But, to add to it..we usually teach the family to manage the IV if there is anyone available to learn. We teach them to flush the lines with proper technique, we teach...

  20. Blood draws/SL on kids < 5 yo

    annaedRN replied to JessicaSN's topic in Emergency

    SL - starting

  21. I need Information

    annaedRN replied to lane_2008's topic in Home Health

    We use the bags by Hopkins...with the 3 section for clean and "not so clean" items. My supervisor said they are looking into a slightly smaller messenger style bag (still with 3 sections).We do all...

  22. Working Christmas Day?

    annaedRN replied to LadyT618's topic in Home Health

    I was on call last night (Christmas eve) and had 1 visit for a leaking foley and subsequent change and 1 call about chest pain which I made sure he was taking Nitro correctly and directed to call 911...

  23. trick to remember Ace Inhibitors, Beta blockers etc.

    annaedRN replied to wishNhopeNdreamN's topic in General Students

    For ACEIs - always remembered "Ace" showers bring "-pril" flowers and also Give 'em an ace, they'll cough in your face ( for the dreaded cough s/e) Still think about those phrases to this

  24. HH return to hospital?

    annaedRN replied to Iphelix's topic in Home Health

    HH is most definitely a very different beast than the hospital! While HH has it's own set of unique challenges, it is definitely a slower pace (usually) than the hospital. I guess the biggest thing is...

  25. Thinking about leaving field work

    annaedRN replied to NurseRoRo's topic in Home Health

    No job is ever perfect, is it? But at this point in my career, I could not imagine doing anything else but be in the field. We have a QA nurse who does most of our audits - she is up to date on all...