annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Herb/natural supplements stories???

    annaedRN posted a topic in General Nursing

    Hi all! I am working on a presentation for work on natural supplements/herbs/OTC and the interactions with meds, effects (good and bad) on the disease process, as well as general uses. I thought it...

  2. Herb/natural supplements stories???

    annaedRN replied to annaedRN's topic in General Nursing

    Thanks for all the replies! I work in home health and I cannot count how many people when I ask them to see their meds to verify what the MD has ordered have some kind of herb or supplement in the...

  3. Help with picc blood draw

    annaedRN replied to melissahunter2's topic in Infusion, Intravenous

    Do not know about all states, but in Pennsylvania we can do tPa in the

  4. Has anyone been out of RN school more than 5 or 10 years?

    annaedRN replied to precious01's topic in General Nursing

    I used the review book by Kaplan - it focuses on how to answer questions, spotting key words, etc...there were many questions (meds, diagnosis...) during the NCLEX that I had never heard of, but by...

  5. Pay rates/mileage

    annaedRN replied to bill4745's topic in Home Health

    I'm salaried so no per visit rate for me. When we do on call visits though we get $45 for a regular visit and $65 for an admission. Mileage we had been getting 50.5 cents a mile but it just decreased...

  6. Am I the only HH nurse paid hourly?

    annaedRN replied to Eleven011's topic in Home Health

    At my agency the RNs are paid salary and the LPNs are paid hourly. The RNs get a per visit rate for any visits done on holidays or when on call. Works for me...most weeks I am right at the 40 hr mark,...

  7. ER nurse interested in home health

    annaedRN replied to ERNurseKDB's topic in Home Health

    My agency does case management so the pt is my responsibility but we work as RN/LPN teams so often the stable pt needing wound care or CV assessments are given to the LPNs so I can do admissions or...

  8. home care patient care plan help

    annaedRN replied to bocaraton's topic in Home Health

    That is a pretty vague question...one that is hard to answer here. First off, if you are a nurse you should know the basics of managing diabetes. If you are a nursing student, utilize your text books...

  9. Cell Phone Useage

    annaedRN replied to ame222's topic in Home Health

    We get $20/month. That amount covered me switching from the 450 min/mo plan that I had been on to the 900 min/mo plan (which I now use most of the minutes) Guess it's better than

  10. Wound Vac System

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

    The wound VAC can definitely heal up some large wounds rather quickly. Sometimes it is all a wound needs to heal, sometimes it is just used until surgery or something else needs done.But we can't...

  11. should we take this referral

    annaedRN replied to reddellrn's topic in Home Health

    I agree with iluvivt. Even after you are trained, the KCI rep can meet with you if you have a problem wound to offer suggestions. It often takes more than just one meeting to be able to do the VAC...

  12. What's Your Passion?

    annaedRN replied to alwayslearning08's topic in General Nursing

    Went for my LPN first with no particular goal...tried out a few things, but they were just jobs. Then I landed myself in home health - LOVE it! Went for my RN and kept my options open but nothing...

  13. What is community-based geriatric care?

    annaedRN replied to rchembunny's topic in Geriatric, LTC

    I would tend to disagree with that. WHile some community-based nursing care happens in the home, alot of it is based outside of the home. THere are numerous community health centers. They often...

  14. What do you wish students knew?

    annaedRN replied to fsaav's topic in General Nursing

    I enjoy students with me...but I work in HH - a whole different world than hospital nursing, but that's a different post. I guess one thing to keep in mind is that school teaches you the by-the-book,...

  15. How long to complete an admission

    annaedRN replied to 1dernurse's topic in Home Health

    Our agency like most of them I think counts a SOC as 2 visits. It varies SO much from SOC to SOC. It does happen occasionally that the visit is about an hour and the charting is an hour so it actually...

  16. On Call pay???

    annaedRN replied to horsepoor's topic in Home Health

    I get $2/hr when on-call - I am on-call from 4p to 830a - so it's about $32 each night I am on call. Whether or not I get any calls or a dozen. During the weekend, I am primary on-call nurse so I get...

  17. Wrist B/P digital cuff vs. old manuel arm type

    annaedRN replied to lexibear99's topic in Geriatric, LTC

    I work in HH, so needless to say all I have is my manual to rely on. But I do often take a BP then have the patient use their automatic one so they can see if it's atleast close. Provides some...

  18. How many Nurses are Girl Scouts/Volunteers?

    annaedRN replied to withasmilelpn's topic in General Nursing

    My DGT has spina bifida (she's very INDEPENDENT) and she got involved with therapeutic horseback riding. I now volunteer with the program - but with different riders because you know that Moms are NOT...

  19. How specific on 485?

    annaedRN replied to bloomicy's topic in Home Health

    I write for example - HHA visits 3w4 Aide: Assist with bathing and ADLs/IADLs each visit. Light housekeeping PRN. Then we make a separate HHA care plan that the HHA scheduler makes copies of for...

  20. HH Case Manager: What Is It Like?

    annaedRN replied to VivaLasViejas's topic in Home Health

    My response is pretty much word for word what ididitrn wrote ( actually freaked me out...it was like I wrote it!) I say a bad day in HH would be a good day in a hospital. I am usually responsible from...

  21. Using a Vac for undermining

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

    Some things in general I've tried when troubleshooting VACs. Is use smaller pieces of drape rather than bigger ones. Place strips of black foam over top of the white foam to help even out the negative...

  22. How specific on 485?

    annaedRN replied to bloomicy's topic in Home Health

    Yikes!!! I would NOT be liking that! I can't see how being that specific would benefit anyone! Actually it would be probably make it harder to maintain compliance with MD orders then. Here is an...

  23. MRSA in wound

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

    In general a clean wound would not need a debriding agent. Ask the MD about using a wound care product with silver (ex. Aquacel AG) -usually helps clean out the infection in a wound. Most of my...

  24. Need help with Ostomy patient

    annaedRN replied to kc319's topic in Wound, Ostomy, Continence

    Yep. Protecting the skin with the powder and skin prep and let dry. Then use extra thin Duoderm over top -like a second skin to really let the peristomal skin heal/rest. You can then put the regular...

  25. white skin around wound

    annaedRN replied to bebop1's topic in Wound, Ostomy, Continence

    Can't really give you any specific advice. Stasis ulcers can be SO painful and hard to heal. I did have success using Aquacel AG on one patient - also using compression wraps (after ABI was checked)...