annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. New to home care and need help!

    annaedRN replied to Second's topic in Home Health

    Hello enurslw, HH is definitely not for everyone...but I LOVE it and would never be happy working in a facility again. The following is how I responded to someone who was unhappy and thinking of...

  2. Best Home Automatic Blood Pressue Machine for Parents?

    annaedRN replied to Dallas_RN's topic in General Nursing

    I don't know brands but my patients in the home have used a bunch of different kinds. The ones that you set on the table and still use on upper arm seem to be the best. The wrist ones are not...

  3. thoughts on the best protective seal

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

    Cleanse skin, pat dry, apply Microguard antifungal powder, seal with skin prep (pads or spray), then place VAC drape around wound (window pane it) then place granu- or vers-foam in wound then cover...

  4. thoughts on the best protective seal

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

    I too have used the antifungal powder and sealed that with skin prep. Then placed the VAC drape - sometimes using a few smaller pieces works better than a larger piece. You can also then use skin prep...

  5. Director of Nursing Home Health Agency! HELP!

    annaedRN replied to kwagner_51's topic in Home Health

    You will have to use OASIS if you have Medicare patients. I would be uncomfortable being in a position of supervision and not knowing/understanding OASIS and being responsible for helping other staff...

  6. On call? Funny phone calls.

    annaedRN replied to nurseby07's topic in Home Health

    I agree that on-call is not the part of the job that I enjoy. Every time the phone rings and the perky voice says "Hi this is the service.." Thankfully we have a FT on-call nurse that does sun -...

  7. On call? Funny phone calls.

    annaedRN replied to nurseby07's topic in Home Health

    There is nothing like some good poo patrol to help the weekend speed by... I have actually thought of taking my husband's spotlight (for spotting deer) along to find some of those so "thoughtfully"...

  8. On call? Funny phone calls.

    annaedRN replied to nurseby07's topic in Home Health

    Gggrrr! I feel your pain. I am on-call this Fri and Sat night...can hardly wait to see what joys it

  9. First week in HH, Man Im excited!

    annaedRN replied to intothemoon's topic in Home Health

    Congrats! I hope it goes well for you. Just keep in mind it takes months to truly learn all about OASIS and feel comfortable with it- so while it may seem overwhelming at first it DOES get easier! It...

  10. Cool test: Left VS Right brain....

    annaedRN replied to I love my cat!'s topic in General Nursing

    Pretty cool. Took me awhile. I too could first "switch" her when looking away/reading. But once I did it once I could almost visualize it and do it at

  11. Client death and funerals

    annaedRN replied to SandBetweenMyToes's topic in Home Health

    I have a few times sent a card or stopped in at the viewing but have not attended a funeral. Most times I do not do anything. It's hard at times not to let yourself get close... but ultimately -the...

  12. On call? Funny phone calls.

    annaedRN replied to nurseby07's topic in Home Health

    I had a call from a patient's wife. She said he fell when he was trying to rush to the BR. I asked where he was now, if he was ok, etc...The paramedics just left she said and he is fine. I asked what...

  13. Is home health really better than working in a hospital??

    annaedRN replied to LadyAries0021's topic in Home Health

    Agree with nurseby07. Too much autonomy, flexibility to ever go back to a facility. You don't get the adrenaline rush of ER or even ICU/CCU, but you get to use the same skills as on a med-surg unit of...

  14. On Call pay???

    annaedRN replied to horsepoor's topic in Home Health

    $2.oo/hr beeper pay for 4:30p to 8:00a. $45 to $65 a visit (depends on type of visit) plus mileage to/from visit. We are salary FT days and we take on-call every 5th-6th weekend, plus an occasional...

  15. Help I've fallen and can't get up--

    annaedRN replied to travlr99's topic in Home Health

    I do not know about medicaid but I know Medicare does not cover that expense. I always suggest it makes a nice birthday or Christmas present for family members to give to their homebound loved

  16. QA nurses and missed visits

    annaedRN replied to LearningRN's topic in Home Health

    Not sure if it is a common practice or not. If I miss a visit, the QA follows up with me...and I write a note/message on why visit was missed if ( pt cancel, MD appt, snow, etc). She does not write...

  17. New Home Health nurse, need advice

    annaedRN replied to nursval's topic in Home Health

    pocovan - I chuckled at the visual image of "bust a move"..but I often do the same. While it kinda stinks to have to finish up/work from home....I guess I'd rather chart at home, sitting in my couch,...

  18. Need suggestions for on call

    annaedRN replied to shebish's topic in Home Health

    We have 2 RNs and 1 LPN that actually work the weekend. We (RNs) tak turns (every 5-6 weekends) being on-call fri and sat 4:30 -8 only. We are also blessed to have a full time on-call sun-thurs RN....

  19. Home Health Nursing As A RN

    annaedRN replied to Katy-NursingStudent's topic in Home Health

    We too draw labs and have alot of wound vacs ( currently one on an infected tummy tuck that is 41cm x 12cm x 3.5cm with undermining under umbilicus to 8cm!!!) I don't work weekends - have oncall Fri...

  20. Home Health Nursing As A RN

    annaedRN replied to Katy-NursingStudent's topic in Home Health

    In HH, you are a nurse as well as a social worker, case manager, and various other things. You are responsible for assessment as well as whatever skills needs performed (wounds, IVs, catheters,). A...

  21. Standing orders/protocols

    annaedRN replied to RNWithAHeart's topic in Hospice, Palliative

    I work for the home health team of our VNA but I always joke that the hospice nurses have it made b/c when it comes to making the care plans...they click a button and "poof" it appears ( not the case...

  22. Passed Nclex.

    annaedRN replied to New Creation's topic in NCLEX Exam, Programs

    :yeah:congratulations!!!:yeah:

  23. How do I deal with a liar?

    annaedRN replied to learning2Bnurse's topic in General Nursing

    As the others have said - NOT worth your time. She'll get her come-uppance in due time! ( Hopefully you'll be around to see it!) Learn to deal, or rather ignore or stay out of it now...because once in...

  24. Is HH exhausting?

    annaedRN replied to iwanna's topic in Home Health

    It may be a good fit for you...but it can be challenging. Often wound care may need to be done with you sitting on the floor. Patients do occasionally need lifted/repositioned and they do not usually...

  25. Male Catheter Problems

    annaedRN replied to bshaw96's topic in Home Health

    I agree with HmarieD. It could be bladder spasms..numerous meds to try. Maybe a neurological problems starting...or as you mentioned, BPH or uro problems? I had a patient who had their 6yo brother (I...