annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Wound care nurses - pls share your experience

    You may want to consider HH for wound care experience. My VNA had a WOCN for awhile who was a wonderful asset - but each and every one of us are very adept at caring for wounds. I know that I have...
  2. Visit quotas and safe care

    SOC - start of care or an admission DC -discharge. If these are Medicare patients it requires filling out an OASIS which is what Medicare has HH agencies use - very long and hard to get used to, but...
  3. What do you eat while on the road?

    Ahhh..the best laid plans... Actually, you sound alot like me..down to the quitting smoking! I have the same problems. I have a big insulated lunch bag in whick I have water, diet coke, different...
  4. Raystown Lake anyone?

    Just wanted to say have a wonderful and safe Memorial Day! I am heading up to the lake in the next hour for a long weekend! The forecast is perfect and I am so excited!! Anyone else heading up for the...
  5. Raystown Lake anyone?

    Hello - I currently live/work in the Gettysburg area and I love it. But, we own property near Huntingdon/Raystown Lake area and are considering a move there at some point...and I wondered if anyone...
  6. Ascites .....

    My mom has been having stomach pain for the last 4 weeks or so. Did basic blood work, tried the Prilosec route, finally did a CXR last Fri and abd CT on Sat. Saturday she was dx with RLL pneumonia (...
  7. Dealing with smells...

    I am able to breathe quite well with my mouth fairly closed - I can imagine having a wide open mouth is not only a possible hazard but quite disturbing looking to the patient. If a smell is...
  8. Dealing with smells...

    Learn to breathe through your mouth instead of your nose. Of course, not quite as noticeable as Lamaze breathing ... but it does help. As well as using lotion or something under your nose and a...
  9. I've had it!!! Need to vent again

    I would quit if I had that patient load for a day. That is atleast 2 days work for me. I have never had more than 2 admissions a day and 1-2 visits if I have 2 admits. We ALWAYS have no more than the...
  10. Interview/pay?

    Every HH agency is vastly different. I make the equivalent of what the local hospital RNs make. My base salary plus the oncall visits, mileage, etc around 60K. I LOVE HH! And cannot imagine myself...
  11. need advice for home health nursing

    Congrats on finishing your 1st year. My first bit of advice is concentrate on finishing school and NCLEX first. But that being said, I know how it is to dream about being a nurse and where you will...
  12. wound vac question

    I did one just today. If the tissue looks very fragile or begins to look worse after removing the sponge, I usually update the MD and ask (if continuing) if they would like Adaptic or switch to the...
  13. Advice on Home Health

    While every agency is different, I get to practice most of the skills that I learned in school...it's just that I may not be doing them every day. I start and manage IVs (though it's mostly central...
  14. The weird part of hh

    I live in a fairly rural area, and I do occasionally get the patient that seems like I am intruding, but the majority really appreciate that I am there and really listen to what I say. We have a VNA...
  15. pay per visit

    I am salary too, but when I am oncall and need to make a visit we get reimbursed per visit made. If it is a regular revisit then it's $49 and if it is an admission or higher tech visit like IV/TPN,...
  16. Dress code question

    :heartbeatI wear my Crocs ( without the "air" holes) so I can easily slip them off in the car but still very comfy and safe in the patient's homes. Love
  17. that is what i try to do...doesn't always work out, but i try. also, my agency has reassigned "teams" of rns and an lpn in geographical locations so you aren't going all over the place...it has helped...
  18. How many visits?

    I'm sorry for your situation. I really appreciate my agency and the emphasis they put on patient care. They also factor time in for paperwork. Most days I go into the office at 7:30 for paperwork....
  19. How many visits?

    WOW! We average 5-6 vists a day and mileage is anywhere from 25-50 on average. Does not matter what the patient needs ( IV, wounds, teaching...) or if they are MC or not. A visit is a visit. An...
  20. Do you get paid

    I am salaried. It usually works out in my favor..if anything the charting may make my day a little longer. But, salary works for
  21. Hello...

    My VNA pays comparable to the local hospital. The benefits are about the same too. But the flexibility and rewards of being in HH would be well worth taking less ...thankfully I don't have to make...
  22. If you weren't a nurse what other job would you like to do?

    I would love to spend my summers running a camp for special needs kids! And staff it with PT/OT, nurses and doctors...or atleast some students of such. How rewarding would that be!!! Plus it would be...
  23. Paid Training??

    Do you mean licensed nursing assistant? I was not sure ..I've always seen CNA (certified nursing assistant). Many LTC facilities have their own program to help you become certified. And many, once you...
  24. New to home health, next to nothing for orientation...vent

    I am so sorry to hear about your orientation..or lack thereof. 6-7 patients is considered a full day for me, but an admission counts as 2 visits. So 3 admissions would be a very full day! Recerts or...
  25. HH Interview next week, what questions should I ask?

    I think that may be a low census. Did you ask how many visits you personally will get to do a day/week? I personally make about 25-35 visits a week..some patients get weekly visits, some 2x/week, some...