annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Portable scanner

    Sounds like a good idea. Let us know if you get one and how it
  2. best way to treat stage III pressure ulcer

    I have had good success with Iodosorb gel and cover with foam and tegaderm. Also thinking wound VAC as well - sometimes hard to get a seal in that area...but doable. You can use VAC with slough but...
  3. Skin Tear and Duoderm Question

    love xeroform and tegaderm. not even considered
  4. Talk to me about orientation

    I've been precepting for awhile now. For the most part I enjoy it and have a fair amt of support from my supervisors. I've found that the first 2 days are mostly shadowing, then it works well to start...
  5. Yep. Our weekend visits are all scheduled to be done by the weekend staff. There is always a second LPN on stand by to work. We only do a scheduled admit or visit on the weekend when we are on...
  6. That really stinks!!! We have 2 RNs and a LPN that work every weekend. We have 2 fulltime RNs for the weekend and the LPNs take turn working. We also have the RNs on call to back up if admissions get...
  7. If it is a clean home in a patient that I've known for a bit, then sometimes I ask to use their bathroom. But, yep, like Kate said - convenience stores, fast food places. Also using hospitals or labs...
  8. Feeling overwhelmed

    I dont mind helping out other teammates - but I would not be running back to another nurses' patient to redraw labs that she did not draw correctly to begin with - or have her call doc and see if...
  9. Is it okay for a CNA to call herself a nurse?

    I worked hard to get an RN behind my name. Nursing school is hard - full of tears, challenges, sweat, sleepless nights. When, and if, you succeed..you have earned every penny, heartache ...as well as...
  10. Verbal Orders

    We do Coagucheks too. Much nicer for everyone. We call the MD office - sometimes get an order for Coumadin +/or next PT/INR. Then we call our office supervisor with results who uses a form to fax a...
  11. We are looking for home health nursing software

    We use Allegheny. It's not perfect of course. But is pretty user friendly and the support/tech people are fairly prompt. Our IT lady works with them closely - I haven't had to do much with them...
  12. Salary???

    I am paid salary as well. It is based on an hourly rate for 40 hours. I get extra for mileage, on-call time, on-call visits. Do have really good benefits - PTO, sick time, tuition reimbursements,...
  13. POLL: How many visits/week

    YIKES!!! We do more like 25-35 a week. This week was really light, but since I am salary I really enjoyed that :) That seems heavy to me. When you are trying to get too many in, I find that the...
  14. Lab order for Type and screen

    I've done it frequently. Make sure you have the proper tubes and the tubes are labelled with patient name, DOB, pt location, time, date, your name. Check with the hospital or facility that will...
  15. "I'm curious. What agency did you work for? Thanks" I work for my local, free-standing, non-profit VNA. They aren't perfect, but they really do care about their nurses and really try to have them...
  16. Yikes!! We have our new RN case mgrs follow the preceptor 3-4 weeks - depending on skill level, experience, etc of nurse. They then start to do visits independently, the first few OASIS that are done...
  17. Medicare week

    we have sat-fri due to weekend
  18. unpaid overtime

    1. I would say 2-3 days a week I do more than my 8 hrs. Not by much in most cases. 2. I do put it on my timesheet because my agency wants all hrs tracked but it doesn't matter because I am salaried....
  19. New Home health job no experience

    OP may have meant opening a case/doing SOC for PT only. Unfortunately our therapists only do discharge OASIS...we get stuck with all the
  20. Why HH nurses quit

    I do alot of my visit charting in the home, but I do believe if my agency required me to do it ALL in the home, especially the SOC - I'd have to look around for something else. Thankfully, there is no...
  21. Affordable pulse ox

    Check on
  22. SILVER NITRATE

    Yes - have used it for hypergranulation tissue or for "bleeders" in a wound. Also, like mentioned around - around G-tubes or suprapubic catheter sites. And for rolled wound edges. We get the order...
  23. Charting in Clinical Notes

    Allegheny...overall pretty
  24. Charting in Clinical Notes

    Our software has screens for each of the body systems - so we do a head to toe every visit on every patient. I don't mind seeing/using the check off blocks for things that are normal. But, I do chart...
  25. Why HH nurses quit

    Kate - as always I respect and agree with your input! I am EXTREMELY organized and have everything done each day as well. The only thing I have to say is if I ever had to do 4 SOC in a day....it would...