annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. laryngectomy pt with PEG-tube

    annaedRN replied to chellelynn25's topic in General Nursing

    fiber is what i thought too. check her prealbumin level - if her nutrition is adequate- then maybe more fluids overall may be the trick (or some extra supplements)...sometimes thirst is mistaken for...

  2. dear patients, please quit saying that to me

    annaedRN replied to mcpnurse's topic in General Nursing

    Retort - "Thanks...I've been hearing that for the last 10 (fill in the yrs) years...". and just move on. They will get the hint and not mistake your youthful appearance for lack of

  3. Home Health RN should Unionize and Strike

    annaedRN replied to Willow Moonsidhe's topic in Home Health

    I understand what you are saying and I realize that it happens frequently....depending on your agency. You cannot blame Medicare or OASIS for how your agency chooses to utilize the RNs/clinicians...

  4. The difference between hydrogel dressings and hydrocolloid dressings

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

    The secondary dressing will of course absorb drainage- that is not the question. But the general concept of wound healing is to keep the wound warm and moist to aid in healing. If the wound is dry to...

  5. The difference between hydrogel dressings and hydrocolloid dressings

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

    No - hydrogels do not absorb moisture - in fact if a wound is very moist with lots of drainage, hydrogel is not appropriate...for that matter, neither is hydrocolloid. Hydrocolloids, like said above,...

  6. aftercare CHF exacerbation

    annaedRN replied to Sterlink's topic in Home Health

    find out when they weighed themselves? dry weight vs later in the day. Diet? Have they increased their sodium intake along with that. A different scale? Wearing shoes vs stocking feet. Just a few...

  7. Employee retention

    annaedRN replied to anticoagulationurse's topic in Home Health

    Well said anticoagulation nurse! While that may not be true in all cases, I defintitely see that alot. I orient new nurses. We have a pretty thorough orientation - they are usually with me a month or...

  8. Chasing doen pt's

    annaedRN replied to ilovenursing2009's topic in Home Health

    We make sure the patient know what day we are coming again when we are leaving a visit..then a phone call that morning to let them know approx time of visit that day. of course we work around...

  9. Chasing doen pt's

    annaedRN replied to ilovenursing2009's topic in Home Health

    Are these patients homebound? Sounds like the situation needs to be

  10. Anyone use Ipads for OASIS?

    annaedRN replied to chenoaspirit's topic in Home Health

    Nope. We have Panasonic toughbooks laptops that have a touch screen ...but the typing is on the regular keyboard. Touch screen is SO helpful with as long as the OASIS assessments are. But typing on a...

  11. Wet-to-Dry Dressing

    annaedRN replied to PediLove2147's topic in Wound, Ostomy, Continence

    You perform them the same way - you are to leave the wet-to dry in until it is dry- the concept is to debride with removal. Wet-to-moist you remove before totally dry - to help keep the wound bed...

  12. foley irrigation

    annaedRN replied to care&share's topic in Home Health

    Are they taking anything for bladder spasms? Possibly taking some Ditropan, Detrol, etc may help with the issue if they are not on anything for it. Maybe a visit to urologist if doesn't

  13. Physician-centric?

    annaedRN replied to KateRN1's topic in Home Health

    I use my OASIS answers reference material all the time for help with answering assessment questions - it is well worth it to print it out! Good idea

  14. Physician-centric?

    annaedRN replied to KateRN1's topic in Home Health

    Ditto to all the above!!!! Very frustrating!! especially when we are the ones "suggesting" to the docs what these patients need to have on their plan of care!! It does not matter how much we document...

  15. language barrier

    annaedRN replied to mariarn80's topic in Home Health

    Did an admit just this evening where the pt was spanish speaking only. Thank goodness for a bilingual girlfriend...especially since I was teaching IV administration!! They actually said that when in...

  16. PT INR

    annaedRN replied to Willow Moonsidhe's topic in Home Health

    us

  17. Can someone please help me with "The BIG picture"

    annaedRN replied to gentle_ben_RN's topic in Home Health

    I have done both extended care and intermittent visits...and agree with what everyone else has said previously. I have been doing visits for the last 3+ yrs and really enjoy the challenge and...

  18. Simple Drug Teaching Sheets

    annaedRN replied to KateRN1's topic in Home Health

    nevermind...answered my own question i was trying to use the option for healthcare providers...do you know how that part

  19. Simple Drug Teaching Sheets

    annaedRN replied to KateRN1's topic in Home Health

    the medactionplan.com site seems like it would be good. i cannot figure out where to sign up...it just keeps taking me to different pages. how do you sign

  20. Medicare and Skilled needs

    annaedRN replied to spejsa's topic in Home Health

    Agree with anticoagulation nurse. Here is a link that may help answer some questions for you. I've noticed that Medicare is very specific is some regards (like venipuncture is not a skilled service)...

  21. What form to do for visit?

    annaedRN replied to KMcRN08's topic in Home Health

    If you completed the assessment so as able to complete OASIS for recert then, yep, like KateRN1 said - you can recert...then do the transfer not discharged. ROC once home. That is preferable because...

  22. What is the best way to be paid?

    annaedRN replied to jurico's topic in Home Health

    I am salary and 99% of the time - it works out in my favor. If you are organized and have good time management skills - if not, salary works against

  23. Skin grafts

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

    Most docs are pretty particular with their skin grafts...I would check to see what they want on the skin graft. I have often used Xeroform on the donor site. Also, Mepitel or Adaptic on donor and...

  24. Home Health preceptorship for LVNs??

    annaedRN replied to ProgressiveThinking's topic in Home Health

    yep - have to be a RN, PT, OT or SLP do OASIS stuff..period. Doesn't matter what state you are in - Medicare is

  25. Homebound Status

    annaedRN replied to spejsa's topic in Home Health

    Yes - medical appts are allowable - but like Caliotter said - needs to be a taxing effort, needs assistance, residual weakness from disease processes, a MD order to be homebound, etc, etc. Always...