annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. UNNA boot sticking to wounds........

    annaedRN replied to chenoaspirit's topic in Home Health

    Good luck! Hope it works. Picking out wound care products gets a little easier the longer you do it. It's great when the docs are on board with us...since we do this day in and day out!! We frequently...

  2. UNNA boot sticking to wounds........

    annaedRN replied to chenoaspirit's topic in Home Health

    could you switch to a 2 or 4 layer compression wrap system (such as Profore) so then you could use Adpatic or some other such non-stick dressing. If the ulcers are bad...you could use Iodosorb gel...

  3. And I continue my rant of MAs pretending to be nurses..

    annaedRN replied to nurseby07's topic in General Nursing

    I definitely agree that the position of each staff member NEEDS to be clearly adressed. I have worked as a CNA, LPN and now an RN...there is a tremendous amount of need, skills and training no matter...

  4. acetic acid anyone?

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

    I found it online - white vinegar and sterile water 10-40 parts water to 1 vinegar. The doc just said "whatever, just make it dilute" (ggrrrrr) so we did the 40:1 water to vinegar. Oh well....so far...

  5. acetic acid anyone?

    annaedRN posted a topic in Wound, Ostomy, Continence

    Hello all. I have made NSS and Dakins for my patients in the past. And I was wondering if anyone has the "formula" for acetic acid for cleansing a wound - it was ordered for cleansing 3x/week before...

  6. Thinking of HH, any information to give

    annaedRN replied to paper1225's topic in Home Health

    Hello. It greatly varies for salary, benefits, on call, etc with each agency...there are hospital based, private, non-profit, for profit...you get the picture, besides where you are located...

  7. Long infusions in home...

    annaedRN replied to Mommyof2RN's topic in Home Health

    I had a patient who received IVIG (Vivaglobin) via a subcu infusion that we monitored the first time then she learned to perfom her own infusions. Maybe if it's an IV, different guidelines? Anyhow,...

  8. Clinical Pathways

    annaedRN replied to KateRN1's topic in Home Health

    I like it! Would take MUCH work to implement but I think it would be worth it. Would need to be sensitive to patient's learning styles, how much pt vs family providing care, and some way to document...

  9. Long infusions in home...

    annaedRN replied to Mommyof2RN's topic in Home Health

    Depending on situation, we have hooked up and monitored for s/e then left and returned to unhook later. Is patient not able to provide/teach own

  10. Clinical Pathways

    annaedRN replied to KateRN1's topic in Home Health

    We too as an agency have played around with that idea. It sounds as things start to change to reimbursement being based on meeting outcomes that clinical pathways will be a must...more so than writing...

  11. acetic acid anyone?

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

    i know..surgeon was not in..and in the past he has just said whatever you think... the order was written for "diluted vinegar solution" i guess i'll keep trying to clarify with the doc.

  12. What's the most and least stressful field of nursing?

    annaedRN replied to Ted D's topic in General Nursing

    Private duty nursing is one on one in the home for an entire shift and is often low stress, yes. Home health care - providing skilled nursing visits in the home....while one on one, can actually be...

  13. taking call

    annaedRN replied to chenoaspirit's topic in Home Health

    I too do not find being on call my favorite thing We also cover our hospice which is where most of the calls come from...if we grow large enough for HH to take their call and hospice to cover their...

  14. Taking Call

    annaedRN replied to LuLu2008's topic in Home Health

    Lulu- I would have done what you did - just get them through til the next scheduled visit. I have on occasion sorted out all the mismatched pills, discarding what could not be identified. That is a...

  15. New Grad in Home Health Nursing wants to know how to develop hospital skills

    annaedRN replied to Whimsical's topic in Home Health

    I work in HH with a VNA and I do " starting IV's, drawing blood, inserting foley's, working with trachs, vents and the like. " plus wound care, wound VACs, lots of central lines ( only occasional...

  16. Need help with POC please.

    annaedRN replied to Sana2007's topic in Home Health

    Agree with above as well. You can also write - SN/caregiver/patient (whatever is applicable) to perform daily care to L leg wound of_____________. then your frequency can be whatever is necessary. Of...

  17. Can You Suggest Home Care Bags that You USE or LOVE?

    annaedRN replied to loveandnyc's topic in Home Health

    We too use the Hopkins bags. We had the LARGE bag with the shoulder strap and they switched us to the smaller more messenger style bag. While I like the style and the amount of sections, pockets,...

  18. Admissions/corrections for other nurses...who is responsible

    annaedRN replied to chenoaspirit's topic in Home Health

    Thank goodness we have coders!!! Tough situation...is your boss approachable in a situation like

  19. The reality of educating patients about their meds

    annaedRN replied to DolceVita's topic in General Nursing

    I work in home health...and while I provide the same basic bedside care that is done on a med-surg floor (IV, wounds, catheters, blood work....) the setting is VERY different. The whole set up of one...

  20. HH Administrator Seeking Feedback About Productivity

    annaedRN replied to CooperNurseRN's topic in Home Health

    I do what your staff/field nurses do and I routinely see 5-6 patients a day. I am salary. 5 patients is a very doable day...even with 1+ hr of travel. I work with other disciplines, order/deliver...

  21. Drainage and the color of it.....

    annaedRN replied to docpsychrn's topic in Infectious Disease

    green drainage often means

  22. Seeking tips on how to give painless intradermal injections

    annaedRN replied to iwanna's topic in Ambulatory Care, Clinic

    What happened when you got the intradermal in the subcu tissue? Any adverse effects? Did you have any reaction or did they have to redo the test? Just peaked my

  23. need wound advice

    annaedRN replied to melissahunter2's topic in Home Health

    If there is a alot of drainage you could consider a foam dressing...the Allevyn heel dressing is fantastic. I agree that a calcium alginate with silver may work well too. If infection is present,...

  24. HomeHealth stress! New and feel like crying

    annaedRN replied to chenoaspirit's topic in Home Health

    Hang in there chenoa! It is like berube said...it does take awhile to really get the hang of HH. The paperwork and all the OASIS stuff is complex. Have you checked out the fazzi.com website or the...

  25. FT salaried nurses: How many hours do you work/week?

    annaedRN replied to paradiseboundRN's topic in Home Health

    I too am FT salaried. I find that it equals out in the end. Like today, I only had 4 patients... 2 wound care (one was a discharge), suprapubic catheter, wound VAC. I finished at noon and spent the...