annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

Member

  • Content

    519

  • Visitors

    7,916

  • Followers

    0

  • Likes

    8

All Content by annaedRN

  1. lvns supervising home health aides in texas

    annaedRN replied to clever915's topic in Home Health

    If it is a Medicare certified agency then yes, RNs must supervise the homehealth aides. If not, then it may not

  2. wound vac supplies and Medicare

    annaedRN replied to chenoaspirit's topic in Home Health

    Karen as always answers the questions so well! You were fine in ordering the needed supplies. You will occasionally run into problems with KCI saying that the request is an excessive supply for the...

  3. POLL: Experience required for HH?

    annaedRN replied to LittleWing21's topic in Home Health

    I agree with above B. 6-12 months...but I've known a few good nurses who started out in HH and have done/adapted great...so I think like anything, that it really depends on the individual...some the...

  4. how to change a s/p cath, have one tomorrow

    annaedRN replied to chenoaspirit's topic in Home Health

    I have run into a few snags on 2 different patients with s/p caths. I met resistance...it took alot of repositioning, a few catheters and finally just quite a bit of pressure...but they did go in and...

  5. how to change a s/p cath

    annaedRN replied to chenoaspirit's topic in General Nursing

    I'm in HH and chnage them all the time. Yep - same as a foley. Remove water/saline from balloon, remove foley, have prepared catheter supplies ready, same prep/cleaning around s/p site, insert cath...

  6. Change in primary diagnosis after hospitalization

    annaedRN replied to Sana2007's topic in Home Health

    When we perform a ROC we do a new 485 as well. Solves the new diagnosis/meds/treatments/teaching problem easily. We are on computer so everyone can see new

  7. So overwhelmed..any advice?

    annaedRN replied to Rachelks's topic in Home Health

    OASIS is Medicare requirements for HH reimbursement. My agency has just adopted the OASIS assessments for all admissions, recerts, resumptions and discharges...unless it's a pediatric or...

  8. Nursing Student

    annaedRN replied to Lisa B.'s topic in Home Health

    This is a very common question for new nurses considering HH and basically it boils down to you need to be competent in assessment, critical thinking, teaching as well as hands on skills. It is...

  9. Please help re: written 60 day summary

    annaedRN replied to stxlinda's topic in Home Health

    A summary is going to be written at end of the cert period. It's a progress note if the patient has not met the goals - a summary of how everything is going (VS, ADLs, wounds, infections...) and that...

  10. Lab order from another MD/consultant

    annaedRN replied to Sana2007's topic in Home Health

    Not quite sure exactly what you are getting at. Any lab costs/billing are billed to patient's insurance whether the agency or the lab draws them...you need to be sure that the appropriate codes are on...

  11. OASIS C--- new features

    annaedRN replied to NRSKarenRN's topic in Home Health

    Thanks Karen. As soon as you think you got it all down... :) Seems a little more comprehensive than the current OASIS questions. Will be interesting to see if it helps or hurts

  12. Your thoughts on 2 year LPN who's now a RN looking for HH

    annaedRN replied to changeofpaceRN's topic in Home Health

    I was an LPN who got my RN and immediately started in HH. (was employed doing private duty through same company) If you have experience with assessments, wounds, IVs, etc you could probably make the...

  13. So overwhelmed..any advice?

    annaedRN replied to Rachelks's topic in Home Health

    I have seen 7 in a day...but only once in a blue moon. And they were all stable, routine follow-up CV checks or wound care. They are busy days...doable, but busy. We average 5-6 in a day ( or...

  14. Help with Starting IVs

    annaedRN replied to Hina2007's topic in Home Health

    I carry an IV start kit but it is really for more of needing to change an existing one on short notice. Even if we get an order for IV fluids, the supplies need to come from the infusion company. Even...

  15. Ethical/Legal Issue - Need Advice (HH)

    annaedRN replied to RN BSN 2009's topic in Home Health

    Cases like these are a HH nightmare!!! While there is OBVIOUS safety concerns, there is not much that one can do if the patient is mentally sound. Yes...I know that her decisions are not sound, but if...

  16. What skills for sure needed in home health?

    annaedRN replied to SoundofMusic's topic in Home Health

    The biggest things are strong assessment skills ( the whole picture... med safety, home safety, compliance/risks, mobility as well as the CV, skin, elimination, etc), being comfortable with making...

  17. Hospitals near gettysburg

    annaedRN replied to Jznck's topic in Pennsylvania Nursing

    Yep - both part of Summit Health

  18. Hospitals near gettysburg

    annaedRN replied to Jznck's topic in Pennsylvania Nursing

    There is also Chambersburg and Waynesboro. There are numerous LTC facilities in the area(Lutheran Home care has a few, Homewood at PlumCreek, Hanover Hall, Cross Keys Village, Gettysburg Center,...

  19. Do Nurses have to do the following??

    annaedRN replied to omgodzilla's topic in General Nursing

    A good nurse will not only clean up "poo" but use that time to check out the condition of the patient's skin and how much ability they have to care for

  20. blood sample with a butterfly needle

    annaedRN replied to kantuta's topic in General Nursing

    You could try leveling out the needle a little - flattening it out so the bevel/needle is more "flush " with the vein if that makes sense. Also, make sure the tubes are in tight so to cause enough of...

  21. how many on computers

    annaedRN replied to cookie102's topic in Home Health

    We use laptops and use Allegheny software. They are pretty good with working with us with any problems that arise. Computer charting takes a little while to get used to (expect some problems as you...

  22. What kind of car should I get?

    annaedRN replied to anticoagulationurse's topic in Home Health

    Definitely a personal choice. I agree with above - comfort and decent gas mileage. I drive a Ford Fusion and I love it. It's comfortable, easy to drive, gets fair gas mileage. I have the AWD because...

  23. YooHoo! I am joining the HH ranks!

    annaedRN replied to Limik's topic in Home Health

    Good luck to you!!! HH will be such a new exciting adventure for you. It is a different type of nursing...the only one for me. You'll love the flexibility, independence and the one-on-one time. Much...

  24. Home Health -vs- Hospital

    annaedRN replied to SnarfGirl's topic in Home Health

    No- you are NOT crazy!! I did the LPN to RN as well. I kept my mind open to all possibilities as far as after school employment- but there was nothing I loved or felt called to like HH. Some people...

  25. HACC points system question

    annaedRN replied to Lalo12345's topic in Pennsylvania Nursing

    I went through HACC - thankfully I did the LPN-RN bridge so points weren't quite so important. At the Gettysburg campus, you would definitely need the "as close to 100" as possible..there has been a...