annaedRN RN

I am sorry that you are not receiving any support or orientation from your boss/agency - it makes it much harder to succeed in home health. Anyway - this link is you best bet. You can also call your KCI rep and ask for tips if it is a tricky wound or...

I would agree that there definitely are the negative factors that RN 1263 listed - however, it is not true every day or with even most patients. On the bad days, or weeks... it is so easy to focus on those. But honestly, if you believe and love what ...

I would not and could not work in those circumstances. How many other nurses are helping you see these patients? I do not understand how you could effectively manage 70 patients - it is a near impossible task!! I have often seen 7 patients in a day ...

Kate- well said as usual. It's what I was thinking but you said it ever so much better than I could have. Use the guidance (manual) for OASIS to answer your OASIS questions, use the head to toe assessment to document your findings. Always think SAFET...

some of the infusion companies have their own infusion nurses that may come out and provide that servcie for you.

switch to an antifungal powder (not cream) then can still apply barrier cream over the antifungal powder. works wonders

In my agency all the fulltime RNs case manage. Of course, the amount varies with the census - but routinely I have 20-25, the most I have had was 32. Once it is over 25, I feel that I personally am not able to case manage as efficiently - it is harde...

Hello Kelly. I graduated almost 5 years ago from HACC - doing the LPN-RN. I went to Harrisburg for the transition class though. It was a difficult transition initially to go from practicing nurse to student again. The transition class is a mini-versi...

Most Vanco in the home is administered in elastrometric therapy (Eclipse or Intermate) - atleast most of the time. Or a portable IV pump such as the CADD Prism pump - usually no IV poles required

I am currently in SRU - I'm only taking one class a semester because my BSN is a long term personal goal - and I want plenty of time for family, work and fun too! Anyway - so far, so good. I have taken 3 classes so far, ready to start 4th. Easy to wo...

you call to arrange visit time and your wife says your are out with your buddies, dont know what you are doing or what time you'll be back. your neighbor says that you are out car shopping - hoping to bring home a snappy little mazda miata.

Roaches I am definitely not fond of..but exposing a wound and finding hundreds of maggots...now THAT got to me!!!

Optifoam is great if its a smaller wound and you may be covering with a transparent dressing. Optifoam or other "generic" foam dressings are absolutely acceptable if the purpose is more for insulating the wound or protection. Depends on the wound. I ...

Sounds to me like an order for cath flo is needed. Better check your agencies policy on it.

Well said, Kate, well said.

make sure his bag has a charcoal filter built in- that would help keep gas from building up. and, yes, like tewdles said - look into why a colostomy has primarily liquid stool - should definitely be more formed unless there is an underlying GI diseas...

WOCN/NPUAP have issued guidelines to be used for home health/OASIS that you should be familiar with. In a nutshell, if you have a stage 2 that is OPEN then it is nonhealing - no matter what the measurements. Once it is healed then it is no longer rep...

yes- you are right. cut to fit into the wound. if the dressing is on intact skin, should not affect it. one thing to consider though - alginate dressings are used to help manage the exudate of a draining wound. if the wound is fairly dry, alginate ma...

sounds like you have tried most of the tricks. have you tried medical adhesive spray on top of the duoderm before applying the wafer. Using eakins rather than paste. how about some of the cement? making sure that each product you try/apply dried suff...

YIKES!!!! My agency would NEVER tolerate that!!! It is really quite disgusting...and quite disappointing. Hope she is fired!

Most agencies that are part of the Visiting Nurse Association have a good reputation and follow Medicare regs. However, individual agencies are only as good as the leadership allows:)

I too did extended care for quite a while. I loved it at first, but quickly became bored due to above mentioned reasons. I wanted a job that challenged me and that I could use all my skills. I stayed as long as I did because of studying for my RN. I...

even though the wound has little drainage, TAO is probably keeping it too moist. I would silver nitrate it then place foam or something absorbent and wrap it - sometimes the less the better.

Show her this.... http://blog.wcei.net/unnas-boot-application-demonstration/

I put it on the 485 for all patients - as PRN for respiratory assessment. That way it is covered as part of assessment no matter what the circumstance, checked or not.