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Isabelle49 specializes in Home Health.

rn 16 yrs in acute care; part-time private piano teacher

Isabelle49's Latest Activity

  1. Isabelle49

    I Must Be Missing Something

    It is that agency and those particular management personnel. Leave that agency. Find another one that respects you. Keep doing that until you find a happy medium. Remember, respect is number 1 priority for the nurse and compassionate patient care for the patients. If office can’t respect you, leave them flat!!!
  2. Isabelle49

    Kicked out before even starting

    Geeze!!! Why not call the dean of your school or a counselor. I can't imagine why you got kicked out. You could have had the word done at a slow lab and that wouldn't have been your fault. Take this as a sign or things to come in school and throughout your career. Am retired after 32 years.
  3. Isabelle49

    NG Tube Salem Sump

    If the pigtail is left open to air, you would have this connected to continuous suction. If the pigtail is closed, should only be connected to intermittent suction to prevent damage to the gastric mucosa from continuous vacuum and no release. The pigtail (usually blue, at least it was when I was working) is not used for suction or to administer feedings or meds. The opening at the top of the main tube is used for feedings and suction or just left open vented. You may or may not have to use a Christmas tree connection to attach to suction. That will depend on the size of the connecting tubing. Anytime you face a challenge you are not 100% sure of, ask another experienced nurse or your instructor. Never guess, it can be very bad news. Thanks.
  4. Isabelle49

    Post-test review

    Lipoma, would you mind telling us what nursing school you attended? (BTW, I am a retired RN after 32 years of work and just doing some research on this subject because of changes at the nursing school I attended). Thanks.
  5. Isabelle49

    Post-test review

    When you were attending a nursing school, were you provided with Post-test reviews, where you were provided with rationales as to why one answer to a test question was correct and the others were not? Thanks so much for your input Isabelle
  6. Isabelle49

    Post-test reviews

    Do any students here attend a nursing program that does not provide a Post-Test review, where you are provided with a rationale as to why one answer to a question is correct and the others are not? Thanks for the input. Isabelle
  7. Isabelle49

    nursing diagnosis

    Postpartum depression?
  8. Isabelle49

    Dosage Calculation help

    Always remember to have someone else check your calculations in the real world!!!
  9. Isabelle49

    what is my priority as a nurse in this situation?

    Tachycardic: are they scared, dehydrated, anemic? Any labs?
  10. Isabelle49

    Nursing Care Plan

    Care planning wasn't really taught when I was in school over 30 years ago, but we had to do them. They were a great learning tool.
  11. Isabelle49

    Pathophysiology assistance

    As for the fractured femur, largest bone in the body: Potential for hemorrhage internally and formation of clots. Pain of course.
  12. Do any of you have problems with doctors signing the Plan of Care (485) and completing the FTF? We have encountered a few who have ordered home health and therapy for patients then refuse to sign the documents. What recourse does the agency have? Thanks.
  13. Isabelle49

    How to write oasis summary

    Think of the Oasis Summary as a written report to other nurses who will be assuming care of the patient. Think of what you would want to know about that patient if it were you assuming care.
  14. Isabelle49

    How often do you do med reconciliation?

    I suspect the agency you work for has been dinged by the State when a survey was done.
  15. Isabelle49

    Doing follow up visits with no clear orders?

    Agree you should find another company to work for. You NEVER make it up as you go along. You teach according to what has been set by the Plan of Care or 485.
  16. Not sure what you mean by a "minor home health agency". Are you planning to be a Medicare provider? If so, I would strongly recommend reading and re reading CMS Chapter 7 and Home Health Regulations for your State. I wish you the best!!!