Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. nurses VS doctors

    Isabelle49 replied to iamann's topic in General Nursing

    Not sure about other state's laws, but in Louisiana blame is placed on the hand that delivers the drug. The doctor can order anything at any dose for any patient, if the nurse gives it and the...

  2. Having a hard time understanding MRSA......

    Isabelle49 replied to 2011nursetobe's topic in General Nursing

    MRSA is bad news. I don't know that I have ever been colonized with anything. Many years ago a nasal swab X 2 came up sterile. Staff had to have hands and nares cultured before working with open...

  3. Is it better to be paid per visit or per hour?

    Isabelle49 replied to lsvalliant's topic in Home Health

    If you are paid a per hour rate only while with the patient, hopefully the rate is adequate if a visit is only 30 to 40 minutes. I prefer per visit, there is much less record keeping of every moment...

  4. Gasp! An uninsured Nurse (rant)

    Isabelle49 replied to optimist's topic in Activism, Healthcare

    I would be willing to bet that the majority of nurses in the US do not have health

  5. Gluteus non approved IM site???

    Isabelle49 replied to nkochrn's topic in General Nursing

    I haven't given any IM dorsogluteal, use ventrogluteal as it is safer and never in either of these areas on a child 3 y.o. or less. A nurse in the ER once gave me Vistaril dorsogluteal and I felt a...

  6. Gluteus non approved IM site???

    Isabelle49 replied to nkochrn's topic in General Nursing

    You sure would and you would probably have to get through some bone to reach it! Too

  7. When someone see's your pt

    Isabelle49 replied to twokidsmom,rn's topic in Home Health

    What carrier are you

  8. I need advice ASAP!!!!!!!

    Isabelle49 replied to spete39's topic in Licensure: Criminal History

    Why not call the human resources offices and tell them up-front about the

  9. To all Night Nurses:

    Isabelle49 replied to Double-Helix's topic in General Nursing

    And the night shift can get everything done without all the baggage needed for dayshift, i.e., hundreds of management/corporate

  10. Is OASIS really hard to figure out?

    Isabelle49 replied to lsvalliant's topic in Home Health

    Most companies now have coders that do the coding. There is a reference book for this and it is a monster! Prioritize your diagnoses in terms of severity as relates to the patient's condition...

  11. Joining nurses associations/subscribing to journals

    Isabelle49 replied to nrse20's topic in Cardiac

    Have been an RN for 16+ years, have not joined any organizations. I did receive Nursing for many years - it's a good nursing reference. ANA Journal seems more political than

  12. Is this in our scope of practice?

    Isabelle49 replied to klmb318's topic in General Nursing

    As an RN in Louisiana, am not allowed to cut nails, not sure about filing, but I don't do that either. Patient/family can do or they can see manicurist/pedicurist. There is just too much risk. I had...

  13. When someone see's your pt

    Isabelle49 replied to twokidsmom,rn's topic in Home Health

    I would be calling whoever is on call for the ortho. The first nurse should have been persistent. It is just not ok to drop the matter when the doc doesn't call back, not at all OK. I called a doc...

  14. I really need any info you may have...Please

    Isabelle49 replied to Camemile's topic in General Nursing

    Goes to show you what you have to look forward to as an

  15. hostile workplace- dangerous co worker, low morale

    Isabelle49 replied to scrubs12's topic in Patient, Colleague Relations

    If the employee is an RN, BON would be a consideration and that would be done

  16. Nutrition to prevent and treat pressure ulcers???

    Isabelle49 replied to judieli's topic in Nursing Student Assistance

    In case anyone is interested, when I communicated with Dr. Demling, he recommended Whey Protein as the best to be used nutritionally for wound healing. This protein is readily found in Milk products....

  17. Nutrition to prevent and treat pressure ulcers???

    Isabelle49 replied to judieli's topic in Nursing Student Assistance

    Leslie, that is the best article. I first read it almost 8.5 years ago and have even had email conversations with Dr. Demling. He was most helpful. Everything in his article makes perfect sense and...

  18. Med error? help im going to loose ky mind thinking about this!!!!!!

    Isabelle49 replied to avenellpn82's topic in General Nursing

    The FDA just needs make Rocephin IV or PO (if it comes that way already). I would flat out refuse to give more than 2.5 ml and probably limit that to 2.0 ml IM to any adult. I can't imagine what...

  19. rn taking orders from an lpn?

    Isabelle49 replied to tofunurse<3's topic in Geriatric, LTC

    Not allowed in Louisiana, and RN cannot take a verbal order from an LPN either. There may be something in laws re: LTC, Rehab, LTAC and Nursing Homes that is different, though. I am not familiar with...

  20. Med error? help im going to loose ky mind thinking about this!!!!!!

    Isabelle49 replied to avenellpn82's topic in General Nursing

    A quick search indicates that 2.5 ml is the max for injection to dorsogluteal of

  21. Med error? help im going to loose ky mind thinking about this!!!!!!

    Isabelle49 replied to avenellpn82's topic in General Nursing

    I don't understand why the patient wasn't given this drug

  22. 1wk9

    Isabelle49 replied to twokidsmom,rn's topic in Home Health

    1W9, hmm. I truly think if a patient needs home health, they should be seen at this frequency as a minimum. I have had patients and families who are totally resistant to discharge and those I will...

  23. New Grad and HH

    Isabelle49 replied to Iammblessed2011's topic in Home Health

    How many visits per

  24. Why do hiring managers say they will call and don't???

    Isabelle49 replied to Marshall1's topic in General Nursing

    Cliche?

  25. Mandated Flu vaccine?

    Isabelle49 replied to mol42's topic in Disaster Preparation

    Every 'patient' has the right to choose their caregiver and the right to refuse treatment. As RN's we are also patients, so we have the same rights. I don't think 'Patient's Rights and...