Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. Computer use in Home Health

    Isabelle49 replied to Isabelle49's topic in Home Health

    Yes, this will leave a 'computer trail', unless the systems were destroyed, and I guarantee you they won't, since everything is backed up approx every 15 - 30 seconds. If they are making changes,...

  2. Computer use in Home Health

    Isabelle49 replied to Isabelle49's topic in Home Health

    Here is one better than that. We are on paper, case managers make changes to assessment questions, then fill out a form showing the changes and noting that they have spoken to the assesssing...

  3. HH LPN Medicaid Regulations

    Isabelle49 replied to JWEMT's topic in Home Health

    I know that for Medicare, home health aid sup visits must be done by RN, and I do think it is the same with Medicaid, but could differ depending on the state law. There should be in implications for...

  4. nurses with bipolar?

    Isabelle49 replied to mary1993's topic in General Nursing

    Sure you can be a nurse with BPD. As long as you are taking care of your self, seeing your doc and taking meds as prescribed, you'll do great. I don't see it any different from a person who has...

  5. Lab draw tips??

    Isabelle49 replied to perfectbluebuildings's topic in General Nursing

    I hear you. It took me forever to get the hand-eye-tube coordination going. Remember gravity is your friend and the scooper is a good

  6. Suicide

    Isabelle49 replied to Vtachy1's topic in Hospice, Palliative

    Although I am not a hospice nurse, I believe that suicide in the face of an unbearable terminal illness is acceptable. It is a choice, and maybe more than that, a need. Years ago my oldest sister...

  7. Info needed on Telemedicine

    Isabelle49 replied to dclarke's topic in General Nursing

    I worked as a home health nurse for a company that used the telemedicine system for CHF, heart patients. It's okay, though certainly not a fix for these patient's conditions. What I did not like was...

  8. No call No show ?

    Isabelle49 replied to NurseLoveJoy88's topic in General Nursing

    If your supervisor's process was to confirm the shift by return email, I think you were in the

  9. Frequent Broviac Infections - eek!

    Isabelle49 replied to Baboosh123's topic in General Nursing

    This was my line of thought also, apo. Not uncommon

  10. SL Nitroglycerin, O/C MD Blues

    Isabelle49 replied to suzem's topic in Geriatric, LTC

    Here's what happened to me one evening, before 8 pm. Working in home health, seeing a patient for the first time, needs foley catheter change and total admit assessment. Patient is severely...

  11. SL Nitroglycerin, O/C MD Blues

    Isabelle49 replied to suzem's topic in Geriatric, LTC

    Personally, you did the right thing. Write the doc up about treating you the way he did. He had no right to do that. What would have happened if you gave the 1 nitro and 45 minutes later the...

  12. A Word of Wisdom

    Isabelle49 replied to Willow Moonsidhe's topic in General Nursing

    Forget the disability stuff. How about, inherited a large sum of money and

  13. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Welcome back! No, nursing hasn't gone nuts, Administrators have. I wouldn't touch that job with a 10 ft

  14. Foley to LIS???

    Isabelle49 replied to myk_RN's topic in General Nursing

    Never heard of it. Doesn't sound too

  15. Did you get enough phlebotomy experience in your ADN program?

    Isabelle49 replied to 2011NursingStudent's topic in General Nursing

    Luckily I worked as a phlebotomist for about 2 years before nursing school - I am a diploma RN. Loved being a phlebotomist and may go back to it

  16. Orientation not up to par

    Isabelle49 replied to Black Jade's topic in General Nursing

    Let your manager know what you need. If you take assignments that you cannot handle, you will be responsible for the

  17. Mandatory Overtime?

    Isabelle49 replied to ALH2004's topic in General Nursing

    Mandatory overtime sounds like communism. I wouldn't do it, job or no job, wouldn't

  18. The chance they'll touch you is inversely proportionate to their hygiene level...

    Isabelle49 replied to ByTheLake's topic in Emergency

    Maybe they just crave the human touch! So

  19. Ready to get out of LTC

    Isabelle49 replied to dukesgal's topic in Geriatric, LTC

    Does the facility you work at receive any State or Federal funding? Most LTC facilities are governed by State Department of Health and Hospitals. You need to drop a nickel on them as concerns their...

  20. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Home health nurses think about quitting when it takes a minimum of 1.5 hours to do wound care on one patient. Ulcers to ble, profore to one leg, unna boot to another leg. Way too much for me, esp...

  21. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Willow, best wishes to you. Please keep us

  22. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    We are required to obtain consent before we touch the patient. The consent is what allows us to do

  23. Face to Face Encounter

    Isabelle49 replied to momsnurse1's topic in Home Health

    We're told that field nurses will be responsible for this. I don't see how, except to tell the patient/family about this necessity or d/c from home

  24. New Grad RN...Why can't I hear lung sounds!!

    Isabelle49 replied to sameyjaney's topic in General Nursing

    This may sound nuts, but it is true, I swear. If I clench my teeth when using my stethoscope, often I hear nothing. If I relax my jaw and move the lower jaw slightly forward, I hear great. Trivia:...

  25. Doctors orders

    Isabelle49 replied to new_worker's topic in Geriatric, LTC

    Does tylenol even come in a 250 mg dose? Depending on the cause of pain, what has been prescribed seems least effective for