Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. lethargic(and need ABG) or just tired???

    Isabelle49 replied to pink816's topic in General Nursing

    I would also check pulse ox, if patient sleeping, may be breathing very shallow and may need extra O2. Would also need more

  2. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    What are you including in the OASIS Assessment in 30 minutes? For an admit, my total time, visit and paperwork is approx 2 - 2.5 hrs and I have been doing them for 9 years. The 'Oasis assessment in...

  3. infant reflexes stable?

    Isabelle49 replied to anangelsmommy's topic in Home Health

    Good info on Moro Reflex in

  4. infant reflexes stable?

    Isabelle49 replied to anangelsmommy's topic in Home Health

    I would have to do some research on the effect of ICH on reflexes. It would also depend on how severe the bleed was. I think as long as you get a pos response to moro, you would be ok. A suck...

  5. infant reflexes stable?

    Isabelle49 replied to anangelsmommy's topic in Home Health

    My first thought about these reflexes is to determine an intact nervous system. A positive test for Moro reflex is one to check, a babinski is another. I always relied on the Moro with little ones,...

  6. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    ChaChing! You nailed it! I once interviewed for a company that said they gave a bonus to the nurse if they could get 5 visits done in the first week! I never went to work for them - I guess they...

  7. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Willow, you go girl! Keep us posted. I called our Labor Board in the past about issues and they told me that since Home Health did things differently, they didn't get

  8. Protocol Pre/Post Urinary Catheterization

    Isabelle49 replied to CarribRN's topic in Medical-Surgical

    I would think that if your policy is to collect a sample pre cath, then you would do so if the patient had to be recatheterized a day later. But, that could get pretty expensive. You would still be...

  9. Gas prices on the rise

    Isabelle49 posted a topic in Home Health

    With gas prices on the rise, how long before the extinction of home health? How long can we continue to work and travel extensively on less than adequate mileage reimbursement? By the way, who pays...

  10. Gas prices on the rise

    Isabelle49 replied to Isabelle49's topic in Home Health

    That is way better than south louisiana. During your tour of duty as a homehealth nurse, if you have to replace any of your car's tires, ask about road hazard insurance - it's great - tires replaced...

  11. Gas prices on the rise

    Isabelle49 replied to Isabelle49's topic in Home Health

    When gas prices hit $4.00/gal, I'm out of home health. I can work 2 12 hour shifts at a hospital and make what I make in home health. But, it has to be a public, not for profit

  12. Pt wants his mom to do MY job.. advice?

    Isabelle49 replied to PhilliesFan26's topic in Home Health

    Is the mom competent in his care? Maybe it's time to discharge the patient to the family's care? No sense in using up whoever's money, when professional care is no longer

  13. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Sounds like your company should get out of HomeHealth and get into the business of Micromanagement, cause they are doing a good job of it! The workload will hit it's max soon and HH nurses will head...

  14. Would you have opened this case?

    Isabelle49 replied to Capco56's topic in Home Health

    Capco56, Kudos to you for being a Patient Advocate, especially to a little one who cannot voice their opinion or defend

  15. Order to disimpact?

    Isabelle49 replied to tinderbox's topic in Home Health

    Yes, you certainly do need an order to perform this procedure. You also have to have experience doing the procedure and have an understanding of complications, i.e., the potential for bradycardia due...

  16. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Someone earlier commented on the Face to Face rule making them nuts and I think this was a management person. Don't fret. Relax. Do what our company has done. They have made it the Field Staff's...

  17. Gas prices on the rise

    Isabelle49 replied to Isabelle49's topic in Home Health

    Today, traveled 6 miles in 50 minutes! Free gas for the

  18. Gas prices on the rise

    Isabelle49 replied to Isabelle49's topic in Home Health

    I want

  19. Would you have opened this case?

    Isabelle49 replied to Capco56's topic in Home Health

    I may have refused this case from the outset. Agree, this baby should have been in a hospital. I don't know if the surgeon ordered anything appropriate for pain, but I cannot imagine the pain of...

  20. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Don't you love it when a holiday falls between Monday and Friday and you still have the same number of patients to see when there is no holiday? Makes me

  21. Pcts telling you to get it yourself

    Isabelle49 replied to TonyaM73's topic in Medical-Surgical

    Everything you have said above is why I will never work in a hospital

  22. Pcts telling you to get it yourself

    Isabelle49 replied to TonyaM73's topic in Medical-Surgical

    An important thing to remember is that you liable for any harm that may come to a patient. The PCTs have no liability. If the PCT doesn't want to get the coffee, it will have to wait. Most patients...

  23. Milage, Az HH CM

    Isabelle49 replied to DesertwindRN's topic in Home Health

    In my neck of the woods, the first 15 miles is not paid, or the distance to the office if you go there first. Then the trip home after your last visit is not paid either. Does this company expect...

  24. PA didn't use sterile technique, then said it wasn't a sterile procedure!

    Isabelle49 replied to alwayschanging's topic in Wound, Ostomy, Continence

    True it is not a sterile procedure. For this you must wear gown, sterile gloves and mask. Wound care is generally not sterile procedure. HOWEVER, the PA should have changed gloves after removing...

  25. Private Duty Nsg. for a Family Member?

    Isabelle49 replied to Marsden's topic in Private Duty

    The only way a private insurance company will pay for services is if you are able to bill for them. As an RN, whether or not you can do that will depend on your Board's view on this. Only recently...