Isabelle49

Isabelle49

Home Health

Member

  • Content

    849

  • Visitors

    14,857

  • Followers

    0

  • Likes

    6

All Content by Isabelle49

  1. question about pca pumps , used in home setting

    Isabelle49 replied to belle ball's topic in Home Health

    Not sure if you are asking if the patient/family are capable of learning to reprogram a pac pump or that they would do so to increase dosage (abusively)? Does the pump not have a key/lock mechanism...

  2. going for interview but starting to seem shady

    Isabelle49 replied to NissaNurse's topic in Home Health

    I wouldn't waste my

  3. When do you document

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

    Sounds like your agency likes

  4. Charity School of Nursing

    Isabelle49 replied to Alitia M's topic in Louisiana Nursing

    Best wishes to all Charity students. Greatest nursing education you can get anywhere. Am a 1986

  5. Do you use manual or automatic BP?

    Isabelle49 replied to emilysmom,RN's topic in Home Health

    I only use manual BP cuff. I would recommend that those using automatics have a manual as a back-up, esp in the case of a patient with atrial fibrillation, since when in a highly irregular rhythm,...

  6. What are the benefits and disadvantages of home health nursing?

    Isabelle49 replied to grwnprincess's topic in Home Health

    Home health part time, if you could handle it money wise, would be great! My favorite thing about home health is the one on one with patients and families with rare to no interruptions. I love for...

  7. Madame, your ignorance is astounding

    Isabelle49 replied to PeepnBiscuitsRN's topic in General Nursing

    It is awesome when you have the time to clean up and pamper a patient. To me, that's 'real' nursing, something we don't get to do much

  8. Salary for home healthcare nursing

    Isabelle49 replied to NJRN33's topic in Home Health

    I only worked for 2 companies where I was salaried at $25.50/hr in South Louisiana. The problem with this is if you are not in the field 40 hrs a week, you had to come into the office and work make...

  9. Is this ok?

    Isabelle49 replied to RachelRN2011's topic in Home Health

    I've never done that, only drawn with a syringe then placed in vcutainer. Pressure may well be too much for the

  10. Real Nursing

    Isabelle49 replied to KateRN1's topic in Home Health

    Some do that and some don't and there's the number that claim to see their patients but

  11. 5 top things

    Isabelle49 replied to maddybears's topic in Home Health

    You will find yourself doing a lot of freebies for the company. After 9+ years, I have stopped with the freebies. There is now a price tag for everything. If the company doesn't want to pay then I...

  12. Fired for giving Med late

    Isabelle49 replied to Beaubou's topic in General Nursing

    It would seem to me that your charge nurse could have stepped in and helped keep you up to date with existing patients while you got the new ones settled. But, then again, when I was charge nurse I...

  13. Vanco Administration Question Please!

    Isabelle49 replied to suzi0612's topic in Patient Safety Issues

    You did a great job being an advocate for patient safety. I have once had to give Vanco in the home and I told the agency that I would not do it if there was no pump available, or elastomeric

  14. Senior Nurses Any Insight Into This Patient Case?

    Isabelle49 replied to All4NursingRN's topic in General Nursing

    High potassium could be due to the renal insufficiency, or was he on potassium supplements at home and not feeling well, not eating/drinking and was dehydrated. H&H drop, was he being given any...

  15. HomeCare HomeBase users, I would like to start a discussion with you all

    Isabelle49 replied to I<3H2O's topic in Home Health

    On some items, when you select, they will appear on a screen with a white background and it is here you can change the wording or add to it. As far as teaching items that are not specific to a...

  16. Different spin on previous post on documentation tampering

    Isabelle49 replied to Capco56's topic in Home Health

    You QA manager knows what needs to be done to jack-up the HHRG, resulting in higher payment. You assessed the patient, so you know the patient. Don't second guess yourself, but if a patient barely...

  17. Got citation on my documentation by department of health surveyor...;(

    Isabelle49 replied to umharhar's topic in Home Health

    I once worked with an RN who refused to globally assess her patients for pain. Every patient she did an OASIS on never, ever had any pain (per her statements). I think she felt like it was her fault...

  18. Does Your Agency Set a Limit on Visits?

    Isabelle49 replied to RachRN66's topic in Home Health

    You say you work for a not for profit agency, but it sounds to me like they are all for profit with the limit on visits. I'm not sure how Medicare managed insurers pay, but I can tell you that...

  19. So sorry for my daughter

    Isabelle49 posted a topic in Licensure: Criminal History

    My daughter, an RN for 7 years, DUI X 1 with no damage or injuries except herself, unable to find a job. Board of Nursing is sanctioning her license. She was told she could not work pool, home...

  20. Got citation on my documentation by department of health surveyor...;(

    Isabelle49 replied to umharhar's topic in Home Health

    It's a learning experience,

  21. I am being harrassed

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

    It's not good at all! The person doing this to you is breaking a Federal Law. Do a look up on Labor Laws as applies to harassment, that might open your eyes real wide, maybe give him a copy, that...

  22. Got citation on my documentation by department of health surveyor...;(

    Isabelle49 replied to umharhar's topic in Home Health

    Don't lose any sleep over it. When you assess a patient for pain, there may be no pain in that moment. There was a real good article on pain at Medscape that taught me quite a bit (wish I could...

  23. making the 60 day calendar

    Isabelle49 replied to BabaLouRN's topic in Home Health

    I printed free printable calendars from the net. Don't need them anymore, HCHB does it for us after we fill in the provided calendar on the

  24. It shouldn't have happened this way....

    Isabelle49 replied to nerdtonurse?'s topic in Hospice, Palliative

    All I can say is OMG, am a home health RN, not hospice. Some people just don't care and that is

  25. Documentation altering/tampering...Is this the norm???

    Isabelle49 replied to RollerRN's topic in Home Health

    This is clearly Medicare/Insurance Fraud. If you sign an OASIS that has been altered, you are also liable if the fraud is uncovered. RN's who tolerate this activity need to think about what benefits...