Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

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

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

    Nurse might want to do a quick check of patient's diagnoses before seeing the patient and maybe focus on one of the diagnoses to teach on during that visit or teach on ay questions that the patient...

  2. Do you feel like this sometimes?

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

    When a patient has to go to the hospital, it is never the home health nurses fault. That mentality makes me nuts and I know the agencies harp on it. 'Tell the patient/cg to call us first". Sorry, I...

  3. I give up

    Isabelle49 replied to paddler's topic in Home Health

    I hear you about the clock punching. I would punch the card backwards, upside down, and any other way but the right way. Payroll must have thought I was a moron. The biggest reason I am still in...

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

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

    We are using HCHB since October. I like it a lot, but I know what you mean about some of the intervention/goals. If an intervention is not applicable to my patient I say 'no' when asked if I...

  5. Port in the arm instead of the chest

    Isabelle49 replied to Vtachy1's topic in General Nursing

    Where in the arm is the port? I cared for a patient with a port to left upper arm, mid way between the shoulder and elbow and along the inner surface of the arm (could draw a line from arm pit to...

  6. Why RNs cannot say 'That's not my job'

    Isabelle49 replied to Dramqueenie1's topic in General Nursing

    In the 26 years that I have been an RN, I have come to realize that nurses are the only medical professionals that are accountable and that we live at the bottom of the food

  7. I give up

    Isabelle49 replied to paddler's topic in Home Health

    Happy for you. Hope all is well in the new job. Best wishes for your fertility treatments! Do keep us

  8. Homebound

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

    I would consider your patient

  9. I give up

    Isabelle49 replied to paddler's topic in Home Health

    Paddler, I hear ya! Good luck in the wound care area, I think that would be a great job. Am sure I would enjoy

  10. IVP vs IVPB

    Isabelle49 replied to PediLove2147's topic in General Nursing

    There's gonna be one panicked stricken nurse if she checks on an IVPB narcotic and finds the bag and tubing gone. Hanging a narcotic IVPB, unsecured in a locked pump, is no different than leaving a...

  11. Correcting INR

    Isabelle49 replied to missjustice's topic in General Nursing

    The FFP and 'correct her to 50,000 might be a shorthand way of telling the staff to order FFP and Platelets. I dunno, if that's the case I would certainly be in the

  12. Charity SON Fall 2012

    Isabelle49 replied to MsLeana's topic in Louisiana Nursing

    Best of luck to all of you, from a Charity '86

  13. Medical Charting in Family Practice.

    Isabelle49 replied to military-mom's topic in General Nursing

    I'm thinking the MD should have decided whether the patient should wait and return 8 days later, not the

  14. IVP vs IVPB

    Isabelle49 replied to PediLove2147's topic in General Nursing

    If the physician want the drug given IVPB he must order it as such. If pain meds are ordered IV, it is understood to be IVPush. You should not leave a narcotic hanging around in a bag anywhere on...

  15. 485's Home Health Plan of Care

    Isabelle49 replied to Ms. RN'02's topic in Home Health

    I would have the same question? Would like to know how long Ms.RN'02 worked as a field nurse? Does they agency know that it is a requirement in the Medicare regs that the DON have at least 2 years...

  16. UA specimens

    Isabelle49 replied to paddler's topic in Home Health

    Collecting specimens and delivering them to labs is not a skill, not covered by Medicare and probably the hmo's and private insurers. It's a freebie, i.e., the nurse does it for free! I refuse to...

  17. How to use map to plot SN visits?

    Isabelle49 replied to tulsanurse1's topic in Home Health

    It helps when you see pretty much the same group of patients weekly. If your group changes weekly, it would help if you knew the area well and could visualize where they

  18. "Clinical manager"

    Isabelle49 replied to metalRN's topic in Home Health

    Our Clinical Manager has always been an RN. I'm not sure what she does, but she is always

  19. Job of the BSN nurse

    Isabelle49 replied to mmkrn's topic in Home Health

    What BSN program are you in? I've been an RN for 26 years and considered the BSN when it became available through a nearby university with all work done on computer from home, but I learned that it...

  20. SOC, ROC, recert nurses note, Template

    Isabelle49 replied to OutandaboutRN's topic in Home Health

    Have had templates in the past, but they are too cookie cutter like. My note explains what I see, hear, feel, smell and do and how the patient tolerates the visit. I also include any teaching that I...

  21. 485 after SOC

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

    The admitting nurse should be able to give you a report and let you know what diagnoses are. You should find a lot to teach about diseases, meds, diet,

  22. Blacklist?

    Isabelle49 replied to paddler's topic in Home Health

    I am so glad I am

  23. How do you say no

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

    I love it when I say no, and they say 'Thank you' in a sarcastic

  24. Minimum length of time for routine visits

    Isabelle49 replied to paddler's topic in Home Health

    I've heard that 30 minutes is minimum. My visits are never less than that, except in the case that the patient is rushing for some reason and I document it when that happens. There is an agency that...

  25. on call/ low census status

    Isabelle49 replied to TallRN3's topic in General Nursing

    Bet no member of management in a hospital has been called off and required to use