Traveler

Traveler

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All Content by Traveler

  1. HH should I try it now?

    Each company is different in point scale for visits. What makes a BIG difference is how far you have to travel. Where I work now, DC/ROC/RC count as 1.25 points. Regular visit counts as .75 and SOC...
  2. prothrombin time...help

    We put it in a cooler and are told to get it to the lab within an hour. You certainly have every reason to be distracted. My thoughts and prayers are with your son and your family. What a difficult...
  3. Hello - What state are you from?

    I live in the Appalachian mountains in SE Tennessee 100' from the Cherokee National Forest. I work about 29 long twisty miles from here doing home health on the GA, NC, TN line. The way I look at it,...
  4. You know it's going to be a bad visit when....

    What a wonderful day you had hoolahan!!!!! Good thing she was your last patient of the day. It made me laugh out loud when you recounted your stripping naked in front of your DH and dtr. My family has...
  5. 3rd week in home health, ready to quit

    Where I work there are LOTS of positive results for our patients and wonderful patient care. The government does watch the hh industry pretty closely. When PPS came into being many hh agencies shut...
  6. Help, confused with on-line education

    I have just finished my 5th class with UoP and have 13 to go. I started at the beginning of May. I should be done by July of 2006. It seems like a long time, but it will be over before I know it....
  7. Avinza and Cymbalta

    Does anyone know the conversion of Avinza 30 to regular morphine and to other meds? When is the peak? Is Avinza different than MS Contin other than the fact that it's given q 24 hours and not q12?...
  8. Avinza and Cymbalta

    Thank you both for your replies. ERslave- How is your husband doing on the Cymbalta. Any bothersome s/e so far and how is it helping his pain? Do you find that the doctors in your area are pretty...
  9. What to look for in a agency? newbie to HH

    If you have worked for three agencies since August and have only been doing home health since August, I don't think you have given yourself enough time to adjust to this new setting. There is so much...
  10. new grad and home care

    You said home care in the evenings. Is this private duty with one patient or home health? If it's home health, you are talking about after regular hours. This could be scheduled visits for IV's or prn...
  11. I think very little of the teaching gets through to the patients and their c/g's in this type of a setting. It would be wonderful if there were more referrals for these types of patients to have some...
  12. returning to home health

    I don't know much about the Florida job market. I assume you were out of there before PPS and Oasis kicked in. There will be some changes for you to learn related to all of that. We're in and out...
  13. 3rd week in home health, ready to quit

    It sounds like you have gone from the frying pan into the fire so to speak. I have worked for two different hh agencies and have just realized that the love of the job depends a great deal on the...
  14. Offended by Prayer

    Merricat, The Jewish tradition involves no embalming. Aslo all lines like IV;s catheters, etc. that were in teh body at death are to remain in the body. Burial is usually within 24 hours and the week...
  15. Aunt w/ Bone Cancer - pathetic pain management regime

    Duragesic patches are very good. I don't know how expensive they are and how medications are approved there for insurance purposes. It makes some people a little loopy and they can't tolerate it but...
  16. DME/Qxygen issues...

    I had a patient last week who got one canister and one catheter for her suction machine. I was a little surprised when the family didn't know how to use it when I got there. They said the delivery...
  17. Home Health Aide shortages...

    I am in a rural area- no bus routes, often dirt roads. The last agency I worked for did do HHA visits for Medicaid (Tenncare here). Where I am now we do not take Medicaid. We haven't had any problems...
  18. My story-hope not to bore

    I am a 35 year old RN who is continuing to earn my BSN with the goal of MSN/FNP. I have worked in home health for 4 years so I have seen a little of everything. Pain is now considered the 5th vital...
  19. My story-hope not to bore

    I have been using my Anodyne machine three times a day for about a week. Although my pain is not completely gone, I have been able to cut the amount of pain medicine I take in half. I also (stupidly)...
  20. when will mds wake up and smell the suffering?

    I worked 3.5 years doing hh and hospice. I changed jobs at the end of August and am working for a hh agency that will be adding hospice pretty soon. We are in a rural isolated area and many of the hh...
  21. Considering switch to home health- seeking advice

    You just have to try hh for yourself to see if you like it or not. Some people can't stand it and others couldn't do anything else. Your med/surg experience should prepare you nicely for home health....
  22. Stasis ulcer dilemma

    It sounds like a challenging case for you! There are so many different products out there with different names but that do the same thing. I am not familiar with Multidex powder. It sounds like he...
  23. would like to apply to Vanderbilt one day!

    I live 4 hours away from Nashville in East Tennessee. I am always getting things in the mail from Vanderbilt about
  24. Wound Care & Antiseptics

    Where I did hh before (until August) we routinely used h2o2 and w to d dressings. When I mentioned this to my new agency they were shocked. They don't even carry peroxide in the supply room. We have a...
  25. medicaid spendown

    Where I work now we take no Medicaid (it is Tenncare here). Mostly Medicare and some private insurance. I do know that one of the small locally owned pharmacies will allow patients to run up $700-$800...