Sterlink

Sterlink

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All Content by Sterlink

  1. Time spent on charting

    Sterlink replied to traylee's topic in Home Health

    our agency considers 6 SNVs a full load...of course, nurses do get days of 7 or 8. a SOC and 4 is also supposed to be manageable. problems come with the mix of acuities you may get, and amount of...

  2. Time spent on charting

    Sterlink replied to traylee's topic in Home Health

    now...that all does make sense, but in practice, many nurses, myself included go in with good intentions...meaning i'm gonna be fast and efficient, and before you know it, one hour and 45 minutes have...

  3. Start of care orders

    Sterlink replied to wossaa's topic in Home Health

    persistence. and we're told to follow SBAR when communicating with MDs:

  4. On call issues

    Sterlink replied to Holisticlifern's topic in Home Health

    when we still documented on paper, oncall nurses would get a print out, at the end of the day, before they took

  5. I was fired today

    Sterlink replied to sparenurse's topic in Home Health

    in my agency, meds reconciliation is constantly emphasized....you should never let your guard done on meds....never assume...often the MDs have a different list than what's going on in the home....HC...

  6. RN's in HHC, How much do you take home weekly?

    Sterlink replied to mommycruz3's topic in Home Health

    listen to you pts...in homecare you may have more time to do that...you'll learn a

  7. I think this might be illegal!

    Sterlink replied to Oasis help's topic in Home Health

    when in doubt document EXACTLY what you see...like "pt continues to nod off during assessment interview" i had a pt once who was on methadone for chronic pain, was doubling up on doses, and had...

  8. I think this might be illegal!

    Sterlink replied to Oasis help's topic in Home Health

    oasis questions should be supported by your documentation/narratives. if they are changing the pain level answer, ask them why. it's good practice to teach the pain scale to a pt before you ask them...

  9. computer charting is killing my career

    Sterlink posted a topic in Home Health

    I was given a laptop about 6 months ago. I charted on paper before that. Charting is my least favorite part of the job. But now with the computer it's killing my career. I am always behind in my...

  10. computer charting is killing my career

    Sterlink replied to Sterlink's topic in Home Health

  11. computer charting is killing my career

    Sterlink replied to Sterlink's topic in Home Health

    I am trying to chart later...stubbornly trying to jot paper notes and catch up with the laptop later. I'm thinking I have got to stop this and work that machine into the

  12. teaching leg bag to overnight bag to a 93 yr old

    Sterlink posted a topic in Home Health

    Patient could not get leg bag nozzle out of Foley catheter without assistance. Leg bag tube also came apart too easily from its nozzle. Basically I'm having trouble getting this gentleman...

  13. teaching leg bag to overnight bag to a 93 yr old

    Sterlink replied to Sterlink's topic in Home Health

    I will look into OT. And I am wondering how to select a better leg bag that doesn't come apart between its nozzle and tubing so

  14. Help! What did i get myself into????

    Sterlink replied to cdland1's topic in Home Health

    Yes, you should have hospital experience before hc. life experience helps a lot too. The human element is way more acute is hc. You are right in the middle of people's lives.... Being able to relate...

  15. activity and safety documentation and teaching

    Sterlink posted a topic in Home Health

    I'm wondering how other clinicians teach and document activities and safety on a start or care when there will be a gap in care. For example, a little 97 y/o lady who refuses an aide but accepted...

  16. activity and safety documentation and teaching

    Sterlink replied to Sterlink's topic in Home Health

    We answer oasis as not what they are doing but rather what they can do safely. So what would I teach and document on a 97 y/o who lives alone, won't accept an aide but is observed to be unsteady on...

  17. What did I get myself into??!! I'm scared!!!

    Sterlink replied to RN_Mommy_2_3's topic in Home Health

    Chart in home, or immediately afterwards in your car. Call MDs immediately! Don't put off anything you don't have to. You will be busy....that's for sure. If you think it's slower than hospital,...

  18. new nurse in need of help

    Sterlink replied to 88nursinglove88's topic in Home Health

    You shouldn't ever make a decision on that. You need an MD's order. If an order is for so many units of an insulin, that's what the pt should get. If you're concerned about the pt becoming...

  19. first patient

    Sterlink replied to 88nursinglove88's topic in Home Health

    My advise is plan your visit ahead of time. Follow your script. Eventually you'll develop your own flow, but at first follow a

  20. Please share your home care nursing tips/tricks with others

    Sterlink replied to paradiseboundRN's topic in Home Health

    Got it. Yeah, good to have something to look at quickly. I know what you mean about having to go back to the computer for something

  21. Please share your home care nursing tips/tricks with others

    Sterlink replied to paradiseboundRN's topic in Home Health

    "front of the right side, back of the left side..." please explain that again...not sure what you

  22. Please share your home care nursing tips/tricks with others

    Sterlink replied to paradiseboundRN's topic in Home Health

    How about how much time it takes to know what's really going on? I had a daughter call me back and say she could NOT get her mom to a doctor's appt. Seemed to be saying "it's her problem." I was...

  23. When to refer to social worker?

    Sterlink replied to HeaFea's topic in Home Health

    That's a good list. Think I'll bookmark it. Of course, you need a good

  24. Awkward area to dress: adjacent Labia majora

    Sterlink posted a topic in Wound, Ostomy, Continence

    I have a 29 year old patient status post incision and drainage of an abscess (MRSA cellulitis) at her right groin with one margin at her labiocrural fold. I am packing the wound and then covering...

  25. scrotal edema...what to do?

    Sterlink posted a topic in Home Health

    A new pt with scrotal edema was sent home with no orders specifically addressing this condition. The case is complex: prostate CA c/ mets, bladder lesions, bilateral ureteral stents, DVTs...and...