RN1263

RN1263

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All Content by RN1263

  1. Elevated temp and dehydration

    I've always thought an elevated temp. "causes" dehydration not the other way around. that's why they say to push fluids when you have a temp. so you don't become
  2. Rant

    I see.... I'm sure it's frustrating. I'm a field nurse so I don't perform reviews of charts, but we switched to a new computer program and UGH.... Just today I did a SN revisit and the prior nurses...
  3. My general availability is the days for which I was hired Mon-Fri and my one week of on-call that includes working that weekend. However, once I was hired I was told I was required to do a visit at...
  4. What's my nursing specialty?

    I was also going to say home
  5. Medicare regs

    Yes, it's VERY easy for me to see many issues at my work and the solutions. However, when I've spoken up regarding the problems and potential solutions I get shot down. I recently spoke my view to my...
  6. You are sooooo lucky!!!! I'm jealous. I'm going to have to do something about this soon, not sure what, but I want my weekends off without feeling guilty. I have no problem helping out once in a...
  7. Rant

    What corrections are your nurses having to do? What are they not doing right the first time? I'm just curious.....I will admit I'm meticulous and if I don't do something right it drives me nuts. I...
  8. How can your pharmacist help?

    Are you saying you want to be hired by a home health agency?.... I doubt if that would be possible seeing that nurses are the ones required to teach regarding medications and I don't think your...
  9. Medicare regs

    If they don't have the staff, then who is going to do the admissions? Are you willing to give up all your free time to do them? I ask this in this way, because I just posted a new thread "Anyone else...
  10. Do you usually have weekends off unless you're on
  11. Rant

    Do you have weekly case conference or meetings with your staff where you could bring up some of your complaints to staff in a constructive way? Perhaps, start with saying something like -we know how...
  12. Home care nursing for New Grad

    I use to be a EMT also, only did 3 months of Med/Surg, then jumped into HH and never looked
  13. Looking for tips on Home health clinical

    I have no clinical expectations of a student that goes with me for the day. I find that the student can relax and really take in the experience if they don't feel they will be put in the hot seat at...
  14. LOL....absolutely!!!! I don't mind going anywhere in my scrubs anymore! I figure if someone has a problem with it, then it's their problem......cuz I have to pee!
  15. You'll get over that if you have to go bad
  16. Meds on 485 don't match MAR

    We are switching computer programs right now, so I don't know what the new system will allow, but the old system would mark D/C, change dose, etc. for the nurse to see, but these "changes" wouldn't...
  17. Legal issue about RN's and start of care for OASIS.

    It falls on the agency to make sure future visits are made. I have been the admissions nurse at 2 different agencies, once I complete my documentation and give report to the office, if needed, then...
  18. Meds on 485 don't match MAR

    I think I misunderstood a bit. With the 3 computer programs I have used (maybe your on paper?) if I discontinue a medication, then it is discontinued...period. Another words if someone went to do a...
  19. My company will hire anyone with a pulse as a HHA...lol...no certification required. Also, they are always hiring, but the pay is low. However, many companies do require state certification and pay a...
  20. Meds on 485 don't match MAR

    This has never happened to me before, however we don't have a protocol to fax MD regarding discontinued medications. However, If a patient was psych or had dementia (basically if I couldn't trust...
  21. notifying pts the night before visit

    I also don't call patients the night before. My schedule is always changing, if it didn't change so often I would call the night before, but it's impossible with the way things are right
  22. Home Health Nurse Safety

    There have been a 2-3 times when Patients were mentally ill or psychotic and I feared for my safety. One patient stated she was going to attack me and start biting me (with a psychotic look in her...
  23. Need Advice!!! Home health job

    the agency itself can make or break how you feel regarding home health care. i've worked for 2 agencies and they were completely different.... one of them i really hated, the other (where i'm at now)...
  24. Unlocked OASIS

    With our new software we have "follow-up notification" from Clinical managers via computer. They are suppose to let us know what has been changed or ask us to change an item, mark severity codes, then...
  25. Unlocked OASIS

    Carwin, The OP was not asking advice on answering the Oasis properly. The subject of this post is having to leave Oasis unlocked and what liability there is with doing so when changes...