HmarieD

HmarieD

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All Content by HmarieD

  1. Now, if you saw this on a chart, what would YOU think?

    HmarieD replied to AngelfireRN's topic in General Nursing

    This is not a spelling or grammar issue, but I once read a chart in which a nurse documented "Pt's sister is dumb as a box of

  2. PT INR

    HmarieD replied to Willow Moonsidhe's topic in Home Health

    I have found that when taking orders for weekend PT/INR's, when I ask "And whom shall I page with the results?", Suddenly that weekend PT/INR can wait until Monday to be drawn,

  3. COS - C

    HmarieD replied to KateRN1's topic in Home Health

    I also took the class and sat for the exam in January (annaedRN, wonder if we were in the same place? - Peoria IL for me) I have done OASIS for a long time but still learned a great deal. I agree with...

  4. Please advice...YOUNG cancer patient and I feel helpless

    HmarieD replied to chenoaspirit's topic in Home Health

    An MSW consult would be helpful, they can offer counseling and help the family find support groups and other resources that she may not be aware of. I'm not sure how I would write the order, I would...

  5. last day of recert, sent pt to hospital, what paperwork do I do?

    HmarieD replied to chenoaspirit's topic in Home Health

    Do the transfer, no discharge OASIS needed, but you will still need to do a DC

  6. Simple Drug Teaching Sheets

    HmarieD replied to KateRN1's topic in Home Health

    Thanks! I just added that to my

  7. new to home care

    HmarieD replied to mariarn80's topic in General Nursing

    You should go to the Home Health Forum, there are many many useful threads there that should answer a lot of your questions. You will also find a lot of good references there that will help you...

  8. Nursing in the Florida Keys

    HmarieD replied to LesphotoRN's topic in General Nursing

    I really have no true idea, but I have a cousin in Key West who tells me the hospitals are primarily staffed with traveling nurses as the cost of living is so high, most nurses can't afford to...

  9. RACISM BY PATIENTS???

    HmarieD replied to Mr. Evans's topic in Patient, Colleague Relations

    Oh boy, I really stepped in it... I was taking a little literary license and trying to put a "cute" or "mischievous" spin on my anecdote. A little wink wink nudge nudge, if you will. FAIL. OK, here...

  10. Vent: Recognition from employer

    HmarieD replied to tokmom's topic in General Nursing

    I worked at a hospital that did something similar. If you got 3 thumbs up, you got a $15.00 gift card for the local mall. All the second shifters were constantly getting gift cards because they would...

  11. A&O x... How many?

    HmarieD replied to Music in My Heart's topic in General Nursing

    LOL I was assessing orientation in a hospital setting and asked the lol who the pres was (around the same time as above) and she couldn't name him but said "Oh, that mess..." Yep,

  12. RACISM BY PATIENTS???

    HmarieD replied to Mr. Evans's topic in Patient, Colleague Relations

    I once had a pt who refused to be cared for by an AA nurse. We did accomodate his wishes and I was assigned to him. I gave him the very best care I could that night... I even kept trying to get that...

  13. Telling relatives the patient has died

    HmarieD replied to snoopy29's topic in General Nursing

  14. Best Doc Stories

    HmarieD replied to country mom's topic in General Nursing

    I worked on a med surg unit, and our general surgeon's mother was a patient. She became very confused and combative on my night shift, and I had called her MD for orders, but we were unable to do...

  15. Anyone working as CNA Home Health Aide?

    HmarieD replied to e71x's topic in General Nursing

    In Illinois, you must be a CNA to work as Home Health Aid in Intermittent Skilled Home Health agencies. The terminology is probably different in different areas of the country, or maybe even from...

  16. Anyone working as CNA Home Health Aide?

    HmarieD replied to e71x's topic in General Nursing

    The posters above are probably working in private duty or extended care home health, which is a little different from my area of experience. The HHA position I described in my first post would be in...

  17. Anyone working as CNA Home Health Aide?

    HmarieD replied to e71x's topic in General Nursing

    I'm not a HHA but have worked in HH a long time. I think typically HHA's would see about 6 pts a day, probably spending anywhere from 45 mins to 1 1/2 hours at each home. Care would include checking...

  18. Is this s agood offer? New to Home health...

    HmarieD replied to Fancifulmist's topic in Home Health

    It sounds like a good offer, although the PTO does seem a little low, as you noted. Would you be working per diem or as a FT employee? I'm guessing if you are getting benes you would be full time....

  19. Anyone heard of Diastolic BP being higher than Systolic???

    HmarieD replied to WSU_Ally_RN's topic in General Nursing

    motion+e: I am just curious... what do you do for a

  20. STRESS LEVEL: Home health VS Hospital job

    HmarieD replied to redhead09's topic in General Nursing

    HH is not without stress, but my worst day in HH is still better than my best day in the hospital. I would recommend at least one year

  21. OASIS Convention/Workshop

    HmarieD replied to nickolasj80's topic in Home Health

    I have taken this as well, and am also certified. It's worth every penny. When I registered for it I admit I was a little skeptical. I've been doing this a long time and considered myself pretty...

  22. MRSA and Home Care

    HmarieD replied to Willow Moonsidhe's topic in Home Health

    I have seen disposable plastic sleeves that were used as a barrier between the pt and BP cuff. You might check with your agency director to see if these could be

  23. Old Wives Tale or Nursing Intervention?

    HmarieD replied to mappers's topic in General Nursing

    I don't think I would try this. Sounds like a good way to turn a clotted PICC into an embolus to me. Never force a flush. Another variation on the prune juice cocktail - the "brown bomber" - equal...

  24. Free diseases

    HmarieD replied to mizfradd's topic in Nursing Humor

    That is

  25. Homebound guidelines

    HmarieD replied to cny4rn's topic in Home Health

    I have a copy of a letter that was sent from CMS to NAHC, which states, in part, "If the net effect of driving indicates that the individual has the capacity to get their health care routinely...