HmarieD

HmarieD

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All Content by HmarieD

  1. D/C central lines in SNFs?

    HmarieD replied to nyteshade's topic in General Nursing

    I have DC'd mid lines and PICCs in the patient's home, for example after a six week course of vanc at home. Lots of times. No problem. I was PICC certified at one time, but that had no bearing on my...

  2. specialty air mattresses

    HmarieD replied to hds51403's topic in General Nursing

    The beds are great for reducing pressure ulcers, but patients still must be turned to promote circulation, respiratory function, etc. One of the companies that sets these beds up in our area (in the...

  3. Im considering leaving homehealth

    HmarieD replied to chenoaspirit's topic in Home Health

    I think if we all hang in there long enough, the new paperwork will become as routine as the old was. I would hate to see someone who really loves HH leave! Our homebound patients need good nurses! I...

  4. Cutting diabetic toenails

    HmarieD posted a topic in General Nursing

    Just curious what the consensus will be... Do or would you cut a diabetic patient's toenails? Why or why

  5. Cutting diabetic toenails

    HmarieD replied to HmarieD's topic in General Nursing

    Thanks for the responses. I work in Home Health and we are having some controversy about this issue. Our patients are usually homebound, and for some it is very difficult to get to the podiatrist's...

  6. Take the IV out... yourself.

    HmarieD replied to Kaileeia's topic in General Nursing

    My husband had a cardiac cath and we were so eager to leave that we never noticed until we were in the car that no one DC'd his IV. I did it in the car, no big deal, wasn't mad, we were the ones...

  7. Need help with notes

    HmarieD replied to Theone40's topic in Home Health

    Welcome! When I audit PT notes (not looking for appropriate tx necessarily as I am not a PT, but looking for quality/compliance issues), I look to make sure that each clinical note stands alone in...

  8. Wound vac question/vent

    HmarieD replied to Nursetastic's topic in General Nursing

    Maybe they shouldn't be, but they are, indeed, placed over

  9. Nurse with potty mouth.

    HmarieD replied to Born2BWild's topic in Patient, Colleague Relations

    I posted this on another thread just yesterday, but it's more appropriate here. A nurse friend once said to me, we all may be sweet and professional in the hallways and pt rooms, but turn the corner...

  10. Crabbit Old Woman

    HmarieD replied to snoopy29's topic in General Nursing

    Now I'm all teared up... really beautiful, thank

  11. Wound vac question/vent

    HmarieD replied to Nursetastic's topic in General Nursing

    I have seen a few wound vacs placed over surgical sites with sutures present, but these were muscle flaps or skin grafts. I have even seen the wound vac sponge sutured onto the wound! I have never...

  12. Ugh! I can't STAND this!

    HmarieD replied to blondy2061h's topic in General Nursing

    The funniest one (well, funny from my perspective) was when my DMIL called to tell me she had a stick stuck up her nose. That's right. She was mowing when a small piece of branch at least a cm in...

  13. Parents of High School Students

    HmarieD replied to ICAN!'s topic in General Nursing

    At my daughter's high school, they were taught that condoms are 90% INEFFECTIVE in preventing STD's and pregnancy. Abstinence, of course, 100% effective. Please give these kids accurate information....

  14. Family Feud question today.....

    HmarieD replied to Otessa's topic in General Nursing

    I watched a different episode of Family Feud the other night and one of the questions was "Name a profession that you wouldn't want to joke around at work" (or something close to that). The #1 answer...

  15. Why not wear a mask to 'mask' some of the smells that go along with nursing?

    HmarieD replied to Cathylady's topic in Patient, Colleague Relations

    Maybe I'm just weird, but I think most masks themselves have an unpleasant

  16. Would love some advice...thinking about home health nursing

    HmarieD replied to T_Ann's topic in Home Health

    It sounds like your experience would be adequate, you might brush up on certain skills, particularly wound care (we do lots of wound vacs which you might not have much experience with), IVs (lots of...

  17. Any other new RN's (2nd career) feel completely unsettled in choice?

    HmarieD replied to Kitty Hawk's topic in General Nursing

    I went into nursing as a second career in my late twenties, after working in a bank for many years. The banking job was soul sucking and I thought nursing would allow me to connect with people in a...

  18. beta blockers for anxiety?

    HmarieD replied to Zookeeper44's topic in General Nursing

    Huh. Weird. My DH takes a beta blocker for cardiac dysfunction. They seem to make him anxious and irritable, but also really run-down and kind of spacy. I guess everyone's

  19. Cath Stories

    HmarieD replied to nurseby07's topic in Home Health

    I have some very similar stories but I think my profile gives my location so I won't say too much in fear of HIPAA violations. I have also had a female with MS, contracted & difficult. I found...

  20. Need help with notes

    HmarieD replied to Theone40's topic in Home Health

    Good advice above. If you are using a flowsheet for your assessment, I would include the following in your narrative: - ptś activity on arrival (even if itś resting comfortably in recliner) and any...

  21. New Grad HH Orientation Sufficient?

    HmarieD replied to Jill2010's topic in Home Health

    While I would normally not recommend HH to a new grad, the orientation sounds really exceptional and if the support you talk about is really there it could work. Good

  22. Is Home Health Nursing still Growing

    HmarieD replied to pat8585's topic in Home Health

    I think when you hear that ¨home health¨ is a growing field what they are really talking about is ¨home care¨, or nonskilled assistance, such as housekeeping, meal prep, and personal care. I agree...

  23. New to HH

    HmarieD replied to BSNin2008's topic in Home Health

    Most people either love HH or hate it. You usually know right away. I wouldn´t quit without another job lined up, but it wouldn´t hurt to start looking for something else. Kudos to you for admitting...

  24. Drawing blood

    HmarieD replied to dtermineddenise's topic in General Nursing

    Feel more than look. The vein should be plump and bouncy. If you have trouble with them rolling, stabilize the vein above and below the insertion

  25. Been Living A Sendentary Life

    HmarieD replied to thanrye8710's topic in General Nursing

    I have a problem with chronic joint pain, so high impact exercise is very difficult for me. I have recently found a local hotel that allows me to use their pool (and hottub!!) which is fantastic for...