HmarieD

HmarieD

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All Content by HmarieD

  1. Would you tell her NOT to try to be a nurse?

    HmarieD replied to Coloradogrl's topic in General Nursing

    When I began thinking about nursing school, I had lots of naysayers telling me that the waiting lists were so long, it would be years before I could get in. I went ahead and took the pre-entrance exam...

  2. Is it too late to send a thank you?

    HmarieD replied to suzyq1107's topic in General Nursing

    Wow! I've never even heard of such a thing, much less done it. I have on occasion followed up with a phone call thanking them for their time and letting them know I am still interested in the...

  3. What orders can an LPN write?

    HmarieD replied to nuebelpn's topic in Geriatric, LTC

    Good rule of thumb.. if it says "keep out of reach of children", it's a drug. In my State (IL) LPN's can write orders for everything EXCEPT medication, under the direction of a physician, of course....

  4. foley catheters

    HmarieD replied to troy09boston's topic in General Nursing

    Recon - HAHAHAHAHA!!! Regarding the foreskin, always remember to put it back where you found it. If you don't, the head of the member can swell and make it impossible to reposition the foreskin, and...

  5. Switching from O.B-relatively new nurse

    HmarieD replied to amyla27's topic in Home Health

    I have worked in home health a little over ten years, started in the field, now in the office doing QA/PI. I LOVE it and will never go back to the hospital. HH has it's own stressors, like any other...

  6. Start of care orders

    HmarieD replied to Sana2007's topic in Home Health

    Yes, with documented evidence of that

  7. First Bump on a Bumpy Road

    HmarieD replied to NickB's topic in Ob/Gyn

    Interesting that you never get this attitude when you're talking about OB-GYN's, a majority of which are

  8. Start of care orders

    HmarieD replied to Sana2007's topic in Home Health

    With the implementation of OASIS-C, there are actually a couple of issues here. In terms of compliance, it is required that services are provided under the direction of a physician (or podiatrist)....

  9. Start of care orders

    HmarieD replied to Sana2007's topic in Home Health

    Pick up the phone and call. Obtain V.O. - At our agency we do not treat the entire 485 as a V.O. - We document on our SOC OASIS that V.O. was obtained. Period. Has not been a problem thus

  10. I want to try out Home Health.

    HmarieD replied to ElectricHellfire's topic in Home Health

    Great response from Caliotter3. When I transitioned from acute care to HH, I took a pay cut, but I also went from a mid-size hospital in a more urban area to HH in my hometown, so if I had stayed in...

  11. Feeling bad because I didn't "go with my gut"

    HmarieD replied to LuVnLpN08's topic in General Nursing

    How so? I don't see any identifying info here. I can't access the OP's profile to identify a location, and there was no disclosure of pt's age, race, name/initials, or other identifying

  12. forced overtime??

    HmarieD replied to behindthedoor's topic in Home Health

    There is definitely trouble brewing, your agency should have been using the new forms for at least 4 days including today, and possibly longer depending on the date of completion (M0090 date). Do not...

  13. Pre and post transplant home infusions

    HmarieD replied to Tampa121's topic in Home Health

    I don't feel it's necessary to be PICC certified (though I was at one time) in order to infuse via PICC in the home. Use of a PICC is very common in HH. PICC certification is only required for...

  14. What do your benefits cost?

    HmarieD replied to pennyg1's topic in General Nursing

    At my employer we pay $900.00 per month for the family plan. That's only medical, folks. Of course it doesn't matter if you have one child (as I do) or two dozen, still costs the

  15. Is Home Health a possibility for me?

    HmarieD replied to mharrah's topic in Home Health

    Home health can be flexible although to a large degree that depends on the particular agency you're working for. Paperwork is supposed to be completed while in the pts home but it is not unusual for...

  16. Does this sound right?

    HmarieD replied to tx2007's topic in Home Health

    Sounds pretty sweet. I am a little confused about the $1.50 in town/$5.00 out of town - is this supposed to be mileage reimbursement? Typically mileage is reimbursed at so many cents per mile driven....

  17. Any help for home care nurse in bug infested/dirty homes?

    HmarieD replied to homelpn's topic in Home Health

    (Just a note - there is a home health forum here where I'm sure you would get tons of responses) I have done intermittent home health in lots of really gross and infested homes. Of course there have...

  18. The continuing saga of nurses vs. EMTs...

    HmarieD replied to Born2BWild's topic in General Nursing

    When I worked in the field as a home health nurse, I dreaded having to deal with any EMT crew. They were typically rude, dismissive, and arrogant. Just my personal

  19. Very nervous.....any helps?

    HmarieD replied to jordydan7295's topic in Home Health

    One of my favorite questions to ask to sort of break the ice was "How did you and your (spouse) meet?" I heard some of the sweetest & funniest stories ever, and it's a story everyone loves to...

  20. Help! How do I sign my name??

    HmarieD replied to Epona's topic in General Nursing

    I actually heard a state surveyor complain about a nurse signing her documentation "Nancy Nurse, RN, BSN". She stated (correctly) that it is completely unnecessary in that context, and she seemed very...

  21. What pranks have you played on your boss?

    HmarieD replied to systoly's topic in Nursing Humor

    I worked in a bank prior to nursing, and our prez went on vacation the week after Christmas. We had those white 3D wooden reindeer outside for decor, brought 4 of them in and placed them in his office...

  22. Nicely undermining you.

    HmarieD replied to Katie5's topic in General Nursing

    SIL is the queen... at my wedding - "Wow, I forgot how nice you clean

  23. Oasis C

    HmarieD replied to Sue Damonas's topic in Home Health

    It is a little longer. Some of the questions are better, more direct and easily understood, and will create a more realistic picture of the pt. However, some of the questions are fairly complex and...

  24. Patient requesting.....

    HmarieD replied to nursemomof3boys's topic in Home Health

    Not sure what you mean by "keeps the statistics correct". What it does do is keep your agency from getting "PEPped" which means you only receive partial payment for an episode of care if the pt is...

  25. So today, I almost passed out ....

    HmarieD replied to USN2UNC's topic in General Nursing

    LOL - Me too! When my daughter's first lost tooth came out in my fingers I nearly passed out (had to sit with my head between my knees, the whole nine yards). My DH asked if it was the blood that was...