HmarieD

HmarieD

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All Content by HmarieD

  1. language barriers

    HmarieD replied to jwenny's topic in General Nursing

    Ruby Vee, your MIL's approach is very interesting to me. Some years ago as a new nurse I cared for a Spanish-speaking pt. I don't know any Spanish beyond what I learned on Sesame Street (Ola, agua,...

  2. Calling all Nurses

    HmarieD replied to palo143's topic in General Nursing

    1. Home Health Administration 2. No 3. 2 4. 12

  3. PT/INR home testing

    HmarieD replied to iriskkerry's topic in Home Health

    I contacted Quality Assured Services as listed above by another poster, and received the response that there was a "small recall" on INRatio 2 that came out in September 2008. There was one batch of...

  4. The strangest thing you've ever seen on an x-ray?

    HmarieD replied to Spirit of Humor's topic in Nursing Humor

    dentures "stored" in the lady partsl cavity - said the last time she was in the hospital they lost her dentures so she put them there for

  5. Stupid things said by your non-nurse significant other

    HmarieD replied to Moogie's topic in Nursing Humor

    My MIL in resp isolation for suspected TB, tells me "They keep making me do that spit 'em up

  6. LPNs

    HmarieD replied to jo26's topic in Home Health

    Sounds like a pretty sweet deal. I'd take

  7. Your favorite nursing gadget?

    HmarieD replied to AOx1's topic in General Nursing

    As a Home Health nurse, I love the Ready-Med balls for IV meds. It's like a thick rubber balloon filled with IV medication using negative pressure in some way so that the med infuses at the proper...

  8. Canada's healthcare saved her; Ours won't cover her

    HmarieD replied to blue note's topic in Activism, Healthcare

    Auto insurance policies usually have a pretty low cap. Not enough to pay the ridiculously high medical bills that accumulate in a very short time. As for not having a choice of providers with a...

  9. Medicare guidline for mediport

    HmarieD replied to berube's topic in Home Health

    I have heard that too but have never seen it in writing. Would like to see the regs or whatever to confirm that. I guess there must be something to it if we have all heard that, but I swear there are...

  10. Considering Home Health but not buying their story . . .

    HmarieD replied to SmittyLPN's topic in Home Health

    I'm confused. med pre-fill, lab draws, diabetic nail care, and weight checks... none of these are skilled needs in and of themselves. Medicaid differs from state to state so maybe in your state, but...

  11. need wound advice

    HmarieD replied to melissahunter2's topic in Home Health

    Ha! I just made a comment on another thread about how the docs usually told me to do whatever I thought appropriate because I knew more about wound care than they did! And berube is right (I also just...

  12. RN doing CNA visits

    HmarieD replied to nodak RN's topic in Home Health

    I have done it. LOL, I felt completely inadequate! I never minded doing bed baths in the hospital but it's been a long time since I did it regularly, our HHA has it down to a science and fine art, so...

  13. Do you call the doctor EVERY time

    HmarieD replied to chenoaspirit's topic in Home Health

    I would never do anything invasive without obtaining the order first. Having said that, I have submitted countless orders for signature over the years for frequency changes, minor changes in wound...

  14. HomeHealth stress! New and feel like crying

    HmarieD replied to chenoaspirit's topic in Home Health

    Seven years ago I could have been you. It takes a little time, but you will get it. Once I did, I couldn't imagine leaving HH. Now I'm the PI person for my company. Hang in

  15. Change in primary diagnosis after hospitalization

    HmarieD replied to Sana2007's topic in Home Health

    A thorough ROC order should do it. You also might consider a SCIC OASIS (Significant Change in Condition). These no longer impact reimbursement, but will reflect the multiple changes in your pt's...

  16. New grad, advice please

    HmarieD replied to JerseyGir1's topic in Home Health

    I do think HH would be a great background for a FNP, however... I don't mean to be discouraging, but it would be a mistake to jump straight into HH. You absolutely need a solid med-surg foundation...

  17. How to Waterproof a Cigarette

    HmarieD replied to FranEMTnurse's topic in Nursing Humor

    :chuckle

  18. New to the game...good idea?

    HmarieD replied to MistyRN09's topic in Home Health

    In HH you are on your own in the home. You need to know what to do in an endless variety of situations. These days HH patients are increasingly acutely ill and complex. I would recommend getting no...

  19. Initiation of Discharge from HH

    HmarieD posted a topic in Home Health

    I must be having a "brain fart" today.... I know that for Medicare patients we are required to provide them with the Notice of Medicare Provider Non-Coverage not less than two days prior to discharge....

  20. Initiation of Discharge from HH

    HmarieD replied to HmarieD's topic in Home Health

    I should have been more specific, I'm asking about the amount of notice to the pts the agency has to give before we discharge, not at pt's

  21. Chemotherapy in the home

    HmarieD replied to HmarieD's topic in Home Health

    Thanks Karen, it sounds like a good place to start would be with our infusion companies, they have not been providing all those

  22. Chemotherapy in the home

    HmarieD posted a topic in Home Health

    Are any of you currently initiating or DC'ing chemo in the home? Our agency currently has quite a few pts on chemo, most of whom have therapy initiated at the oncology clinic and then DC'd by us at...

  23. Chemotherapy in the home

    HmarieD replied to HmarieD's topic in Home Health

    I am referring to IV chemo, typically the drug is initiated via a pump in the oncology clinic or chemo unit, it will run for a predetermined amount of time, and then the home health RN will DC it at...

  24. Chemotherapy in the home

    HmarieD replied to HmarieD's topic in Home Health

    Sorry for the delay... We have worked with 5FU, Methotrexate, Cytoxan, Adriamycin, to name a

  25. Forms 486 and 487

    HmarieD replied to Hina2007's topic in Home Health

    486 & 487 are no longer required. I don't even know what a 487 is, and I've been in HH about 8 years, currently working in performance improvement. I did work for an agency that continued to use...