emilysmom,RN

emilysmom,RN

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All Content by emilysmom,RN

  1. Do you have patients call late

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    I have to leave my phone on all the time. To give you an example my manager just texted me asking questions about one of my patients biopsy results so she can code them a certain way. It is Sunday...

  2. Post Hospital....Orders

    emilysmom,RN replied to Amelias's topic in Home Health

    I have seen plenty of patients that were discharged from the hospital and I did not have a copy of the discharge papers until I went to see the patient and read the patients discharge instructions in...

  3. Do you have patients call late

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    I have had doctors call me in the evening sometimes. That is why I keep my cell on. I have also been called by my clinical manager in the evening too. That is why I keep it on. But I have to learn to...

  4. Post Hospital....Orders

    emilysmom,RN replied to Amelias's topic in Home Health

    We do not always get discharge paperwork. I write all the meds down from discharge paperwork in the home. Then we tell the patient you have to see your PCP bring your list and then see if the PCP...

  5. Do you have patients call late

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    I have a work cell and when I call them they have my number. I get calls all hours, latest call was around 10pm once. That is why I feel my job is a 24/7 and we have been told that we have to bring...

  6. I am done

    emilysmom,RN posted a topic in Home Health

    It is not a good thing that I am sitting here crying. I am not good at this. My manager called me 7am this AM asking me about paperwork. See my handwriting is bad so I type out everything on a PDF...

  7. White and grey wound

    emilysmom,RN posted a topic in Home Health

    Patient with white and grey wound. Saw a PCP they told him to go to Urgent care at the VA for wound care orders, supplies. He did not go. I have asked him to go to a WCC he still has not gone. I...

  8. Do you worry?

    emilysmom,RN posted a topic in Home Health

    I am a big worry wart. ANd it causes me many sleepless nights. I worry about if I missed something on a patient, especially the non compliant ones. Also I have been doing charting till 10pm every...

  9. Happening again

    emilysmom,RN posted a topic in Home Health

    Does anyone else work this much? Seeing 6 to 10 pts a day some are 40 min away. Some I have to see 3x/wk due to CHF issues, have to take labs etc. Last two weekends saw 3 pts on sat and still doing...

  10. Happening again

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    Thank you for the info about CHF patients but my company started a protocol and have to follow it until discharge and have to document that you are calling the patient to see how there wt is. ANd I...

  11. Happening again

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    Well it is 11pm still doing paperwork. Did take a couple hours off to go out with co workers then home for 3 hours of 2 SOC and 6 visit notes. Was able to kiss my kids goodnight. Do not see any...

  12. Am I the only one

    emilysmom,RN posted a topic in Home Health

    I have a patient with CHF, she lives at a ALF. THey take her weight daily,(Friday) today she had a 4.5pound wt gain. When I was at the ALF patient was getting a CT of her shoulder and would not be...

  13. Am I the only one

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    The ALF is considered a personal care facility. They do administer meds by med techs has one RN and one LPN. When they need skilled nurses for assessing, wound care, in this case patient is open to...

  14. Do you use manual or automatic BP?

    emilysmom,RN posted a topic in Home Health

    Just bought a Omron automatic BP cuff. It weights about 2 pounds. Not sure if I like it. Just wondering what other HH nurses are

  15. Home health and family life?

    emilysmom,RN replied to vbgniner's topic in Home Health

    I do intermittent HH visits for 2 years now. My company still uses paper, I am not sure if working for a company that uses computers might help with that. I write notes in each home then type my...

  16. Can't decide whether to leave current job for HH job.

    emilysmom,RN replied to Gmoon's topic in Home Health

    I know the grass is not always greener. But unfortunately the only way to know is to do it. Also, did you say they give you a andriod, car and gas card? WOW. Good luck in your decision. Everyone...

  17. Straight cath BID?

    emilysmom,RN posted a topic in Home Health

    I have a pt that has had UTI's off and on for over 8 months. He went to urologist they told wife to straight cath twice a day. THe wife said she has done it before but is very upset. I explained to...

  18. Do you use manual or automatic BP?

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    My company does not have a rule. I bought a Omron that has calibration and it tells you if the cuff is not on properly and if there is a irreg HB. I still have a manual

  19. Real Nursing

    emilysmom,RN replied to KateRN1's topic in Home Health

    No sometimes I think I am writing too much. I write just about everything that happened. My manager has not said anything but I am trying to just write the facts and not elaborate. I sometimes...

  20. Straight cath BID?

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    The wife has very high anxiety normally. I plan on supervising her the first time she does it. Spoke with my physical theripst who knows the family better than I do. She agrees she does not think she...

  21. Straight cath BID?

    emilysmom,RN replied to emilysmom,RN's topic in Home Health

    It can introduce more bacteria. ANd I do not feel that the wife can handle this on a daily basis, she is in her 60's and already is upset about it before she even

  22. IV Push Lasix

    emilysmom,RN posted a topic in Patient Medications

    I was told to put in a butterfly then push IV Lasix 100mg in 10ml over 5min. Will have another nurse with me but I am concerned about side

  23. Lasix 100mg IV push

    emilysmom,RN posted a topic in Home Health

    My company started a CHF program. I am asked to adminsiter Lasix 100mg/10 ml IV push no IV line in. Patient also on torsemide 100mg BID. Verified orders. Has anyone administered this in the home?...

  24. IV Push Lasix

    emilysmom,RN replied to emilysmom,RN's topic in Patient Medications

    I did look it up but I am concerned about monitoring her. She does live in a ALF but they will not monitor but just check on her. It is a large does and she is on a oral diuretic

  25. PICC

    emilysmom,RN posted a topic in Home Health

    Have a patient that went into hosp with pain from esophogeal CA and is on chemo and radiation. Sent home on a Sunday PM with a PICC. Told the hospital CM that would not be able to see until...