tburrell

Latest Activity

1. B12 Injections - Teach the Family?

   tburrell replied to Jay-Jay's topic in Home Health

   Jay, I think the protocol you have is excellent, but it is not designed for home care in the U.S. We would be going by Medicare Standards or some other private insurance company and the insurance company would require us to teach and get out. I ha...

2. Nursing Theorist

   tburrell replied to pineapple's topic in Home Health

   Here are some other sites that may be helpful. http://www.sagepub.com/book.aspx?pid=2592 http://www.nurses.info Betty Newman homepage http://www.verpleegkunde.com Hope these help.

3. Clinical Pathways for Home Health Care

   tburrell posted a topic in Home Health

   I am searching for Clinical Pathways for Home Health Care. If anyone has some and would be willing to share I would greatly appreciate it. I am really tired of building them from scratch -- using hospital based pathways to create home health pathwa...

4. wound care notes

   tburrell replied to wcnurse's topic in Home Health

   I believe the surveyor is asking for the width 1', 2', etc. when wanting to know the size of tape, not the actual length the nurse is appling. If they want to know that, then they are being rediculous. I would be calling the state while the surveyo...

5. Medication Help for all ages....

   tburrell replied to StatBlues's topic in Home Health

   StatBlues, Thank you very much. What a great list and so detailed. I will definitely use it, and will be sharing it with my staff. Tom

6. wound care notes

   tburrell replied to wcnurse's topic in Home Health

   Unfortunately, we have to return to the old saying "if it is not documented, it was not done". Look at your documentation from a legal standpoint. If you go into court how are you going to prove that you used NS, betadine, GCP, etc. to clean or pac...

7. Back to the nursing home

   tburrell replied to Rustyhammer's topic in Home Health

   Russell, Thanks for the welcome. I can see that this is going to a very good information source. I am a registered nurse with several other letters of the alpabet soup behind my name. Remember the number of letters behind someones name does not n...

8. Survey

   tburrell replied to meowser's topic in Home Health

   If the Director of Clinical Services has laid the foundation for proper documentation and also other required paper work, and has instructed / oriented nurses on how a home visit is to be conducted, then there should not be any worry. As the Direct...

9. B12 Injections - Teach the Family?

   tburrell replied to Jay-Jay's topic in Home Health

   I agree. It is much easier for the patient to give a SQ injection versus IM. It will depend on the base of the B12. Is it an oil based injection, which must be given IM or is it water based? The goal remains the same. Eliminate the self-care de...

10. B12 Injections - Teach the Family?

    tburrell replied to Jay-Jay's topic in Home Health

    Our responsibility in home health care is make the patient once again independent. We can also look at this another way. The practice of the art and science of Nursing is based on Theories. One of the most used theories that nursing is based upon ...

11. chemotherrapy administration

    tburrell replied to gelia's topic in Home Health

    There really is No certification in Chemotherapy. There is certification in Oncology Nursing. My agency does some chemo. I take my nurses through a small course on chemo agents; are they vesicants or nonvesicants and what should be done with extra...

12. Back to the nursing home

    tburrell replied to Rustyhammer's topic in Home Health

    Russell, I wish you luck. I am new to the message board. I understand about the 600 miles a week and $2.00 / gal of gas. The best of luck to you. Tom

13. Need advice on job opportunity

    tburrell replied to TouchRN's topic in Home Health

    Sounds to good to be true. I saw where you said supervisory visits every 90 days. Is that the AZ requirement? In Florida, regardless, if it is private pay we must do sup visits every 60 days with each recert. A certification period is 60 days. ...

14. Need Charting Help

    tburrell replied to Nurse Candy's topic in Home Health

    Hi. It really does my heart good to see a new home health nurse who is willing to go to some length to find out how to do something; in this case documentation. I am the Director of Clinical Services for a home health agency. Documentation is one ...