chenoaspirit

chenoaspirit ASN, RN

Med/Surg, Home Health

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All Content by chenoaspirit

  1. PT INR

    chenoaspirit replied to Willow Moonsidhe's topic in Home Health

    Well, if it was 2.2, isnt that WNL? I mean, here, the docs want the INR between 2 and 3 with DVT's, but not sure what this doc has

  2. Do you ever wash your scrubs with whites?

    chenoaspirit replied to blondy2061h's topic in General Nursing

    I have washed mine with whites, if the scrubs are like pastels or have been washed multiple times. But I would wash them in warm, not hot. And I wouldnt wash a solid dark color like red or blue with...

  3. Firm Boundaries/Days off

    chenoaspirit replied to anticoagulationurse's topic in Home Health

    when I worked on a med/surg floor, I NEVER got a lunch. i would have my lunch and grab a bite between calls, but we got 30 minutes docked everyday for a lunch that we didnt get. I would be in the...

  4. Yet Another Question

    chenoaspirit replied to Willow Moonsidhe's topic in Home Health

    I agree with berube. You only do a ROC when you are "resuming" their care after an inpatient admit over 23 hours. If they went to hospice, then you are not going to be resuming and GOING BACK INTO...

  5. Insomnia

    chenoaspirit posted a topic in General Nursing

    I CANT SLEEP at night. I worked night shift for several years, but it has been about 3 years ago. But my body is still in nightshift mode. Ive tried melatonin, benadryl, accupressure. Does anyone...

  6. Insomnia

    chenoaspirit replied to chenoaspirit's topic in General Nursing

    I was just diagnosed with fibromyagia and also just had fusion surgery on my c-spine. Im scared to do any exercise. It HURTS soooooo bad and Im afraid I'll damage my neck until it's fused...

  7. GT med administration question?????please help

    chenoaspirit replied to princess007's topic in General Nursing

    I always flush with a small amount of water to ensure that all meds are in the stomach. But yes, you can resume TF's. Like said above, hold if residual is greater than

  8. Lost it at Work

    chenoaspirit replied to skittlebear's topic in General Nursing

    Uh, I would have probably quit on the spot when they handed me my write-up over something like THAT. geeeez I had to quit my last job due to disrespect and lack of staffing and lack of appreciation....

  9. how often do you change polyderm dressings?

    chenoaspirit posted a topic in General Nursing

    We were using Allevyn over wounds and changing q 3 days. They have now stopped stocking those and have switched to polyderms. How often can those be changed? I mean, can they stay in place 3 days...

  10. UNNA boot sticking to wounds...

    chenoaspirit posted a topic in Wound, Ostomy, Continence

    I have been applying unna boots to my patient twice weekly for about 3 weeks now. Its so painful for her because of the drainage that causes the boot to stick to the wounds. It takes me forever to...

  11. Please advice...YOUNG cancer patient and I feel helpless

    chenoaspirit posted a topic in Home Health

    I have a patient who is in her 20's and has 4 children, 2 are 1.5 years old. Very sad situation. She was diagnosed with gioblastoma. She cries all the time, which is understandable. She has given...

  12. last day of recert, sent pt to hospital, what paperwork do I do?

    chenoaspirit posted a topic in Home Health

    I went to do a recert on a patient, she had fallen and her hip was hurting (ER said 0 fx). I felt she needed to go back to ER, which she did and was admitted with a hip fx. I didnt do the recert. I...

  13. last day of recert, sent pt to hospital, what paperwork do I do?

    chenoaspirit replied to chenoaspirit's topic in Home Health

    Thanks guys. I was wondering and hoping I didnt have to do an oasis,

  14. Please advice...YOUNG cancer patient and I feel helpless

    chenoaspirit replied to chenoaspirit's topic in Home Health

    We do have a psych nurse, but she said that this isnt a situation for a psych nurse. I am like you, I thought a psych nurse could help. What kind of service would a MSW do? I am wondering how to...

  15. The Other Side of ObamaCare - Nurse's Health Benefits

    chenoaspirit replied to DoGoodThenGo's topic in Activism, Healthcare

    I get angry too everytime I read about it. I dont like

  16. Home Protime Machine

    chenoaspirit replied to anticoagulationurse's topic in Home Health

    Interesting.. Thanks for the

  17. Totally Gross! Had to share...

    chenoaspirit replied to Bumashes's topic in Patient, Colleague Relations

    eww,

  18. "NP's Are Smart Nurses" ????

    chenoaspirit replied to Misslady113's topic in General Nursing

    I hope

  19. Simple Drug Teaching Sheets

    chenoaspirit replied to KateRN1's topic in Home Health

    Thank

  20. Driving

    chenoaspirit replied to nursemomof3boys's topic in Home Health

    Our agency provides us with cars so mileage isnt as big a deal to me. It was when I was driving my own car. Yes I got paid 0.45 per mile, but once my car wears out, that mileage reimbursement wont...

  21. Pay per Visit

    chenoaspirit replied to ittybittybabynurse's topic in Home Health

    I dont just see medicare patients. There are KMAP, PI, VA, PP, etc. No, pill boxes are not covered under medicare but some insurances will pay for it every 2

  22. OASIS nurses??

    chenoaspirit replied to aubreysmommy's topic in Home Health

    I hope they pay you good! I hate doing OASIS'. Compared to what we get paid and the amount of paperwork, I would make more money and would rather make 2 regular visits and have ALOT less paperwork....

  23. noncomplian patient...what to do?

    chenoaspirit posted a topic in Home Health

    I have a patient with A-fib, venous insufficiency, MASSIVE venous ulcers on her legs, and rotting fingers. I make twice-weekly visits to change UNNAs boots. She is supposed to elevate her legs, wear...

  24. Nursing student going into clinicals with a stomach virus

    chenoaspirit replied to us2uk4u's topic in General Nursing

    Well, there is something going around here...puking with diarrhea, and its VERY contagious. ALOT of people are getting it. I wouldnt want someone like that in my family member's room, unless they...

  25. noncomplian patient...what to do?

    chenoaspirit replied to chenoaspirit's topic in Home Health

    Thanks guys for your advice. I really appreciate it. I'll update soon on how things are going and what happens. I just dont understand people like this. Its so nice to have you guys to share...